• 지역사회간호학회지
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• 제9권1호
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• pp.104-116
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• 1998

The paper was studied those aged of 65 years or over who were attending 11 senior citizen's centers and 4 nursing home centers for the aged during the day in Junla-buk do. The purpose of this study was to measure the level of depression and related factors by using the 20 part Zung's self-rating interview schedule. The results of the study were analized using an SAS program. Data analysis included the following : percent, average, S.D, ANOVA, T-test, Person's simple correlation, multiple regression. The results of the study are as follows: 1. The mean value of depression was 45.54 out of a total of 80 and the mean depression scale was 2.28 on a Likert scale. Those over a 50 degree depression rate was 37.7%. 2. There was a significant decrease of depression when monthly pocket money increased. 3. There was a significant decrease in depression degree when they think their health is good and they have no chronic disease. 4. There was a significant decrease in depression degree when activities of daily living increased, r= -0.537 and p=0.0001. There was a significant decrease in depression degree when health promoting behavior increased, r= -0.752 and p=0.0001. 5. There was a significant decrease in depression degree when social activities increased, in meeting a relatives and attending a senior citizen's center.

• 대한지역사회영양학회지
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• 제29권3호
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• pp.212-221
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• 2024

Objectives: Metabolic disease is strongly associated with future insulin resistance, and its prevalence is increasing worldwide. Thus, identifying early biomarkers of metabolic-related disease based on serum profiling is useful to control future metabolic disease. Our study aimed to assess the association of serum branched chain amino acids (BCAAs) and aromatic amino acids (AAAs) ratio and metabolic disease according to body mass index (BMI) status among Korean adults. Methods: This cross-sectional study included 78 adults aged 20-59 years in Korea. We compared serum amino acid (AA) levels between adults with normal-weight and adults with obesity and investigated biomarkers of metabolic disease. We examined serum AA levels, blood profile, and body composition. We also evaluated the association between serum AAs and metabolic-related disease. Results: The height, weight, BMI, waist circumference, hip circumference, waist-hip-ratio, body fat mass, body fat percent, skeletal muscle mass, systolic blood pressure, and diastolic blood pressure were higher in the group with obesity compared to normal weight group. The group with obesity showed significantly higher levels of BCAA, AAA, and BCAA and AAA ratio. Further, BCAA and AAA ratio were significantly positively correlated with triglyceride, body weight, and skeletal muscle mass. The evaluation of metabolic disease risks revealed an association between the ratios of BCAAs and AAAs, hypertension, and metabolic syndrome. Conclusions: Our study is showed the associations between BCAA and AAA ratio, obesity, and obesity-related diseases using various analytical approaches. The elevated BCAA and AAA ratio could be early biomarkers for predicting future metabolic diseases in Korean population.

• 대한간호학회지
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• 제40권5호
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• pp.747-755
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• 2010

Purpose: This study was conducted to investigate the degree of dry mouth and oral health-related quality of life and to identify factors contributing to oral health-related quality of life for community-dwelling elders. Methods: A descriptive correlational study design was used. Participants were 156 older adults from two senior welfare centers. Data were collected on February 21, 22 and 29, 30, 2009 using structured questionnaires. Enter type multiple regression analysis was used to identify factors influencing oral health-related quality of life according to general and oral health characteristics. Results: There were significant differences in oral health-related quality of life according to living arrangement, insurance, smoking, number of natural teeth, and denture type. The oral health-related quality of life had significant correlations with the number of chronic disease, number of medications, and dry mouth. Factors influencing oral health-related quality of life for community-dwelling older adults were dry mouth, number of chronic disease, and medical aid, which explained about 47.9% of total variance. Conclusion: These results indicate that in order to promote oral health-related quality of life for older adults, prevention or management of chronic diseases as well as oral health and dry mouth are needed for this population, and especially economically poor elders.

• 대한예방한의학회지
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• 제24권2호
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• pp.57-62
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• 2020

Objectives : This study is retrospective chart review research on the combined-prescription of Western and Korean medicine in Public Health Center in rural area. Methods : Researchers reviewed medical records of patients who was prescribed Korean medicine and Western medicine from 1st, Jan, 2019 to 31st, Dec, 2019 in Public Health Center. 50 patients' medical records were included. Results : Total number of treatment is 3,808 cases and 1.3% of them is prescribed Korean medicine and Western medicine simultaneously. Prescription of Korean medicine is 153 cases and Western medicine is 160. Jowiseunggi-tang and Diroba tablet were the most frequently prescribed Korean medicine and Western medicine. Furthermore, Korean Medicine Doctors of Public Health Center use muscular skeletal disease system code(M code among KCD code) for prescription and Western Medicine Doctors use diseases of the circulatory system(I code among KCD code) frequently. Conclusions : We analyze 50 patients who were prescribed both Korean medicine and Western medicine. Mostly, patients were prescribed medicine for different diseases in each clinic. In western medicine clinic, drugs about circulatory or endocrine disease were prescribed frequently and in Korean Medicine clinic, drugs about muscular skeletal disease were most frequently prescribed. This result imply the real world's combination of prescription status that was different from result of National health insurance corporation database. Senior patients in rural area take medicine long period and have various underlying disease. We call for some attention about senior and rural area patients' prescription status in interaction studies of Korean medicine and Western medicine.

• Journal of Preventive Medicine and Public Health
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• 제30권2호
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• pp.293-307
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• 1997

In Korea, sudden deaths of middle-aged and older male workers who are the responsible persons at home as well as workplace, have aroused social concern. Besides, U. N. has reported recently that mortality of Korea male in 40-50's was one of the highest among newly developed countries in 1992. Not much is, however, known about the nature of the work contributing to the mortality of different groups of workers. Therefore, this study was done to examine mortality of public servants, comprising about 5% of all the employed in Korea, according to their job titles and grades. The datas of 1753 official deaths, comprised 323 (only disease-oriented deaths) applicants of survivors' compensation, were used to examine age-adjusted Standardized Mortality Ratios(SMRs) according to their job titles, grades, tenures and cause of deaths. Controlling age and sex difference was conducted using 26,950,481 general population, 95,340 general deaths and 864,560 working public servants. All the groups were aged 20-64, who were being observed January - December in 1993, at the same time. Results and discussions are as follows. 1. SMRs standardized by general population was significantly low (SMR 44.9 CI 42.8-52.7) for all job titlses. Of public servants, 90.0% was graduated from high school, although 17.5% in general population. The distinction of social status such a education may produce a strong healthy worker effect. Besides, SMRs for different tenure groups showed a steady increase as tenure increases. This suggests that the magnitude of healthy-worker effect may be greater with increasing tenures. 2. SMRs standardized by own public servants was significantly elevated for work-men(SMR 121.0, CI 110.2-132.6) in solitue. When SMRs for different grade, of work-men was examined, 9th(SMR 124.2, CI 104.4-146.7) and 10th(SMR 137.9 CI 120.8-156.8)grade, lower grade in workmen, showed significantly elevated SMRs. Of workmen, 57.0% were graduated from high school and 50.1% in 9th grade, as well. These mean that low economic states made up social class, education may increase mortality rate. 3. Of SMRs according to all causes of death, only policemen on 'cause of death related hypertensive disease'(SMR 282.5, CI 121.6-556.7) was significantly high except for' cause of death related other signs, symptoms and ill-defined conditions'. 4. When SMRs on cause of death related hypertensive disease for different grade of policemen was examined, senior policemen(SMR 241.9), in charge of the front service, showed elevated SMR, in spite of statistical no significance. Especially, the working hour of senior policemen is quite long and also the work schedule is even more irregular for policemen. The results of this study showed that mortality for different jobs differed, and it differed also for different grades in the same job. This difference in mortality may reflect the difference in the nature of job contents, and further studies are warranted to elucidate which job characteristics are responsible.

• 보건교육건강증진학회지
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• 제23권2호
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• pp.109-119
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• 2006

Objectives: A number of studies in economically developed countries have shown occurrence of stroke and cardiovascular disease to be inversely related to socioeconomic class. The purpose of this study is to investigate socioeconomic differentials in stroke and cardiovascular disease mortality in Korea. Methods: Two data from two sources, registry data from National Health Insurance Corporation and death certification data from National Statistics Office, were used to calculate mortality rate for five socioeconomic classes. Poisson regression analysis was used to calculate relative indices of inequality as a measure of mortality differentials between socioeconomic classes. Results: For males, graded socioeconomic differentials in mortality were observed with higher mortality rates related to lower socioeconomic class for intracerebral hemorrhage, cerebral infarct, hypertension, ischemic heart disease, myocardial infarct, and arrhythmia. The relative index of inequality for stroke and cardiovascular disease was 1.61(95% CI=1.54-1.68). For females, these differentials were observed for arrhythmia and intracerebral hemorrhage. The relative index of inequality was 1.06(95% CI=1.02-1.11). Conclusions: This socioeconomic differential in mortality, consistent with the results of other studies performed in economically developed countries suggest that Socioeconomic class can influence mortality regardless of the developmental stage of the country.

• 동의신경정신과학회지
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• 제7권1호
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• pp.65-75
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• 1996

This paper is for studying stress condition of apprentice doctors who were in Oriental Medical Hospital. This study was done on 35 apprentice doctors who were in Kyungsang University Oriental Medical Hospital and Bulgy Oriental Medical Hospital. The Seven-Minute Stress Test of Thomas E. Sttats and 10 questions which were made by the present writer shows the following results.1. The Body stress scale was the highest point. In order of high percent, this shows Whole scale, Mind scale, Situation scale. 2. In comparison of the stress scale of men and women doctors, all the stress scale of women doctors were higher than men doctors. 3. In comparison of the stress scale of Interne and Resident doctors, Whole and Situation stress scale of Resident doctors were higher than Interne doctors, Body and Mind stress scale of Interne doctors were higher than Resident doctors. 4. The personal relation with other people was harmonious, the worst relation of the other colleague was the administrative staff, the next were nurses, senior apprentice doctors orderly. 5. In order of high percent of stressors, this shows personal relation, many works and troubles of care, the lack of private life, unsatisfactory administration system and equipment, the class system and overbearing atmospheres, education and continuous stress, bad conditions and fatigue, economic problems. 6. In order of high percent of systemic stress diseases, this shows musculo- skeletal disease, nervous disease, digestive disease, neurosis, urinary and genital disorder, opthalomo-otolaryngo disease, immunity disorder and vascular disease. In order of high percent of stress symptom, this show headache, fatigue, shoulder pain, back and leg pain, pantalgia and abdominal pain, diarrhea and dismenorrhea, stiffness of neck dizziness indigestion languor after a meal insomnia, neurasthenia lacking interest constipation menorrhalgia bloodshot eyes otitis media allergy thirst flushing edema. 7. In order of the seven mode of emotions in relation to stress, this shows anger, anxiety, isolation, melancholy, fright, sorrow, terror, overjoy.

• 가정간호학회지
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• 제28권2호
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• pp.144-153
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• 2021

Purpose: The purpose of this study was to find out the relationship between health concern, knowledge of cardio-cerebrovascular disease, and health-promoting behaviors among the elderly in the community. Method: The subjects of the study were 142 senior citizens aged 65 years or older in Cheongju-si, Chungcheong-do. Data were collected using structured questionnaires that included questions on the general characteristics, health concerns, knowledge of cardio-cerebrovascular disease, and health-promoting behaviors. The collected data were analyzed by the statistical program SPSS 20.0. The frequencies, percentages, averages, and standard deviations of the collected data were analyzed using a t-test, ANOVA, Mann Whitney U test, and Pearson's correlation coefficient, basing on the purpose of the study. The Scheffe test was carried out as a posteriori test. Result: The elderly were found to have a high health concern, but their knowledge of cardio-cerebrovascular disease was low, and their health-promoting behaviors were above the intermediate level. There was a significant positive correlation between each variable, which means that the higher the health concern was, the more knowledge an individual had of cardio-cerebrovascular disease, and the more health-promoting behaviors one had. Conclusion: This suggests that the elderly in the community should be encouraged to engage in the actions that promote their health by raising their level of health concern and awareness of diseases through health education, basing on their individual characteristics.

• 한국노년학
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• 제30권4호
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• pp.1429-1444
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• 2010

본 연구의 목적은 노인의 감정조절 어려움이 삶의 질에 어떤 영향을 미치고 있는지를 살펴보고 감정조절 어려움을 예방 또는 해결할 수 있는 방안을 제시하는 것이다. 조사는 65세 이상의 노인대학과 경로당을 이용하고 있는 노인 345명을 대상으로 방문 조사하였다. 감정조절 어려움에 대한 측정도구는 Gratz와 Roemer(2004)가 개발한 것을 본 연구에 적합하게 재구성하여 요인분석을 한 결과, 감정조절 어려움은 5가지 요인으로 재분류하여 내적 감정반응 처리곤란, 표출된 감정의 통제곤란, 명확한 감정인식의 곤란, 감정대처의 어려움, 감정수용의 어려움으로 명명하였다. 연구의 결과는 다음과 같다. 첫째, 성별과 수입유무, 경제적 상태, 과거 3개월 이내 입원력과 질환유무 등에서 개인특성에 따라 감정조절의 어려움에 차이가 나타났다. 둘째, 노인의 삶의 질은 성별, 연령, 배우자유무, 거주형태, 교육정도, 수입유무, 경제적 상태, 과거 입원력, 질환유무 등에서 집단 간 유의미한 차이가 있는 것으로 나타났다. 셋째, 노인의 감정조절의 어려움이 삶의 질에 미치는 영향을 삶의 질 전체로 분석한 결과, 개인특성에서는 남성노인이, 수입이 있으면서, 질환이 적은 경우에 삶의 질은 높게 나타났다. 그리고 감정반응에 대해 처리가 곤란하거나 감정통제가 잘 안되고, 감정처리능력이 부족할 때 노인의 삶의 질이 낮은 것으로 파악되었다. 따라서 감정조절의 어려움과 노인의 삶의 질과의 관련성은 높다고 할 수 있으며, 이러한 연구 결과를 기초로 개인특성에 따른 감정조절 어려움을 극복할 수 있는 접근방법과 노인의 감정조절 어려움을 다차원적으로 분류하여 경감 및 보완하기 위한 구체적인 방안을 제안하였다.

• 대한불안의학회지
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• 제9권1호
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• pp.38-44
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• 2013

본 연구는 혈액 투석 중인 성인 환자 집단과 노인 환자 집단 간의 우울, 불안 및 자율신경기능의 차이를 비교해 보고자 하였다. 정신의학적 특징들과 자율신경기능을 비교해보았을 때 만성질환에 견디어 내는 능력에 있어서 노인 환자 집단이 성인 환자 집단에 비해 취약하지 않은 결과를 보였다. 이는 만성질환을 앓고 있는 동일한 상황에서 노인들이 보다 긍정적 사고 경향을 가지고 있는 것과 관련되어 있을 것으로 생각된다.