• 한국학교보건학회지
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• 제28권3호
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• pp.177-187
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• 2015

Purpose: This study was conducted to examine tuberculosis-related knowledge, attitude and preventive behaviors of middle school students and to investigate socio-demographic and health-related factors. Methods: 198 male and 188 female middle school students in M city were recruited for the survey. Independent sample t-test, One-way ANOVA and $Scheff{\acute{e}}^{\prime}s$ test and Pearson's correlation were performed to examine factors associated with tuberculosis-related knowledge, attitude and preventive behaviors. Results: The percentage of correct answers to questions testing tuberculosis-related knowledge was very low, 33%. The mean scores of attitude and preventive behaviors were 3.02 and 2.90 out of 4 (highest score), respectively. Middle school students who had experiences of health education or tuberculosis-related education showed significantly higher scores than their counterparts in all factors - knowledge, attitude, and preventive behaviors. Parental education, academic achievement, smoking, sleeping time, infectious disease education, and source of tuberculosis information were associated with knowledge, attitude, and preventive behaviors. Knowledge about tuberculosis had a positive correlation with attitude and preventive behaviors. Conclusion: The level of tuberculosis-related knowledge, attitude, and preventive behaviors was very low among middle school students. In addition, school health education was highly related to a higher level of knowledge, attitude, and preventive behaviors regarding tuberculosis. Therefore, to intensify students' preventive behaviors against tuberculosis and other infection diseases, sustainable school health education should be provided for middle school students who are at risk of developing tuberculosis.

• 대한예방한의학회지
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• 제17권1호
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• pp.181-197
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• 2013

Objectives : This study aimed to assess the differences in treatment behavior by reviewing data of a medical institution that studies treatment behavior in URI and assessing the treatment efficacy in Korea. Methods : We analyzed the behavior of medical customers and providers of upper respiratory infection medications using the NPS published by the Health Insurance Review Assessment Service. We created an operational definition for complications, and confirmed the difference in complication distribution between medical specialties. We also performed a multivariate analysis using a mixed model to elucidate the factors influencing the occurrence of complications. Results : The outcomes of analyzing factors to influence the difference in practice patterns of the diagnosing URI between the physicians are as follows; (1) Analysis of antibiotics prescriptions rate showed significant difference from medical departments (pediatrics; 49.7%, internal medicine; 54.2%, otorhinolaryngology; 69.6%, family medicine; 61.6%, general surgery; 57.5%, p<0.001). Analysis of steroid prescriptions rate showed significant difference from medical departments (pediatrics; 3.8%, internal medicine; 4.5%, otorhinolaryngology; 5.4%, family medicine; 3.0%, general surgery; 11.2%, p<0.001). (2) In patients who visited medical institutes with the common cold, the complication distribution differed according to the medical specialty, which suggests that specific complications arise depending on the particular medical specialty (p<0.001). (3) Moreover, through multivariate analysis, we found that the complication rate is higher in clinics than in hospitals, depending on the institute's size. (p<0.001; odds ratio of 4.67 in clinics than in hospitals, 95% CI 2.66-8.21) Conclusions : We observe a deviation between the behavior of patients diagnosed with URI and medication providers. This may arise from the interaction between providers and consumers, wherein the complications are associated with the choice of outpatient department and the prevention of cutting incentives. These findings suggest that the health policies should be improved to prevent inappropriate medical practice in the treatment of pediatric URI.

• 한국산학기술학회논문지
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• 제19권9호
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• pp.174-185
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• 2018

본 연구는 2015년 국내 메르스(중동호흡기증후군) 유행시 상급종합병원에 임상실습을 경험하는 학생의 메르스에 대한 지식, 태도 및 예방행위 수행 정도를 파악하고 메르스 예방행위 수행 예측요인을 확인하기 위해서 시도되었다. 본 연구 대상자는 3, 4학년 간호학과와 의과대학 학생 480명이었으며, 자료수집은 2015년 6월 9일부터 6월 30일까지 구조화된 설문지를 이용하였다. 자료분석은 SPSS/WIN 24.0을 이용하여 분석하였고, 메르스 예방행위 수행에 영향을 미치는 예측요인들은 위계적 회귀분석(hierachial regression)을 이용하였다. 임상실습 학생의 메르스에 대한 지식 수준은 9.56점(13점 기준)으로 보통 이상으로 높았으며, 메르스의 심각성 인지와 예방가능성에 대한 신념인 메르스에 대한 태도는 4.15점(5점 기준)으로 긍정적이었다. 메르스 예방행위 수행정도는 3.02점(5점 기준)으로 보통 수준이었다. 메르스 예방행위는 여학생인 경우, 메르스에 관한 교육 경험이 있는 경우, 지난 해 인플루엔자 접종을 한 경우, 올해 인플루엔자 접종 의도가 있는 경우, 메르스 감염에 대한 두려움이 높은 경우, 메르스에 대한 지식 수준이 높고, 태도가 긍정적일수록 수행 정도가 높게 나타났다. 이에 감염환자들을 치료하고 돌보게 될 간호학과와 의과대학 임상실습 학생의 메르스 예방행위 수행률을 높이기 위해서는 메르스 예방행위 수행에 영향을 미칠 수 있는 임상실습 학생의 특성을 고려해야 한다. 더 나아가 임상실습 학생들이 메르스를 예방하기 위하여 필수적으로 습득해야 하는 내용이 포함된 효과적인 감염예방 교육프로그램을 개발하고 실시하여 미래 보건의료인들의 메르스 관련 지식 수준을 높이고, 질환 전파를 막으려는 태도를 강화함으로써 전염성 감염질환 예방에 기여해야 한다.

• 한국산학기술학회논문지
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• 제20권2호
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• pp.259-266
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• 2019

본 연구는 응급구조학과 학생들의 결핵에 대한 예방행위에 미치는 요인을 파악하고 응급구조학과 학생들의 결핵에 대한 예방행위수준을 높이기 위하여 조사하였다. 전라북도의 4년제 대학 1개와 3년제 대학 2개의 응급구조학과 학생 314명을 대상으로 2018년 6월 25일부터 7월 6일까지 12일간 설문조사를 실시하였다. 통계분석은 SPSS 18.0 프로그램을 사용하였으며, t-test, ANOVA, pearson correlation coefficient, 다중회귀분석으로 분석하였다. 상관분석 결과 결핵에 대한 예방행위는 결핵에 대한 지식(r=0.268, p<0.001)과 태도(r=0.394, p<0.001)에 모두 유의한 양의 상관관계를 나타냈다. 다중회귀분석 결과 결핵에 대한 지식이 높을수록(${\beta}=0.152$, p<0.001), 태도가 높을수록(${\beta}=0.052$, p<0.001) 예방행위수준이 높아지는 것으로 나타났다. 또한 본인 또는 친인척이 결핵 발병을 경험한 학생들의 예방행위수준이 높았다(${\beta}=-0.186$, p=0.001). 따라서 응급구조학과 학생들에게 결핵에 대한 지식수준을 높이고 부정적인 인식과 태도를 변화시켜 예방행위 수준을 향상시킬 수 있는 체계적이고 지속적인 생활화된 교육이 필요하다.

• 한국의료질향상학회지
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• 제21권1호
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• pp.36-49
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• 2015

In Intensive Care Units (ICUs), where severely ill patients are treated, importance of reducing Hospital Acquired Infection (HAI) cannot be overstated. One of the simplest and most effective actions against HAI is proper hand hygiene (HH) behavior of Health Care Workers (HCWs). However, compliance varies across different cultures and different job types of HCWs (physicians, residents and nurses). This study aims to understand determinants of HH behavior by HCWs' job types in Korea. Qualitative analysis was performed based on Reasoned Action Approach style interviews with staff physicians, residents and nurses across 7 teaching hospitals. We found that all HCWs strongly believe HH is important in reducing HAI. There were, however, job type-specific HH behavior modifying factors; staff physicians stated feeling pressure to be HH behavior role model. Residents identified Quality Improvement team that measured compliance as a facilitator; a notable barrier for residents was senior physicians not washing their hands, because they were afraid of appearing impudent to their seniors. Nurses designated their chief nurse as a key referent. All participants mentioned heavy workload and lack of access to alcohol-based sanitizer as situational barriers, and sore and dry hand as deterrents to HH compliance.

• 사물인터넷융복합논문지
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• 제8권4호
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• pp.65-76
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• 2022

본 연구는 일 간호대학 재학생을 대상으로 코로나19 관련 지식 및 예방적 건강행위, 자기효능감, 불안, 지각된 스트레스 정도를 파악하고 이들 간의 상관관계를 규명하고자 한다. 본 연구의 자료수집은 서울시 소재 일 간호대학 재학생 133명을 대상으로 구글 온라인 설문지를 통해 2022년 4월 15일부터 2022년 5월 10일까지 실시하였고, SPSS/WIN 25.0을 활용하여 기술통계, t-test, one-way ANOVA, Pearson's Correlation Coefficients를 실시하였다. 일반적 특성에 따른 차이 분석 결과 예방적 건강행위는 코로나19 감염관리 교육의 필요성 여부에 따라 유의한 차이가 나타났고, 자기효능감은 주관적 건강상태에 따라 차이가 있는 것으로 나타났다. 대상자의 불안정도는 학년과 주관적 건강상태에 따라 유의한 차이가 있는 것으로 나타났으며 지각된 스트레스는 주관적 건강상태에 따라 유의한 차이를 나타냈다. 예방적 건강행위와 지식, 자기효능감, 불안, 지각된 스트레스간의 상관관계를 분석한 결과 유의미한 상관관계가 없는 것으로 나타났으나 자기효능감은 불안과 지각된 스트레스와 유의미한 부적 상관관계가 있으며 불안은 지각된 스트레스와 유의미한 정적 상관관계가 있음을 확인하였다. 본 연구결과를 통해 코로나19 감염예방을 위한 교육 프로그램과 대책방안의 기초자료로 활용할 수 있을 것이다.

• Journal of Korean Academy of Oral Health
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• 제41권1호
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• pp.16-21
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• 2017

Objectives: Dental caries and periodontitis are major oral bacterial infections associated with dental plaque. Infection and inflammation play a role in carcinogenesis, and a significant link has been found between some highly prevalent oral and dental diseases and some types of cancer. Therefore, the aim of this study was to evaluate the relationship between cancer and oral health among Korean adults. Methods: Data from the 6th Korea National Health and Nutrition Examination Survey were used to analyze the incidence of cancer according to oral health. Demographic and socioeconomic statuses and oral behavior of the participants was analyzed using complex chi-square tests. Logistic regression was used to analyze the relationship between a high DMFT index and cancer by calculating the 95% confidence intervals. Results: In total, 6,450 case-control subjects were included. Significant difference was observed in the DMFT index, but not in periodontal diseases, between the cases and controls. The odds ratio for cancer was 1.80 (95% confidence interval: 1.18 to 2.73) in the high-risk group. However, no significant difference was observed after adjusting for age, education level, and income. Conclusions: The results provide potential evidence of a significant association between cancer and oral disease.

• Journal of Information Science Theory and Practice
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• 제1권1호
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• pp.42-53
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• 2013

Timely access to quality healthcare information during an outbreak plays an important role in curtailing its spread. The aim of this study was to investigate the information needs and seeking behavior of the general public in Singapore during the H1N1 pandemic. A pre-tested questionnaire was used for data collection. The convenience snowball sampling method was used and 260 working adults and tertiary-level students participated in this study. The most crucial information needs of a majority of the participants were: symptoms of H1N1, causes of the infection, preventive measures, and possible treatments. Data analysis also revealed that mass media such as television, newspapers, and radio were most frequently used for seeking the needed information. The use of human information sources was also quite high while only a small number of the respondents accessed online news and healthcare websites. About three-quarters of the participants indicated that the gathered information helped them to stay vigilant and take necessary precautionary measures. A major problem identified by the participants in using H1N1 information was the lack of understanding of certain terms used in public communications. This paper suggests certain measures for strengthening health information communication during future outbreaks.

• 의학교육논단
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• 제18권2호
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• pp.99-105
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• 2016

The purpose of this study was to inquire into the knowledge of medical students on the Middle East respiratory syndrome (MERS) and evaluate whether infection prevention education impacts students' level of knowledge and individual hygiene practices. This study also investigated the route by which medical students obtain disease-related information. The study involved a survey conducted in August of 2015 at two medical schools in Busan. In the first year to fourth year, a total of 345 students are enrolled (111 students in A school and 234 students in B school). Before the study was carried out, university A performed infection prevention education related to MERS, but B did not. We used self-developed questionnaires to survey the demographic characteristics, routes of acquisition of MERS information, degree of knowledge of MERS, educational satisfaction, and personal hygiene practices before and after education. Knowledge level differences according to gender and year in school were not statistically significant. Students obtained their information about MERS from various news media sources and the Internet, and through social network sites. Students practiced sanitary control behaviors in an average of 2.2 manners (standard deviation=0.95). The level of knowledge of MERS revealed a positive correlation with the frequency and total numbers of personal hygiene practices. This finding suggests that the infection prevention education program played a role in knowledge acquisition and personal hygiene practices for the medical students. In order to provide accurate and reliable knowledge of disease and preventive health behavior to medical students, continuous and well-planned education programs are necessary.

• 한국학교보건학회지
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• 제34권2호
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• pp.115-122
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• 2021

Purpose: The purpose of this descriptive research is to identify how stress from Covid-19, health beliefs, and social support of college students affect health prevention. Methods: The subjects of the study were 128 university students, excluding health major students, at one university in D City. The survey was conducted from August 1 to 31, 2020. The survey questionnaire consists of 8 items on stress from COVID-19, 12 items adapted from a health belief measurement tool, 12 items from a social support measurement tool, and 11 items adapted from a tool that measures health preventive behaviors. The collected data were analyzed using the hierarchical multiple regression analysis method with SPSS 26.0. Results: In model 1, stress from COVID-19 was statistically significant (β=-.403, p=.003). Model 2 added four health belief factors into Model 1. Stress (β=-.419, p<.001), perceived severity (β=-.193, p=.030), and perceived barriers (β=-.182, p=.009) were statistically significant. In model 3, stress (β=-.413, p<.001), perceived barriers (β=-.147, p=.034), and social support (β=.194, p=.011) were statistically significant. The regression equation was significant (F=15.395, p=<.001) and the model's explanatory power was 53.1%. Conclusion: The results show that when college students had a high degree of health beliefs about COVID-19, the degree of health preventive behaviors was proportionally high. To make them practice preventive health behaviors, it is necessary to develop infection control education programs to improve health beliefs.