• 한국산학기술학회논문지
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• 제13권12호
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• pp.5976-5985
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• 2012

본 연구는 장기요양서비스의 질 제고를 위해 장기요양서비스 이용 노인들의 신체적 및 정신적 기능 상태를 평가해 보고, 그에 영향을 미치는 관련 요인을 규명하고자 시도하였다. 조사대상은 대전지역에 거주하는 65세 이상 노인 중 장기요양서비스 이용자 350명(재가급여 178명, 시설급여 172명)으로 하였으며, 자료 수집은 2011년 2월 16일부터 3월 31일까지의 기간 동안에 표준화된 무기명식 면접조사용 설문지를 사용하여 면접조사를 통해 이루어졌다. 연구결과, 재가급여 노인의 IADL과 MMSE-K는 시설급여 노인보다 유의하게 높았으나 ADL과 CES-D는 유의한 차이를 보이지 않았다. ADL, IADL, CES-D 및 MMSE-K 상호 간의 상관관계를 보면, 재가 및 시설급여 이용노인 모두 ADL은 IADL 및 MMSE-K와 양의 상관관계를 보인 반면, CES-D와는 음의 상관관계를 나타내었다. IADL은 MMSE-K와 양의 상관관계를 보인 반면, CES-D와는 음의 상관관계를 나타내었다. 다중회귀분석 결과 재가 및 시설 급여 이용 노인 모두 ADL과 IADL에 유의하게 영향을 미치는 변수로는 건망증 증상 유무, 규칙적 운동 및 MMSE-K가 선정되었다. 또한 CES-D와 MMSE-K는 주관적 건강상태, 건망증 증상 유무 및 IADL이 유의하게 영향을 주는 것으로 나타났다. 이상과 같은 결과는 장기요양서비스 이용 노인들의 신체적 및 정신적 기능은 개인의 건강상태나 건강관련행위 특성과 밀접한 관련성이 있음을 시사하고 있다.

• 보건의료산업학회지
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• 제8권1호
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• pp.41-50
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• 2014

This study was a descriptive study to investigate factors affecting sleep time in the Korean elders. A secondary data analysis was conducted using the data of "The Fifth Korea National Health and Nutrition Examination Survey, 2011". The survey included 3,487 people aged over 65 years and 1,163 samples were used for this study. Data were analyzed with the ${\chi}^2$-test and logistic regression using the SPSS/WIN 18.0 program. Analysis showed that sleep time was related with the number of chronic disease and limit on the activities of daily living(ADL). These findings suggest that nursing researchers need to consider chronic disease, and ADL as important factors affecting sleep time of Korean elders. Therefore nursing intervention focusing on the issues in needed to develope.

• Journal of Preventive Medicine and Public Health
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• 제41권3호
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• pp.200-207
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• 2008

Objectives : This study examined whether serious psychological distress (SPD) is associated with occupational injury among US employees. Methods : The employed population aged 18-64 years was examined (n=101,855) using data from the National Health Interview Survey (NHIS) 2000-2003. SPD was measured using the Kessler 6-item Psychological Distress Scale (K-6), a screening scale designed to identify persons with serious mental illness. The predicted marginal prevalence of psychological distress and occupational injury with the adjusted odds ratio were estimated using multiple logistic regression analyses. Results : The age-adjusted 3-month prevalence of occupational injury was $0.80{\pm}0.12%$ in workers with SPD, which was 37% greater than in workers without SPD ($0.58{\pm}0.03%$). The odds of occupational injury in workers with SPD were higher compared to workers without SPD (OR=1.34, 95% CI=0.93-1.92), after controlling for sex, age, race, education, occupation, and activity limitation by at least one medical condition. Male, service and blue collar occupation, and activity limiation by co-morbidity showed significantly higher odds of occupational injury for workers with SPD. Conclusions : The findings suggest that SPD accounts for an increased likelihood of occupational injury among US employees. A further longitudinal study is needed to differentiate the mechanism or causal pathways linking individual injury risk at the workplace, SPD, and socioeconomic factors.

• Safety and Health at Work
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• 제12권2호
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• pp.217-224
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• 2021

Introduction: We evaluated depression and anxiety in service and sales workers from Korea who interacted with angry clients to identify factors that mediated and moderated depression and anxiety in these workers. Methods: This was a secondary analysis of data from the fifth Korean Working Conditions Survey conducted in 2017. A structural equation model was used for mediation and moderation analysis. Results: Service and sales workers who had more interactions with angry clients had increased risk for depression and anxiety. Experiencing clients' adverse behaviors (acute episodes) mediated the relationship between interacting with angry clients (a chronic situation) on depression and anxiety. Job satisfaction and managers' support moderated the relationship between interacting with angry clients and mental health problems. Conclusion: We suggest that employers of service and sales workers should recruit staff based on their aptitude for such work, thus ensuring job satisfaction, and train them to deal with angry clients in such a way that they experience less emotional burden. Employers should also make bylaws requiring managers to directly take care of adverse social behavior by clients. Furthermore, a sociocultural campaign to prevent adverse social behavior by clients is also needed.

• 보건의료산업학회지
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• 제13권4호
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• pp.109-119
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• 2019

Objectives: The purpose of this study was to find out the relationship between academic burn out and the quality of life of college students of health and medical science, and to examine the mediating effects of self-efficacy on the relationship between them. Methods: The data of 379 college students of health and medical science in the Department of Korean Medicine and Nursing located in A and D cities were collected from March to July 2018, and were analyzed using SPSS 24.0 Statistics Program. Results: There was no mediating effect of self-efficacy on the Physical Component Score(PCS), which indicates the physical health index of quality of life in relation to academic exhaustion and quality of life of university students. However, the Mental Component Score(MCS), which indicates the mental health index, had a significant effect on the parameter of self-efficacy (β = .382, p <.001). Although the β value for the school exhaustion and MCS decreased from -.382 to -.209, the effect remains significant (β=-.209, p<.001). Conclusions: It is considered that the development and the application of a self-efficacy enhancement program is necessary to improve of self-efficacy and reduce academic burn out of college students of health and medical science.

• 산경연구논집
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• 제13권6호
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• pp.19-36
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• 2022

Purpose: The purpose of this study is to analyze the effects of COVID 19. The effects of COVID 19 are grouped into 5; economic stress, mental stress, health stress, task concern, self-confidence. We introduce the concept of personal ambidexterity that is necessary power for cabin crews to provide appropriate and efficient service to passengers. Ambidexterity consists of exploiting existing resources to sustain and exploring the new including method of performing task, customer, market etc. The former is necessary to maintain present condition while the latter is necessary to prepare for the future. Also motive is considered as a stimulating factor for task. Previous studies show that motive affects ambidexterity and we try to analyze whether COVID 19 effects influence this relationship. Research design, data, and methodology: Considering the relationship between the variables, we designed to measure the influence of the effects of COVID 19 by analyzing the moderating effects of them. For empirical analysis we distributed survey questionnaire and collected. Total of 361 samples are used fo the analysis. For analysis program, SPSS version 23 was used. Regression analysis and moderating effect analysis were conducted. Results: Study results show that first, the variables of economic stress, mental stress, health stress, task concern, self confidence affects personal ambidexterity and service provision. Also ambidexterity affects service provision significantly. Among COVID 19 effects, economic stress, task concern, and self confidence has moderating effects. On the other hand, new work environment does not have moderating effect. Conclusions: In conclusion, the effects of COVID 19 are wide and various. Among them the most serious effect is that COVID 19 is depriving workers of self confidence and passion toward the work. To remedy stresses and restore self confidence and passion, each worker should make his/her own efforts, such as, learning more to become more competitive, also firms should do make efforts to protect employees and to rebuild trust between firm and employees in every respect. Especially firms should realize that economic stress can be treated by economic compensation as the situation turns to normal but trust as well as self confidence and passion is not easy to restore.

• 재활치료과학
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• 제12권1호
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• pp.51-63
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• 2023

목적 : 본 연구에서는 빅데이터를 통해 정신과 질환을 가진 노인의 생활 습관 행태와 의료비 지출 크기 간의 연관성을 분석하여 생활 습관의 긍정적 영향 및 중요성을 제시하고 이에 관련한 중재의 근거를 제언하고자 하였다. 연구방법 : 건강보험공단에서 제공하는 노인 코호트 데이터베이스(Database; DB)의 2014, 2015년 자료를 활용하여 이차데이터 분석을 시행하였다. 연구 목적에 따라 전체 변수 중 생활 습관 행태와 연간 의료비 지출 크기를 추출하였다. 각각의 생활 습관 행태와 연간 의료비 지출 크기 사이의 연관성은 일반선형모형(Generalized linear model)을 사용하여 분석하였다. 결과 : 선정기준에 따라 추출된 총 32,853명의 데이터가 분석에 사용되었다. 12,617명(38.40%)의 남성과 20,236명(61.60%)의 여성으로 구성되어 있었다. 생활 습관과 의료비의 연관성을 분석한 결과, 비흡연자의 경우 흡연자보다 의료비 지출이 유의하게 낮았으며(estimate = -218,255원, p = .037), 일주일 중 30분 이상 걷는 일수가 증가할수록 의료비 지출이 유의하게 감소하였다(estimate = -58,843원, p < .0001). 반면, 일주일 중 술을 마시는 일수가 감소할수록 의료비 지출이 증가하는 양상이 나타나는 결과가 도출되었다(estimate = 692,289원, p < .0001). 결론 : 본 연구는 정신과 질환을 가지고 있는 노인에게 있어 생활 습관의 행태에 따른 의료비의 변화를 분석하였다. 흡연과 운동은 의료비 지출과 음의 연관성을 나타냈으며 걷기 운동을 많이 할수록, 흡연을 하지 않을수록 의료비 지출이 감소함을 알 수 있었다. 이러한 결과는 정신과 질환을 가지고 있는 노인에게 있어 건강한 생활 습관의 중요성을 시사한다. 본 연구가 정신과 질환을 가진 노인의 신체적, 정신적 건강 증진을 위한 생활 습관 관리 프로그램의 임상적 근거로써 활용될 수 있기를 기대한다.

• 가정간호학회지
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• 제19권1호
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• pp.63-73
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• 2012

Purpose: The purpose of this study was to determine the factors related to the social support, family and friend support as well as home care nurse support, in family caregivers of patients with home care service. Method: The participants were 111 family caregivers of patient, who were receiving home care services from home health care centers of 3 different general hospitals located in Seoul. The data was collected, using self-administered questionnaires. Result: The level of family and friend support varied significantly according to patients' mental status, period of home care nursing, frequency of home care service, caregiver's education level, family income, and family functioning level. On the other hand, home care nurse support varied significantly according to patients' mental status, caregiver's age, existence of interchangeable family caregivers, and family functioning level. There was a significantly positive correlation between the social support the family caregivers' perceived and family function while there was a negative correlation between family and friend support and the period of home care service. Conclusion: Thus, the establishment of nursing interventional program, with understanding of their social support, is needed for both patients and their caregivers.

• 지능정보연구
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• 제17권3호
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• pp.1-23
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• 2011

상황인식 컴퓨팅 사용자의 상황적이고 주관적 웰빙(SWB) 측정은 그에 맞는 정신건강 추천, 특히 대사증후군이나 우울증을 위한 추천에 매우 도움이 될 것이다. 현존하는 자가 진단식 측정법이나 자가 센싱 방법이 주관적 웰빙정보를 모니터링 하는데 제안되고 있음에도 불구하고 시의 적절한 서비스를 제공하지 못하여 상황인식 서비스로 쓰이기에는 부적합하다. 따라서 본 논문의 목적은 상황적이고 주관적 웰빙을 추정하는 방법을 제안하는 것이다. 이 방법은 사용자가 남기는 응답 글로부터 상황 자료를 획득하기 때문에 매우 적시적이며 따라서 그때마다의 감정 상태를 파악할 수 있다. 특히 본 연구에서는 온라인 대화나 기타 텍스트 기반의 의사소통에서 노출되는 분노심 등 부정적 감정에 관련된 감정동사와 정도 부사에 초점을 두어 측정한다. 제안된 상황적이고 주관적 웰빙 추정 방법을 기반으로 하여 웰빙 생활을 위한 추천 시스템을 개발하고자 한다. 이러한 아이디어의 실현가능성을 보이기 위하여 실제 운전자들을 대상으로 제안 방법이 얼마나 실제 감정을 잘 추론하는지에 대해 실험을 수행하였다.

• International Journal of Advanced Culture Technology
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• 제11권1호
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• pp.1-11
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• 2023

Backgrounds: As the COVID-19 pandemic continues, the university students population is one of the high risk and vulnerable groups. This study analyzed the status of student's mental health, including anxiety and depression caused by COVID-19, and its related factors among a university students in Korea. Methods : Our study subjects included university students in Korea. The survey items included general characteristics, teaching methods, physical activity, eating habits (SDBQ-L), weight-related questions, general anxiety disorder-7(GAD-7), and depression symptoms checklist. Frequency analysis, chi-square test, and logistic regression analysis were performed and data was analyzed using R version 4.1.2 program. Results : The prevalence of anxiety complaints was 5.5%, while the prevalence of depression complaints was 30.8%. In the multivariable logistic regression analysis of factors influencing anxiety, anxiety occurred 19.081 times (95% confidence interval (CI): 2.352-154.807) in the group with unhealthy diet (p<0.01). While in the multivariable analysis to identify factors affecting depression, women were 2.607 times significantly higher (95% CI: 1.255-5.415) than men, 0.407 times (95% CI:0.197-0.840) for residents of the metropolitan area, 3.418 times higher (95% CI:1.633-7.198) for unhealthy dietary people, and 2.225 times higher (95% CI: 1.080-4.582) for weight gainers (p<0.05). The type of class had no effect. Conclusions: COVID-19 and its associated interventions had negative effects on the mental health status including anxiety and depression in university students in Korea. Based on our results we recommend developing mental health interventions and prevention strategies for students in all universities in Korea.