• 보건행정학회지
• /
• 제11권1호
• /
• pp.62-86
• /
• 2001

This study purports to Investigate the determinant of job satisfaction and the organizational commitment of medical insurance review nurses working at Korean hospitals. The independent variables contain three groups of determinants: organizational characteristics variables(job autonomy, work unit control, role variety, role ambiguity, role conflict, workload, resource inadequacy, coworker support, supervisor support, distributive justice, promotional chances, job security, and job hazard), environmental variables(job opportunity, spouse support, and parent support), and psychological variables (met expectation, work involvement, positive affectivity, and negative affectivity). The sample used in this study consisted of 445 medical insurance review nurses from 89 hospitals nationwide. Data were collected with self-administered questionnaires and analyzed using multiple regression analysis. The results of the study are as follows : 1) the following variables, listed in order of size, have significant effects on job satisfaction : role ambiguity(－), distributive justice(＋), work involvement(＋), role variety(＋), met expectation(＋), negative affectivity(－), job autonomy(＋), and positive affectivity(＋). 2) the following variables, listed in order of size, have significant effects on organizational commitment: met expectation(＋), work involvement(.＋), distributive justice(＋), job security(＋), role variety(＋), positive affectivity(＋), negative affectivity(－), resource inadequacy(＋), and tenure(－). 3) the variance of job satisfaction and organizational commitment explained by the variables used in the study are 30.0% and 39.1% respectively. 4) In comparison to the results of other studies on the determinants of job satisfaction and organizational commitment of clinical nursing staff working at hospitals, the results of this study indicate that three variables of distributive justice, work involvement, and role variety are especially important for improving the level of job satisfaction and organizational commitment of medical insurance review nurses.

• 한국보건간호학회지
• /
• 제18권1호
• /
• pp.143-153
• /
• 2004

The study tried to develop a parent-involvement sex education program and find out its effects for more effective sex education methods for high graders of a primary school. The subjects were recruited from 5 classes of 6th graders in Y Primary School in N city, Kyeonggido province, South Korea. Data collection was done from October 4, 2003 to November 7. The experimental group consisted of 43 students from 3 classes with the help from class teachers and parents' involvement in the program. The control group consisted of 43 students randomly sampled by computer from the other two classes. For the experimental methods, the experimental group was given a parent-involvement sex education program as well as a student sex education program: the control group only received the student sex education program. The results were analyzed according to frequency, percentage, $x^2$-test, fisher's exact test and t-test using SAS program. As a result of the homogeneity test, both the groups proved to be the same (t=-0.29 p=0.77, t=0.49 p=0.62) in preliminary sex-attitude and sex-related communication frequency score. But the two group showed meaningful differences (t=2.52 p=0.01, t=2.04, p=0.04) in preliminary sex-knowledge and sex-related communication quality score. After the sex education programs, the two groups didn't show meaningful statistic differences(t=-0.42 p=0.68, t=1.57 p=0.12) in preliminary sex-knowledge and sex-related communication quality score. But the experimental group was statistically more meaningful (t=2.16 p=0.03, t=4.86 p<0.0001) in the difference of sex attitude and sex-related communication frequency than the control. The parent-involvement sex education program developed in this study was more effective for improving their sex attitude and for increasing the frequency of their sex-related communication with parents than the existing student program. Therefore, for sex education, it's necessary to develop and spread various programs where parents can be involved.

• 한국직업건강간호학회지
• /
• 제25권2호
• /
• pp.108-117
• /
• 2016

Purpose: The purpose of this study was to determine the relationship between customer contact service and mental health among Korean taxi drivers. Methods: This was a secondary analysis of data collected from the 2015 Korean Working Conditions Survey. The sample included 496 taxi drivers in South Korea. The effect of customer contact service on mental health was analyzed using logistic regression analysis. The independent variables were general characteristics, working conditions, and hazardous factors in interactive service. Results: The prevalence of poor mental health was 56.3%. Taxi drivers experienced emotional involvement (17.2%), hiding feeling (32.0%), and contact with angry clients (18.3%) in their job. During the first month of their work, 33.7% experienced verbal abuse and 12.3% threats/humiliating behaviors. In bivariate analysis, verbal abuse, threats/humiliating behaviors, and physical violence were associated with mental health of taxi drivers. Multiple logistic regression analysis revealed 'emotional involvement' and 'contact with angry clients' were significant predictors of mental health. Conclusion: The findings of this study may be useful in developing intervention programs to improve the mental health of taxi drivers in South Korea.

• Clinical and Experimental Pediatrics
• /
• 제62권9호
• /
• pp.334-339
• /
• 2019

Kawasaki disease (KD) is a systemic vasculitis in infants and young children. However, its natural history has not been fully elucidated because the first case was reported in the late 1960s and patients who have recovered are just now entering middle age. Nevertheless, much evidence has raised concerns regarding the subclinical vascular changes that occur in post-KD patients. KD research has focused on coronary artery aneurysms because they are directly associated with fatality. However, aneurysms have been reported in other extracardiac muscular arteries and their fate seems to resemble that of coronary artery aneurysms. Arterial strokes in KD cases are rarely reported. Asymptomatic ischemic lesions were observed in a prospective study of brain vascular lesions in KD patients with coronary artery aneurysms. The findings of a study of single-photon emission computed tomography suggested that asymptomatic cerebral vasculitis is more common than we believed. Some authors assumed that the need to consider the possibility of brain vascular lesions in severe cases of KD regardless of presence or absence of neurological symptoms. These findings suggest that KD is related with cerebrovascular lesions in children and young adults. Considering the fatal consequences of cerebral vascular involvement in KD patients, increased attention is required. Here we review our understanding of brain vascular involvement in KD.

• 한국식생활문화학회지
• /
• 제38권6호
• /
• pp.402-414
• /
• 2023

This study evaluated the consumers' demands and points of improvement for restaurant meal replacement through importance-performance analysis by the restaurant meal replacement segment market using food involvement. The results were as follows. First, after segmenting the restaurant meal replacement market using food involvement, it was classified into three markets (multiple involvements, exploration-oriented, and product quality-oriented). Second, an analysis of the importance of restaurant meal replacement selection attributes revealed taste, sanitation, quality, freshness, price, saving time, texture, ingredients, preparation process, and quantity to be highly important. An analysis of the differences according to the market type revealed the multiple involvement type to be more important than other groups, considering the restaurant meal replacement selection attribute element. Third, an analysis of the importance-performance analysis of restaurant meal replacement selection attributes revealed that quantity and price as the selection attributes that needed to be improved first in all three markets. In addition, in the multiple involvement type, food additives appeared as a selection attribute requiring priority improvement, revealing the characteristics of a market that cares about diet and health.

• 보건의료산업학회지
• /
• 제10권4호
• /
• pp.179-196
• /
• 2016

Objectives : This study investigated poor self-rated health and its associated factors in married Korean women, focusing on the burdens related to family affairs and social support. Methods : Cross-sectional data from 3,039 married women (between 25 and 64 years old) who completed Korean Longitudinal surveys of Women and Families were analyzed. Results : Among working women, only two factors-lack of husband's involvement in housework and insufficient communication with husband - influenced poor self-rated health. Among housewives, lack of husband's involvement in housework, insufficient communication with husband, low satisfaction of marriage, and avoidance of alcohol consumption were associated with poor self-rated health. Conclusions : Regardless of whether women are employed or housewives, husband's support is a very important factor affecting women's health. Social efforts for changing perceptions and values are needed so that men and women mutually support each other in family affairs.

• 한국학교ㆍ지역보건교육학회지
• /
• 제24권1호
• /
• pp.1-15
• /
• 2023

Objectives: The purpose of this study was to identify the major influencing factors of breast cancer death and to suggest policy measures to promote the health of breast cancer patients. Methods: The method of this study performed statistical analysis by applying weights to 2,300 cases of breast cancer registration statistics in Korea collected in 2018 due to the relatively small number of mortality data compared to survival. Statistical processing of the collected data was analyzed using SPSS 26.0. Results: The epidemiologic characteristics of death in breast cancer patients were 31.8% in those aged 70 years or older, and the mortality rate was 5.25 times higher in patients aged 70 years or older than those aged 39 years or younger. The anatomical site code was 36.4% in C50.4~C50.6, and the mortality rate was 1.82 times higher in C50.4~C50.6 than in C50.0~C50.1. The tumor size was 40.4% and larger than 4cm, and the mortality rate was 4.53 times higher in tumors larger than 4cm than those smaller than 1cm. The degree of differentiation was 13.9% in the poorly differentiated group, and the mortality rate was 4.38 times higher in the poorly differentiated group than in the highly differentiated group. In the hormone receptor test, non-triple negative cases were 59.6%, and the mortality rate was 0.57 times lower in non-triple negative cases than in triple negative cases. As for lymph node involvement, the presence or absence of lymph node involvement was 78.8%, and the mortality rate with lymph node involvement was 1.36 times higher than that without lymph node involvement. The survival period of 13 to 24 months was the highest at 26.5%, and the average survival period was 25.68 months (±14.830). Conclusion: A policy to advance the timing of national health examinations for early detection of breast cancer is necessary. In addition, a bill for the mandatory placement of health educators in medical institutions for patients with special diseases such as breast cancer should be prepared.

• Safety and Health at Work
• /
• 제10권1호
• /
• pp.95-102
• /
• 2019

Background: In a cluster-randomized trial, the Safety and Health Involvement For Truck drivers intervention produced statistically significant and medically meaningful weight loss at 6 months (-3.31 kg between-group difference). The current manuscript evaluates the relative impact of intervention components on study outcomes among participants in the intervention condition who reported for a post-intervention health assessment (n = 134) to encourage the adoption of effective tactics and inform future replications, tailoring, and enhancements. Methods: The Safety and Health Involvement For Truck drivers intervention was implemented in a Web-based computer and smartphone-accessible format and included a group weight loss competition and body weight and behavioral self-monitoring with feedback, computer-based training, and motivational interviewing. Indices were calculated to reflect engagement patterns for these components, and generalized linear models quantified predictive relationships between participation in intervention components and outcomes. Results: Participants who completed the full program-defined dose of the intervention had significantly greater weight loss than those who did not. Behavioral self-monitoring, computer-based training, and health coaching were significant predictors of dietary changes, whereas behavioral and body weight self-monitoring was the only significant predictor of changes in physical activity. Behavioral and body weight self-monitoring was the strongest predictor of weight loss. Conclusion: Web-based self-monitoring of body weight and health behaviors was a particularly impactful tactic in our mobile health intervention. Findings advance the science of behavior change in mobile health intervention delivery and inform the development of health programs for dispersed populations.

• 여성건강간호학회지
• /
• 제21권3호
• /
• pp.232-240
• /
• 2015

Purpose: The purpose of this descriptive survey study was designed to identify the stress coping types of married immigrant pregnant women and find out the differences in maternal-fetal attachment and maternal identity based on each types. Methods: 151 married immigrant women who visited 3 women's hospitals located in J-do for pre-pregnancy checkup were selected as study objects. Data were analyzed by dsecriptive statistics, cluster analysis, t-test, ANOVA, and $Scheff{\acute{e}}$ multiple comparison test. Results: Cluster analysis revealed 4 distinct stress coping styles; low stress-coping involvement social support-oriented type, high stress-coping involvement hopeful thinking type, low stress-coping involvement type, effective stress coping types. Women frequently using effective stress coping type among the four types reported higher maternal-fetal attachment. The group of active coping styles got significantly higher score on maternal identity. Conclusion: Proper stress coping of married immigrant pregnant women regarding pregnancies proved to result in high levels of maternal-fetal attachment and maternal identity. Studies measuring the stress coping styles that affect pregnancies should be continuously conducted.

• Osong Public Health and Research Perspectives
• /
• 제8권5호
• /
• pp.308-317
• /
• 2017

Objectives: We aimed to examine the effects of various leisure activities on cognitive impairment in young-old (aged 65-74 years) and old-old (aged ${\geq}75$ years) adults. Methods: In total, 10,279 elderly Korean individuals from the 2014 Korean National Survey on Older Adults' cohort were enrolled in our study. Cognitive impairment was assessed using the standardized score of the Mini-Mental State Examination for Dementia Screening, whereas leisure activities were recorded via self-reporting of the extent and type of leisure activity the subjects involved in over the past year. Multivariate logistic regression was used to assess the effect of leisure activities on cognitive impairment, while controlling for potential covariates. Results: The subjects were more likely to participate in cognitive activities than in non-exercise physical activities. After controlling for selected covariates, involvement in cognitive activities was found to be a significant predictor of cognitive impairment in both the groups, whereas involvement in non-exercise physical activities was not a predictor of cognitive impairment in individuals aged ${\geq}75$ years. Moreover, depressive symptoms, rural residence, and hearing difficulties were common predictors of cognitive impairment among elderly-Korean-individuals. Conclusion: Leisure activity involvement may help delay cognitive impairment, which is often concomitant with aging. Hence, an early intervention service may significantly benefit both young-old and old-old individuals.