• 한국산학기술학회논문지
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• 제14권4호
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• pp.1781-1791
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• 2013

본 연구는 근무특성이 다른 병동과 수술실에 근무하고 있는 간호사들의 인구사회학적 특성, 건강관련행위 특성, 직업적 특성, 직무스트레스 요인 및 사회심리적 요인에 따른 스트레스와 피로수준을 비교 분석하고자 시도하였다. 연구대상은 대전광역시에 소재하고 있는 4개 대학병원의 병동근무 간호사 220명, 수술실근무 간호사 147명, 합계 367명으로 하였으며, 2012년 7월 1일부터 8월 31일까지의 기간 동안에 구조화된 무기명 자기기입식 설문조사를 실시하였다. 연구결과, 사회심리적 스트레스에 관련된 요인으로 병동근무 간호사에서는 연령, 주관적인 건강상태, 근무경력, 업무에 대한 만족도, 업무에 대한 적성, 업무요구도, 업무자율성, 동료의 지지도, 자기존중감, 통제신념 및 A형 행동유형이 지적되었고, 수술실근무 간호사에서는 연령, 수면시간, 주관적인 건강상태, 근무경력, 업무의 신체적 부담정도, 업무에 대한 만족도, 업무에 대한 적성, 직업전환의사, 업무요구도, 업무자율성, A형 행동유형이 지적되었다. 피로수준에 관련된 요인으로 병동근무 간호사에서는 연령, 여가시간 여부, 주관적인 건강상태, 업무에 대한 만족도, 직업전환의사, 업무요구도, 통제신념, A형 행동유형이 지적되었고, 수술실근무 간호사에서는 연령, 주관적인 건강상태, 업무의 신체적 부담정도, 상사의 지지도, 동료의 지지도, 통제신념이 지적되었다. 이와 같은 결과를 볼 때 간호사의 근무부서에 따른 스트레스와 피로수준에 관련된 요인에 차이가 있음을 알 수 있으며 근무부서별 스트레스와 피로수준을 적절하게 통제할 수 있는 프로그램개발 및 실행이 필요하다고 생각된다.

• 보건교육건강증진학회지
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• 제21권2호
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• pp.17-32
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• 2004

The purpose of this study was to evaluate the patterns of stresses arising from various life styles and their related sociodemographic factors in urban residents. The subjects were recruited from the population of two ‘Dong’s (administrative blocks) representative of Daejeon city through stratified cluster random sampling during the period ranging from June I st to Aug. 31 st, 2003. Self-administered questionnaires, including items asking about subjects' sociodemographic characteristics, daily life styles, measurement of stresses by General Health Questionnaire (Goldberg, 1978), were delivered to 396 residents and their responses were analyzed with the following results. 1. Based on the discriminant scores of HPI, 46.7％ of the subjects were found to have less than 4 points (poor life style), whereas 53.3％ had points higher than 5 (good life style). Higher than 5 points were scored more frequently in females than in the male, in the age group of 40's - 60's than the 30's, in the group with spouse than without, in the group with both spouse and offsprings than without, and in the group owning a house than not. 2. Based on the degree of stress, 17.7％ of the subjects were determined to be healthy, 74.5％ were potentially under stress, and 7.8％ were at higher risk of stress. The proportion of healthy individuals were significantly higher in the male, advanced aged group(40's and 60's), the group with higher education years( over highschool), with higher monthly income over two million Won, and with spouse, than their respective counterparts. On the other hand the proportion of the individuals potentially under stress and at higher risk of stress was significantly higher in the female, in the age group of 30's and over 60's, in the group with academic career lower than middle school, with monthly income lower than two million Won, and without spouse. 3. Based on the relation of HPI with degree of stresses, subjects with HPI scores lower than 4 had increased rate of falling into the groups under potential stress and at higher risk of stress, while on the other hand those with over 5 points were found to be healthy in light of stress. 4. Based on the specific relation of each item of HPI with degree of stress, the proportion of healthy individuals was higher in the groups who take appropriate hours of sleep(7-8hours), who take breakfasts everyday, who take physical exercises everyday, who don't smoke, who don't drink alcohol, who take snacks everyday, who are overweight and obese, whereas the proportion of the group under potential stress and at higher risk of stress was higher in their comparable counterparts. 5. The relation of mean scores of HPI with stress scores in both male and female subjects showed negative correlation that the higher HPI scores, the lower stress scores. 6. Multivariate regression analysis to reveal the factors influencing the stress of the subjects showed that for men the significant factors were age, education, presence of job or not, exercise, subjective health status, with the explanatory power of 26.3％. For women, they included educational years, presence of spouse or not, job, owning a house or not, sleeping hours, drinking habit, taking snacks, subjective health status, with the explanatory power of 31.8％. The above study results suggests that stresses of urban residents have significant correlation with daily life styles and this correlation is also remarkably distinguished by different age and sex.

• 정신신체의학
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• 제28권1호
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• pp.42-52
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• 2020

연구목적 소방공무원은 직무 환경 상 항상 비상대기를 해야 하는 스트레스 상황에 처해있으며, 지속적인 외상적 사건에의 노출로 인해 불면, 우울을 포함한 다양한 정신질환에 취약 해지기 쉽다. 이에 소방공무원들의 직무 유형별 정신건강요인의 차이 유무를 살펴보고, 특히 그 중에서도 업무의 지장 및 불편을 줄 수 있는 불면과 신체화 증상과의 관련성을 보고자 한다. 방 법 충청북도 소재 지역 소방서에 근무하는 소방공무원 1264명을 대상으로 자기보고식 설문지를 통하여 일반적 특성 및 관련 검사를 수행하였다. 불면증 심각성 척도(ISI), 신체화 증상 척도(PHQ-15), 사건 충격 척도(IES-R-K), 스트레스 척도(PSS-10), 회복탄력성 척도(K-CD-RISC-2), 알코올 의존 선별검사 척도(AUDIT-K), 역학연구센터 우울 척도(CES-D) 및 국제 신경정신평가(MINI-plus)의 자살 척도를 활용하여 정신건강상태 현황 조사 및 요인 간의 관련성을 평가하였다. 결 과 정신건강요인들 중 불면증과 신체화증상의 관련성은 직무 유형에 따라 유의한 차이가 있으며 구급 직군이 화재진압 직군과 구조 직군보다 유의하게 높은 것으로 보고되었다. 사건 충격, 우울, 음주도 직무 유형에 따라 유의한 차이가 있으며, 사건 충격은 구급 직군이 화재진압 직군보다 높고 우울은 구급 직군이 구조 직군보다 높으며 음주는 행정 직군이 화재진압 직군, 구급 직군보다 높은 것으로 보고되었다. 회복탄력성은 구조 직군이 구급 직군보다 유의하게 높았다. 스트레스, 자살위험성은 직무 유형에 따라 유의한 차이가 없는 것으로 보고되었다. 또한 소방공무원 신체화증상의 유의한 예측 인자로 불면증, 스트레스, 사건 충격이 있었으며, 특히 불면의 영향이 큼을 보여주었다. 결 론 본 연구를 통해 지역 소방공무원들의 직무 유형에 따라 다양한 정신건강 변인에서 유의한 차이가 있음을 확인할 수 있었으며, 특히 구급 직군의 경우가 타 직군에 비해 불면, 신체화 증상, 큰 사건 충격, 취약한 회복탄력성 등 여러 정신건강변인에서 취약한 상황으로 보고되었다. 그 중 불면의 경우 모든 직무유형에서 신체화 증상에의 의미 있는 예측인자임을 확인할 수 있었다.

• 한국산학기술학회논문지
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• 제15권7호
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• pp.4404-4415
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• 2014

본 연구는 종합 병원 간호사들의 직무만족도와 이직의도와의 관련성을 규명하고자 경북지역의 3개 종합병원에 근무하고 있는 간호사 312명을 대상으로 2013년 2월 25일부터 3월 16일까지의 기간 동안에 구조화된 자기기입식 설문지(self-administered questionnaire)를 사용한 설문조사를 실시하였다. 연구결과, 조사대상 간호사들의 이직의도는 직무만족도 및 직무만족도하위영역인 전문직업적 수준, 업무의 자율성, 행정업무력, 보수, 직무과업과 유의한 음의 상관관계를 보였다. 로지스틱 회귀분석 결과 직무만족도 총 점수가 높은 군보다 낮은 군에서, 업무자율성이 높은 군보다 낮은 군에서, 행정업무력이 높은 군보다 낮은 군에서, 보수가 높은 군보다 낮은 군에서 고위험 이직의도 군에 속할 위험비가 유의하게 증가하였다. 위계적 다중회귀분석 결과, 이직의도에 영향을 미치는 요인으로는 학력, 수면의 질, 근무경력, 직위, 월수입, 업무 만족도, 업무에 대한 적성여부, 간호직 선택동기 및 업무의 육체적 부담정도, 직무 만족도가 유의한 변수로 선정되었다. 이상과 같은 결과를 볼 때, 조사대상 간호사들의 직무만족도와 이직의도 간에는 유의한 음의 상관관계가 있어, 직무만족도가 낮을수록 이직의도는 높아지는 경향을 보였으며, 직업관련 특성과 직무만족도 변수가 이직의도에 크게 영향을 미치고 있음을 알 수 있다.

• 대한장애인치과학회지
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• 제13권2호
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• pp.80-85
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• 2017

저자는 불량한 구강 위생과 다수 치아에 광범위한 치아 우식증을 보이나 치과 검진과 치료에 협조가 되지 않는 엔젤만 증후군 환자를 전신마취 하에 안전하고 효과적으로 치료한 증례를 보고하는 바이다. 환아는 간질 조절을 위해 항경련제(Clobazam)를 복약 중이었고 운동 장애, 발육 지연, 언어 장애, 불수의적 폐구 운동을 보였다. GABA 수용체 이상이 동반되는 AS의 특성 상 진정 약물의 효과가 떨어질 수 있으며, 발작 가능성이 있기 때문에 전신마취를 행동조절 요법으로 선택하였고, 모든 생징후를 안전하게 감시하며 성공적으로 치과 치과치료를 시행하였다. 전신마취 이후에는 정기검진, 비약물적 행동조절 요법을 통해 간단한 수복 치료를 추가로 시행할 수 있었고, 환자의 구강 건강 증진에 기여할 수 있었다.

• 대한지역사회영양학회지
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• 제7권5호
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• pp.675-685
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• 2002

A study was performed to develop as a screening tool, the Simple Evaluation Questionnaire for screening Overweight Dietary Patterns in people in their 20's. We used the data from the 20 to 29 year old subjects who participated in the three surveys: the health behavior survey, the dietary habit survey and the food intake survey - as part of the National Health and Nutrition Survey of 1998. The 1,493 adults were classified into two body fatness groups, that of normal (including the underweight) , and the overweight (including the obese) on the basis of their relative body weight (RBW). When comparing general variables between the two groups, significant differences (11 variables) were found in gender, sadness/depression state, stress level, age, number of diseases, age when overweightedness started, maximum body weight, sleep length, presently a smoker, everyday smoking habits, number of alcoholic drinks in the past month, and the number of alcoholic drinks when dunk, as well as snacking frequency and fatty food consumption. There were significant differences between the two groups in the three variables of daily soup/kuk, pan fried fish/meat/poultry and cooked fish paste/ham/dried squid in terms of cooked food intake, and 11 variables of food size, cooked rice, stews, vegetables and kimchi at breakfast, panfried foods and beverage/teas at lunch, cooked rice and stews (liquid) at dinner, cooked fish paste/ham/dried squid at snacks and cooked fishpaste/ham/dried squid at snack between lunch and dinner. In terms of raw food intake, we observed significant differences (8 variables) in daily food intake and grains, grains/vegetables/fishes (shellfish) at breakfast, meat at lunch and milt at snack after dinner. After developing questions with indicators and analyzing the indicators by logistic regression analysis using 34 variables, including these 33, plus eating-out frequency, we chose 10 questions for the simple evaluation of dietary patterns for the overweight category, in order to give each one point each. Among them we assigned an additional point to one question and two points to another question. The average scores of the overweight and normal groups, as shown by the questionnaire developed, were 5.97 $\pm$ 2.36 and 7.36 $\pm$ 2.21, respectively. A score of seven points was selected as the cut-off point. We examined the sensitivity, specificity and positive predictive value of the questionnaire to the results of 49.3%,75.4% and 68.8%, respectively. The total score categorized as an overweight dietary pattern was 30.2%.

• Journal of Preventive Medicine and Public Health
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• 제36권4호
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• pp.390-398
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• 2003

Objectives : To evaluate the degree of adolescent internet addiction, and investigate its relationship to the general characteristics, internet environments, and contents, especially the stress measured by the psychosocial wellbeing index-short form(PWI-SF). Methods : The data was obtained from self-administered questionnaires from 886 11th grade urban area students. The questionnaires consisted of general characteristics, internet user's environments, frequencies by internet contents, internet addiction test and PWI-SF. Results : The possible rate of internet use at home was 95.1%, and the area of most internet use was the home. The frequencies of internet game and porno site use were higher in males, with web searching and community uses higher in females. The total mean of internet addiction score was 56.8, and was higher for male than for female students. From multiple regression, as analyzed by the internet addiction score as a dependent variable, on-line friends, internet use times, years of internet use, frequencies of internet game, & porno site use, and PWI-SF scores were significant in male. Internet use times, the frequencies of internet game, chatting, community use, and PWI-SF score were significant in female. Four PWI-SF subscales(social role & self reliability, depression, general health & vitality, and sleep disturbance & anxiety) and internet addiction were significantly correlated in both male and female students, with depression having the most correlation. Conclusion : The results of this study suggest that intervention should be provided to prevent internal addiction, especially for coping with stress in Korean teenage students.

• 대한지역사회영양학회지
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• 제10권6호
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• pp.892-904
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• 2005

This study was carried out to assess the food habit index of the long-lived elderly who were aged over 85 years living in Ganghwa-gun. A survey was conducted during December 2003. Dietary nutrient intake data was obtained through the 24-hr recall method. The subjects were 96 (32 males, 64 females) aged people and divided into three groups based on food habit index scores. Such as group A: good $16\∼20$, group B: fair $11\∼15$, and group C: poor $5\∼10$. The three groups of the subjects were 90.7 years of age and $21.3\;kg/m^{2}$ of BMI on average. Healthy eating index scores of the subjects were $9.4\%$ in group A, $54.2\%$ in group B and $36.5\%$ in group C. Their level of education were lower and their levels of living standards tended to have been middle and lower of the middle class. The percentage of living together with their families or spouses in all groups were over $60.0\%$ and the rates of the subjects who have responsibility for their meal preparations were also very high in all groups. Most subjects tended not to drink nor smoke, and spend $8\~10$ hours for their sleep. The percent of number of diseases in group A was lower than in groups B and C. Their dietary habits such as taking three meals a day regularly have shown that they have good eating habit in general. There was a positive correlation between the eating behaviors and nutrient intakes. The protein, animal protein, fat, PUFA, vitamin E, vitamin $B_{2}$, niacin, P and K intaks in group A were significantly higher than that of the groups B and C. For group A of good food habits aged had no sufficient intake of Ca and vitamin A than the Korean RDA and long-lived elderly of group C in Ganghwa areas had worse nutrients intakes, especially Ca, vitamin A, vitamin $B_{2}$ and vitamin E. According to this research having a good eating habits could be considered as increasing of the health and nutritional status. (Korean J Community Nutrition 10(6) $892\∼904$, 2005)

• 근관절건강학회지
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• 제6권1호
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• pp.22-36
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• 1999

The purpose of the study was to identify disease characteristics and behavior pattern of treatment for patients with Fibromyalgia. This study was carried out between May to Aug. in 1998 through direct interview in Rheumatism clinic at H. University Hospital and subject in this study were 125 outpatients diagnosed with Fibromyalgia. Collected data were analyzed by descriptive statistics and t-test, ANOVA using SPSS Window program. The results of this study are as follows. 1. General Characteristics : All of the persons with Fibromyalgia were female who were mostly in their forties(37.5%). A third of them(38.4%) were graduated from high school. The greatest part of them(54.4%) were christians but little part of them(16.8%) were employed 2. Disease Characteristics : They have struggled with Fibromyalgia for 10 years on an average. About half of them(56.9%) suffered from Fibromyalgia only but the others had another diseases which were in greatest part occupied by Osteoarthritis. The number of tender point which is a feature of Fibromyalgia differed according to measuring criteria. Yunus criteria. however, was proved to be the most proper measuring criteria than any other method as it showed high correlations between symptoms and physical activities. The most serious symptoms that complained the patients among subjective symptoms are pain, sleep disorder, and fatigue in sequence, and activities most hard to do among physical activities are washing by hand, scrubbing by hand, and shopping in sequence. 3. Behavior Pattern of Treatment : The largest part of them(42.4%) had received medical treatment after they were determined to have the disease and most of them were taking medicine as prescribed by physician(88.8%) or other medicines(16.8%), Of them, two thirds stated that the medicine they took were effective. Around a third of them took exercises mostly composed of swimming. The medical institution they visited in the past were orthopedic surgical department, Oriental hospital, physical therapy department in sequence and, in a slight percent(11.4%), psychiatric department. 4. Relations between Disease Characteristics and Behavior pattern of Treatment : It shows that number of tender point and level of symptom are significantly different according to duration of disease and medical intervention. As a results, it can be suggest that persons with Fibromyalgia need to take exercises and medicine continually regardless of medical treatment as it is a chronic disease whose symptoms are hardly mitigated.

• 한국산학기술학회논문지
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• 제20권11호
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• pp.446-457
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• 2019

본 연구의 목적은 청소년 남학생 흡연과 가족구성원의 흡연의 관련성을 분석하기 위함이다. '제14차(2018년) 청소년건강행태조사'에 응답한 27,276명을 이용하여 빈도분석, 교차분석, 다중 로지스틱 회귀분석을 실시하였다. 남학생 중 비흡연율은 91.5%, 흡연율은 8.5%(가끔 흡연함 2.5%, 자주 흡연함 6.0%)이다. 연구결과, 가족구성원의 흡연자 수에 따른 남학생의 흡연 상태는 유의한 차이가 있다(p<0.001). 인구사회학적 특성에 따른 흡연은 학년, 학업성적, 경제상태, 아버지 학력, 어머니 학력에서 유의한 차이가 있고(p<0.001), 건강행태관련 특성에 따른 흡연은 음주 정도, 자살 생각률, 우울감 경험률, 스트레스 정도, 아침식사 빈도, 수면 후 피로회복 정도, 주관적 건강 인지 정도에서 유의한 차이가 있다(p<0.001). 남학생의 흡연가능성은 가족구성원 흡연자가 1명일 때보다 가족구성원 흡연자가 2명이상일 때 더 높다(p<0.001). 본 연구의 의의는 남학생 흡연이 가족구성원 흡연상태에 따라 영향을 받는다는 것을 확인하였으며 이러한 연구결과는 청소년 흡연의 예방 및 금연사업을 구성할 때 가족 흡연자의 금연 사업을 병행하여 설계한다면 좋은 효과를 거둘 수 있음을 시사한다.