• Journal of Preventive Medicine and Public Health
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• 제55권1호
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• pp.60-67
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• 2022

Objectives: This study investigated the determinants of undiagnosed hypertension among Indonesian adults. Methods: This study involved an analysis of secondary data from the 2014 Indonesia Family Life Survey (IFLS) on 5914 Indonesian adults (≥40 years). The determinant variables examined in this cross-sectional study were education level, monthly per capita expenditures (PCE), whether the participant experienced headaches in the morning, and other general health variables. The outcome variable was undiagnosed hypertension, which was defined as participants with hypertension who had not received a hypertension diagnosis from a health professional and had never been prescribed medication for treating hypertension. The data were analyzed using logistic regression. Results: A total of 3322 participants (56.2%) were found to have undiagnosed hypertension. The odds ratios (ORs) and 95% confidence intervals (CIs) of undiagnosed hypertension were significantly higher among those who completed primary school or lower (OR, 1.60; 95% CI, 1.29 to 1.98), had low monthly PCE (OR, 1.28; 95% CI, 1.13 to 1.43), did not report experiencing headaches in the morning (OR, 1.97; 95% CI, 1.76 to 2.21), and reported a general health status of healthy (OR, 2.05; 95% CI, 1.82 to 2.30) than those who had a higher education level, had high monthly PCE, experienced headaches in the morning, and were unhealthy. Conclusions: Education level, monthly PCE, the experience of headaches in the morning, and general health status were associated with undiagnosed hypertension. The monitoring system for detecting undiagnosed hypertension cases must be strengthened. Health promotion is also necessary to reduce the prevalence of undiagnosed hypertension.

• 대한치과기공학회지
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• 제34권2호
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• pp.179-199
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• 2012

Purpose: This study was conducted to prepare the fundamental data on oral hygiene of the elderly and to assess the behavior of oral hygiene, subjective oral health, oral health problem among the elderly, and to contribute to successful enhancement of life in their declining years. Methods: The author surveyed the behavior of oral hygiene, subjective oral health, oral health problem to 192 elderly at a health center of Busan using structured self- administered questionnaire from Nov. 2nd 2009 to Feb. 10th 2010. Collected data were analysed by SPSS WIN 18.0 statistical program for frequency, percentage production, ${\chi}^2$ (Chi-square) verification, t-test, One-way ANOVA, Logistic Regression. Results: The distribution of total subjects by oral health behaviors were 56.8% for "have ever trained how to tooth brushing", 76.6% for "correctly performed tooth brushing by himself ", 71.8% for "tooth brushing a day is two times and less", 87.5% for "it doesn't tooth brushing in meals and after" and 53.6% for "it doesn't use the facility for oral health", respectively. The distribution of total subjects by the state of perceived oral health were 51.0% for "feel the oral discomfort", 51.6% for "feel the comfortable chewing on starchy food", respectively. The mean point of perceived oral health by general characteristics of total subjects were statistically significant difference in sex, type of medical insurance, smoke, exercise, and chronic disease. The mean point of perceived oral health by oral health behaviors of total subjects were statistically significant difference in educational experience on tooth brushing, recognition for tooth brushing by himself, tooth brushing a day, and tongue cleaning. The risk factors of perceived oral health were type of medical insurance and chronic disease in general characteristics, tooth brushing in meals and after and tooth brushing a day, and tongue cleaning in oral health behaviors. Conclusion: The author recommend to the prevention of chronic disease, carry out the tooth brushing in meals and after, three times and over tooth brushing a day and tongue cleaning for oral health. and the author consider that it need to prepare the active countermeasure to oral health such as reeducation for oral health and supply to the tongue cleaner.

• 한국보건간호학회지
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• 제6권1호
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• pp.32-45
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• 1992

An important role of community health nurses in health centers is to solve community health problems found through data collection methodology which has been used to identify the health needs of the community, diagnose the health problems and to plan health programs suitable for the health problems. Also community health nurses must be prepared to know the community health needs and to participate in the planning process. Since 1956 when the health center law was established, community health nurses have really implemented only the services which the government has asked them to do. This has kept them busy enough. But these days as society is in rapid change, community health nurses should have the flexibility to deal with the social change and demands that are unique to their community each which has different health needs and demands. So community health nurses need to identify what community health problems exist in their particular communities. The purposes of this study were as follows. 1) To explore the suitability of the health programs which the government has asked the community health nurses to do for their own communities and if these programs are not suitable, to explore the reasons why. 2) To explore the degree to which the community health nurses have the ability to identify health problems in their own communities and activate the community diagnostic process. 3) To identify the degree that the community health nurses have the ability to implement plans related to community diagnosis. 4) To find out how much data related to community health problems, the community health nurses have and how they are utilizing it. 5) To measure the community health nurses self-confidence concerning diagnostic activities for community health. The study subjects were 454 Community Health Nurses working in Health Centers in Seoul, Korea. The period of data collection was 6 days(Nov. 9th 1991-Nov. 15th 1991). A questionnaire used for data collection was composed of three different items; general characteristics, community health diagnostic activities and self-confidence in performing diagnostic activities. The results of the study are as follows. First, over one third of the respondents replied that the government required activities for their communities are not appropriate. Of these activities the most frequent reply $(51.2\%)$ indicated that many of the activities in the community were inappropriate to the actual situation. Further, $25\%$ of the replies indicated that many activities were only administratively oriented and as such not appropriate. Second, $49.8\%$ of the respondents replied that they had done general assessments and had a general idea of the health problems of their community. Effective solutions to health problems could be found with an increase in health personnel and management ability according to $41.5\%$ of the respondents. Third, to the question as to whether they had ever independently implemented a plan towards solving community diagnosed problems, $52\%$ of nurses replied 'never', $40\%$ 'occasionally' but only $7.5\%$ replied that they did it frequently. Actually there was very little done even in the basic work of collecting the necessary data. Fourth, when asked how much of basic information they had collected that might be used in community diagnosis activity, of 26 items in 5 areas, there was hardly one for which complete data had been collected. Fifteen percent did have data on the geographical aspects of their area, housing distribution and types of housing, while $17.8\%$ knew the frequency with which the health center was used. Concerning community resources, even with a list of community resources, only $12.3\%$ had data on any of these resources, and this data was incomplete. Further, information about social work institutions, and facilities was also incomplete, only $14.2\%$ of the respondents had any data and even it was incomplete; that is, in general, the nurses did not have this information. Fifth, concerning the confidence of the community health nurse in their ability to carry out community diagnoses activities, $60\%$ replied that they were very or at least nominally confident, indicating that although they were not doing community diagnostic activities they felt they could do so, as they were carrying out home visits and program planning as part of their official duties. The following recommendations are made based on the results of this study. First; since the community health nurses have a high perception of the need for community diagnostic activities and. high confidence in their ability to carry out this activity and high percentage of respondents replied that with a little training they could do this even better it is recommended that community diagnostic activity training be included in the continuing education program for community health nurses. Second, in order for the Community Health Nurses to successfully solve the health problems of their respective community they reported to a need to increase the number of health personnel, improve the facilities and the system of managing their work. Considering this, it is recommended that ways be sought to remedy these deficits.

• 한국산학기술학회논문지
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• 제15권10호
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• pp.6158-6167
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• 2014

본 연구는 말레이시아 병원과 유사규모의 한국 병원을 대상으로 보건정보관리자(HIM)의 새로운 역할 7가지에 대한 직무를 비교연구하기 위한 것이다. 말레이시아 병원은 272병상 규모의 종합병원을 선정하였다. 말레이시아는 해당병원을 연구자가 직접 방문하여 담당자 면담 등을 실시하였고 기간은 2013년 7월 22일부터 8월 2일까지 약 2주간이었다. 국내병원은 말레이시아와 병상규모가 유사한 병상대의 종합병원 총 13곳을 대상으로 유선 상 질의응답을 통해 확인하였다. HIM의 새로운 7가지 역할에서는 Health information manager로서 말레이시아 병원은 ICT가, 한국 병원은 조사대상 병원의 30.8%가 역할을 수행하고 있었다. Clinical data specialist역할 관련 classification of disease & procedure는 양국 모두 실시하고 있었고 tumor registry은 말레이시아 병원은 담당하고 있었던 반면 한국 병원에서는 15.4%만이 담당하고 있었다. 퇴원환자 통계는 말레이시아에서는 담당하지 않았고 한국은 76.9%에서 담당하고 있었다. 특수질환 등록업무는 한국은 22.1%에서 담당한 반면 말레이시아는 전체 법정전염병 등록 뿐 아니라 병원출생아와 사망자에 대한 정보등록까지 실시하고 있었다. 그 외 Patient Information Coordinator, Data Quality Manager, Document and Repository Manager, Research and Decision Support Analyst 역할은 양국 모두에서 실시하고 있지 않았다. HIM의 새로운 역할은 한국 중소병원에서 실천률이 낮은 편이다. 따라서 한국전체에서 HIM 역할이 확고히 정립되려면 중소규모 병원까지도 그 역할을 잘 수행할 수 있도록 해당 협회차원의 지속적인 교육, 지원을 통해 일부 대형병원뿐 아니라 중소병원을 포함한 전체 병원에서 역할이 명확화 될 수 있는 노력이 필요하다. 특히 특수질환 등 등록업무는 말레이시아 병원이 한국 병원에 비해 역할이 잘 정립되어 있어 이를 벤치마킹하여 업무를 확대하는 방안도 모색할 필요가 있다고 사료된다.

• 대한장애인치과학회지
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• 제15권1호
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• pp.1-6
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• 2019

There are increasing number of patients having dental treatment under outpatient general anesthesia. There were researches that studied patients treated under outpatient general anesthesia in Chonbuk National University Dental hospital between 2005~2013. However, there has been an absence of research since 2013. Therefore, the aim of this research is to study cases regarding outpatient general anesthesia visiting Chonbuk National University hospital between 2014~2017 and analyze the trends of these patients. The medical records of 409 cases from January, 2014 to December, 2017 were reviewed. From the patients' charts, data on sex, residence, visiting dates, disability status, and types and number of treatments was collected and investigated. The number of cases has increased from 86 in 2014 to 140 in 2017. Among 409 cases, 275 cases(67.2%) had disabilities, with mental disabilities consisting most of the disabilities. 192 cases were aged under 20 years old mostly with no disabilities, 142 cases were 20~39 years old mostly with mental disabilities, and 75 cases were 40 years old or more mostly with physical disabilities. The conservative treatment was performed most frequently in both disabled and non-disabled patient groups. There was an increasing trend in the number of patients treated under outpatient general anesthesia, and more than half were disabled patients. In order to meet this demand, Chonbuk National University Dental Hospital increased the number of general anesthesia pracrice. To follow this trends, the implementation of safe outpatient general anesthesia system and cooperation among teams is needed to improve the quality of treatments.

• 디지털콘텐츠학회 논문지
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• 제18권4호
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• pp.621-629
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• 2017

인구구조의 고령화와 만성질환 환자 증가로 인한 빠른 의료비 지출 상승에 따라, 디지털 헬스케어 산업에 대한 관심도 높아지고 있다. 디지털 헬스케어는 기존 서비스의 이용자인 환자 외에 일반인까지 수요자 범위를 확장하였으며, 이에 따라 일반인의 디지털 헬스케어 이용현황 및 요구 파악에 대한 연구의 필요성이 증가하고 있다. 본 연구는 일반인 1,000명을 대상으로 인터넷 건강정보 서비스, 스마트폰 건강관리 애플리케이션, 웨어러블 디바이스, 유헬스 등 4개 부문에서 각각의 서비스 이용 경험, 이용 목적 및 보완점 등을 조사하고, 제공 받고 싶은 헬스케어 서비스 및 콘텐츠 유형, 이용 의사 등을 파악하였다. 본 연구 결과를 통하여 일반인들의 디지털 헬스에 대한 인식과 현재 서비스에 대한 만족도 및 미충족 서비스 요구를 파악함으로써 향후 디지털 헬스케어 서비스 개발에 도움이 될 수 있을 것이다.

• 정신신체의학
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• 제30권1호
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• pp.38-45
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• 2022

연구목적 일반 인구의 각 질환 별 정신건강지식(Mental health literacy)를 알아보고자 이 연구를 수행하였다. 방 법 이 연구를 위해 2021년 대국민 정신건강 지식 및 태도조사에 응답한 2016명을 대상으로 연구를 수행하였다. 연구를 위해 사회인구학적 특성, 정신건강지식, 낙인에 대해 조사하였다. 연구를 위해 주요우울장애, 조현병, 알코올 사용 장애, 자살 사고에 대한 Case vignette을 사용하였다. 결 과 조사 결과 정확히 질병을 인식한 비율은 알코올 사용 장애(61.7%)에서 가장 높았고 그 다음 주요우울장애(43.8%)이었으며 조현병(27.6%)에서 가장 낮았다(p<0.001). 낙인의 비율은 알코올 사용 장애가 52.8%로 가장 높았으며, 다음은 조현병이 47.2%로 높았다(p<0.001). 결 론 따라서 조현병에 대한 일반인의 교육과 알코올 사용 장애와 조현병에 대한 낙인 극복이 국민 정신건강 증진에 기여할 것으로 생각된다.

• 동서간호학연구지
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• 제14권1호
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• pp.14-23
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• 2008

Purpose: The purpose of this study was to identify the relationship between health promoting lifestyle and general characteristics of the person undergoing health checkups in cancer prevention center. Method: A cross-sectional survey was used. This study has been done from February 1 to March 31, 2005 and the subjects of the study were 199 persons who had undergone health checkups in Cancer Prevention Center located in Seoul. Data were collected by using self reporting questionnaire on the health promoting lifestyle. The collected data were analyzed by using t-test, ANOVA, and Pearson's correlation coefficient. Result: The average score of performance in the health promoting lifestyle was 162.99(range of score is 60-240). There were significant differences in scores of health promoting lifestyle according of marital status, age, education and smoking. The score of health promoting lifestyle of the married group was higher than that of the single group. The score of health promoting lifestyle was higher in those aged 60-69 years than in those aged 20-29 years. As compared to college graduates the score of health promoting lifestyle was higher among those whose schooling is less than middle school and higher than a master`s program. The score of health promoting lifestyle was higher among non-smokers than among those who used a cigarette in their life time. There were no differences in scores of health promoting lifestyle according to sex, cancer family history, disease family history and drinking.There was positive relationship between age and health promoting lifestyle. Conclusion: Marital status, age, education and smoking affected Health Promoting Lifestyle of the person undergoing health checkups in Cancer Prevention Center.

• 보건행정학회지
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• 제28권1호
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• pp.23-34
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• 2018

Background: This study aims to conduct curriculum analysis on health management schools focusing on relationship with licence and certification in Republic of Korea. Methods: Possible employment field, licence and certification as well as curriculum were collected from the home page of 30 health management schools. The subjects and credits of curriculum were analyzed using descriptive statistics. Main subjects by areas were drew using categorization and ranking within qualitative methods. Comparative analysis was conducted for checking relationship between main subject and possible employment field, licence and certification. Results: First, major employment fields after graduation were public health officer, general hospital and clinic, and National Health Insurance Service. Possible licence and certificate were hospital administrator, medical recorder, health education specialist, and medical insurance specialist. Second, total graduate credits were 133.9 including 79.0 for major education, 30.5 for of general education, and 30.5 for elective courses. Third, main subjects were reviewed by areas including basic medicine, health management, hospital business & management, medical records & information, insurance billing & assessment, healthcare marketing & tourism, and health education. There were highest number of subjects on health education area among 8 categories. By subjects, many health management schools open health law, medical terminology, introduction to public health, and biostatistics. Relationship between main subjects and possible employment field, licence and certification in health management schools was strong. Conclusion: It is necessary to review curriculum and for improving educational quality in health management schools. Also, development of curriculum standards for courses in health administration and introduction of accreditation system can be considered.

• 대한통합의학회지
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• 제6권4호
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• pp.101-110
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• 2018

Purpose : This study aimed to analyze the relationship between local residents' experience of public health education on smoking, drinking, and nutrition and their perceptions of health and happiness, thereby providing data for improving the levels of residents' perceptions of health and happiness through the expansion of public health education. Methods : This study used 2017 data on the health of local communities in Gyeongsangnam-do. SPSS (version 25.0) was employed for the statistical analysis. A t-test and an analysis of variance were conducted in order to examine the levels of local residents' perceptions of health and happiness according to their general characteristics and whether or not they had received public health education on smoking, drinking, and nutrition. Results : Those who resided in a city, were younger, earned money, had high educational background, and had high income level had much experience on smoking, drinking, and nutrition education. Those who lived in a county, were males, were younger, had a high level of education, earned money, and had high income level felt a high level of subjective happiness. Residents who had experienced smoking, drinking, and nutrition education had a high level of subjective perception of general health and oral health. The subjects' experience of public health education was positively correlated with their levels of perception of their health and happiness. Conclusion : Education on smoking, drinking, and nutrition for local residents does not merely provide them with knowledge but also it is conductive to improving their quality of life. Therefore, more opportunities for a larger number of people to receive public health education on diverse topics should be given to increase their levels of happiness.