• 한국직업건강간호학회지
• /
• 제9권1호
• /
• pp.39-48
• /
• 2000

Hyperlipemia is the most leading risk factor of cardiovascular disease which is the main cause of death in Korea. However, there is a tendency to neglect the prevention and treatment since it has no specific symptoms. It has been reported that the level of serum-lipid can be lowered by the improvement of eating habits. Therefore, it is highly likely that the development of programs on the improvement of eating habits through behavioral theory is required to the community nursing practice. The theory of planned behavior, which assumes that human behaviors are determined by one's intention to carry out the behavior, can be characterized by the point that behaviors are not only individual factors but also social behaviors relating to subjective norms. It is widely recognized that this theory has a high predictability on health behavior due to it's simplicity clearness, and measurability as well as high quality of being general. Thus, the theory of planned behavior could be useful in developing a model of a health promotion program to the change of behaviors of the risk group of cardiovascular disease. Consequently, based on the theory of planned behavior, the purpose of this study is to develop an intention promotion program of the diet, and then to testify the effects. The sample of this study consisted of 26 industrial workers who had proved hyperlipemia from a medical examination in 1996 (experimental group 13, control group 13). The intention promotion program, which includes education, monitoring, pressure, counselling on the level of individuals, families and organizations, was conducted for 10 weeks The purpose of this program was to promoting intention of the diet through changes of the prerequisite factors of intention such as behavioral belief, outcome evaluation, normative belief and control belief. When it came to data analysis, the ${\chi}^2$-test and Fisher's Exact test were used to compare the general characteristics between the experimental and the control group, an independent t-test for the other variables. ANOVA was used to the test hypothesis, and the Pearson correlation test for variable's correlation. The results of this study can be summarized as follows ; 1) There was a significant increase in the intention(F=18.51, p=.00) of diet in the experimental group. 2) Diets(F=32.51, p=.001) in the experimental group were better carried out than in the control group. 5) There was a moderate correlation between the intention of diet and performance (r=.587. p=.003). From the results, it can be concluded that the intention promotion program is very effective, leading to the change of health promotion behavior. Above all, it is really valuable that the intention promotion program in this study regards health promotion behavior as a social behavior and that intervention was done on the level of family and organization. Consequently, when performing a health promotion program, social approach elevating the intention should go hand in hand in order to make the program effective.

• 대한인간공학회지
• /
• 제31권3호
• /
• pp.445-453
• /
• 2012

The aim of this paper was to prove that if the risk level in combined tasks was improved through evaluation of postural load of liquid weight measurement process, the workload level and ratio of exposure time would be changed, and the time of process would be seen concurrently. Background: According to results of epidemiological studies conducted by Korea Occupational Safety & Health Agency, 122 musculoskeletal disorders occurred during 1992 to 2008, in which manufacturing industry covers 96(78.7%) of total. However, this is an insufficient level and only occupies 39% based on the South Korea's manufacturing standard industrial classification(246 industries). Method: Firstly, the number of batches weighed on one day(460min) was investigated based on the work performed and Weight measured weekly. VCR recording was taken based on the level of liquid ingredients prescribed for 1batch using the Camcorder. After dividing a 356 sec video into 1 sec using the screen capture function in Gom player, the job classification was performed by analyzing the change of working postures, which revealed 148 working postures. Time measurement was decided by time of the postures was being maintained. Then, the REBA analysis was performed for the working postures. The ratio of Exposure time was calculated based on the measurement time and REBA Score. In addition, the recommendations were designed and implementation was carried out for the working postures with REBA Score higher than 3. Finally, after the intervention, REBA measurement, time measurement, and ratio of exposure time were calculated for the comparison of works before and after improvement. Results: The number of work elements was decreased by 30.4% from 148 to 103 after improvement. The results of time measurement showed that the time was reduced by 46.3% from 356 sec to 191 sec. And the ratio of exposure time was also improved by 52.1% from 0% to 52.1% after improvement. Conclusion: The reduction of time was found to improve the productivity of management. Furthermore, because the reduction of ratio of exposure time and the improvement of workload level are the improvement of discomfort, it would contribute to the improvement of the worker's psychological working posture. Application: These results would contribute to musculoskeletal disease prevention and management performance. Further studies for other industries would be needed based on this case study.

• 보건교육건강증진학회지
• /
• 제16권2호
• /
• pp.157-171
• /
• 1999

This paper analyzed health practices of students in an university in Chollabukdo Province. It attempted to study how many university students had what kinds of health practices. Furthermore, it tried to find out what are the major problems in health practice among university students. To study health practices of university students, this study sampled 1,469 students randomly. Many of the students had poor practices of teeth care. In tooth-brushing, many students (35.8%) brushed their teeth before breakfast in the morning. Most of the students (95% or more) visit dental clinic only when they had problem(s) in their teeth. For weights, there exists a great gap between perception and BMI (Body Mass Index), especially among female students. Among the female students who perceived their weights were above average, 96.4% of them were normal according to BMI. Many of the students were drinking greater amount of alcohol than safe amount suggested by the National Health and Medical Research Council of Australia. The proportion of the students drinking harmful or hazardous amount of alcohol were 79.5% of the male students and 74.9% of the female students. It suggests that health promotion fund or tax need to be levied on alcohol to frustrate unhealthful drinking. More than half (59.0%) of the male students and about 6.0% of the female students were smoking cigarettes. The smoking initiation ages were 17.8 for male and 18.2 for female students. It means that many of the students started smoking in their junior high or high schools. It implies that smoking prevention and smoking cessation programs need to be emphasized in these schools. For perception on sex, 27.8% of the male students and 60.9% of the female students thought to keep their virginity before their marriage. The female students were more conservative in perception on sex. The average number of sexual intercourses per year of male students was 17.0 times with their lovers, 7.9 times with prostitutes, and 7.0 times with maids. The female students had sexual intercourses 5.0 times with their lovers and 4.0 times with waiters per year. The proportion of students who had experience of sexual intercourse with homosexual partners was 1.0%. The finding this study was that the university students were vulnerable to poor health practices. It is suggested that public health intervention program be provided for university students to keep them in good healthy lifestyle.

• 사회복지연구
• /
• 제44권3호
• /
• pp.347-369
• /
• 2013

HIV/AIDS 감염인의 삶의 질은 치료경과와 생존율 향상뿐만 아니라 HIV/AIDS 감염의 예방과 관리를 위해서 매우 중요한 의미를 지닌다. 이러한 감염인의 삶의 질에 대해 우리 사회에 여전히 존재하는 부정적 시각과 낙인은 이들의 삶의 질을 저하시키는 것으로 보고되고 있다. 감염인의 삶의 질 제고를 위해서 낙인을 불식시키는 노력과 더불어 그 부정적 영향을 완충하는 개입 또한 요구된다. 하지만 감염인의 삶의 질을 실증적으로 검토한 연구가 매우 소수이며, 삶의 질에 대한 낙인의 부정적 영향을 조절하는 요인을 다룬 연구는 거의 없는 상태이다. 이에 본 연구는 HIV/AIDS 감염인의 삶의 질에 대한 지각된 낙인의 부정적 영향을 완충하는 요인으로 사회적 지지의 조절효과를 검증하는 것을 목적으로 수행되었다. HIV/AIDS 감염인 102명을 대상으로 조사가 이루어졌으며, 위계적 회귀분석과 단순기울기 검정을 통해 사회적 지지의 조절효과를 검증하였다. 연구결과 통제요인인 교육수준과 직업의 유무가 삶의 질에 유의한 영향을 미치고 있었으며, 지각된 낙인은 삶의 질에 유의한 부적 영향을 미치고 있었다. 사회적 지지는 삶의 질에 유의한 정적 영향을 미치고 있었고, 지각된 낙인이 삶의 질에 미치는 영향에 대한 사회적 지지의 조절효과가 유의한 것으로 밝혀졌다. 이러한 결과를 토대로 HIV/AIDS 감염인의 삶의 질 향상을 위해 이들에 대한 사회의 낙인을 불식시키기 위한 HIV/AIDS에 대한 올바른 정보제공과 교육의 노력이 필요하며, 특히 사회적 지지를 강화하기 위해 지역사회 기반의 동료지지 집단 프로그램의 수행 등의 노력이 필요하다는 사회복지실천에의 함의를 제시하였고, 연구의 한계점을 바탕으로 후속연구에 대해 제언하였다.

• 한국산학기술학회논문지
• /
• 제20권6호
• /
• pp.158-168
• /
• 2019

본 연구는 국민건강영양조사 제7기 1차년도(2016년) 자료를 이용하여 청소년의 대사증후군과 식생활, 신체활동 및 정신건강과의 관계를 파악 및 분석하여 청소년의 대사증후군 예방과 정신건강 증진을 위한 기초적 자료를 제공하는데 그 목적이 있다. 연구대상자의 연령은 만13세-만18세 청소년으로, 그 중 정상군은 남자 201명(52.6%), 여자 187명(47.4%)으로 나타났으며, 대사증후군은 남자 9명(56.4%), 여자 6명(43.6%)으로 총 403명으로 나타났다. 이에 청소년의 대사증후군과 식생활, 신체활동 및 정신건강과의 관계를 분석하여 연구한 결과, 청소년의 대사증후군에 미치는 주요 영향요인은 다음과 같다. 첫째, 신체특성에서 BMI가 1 증가할 때 마다 대사증후군 유병확률이 1.746배 증가하는 것으로 나타났다. 둘째, 식생활습관에서는 아침식사 빈도에서 주1-2회 식사 시 거의 안할 때 보다 대사증후군 유병확률이 0.87배 감소하는 것으로 나타났다. 셋째, 신체활동에서는 평소 하루 앉아있는 시간이 1시간 증가할 때 마다 대사증후군 유병확률이 1.054배 증가하는 것으로 나타났다. 넷째, 청소년의 대사증후군은 정신건강과의 관련성에 미치는 영향이 없는 것으로 나타났다. 따라서 향후 청소년을 중심으로 한 대사증후군 관련 연구에 있어서 식생활, 신체활동 및 정신건강 등에 관한 다양한 변수들의 개발을 통해 보다 확장된 연구가 필요할 것으로 판단되며 또한 청소년의 대사증후군 예방을 위한 식생활요인과 신체활동요인 및 정신건강요인을 접목한 효과적인 건강교육 중재 프로그램개발이 필요하다.

• 한국엔터테인먼트산업학회논문지
• /
• 제15권5호
• /
• pp.175-188
• /
• 2021

본 연구는 2019년 청소년건강행태조사 자료를 이용하여 비수도권과 수도권 청소년들의 정신건강이 평생 음주, 평생 흡연경험에 미치는 영향을 파악해 보고자 하였다. 연구대상은 중학교 400개교, 고등학교 400개교 총 800개교의 60,100명의 대상자 가운데 조사에 참여한 전체 청소년 57,303명을 대상으로 하였으며, 이 중 중학생이 29,384명, 고등학생이 27,919명으로 선정하였다. 연구결과 비수도권의 경우, 평생 음주, 평생 흡연 경험에 유의한 영향을 미치는 정신 건강은 주관적 건강인지, 스트레스인지, 피로회복정도, 슬픔과 절망감 경험, 자살생각, 자살계획, 자살시도가 유의한 것으로 나타났다. 수도권의 경우, 평생 음주, 평생 흡연 경험에 유의한 영향을 미치는 정신 건강은 스트레스인지, 피로회복정도, 슬픔과 절망감 경험, 자살생각, 자살시도는 유의한 것으로 나타났다. 이러한 결과를 바탕으로 청소년들의 음주문제가 정신건강 특성에 영향을 미치는 것으로 보아 수도권과 비수도권 청소년들의 지역별 정신 건강요인을 고려한 방향설정과 교육프로그램의 재평가를 통해 보다 효과적인 청소년들의 음주예방을 위한 중재 및 교육프로그램 개발을 위한 노력이 필요하다.

• Journal of Preventive Medicine and Public Health
• /
• 제43권2호
• /
• pp.109-116
• /
• 2010

Objectives: The pandemic of novel influenza A (H1N1) virus has required decision-makers to act in the face of the substantial uncertainties. In this study, we evaluated the potential impact of the pandemic response strategies in the Republic of Korea using a mathematical model. Methods: We developed a deterministic model of a pandemic (H1N1) 2009 in a structured population using the demographic data from the Korean population and the epidemiological feature of the pandemic (H1N1) 2009. To estimate the parameter values for the deterministic model, we used the available data from the previous studies on pandemic influenza. The pandemic response strategies of the Republic of Korea for novel influenza A (H1N1) virus such as school closure, mass vaccination (70% of population in 30 days), and a policy for anti-viral drug (treatment or prophylaxis) were applied to the deterministic model. Results: The effect of two-week school closure on the attack rate was low regardless of the timing of the intervention. The earlier vaccination showed the effect of greater delays in reaching the peak of outbreaks. When it was no vaccination, vaccination at initiation of outbreak, vaccination 90 days after the initiation of outbreak and vaccination at the epidemic peak point, the total number of clinical cases for 400 days were 20.8 million, 4.4 million, 4.7 million and 12.6 million, respectively. The pandemic response strategies of the Republic of Korea delayed the peak of outbreaks (about 40 days) and decreased the number of cumulative clinical cases (8 million). Conclusions: Rapid vaccination was the most important factor to control the spread of pandemic influenza, and the response strategies of the Republic of Korea were shown to delay the spread of pandemic influenza in this deterministic model.

• 농촌의학ㆍ지역보건
• /
• 제42권2호
• /
• pp.57-68
• /
• 2017

본 연구는 남자독거노인의 자살생각을 설명하는 가설적 모형을 구축하여 실제 자료간의 적합도를 검증함으로써, 남자독거노인의 자살생각을 감소시켜주는 노인자살예방프로그램을 개발하기 위한 기초자료를 제공하고자 시도되었다. 가설적 모형의 적합도를 검증한 결과 ${\chi}^2/df$, RMR, GFI, AGFI CFI, IFI, RMSEA 기준을 만족하여 가설적 모형을 수정없이 최종모형으로 확정하였다. 남자독거노인의 자살생각에 영향을 미치는 가장 큰 요인은 자아존중감이였으며, 요인에 대한 설명력이 55%였다. 결론적으로 본 연구에서 남자독거노인의 자살생각의 최종 결과변인으로 검정된 우울, 사회적 고립감을 감소시키고 자아존중감, 가족결속력, 사회활동 참여, 스트레스 대처, 사회적 지지를 향상시킬 수 있는 효율적인 맞춤형 노인 자살예방 프로그램을 개발하여 적용한다면 남자독거노인의 자살생각을 예방하는데 도움이 될 것이라고 본다. 마지막으로 본 연구의 제한점을 토대로 몇 가지 제언을 하고자 한다. 우선, 본 연구는 가정, 경로당, 종합복지회관을 이용하는 남자독거노인을 대상으로 자료수집을 하였기 때문에 연구결과의 일반화에 한계가 있으므로 다양한 장소에서 남자독거노인을 대상으로 한 확대 연구를 제언한다. 또한 설문의 내용이 민감하여 제대로 답변을 못하는 경우도 있어 심도있게 향후 질적연구를 제언하며, 본 연구에서 규명된 남자독거노인의 자살생각 영향변인들을 근거로 남자독거노인의 자살생각을 예방하기 위한 맞춤형 노인자살예방 프로그램을 개발하고 그 효과를 평가하는 연구가 필요하다.

• 한국산학기술학회논문지
• /
• 제17권2호
• /
• pp.104-111
• /
• 2016

본 연구는 중년기 성인의 당뇨병 유병형태에 대한 생리적 지표 및 생활습관 요인을 비교, 조사하기 위해 시행되었다. 대상자는 2010-2012년 국민건강영양조사 자료를 이용한 2차 자료 분석이며, 40-64세의 중년기 성인 5,363명을 표본으로 하였다. 자료는 기술적 통계, 교차분석, ANCOVA, 로지스틱 회귀분석으로 분석하였다. 정상군, 전당뇨병군, 당뇨병군을 비교한 결과는 다음과 같다. 체질량지수는 정상군보다 전당뇨병군과 당뇨병군에서 유의하게 높았다. 고혈압, 복부비만여부, 고콜레스테롤혈증여부, 고중성지방혈증여부, 흡연, 음주, 탄수화물 섭취량은 세 군 간에 유의한 차이가 있었다. 생리적 지표 및 생활습관 요인 중 고혈압(OR:1.64, CI 1.35-2.01), 고콜레스테롤혈증(OR:1.36, CI 1.03-1.79), 고중성지방혈증(OR:1.71, CI 1.34-2.18), 복부비만(남;OR:2.31, CI 1.75-3.05, 여;OR:2.20, CI 1.67-2.91), 체질량지수(OR:1.13, CI 1.10-1.17), 음주(OR:1.44, 1.16-1.79)가 당뇨병전단계에 영향을 주는 요인으로 나타났다. 당뇨병에 영향을 주는 요인은 고혈압(OR:2.27, CI 1.68-3.06), 고콜레스테롤혈증(OR:2.31, CI 1.67-3.20), 고중성지방혈증(OR:1.95, CI 1.39-2.73), 복부비만(남;OR:2.31, CI 1.60-3.32, 여;OR:3.26, CI 2.24-4.73), 체질량지수(OR:1.12, CI 1.07-1.18), 흡연(OR:1.59, CI 1.18-2.13)으로 나타났다. 본 연구 결과를 바탕으로 중년기 성인에서 고혈압, 비만, 이상지질혈증, 음주, 흡연 등의 생활습관을 개선할 수 있는 효과적인 당뇨병 예방을 위한 중재 프로그램의 개발을 제언한다.

• 한국임상약학회지
• /
• 제19권1호
• /
• pp.18-22
• /
• 2009

Oxaliplatin is a tolerable and effective drug of choice in the treatment of advanced or metastatic gastric cancer. However, it has many dose-limiting neurotoxicities. This study was performed to assess the incidence and types of oxaliplatin-related neurotoxicities. Sixty-four patients receiving oxaliplatin-involved regimen as salvage therapy on metastatic gastric cancer or as the first-line therapy on advanced gastric cancer were evaluated during the period between September 1, 2006 and February 29, 2008. The patients were treated with oxaliplatin 100 $mg/m^2$ and leucovorin 100 $mg/m^2$ simultaneously as 2-hour-lasting infusion on Day-1 followed by 5-FU 1200 $mg/m^2$ as a 22-hour-lasting continuous infusion both on Day-1 and Day-2 by every other week. We developed questionnaires to evaluate patient-recognized neurotoxic symptoms rather than the observer-described events. Surveys were completed at bedside or via telephone interview. Acute and chronic neurotoxicities were graded according to the National Cancer Institute Common Toxicity Criteria (NCI-CTC, version 3) as well as the Oxaliplatin-specific Neurotoxicity Scale. The Grade-3 neuropathy was reported in 19% of the patients (n=12) and grade-1/2 neuropathy occurred in 70% (n=45). The most common symptom was cold-related dysesthesia (83%) regarded as nociperception by the patients. Some patients (19%) experienced functional impairment affecting activities of daily living such as writing, buttoning, and walking. Even though 74% of the patients (42/57) were prescribed with gabapentin to reduce these peripheral symptoms, it did not appear to derive any benefit from this medication. It is suggested that notify the patients about their oxaliplatin-associated, debilitating symptoms, and educate them any self-care strategy at the initiating phase of the chemotherapy. Moreover, it needs to design the intervention studies regarding the prevention and management of the peripheral neuropathy.