• 한국지역사회생활과학회지
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• 제21권1호
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• pp.33-51
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• 2010

The purpose of this study was to examine the effects of parenting efficacy, parenting stress on elementary school children's self-efficacy and daily stress. The subjects were 355 children selected from 4 elementary schools and their mothers. Data was collected using the parenting efficacy index, parenting stress index, children's self-efficacy inventory and children's daily stress inventory. Data was statistically analyzed using the t-test, one way ANOVA(Duncan test), correlation analysis and multiple regression analysis. The study showed that there were some significant differences in children's self-efficacy according to the child's grade, gender, scholastic achievement, mother education, father education, and income. There were some significant differences in children's daily stress according to the child's grade, gender, and scholastic achievement. Correlation analysis indicated that the maternal parenting efficacy and children's self-efficacy, especially self-confidence had a significant positive correlation, and indicated a negative correlation with children's daily stress. Correlation analysis indicated that maternal parenting stress and children's self-efficacy had a significant negative correlation, and indicated a positive correlation with children's daily stress. It was also found that scholastic achievement, educational distress of the mother, father education were significant predictors of the children's self-efficacy, and healthy parenting ability, father education, stress of a difficult child, scholastic achievement, gender were all significant predictors of the children's daily stress.

• Journal of Preventive Medicine and Public Health
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• 제47권6호
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• pp.289-297
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• 2014

Objectives: This community-based cohort study was performed to investigate the incidence of and factors related to self-reported fragility fractures among middle-aged and elderly women living in rural Korea. Methods: The osteoporosis cohort recruited 430 women 40 to 69 years old in 1999, and 396 of these women were followed over 11 years. In 1999, questionnaires from all participants assessed general characteristics, medical history, lifestyle, menstrual and reproductive characteristics, and bone mineral density. In 2010, self-reported fractures and the date, site, and cause of these fractures were recorded. Cox proportional hazards models were used to calculate hazard ratios (HRs). Results: Seventy-six participants among 3949.7 person-years experienced fragility fractures during the 11-year follow-up. The incidence of fragility fractures was 1924.2 per 100 000 person-years (95% confidence interval [CI], 1491.6 to 2356.8). In the multivariate model, low body mass index (HR, 2.66; 95% CI, 1.13 to 6.24), a parental history of osteoporosis (HR, 2.03; 95% CI, 1.18 to 3.49), and postmenopausal status (HR, 3.50; 95% CI, 1.05 to 11.67) were significantly related to fragility fracture. Conclusions: Fracture prevention programs are needed among postmenopausal, rural, Korean women with a low body mass index and parental history of osteoporosis Korea.

• Journal of Oral Medicine and Pain
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• 제41권4호
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• pp.188-194
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• 2016

Purpose: Burning mouth syndrome (BMS) is ambiguous and enigmatic oral condition. Sleep disturbance is one of the most prevalent complaints of patients with chronic pain. The aim of this study was to estimate general sleep characteristics and propensity in patients with BMS. Methods: A total of thirty BMS patients and thirty healthy control subjects were investigated. Self-reported measures of sleep quality were conducted using two widely used methods; the Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS). Data were analyzed with one-way ANOVA, chi-square, Fisher's exact test, Kruskal-Wallis test, Holm method with 95% confidence interval and p<0.05 significant level. Results: BMS patients showed more poor sleepers than those in control subjects in both ESS and PSQI test. BMS patients also showed statistically significant poorer sleep quality compared with control subjects in both test. When BMS group were divided into three groups on the basis of numeric rating scale, the higher score subjects had, the more mean rank they had in the PSQI. Conclusions: BMS patients showed up poor sleep characteristics and propensity than control group, and they also showed the more severe the pain was, the worse the sleep quality was.

• 경영과정보연구
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• 제34권1호
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• pp.179-190
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• 2015

본 연구는 지방자치단체에서는 관광 상품 판매를 통해 얻는 수익이 지역 주민들에게 환원될 수 있도록 관광 상품 중의하나인 자연환경을 상품화하고 있다(한영주, 이무용, 2001). 부산 송도해수욕장의 경우 1980년대 시설낙후로 철거된 케이블카를 복원하는 사업이 26년 만에 가시화되고 있으며, 지역의 관광 삼품으로 그 가치가 크며 이에 대한 수요예측이 필요하다고 할 수 있다. 연구결과 부산광역시만을 대상으로 할 경우 대략 550,684명에서 1,514,416명의 수요예측 범위를 가질 것으로 예상되며, 송도해수욕장의 특성을 반영한 부산, 울산, 경남으로 지역을 확장할 경우 1,013,740명에서 2,854,340명의 수요예측결과를 도출하였다. 본 연구는 수요예측이 가지는 한계점을 보완하고자 방문객 수요예측 시 방문의사율에 실제로 실현 가능한 예측치인 실현율(그루버지수, 자기확신 지수)을 통해서 송도해상케이블카 복원사업 이용객 추정을 하고 이에 대한 수요예측을 통해 사업의 진행에 있어 중요한 근거로 활용될 것이며, 향후 지속적인 관리를 위한 초기자료로서 그 역할을 할 것으로 기대된다.

• 대한간호학회지
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• 제48권5호
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• pp.588-600
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• 2018

Purpose: The purpose of this study was to test a model of nursing competencies of nursing simulation learners. The conceptual model was based on the theory of Jeffries's simulaton theory. Methods: Data collection was conducted in October 2017 for 310 students from two nursing universities in Kyungbuk area for 20 days. Data analysis methods were covariance structure analysis using SPSS 21.0 and AMOS 22.0 statistical programs. Results: The hypothetical model was a good fit for the data. The model fit indices were comparative fit index=.97, normed fit index=.94, Tucker-Lewis Index=.97, root mean square error of approximation=.44, and standardized root mean square residual=.04. Teacher factors were directly related to simulation design characteristics, and it was confirmed that the curriculum, classroom operation and teaching method of the instructors were important factors. Learner factors were found to have a direct effect on nursing competence, self-confidence, and clinical performance that belong to nursing capacity. In particular, the results of this study indicate that the simulation design characteristics have a partial mediating effect on learner factors and clinical performance, and a complete mediating effect on learner factors and clinical judgment ability. Conclusion: In order to improve the learner's clinical performance and clinical judgment ability, it is necessary to conduct practical training through nursing simulation besides preparing the learner and the educator.

• 임상간호연구
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• 제22권1호
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• pp.28-37
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• 2016

Purpose: This study was to investigate the relationships between among health literacy, knowledge and self-care behavior in elderly patients with heart failure(HF). Methods: 166 patients (age ${\geq}65$ years) with HF were recruited in a cardiovascular center of an university affiliated hospital. The structured questionnaire included Health literacy, Dutch Heart Failure Knowledge Scale, European Heart Failure Self-care Behavior, Self-Care of Heart Failure Index. Data were analyzed by descriptive statistics, Chi-test, Pearson correlation analysis, t-test and ANCOVA using SPSS/WIN version 21.0. Results: Participants with the high level of health literacy were more likely to be younger (p=.001), men (p=.001), with more education (p<.001), and have a job (p=.004), and with a higher economic status (p=.005). The positive correlations between the level of health literacy, knowledge, and self-care behavior were confirmed (p<.001). Participants with the high level of health literacy showed higher level of knowledge, more self-care behavior for health maintenance, and confidence. Conclusion: This study shows that the level of health literacy may influence knowledge and self-care behavior in elderly patients with HF. In order to improve self-care behaviors in elderly patients, a strategic nursing approach based on the level of patients' health literacy needs to be considered.

• 한국의류학회지
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• 제41권4호
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• pp.575-584
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• 2017

Previous research has investigated the influence of explicit self-esteem and depression. These studies did not examine the implicit self-esteem and depression that exist in the internal unconscious of humans that are not influenced by prejudice and social desirability. This study identifies that fashion competency (FC) encourages the implicit self-esteem and relieves the implicit depression. Implicit self-esteem and depression were measured by Implicit Association Test (IAT) utilizing reaction; FC was surveyed based on questionnaires. The data collected were analyzed using factor analysis. FC was then composed of three factors of fashion involvement, fashion innovativeness and self-confidence in fashion coordination. The results of comparing the index values that indicate IA SE (implicit association self-esteem) and IA DE (implicit association depression) of each FC group indicated that a higher FC results in a higher IA SE and lower IA DE; therefore, individuals with a higher fashion competence have a higher implicit self-esteem and a sense of well-being. The findings support previous studies in that the FC tends to be positively related to quality of life in young people.

• Journal of Preventive Medicine and Public Health
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• 제48권6호
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• pp.287-300
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• 2015

Objectives: Self-rated health is a measure of perceived health widely used in epidemiological studies. Our study investigated the determinants of poor self-rated health in middle-aged Korean adults with diabetes. Methods: A cross-sectional study was conducted based on the Health Examinees Study. A total of 9759 adults aged 40 to 69 years who reported having physician-diagnosed diabetes were analyzed with regard to a range of health determinants, including sociodemographic, lifestyle, psychosocial, and physical variables, in association with self-rated health status using multivariate logistic regression models. A p-value <0.05 was considered to indicate statistical significance. Results: We found that negative psychosocial conditions, including frequent stress events and severe distress according to the psychosocial well-being index, were most strongly associated with poor self-rated health (odds ratio $[OR]_{\text{Frequent stress events}}$, 5.40; 95% confidence interval [CI], 4.63 to 6.29; $OR_{\text{Severe distress}}$, 11.08; 95% CI, 8.77 to 14.00). Moreover, younger age and being underweight or obese were shown to be associated with poor self-rated health. Physical factors relating to participants' medical history of diabetes, such as a younger age at diagnosis, a longer duration of diabetes, insulin therapy, hemoglobin A1c levels of 6.5% or more, and comorbidities, were other correlates of poor reported health. Conclusions: Our findings suggest that, in addition to medical variables, unfavorable socioeconomic factors, and adverse lifestyle behaviors, younger age, being underweight or obese, and psychosocial stress could be distinc factors in predicting negative perceived health status in Korean adults with diabetes.

• Journal of Preventive Medicine and Public Health
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• 제37권2호
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• pp.127-132
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• 2004

Objectives : Cotinine, the major metabolite of nicotine, is a useful marker of exposure to tobacco smoke and self-reporting of smoking status is thought not to be reliable. This study aimed to evaluate the agreement between the smoking self-report among adolescents and the urinary cotinine test. Methods : The study subjects were 1226 middle and high school students in Hanam city, who were selected by stratified random sampling. The self-report about smoking behavior was compared with urine cotinine value measured with PBM $AccuSign^{\circledR}fi$ Nicotine(Princeton BioMeditech Corporation, USA). The percentage agreement, kappa and 95% confidence interval(CI) were calculated. Results : The overall percentage agreement was 88.6%, and those for boys, girls, middle school, general school and vocational school students were 87.3%, 90.1%, 93.7%, 85,5%, 90.7%, and 78.4%, respectively. The overall kappa index was 0.46(95% CI=0.39-0.54)for overall, .and those for boys, girls, middle school, general school and vocational school students were 0.56(95% CI=0.48-0.65), 0.20(95% CI=0.07-0.32), 0.21(95% CI=0.09-0.34), 0.55(95% CI=0.47-0.64), 0.42(95% CI=0.33-0.52), and 0.48(95% CI=0.36-0.60), respectively. Conclusion : The percentage agreement was relatively high but the kappa values very low for girls, and middle school students. Though the prevalence bias can be influenced by these results, the self-report was not a sufficient tool for the evaluation of adolescents' smoking status, especially in girls or middle school students.

• Nutrition Research and Practice
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• 제14권3호
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• pp.252-261
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• 2020

BACKGROUND/OBJECTIVES: Although previous experimental studies reported the health benefits of foods rich in phytochemicals, few epidemiologic studies have investigated the associations between phytochemicals and metabolic disorders. This study aimed to calculate a phytochemical index (PI) and examine its association with metabolic syndrome in the Korean population. SUBJECTS/METHODS: Data of Korean adults aged ≥ 19 years who participated in the 2008-2016 Korea National Health and Nutrition Examination Surveys were analyzed. The PI was calculated using 24-hour intake recall data regarding whole grains, vegetables, fruits, legumes, nuts and seeds, and soybeans and soy products. Demographic and lifestyle data were obtained using self-administered questionnaires. A multivariable logistic regression was performed to calculate the adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for the prevalence of metabolic syndrome and its components according to PI quintiles. RESULTS: Overall, 31,319 adults were evaluated. Compared with men, women had a higher median PI level (9.96 vs. 13.63) and significantly higher caloric intake levels from most PI components (P < 0.05), except for soy products. After adjusting for multiple confounding variables, participants in the highest PI quintile had significantly lower prevalences of abdominal obesity (OR: 0.90, 95% CI: 0.81-0.99), hyperglycemia (OR: 0.83, 95% CI: 0.74-0.94), high blood pressure (OR: 0.82, 95% CI: 0.73-0.93), hypertriglyceridemia (OR: 0.84, 95% CI: 0.75-0.94), and metabolic syndrome (OR: 0.78, 95% CI: 0.69-0.88). CONCLUSIONS: Higher intakes of phytochemical-rich foods are associated with a lower prevalence of metabolic dysregulation and consequently, cardiometabolic diseases.