• 기본간호학회지
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• 제17권4호
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• pp.450-459
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• 2010

Purpose: The purposes of this study were to identify awareness and attitudes toward advance directives (ADs) among Korean adults and to examine various opinions in the utilization of ADs among young, middle-aged, and older adults. Methods: Data were collected using a structured questionnaire from 384 adults selected by a quota sampling method on the basis of age. Results: The majority of participants preferred that they themselves would be the primary decision maker. Most of them were unaware of the option of ADs but supported the utilization of ADs. Most of the participants preferred detailed descriptions on end-of-life decisions in ADs but wanted to allow some leeway in following it. Significant differences were found among age groups in terms of the preferences regarding the utilization of ADs. Conclusion: It is suggested that nurses make efforts to educate the general public about ADs and facilitate advance care planning, which focuses on the process of communication on end-of-life preferences within the social network of relationships.

• Nutrition Research and Practice
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• 제4권2호
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• pp.155-162
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• 2010

Epidemiological evidence of the effects of dietary sodium, calcium, and potassium, and anthropometric indexes on blood pressure is still inconsistent. To investigate the relationship between dietary factors or anthropometric indexes and hypertension risk, we examined the association of systolic and diastolic blood pressure (SBP and DBP) with sodium, calcium, and potassium intakes and anthropometric indexes in 19~49-year-olds using data from Korean National Health and Nutrition Examination Survey (KNHANES) III. Total of 2,761 young and middle aged adults (574 aged 19~29 years and 2,187 aged 30~49 years) were selected from KNHANES III. General information, nutritional status, and anthropometric data were compared between two age groups (19~29 years old and 30~49 years old). The relevance of blood pressure and risk factors such as age, sex, body mass index (BMI), weight, waist circumference, and the intakes of sodium, potassium, and calcium was determined by multiple regression analysis. Multiple regression models showed that waist circumference, weight, and BMI were positively associated with SBP and DBP in both age groups. Sodium and potassium intakes were not associated with either SBP or DBP. Among 30~49-year-olds, calcium was inversely associated with both SBP and DBP (P = 0.012 and 0.010, respectively). Our findings suggest that encouraging calcium consumption and weight control may play an important role in the primary prevention and management of hypertension in early adulthood.

• 수면정신생리
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• 제14권1호
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• pp.13-19
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• 2007

Sleep disordered breathing is highly prevalent in the elderly and affects older men and women similarly. Nocturia, cardiovascular diseases, cognitive impairment, traffic accidents and repeated falls are common manifestations of sleep apnea in the elderly and sleep study may be indicated in these patients. When a sleep study is planned, reliable markers of respiratory efforts and a tibial EMG should be included because central sleep apneas and periodic leg movements are common in the elderly patients. Although cardiovascular morbidity and mortality seem to be lower in the elderly than in middle-aged adults, these may not be as low as commonly believed. Excessive daytime sleepiness, cognitive dysfunction and nocturia can be improved by effective treatment with continuous positive airway pressure and a therapeutic trial should be recommended to all symptomatic patients. It is still unclear whether sleep apnea in older adults is a specific entity or the same disease as in younger adults. Further clinical research is warranted.

• 재활간호학회지
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• 제15권2호
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• pp.73-82
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• 2012

Purpose: The purpose of this study was to identify the influencing factors on mental health related quality of life (MHRQoL) in adults across the lifespan. Methods: A total of 688 Korean adults aged 19 years and older were selected. Data were collected by personal interviews or self report using structured questionnaires. For data analysis, t-test, ANOVA, Pearson's correlation coefficients and Stepwise multiple regression were used. Results: Mental health related quality of life (MHRQoL) differed significantly according to life cycle, especially showing a lower score in the elderly than others. In addition, elderly adulthood reported the highest stress and depression. The most significant predictors of MHRQoL in young and middle aged people were stress, depression, and subjective health status. Predictors of MHQoL in the elderly were stress and religion. Conclusion: The results indicate that MHRQoL of adult is associated with stress and depression. When the programs are developed to enhance mental health in elderly adulthood, religion should be considered as well as stress.

• 대한치위생과학회지
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• 제2권2호
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• pp.21-30
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• 2019

This study identifies oral health behavior factors related to the health-related quality of life(EQ-5D) of adults. Three groups are analyzed, young adults(aged 19 to 39 years old), middle-aged(40 to 64 years old), and elderly(over 65 years old). By comparing the factors related to health-related quality of life by age, we will provide information for improving the overall quality of life, including oral health for current and future elderly. Using raw data from the 1st year(2016) of the National Health and Nutrition Survey, the oral health behaviors of the study subjects were compared. These included: the number of times teeth were brushed, the time brushing took place, the use of interdental care products, and whether they went for oral and examinations. There was a statistical significance in treatment experience and drinking habits. There was also a significant influence on the health-related quality of life across the age groups. Therefore, it is possible to improve the health-related quality of life, including oral health practices according to age. It will be necessary to develop and apply.

• 한국병원경영학회지
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• 제17권3호
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• pp.23-36
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• 2012

Objectives : The coverage of Korean National Health Insurance is limited to basic level. Korean government encourages private health insurance for covering medical securities. So, many studies examined the determinants of purchasing private health insurance. However, 11% of Korean population is older than 65 in 2011. Considering the elderly is important to establish a health policy. The aim of this study is to examine factors determining the purchase of private health insurance among middle-aged and elderly Korean adults. Methods : We used the second Korean Longitudinal Study of Ageing (KLoSA), selected 8,688 sample of the aged 47 or older for the analysis. KLoSA collected information on demographic characteristics, income, health- related factors. KLoSA data include in the number of outpatient, inpatient, oriental hospital visit, dental clinic visit for two years. Logistic regression was used to examine the relationship between the determinants of purchasing private health insurance and the factors which include age, gender, education, residential district, marital status, smoking, drinking, physical exercise, economic activity status, national health insurance type, income, the number of chronic disease, and the number of outpatient, inpatient, oriental hospital visit, dental clinic visit for two years. Results : People who were older, did not live in a city, had higher IADL, currently drunk alcohol, did exercise regularly and had chronic diseases more than three were inclined not to purchase private health insurance. Females, the married, well-educated, past & currently smokers, the employed, high income earners, national health insurers, metropolitan citizens and someone who got high MMSE were more likely to purchase private health insurance. The more people experienced outpatients, inpatients, dental clinics and Chinese medicine clinics, the more private health insurance was purchased. The elderly people over 75 had more private health insurance than the aged 65-74. The strongest factors for private health insurance is gender, and economic status such as income. Conclusion : In this study, we found healthy-high income people were more likely to purchase private health insurance. In contrast, unhealthy-low income and older people did not. The economic factors were strongly related with private health insurance in aged over 75. These mean inequality exists in the using private health insurance. Therefore, the government should consider vulnerable social group before expanding private health insurance.

• 한국심리학회지 : 문화 및 사회문제
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• 제18권2호
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• pp.279-300
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• 2012

가족은 개인의 행복과 삶의 질에 중요한 역할을 한다. 그러나 기존 연구들은 구체적인 가족활동이 미치는 영향력을 광범위하게 살펴보지 못하였다. 이에 본 연구에서는 가족과 함께 식사하고, 통화하며, 여가활동을 보내는 것이 중년기의 행복, 건강 및 가족관계에 어떠한 영향을 미치는지 알아보고자 하였다. 연구에 참여한 사람들은 서울지역에 거주하는 40세에서 65세(평균연령: 50.13세) 사이의 총 283명이었다. 독립변인은 배우자 및 자녀와의 식사횟수와 통화횟수, 가족과 여가활동을 보내는 시간이었고, 이에 따른 종속변인은 행복, 심리적·신체적 건강 불편증상, 가족만족도, 성생활 만족도 및 부모 효능감으로 구성하였다. 분석 결과 중년기에는 배우자 및 자녀와 식사를 자주 할수록 행복, 건강, 가족생활 만족도가 높았으며, 통화를 자주 하는 것 역시 행복, 건강, 가족 및 성생활 만족도와, 부모 효능감에 긍정적 영향을 미치는 것으로 나타났다. 또한 가족과 여가활동을 함께 보내는 시간이 많을수록 행복과 가족만족도가 높아지는 것으로 나타났다. 본 연구는 가족과 함께 하는 일상적 활동들이 중년기 행복, 건강 및 가족관계에 중요한 역할을 한다는 것을 보여준 경험적 결과임에 그 의의가 있다고 볼 수 있다.

• 치위생과학회지
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• 제12권6호
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• pp.624-633
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• 2012

본 연구는 중년층 성인의 삶의 질 결정에 있어 건강상태의 중요성을 분석함으로써 삶의 질 향상을 위한 프로그램 기획이나 보건정책수립에 필요한 기초자료를 제공하고자 하였다. 본 연구목적을 달성하기 위해 2011년 1월 14일부터 2월 22일까지 경기 인천 지역에 거주하는 만 40세 이상의 중년층 성인에게 설문조사를 시행하였으며, t-test와 One way ANOVA 분석 및 다중선형회귀분석을 시행한 결과 다음과 같은 결론을 얻었다. 1. 일반적 특성에 따라 삶의 질 수준을 분석한 결과 일반적 삶의 질 수준은 40~50세 연령층과 고졸 이상, 가정 월평균 수입이 201만원 이상, 가족 등과 동거자 및 기혼자에서 높았다(p<0.05). 또한 구강건강관련 삶의 질은 40~50세와 고졸 이상, 가정 월 평균 수입이 201만원 이상 및 기혼자에서 높게 나타났다(p<0.05). 2. 건강상태에 따른 삶의 질 수준을 분석한 결과 일반적 삶의 질 수준은 전반적으로 건강하다고 인식하고 있고, 위장질환이 없으며, 이환된 전신질환이 없고, 매일 복용하는 약물이 없으며, 월경이 있고 우울증 증상이 9점 이하인 집단에서 높게 나타났다(p<0.05). 또한 구강건강관련 삶의 질 수준은 전반적으로 건강하다고 인식하고 있고, 당뇨병이 없으며, 이환된 전신질환이 없고, 매일 복용하는 약물이 없으며, 월경이 있고 우울증 증상이 9점 이하인 집단에서 높게 나타났다(p<0.05). 3. 구강건강상태에 따른 삶의 질 수준을 분석한 결과 일반적 삶의 질은 전반적으로 구강상태가 건강하다고 인식하고 있고, 밤시간에 입마름 등 구강건조증 증상을 전혀 인식하지 않는 집단에서 높게 나타났다(p<0.05). 또한 구강건강 관련 삶의 질은 치주질환 증상이 3개 이하이고 밤시간에 입마름 등 구강건조증 증상을 전혀 인식하지 않는 집단에서 높게 나타났다(p<0.05). 4. 일반적 삶의 질, 구강건강관련 삶의 질과 관련된 요인들의 연관성 강도를 분석한 결과 일반적 삶의 질은 우울증 증상($\beta$=-0.561)과, 구강건강관련 삶의 질은 구강건조증 증상($\beta$=-0.566)과 가장 높은 연관성을 보였다(p<0.001). 이상의 연구결과를 바탕으로 우울증과 구강건조증 인식도에 따라 일반적 삶의 질 또는 구강건강관련 삶의 질 수준이 다르게 나타남을 알 수 있었다. 따라서, 중년층에서 우울증과 구강건조증의 예방 및 조기관리는 삶의 질을 향상시키는데 크게 기여할 것으로 생각한다.

• Korean Circulation Journal
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• 제54권9호
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• pp.534-544
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• 2024

Background and Objectives: Lipid lowering therapy is essential to reduce the risk of major cardiovascular events; however, limited evidence exists regarding the use of statin with ezetimibe as primary prevention strategy for middle-aged adults. We aimed to investigate the impact of single pill combination therapy on clinical outcomes in relatively healthy middle-aged patients when compared with statin monotherapy. Methods: Using the Korean National Health Insurance Service database, a propensity score match analysis was performed for baseline characteristics of 92,156 patients categorized into combination therapy (n=46,078) and statin monotherapy (n=46,078) groups. Primary outcome was composite outcomes, including death, coronary artery disease, and ischemic stroke. And secondary outcome was all-cause death. The mean follow-up duration was 2.9±0.3 years. Results: The 3-year composite outcomes of all-cause death, coronary artery disease, and ischemic stroke demonstrated no significant difference between the 2 groups (10.3% vs. 10.1%; hazard ratio [HR], 1.022; 95% confidence interval [CI], 0.980-1.064; p=0.309). Meanwhile, the 3-year all-cause death rate was lower in the combination therapy group than in the statin monotherapy group (0.2% vs. 0.4%; p<0.001), with a significant HR of 0.595 (95% CI, 0.460-0.769; p<0.001). Single pill combination therapy exhibited consistently lower mortality rates across various subgroups. Conclusions: Compared to the statin monotherapy, the combination therapy for primary prevention showed no difference in composite outcomes but may reduce mortality risk in relatively healthy middle-aged patients. However, since the study was observational, further randomized clinical trials are needed to confirm these findings.

• Journal of Korean Biological Nursing Science
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• 제26권1호
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• pp.41-48
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• 2024

Purpose: This study investigated hand-washing practice among community-dwelling older adults during the coronavirus disease 2019 (COVID-19) pandemic and aimed to identify the impact of COVID-19-related concerns and depression on hand-washing practice. Methods: This was a secondary analysis of data extracted from the 2020 Community Health Survey. The primary data were collected through self-reporting from August 10 to September 8, 2020 in a cross-sectional study. The subjects comprised of 1,350 adults aged 65 or older living in Jeju Province who participated in the 2020 Community Health Survey. Results: The factors affecting hand-washing practice among older adults were male older adults (β = -.18, p < .001), age (β = -.07, p = .001), no education (β = -.20, p < .001) and elementary, middle, and high school graduation (β = -.15, p < .001) compared to a college or higher education, poor health perception (β = -.13, p < .001), COVID-19-related concerns (β = .08, p = .005), and depression (β = -.07, p = .001). To summarize, the factors negatively affecting hand-washing practice included male gender, lower education level, poor health perception, and depression. In contrast, factors positively associated with hand-washing practice included COVID-19-related concerns. Conclusion: These findings show the importance of considering these multifaceted determinants when designing targeted interventions and educational programs to promote hand-washing among older adults. Additionally, based on the relationship between hand-washing practice and COVID-19-related concerns and depression, interventions that can alleviate mental problems along with providing proper education are required.