• Journal of Preventive Medicine and Public Health
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• 제33권3호
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• pp.334-342
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• 2000

이 연구는 당일수술을 실시하고 있지 않은 병원에서 당일수술이 가능한 질병으로 입원하고 있는 환자를 대상으로 당일수술에 대한 인지도와 선호도를 조사하고, 당일수술 가능 질병의 평균 재원일수를 분석하며, 마취 후 퇴원점수체계를 이용한 시간대별 퇴원 가능한 환자의 비율을 분석하여 당일수술 가능여부를 판단하기 위하여 실시되었다. 자료수집은 1999년 2월 1일부터 동년 3월 31일까지 $\bigcirc\bigcirc$대학교 의과대학 부속병원에 입원하여 백내장, 편도선 비대, 탈장, 사시, 안검하수, 담석증, 질, 치루로 수술 받은 환자 353명을 대상으로 하였다. 자료 수집 방법은 설문지를 이용하여 설문과 면담을 하였고, 간호사용 마취 후 퇴원점수체계(PADS)를 이용하여 환자의 수술 후 활력징후, 활동력과 정신상태, 통증, 오심 구토, 출혈, 식이 및 배뇨 등의 환자상태를 조사하였다. 당일수술에 대한 인지도는 52.7%이었으며, 당일수술 의향이 있는 환자는 52.1%이었다. 당일수술을 받고 싶은 이유로는 "질병이 경미하고 수술이 간단하여"가 43.1%, "집에서 안정을 취해도 충분하므로"가 30.4%이었고, 당일수술을 받고 싶지 않는 이유는 "집에 있기 불안해서"가 56.5%로 가장 높았다. 당일수술 후 가장 염려되는 것은 응급 상황발생에 대한 것이었다. 당일수술의 가장 큰 장점은 입원기간 절약(39.1%)이었으며 단점은 응급상황 시 불안하다는 것이 53.9%로 가장 많았다. 환자의 주관적 판단에 의한 퇴원시기는 수술 후 1-2일이라고 생각하는 사람이 47.6%로 가장 많았다. 수술명에 따른 평균 재원일수는 백내장적출술 2.9일, 사시 교정술 2.2일, 편도선제거술 3일, 탈장교정술 3.8일, 안검복원술 2.2일, 담석증복강경술 4.9일, 치질제거술 4.1일, 치루제거술 4.6일로, 이들 전체의 평균 재원일수는 3.1일이었다. 수술 후 나타난 증상으로는 통증이 45.6%로 가장 많았고, 다음으로 오심 구토(10.5%) 및 두통(7.9%)의 순이었다. 시간대별 퇴원 가능 환자 수는 3시간대에 95.2%, 12시간대에 99.2%, 24시간대에는 100%로 나타나 이 연구에서 선정된 모든 수술이 마취 후 퇴원점수체계에 의한 24시간 이내 퇴원 기준을 충족시켰고, 통상적으로 당일수술 3시간 뒤에 환자가 퇴원하는 것을 고려하면 의학적인 측면에서 당일수술이 가능한 수술은 백내장적출술과 사시교정술로 판단되었다. 당일수술의 경과에 대한 설명과 수술 시행 후에 환자들에게 발생할지도 모르는 응급상황에 대한 대처 방안이 잘 강구 된다면 당일수술의 수요가 증가할 것이며, 그 서비스에 대한 만족도도 높아져 당일수술이 활성화될 것이다.

• 한국가정과교육학회지
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• 제29권4호
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• pp.133-147
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• 2017

본 연구는 광주지역에 거주하는 중학생을 대상으로 김치에 대한 인식과 섭취실태에 대해 조사하고 김치 인식도에 따른 김치 섭취의 차이를 분석하여, 학생 스스로 김치에 대해 재인식 할 수 있도록 하고, 학생들의 올바른 식습관 형성에 도움을 주는 기초 자료를 제공하고자 하였다. 광주지역에 거주하는 중학생을 대상으로 구조화된 설문지로 자료를 수집하였고, 374부를 최종 분석에 사용하였다. 중학생의 김치 인식도는 1학년은 4.10점, 3학년은 3.92점으로 1학년이 3학년보다 김치에 대한 인식이 높았다(p<0.001). 중학생의 김치 기호도는 '김치를 좋아하는 정도'(p<0.001), '김치를 먹지 않는 이유'(p<0.05)에서 1학년과 3학년이 유의한 차이가 나타났다. '김치를 좋아하는 정도'에서 김치를 좋아하는 학생은 1학년이 81.7%, 3학년이 59.8%로 1학년이 김치를 더 좋아함을 알 수 있었다(p<0.001). 중학생의 김치 섭취 실태는 '김치 섭취 횟수'(p<0.05), '한번에 섭취하는 김치 양'(p<0.05) 항목에서 1학년과 3학년이 유의한 차이가 나타났다. 김치 섭취 횟수는 1학년은 하루에 한번 집에서 섭취하는 비율이 높았고, 3학년은 하루 3회 이상 섭취하는 비율이 높았다(p<0.05). 중학생의 김치 교육은 '김치 권유에 대한 나의 태도'(p<0.05), '김치 섭취 교육의 필요성'(p<0.05), '김치 정보를 듣고 좋은 음식이라고 생각한 적의 여부'(p<0.001), '희망하는 김치 교육 방법'(p<0.001), '김치 섭취를 높이기 위한 방법'(p<0.05)에서 1학년과 3학년이 유의한 차이가 나타났다. 중학생의 김치 인식도에 따른 김치 기호도는 '김치를 좋아하는 정도'(p<0.001), '김치를 좋아하는 이유'(p<0.05), '김치를 싫어하는 이유'(p<0.05)에서 김치 인식도에 따라 유의한 차이가 나타났다. 즉, 김치 인식도가 높을수록 기호도가 높은 경향을 보였고, 김치 특유의 맛을 좋아하였다. 김치 인식도에 따른 김치 섭취 실태는 '김치 섭취 횟수'(p<0.001), '한번에 섭취하는 김치 양'(p<0.05)에서 김치 인식도에 따라 유의한 차이가 나타났다. 즉, 김치 인식도가 높을수록 김치 섭취 횟수와 섭취량도 더 많은 경향을 보였다. 김치 인식도에 따른 김치 교육은 '김치 권유에 대한 나의 태도'(p<0.05), '김치를 담근 경험'(p<0.05), '김치 섭취 교육의 필요성'(p<0.001), '김치 정보를 듣고 좋은 음식이라고 생각한 적의 여부'(p<0.001)에서 김치 인식도에 따라 유의한 차이가 나타났다. 즉, 김치 인식도가 높을수록 김치를 권했을 때의 태도 변화가 긍정적이었고, 김치를 담근 경험이 있는 학생일수록 인식도 높았으며 김치 섭취의 교육도 필요하다고 하였다.

• 부모자녀건강학회지
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• 제8권2호
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• pp.123-136
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• 2005

This research is to compare the infant's temperament and parenting stress perceived by premature infants' mother and full-term infants' mother. It aims at establishing the healthy relationship between mothers and infants. It investigates the basic data of nursing intervention program to help the mother of premature infant. The period of data collection was from May 1, 2005 to May 30, 2005, and the subjects were total 123 mothers: 44 mothers of premature infants and 79 mothers of full-term infants under 6 months who visited general hospitals, individual pediatrics, and health center located in G city. "What My Baby Is Like(WBL)" developed by Pridham, Chang, and Chiu(1994) and translated by Bang Kyeong Sook(1999) was used as a measuring instrument of infants' temperament, and Parenting Stress Index (PSI) developed by Abidin(1990) and revised and complemented by Kim Dong Hee(1997) was used as a measuring instrument of parenting stress. Collected Data were analyzed through $X^2$-test, t-test, Pearson's correlation with SPSS 12.0 window program. The results are as follows: 1. There was a significant difference in the infant's temperament perceived by premature infants' mothers and full-term infants' mothers (t=-4.08, p=.00). In subcategory, there were significant difference between premature infants' mother and full-term infants' mother in geniality(t=-3.62, p=.00), adaptation(t=-3.43, p=.00) and reaction(t=-2.01, p=.05). 2. There was a significant difference in parenting stress between premature infants' mother and full-term infants' mother(t=6.57, p=.00). The parenting stress of premature infants mothers appeared to be higher than full-term infants' mothers. They showed the higher stress in the mother-child relationship area(t=6.27, p=.00) and child area(t=7.38, p=.00) among 3 areas of parenting stress. 3. There were negative correlation between infants' temperament and parenting stress. As mothers perceived the infant's temperament negatively, the parenting stress. Especially, the negative correlation of infants' temperament and parenting stress of premature infants' mothers(r=-.44) was stronger than that of full-term infants' mothers(r=-37). From the research, as mothers of premature infants receive more stress, their stress can cause the serious problem to the relationship of the mother and the infant. Therefore, the nursing intervention should be carried out in order to change the negative perception of mothers towards their infants into the positive perception reduce the parenting stress.

• 한국산학기술학회논문지
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• 제21권5호
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• pp.141-149
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• 2020

본 연구의 목적은 간호학생을 대상으로 한 시뮬레이션 실습 중재 연구의 현황을 파악하고 효과를 분석하기 위함이다. 연구방법은 비판적 고찰을 사용하였으며, 고찰을 위한 자료는 RISS, KISS, NDSL, DBpia와 KRI에서 검색하였으며 주요 용어는 간호와 시뮬레이션이었다. 채택된 연구들은 방법론적으로 연구의 질을 분석하였으며, 이에 따라 서술연구, 단일그룹 사후 조사 연구를 제외하였으며, 결과적으로 234편의 연구가 분석에 채택되었다. 자료분석 결과, 우리나라에서 간호학생을 대상으로 한 시뮬레이션의 중재연구는 2008년부터 시작되었으며 단일그룹 사전-사후설계와 비동등성 대조군 사후설계는 석사학위와 박사학위 논문보다 저널에서 많이 나타났다. 관찰자와 간호학생에 의해 측정된 임상수행 능력은 비동등성 대조군 사전-사후 설계에서 가장 많이 연구된 종속변수이었으며 시뮬레이션과 관련된 간호학생 핵심역량은 전인간호제공을 위한 교양 및 전공지식의 통합적 간호술, 간호문제해결을 위한 비판적 사고능력, 대상자 건강개선을 위한 의사소통과 협력능력, 간호목표 달성을 위한 리더십 능력과 간호전문직발전을 위한 법적·윤리적 책임인식 능력으로 나타났다. 비동등성대조군 사전-사후설계에서는 다른 연구 설계보다 다양한 핵심역량들에 대한 효과를 확인하였다. 결론적으로 시뮬레이션 실습 교육은 임상수행능력 향상을 위한 효과적인 교수학습방법이나 비판적 사고나 문제해결능력은 추후 검증이 필요하다고 사료된다.

• Child Health Nursing Research
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• 제4권2호
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• pp.193-206
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• 1998

The purpose of this study was to examine the stressors and stress coping styles of 6th grade el ementary school children and to explore the relationship between stressful life events and health symptoms and the effects of coping style which is theoretically considered to mediate the relationship between stress and health symptoms. The study subjects consisted of 329 in 6th grade elementary school children in Cheong-Ju city. Of the 329 subjects, 171 were boys and 158 were girls. For this study, three kinds of questionnaires were adopted as follows ; 1) Feel Bad Scale (FBS) by Lewis et al., 2) lazarus-Folkman's Way of coping questionnaire 3) Hee Sun Shin's Health Symptom questionnaire (HSQ) The researcher visited the school and collected data in the class using the questionnaire method after an explanation of the purpose and procedures was given to the children. Data collection was done for 10 days (from 5th to 15th of July 1997) . The data were analyzed by descriptive statistics, correlation analysis, multiple regression analysis using the SAS statistical program. The results of this study were as follows : 1. The mean score for the FBS was 211.37(range : 77-427), The most severe stressors perceived by children were parental divorce and other's smash or steal of my things. The most frequently experienced stressful life events were conflict with siblings and being scolded for other's fault. 2. The most frequently used stress coping style was the active coping (M=17.85), followed by passive (M=13.64) and magical one (M=13.42). 3. The mean score for the HSQ was 23.30(range : 0-72) The most frequently complained health symptoms were headache and having much worry about everything. 4. There was a significant relationship between stressful life events and health symptoms (r=.60, p<.001). Also, stressful life events were positively related with passive coping(r=.27, p<.001) and magical coping (r=.38, p<.001). Health symptoms were positively correlated with passive coping(r=.33, p<.001) and magical coping (r=.41, p<.001). 5. Stepwise multiple regression analysis revealed that the most powerful predictor was the variable of stressful life events. Health concerns, magical coping style, passive coping style and active coping style accounted for 49.15% of the variance in health symptoms. This study revealed that stressful life events correlated with health symptoms in 6th grade elementary school children and passive coping and magical coping had mediating effects on this relationship. The implication for nursing is that there is a need to develop supportive interventions for high risk population to decrease health problems due to stress.

• 보건교육건강증진학회지
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• 제19권2호
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• pp.115-125
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• 2002

This study is a investigation research to examine total 123 children's thought, perception and coping method about measles, with 62 children who had experienced the measles and 61 good health children in the school, which had spread to a primary school in kyoungsang-bukdo province. The data collection was done from December 6 to December 8. The analysis of data was SPSS(10.0) for descriptive statistics. The data were collected from total 123 children, 62 of them who had diagnosed measles on October, 2000, when the measles had ended, were used a purposive sampling, the others who had a good health were used a convenience sampling. From three to six grade students made out directly the questionaire in the way of self-questionaire, and from one to two grade students, made out answering the question which the researcher had read the items. The researchers call back the students to complement the contents about the items inadequate answers, so they raised the reliability. The results were as follows. 1. The results of observe carefully the measles infection degree by a sex, the boys(27.4%) were sick severely compared with girls(9.7%)were sick weakly compared with the boys(27.4%)(p〈0.01). 2. The 62.9 percents of infected children by measles thought that they were infected at school, regarded the doctors as a first judge, and had caught the measles because of their fault. The results of observe carefully, 33.8 percents children of infected by measles had have a secondary vaccination. To the question whether they go to institute or not while suffering from the measles, 35.5% children didn't go there since they had heard the fact they infected the measles. 3. To a question of asking if close mend caught the measles, what will they do, 65.1% children of caught the measles answer ‘I can't meet my friend'(p〈0.001). It was significant that infected children have more interests than didn't infected children. The 22% children of didn't catch the measles take great interested in health compare with the 12.2% children of infected the measles(p〈0.05). To the question if they listen the preservation of health broadcasting, 63.4% children answer ‘I listen well’. It was significant between the infected group and didn't infect group(p〈0.05). To the question if they delivery to the written information at home, it was significant between the infected group and didn't infect group(p〈0.05). 4. The infected group of 69.1% children think the health is most important in their life school than any other they like study.

• 한국노년학
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• 제39권2호
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• pp.261-284
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• 2019

본 연구는 퇴직 후 창의적 직업을 선택한 남성 노인의 직업적응 경험을 살펴봄으로써 그 의미를 이해하고 이를 통해 창의적 직업을 희망하는 노인에게 구체적인 경험적 자료를 제공하기 위한 목적으로 수행되었다. 연구 참여자는 퇴직 후 창의적 직업에 종사 중인 만 65세 이상의 남성 노인 총 5명이며, 이들을 대상으로 심층 면접을 하였다. 이를 통하여 수집된 자료는 질적 내용분석을 하였고 그 결과, 총 132개의 개념과 25개의 하위범주 그리고 7개의 범주가 도출되었다. 7개의 범주는 <해방감이 이끄는 도전>, <'재미'에 대한 욕구의 반영>, <비전공자로서 느끼는 어려움과 한계>, <늘어나는 지출을 감당하기 위한 고민과 노력>, <성취를 향한 기쁨>, <자신의 창의성을 활용하는 방법>, <사회 참여의 확대에서 오는 보람>이었다. 이와 같은 결과를 통해서 나타난 창의적 직업의 적응 경험은 남성 노인의 잠재된 창의성이 발현되는 과정이었다. 이전에 느끼지 못했던 일하는 재미와 즐거움을 경험했고, 일을 수행하며 겪는 어려움을 극복하고 사회 참여를 확대해 나아가는 일련의 과정은 창의적 노화의 목표와 부합한다. 우리나라에서 노년기 창의적 직업의 선택과 적응을 돕기 위해서는 퇴직전 창의적 직업 관련 교육의 필요성과 사회적 환경의 변화를 고려한 다양한 정책적 노력과 함께 실천적 노력이 요구된다. 나아가 우리나라 노인의 퇴직 후 새로운 삶을 위한 창의적 직업의 선택이 성공적 노화를 위한 방안이 될 수 있음을 시사한다.

• Korean Journal of Radiology
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• 제22권7호
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• pp.1213-1224
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• 2021

Objective: To develop a machine learning (ML) pipeline based on radiomics to predict Coronavirus Disease 2019 (COVID-19) severity and the future deterioration to critical illness using CT and clinical variables. Materials and Methods: Clinical data were collected from 981 patients from a multi-institutional international cohort with real-time polymerase chain reaction-confirmed COVID-19. Radiomics features were extracted from chest CT of the patients. The data of the cohort were randomly divided into training, validation, and test sets using a 7:1:2 ratio. A ML pipeline consisting of a model to predict severity and time-to-event model to predict progression to critical illness were trained on radiomics features and clinical variables. The receiver operating characteristic area under the curve (ROC-AUC), concordance index (C-index), and time-dependent ROC-AUC were calculated to determine model performance, which was compared with consensus CT severity scores obtained by visual interpretation by radiologists. Results: Among 981 patients with confirmed COVID-19, 274 patients developed critical illness. Radiomics features and clinical variables resulted in the best performance for the prediction of disease severity with a highest test ROC-AUC of 0.76 compared with 0.70 (0.76 vs. 0.70, p = 0.023) for visual CT severity score and clinical variables. The progression prediction model achieved a test C-index of 0.868 when it was based on the combination of CT radiomics and clinical variables compared with 0.767 when based on CT radiomics features alone (p < 0.001), 0.847 when based on clinical variables alone (p = 0.110), and 0.860 when based on the combination of visual CT severity scores and clinical variables (p = 0.549). Furthermore, the model based on the combination of CT radiomics and clinical variables achieved time-dependent ROC-AUCs of 0.897, 0.933, and 0.927 for the prediction of progression risks at 3, 5 and 7 days, respectively. Conclusion: CT radiomics features combined with clinical variables were predictive of COVID-19 severity and progression to critical illness with fairly high accuracy.

• 한국직업건강간호학회지
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• 제3권호
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• pp.54-70
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• 1993

According as the automation of clerical work(OA ; Office Automation) develops, the use of VDT(Visual or Video Display Terminal) is increasing suddenly. But, in proportion to the spread of office automation(OA tendency), the self-conciousness syptom attendant upon the work is appearing also (Kim, Jung Tae, Lee, Young Ook, 1990). The apparatuses of office enable the clerical workers to be convenient and perform mass businesses. But, they are increasing the opportunity to be exposed to VDT syndrom, techno stress, computer terminal disease, pain by muscle strain(RSI), bradycausia of noise nature, and electromagnetic waves, etc. which are referred to as the new type of occupational diseases to the workers. It is the real situation that the workers to use VDT is complaining of the physical inconvenience sense in the recent newspaper and literature, it is the point of time that the sydrome to come from VDT use and computer terminal disease, etc. must be classified into the occupational disease(Lee, Kwang Young 1990, Lee, Kyoo Hak 1990, Lee, Won Ho 1991, Lee, Si Young 1991, Lee, Joon 1991, Choi, Young Tae 1991, Heo, Seung Ho 1989). In addition, it is the real situation that the scientifitic study result about the scope that electromagnetic waves has influence on the human body has not been suggested yet, and criticism on the stable exposure permission standard about electromagnetic waves to be emitted from VDT and on the problem in the health about electromagnetic waves is continuing. (IEEE Spectrum, 1990). In addition according to the experience of nursery business of industry field, it is the real situation that the patients who consult complaining of physical and mental inconvenience sence, among the users of apparatus of office automation, are reaching 10% of the patients coming to doctor's room. Therefore, it is necessary to confirm the self-consciousness symptom that the clerical workers complain of multilaterally with the actual state examination about the use of the apparatuses of offices automaton. Thus, this study was tried as th basic data for the cosultation and education for the maintenance and furtherance of the health of workers as the nurse of industry field, by confirming the contents of self-consciousness symptom attendant upon the use of the apparatus for office outomation making the financial institution in which the spparatus for office automation in most frequently used as the subject, and by examining whether there is the difference according to the subject of study, the data were collected, by using the questionnaire method, making 200 workers who consented to the study participation as the subject, among the persons who have spent over 3 months since they used the apparatuses for office automation and didn't receive the treatment in hospital due to the clerical disease for recent 3 years. The period of data collection was from Oct. 9, 1991 to Oct. 12. As for the measurement instrument about the complaint if self-consciousness symptom attendant upon the use of apparatuses fo office automation, the question item on the complaint symptom of health problem attendant upon the treatment of VDT that Kim(1991) developed and on CMI health problem and the question items on the fatigue degree due to industry were used by previous examination to 25 persons. Collected data were analyzed with the statistical method such as percentage, arithmetic mean, Person correlation coeffient, Kai square verfication, t-test, ANOVA, etc. by using SPSS/PC+ program, and the result is as follows : 1. The self-consciousness symptom that the clerical workers complained of most frequetly appeared high in 'My eyes are tired'(99.4%), 'I feel fatigue and weariness'(99.4%), 'I feel that my head is heavy5(90.0%), 'eyesight fell'(88.8%), 'I have a stiff neck'(88.8%), 'I fell pain in the shoulder'(85.0%), 'I feel cold and painful in the eyes'(76.9%), 'I feel the dry sense of eyeball'(76.2%), 'My nerves are edgy, and I an fretful, (75.6%), 'I feel pain in the waist'(73.2%) and 'I fell pain in the back'(72.8%). It emerged that the subject use the apparatuses for office automation complained of self-consciousness symptoms related to visual symptoms and musculoskeletal symptoms. 2. As for the general feature of examination subjects, the result to see the distribution by classifying into sex, age, school career, use career of apparatuses for office automation, skillfulness degree of the use of apparatus for office automation, use hours of the apparatuses for office automation per 1 day, type of business of the apparatus for office automation, rest hours during the use of apparatus for office automation, satifaction degree of business of office automation, and work circumstance, etc. emerged as follows : As for the sex of subjects, the distribution showed that men were 58.8% and women were 41.3%, Age was average 26.9. As the distribution of school career, the distribution showed that4below the graduation of high school' was 58.8%, 'graduation from junior college-university' was 35.0%, and 'over graduate school' was 6.3%. In the question to ask the existence or non-existence of experience of health consultation in connection with the work of office automation, the response that I had the consultation exprience and I feel the necessity emergerd as 90.1% And, the case that the subject who didn't wear the glasses or lens before using the OA apparatus wear glasses or lens after using OA apparatus emerged as 28.3% of whole. As for the existence or non-existence of use career of OA apparatus, the case under 3 years was highest as 52. 7%. As for the skillfulnness degree about the use of apparatus for office automation, most of them are skillful with the fact that 'common' was 44.4%, 'skill' was 42.5%, and 'unskillful' was 13.1% As for the use average hours of the apparatus for office automation per 1 day, the distribution showed that the case under 3-6 hours was 33.1%, the case under 6-9 hours was 28.1%, the case under 3 hours was 30.6%, and the case over 9 hours was 8.1% Main OA business and the use hours for 1 day showed in the order of keeping and retrieval, business of information transmission(162min), business of information transmission(79.3 min), business of document framing(55.5 min), and business of duplication and printing(25.4min). as for the rest during the use of apparatus for affice automation, that I take rest occasion demands the major portion, but that I take after completing the work emerged as 33.8%. Though the subiness gets to be convenient by the use of the apparatus for of office automation, respondents who showed the dissatisfaction about the present OA business emergd high as 78.1%. The work circumstances of each office was good with the fact that the temperature of office was 21.8, noise was average 42.7db, and the illumination was average 364.4 lx, in the light of ANSi/HFS 100 Standard. 3. Sight syptom, musculoskeletal symptom, skin and other symptoms showed the significant difference according to the extent of skillfulness of the apparatus for office automation. All the symptoms exept skin symptom showed the difference according to the use hours of the apparatus for office automation. All the question items exept the sytoms of digestive organs and the rest hours during the apparatus for office automation showed the signicant difference. The question item which showed the signicant difference from the satisfaction degree of present OA business showed the significant difference from all the question item classified into 6 groups. But, age and school career didn't significant difference from the complaint of any self-consciousness symptoms.