• 보건의료산업학회지
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• 제9권1호
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• pp.169-178
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• 2015

This study implemented a health support network project to improve the quality of life of women with musculoskeletal disorders. These activities were intended to analyze the effects of the impact on the quality of life of women with musculoskeletal diseases, continuing to base their future needs for materials and practice so as to provide a method for this purpose. On August 19, 2013 through December, a survey of 320 people living in Seoul included 31 women with symptoms of musculoskeletal disorders. Another, 16 weeks led to a total of 127 people with housewives screened as a subjects for social support networks projects. After the research, the health support network project was implemented, and most musculoskeletal pain was reduced, depression levels were reduced, and a quality improvement was noted in health-related life activities. In particular, mental- health-related quality of life was found to increased. As incidental factors that may cause musculoskeletal disorders, marital status, living with family, low income, and a high depression index were related to low health-related quality of life. Future studies can support continued health at the local business community level rather than with smaller samples. This work can also be supported by follow-up studies to evaluate the effectiveness of program.

• 보건의료산업학회지
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• 제9권2호
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• pp.69-79
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• 2015

This study examined the relationship between family support and symptom of depressive among married working women, using the dataset of the Korean Longitudinal Survey of Women & Family (KLoWF 4th). There were 1,875 subjects. A multiple regression model was used to study the association between family support and symptom of depressive, controlling for economic-socio characteristics, health status and health behavior. Additionally, this study ran three subgroup regression models based on hierarchical model. From the results, there was a negative relationship between marriage happiness (b=-0.369, p<0.001), spouse satisfaction (b=-0.143, p=0.010), frequency of meeting with the wife's family (once a month: b=-0.952, p=0.012) and symptom of depressive (model 3). This negative relationship was also seen in the two subgroup regression models (models 1, and 2). The results of this study show the importance of family support for promoting mental health among married working women.

• 보건교육건강증진학회지
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• 제30권4호
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• pp.41-56
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• 2013

Objectives: This article reviewed researches on intersectoral partnership of school health programs to suggest importance, current status and development plan of those. Methods: Domestic research papers were screened though Research Information Sharing Service (RISS), Koreanstudies Information Service System (KISS), Medical Library Information System (MEDLIS), Korean Medical Database (KMbase), and digital national assembly library. International papers were searched mainly via Pubmed. Results: Since intersectoral partnership is effective, comprehensive and universal approach for school health programs, many collaborative programs are universally progressing in various domain including smoking, alcohol, mental health and sexual behavior. On the other hand, intersectoral partnership of school health programs in Korea is still in the beginning stage, and there are few intersectoral partnerships. Moreover, there are several limitations including top-down approach, passive participation and lack of studies on the effect of intersectoral partnership. However, intersectoral partnerships in school health program including tuberculosis control system in school or WEE project are in progress, so it is worth looking forward in the future. Conclusions: To achieve successful intersectoral partnership in school health programs, appropriate partnership guideline for Korean society, policy support, active participation and improvement of consciousness in community stakeholders are needed.

• 한국직업건강간호학회지
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• 제28권1호
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• pp.21-35
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• 2019

Purpose: The purpose of this study is to propose directions for the development of Occupational Health Nursing Intervention by identifying the current status and quality of Occupational Health Nursing Intervention Research in domestic industries. Methods: Between 2000 and August of 2018, total of 1,181 Occupational Health Nursing related published references were searched using 4 domestic databases, and of the total, 29 final theses that suited the requirements were analysed In this research, the quality assessment of literature that were selected as suitable was conducted using a tool for assessing the biasing risk of non-randomized studies, RoBANS(Risk of Biasing Assessment Tool for Non-randomized Study). Results: For all research, nonequivalent control group pre-posttest design was the most used as quasi-experimental designs. The effectiveness of intervention was found both in terms of physical and psychological aspects, and the result of the risk of biasing assessment showed a high risk levels in both "confounding variables" and "detection bias". Conclusion: Occupational Health Nursing Intervention have been steadily making improvements in terms of both quality and quantity, and as for more effective intervention developments that improves the physical and mental health of the workers, supplementation in strict research design and in ethical aspects deems necessary.

• 한국산학기술학회논문지
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• 제20권8호
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• pp.111-121
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• 2019

본 연구는 제13차(2017년) 청소년건강행태온라인조사 통계 자료를 이용하여 우리나라 청소년의 고카페인 음료 섭취 실태를 파악하고, 이에 대한 영향요인을 확인하기 위하여 시행되었다. 본 연구에서는 총 62,276명을 대상으로 인구 사회학적 요인, 건강행태 요인, 정신건강 요인과 고카페인 음료섭취를 조사하였다. 자료 분석은 카이제곱 검정 및 로지스틱 회귀분석을 사용하여 통계적 검정을 시행하였다. 연구 결과, 고카페인 음료섭취 비율은 남자에서 1.9%, 여자에서 1.5%로 나타났으며, 연령이 상승할수록 증가하였다(p<0.001). 현재 흡연과 현재 음주, 약물 사용을 하는 군과 신체활동이 많은 경우에서 고카페인 음료섭취 비율이 높았다(p<0.001). 스트레스 수준이 높고 주관적 수면 충족과 행복감 수준이 낮으며 우울감이나 자살 생각을 가졌던 경우에 고카페인 음료섭취의 비율이 높게 나타났다. 고카페인 음료섭취의 영향요인으로는 성별, 연령, 현재 흡연, 신체활동, 현재 약물 사용, 스트레스 수준, 우울감 경험, 자살 생각이었다. 따라서 청소년의 건강행태를 개선하고 스트레스 관리를 통해 정신건강을 증진시키기 위한 지속적인 논의가 필요할 것이다.

• 치위생과학회지
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• 제18권3호
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• pp.182-187
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• 2018

As the elderly population increases, they are increasingly affected by oral health problems. Therefore, efforts are being made to improve the oral health of older people, alleviate mental discomfort, and reduce unmet dental needs. This study was conducted to confirm the relationship between the National Health Insurance Elderly Denture Coverage and the unmet dental need for the edentulous elderly, as part of the protection policy. We analyzed the 2011 and 2013 Community Health Survey data of the edentulous elderly, aged 75 years or older, before 2012. In order to more precisely confirm the effects of the denture donation policy on unmet dental care, basic life recipients who were subject to the free elderly prosthetic project were excluded from the analysis. The final analysis included 20,400 subjects. According to our investigation of the factors that affect the unmet dental needs of the elderly, the National Health Insurance Elderly Denture Coverage did not affect unmet dental needs. The statistically significant variables that affected the unmet dental needs of the elderly were education and income levels, which are representative socioeconomic status variables. The lower the level of education, the unhealthier the dental care experience, and income levels showed a similar tendency. The elderly who have a low socioeconomic status are more likely to experience unmet dental needs because they lack the knowledge and socioeconomic ability to pay for dental care. Therefore, the policy for health protection of the entire elderly population should be continuously expanded. In addition, the socioeconomically vulnerable groups may have health problems due to the restriction of medical use, which may lead to quality of life deterioration.

• Journal of Preventive Medicine and Public Health
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• 제23권3호
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• pp.345-357
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• 1990

Accumulated data on medical care utilization among the insured in Korea Medical Insurance Corporation can explain the health status of the population. The purpose of this study was to analyze a change of the disease-mix and utilization pattern by controlling the size of the population enrollment. Major findings of the study are as follows : 1. The changes of inpatient disease-mix a. Utilization rate was 139.2% in 1988 against 1980. b. Disease groups higher than the average utilization rate included neoplasms, endocrine, nutritional and metabolic diseases and immunity disorders, mental disorders etc. Meanwhile, disease groups seen less often were infections and parasistic diseases, diseases of blood and bloodforming, diseases of the digestive system etc. c. Utilization rate was up 106.3% in 1988 compared to 1985, and diseases above that average level were ill-defined intestinal infections, chronic liver disease and cirrhosis, diabetes mellitus, essential hypertension, etc. d. The disease-mix by institution in 1988 compared to 1985 shows that chronic disorders rank high in general hospitals whereas opthalmologic, obstetric, and orthopedic diseases rank high in private clinics. 2. The changes of outpatient disease-mix a. Utilization rate was up 175.2% in 1988 compared to 1980. b. Disease groups higher than the average utilization rate included neoplasms, endocrine, nutritional and metabolic diseases and immunity disorders, mental disorders etc. And disease groups seen less often were infections and parasistic diseases, diseases of the respiratory system, diseases of the genitourinary system. etc. c. Utilization rate was up 104.0% in 1988 compared to 1985, and diseases above that average level were gastric ulcer, diseases of hard tissues of teeth, etc. And diseases seen below that average level were acute nasopharyngitis(common cold). acute upper respiratory infections of multiple or unspecified sites, etc. It was concluded that medical care utilization level was increased, and that, from 1980 to 1988, disease-mix shifted to the chronic disorders. Chronic disorders accounted for more medical care utilization in general hospitals.

• 대한예방한의학회지
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• 제20권3호
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• pp.45-53
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• 2016

Objectives : The number of people in Mibyeong state that complain of physical and mental discomfort but without a clear medical diagnosis has rapidly increased, but the conventional medical system is insufficient to care for these people. By establishing an evaluation instrument for Mibyeong state, it will be possible to provide a research base for Mibyeong management system and expand the clinical area of integrative medicine. Methods : Mibyeong Index was designed to measure inconvenience and resilience of subject's complains including four physical symptoms (fatigue, pain, low sleep quality, indigestion) and mental distress include anxiety, anger, depression. A 21-item quality of healthy measure was developed and tested. We used results of a nation-wide stratified sampled adult data in Korea. Results and Conclusions : Mibyeong index had adequate internal consistency, Cronbach's alpha was 0.88 in general population(N=1,110). The correlation between establised quality of life questionnaires (including SF-12 and EQ-D5 VAS) and the Mibyeong index were from 0.468 to 0.493. The national promotion of advanced health for an aging society and original Mibyeong care technology based on traditional Korean medicine can be developed by a self-care system that enhancing health before suffering illness. We expect that this instrument could be contribute to health management of people in Mibyeong state.

• 한국산학기술학회논문지
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• 제18권8호
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• pp.210-220
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• 2017

본 연구는 요양시설 노인의 사회적지지(MOS-SSS), 신체적(ADL, IADL) 및 정신적(CES-D, MMSE-K) 건강수준이 삶의 질(WHOQOL-BREF)에 미치는 영향을 파악 하고자 시도하였다. 조사대상은 D광역시에 소재하고 있는 15개소의 요양시설에 입소하고 있는 65세 이상 노인 524명을 대상으로 하였다. 자료 수집은 2015년 11월부터 2016년 1월까지의 기간 동안에 조사원이 조사대상 요양시설을 직접 방문하여 면접 조사하였다. 연구결과, 삶의 질 평균 점수는 사회적지지 총점이 낮은 군일수록, ADL 및 IADL이 정상범위노인 군보다 기능장애노인 군에서, CES-D가 정상상태 군보다 우울상태 군에서, MMSE-K가 정상상태 군보다 인지기능장애 군에서 유의하게 낮았다. 조사대상자의 삶의 질은 사회적지지, 일상생활수행능력, 도구적 일상생활수행능력 및 인지기능장애와 유의한 양의 상관관계를 나타낸 반면, 우울과는 유의한 음의 상관관계를 나타내었다. 공분산 구조분석 결과, 신체적 기능은 정신적 기능이나 사회적지지 보다 삶의 질에 더 큰 영향을 미쳤으며, 신체적 기능, 정신적 기능 및 사회적지지가 낮을수록 삶의 질을 저하시키는 효과가 있는 것으로 나타났다. 따라서 요양시설 노인의 삶의 질을 증진시키기 위해서는 신체적 기능의 향상을 위한 구체적인 방안을 모색할 필요가 있다고 생각된다.

• 한국임상보건과학회지
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• 제4권3호
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• pp.603-614
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• 2016

Purpose. The purpose of this study was to provide basic data regarding the intention to use community care service based on special grading for dementia in the South Korean Society. Methods. A survey was conducted using a questionnaire adapted on the basis of literature review regarding the first to fourth grade under the long-term care insurance system for the aged from May 1 to 30, 2015 and a total of 272 questionnaires were statistically processed using SPSS 21.0. Frequency analysis, descriptive statistics, and cross-tabulation analysis were performed. The non-parametric type of test, ${\chi}^2$ test, was used for statistical testing. Results. This study obtained the following results: First, caregivers had greater intention to ask recipients to use daytime and nighttime care service. Second, there were statistically significant differences in caregivers' education, occupation, monthly average income, co-residence status, intimacy, and care-giving burden (emotional, financial, and social) and recipients' activities of daily living, instrumental activities of daily living, mental health status, dementia status, and intention to use community care service based on special grading for dementia. Conclusions. There are very few statistical data and academic materials regarding special grading for dementia, which has recently been established. The results of this study are therefore expected to help make a systematic analysis of the intention to use community care service by caregivers based on special grading for dementia.