• 한국융합학회논문지
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• 제11권7호
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• pp.319-328
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• 2020

본 연구는 성인 음주자의 음주 패턴과 정신건강 및 주관적 불건강 상태와의 관련성을 확인하기 위하여 국민건강 영양조사(2010~2013)의 19세 이상 성인 음주자 19,856명의 자료를 사용하여 복합표본 로지스틱 회귀분석하였다. 저위험 음주를 기준으로 했을 때 남성은 알코올 사용장애에서 스트레스 인지, 우울감 및 자살 생각을 경험할 위험이 높았고, 여성은 알코올 사용장애 뿐만 아니라 위험 음주에서도 스트레스 인지, 우울감 및 자살 생각의 위험이 유의하게 높아 남성보다 음주 문제로 인한 정신건강의 취약성이 높은 것으로 확인되었다. 또한 남녀 모두 과거 음주는 저위험 음주와 비교했을 때 정신건강 손상의 위험에서는 차이가 없었지만, 주관적으로 불건강하다고 평가할 위험은 높은 것으로 확인되었다. 따라서 유해 음주자를 조기 선별하여 신체와 정신 건강 상태에 대한 포괄적 평가와 함께 여성 음주자를 위한 차별화된 정신건강 관리대책이 필요하고, 과거 음주를 비음주나 저위험 음주로부터 분리하여 신체 및 정신 건강 상태를 평가하는 것이 필요하다.

• 대한간호학회지
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• 제35권1호
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• pp.37-46
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• 2005

Purpose: The purpose of this longitudinal study was to examine the relationship between postpartum care performance and postpartum health status. Sample: The study subjects were 82 mothers who delivered full-term infants at 3 hospitals at P city. Data were collected for their health status at the postpartum unit and the sample was followed up to 6 weeks postpartum to collect postpartum care performance and health status. Results: Mothers rated postpartum care performance as moderate to high and especially rated the maternal role attainment the highest. Mothers experienced 4 physical symptoms and moderate levels of fatigue. In addition, they experienced moderate levels of positive affect and low levels of negative affect at both times. Canonical correlation revealed that ostpartum care performance was related to postpartum health status with 2 significant canonical variables. The first variate indicated that mothers who performed hospitality, physical and emotional recovery, self-caring, and role attainment well showed higher positive affects, lower negative affects, fewer physical symptoms, and lower levels of fatigue. The second variate showed that the greater the performance of caring and physical and emotional recovery, the fewer physical symptoms and lower levels of fatigue. Conclusion: Although Korean traditional postpartum care performance was related to postpartum health status, the further study is needed to identify the causal relationship between them. Nurses need to integrate the perspective of westernized postpartum care and Korean traditional views of postpartum approach to maintain and promote women's health.

• 한국지역사회생활과학회지
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• 제17권1호
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• pp.87-99
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• 2006

The purpose of this study was to explore the relationship between self-rated health and Activity of Daily Living (ADL) and self-care behavior of rural elderly in Korea, focused on the difference among three distinctive living arrangements; living alone, living only with his/her spouse, and living with their married children. For this purpose, data were gathered from a nationwide survey, a total of 586 elderly aged 65 or older and living in rural area, using the structured questionnaire. Also, self-care behavior were categorized into 4 groups; life-style practice, medical self-care, adaption to functional limitation, and emotional management. The major findings are as follows; 1) Rural elderly perceived their health little and more 'bad' but their ADL capacity were 'not difficult', especially among elderly living with spouse. 2) The level of 20 items in self-care behavior ($1{\sim}5$score) was ranged from 2.51 to 3.81 score. The behavior level of regular exercise, setting up additional phone, taking a nutrient, and testing BP or pulse regularly were low but that of taking a medicine according to prescription, close contact with other people, and regular eating were proportionally high. 3) The majority of self-care behavior were correlated with subjective health positively but medical self-care behavior were correlated with subjective health or ADL negatively. Based on these results, policy implications are discussed.

• Journal of Preventive Medicine and Public Health
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• 제52권4호
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• pp.242-249
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• 2019

Objectives: Elderly individuals with diabetes should maintain a normal body mass index (BMI) to help control their blood glucose levels. This study investigated barriers to physical activity (PA), self-efficacy to overcome those barriers, and PA self-efficacy among elderly individuals with diabetes in relation to BMI. Methods: This cross-sectional study included 56 participants. Data were collected by a questionnaire interview and direct measurements for anthropometric data. PA self-efficacy was measured using 8 questions describing different levels of PA, where participants rated the strength of their belief that they could engage in that activity. Self-efficacy to overcome barriers was measured using 10 questions capturing participants' confidence in their ability to engage in PA despite different possible barriers. Mean scores for these parameters were analyzed using the chi-square test and the independent t-test. Results: In total, 89.3% of participants had a low PA level and 58.9% had more than 3 hours of sedentary activity per day. Furthermore, 55.4% were obese and 14.3% were overweight. The mean scores for PA self-efficacy and self-efficacy to overcome barriers were $59.1{\pm}26.4$ and $52.5{\pm}13.8$, respectively. PA level was related to BMI (p<0.001; r=0.116) and sedentary activity (p<0.05; r=0.274). PA self-efficacy and age were not related to BMI. Barriers to PA were associated with PA levels (p<0.05). Conclusions: Physical inactivity was a major problem in elderly individuals with diabetes, and was correlated with higher BMI. Lower levels of PA might be mediated by sedentary activity.

• 보건교육건강증진학회지
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• 제28권1호
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• pp.81-92
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• 2011

Objectives: The purpose of this study is to evaluate the influence of depression symptom on the self-rated health status(SRHS), the outpatient health service utilization and quality of life(QOL) also the relationship depression symptom with socio-demographic and health related factors. Methods: We selected 9,550 participants without chronic diseases from a total of 18,104 in the '2009 community health survey in Gyeongnam. They were assessed by using a Korean version of the Center for Epidemiological Studies-Depression Scale(CES-D). Those with CES-D scores of 21 or greater were defined as having probable depression. Results: A probable depression were associated in bivariate analysis with gender, age, educational status, monthly household income, marital status, current smoking status, drinking habit, physical activities and body mass index. After adjustment for covariates, probable depression groups predicted a lower status in SRHS. Likewise probable depression groups predicted a higher utilization in outpatient health service. Also probable depression groups predicted a lower score in QOL. Conclusions: Probable depression influence SRHS, outpatient health service utilization and QOL even after adjusting for the socio-demographic, health related factors and chronic medical illness. Programs for prevention and management of depression will be helpful to promote health and QOL.

• 아동학회지
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• 제25권5호
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• pp.129-145
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• 2004

This research aimed to analyze the quality of center-based infant/toddler programs in Korea. Scale for infant and toddler programs divide accreditation standards into 4 areas(physical environment, curriculum, health care, management system) with 60 standards. Standards can be divided into basic criteria and general criteria. The subjects are 149 day care centers(44 infant day care centers and 105 day care centers), and raters(teachers or principal) assessed the quality of each item on a 5-point Likert scale. The results of this study are as follows: 1) Self-evaluation result have marked 3.67 as average(range : 2.32~4.90), which barely meets basic criteria level. 2) Physical environment area has received worst score(3.41) and Health care area has received best score(3.92). 3) Each standard's score indicate the quality of infant/toddler care program: Feed care(4.29), Affectionate teacher-infant interaction(4.14) were highly rated while Nature environment/anmal/plant(2.75) and Teacher's facilities(2.74) were rated low. 4) Some variation factors showed differences in the qualitative level; number of child, education level of principal.

• 한국지역사회생활과학회지
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• 제17권2호
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• pp.15-30
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• 2006

The purpose of this study is to examine how the rural elderly assess the multi-dimensions of health. This includes the physical, mental and social dimensions of health, correlations among them, and whether there are gender differences and age-group (60's, 70's, 80 and over) differences. For this purpose, survey data was gathered from 881 rural elderly who live in a village. The statistical methods used for data analysis were descriptive statistics, t-test, ANOVA and correlations. The major findings of this study are as follows: Physical health was measured by self-rated health, ADL, IADL, and farmer symptoms. The respondents classified as 80 and over and female perceived their physical health more negatively. Mental health was perceived somewhat positively in general but female participants perceived their mental health more negatively than males. Social health of the rural elderly was relatively positive in comparison to the other dimensions of health. The rural elderly engaged in many social activities, and the majority of them had many social support networks composed of more than 12 persons. Relationships among the physical, mental and social health dimensions were different. The correlation of physical and mental health and the correlation of social and psychological health were statistically significant. However, the correlation of physical and social health had no significant meanings.

• 디지털융복합연구
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• 제11권4호
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• pp.369-382
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• 2013

목적 본 연구는 여성결혼이민자를 대상으로 건강증진행위와 건강문제를 파악하고 건강문제와 주관적 건강상태의 영향요인을 알아보는 서술적 조사연구로 향후 이들을 위한 건강증진프로그램 개발의 기초자료를 제공하기 위함이다. 방법: 건강증진 행위 도구는 Walker등(1995)의 HPLP II를 박정숙(2005)이 번안하고 수정 보완한 도구, 건강문제 측정도구는 CMI로 Weider 등(1945)이 개발하고 고응린과 박항배(1980)가 번역한 것을 서인주와 박정숙(2010)이 수정 보완한 도구를 사용하였다. 자료 분석은 SPSS WIN 18.0을 이용하여 실수 백분율, 평균, 표준편차, t-test, ANOVA, ${\chi}^2$-test, 상관관계, 위계적 다중회귀방식으로 분석하였다. 결론 및 제언: 여성결혼이민자는 매우 낮은 수준(2.01)으로 건강증진행위를 하고 있으며, 그들의 건강문제는 신체적 건강문제보다 정신적 건강문제가 더 많았고, 건강문제에 유의한 설명력을 갖는 변수는 최종적으로 주관적 건강상태와 일반적 특성에서 배우자와의 나이차, 배우자의 학력, 본인의 연령이었다. 그리고 주관적 건강상태에 유의한 설명력을 갖는 변수는 건강증진행위의 신체활동영역, 일반적 특성으로는 소득이었다. 이 결과를 바탕으로 이들의 특성에 맞는 건강교육이 필요하며 체계적인 건강증진프로그램을 개발하여 적용할 필요가 있겠다.

• The Journal of Korean Physical Therapy
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• 제30권6호
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• pp.246-255
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• 2018

Purpose: This study was to conduct a Korean cultural adaptation of the WHO disability assessment schedule (WHODAS) 2.0: 36-item version. Methods: An internationally standardized process of translation and cultural adaptation of an instrument was used to develop a Korean version of WHODAS 2.0: 36-item version. Linking each item into the International Classification of Functioning, Disability and Health (ICF) was also conducted in order to ensure the concepts in the translated instrument were compatible with ICF. All translated versions of the instrument, linking results and feedback from participants were used for the final adaptation of the Korean version of the instrument. The Korean version of the instrument was assessed twice on different occasions to examine Inter- and intra-rater reliability, and the intra-class correlation coefficient (ICC) was calculated. Results: Twelve participants were involved in the translation and linking process. Ninety-five volunteers were invited to participate to examine the reliability of the instrument. Fifty participants completed the self-rated version of the instrument and 45 finished the interviewer version. The Korean WHODAS 2.0: 36-item version was found to have excellent reliability: self-rated version and interviewer version reliability coefficients were ICC=0.92 and ICC=0.94, respectively. Thirty-four items of the translated instrument were to be linked to ICF categories. Some adaptation was made; details and a familiar example were added to help respondents answer the questions. Conclusion: The study results show that the adaptation of the 36-item version of WHODAS 2.0 to Korean was successful and the instrument is ready for use in testing its psychometric properties.

• 산업융합연구
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• 제22권5호
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• pp.79-88
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• 2024

이 연구의 목적은 청소년의 신체활동과 주관적 건강인지와의 관계를 알아보고 그 관계에서 비만 관련 지표인 체질량 지수(BMI)가 매개효과 혹은 조절효과가 있는지 규명하는 것이다. 이 연구의 목적을 달성하기 위해 2022년 제18차 청소년건강행태온라인조사 통계의 원시자료를 활용하였으며, 최종적으로 23,612명의 자료를 연구 대상으로 선정하였다. 자료 분석은 확인적 요인분석과 구조방정식 모형을 적용하였으며, 매개효과를 검증하기 위해 Bootstrapping 기법을 활용하였다. 또한 조절효과를 검증하기 위해 구조방정식모형의 다중집단 분석을 적용하여 pairwise parameter comparison 값을 산출하였다. 모든 통계적 유의수준은 .05로 설정하였다. 이 연구의 결과는 다음과 같다. 첫째, 청소년의 신체 활동량이 많을수록 주관적 건강 인식은 긍정적인 효과가 있는 것으로 나타났다. 둘째, 신체활동과 주관적 건강 인식 관계에서 주관적 체형 인식은 부분매개효과 있는 것으로 나타났다. 셋째, 신체활동과 주관적 건강 인식에서 주관적 체형은 조절효과가 있는 것으로 나타났으며, 구체적으로 주관적 체형을 보통으로 인식하는 사람이 약간 혹은 매우 살이 찐 편으로 인식하는 사람보다 신체 활동량이 많을 수록 주관적 건강 인식에 더 긍정적으로 응답하는 것으로 나타났다. 결론적으로 청소년기에는 충분한 신체활동을 통하여 비만을 예방하고, 주관적인 건강 상태를 긍정적으로 변화할 수 있도록 노력하는 것이 중요하다.