• Journal of Nutrition and Health
• /
• 제57권3호
• /
• pp.307-319
• /
• 2024

본 연구는 국민건강영양조사 2019, 2021년 자료를 활용하여 중년 남성과 여성의 건강 관련 삶의 질에 따른 건강 및 식생활 특성을 비교하기 위하여 진행되었다. 40-59세 성인을 대상으로 건강 관련 삶의 질을 측정하기 위해 HINT-8을 사용하여 총점에 따라 4군 (상, 중상, 중하, 하)으로 나누었다. 남성은 건강 관련 삶의 질이 낮을수록 소득이 낮고 미혼인 비율이 높으며 음주와 흡연하는 비율이 높았고 체형을 말랐거나 비만하다고 생각하는 비율이 높았고 최근 1년 동안 체중이 증가한 비율이 높았다. 여성은 건강 관련 삶의 질이 낮을수록 나이가 많고 교육 수준과 소득이 낮고 비만인 경우가 많았으며 체형 또한 비만하다고 생각하는 비율이 높았고 최근 1년 동안 체중이 증가한 비율이 높았다. 그리고 고지혈증과 고중성지방혈증 유병 비율이 높았다. 남성과 여성 모두 삶의 질이 낮을수록 채소/버섯/해조류 및 과일의 섭취 빈도가 적었다. 본 연구에서 중년 남성과 여성의 건강 관련 삶의 질과 관련된 요인에 서로 다른 특징이 있으므로 이에 맞는 정책의 개발이 필요할 것으로 생각되며, 본 연구결과가 중년의 건강 관련 삶의 질을 향상시키기 위한 기초자료로 이용될 수 있을 것이다.

• 대한간호학회지
• /
• 제11권2호
• /
• pp.33-54
• /
• 1981

The purposes of this study were to determine the relevant nursing needs of patients following discharge; to identify the degree of their nursing needs; to identify types and status of discharge order and information given to patients; and to determine their specific nursing needs according to their diagnosis. In addition, opinions toward home care services provided by hospitals or by public health nurses and appointment plans with their physicians were also asked in order to determine the necessity of follow-up care for the patient after discharge. Nine hundred and eighty eight subjects were collected among patients being discharged from one national university hospital and four city hospitals. Data were collected from June,1979 to December,1979 using questionnaires and interviews. On the bases of these data the following findings were observed; 1) Almost 40 percents of total subjects discharged from the hospital with some or great degree of nursing needs in general. The most problematic nursing needs were needs for comfort which include needs for releaving pain, for sound sleep and rest, because these needs can only be met by professional help. More than 50% of total subjects have this problem. 2) Needs for mental health, general metabolism, general hygiene and activities and safety were observed in more than 20 percent of subjects. 3) Discharge orders on diet and oral medication were recorded in patients' charts in 70% of all cases. However, more than fifty percents of patients have not been told these information from doctors or nurses. Even though some of them might have had appointment plans with their physicians, they would not keep the appointments unless they completely understood the necessity of the follow-up care. If they have not had any appointment or would not visit the out-patient clinic, there is no method of caring them and prerenting funther discomfort or complications. Even in injection, ski care, dressing and bath, only one thirds of the subjects having recorded discharge orders understood what they need after discharge. The rest of cases have not known what to do for their further care. 4) More than 80 percents and 70 percents of total subjects agreed to a system of home care services provided by hospitals or public health nurses respectively. That is, regardless of sources of medical expenses, most of patients wanted to be taken care of at home following discharge. 5) While more than half of the patients having benefit of medical insurance or paying fully by themselves had appointment plans with their physicians, only one thirds of the patients fully or partially paid by government had appointment plans with their physicians. These results ex-plain that the appointment plan is directly associated with their economic power. This indicates that the home care services are more needed to the people with lower economical status. 6) Those who have been in the hospital more than 24 days wanted !o have home care services more than those who had less hospital days. They also had more appointment plans than other groups. 7) More than 70 percents of the subjects who had been in a university hospital and approximately 30 percents of the subjects in the city hospitals had appointment plans with their physicians. 8) Those who had the cerebrovascular disease, cancer or hypertension demanded more nursing needs such as needs for comfort, for general metabolism and for mental health. 9) Factors which were associated with the degree of patients' nursing needs were age, duration of hospitalization, opinion toward home care services given by public health nurses, hospital appointments and types of hospital. That is, the older they were and the longer the periods of hospitalization were, the higher were their nursing needs. The more they had nursing needs, the more they wanted to have nursing services and had appointment plans. It can be concluded that there is a great demand for a positive and systematic home care services to the people who have been discharged from hospitals following critical care. This program is definitely demanded for the low income groups of people with less education with the financial assistance of the government or other funding agencies.

• 보건교육건강증진학회지
• /
• 제9권1호
• /
• pp.1-13
• /
• 1992

The purpose of this thesis is to provide the framework of the health education curriculum on a school level which should be accomplishe in futrue and farthermore to establish the health education as a independent and regular course. The relation among the status in quo and the satisfaction degree of health education, the degree of the knowledge about health, the degree of the understanding of the health education and the degree of requirement for the health education curriculum has been analyzed in this paper. The research has been carried out through the questionnaire forms distributed to the girl students and the instructors at a few general senior high school and vocational senior high schools in Seoul, and the consequences are as follows : 1. As to the degree of understanding of the health education, it has been indicated that the health education should be performed one or two hours a week from the elementary school for all the boy and girl students by the experts trained in the departments concerned with health. 2. Concerning the degree of requirement for health education curriculum, the high school girl students have shown the need for first aid, sex education, environmental health, drinking, smoking, drug abuse, maternal and child health, industrial health, safety health, mental health, growth & development, epidemiology, the old health in the order named. On the other hand, the instructors have shown the need for drinking, smoking, drug abuse, sex education, maternal and child health, public health and industrial health also in the order named. The items having low degree of requirement are biostatistics, community health and health administration in case of the gril students and biostatistics, health administration and health economics in case of the instructors. 3. The status in quo and the satisfaction degree of the health education has proved higher in senior high school curriculums than in junior high school curriculums, and the most instructive course about health has turned out to be gymnastics in junior high school and the training course in senior high school respectively. 4. As to the degree of understanding of the health education in case of the girl students, the significance has been found between the health condition and the time for performing the health education, the monthly income and the objects for the health education, and the school records and the school hours per week. The significance has been shown only in regard to the school records in case of the degree of requriement for the health education curriculum. 5. The degree of requirement for the health education in case of the instructors has shown the significance between the teching career and the need for the health education. In addition, the degree of requirement for the health education curriculum has indicated significance with regard to sex and age. 6. The degress of the understanding of the health education according to the degree of knowledge about health and the degree of requirement for the health educatio curriculum have been all turned out to be statistically significant. 8. Among the factors which have an influence on the degree of the understanding of the health education, the recognition of the relation between the health course and the training course has significatly influenced the selection of the health education instructors. In additon, the understanding of the need for the health eduation has significantly influenced the objects for the instructors and the school hours, and the understanding of the need for establishing the health education course has significatly influenced the time for performing the health education.

• The Journal of Korean Physical Therapy
• /
• 제18권4호
• /
• pp.61-70
• /
• 2006

연구목적: 본 연구는 가정 거주노인과 시설 거주 노인의 일상생활동작(ADL)과 도구적 일상생활동작(IADL)을 비교 분석하여 노인 돌봄에 관여하는 의료 종사자, 특히 물리치료사와 작업치료사의 업무에 도움을 주고자 시행하였다. 방법: 일상생활동작 및 도구적 일상생활동작의 검진은 한국형 일상생활동작 평가서와 도구적 일상생활동작 평가서를 사용하여 거주 형태가 다른 두 노인 집단의 평가 결과를 분석하였다. 결과: 노인들의 일상생활동작과 도구적 일상생활동작의 수행 능력은 부부 동거, 자녀 수, 수입, 현재 앓고 있는 질병 및 나이에 의해 영향을 받고 있는 것으로 나타났다. 또한 일상생활동작 중에는 한 가지 동작이 도구적 일상생활동작은 한 가지 동작을 제외한 모든 동작에서 수행 능력의 차이를 보이고 있다. 부부가 함께 동거하는 노인이 홀로 사는 노인에 비해 전반적으로 일상생활 활동이 원활한 것으로 나타났다. 결론: 한국형 일상생활동작 평가서와 도구적 일상생활동작 평가서가 한국 노인의 일상생활 활동을 평가하는데 보다 사용하기 좋았다. 노인을 돌보는 의료 종사자 특히 물리치료사 및 작업치료사는 노인의 일상생활 활동을 증진시키기 위해 훈련을 시행한다면 일상생활동작 훈련에서는 목욕하기에 중점을 두고 도구적 일상생활동작의 훈련에서는 거의 모든 동작을 훈련 시켜야 할 것을 조언한다.

• 한국안광학회지
• /
• 제17권2호
• /
• pp.241-247
• /
• 2012

목적: 본 연구는 녹내장과 대사증후군, 그리고 구성요소간의 상관성을 평가하기 위해 수행되었다. 방법: 제 3기(2005), 4기(2007-9), 5기(2010) 국민건강영양조사 자료에서 40세 이상 19,162 명을 대상으로 녹내장과 대사증후군, 그리고 구성요소(복부비만, 공복혈당장애, 높은 혈압, 이상지질혈증) 간의 연관성을 조사하였다. 로지스틱회귀분석을 통하여 인구학적, 생활방식 그리고 사회경제적 요인을 보정한 후 연관성을 평가하였으며, 녹내장의 위험과 대사약물복용간의 연관성을 평가하였다. 결과: 성별 및 연령을 보정한 로지스틱 회귀분석에서, 공복혈당장애(odds ratio (95% Confidence Interval): 1.78 (1.25, 2.53)) 및 대사증후군(1.45 (1.01, 2.08))이 있는 연구대상자가 그렇지 않은 연구대상자에 비해 유의하게 높은 녹내장 교차비를 보였고, 추가적으로 흡연, 음주, 규칙적 운동, 소득, 교육수준을 보정하였을 때 교차비는 더욱 증가하는 것으로 나타났다(공복혈당장애: 1.89 (1.29, 2.77), 대사증후군: 1.52 (1.03, 2.25)). 또한, 연구대상자가 가지고 있는 이상 대사증후군 요소의 수에 따른 녹내장의 유병률 증가는 경계적 유의성(borderline significant: age and sex adjusted p for trend = 0.055)을 보였다. 고혈압 치료제의 사용 역시 녹내장의 위험과 유의한 상관관계가 있었다. 결론: 대사증후군 및 공복혈당장애는 녹내장과 유의한 상관관계가 있었고, 고혈압 치료제 사용 역시 녹내장과 유의한 상관관계가 있었다.

• 한국산학기술학회논문지
• /
• 제18권7호
• /
• pp.554-564
• /
• 2017

본 연구의 목적은 저온저장 사과의 시장동향, 저장실태 및 출하시기 조사를 통하여 사과재배 농가들이 최적의 사과출하 시기를 결정할 수 있도록 지원하기 위한 것이다. 사과 주산지인 경상북도 대구지역의 사과재배 농가 300개소를 대상으로 설문을 실시하여 재배품종, 재배면적, 저장 및 출하실태 등을 조사하였다. 주요 연구결과는 다음과 같다. 생육시기에 따른 사과재배 비율을 조사한 결과, 조생종, 중생종 및 만생종 사과의 재배비율은 각각 78.3%, 63.7%, 96.0%였다. 또한, 조사대상 농가 중 48.7%가 저온저장시설을 보유하고 있었다. 박스(15kg) 당 평균 저장비용은 자가 저장 시에 978.3원이었으며, 위탁시에는 1,771.8원으로 나타났다. 11월부터 4월까지 6개월에 걸쳐 전체 저온저장 사과의 91.6%가 출하되고 있었다. 일반 저장창고에 저장된 사과를 포함한 연간 사과출하량은 744.4박스였으며, 저온 저장된 사과의 연간 출하량은 616박스였다. 저장사과는 '도매시장'으로 출하되는 비율이 가장 높았으며, '산지수집상'과 '대형마트'가 그 뒤를 이었다. 사과의 수송방법은 일반트럭을 이용하는 비율이 가장 높았으며, 저온탑차와 택배의 비율이 그 뒤를 이었다. 시기별 사과출하를 결정하는 요인을 분석한 결과, 오프시즌(5~월)에는 저장비용, 감모율, 관행출하 등의 영향을 받았다. 한편, 일반출하기(11~월)의 사과출하 결정요인들은 미래 기대가격, 저장비용 및 선도농가의 의사 변수가 통계적으로 유의적이었다. 일반출하의 비중이 높은 농가들의 사과출하 결정요인은 미래에 받을 가격에 대한 기대, 저장비용, 고소득에 대한 기대, 선도농가의 의사결정에 영향을 받고 있는 것으로 나타났다.

• Journal of Nutrition and Health
• /
• 제53권5호
• /
• pp.488-502
• /
• 2020

본 연구는 광주지역 산업체 근로자 738명을 대상으로 NQ-A를 측정하여 영양상태 및 식사의 질 수준을 파악하고 이에 관련된 요인을 확인하였다. 본 연구 대상자는 교대 근무자 496명, 비교대 근무자 242명으로 구성되었다. 근무 기간은 10년 이상이 64.9%, 남성 근로자가 81%, 연령대는 50대 이상이 31.6%를 차지하였다. 교육 수준은 대학 졸업 이상이 57.2%, 월평균 가계소득은 401-600만원인 경우가 48.2%로 가장 높은 비율이었고, 가구 구성은 결혼의 여부에 따라 가족과 함께인 가구가 75.9%였다. 대상자들의 근무 형태에 따라 교대 근무와 비교대 근무자로 나누어 분석한 결과 NQ-A와 영역별 점수는 비교대 근무자가 유의하게 높았다. 연구 대상자의 NQ-A 평균 점수는 45.3점이었고, 모니터링 필요 집단은 교대 근무자에서 91.3%로 유의하게 높았다. 연구 대상자의 영양지수에 영향을 미치는 요인은 근무형태, 성별, 연령, 교육 수준, 월평균 가계 소득, 가구 구성으로 나타났다. 비교대 근무자, 여성, 가족과 함께인 가구, 50대 이상, 월평균 가계 소득 600만원 이상의 경우가 NQ-A를 높이는 요인으로 확인되었다. 연구 대상자의 균형, 다양, 절제, 식행동 영역에 영향을 미치는 요인에 대한 확인 결과, 근무 형태는 균형, 다양, 절제 영역에 공통적으로 가장 큰 영향을 미치는 요인이었고, 성별은 식행동 영역에 가장 큰 영향을 미치는 것으로 조사되었다. 본 연구는 NQ-A 지수를 활용하여 일반 산업체 근로자의 영양상태와 관련 요인 균형, 다양, 절제, 식행동으로 나누어 세부적으로 평가하고 영양지수에 영향을 미치는 요인을 파악하여 구체적으로 식생활교육 프로그램의 방향을 제시했다는데 의미가 있으며, 산업보건에서 영양관리의 필요성 및 근무 형태와 성별에 따른 차별화된 관리와 지원이 필요함을 시사한다. 즉, 근무 형태와 성별에 따른 영양관리와 식생활 교육 프로그램 마련이 요구되며, 근로자가 육체적 정신적으로 건강한 생활을 영위하는 데 가치를 두고 식습관에 관심을 가질 수 있도록 하는 교육이 이루어져야 할 것이다.

• 마케팅과학연구
• /
• 제19권2호
• /
• pp.17-26
• /
• 2009

As the lifestyle of consumers changes and the need for various products increases, new products are being developed in the market. Each household owns various home appliances which are purchased through the choice of a decision maker. These appliances include not only large-sized products such as TV, refrigerator, and washing machine, but also small-sized products such as microwave oven and air cleaner. There exists latent correlation among possession of home appliances, even though they are purchased independently. The purpose of this research is to analyze the effect of demographic factors on the purchase and possession of each home appliances, and to derive some relationships among various appliances. To achieve this purpose, the present status on the possession of each home appliances are investigated through consumer survey data on the electric and energy product. And a multivariate probit(MVP) model is applied for the empirical analysis. From the estimation results, some appliances show a substitutive or complementary pattern as expected, while others which look apparently unrelated have correlation by co-incidence. This research has several advantages compared to previous literatures on home appliances. First, this research focuses on the various products which are purchased by each household, while previous researches such as Matsukawa and Ito(1998) and Yoon(2007) focus just on a particular product. Second, the methodology of this research can consider a choice process of each product and correlation among products simultaneously. Lastly, this research can analyze not only a substitutive or complementary relationship in the same category, but also the correlation among products in the different categories. As the data on the possession of home appliances in each household has a characteristic of multiple choice, not a single choice, a MVP model are used for the empirical analysis. A MVP model is derived from a random utility model, and has an advantage compared to a multinomial logit model in that correlation among error terms can be derive(Manchanda et al., 1999; Edwards and Allenby, 2003). It is assumed that the error term has a normal distribution with zero mean and variance-covariance matrix ${\Omega}$. Hence, the sign and value of correlation coefficients means the relationship between two alternatives(Manchanda et al., 1999). This research uses the data of 'TEMEP Household ICT/Energy Survey (THIES) 2008' which is conducted by Technology Management, Economics and Policy Program in Seoul National University. The empirical analysis of this research is accomplished in two steps. First, a MVP model with demographic variables is estimated to analyze the effect of the characteristics of household on the purchase of each home appliances. In this research, some variables such as education level, region, size of family, average income, type of house are considered. Second, a MVP model excluding demographic variables is estimated to analyze the correlation among each home appliances. According to the estimation results of variance-covariance matrix, each households tend to own some appliances such as washing machine-refrigerator-cleaner-microwave oven, and air conditioner-dish washer-washing machine and so on. On the other hand, several products such as analog braun tube TV-digital braun tube TV and desktop PC-portable PC show a substitutive pattern. Lastly, the correlation map of home appliances are derived using multi-dimensional scaling(MDS) method based on the result of variance-covariance matrix. This research can provide significant implications for the firm's marketing strategies such as bundling, pricing, display and so on. In addition, this research can provide significant information for the development of convergence products and related technologies. A convergence product can decrease its market uncertainty, if two products which consumers tend to purchase together are integrated into it. The results of this research are more meaningful because it is based on the possession status of each household through the survey data.

• 농촌의학ㆍ지역보건
• /
• 제34권1호
• /
• pp.76-86
• /
• 2009

본 연구는 농촌지역 노인을 대상으로 요실금의 출현빈도를 조사하고 요실금과 관련된 요인을 검토하고자, 2007년 10월 1일부터 12월 31일까지의 기간에 충청남도의 농촌지역에 거주하고 있는 65세 이상 노인 464명을 대상으로 면접조사를 실시하였다. 그 결과 조사대상자의 요실금 경험률을 보면 「매일 실금」이 9.5%, 「가끔 실금」이 35.5% 로 요실금을 경험하고 있는 노인이 45.0%이었다. 성별로는 남자(29.8%)보다 여자(58.5%)에서, 연령이 낮은 군보다 높은 군에서, 교육수준이 높은 군보다 낮은 군에서, 월수입이 높은 군보다 낮은 군에서 요실금 경험률이 높았다. 일상생활습관별 요실금 경험률은 비흡연군보다 흡연군에서, 음주군보다 비음주군에서 유의하게 높았으며, 주관적 건강상태에 따른 요실금 경험률은 건강하다는 군보다 건강하지 않다는 군에서, 건강에 대한 걱정을 하지 않는다는 군보다 한다는 군에서, 신체부자유가 없다는 군보다 있다는 군에서, 건망증이 없다는 군보다 있다는 군에서, ADL과 IADL별로는 도움이 필요 없다는 군보다 도움이 필요하다는 군에서 유의하게 높은 비율이었다. 다변량 로지스틱회귀분석 결과 요실금발생에 영향을 미치는 관련요인으로 성별, 연령, 흡연습관, 건강에 대한 걱정유무, 신체부자유 유무, 건망증 유무, IADL이 유의한 변수로 선정되었다. 이상의 결과를 보면 농촌지역 노인들의 요실금 출현빈도는 남자보다 여자에서, 고연령일수록 높아지는 것을 알 수 있으며, 일상생활습관이나 주관적 및 신체적인 건강상태가 양호하지 않을수록 요실금 출현율이 높게 나타나고 있으므로 이에 따른 노인들의 적절한 건강관리 대책이 요구된다.

• 농업과학연구
• /
• 제31권1호
• /
• pp.53-75
• /
• 2004

This study is aimed at identifying the national economic value of the irrigation facilities by reviewing the existing papers on economic values of the irrigation facilities and presenting current status of dual O & M problems of the irrigation facilities. This study suggested the unified O & M system rather than continuing the existing dual O & M system of irrigation facilities based on the surveyed results of the activities of irrigation fraternities in Chungnam Province. The findings and proposals for the successful unified and mono O & M system of the irrigation facilities are as follows: (1) Total number of irrigation facilities in the nation accounts for 67,582, while the total length of irrigation and drainage canals amounted to about 174,259km. On account of the total length of structural canals was estimated at 31%, much losses of water and much O & M costs have been inevitable for the full irrigation rice culture. In spite of the past heavy investment for irrigation facilities, the ratio of rain-fed and partially irrigated paddy fields accounts for 23% in 2003. Both Korea Agricultural and Rural Infrastructure Corporation (KARICO) and the city and Gun Governments have managed the irrigation facilities separately by irrigation fraternities. The KARICO have commanded 59% of irrigation paddy area with 18% of the total irrigation facilities, while the city and Gun governments covered 41% of irrigation paddy area with 82% of the existing number of irrigation facilities representing small and medium scale. (2) The 1999 demand prices of irrigation water per ton expressed in 2000 constant market price was estimated at 388 won, the supply price was amounted to 184 won per ton. Considering the supply and demand curve of the irrigation water, the existing irrigation facilities could not satisfy the demand of irrigation water. (3) In 1999, total present added value of the irrigation facilities during the economic life accounted for 48 trillion won, while total supply cost was 44.7 trillion won. The marginal benefit and cost ratio of irrigation water was 1.08. (4) The total O & M cost per year amounting to 681.1 billion won have been required to maintain and repair the existing irrigation facilities in Korea. For the successful unified O & M of irrigation facilities covering whole irrigated paddy field in Korea, 950 billion won of O & M costs are required to keep up the marginal benefit of irrigation water as 2,800 billion won per year. The total O & M cost as 950 billion won should be allocated 40%, 380 billion won for O & M costs of irrigation facilities and 60%, 570 billion won for improvement of irrigation facilities. (5) The study investigated and reviewed the present O & M status of the irrigation facilities by small and medium irrigation fraternities. Most of the farmers belong to the irrigation fraternities preferred not only unified O & M but also KARICO take-over of the whole O & M activities of the irrigation facilities. The prevailing O & M cost per 10a expended by the Corporation was amounted to 104,890 won, while that of city and Gun governments was only amounted to 4,600 won per 10a. regarding the small amount of O & M cost expended by city and Gun governments, it is evident that the existing irrigation system have been managed ineffectively and deteriorated the facilities comparing that of KARICO. In conclusion, the Government could not satisfied the demand of irrigation water by suppling water with existing irrigation facilities. Therefore new additional investment and financial support for irrigation water development should be made to convert rain-fed and partially irrigated paddy fields into fully irrigated ones. The operation and maintenance cost should be supported to keep the marginal values of rice production of existing irrigation facilities in the national economy and to modernize the obsolete irrigation facilities. By unifying the existing dual O & M systems, all the farmers belong to the irrigated paddy fields have to be equally benefited and could be increased their farm income and be stabilized their rural lives.