• 대한간호학회지
• /
• 제34권6호
• /
• pp.1057-1068
• /
• 2004

Purpose: This study was conducted to identify the differences of health patterns; health-related characteristics, health behaviors, health problems, and self-care levels of elderly, living alone in an urban area according to age roup. Method: The study design was a descriptive survey and the subjects were 1,800 elderly consisting of 937 young old, 704 middle old, and 159 old old. Data was collected from May to July 2003 using the structured questionnaire and analyzed by descriptive statistics, $\chi$$^2$-test, Fisher's exact probability test, ANOVA and Scheffe test using SPSS/PC. Result: The health related characteristics which involved body mass index, mental status, use of assistant devices, perceived health, concern of health, and social support were different among the groups and more aggravated by aging. Health behaviors and health problems were also significantly aggravated in the old old group. The self-care levels measured by ADL, physical activity, and self-care ability scores were also significantly decreased in the old old group. Conclusion: For the level of health status, health behaviors and self-care ability were significantly decreased by aging, health care services for the elderly should be planned considering the difference in the health pattern by age group.

• 보건행정학회지
• /
• 제30권1호
• /
• pp.131-138
• /
• 2020

The purpose of this study was to compare the health status of South Korea with those of Organization for Economic Cooperation and Development (OECD) countries and examine the trends. Position vAlue for Relative Comparison (PARC) was used as a gauge for comparison, and five sectors of the health care system were measured: demand, supply, accessibility, quality, and cost. The Mann-Kendall test was used as a statistical analysis method to examine trend of PARC values obtained from 2000 to recent years. According to the results, the demand, supply, accessibility, and quality sectors were higher than the OECD average, while the cost was lower than the average. However, there is a recent trend of sharp increases in health care costs. Some indicators: health employment, quality of primary care and mental health care were lower than the OECD average, and health determinants showed a worsening trend. Therefore, policy-makers need to take this into account and make efforts for sustainable health care.

• 한국학교ㆍ지역보건교육학회지
• /
• 제18권3호
• /
• pp.17-28
• /
• 2017

Ojectives: This study performed to analyze health promotion factors related to subjective stress level among first-year students of university. Methods: To examine the association with subjective stress level and health promotion factors, health survey was conducted with 3,892 students who were first-year students in an university by self-reported questionnaire from February 26 to March 10, 2015 in an university. Multiple regression analysis performed to identify the difference of health promotion factors by subjective stress level. Results: 1,015 students (26.1%) were on high stress level and 2,110 students (54.2%) were in healthy status. The 10.8% of them was obesity group and the 40% was alcohol use disorder group. The 8.2% had experienced depression in the last 1 year. In multiple regression models, it remained significantly the difference of subjective stress level by sex, subjective health status, sleep hours in a day, eating frequency of fruit and vegetable in a day, depression experience and suicidal thought in the last 1 year(p<0.05, p<0.01). On the other hand, it was not significant the difference by age, BMI, alcohol use disorder, eating breakfast, regular exercise and current smoking. Conclusions: To improve health promotion of first-year students of university, it should provide the intensive mental health program to women on campuses.

• 대한한방부인과학회지
• /
• 제19권3호
• /
• pp.267-276
• /
• 2006

Purpose : The purpose of this study was to investigate the clinical application of Traditional Korean Medicine(TKM) treatment to climacteric symptoms after hysterectomy. Methods : The patient was a 51-years-old woman who suffered from hot flush, arthralgia, fatigue et al after hysterectomy. The patient was treated by TKM such as herb medication and acupuncture therapy. And her health status was evaluated by Kupperman's index and Medical Outcome Study Short Form 36( SF-36). Results : Climacteric symptoms after hysterectomy was reduced( Kupperman's index from 40 to 20). It got better that Physical Functioning(PF), General health(GH), Bodily pain(BP), Role limitation-Emotion(RE) and Mental Health(MH). So, it means that her health status was improved. Conclusion : TKM is expected to have positive effects on climacteric symptoms after hysterectomy, and can be improve woman's health status after hysterectomy.

• Journal of Preventive Medicine and Public Health
• /
• 제56권2호
• /
• pp.154-163
• /
• 2023

Objectives: Systemic lupus erythematosus (SLE) or lupus patients usually experience various physical and psychological challenges. Since the coronavirus disease 2019 pandemic, these challenges have become even harsher. Using the participatory action research approach, this study evaluated how an e-wellness program (eWP) impacted SLE-related knowledge and health behaviors, mental health, and quality of life among lupus patients in Thailand. Methods: A 1-group, pretest-posttest design study was conducted among a purposive sample of lupus patients who were members of Thai SLE Foundation. The 2 main intervention components were: (1) online social support, and (2) lifestyle and stress management workshops. Sixty-eight participants completed all the study requirements, including the Physical and Psychosocial Health Assessment questionnaire. Results: After being in the eWP for 3 months, participants' mean score for SLE-related knowledge increased significantly (t=5.3, p<0.001). The increase in sleep hours was statistically significant (Z=-3.1, p<0.01), with the percentage of participants who slept less than 7 hours decreasing from 52.9% to 29.0%. The percentage of participants reporting sun exposure decreased from 17.7% to 8.8%. The participants also reported significantly lower stress (t(66)=-4.4, p<0.001) and anxiety (t(67)=-2.9, p=0.005). The post-eWP quality of life scores for the pain, planning, intimate relationship, burden to others, emotional health, and fatigue domains also improved significantly (p<0.05). Conclusions: The overall outcomes showed promising results of improved self-care knowledge, health behaviors, mental health status, and quality of life. It is recommended that the SLE Foundation continues to use the eWP model to help the lupus patient community.

• 사회복지연구
• /
• 제47권4호
• /
• pp.43-69
• /
• 2016

본 연구는 유사한 소득수준을 가진 빈곤층이라고 하더라도 그들이 거주하고 있는 지역사회의 사회경제적 여건에 따라 생활실태에서 차이가 나타나는지를 탐색한 연구이다. 특히 빈곤한 지역에 거주하는 빈곤층에 초점을 두어, 중첩된 빈곤상태에 처하였을 때 이들의 이웃관계와 정신건강수준이 어떠한 결과를 보이는지를 확인하였다. 이를 위하여 2012년도 한국종합사회조사(94개 시 군 구, N=1,396) 자료를 활용하였고, 지역빈곤과 개인빈곤 간의 상호작용효과를 분석하는 데에 중점을 두었다. 분석 결과, 빈곤지역에 거주하는 빈곤층이 부유지역의 빈곤층보다 이웃 간의 유대에 있어 더욱 높은 수준의 이웃관계를 보고하였다. 나아가 중첩된 빈곤상태는 이들의 심리적 안녕감을 또한 높이는 기제로서, 빈곤한 지역사회가 빈곤층의 취약한 정신건강을 완충하는 지지기반이 됨을 보여주었다. 이를 통해 빈곤지역에서 빈곤한 주민들이 지니는 관계성의 의미를 논의하였으며, 그에 따른 실천적 함의를 제시하였다.

• 대한한의학회지
• /
• 제36권3호
• /
• pp.14-22
• /
• 2015

Objectives: The objective of the present study was to assess the factors that influence the health of workers, especially nurses, and to propose methods for health management. Methods: A total of 246 nurses were surveyed to ascertain the health status score, Sasang constitution diagnosis, health-related life and job factors, psychosocial stress, and job stress. Depending on their health status score, the subjects were categorized into unhealthy, intermediate, or healthy groups, and each factor was compared with the stress score of the groups. Further, each Sasang constitution factor was also compared with the stress scores. Results: Analysis based on the health status scores indicated that the patients in the intermediate group were older and had longer tenure than those in the unhealthy or healthy groups. The healthy group had higher number of married individuals, and they were subjectively assessed as healthy. Patients in this group were more satisfied with their work than those in the unhealthy group. Analysis of the Sasang constitution showed that a lower percentage of individuals with a Soeumin constitution were married, and most considered themselves to be unhealthy during the subjective health assessment. Conclusions: The findings of this survey revealed that in order to maintain health, efforts should be made to improve the work environment, achieve health confidence, and practice health behavior while considering one's own body, mental state, and constitution.

• 대한정형도수물리치료학회지
• /
• 제30권1호
• /
• pp.43-50
• /
• 2024

Background: This study compared orthopedic physiotherapists from different working institutions regarding their health status and burnout syndrome to understand the work-related factors that affect health status and burnout syndrome Methods: This study was conducted from October 28 to November 13, 2022, focusing on physiotherapists working in medical institutions located in metropolitan areas, such as Seoul, Gyeonggi, and Incheon. A total of 591 questionnaires were analyzed. The questionnaire consisted of questions related to the basics of physical therapy, general matters, types of working institutions, health conditions, and burnout syndrome. Results: No significant difference was detected in health self-awareness status whether the working institution was a clinic, nursing hospital, hospital, oriental hospital, general hospital, or university hospital. Among the burnout factors, nursing hospitals showed the highest scores for retirement demands, work unfavorability, physical fatigue, mental fatigue, and reasons for work because of salary. By contrast, university hospitals showed the highest enthusiasm and other institutions showed the lowest enthusiasm for work. In particular, in terms of enthusiasm, scores were significantly more positive in university hospitals than in other institutions. Conclusion: A management plan for burnout for orthopedic manual physiotherapists working in nursing hospitals is needed, and future research will examine the health status of orthopedic manual physiotherapists and work that may affect burnout syndrome. An exploration of management measures, such as health promotion and burnout syndrome prevention, is needed that adds other items, such as differences in environment and differences in the number and disease severity of patients

• 한국보건간호학회지
• /
• 제25권1호
• /
• pp.73-83
• /
• 2011

Purpose: The purpose of this study was to investigate factors affecting health promoting lifestyle in nursing students. Methods: A descriptive cross-sectional study was done using a convenient sampling (n=682) in a three-year nursing college. The health promoting lifestyle was measured by the instrument of Walker's and self esteem was measured by the instrument of Rosenberg's. Data were analyzed by descriptive statistics, chi-square test, oneway ANOVA and Stepwise multiple regression. Results: The average score of health promoting lifestyle was 2.34. The score of psycho-social well-being subscale was higher than that of health promoting behavior subscale. The highest score was on the interpersonal relations subscale, and the lowest score was on the physical activity subscale. The self-esteem, mental health status, satisfaction with school life, school year, perceived economic status, and gender accounted for 31.9% of the variance of health promoting lifestyle. Conclusion: Self-esteem was the most powerful influencing variable of the health promoting lifestyle, and physical activity was the lowest score of the health promoting lifestyle subscale. Therefor nursing educators should consider to include a health promotion program with increasing self esteem and physical activity in the nursing curriculum.

• 한국임상약학회지
• /
• 제27권1호
• /
• pp.44-54
• /
• 2017

Background: Mental health issues such as stress and depression have been regarded as major social problems in Korea. We investigated the relationship between stress and depression with unmet medical needs (UMN). Methods: Using the nationwide database of 2010 Korea National Health and Nutritional Examination Survey (K-NHANES), subjects aged 19 years or above were selected (n=6,055). In the K-NHANES questionnaire, subjects were asked about their UMN experience, severity of stress, and perceived depression lasting at least 2 weeks over the past year. The effects of stress and depression on UMN were analyzed in 4 models established by adding predisposing, enabling and need factors in a step-wise fashion. The risks for UMN were also assessed according to the causes of UMN. Results: Individuals who felt stress 'very often' (odds ratio (OR) 3.28, 95% CI=2.23-4.86) and 'often' (OR 2.53, 95% CI=1.93-3.31) and who experienced depression (OR 1.68, 95% CI=1.35-2.10) reported significantly elevated UMN rates, and these effects were substantial especially for the individuals who had UMN due to economic constraint. Females, lower education level, lower income, unemployed status, and negative perceptions about health status were found to be additional risk factors for UMN. Conclusion: Our results confirmed the risks of stress and depression on UMN. It is strongly advisable to create initiatives to improve mental health, particularly stress and depression, and to fulfill individuals' medical utilization needs.