• 한국컴퓨터정보학회:학술대회논문집
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• 한국컴퓨터정보학회 2021년도 제64차 하계학술대회논문집 29권2호
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• pp.699-700
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• 2021

This study investigated patterns of co-occuring chronic diseases and disorders in old ages. For this purpose, we utilized data from the Korean National Health and Nutrition Examination Survey for 3,734 old adults aged over 65. Data on 18 conditions were obtained, and analyzed using network analysis, associated rule mining, cluster analysis. The majority of participants has multimorbidity. Association rules analysis reveals unexpected comorbidities with high lift and confidence. Also, some morbidity clusters were present. Diabetes and emotional disorder had the greatest comorbidity and represent complex comorbid conditions. Old age is characterized by a complex pattern of multimorbidity and comorbidity. In conclusion, particular combinations of morbidities were very prevalent and will be needed to policy of health care interventions for old ages.

• 대한지역사회영양학회지
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• 제25권6호
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• pp.502-511
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• 2020

Objectives: This study investigated the health and nutritional status of the elderly according to the number of chronic diseases, using data obtained from the Korea National Health and Nutrition Examination Survey 2013~2015. Methods: Data from a total of 2,310 individuals, aged 65 years and over, were used for the analysis. The elders were divided into 0 (n=375), 1 (n=673), 2 (n=637) and 3 or more (n=625) groups, by considering the number of chronic diseases. Results: Compared to other groups, the elderly subjects who were living with their spouse had the highest ratio in group 0 (P < 0.05), whereas subjects without economic activities had highest ratio in 3 or more group (P < 0.05). The EQ-5D index of subjects in the 0 group (0.90 ± 0.01) was higher than that in the 3 or more group (0.86 ± 0.01) (P < 0.05). After adjusting for confounding factors, the energy intake of subjects was determined to be lowest in the 3 or more group (P < 0.05). Protein (P < 0.05) and riboflavin (P < 0.05) intakes of the 3 or more group were also lower than other groups. Conclusions: This study indicates that multimorbidity of the elderly is associated with their health and nutritional status. The nutrients intake of the elderly, especially energy, protein and riboflavin, tended to be lowest in the 3 or more group. Further research is required to elucidate the risk factors related to presence of multimorbidity in the elderly.

• 보건행정학회지
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• 제29권4호
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• pp.445-453
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• 2019

Background: This study is to investigate the association between the distribution of multimorbidity and length of stay and medical expenses among inpatients in a municipal hospital to achieve an integrated care setting. Methods: We used the exploratory factor analysis and the generalized estimating equation model to analyze the data from patients living in the northeast region of Seoul, who were hospitalized from January 2017 to December 2017 in a municipal hospital. Results: As a result of the factor analysis, seven types of multiple chronic diseases were classified. Among the elderly patients admitted to municipal hospitals, the burden of medical expenses was mainly influenced by the length of stay (B=310,719, p-value <0.0001), not the type of disease (all not significant). Length of stay were mainly due to psychiatric illness (factor 1: B=4.323, p-value <0.0001) related to the brain and metabolic diseases (factor 2: B=2.364, p-value=0.003). Conclusion: This study showed that the medical expenses of the elderly patients were largely due to prolonged hospitalization, not multimorbidity. Therefore, it is necessary to develop an integrated care paradigm strategy cope with the multimorbidity of the elderly in the community and to alleviate the socio-economic burden.

• 중환자간호학회지
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• 제12권2호
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• pp.61-72
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• 2019

Purpose : The aim of this study was to explore the attributes, antecedents, and consequences of patient-centered care (PCC) for older adults with multimorbidity in acute care hospitals. Methods : The concept analysis performed by Walker and Avant was used to analyze PCC. Fifteen studies from the literature related to PCC appear in systematic literature reviews in the fields of theology, medicine, psychology, and nursing. Results : PCC in acute care hospitals was defined according to the five attributes of 'maintaining patient autonomy', 'empowering self-care', 'individualized and relationship-based care', 'shared decision-making', and 'creating a homelike environment'. Antecedents of PCC were found to be a respect for patients' preferences, qualifications of the nursing staff, care coordination and integration, and organizational support. Consequences of effective PCC were a functional status; health-related quality of life; satisfaction with care, mortality, and medical costs from the perspective of the patient and family; and quality of care and therapeutic relationships from nurses' viewpoints. Conclusion : PCC as defined by the results of this study will contribute to the foundation of institutionalization and the creation of a safe and healthy acute care hospital culture focused on patients' preferences and values.

• 한국학교ㆍ지역보건교육학회지
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• 제25권1호
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• pp.29-41
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• 2024

목적: 본 논문에서는 대한민국 성인의 라이프스타일 위험요인과 복합만성질환간의 연관성 규칙을 탐색하여 보건교육프로그램에 필요한 방향성과 기초정보를 제공하는데 목적을 둔다. 방법: 제8기 국민건강영양조사 중 2019년부터 2020년까지 만 19세 이상 성인 7,609명을 대상으로 하였으며, 6개의 라이프스타일 위험요인과 11가지 이환질환에 대하여 R과 R 스튜디오를 이용하여 연관규칙마이닝을 수행하였다. 결과: 본 연구 결과를 통하여 연관규칙마이닝과 같은 데이터마이닝 기법을 통해 생활 습관 위험 요인의 중요성과 여러 만성 질환의 역할을 보여줬다는 점에서 의미가 있다. 결론: 상기 결과를 통하여 신체 활동 부족을 해결하기 위한 운동 프로그램, 부적절한 체중을 해결하기 위한 식이 중재, 부적절한 수면을 해결하기 위한 정신건강 교육프로그램과 같은 선택적이고 집중적인 건강교육 프로그램에 대한 개발의 필요성이 요구된다.

• 한국산학기술학회논문지
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• 제15권6호
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• pp.3751-3758
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• 2014

본 연구는 제3기 국민건강영양조사 자료를 이용하여 우리나라 65세 이상 노인의 관절염과 동반 만성질환에 따른 건강관련 삶의 질(이하 HRQoL) 감소 양상을 파악하고자 하였다. 연구대상자는 7개 단일질환군(관절염, 추간판탈출증, 골다공증, 천식, 위십이지장궤양, 뇌졸중, 백내장) 1,357명, 관절염에 더하여 상기 만성질환중 하나를 추가 보유한 복합만성질환군 886명, 무질환군 465명 등 총 2,708명이었다. HRQoL 지표인 EQ-5D index를 집단 간에 비교하기 위해 공분산 분석을 실시하였고 관절염과 동반 만성질환의 교호작용을 관찰하기 위해 다중 회귀분석을 실시하였다. 남녀로 나누어 분석한 연구결과는 다음과 같다. 남성에서 연령보정 EQ-5D index 평균치가 관절염군과 유의한 차이를 보인 질환군은 단일질환군 중에는 뇌졸중군이 유일하였으며, 복합만성질환군 중에는 뇌졸중을 동반한 관절염군과 백내장 동반 관절염군이었다. 여성에서 연령보정 EQ-5D index 평균치가 관절염군과 유의한 차이를 보인 질환군은 단일질환군 중에는 천식, 뇌졸중, 백내장 등이었으며, 복합 만성질환군 중에는 골다공증 동반 관절염군, 위십이지장궤양 동반 관절염군, 뇌졸중 동반 관절염군, 백내장 동반 관절염군 등이었다. 다중 회귀분석을 실시한 결과 남성에서는 교호작용이 관찰되지 않았고, 여성에서는 관절염환자가 뇌졸중을 동반한 경우만 교호작용이 관찰되었는데 감산관계 양상을 보였다. 관절염환자에서 건강관련 삶의 질을 평가하는 경우에는 동반 만성질환의 이러한 효과를 고려하여할 것이다.