• 보건교육건강증진학회지
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• 제18권1호
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• pp.93-108
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• 2001

The purpose of this study was to identify the factors that affected to physical functions, activities of daily living (ADLs) and instrumental activities of daily living (IADLs). The subjects for this study, 236 persons, 65 years and over, who were living at rural area in Chun-Cheon city. This survey was carried out from march 3rd to April 25th, 1998. The data was analysed by using SPSS PC+ program. The results were as follows. 1.The variables that were related to the conditions of physical functions were as follows; age, sex, educational level among the general characteristics; raising ways of money, monthly using money for life, states of pocket money, obtaining method of pocket money, state of weight, problems in mind, whether or not chronic illness among socio ㆍeconoㆍphysical conditions; the level of satisfactions in life, subjective condition of health among the subjective thinking ; controlling state in smoking and drinking of alcohol among the lifestyles for promoting health. But the variables for medical utilization were not related to the level of physical function. 2. The variables that were associated with the condition of ADLs were as follows; age among the general characteristics; monthly using money for life, working amount among the socioㆍeconoㆍphysical conditions; subjective conditions of health among the subjective thinking. But The variables for medical utilization, lifestyle for promoting health were irrelevant to the conditions of ADLs. 3. The variables that were related to the conditions of IADLs were as follows; age, educational level among the general characteristics; raising ways of money, monthly using money for life, resident type in the household, procurement method of pocket money, level of weight, problems in mind, wether or not chronic illness among socioㆍeconoㆍphysical condition; regularity of health checking among lifestyles for promoting health; kinds of utilizing medical agent among the variables about utilization patterns of medical agencies; subjective condition of health among the subjective thinking In this study, in the aged there were related factors of physical and life functions, were age, working amount, subjective condition of health.

• 보건의료산업학회지
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• 제8권3호
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• pp.49-61
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• 2014

Due to the rapid population's aging, the life span's expansion and social & cultural characteristics, the standards of age classes in senescence are changed. Thus, this study aimed to identify the influential factors on health care utilization in the elderly by age class, and targeted 2,937 adults in their ages over 55 years old from the Korea Health Panel's 2009 Yearly Integrated Data. This study investigated the target health care utilization in the elderly in relation with the gender, the education level, the health-care insurance type, the income, the current job state, the chronic disease. In order to analyze the influential factors on health care utilization in the elderly, the multiple linear regression analysis was conducted to the data. As the results from this study, Concerning the influential factors on the health care utilization, the income, the subjective health state, the chronic disease and the regularly meals for the young-old influenced. Concerning the influential factors on the health care utilization, the subjective health state for the old. Concerning the influential factors on the health care utilization, the subjective health state, the income for the older-old influenced. Concerning the influential factors on the health care utilization, the education level, the spouse, the economic activity and the drinking oldest-old influenced. Therefore, it will need to provide systemic health-care & medical services, to develop health-care & medical programs and the health-care & medical policies and to execute them according to the age classes in senescence.

• 한국치위생학회지
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• 제15권3호
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• pp.477-486
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• 2015

Objectives: The purpose of the study is to investigate the influencing factors of subjective awareness of dental health status on the use of dental hygienic devices. Methods: A self-reported questionnaire was completed by 320 patients who visited dental clinics in Seoul and Gyeonggi-do from May to June 2014. Except incomplete answers, 284 copies were analyzed by SPSS WIN 18.0 program. The questionnaire was adapted from Park & Youn, and Chae. The questionnaire consisted of five questions of the general characteristics of the subjects, one question of subjective dental health status, eight questions of awareness of dental hygienic devices, and eight questions of use of dental hygienic devices. Results: Although the awareness of self dental health state was shown to statistically significantly affect the awareness of dental hygiene devices(p<0.001) which is the dependent variable, it was shown to not affect the use. Conclusions: Based on such results, to improve and maintain the dental health, an individual's subjective dental health state should be identified and provide accurate and objective information on the dental hygiene devices that are suitable to individual dental state, as well as make the patient's use of dental hygiene devices increase through continuous boosting of motivation.

• 여성건강간호학회지
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• 제10권4호
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• pp.351-359
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• 2004

Purpose: A descriptive study was conducted to examine the levels of distress, state anxiety, and physiologic responses in postoperative patients under patient controlled analgesia (PCA), and to determine correlations among the variables. Method: The study sample included women who underwent an elective hysterectomy procedure or other gynecologic surgeries(N=100). Subjective distress was assessed by visual analog scales around 8 hours postoperatively. Trained nurses collected objective distress data through observation of subject's behavior and vital signs. Data were analyzed with frequencies, percentages, means, Pearson correlation coefficients, ANOVA, and the Scheffe post test using SPSS/PC 11.0. Result: Subjective distress, objective distress, and state anxiety scores were relatively low, except pain scores(5.31 out of 10.0) among sub-scales of subjective distress. Women who had a total abdominal hysterectomy showed significantly higher levels of both subjective distress and state anxiety than those after a minor gynecologic surgery. In relationships among variables, subjective distress correlated positively with postoperative state anxiety, but not with the amount of analgesic medication, verified by further analysis on sub-scales of subjective and objective distress. The higher the levels of state anxiety, the higher the levels of tension, dyspnea, facial change, and systolic blood pressure observed. Conclusion: Regardless of effective pain management, most postoperatively experienced distress in gynecological patients was derived from surgery associated anxiety and pain. Specific psychological strategies should be established as well for those with high levels of state anxiety to facilitate prompt recovery.

• 보건교육건강증진학회지
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• 제33권1호
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• pp.41-48
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• 2016

Objectives: This study is aimed to evaluate oral health knowledge and behavior according to subjective awareness characteristics of oral health in university student. Methods: The data was collected from June, 2015 in K university, Korea. It was investigated about subjective awareness characteristics, knowledge and behavior of oral health by questionnaires in university students. The data was analysis into t-test and one-way ANOVA by SPSS 22.0. Results: Subjects who responded that they had a problem with oral health in subjective awareness characteristics were a statistically significant differences according to gender. Subjects who were interested of oral health and responded to their subjective oral health state as good condition were higher than the others in oral health knowledge. According to subjective awareness characteristics of oral health, the oral health behaviors were a statistically significant differences. Conclusions: There were statistically significant differences in oral health knowledge and behavior according to subjective awareness characteristics of oral health.

• 보건의료산업학회지
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• 제13권1호
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• pp.31-42
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• 2019

Objectives: The purpose of this study is to analyze the relationship between the change gap in the perception of subjective hierarchy and medical expenditure and the factors influencing medical expenditure. Methods: An analysis based on the the data extracted from the Panel Study of Korea Health Panel for 2012-2013 (n=9,359) is conducted. Further in this study, data analysis included a chi-square test and logistic regression using SPSS version. 22.0 to analyze the factors influencing the turnover intention of industrial workers. Results: Model I showed decreases in medical expenditure by 1.247, 1.391, and 1.441 times in social classes one, two, and Model II showed an increase in medical expenditure by age, spouse, number of family members living together, insurance type, income class, economic activities, subjective health status, chronic illness and change on subjective recognition of social class. Conclusions: The study concludes that the state and community require psychological, social, and cultural support, in addition to individual efforts, to reduce medical expenditure.

• 한국치위생학회지
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• 제15권2호
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• pp.217-223
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• 2015

Objectives: The purpose of this study is to investigate cognitive function, performance of activities of daily living, and recognition on oral health with the cognitive function testto dementia or dementia-suspected patients in the outpatients. Methods: The subjects were 94 dementia or dementia-suspected patients visiting C University hospital for the dementia test. Study instruments included Korea Mini-Mental State Examination KMMS, The Bayer-Activities of Daily Living Scale; B-ADL, Seoul-Instrumental Activities of Daily Living; S-IADL, Global Deterioration Scale; GDS, Korean Dementia Screening Questionnaire; KDSQ, and underlying diseases. Results: Dementia or dementia-suspected patients were 42 by KMMSE test, 25 patients had impaired functioning of daily living by B-ADL test, 27 patients showed the presence of depression by GDS test, and 45 patients showed impaired functioning of daily living. There was a statistically significant difference in the subjective recognition on oral health conditions. There was a statistically significant difference in the subjective recognition on oral health conditions by ADL. There was a positive correlation between the cognitive function and ADL performance. Higher cognitive function is proportional to ADL performance. Conclusions: The cognitive function was closely associated with ADL and subjective oral health conditions.

• 여성건강간호학회지
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• 제11권4호
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• pp.307-315
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• 2005

Purpose: A descriptive study was conducted to identify the change patterns on the level of perceived distress during the early postoperative period with regard to state anxiety in patients using patient controlled analgesia. Method: One hundred women who underwent elective hysterectomy procedures or other gynecologic surgeries completed a series of questionnaires measuring state anxiety, and subjective distress assessed by visual analog scales at 8, 24, & 48 hours postoperatively. Data were analyzed with frequencies, percentages, means, ANOVA, Repeated Measures ANCOVA, and Scheff'e post test utilizing SPSS WIN 11.0. Result: There was a gradual decrease in levels of total distress and pain over the three points in time after surgery regardless the levels of state anxiety. However, women with higher levels of anxiety their pain curve rose at 48 hours post-op. In addition, over the first two points in time, women in the higher anxiety group showed higher levels of distress than those in the lower anxiety group, but no such group differences were observed in the levels of pain, revealing higher pain levels only at 8 hours post-op in both groups. Conclusion: Irrespective of effective pain management modality, most postoperatively experienced distress in gynecological patients was derived from anxiety and pain. These findings have implications for pain management, especially in patients with emotionally charged surgeries like hysterectomy.

• 디지털융복합연구
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• 제17권10호
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• pp.313-320
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• 2019

본 연구는 병원여성행정직의 주관적행복감, 직무소진 및 사회심리적 스트레스와 상태불안간의 관련성을 파악하고 상태불안에 미치는 융복합적인 영향을 규명하였다. 조사기간은 2018년 7월 4일부터 2018년 7월 25일까지였으며, 조사대상은 임의로 선정한 J지역 소재 24개 병원에서 무작위로 추출한 여성행정직 226명으로 하였고, 자료수집은 구조화된 무기명 자기기입식 설문지를 사용하였다. 상태불안은 주관적행복감과는 음의 상관관계를, 직무소진 및 사회심리적 스트레스와는 양의 상관관계를 보였다. 공분산구조분석 결과, 주관적행복감이 낮을수록, 직무소진 및 사회심리적 스트레스가 높을수록 상태불안을 높이는 것으로 나타났다. 분석결과를 볼 때, 병원여성행정직의 상태불안을 낮추기 위해서는 주관적행복감을 높이고, 직무소진 및 사회심리적 스트레스를 낮추는 노력이 필요하다. 이러한 결과는 병원여성행정직의 상태불안을 낮추는 산업보건교육 및 병원내부고객관리에 활용이 기대된다. 향후연구에서는 병원여성행정직의 상태불안에 영향을 미치는 융복합적인 추가적인 요인에 대한 조사가 필요하다.

• 보건교육건강증진학회지
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• 제23권3호
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• pp.99-119
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• 2006

Objectives: This study intends to understand the difference within group of social support level and the effect of social support to health behaviors and health status of the elderly by selecting the old of local society as target. Methods: Data were obtained from self-administered questionnaire of 8,688 persons, older than 65 years, living in a community. We measured the sociodemographic characteristics, social support(family support, other support, quality of support), physical health state(subjective health status, number of chronic disease), physical function state(activities of daily living; ADL, instrumental activities of daily living; IADL), cognition state(mini-mental state examination-Korean; MMSE-K) and depression state(short form of geriatric depression scale; SGDS), health behaviors(smoking, drinking, exercise, eating habit). Univariate, multinominal logistic regression and covariance structure analysis were employed to analyze factors affecting on the social support of the elderly. Results: When considering the degree of social support by the sociodemographic characteristics of the older adults, the family support, other support and quality of support is better when the old is male, young, high education and self-reported living status is good and it has significance statistically. When considering the relation between social support and health status, the family support, other support and quality of support is better when the old's subjective and objective physical health status is good. The family support, other support and quality of support is better when the old's subjective health status is better. The other support and quality of support is better when the old's ADL(activities of daily living) and IADL(instrumental activities of daily living) are good. The family support, other support and quality of support is better when the old's cognitive function and depression state is better. When considering the relation between social support and health behaviors, in case of smoking and drinking, the quality of support, family support and other support is better when the old smokes and drinks rather than the old does not. In case of exercise and eating habit, the family support, other support and quality of support is better when the old exercises and eats regularly rather than the old does not. It has significance statistically. From the result of performing covariance structure analysis by structural equation modeling(SEM) with two endogenous variable(health behaviors and health status) and one exogenous variable(social support), factor loading of health status is 0.74 and factor loading of health behaviors is 0.05. The social support explains health status of 55.4% and health behaviors of 2.9%. Conclusions: This study has the meaning that it finds the difference of social support generating from inside of the group for the old residing in city and country and specifies the effect that the difference of social support influences to health status and health behaviors. From now on, in the development of health improvement strategy of the olds, it is necessary to approach from inclusive aspect while considering psychosocial factor such as social support and social economical factor as well as health status.