• 한국산학기술학회논문지
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• 제14권8호
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• pp.3804-3814
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• 2013

본 연구는 여자 청소년의 생물학적 위험성향, 사회문화적 위험요인, 자기통제, 사회적지지 및 자살생각의 관계에 대한 구조모형의 부합도를 검증하고자 시도되었다. 자료수집은 2012년 12월 3일부터 2013년 3월 28일까지 D광역시의 여자 중고등학생 343명을 대상으로 하였다. 자료는 SPSS 및 AMOS 프로그램을 이용하여 분석하였다. 연구결과, 여자 청소년의 자살생각에 대해 생물학적 위험성향, 사회문화적 위험요인, 자기통제 및 사회적지지는 직접효과, 생물학적 위험성향과 사회문화적 위험요인은 간접효과가 있었다. 여자 청소년의 생물학적 위험성향과 사회문화적 위험요인은 자기통제와 사회적지지에 직접효과가 있었다. 이러한 결과에서 여자 청소년의 자살생각을 예방하기 위해 생물학적 위험성향과 사회적 위험요인을 감소시키고 자기통제와 사회적지지를 증진시키는 중재 프로그램 개발이 필요하다.

• 한국융합학회논문지
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• 제8권10호
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• pp.115-124
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• 2017

본 연구는 여성생식기 암 생존자들의 외상 후 성장과 관련한 영향요인을 파악하고자 시도되었다. 여성생식기 암 환자들 가운데 치료가 성공적으로 종결되고 인터넷 카페 활동을 하는 암 환자 자조모임의 141명을 대상으로 하였으며, 2016년 9월부터 10월까지 외상 후 성장, 질병으로 인한 영향, 대처, 가족응집력 그리고 사회적 지지를 이메일을 이용하여 측정한 후 일원변량분석, 피어슨 상관관계 그리고 다중회귀분석을 실시하였다. 외상 후 성장은 평균 84.13점 이었으며, 나이, 종교, 결혼상태에 따라 유의미한 차이를 보였고, 대처, 가족응집력, 사회적 지지와는 정적 상관관계를 나타냈다. 외상 후 성장에 영향을 미치는 주요 변수는 종교(${\beta}=.127$), 결혼상태(${\beta}=.081$), 대처(${\beta}=.232$) 그리고 가족응집력(${\beta}=.415$)으로 설명력은 44.7%였다. 본 연구는 여성생식기 암 생존자의 외상 후 성장을 위하여 개인의 일반적인 특성에 대한 이해와 사회심리적 요인을 파악할 필요가 있음을 제시하고 있다. 나아가 여성 생식기 암 대상자의 외상 후 성장을 촉진할 수 있는 의료 및 지역사회 기관의 융합적인 접근이 필요함을 시사한다.

• 한국융합학회논문지
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• 제8권11호
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• pp.133-139
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• 2017

본 연구는 통학버스를 이용하는 대학생의 안전띠 착용에 대한 인식, 태도 및 실천 정도를 분석하기 위한 서술적 조사연구이다. 연구대상은 통학버스를 이용하는 대학생 118명이며, 자기기입식 구조화된 설문지를 이용하였다. 수집된 자료는 SPSS WIN 22.0 프로그램으로 분석하였고, 기술통계, Pearson correlation coefficients, t-test와 ANOVA를 실시하였으며 Scheffe's test로 사후검정을 실시하였다. 본 연구에서 안전띠 착용에 대한 인식, 태도 및 실천 간에는 유의한 양의 상관관계가 있는 것으로 나타났으며, 안전띠 착용에 대한 인식은 대상자의 마지막 안전띠 미착용 시점에 따라 차이가 있었고, 태도는 성별, 연령, 안전띠 미착용 시점에 따라, 실천은 대상자의 성별, 연령, 통학시간, 안전띠 미착용 시점, 경제적 수준에 따라 차이가 있었다. 본 연구 결과는 통합적인 안전사고 예방 보건교육 프로그램을 개발하는데 기여할 수 있을 것으로 사료된다.

• 한국융합학회논문지
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• 제11권11호
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• pp.451-459
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• 2020

본 연구는 유아교사의 교사효능감에 영향을 미치는 요인을 탐색하기 위해 현재 재직 중인 유아교사를 대상으로 자료 수집하여 202명 자료를 분석하였다. 대상자의 일반적 특성과 공감, 회복탄력성, 교사효능감에 대한 빈도분석, 상관분석, 다중 회귀분석을 시행하였다. 연구결과 유아교사의 교사효능감 영향요인은 교육경력, 직무성취도, 공감, 회복탄력성으로 확인되었으며 설명력은 57.2%로 나타났다(F=45.848, p<.001). 결론적으로 유아교사의 교사효능감은 회복탄력성(β=.480)이 높을수록, 직무성취도(β=.286)가 높을수록, 교육경력(β=.197)이 많을수록, 공감(β=.141)능력이 높을수록 증가되는 것으로 나타났다. 따라서 유아교사의 교사효능감 증진을 위해 예비유아교사 시기부터 회복탄력성, 직무성취도, 공감능력을 증진시킬 수 있는 정규교육과 비정규교육과정을 융합한 교육과정 개발 및 교육이 요구된다.

• 보건교육건강증진학회지
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• 제20권3호
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• pp.145-170
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• 2003

The purpose of this study was to clarity the concept of health insensitivity using Hybrid model, which consists of three phases： theoretical, empirical, and analytic. In the theoretical phase, the definitions of health insensitivity were searched in korean dictionary and examples used in the websites because the concept of health insensitivity has never been studied before. Two dimensions of health insensitivity emerged out from this investigation were cognitive and behavioral. And then a working definition of health insensitivity was established. The sub-concepts and related factors of health insensitivity were identified through the extensive reviews of the literature focusing on two dimensions of cognitive and behavioral. In the empirical phase, in order to obtain description of health insensitivity, face-to-face in-depth interviews were conducted with nine persons who are not related to professional health care. Grounded theory approach was applied to analyze these qualitative data. In the final analytic phase, theoretical results and empirical results were analyzed in the integrated way and a theoretical framework of health insensitivity was established. A refined definition of health insensitivity was that decreased health risk perception in cognitive dimension and conduction of the unhealthy behaviors in behavioral dimension. Sub-concepts of decreased health risk perception were optimistic bias and decreased general fear. Sub-concepts of unhealthy behavior were doing health threatening behavior and not doing desirable health behavior. The contact of health information was a causal condition of health insensitivity. Optimistic disposition, health locus of control, and avoidance coping style were intervening conditions of health insensitivity. Three types of health insensitivity were identified： unconcern or ignorance type, optimistic bias type, and cognitive dissonance type. Finally, The implications of these findings for further research and nursing practice are discussed.

• 한국학교보건학회지
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• 제12권2호
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• pp.243-262
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• 1999

Today, obesity is not recognized as a disease itself but is known to be the indirect cause of much chronic illness. Obesity has an impact on psychological disorders including severe inferiority, damage of body self-image, low self-esteem, personality disorders. The results in an increase of the mortality rate. Therefore, this study attempts to discover and evaluate stressful experience in obese teenagers. For this study, 21 girl students and 19 boy students in Pusan middle or high school located were selected. The data were collected from March to May at 1999. A tape-recorder was used under the permission of the subjects to prevent the loss of spoken information and communication. This study consisted of 563 reponses from girls and 461 responses from boys which were then classified with descriptive expressions and priority classifications. The results generated 72 common elements in girls and 54 common elements in boys. From these elements 24 syntheses of hypothetical definitions and 8 identifications of the structural definitions in both girls and boys were developed. The structural and hypothetical definitions were as follows: The analysis of the data was made through a phenomenological analytic method suggested by Van kamm, which is as follows: 1. Maladjustment to school life; lack of understanding of the teacher, insufficient exercise ability, and a feeling of burden in attending the school obesity program. 2. Conflict in family relationships; lack of understanding from the family, a feeling of alienation. 3. Conflict in friend relationships; lack of understanding among friends, constant comparisons in appearance and body with friends (in girls) and estrangement from friends (in boys). 4. Conflict in acquaintance of the opposite sex; hoping to meet the opposite sex, lack of understanding of boy friends (in girls), feelings of pain, feelings of anxiety (in girls) feelings of burden (in girls) feelings of envy (in boys). 5. Negative body image: shape of body; feelings of pain; feelings of powerlessness; feelings of discomfort, and reception; emotional disorders (in boys), and change of personality (in boys). 6. Health disorder: Physical and psychological discomfort. 7. Feelings of burden in weight control; negative experiences in weight control, interference with family and friends, the difficulty in diet therapy, feelings of burden in exercise (in girls), to be teased by the public through mass media (in boys).

• 한국환경보건학회지
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• 제37권4호
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• pp.250-257
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• 2011

Objectives: This study was aimed at re-assessing the environmental burden of disease attributable to waterrelated diseases using available local data from Korea. Methods: The general methods and the operational definitions for water, sanitation and hygiene applied to the study were based on an environmental burden of disease study conducted by WHO. Eleven water-related diseases were selected. The attributable fraction for diarrhea was calculated by assessing local exposure levels to drinking water, sanitation and hygiene according the scenario-based approach. The attributable fractions for the other ten diseases were derived from the results of the environmental burden of diseases study. The attributable DALYs were measured by using the attributable fractions and local health statistics. Results: The total environmental burden of disease attributable to water, sanitation and hygiene for Korea was 0.9210 DALY per 1000 capitals. Of the total burden of disease, the attributable burden of diarrhea was 0.8863 (96.1%), the attributable burden of malaria and malnutrition was 0.0236 and 0.0063 DALY per 1000 capitals, respectively. There was little burden of disease measured for other diseases. Conclusions: This study is meaningful in re-assessing the environmental burden of disease using available local exposure data and health statistics. Quantitative analysis of the environmental risk factors and a health impact assessment would be helpful to prioritize health policies or interventions in the future.

• 보건교육건강증진학회지
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• 제32권3호
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• pp.85-96
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• 2015

Objectives: This study aims to identify the influencing factors of using postnatal care among illiteracy women who live in the Democratic Republic of Congo. Methods: Household survey was done from February 1 to 8, 2013 in the Kwango district of Democratic Republic of Congo, and 400 childbearing women who has under 5 years old children and pregnant women was randomly selected and answered through the interview with a questionnaire. For analysis the data, ${\chi}^2$ test and logistic regression analysis were used. Results: Woman who can read, write and mathematical calculation was 195 (47.4%) of total 411 answers and 161 (39.2%) used postnatal care for their latest pregnancy. Age at first marriage (${\chi}^2=18.481$, p<.001), religions (${\chi}^2=11.165$, p=.011), languages (${\chi}^2=35.586$, p<.001), the experience of children death (${\chi}^2=16.507$, p<.001), antenatal care over 4 times (${\chi}^2=15.315$, p<.001), postnatal care (${\chi}^2=15.558$, p<.001) is significantly different from literacy level. Among illiterate women group, who are protestant (OR=.330), using Lingala (OR=.128), took elementary education (OR=.223) and farmer (OR=.040), used less postnatal care. Conclusions: For increasing usage of postnatal care among illiterate women, new approach method should be considered such as a visual communication method and a community health workers' training program for giving an outreach service to pregnant women care.

• Asian Pacific Journal of Cancer Prevention
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• 제15권24호
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• pp.10565-10571
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• 2015

Gastric cancer incidence rates vary dramatically by world region with East Asia having the highest rate. The Asian population of the United States (US) is growing rapidly and over 17 million Americans are of Asian descent. A majority of Chinese, Korean and Vietnamese Americans are immigrants. Americans of East and Southeast Asian descent experience marked gastric cancer disparities and the incidence rate among Korean men in the US is over five times higher than the incidence rate among non-Hispanic white men. Randomized controlled trials have provided evidence for the effectiveness of helicobacter pylori identification and eradication in preventing gastric cancer. Additionally, Japan and South Korea have both experienced improvements in gastric cancer mortality following the implementation of programs to detect early stage gastric cancers. There are currently no clear US guidelines regarding the primary and secondary prevention of gastric cancer in high-risk immigrant populations. However, it is likely that a proportion of US physicians are already recommending gastric cancer screening for Asian patients and some Asian immigrants to the US may be completing screening for gastric cancer in their native countries. Surveys of US primary care physicians and Asian American communities should be conducted to assess current provider practices and patient uptake with respect to gastric cancer prevention and control. In the absence of clinical guidelines, US health care providers who serve high-risk Asian groups could consider a shared decision-making approach to helicobacter pylori identification and eradication, as well as gastric endoscopy.

• 한국산학기술학회논문지
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• 제16권10호
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• pp.6495-6503
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• 2015

본 연구는 혈액투석환자의 이행 수준을 파악하고 이행과 생리적 지표, 건강관련 삶의 질 간의 관계를 조사하였다. 지역 투석의원 27곳에서 220명의 혈액투석환자로부터 자료를 수집하였다. 이행은 투석 간 체중증가, 혈중 칼륨과 인과 함께 환자역할행위이행 도구로 측정하였고 건강관련 삶의 질은 MOS-SF 12로 측정하였다. 자료는 서술통계, t-test, ANOVA, 피어슨 상관계수로 분석하였다. 이행의 평균 점수는 4점을 기준으로 2.92점이었고, 전체 15개 이행 항목 중 투석스케줄 지키기에서 가장 높은 점수를 보였다. 이행 수준은 연령, 결혼상태, 투석기간에 따라 유의한 차이가 있었으며, 이행 항목 중에서 복약, 감염관리, 수면, 야채와 과일섭취가 건강관련 삶의 질과 유의한 상관관계를 보였다. 본 연구결과는 혈액투석환자의 삶의 질을 향상시키기 위해 환자중심 접근이 도움이 될 것임을 시사한다. 건강돌봄제공자들은 환자에게 중요한 이행을 확인하고 환자의 가치와 우선순위를 고려함으로써 환자들의 입장을 이해할 필요가 있다.