• 한국융합학회논문지
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• 제11권11호
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• pp.433-441
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• 2020

본 논문은 고식적 항암화학요법을 받는 진행성 암환자의 미충족 요구를 분석하고 영향요인을 파악하여 암 말기 환자들에게 적합한 융합적 간호중재 프로그램 개발에 기초자료로 활용하고자 시도되었다. 연구대상은 일 대학병원에 입원하여 고식적 항암화학요법을 받는 진행성 암환자 71명으로 구성되었으며, 연구도구는 Shin 등이 개발한 CNAT(Comprehensive Needs Assessment tool in Cancer)를 사용하였다. 자료분석은 독립표본 t-검정, ANOVA 및 다중회귀분석으로 분석하였다. 연구결과 대상자의 미충족 요구는 의료진 영역이 4점 만점에 2.34점으로 가장 높았으며 심리적 문제 2.09점, 정보교육 1.69점의 순으로 나타났다. 진행성 암환자의 미충족 요구에 영향을 미치는 요인은 학력(β=.207, p=.047), 죽음에 대한 생각(β=-.269, p=.018), 진단명(β=-.283, p=.013)으로 나타났다. 본 연구결과를 바탕으로 진행성 암환자들에게 의료진 영역의 요구를 배려하여 심리적 지지를 제공하고, 학력, 진단명에 따른 요구 충족 방안을 고려할 필요가 있다

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6339-6345
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• 2015

Background: Assessment of supportive care needs of cancer survivors and identifying factors affecting such needs is important for implementation of any supportive care programs. So, the aims of present study were to investigate the supportive care needs of Iranian cancer survivors and relationships with social support. Materials and Methods: In this descriptive-correlational study two hundred and fifty cancer survivors participated via convenient sampling methods. The Supportive Care Needs Survey (SCNS-SF34) and Multidimensional Scale of Perceived Social Support (MSPSS) were used for data collection. SPSS software was applied and univariate regression was used for examine relationships of supportive care needs with social support. Results: Participants demonstrated many unmet supportive care needs, especially in health system and information and psychological domains. In addition, participants reported that family members and significant others were their main source of support. Also, social support has a significant correlation with all domains of supportive care needs. Conclusions: There is an indispensable need for establishment of supportive care programs for Iranian cancer survivors. In addition, family members of family members of such survivors are an important resource to help develop such programs.

• 보건의료산업학회지
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• 제12권4호
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• pp.59-72
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• 2018

Objectives : This study was performed to investigate health care system recognition and influential factors using the data from the "2017 Health Care Experience Survey". Methods : Data on 7,000 participants in the Health Care Experience Survey were drawn and statistically examined using a t-test, ANOVA, and multiple regression analysis. Results : First, the significant factors of health care service satisfaction were education, income, region, chronic diseases, unmet medical needs, satisfaction with doctors and institutions, and the health care system's reliability and importance. Second, the influential factors of willingness to pay additional health insurance premium were age, occupation, income, health status, chronic diseases, unmet medical needs, satisfaction with health care institutions, limit to utilization of medical services, necessity of health care reform, and the health care system's reliability, satisfaction, importance. Conclusions : Since the additional burden for improving the health care has been negative to the socially disadvantaged, there should be efforts to provide stable health care funding for financial stability of the health insurances by considering public opinions and reaching social consensus.

• 한국산학기술학회논문지
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• 제19권2호
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• pp.497-507
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• 2018

본 연구는 암생존자의 삶의 질에 대해 보다 면밀한 검토를 통해 이들을 위한 서비스 및 정책 마련을 위한 기초자료를 제공하고자 수행되었다. 이에 본 연구는 사회문화적 영향을 다르게 수용하게 되는 성차(gender difference)를 중심으로 암생존자의 삶의 질의 차이와 예측 요인들의 상대적 영향력을 검증하였다. 이를 위해 국민건강영양조사 제 6기 중 2013년 자료에서 추출한 암생존자 203명을 표본으로 남녀 집단간 삶의 질 평균차이 검증과 위계적 회귀분석을 실시하였다. 그 결과 삶의 질의 하위 영역 모두에서 여성이 남성에 비해 낮은 삶의 질을 보였으며, 전체적인 삶의 질에 있어서도 여성의 삶의 질은 유의미하게 낮았다. 위계적 회귀분석 결과, 성차에 따른 예측 변인이 다르게 나타났는데 남성은 주관적 건강인식이 유의한 정적 영향을 미치고 있었으며 여성은 미충족 의료욕구(unmet medical need)가 가장 큰 예측력을 가진 유의미한 변인으로 부적 영향을 미치고 있었으며, 또한 연령이 높을수록 삶의 질이 낮았으며, 주관적 건강인식과는 유의미한 정적 관계를 보였다. 이러한 결과를 통해 성차를 고려한 암생존자 관리의 방향성 제고가 필요하며 여성암생존자 중 고령, 건강상태가 좋지 못한 경우, 의료서비스의 접근성이 낮은 집단에 대한 보다 집중적 서비스를 마련해야하는 등의 실천적 함의와 후속연구에 대한 제언을 제시하였다.

• 한국임상약학회지
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• 제29권3호
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• pp.173-185
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• 2019

Objective: To gather inputs from clinical experts on selecting and prioritizing research topics, to address unmet vaccine safety needs. Methods: A questionnaire containing 15 vaccine safety assessment research proposals was sent to 28 vaccine experts chosen from various domestic medical association boards, and the rationale for each of the proposals was provided by presenting the following information: 1) a brief summary of the clinical safety studies on the vaccine, conducted by the Clinical Immunization Safety Assessment (CISA) project group, supervised by the United States Center for Disease Control (U.S. CDC), and 2) a summary of recently published studies that address vaccine safety issues. The experts were instructed to select and rank 5 topics in the order of preference, and the preference score for each proposed topic was calculated by assigning points on a scale of 1 to 5. Results: All 28 experts responded to the questionnaire, and the following topics were selected according to their calculated preference scores: 1) Human papillomavirus vaccine safety profile in the Korean female adolescents; 2) A signal detection of adverse events following Influenza vaccination: comparison between the US and South Korea; 3) Incidence of anaphylaxis following National Immunization Program vaccines between 2008 and 2017; 4) Safety of quadrivalent influenza vaccines compared to trivalent influenza vaccines; and 5) Pneumococcal vaccine safety profile in the general population. Conclusion: Five research topics addressing vaccine safety were selected, for which well-constructed research protocols need to be promptly developed to address current unmet vaccine safety needs in South Korea.

• 대한치과기공학회지
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• 제33권4호
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• pp.413-425
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• 2011

Purpose: This study conducted a survey on the elderly with physical debilities, who are in a medically vulnerable social class, to examine closely their demo-sociological characteristics, unmet needs, dental states, and living qualities and satisfaction levels relating to oral health and social supports to them, and also to prepare the basis for effective public medical policies and health improvement programs aimed at improving the quality of life for the elderly with physical debilities. Methods: Twenty-two elderly care facilities within Jeju Special Self-Government Province participated in the survey. Between 11 January and 5 March 2010, a total of 250 elderly persons(65 and over) with physical debilities were interviewed and their dental health was checked. Results: The results of the survey are as follows. The need for social support for dental care of the elderly with physical debilities was high in the medical institution-supported service (49.6%). The unmet needs for physical care were high in bathing (49.6%) and using public transportation (71.6%). More than half of these surveyed had ten or fewer teeth. The survey found that 31.6% of the participants experienced problems eating, due to poor dental health. Concerning quality of life, 30.5% of those surveyed experienced physical pain. Conclusion: In summary, the ages of the survey participants directly relates to the degree of behavioral debility experienced. The more debility a participant exhibits, the greater is the need for social support and dental care. The dental health of a participant directly relates to a higher quality of life. Good dental health of a participant translate to better quality of life. In light of the fact that the elderly with physical debilities suffer from a lack of accessibility to medical care and worse oral health than do other elderly persons, it is essential to increase accessibility to medical institutions that can provide such services as door to door dental care. Current insurance policies, funding for denture insurance, and free denture and denture-upgrade programs desperately need to be expanded. Therefore, to improve effectively the quality of life for the elderly with physical debilities civil dental medical resources should be encouraged to provide inclusive and prevention-focused medical care. In the public domain, door to door dental care services and cooperation with civil dental care resources need to be improved to increase impartial accessibility to dental medical institutions.

• 한국융합학회논문지
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• 제12권12호
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• pp.443-451
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• 2021

본 연구는 장애인 및 보호자를 대상으로 2021년 2월 9일부터 2월 17일까지 포커스그룹 인터뷰를 실시하여 장애인이 인식하는 미충족 의료와, 장애인 건강주치의 2차 시범사업 관련 경험을 분석하기 위해 수행하였다. 포커스그룹 인터뷰는 시범사업에 등록하였으며 의사표현이 가능한 장애인 5인(그룹 1)과 의사표현이 불가능한 장애인의 보호자 5인(그룹 2)으로 구성되는 두 그룹에 대해 실시하였고, 각 그룹 당 약 100분의 면담을 1회 진행하였다. 장애인의 미충족 의료와 관련된 요인은 의료서비스 이용자, 의료서비스 공급자, 제도적, 사회문화적 측면에서 도출되었고, 이 중 장애인 건강주치의 시범사업 참여를 통해 충족된 요인과 충족되지 않은 요인으로 분석되었다. 향후 장애인의 미충족 의료를 해결하기 위해 방문서비스 확대 적용, 다양한 진료과로 주치의 범위를 확대, 물리치료사나 작업치료사 등을 포함한 다학제적 접근, 서비스 단절 최소화를 위해 병원간 연계 활성화, 장애인 당사자 의견수렴을 통한 서비스 개선, 적극적인 홍보를 통한 본사업의 확대 적용이 필요하겠다.

• 성인간호학회지
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• 제27권3호
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• pp.314-324
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• 2015

Purpose: The purpose of this study was to measure health-related quality of life (HRQOL) and the related factors according to gender in baby boomers by using Korea Health Panel Data 2012. Methods: The Korea Health Panel Data 2012 were collected from February to August 2012 by Korea Institute for Health and Social Affairs and National Health Insurance Corporation and the data of 1,802 respondents categorized as baby boomers were analyzed for this study. The data were analyzed by t-test, ${\chi}^2$ and multiple regression using SPSS/WIN 20.0 program. Results: For male, the influencing factors on HRQOL were economic activity and smoking. For female, the influencing factors on HRQOL were education, psychological and physical stress, unmet basic needs, and psychiatric drugs. The types of insurance, unmet medical needs, anxiety about the future, depression, and self-rated health status showed statistically significant relationships with HRQOL both for male and female. Conclusion: Health care providers are suggested to consider the founded gender differences in this study when they develop interventions for HRQOL improvement for baby boomers in a community.

• 여성건강간호학회지
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• 제27권2호
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• pp.113-127
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• 2021

Purpose: This study examined health behaviors, use of health services, and depression among women who perform daytime and shift work in Korea, as well as factors related to depression. Methods: We conducted a secondary analysis using data from the 2018 data of the 7th Korea National Health and Nutrition Examination Survey. Data on women, 1,493 regular daytime workers and 322 shift workers, were analyzed. Results: Women shift workers (χ²=43.97, p<.001), had a lower education level (χ²=45.56, p<.001), and lower personal income (χ²=16.85, p=.030) than their daytime counterparts. A higher proportion of shift workers were unmarried (χ²=37.47, p<.001) and they typically worked fewer than 40 hours per week (χ²=69.94, p<.001). The depression score of shift workers was higher than that of daytime workers (t=2.85, p=.005). A higher proportion of shift workers also drank alcohol (χ²=6.49, p=.032) and smoked (χ²=30.79, p<.001). Over 8% of shift workers typically slept fewer than 5 hours per night (χ²=14.17, p=.024). It was confirmed that depression in women shift workers was affected by age, personal income, marital status, health status, and smoking status, in addition to cancer screening participation, unmet medical care needs, and unmet dental care needs. Conclusion: More attention should be given to the health needs of women working shifts. Health promotion programs specific for women shift workers are needed to improve their physical and mental health, encourage use of medical care services, and improve public health policies and systems.

• 근관절건강학회지
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• 제30권3호
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• pp.147-156
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• 2023

Purpose: This study examines the health behavior and health-related quality of life (HRQOL) among married men and women, utilizing data from the Korean National Health and Nutritional Examination Survey, encompassing 4,217 subjects. Methods: A multiple regression model was employed to analyze the data. Results: Married men demonstrated a significantly good relationship between HRQOL and perceived health state (β=.32, p<.001), while married women showed a similar relationship with perceived health state (β=.38, p<.001). Additionally, married men demonstrated significantly neutral relationship between HRQOL and perceived health state (β=.30, p<.001), as did the married women (β=.38, p<.001). Both married men (β=-.11, p<.001) and married women (β=-.08, p<.001) were found to experience depression. oreover, the HRQOL in married men was positively associated with private health insurance (β=.08, p=.001), and the same trend was observed in married women (β=.10, p<.001). Married men with unmet medical needs showed a negative association with HRQOL (β=-.08, p<.001), and married women with unmet medical needs showed a similar negative association (β=-.12, p<.001). Furthermore, outpatient medical use(2 weeks) was negatively associated with HRQOL in both married men (β=-.07, p=.001) and married women (β=-.07, p<.001). Moreover, married women displayed a significant negative association between HRQOL and the prevalence of obesity(β=-.04, p=.048) and stress (β=-.05, p=.009) and a positive association with aerobic exercise (β=.04, p=.027). Conclusions: This study suggests that health behavior significantly influences the HRQOL among married men and women. The findings of this study can guide policymakers in developing strategies to improve health behavior and HRQOL within households.