• Journal of Preventive Medicine and Public Health
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• 제38권4호
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• pp.391-400
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• 2005

Objective : This study examined the socioeconomic differentials for the health and health related behaviors among South Korean middle school students. Methods : A nationwide cross-sectional interview survey of 3,449 middle school second-grade students and their parents was conducted using a stratified multi-stage cluster sampling method. The response rate was 93.3%. The socioeconomic position indicators were based on self-reported information from the students and their parents: parental education, father's occupational class, monthly family income, out-of-pocket expenditure for education, housing ownership, educational expectations, educational performance and the perceived economic hardships. The outcome variables that were measured were also based on the self-reported information from the students. The health measures included self-rated health conditions, psychological or mental problems, the feelings of loneliness at school, the overall satisfaction of life and the perceived level of stress. The health related behaviors included were smoking, alcohol drinking, sexual intercourse, violence, bullying and verbal and physical abuse by parents. Results : Socioeconomic differences for the health and health related behaviors were found among the eighth grade boys and girls of South Korea. However, the pattern varied with gender, the socioeconomic position indicators and the outcome measures. The prevalence rates of the overall dissatisfaction with life for both genders differed according to most of the eight socioeconomic position indicators. All the health measures were significantly different according to the perceived economic hardship. However, the socioeconomic differences in the self-rated health conditions and the psychosocial or mental problems were not clear. The students having higher socioeconomic position tended to be a perpetrator of bullying while those students with lower socioeconomic position were more likely to be a victim. Conclusions : The perceived economic hardships predicted the health status among the eighth graders of South Korea. The overall satisfaction of life was associated with the socioeconomic position indicators. Further research efforts are needed to explore the mechanisms on how and why the socioeconomic position affects the health and health related behaviors in this age group.

• 한국산학기술학회논문지
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• 제17권8호
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• pp.485-491
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• 2016

본 연구는 신체활동증진을 위한 방문운동을 통해 재가 허약노인의 신체적 기능(악력, 정적균형), 심리적 기능(우울, 주관적 건강상태)에 미치는 영향을 확인하기 위해 시도된 비동등대조군 전후설계연구이다. 대상자는 D광역시에 거주하는 허약노인으로 방문요양서비스를 받는 자로 실험군 25명, 대조군 24명이다. 실험군은 A어르신 마을의 방문요양서비스를 받은 재가노인으로 2016년 3월 28일부터 2016년 5월 14일까지 8주간 총 16회의 방문운동을 실시하였다. 대조군은 중성적 처치로 2회 걸쳐 건강교육 자료를 나누어주었다. 수집된 자료는 SPSS/WIN 21.0 Program을 이용하여 분석하였다. 신체활동증진 프로그램을 적용한 결과 실험군은 대조군에 비해 오른쪽 악력, 왼쪽 악력, 정적균형이 통계적으로 유의하게 증가하였다. 우울은 프로그램 적용 후 유의하게 감소하였으나 주관적 건강상태는 유의한 차이가 없었다. 결론적으로 신체활동 증진을 위한 방문운동은 재가허약노인들의 신체적 기능향상과 심리적 건강상태를 긍정적으로 변화시키는데 효과적임을 확인할 수 있었다. 본 연구결과를 토대로 방문운동의 기간과 강도를 연장하여 그 효과의 지속성을 검정할 수 있는 반복연구와 시설이나 장소를 달리한 비교연구를 제안한다.

• 성인간호학회지
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• 제12권1호
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• pp.134-146
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• 2000

This study was conducted to investigate the relationship between self-esteem, health promoting behavior and the quality of life of the patients undergoing hemodialysis. The subjects were 86 patients undergoing hemodialysis in H hospital. The data were collected using a questionnaire. Data collection was done from January 11th to June 16th, 1999. The analysis of data was done by use of descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient and Multiple regression using the SPSS/PC+ program. The results are as follows: 1. The mean of the level of self-esteem was 25.02, the level of health promoting behavior, 120.04 and the level of QOL, 128.09. 2. Test for hypothesis: Hypothesis 1. "The higher the level of self-esteem of the patients undergoing hemodialysis, the higher the level of quality of life will be." was supported(r=.296, p<.01). Hypothesis 2. "The higher the level of health promoting behavior, the higher the level of quality of life will be." was supported (r=.628, p<.001). 3. Health promoting behavior explained 39.5percent of QOL($R^2$=.395, F=27.040, p<.001). 4. Monthly income(F=3.85, p<.01) and marital status(F=4.64, p<.05) were significantly related to the quality of life In conclusion, this study showed that self-esteem and health promoting behavior may be important factors that can improve the quality of life of the patients undergoing hemodiaysis. This study identified that nursing plans should include these factors to help physical, psychological and social adaptation of the patients undergoing hemodialysis.

• The Journal of Korean Physical Therapy
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• 제6권1호
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• pp.49-60
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• 1994

Stress is experienced when a person tries to maintain stability in the face of life change but is not able to meet the adaptive demands of change. This can be especially true for the parents who has a cerebral palsy childs who needs long term rare, where parents, are the primary source of care and responsibility. Successful coping leads to maintenance of the parents role and this has an effect on the health status of the child. This descriptive study was attempted to identify stress factors, levels and helpful coping patterns for parents who must take care of cerebral palsy children. Data were collected from 43 subjects who were parents of children diagnosed with cerebral palsy The informations gathered from March 25, 1994 to April 14, 1994 by means of structured questionnaires were analyzed. Two instruments were used to collect the data 1) Lee's stress questionnaire consisted of 33 stress factors and measured by four point Likert scale. 2) Modified Chronic Health Inventory for parents: The modified CHIP included 43 items of coping methods with four point Likert scale. The results of this study were as follows: 1) Stress items could have a maximum score of three points, for a total possible score of 132 points. The mean score for the total was 92.02 points. The item mean score was 2.85 points showing that the parents were experiencing moderate to much stress. 2) The items with the highest stress items were 16 items. The stress items with the lowest mean scores were 10 items. 3) Of the stress categories: The highest stress category was related to changes in the illness status of the child and difficulty in taking rare of the child. The second stressful category was related to the prognosis of the child's condition. The least stress was noticed to social-personal relationships and the responsibility of the care givers. 4) Items measuring coping in the parents had a maximum score of three points each with a total possible roping score of 172 points. The mean score for the total was 103,9 paints. The item mean score was 2.42 points indicating that there were responses of little helpful to moderately helpful on each coping pattern. 5) The most helpful coping items were 7 items. The least helpful coping items were 2 items. 6) Effectiveness of the coping for each patterns was examined : Understanding the illness condition from communication with parents of children with the same condition and consultation with the medical team was the most helpful coping pattern. Family's coorperation and integration and optimism were a moderately helpful coping pattern. Social support psychological stability and self esteem were the least helpful toping pattern. In conclusion, the highest stress for parents of children with cerebropalsy was found to be very stressful changes in the illness of the child and to taking care of a child who is suffering. The parents were helped by the coping methods using understanding of the illness condition through consultation with the medical learn and communication with parents in the same situation. Based on the knowledge, care could develop intervention strategies appropriate for them, help them to develop their effective coping patterns, and give support them in the process of coping with their stress.

• 한국노년학
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• 제37권3호
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• pp.637-653
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• 2017

본 연구는 노인의 자아통합감에 영향을 미치는 변인들을 통합적으로 살펴보기 위하여 2017년 4월까지 국내에서 출판된 56편의 연구를 바탕으로 메타분석을 실시하였다. 자아통합감 관련 변인들을 6개의 변인군으로 나누고 각각 변인군에 대한 하위변인별로 효과크기를 산출하였으며 분석결과는 다음과 같다. 첫째, 전체효과크기는 중간효과크기를 보였고, 변인군에 따른 효과크기는 긍정심리적변인군이 가장 크게 나타났으며, 부정심리적변인군, 신체적변인군, 가족적변인군, 사회적변인군, 인구통계적변인군의 순서로 나타났다. 둘째, 개별변인군에 대한 하위변인들의 효과크기는 긍정심리적변인군은 삶의 질, 부정심리적변인군은 우울, 신체적변인군은 건강행위, 가족적변인군은 자녀관계, 사회적변인군은 사회적지지, 인구통계적변인군은 경제상태가 가장 높게 나타났다. 상기와 같이 자아통합감과 관련된 변인들 중 삶의 질, 삶의 만족도 및 우울의 효과크기가 크게 나타남에 따라 이러한 변인들이 자아통합감 향상에 영향력이 클 수 있음을 시사하였다.

• 한국노년학
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• 제38권4호
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• pp.963-979
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• 2018

본 연구는 생애에 걸쳐 축적된 노인의 이질성을 기반으로 노년기 허약유형을 발견하고 허약 유형별 영향요인을 밝히는데 목적이 있다. 연구대상은 지역사회에 거주하고 있는 70세 이상 노인으로 한정하였으며, 전국 70세 이상 노인의 성별과 연령, 그리고 지역(시 도)을 기준으로 비례할당을 통해 표본을 추출하여 최종적으로 403명의 자료가 분석에 사용되었다. 노년기 허약수준과 유형 파악은 15개 문항으로 구성된 Tilberg의 허약지표(Tilberg frailty indicators)를 활용하였다. 잠재계층분석(latent class analysis)을 통해 노인의 허약유형을 도출하였으며, 허약유형의 결정요인을 밝히기 위해 다항 로지스틱 회귀분석을 실시하였다. 연구결과 우리나라 노인의 허약유형은 다차원허약형(27.0%), 심리적 허약형(26.8%), 일상도움필요형(46.2%) 등의 세 가지 유형으로 나타났다. 세 유형 모두 일상생활문제를 처리하는데 어려움이 있으나 도움을 충분히 받고 있지 못한다는 공통점이 발견되었다. 그 밖에 다차원허약형은 다른 유형에 비해 신체 및 심리적 허약 위험이 높고, 부분적으로 사회적 허약수준이 높았다. 심리적 허약형은 우울이나 슬픔, 불안과 초조 등과 같은 심리적 허약 가능성이 높은 유형이며, 일상도움필요형은 신체적 및 심리적으로 건강한 편이나 일상생활 문제처리의 어려움이 있으나 주변으로부터의 도움이 부족한 것으로 나타났다. 일상도움필요형을 기준집단으로 허약유형별 차이를 가져오는 요인을 분석한 결과, 다차원허약형은 일상도움필요형에 비해 교육수준이 낮고, 경제활동을 하지 않으며, 영양관리상태가 상당히 열악한 것으로 나타났다. 일상도움필요형에 비해 심리적 허약형은 남성 노인일 가능성이 높고, 교육수준이 낮으며, 중소도시보다는 대도시에 거주할 가능성이 높으며, 흡연율은 낮은 것으로 나타났다. 본 연구 결과를 기반으로 우리나라 노인의 허약유형과 궤적에 대한 논의와 허약으로의 진행을 예방할 수 있는 방안을 제시하였다.

• 한국생활과학회지
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• 제22권5호
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• pp.491-506
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• 2013

The allergenic food labeling system for 12 foods has been operated in Korean school food service since 2012. This study was conducted to evaluate the food allergy status of Korean elementary school children's and their parents' perceptions of allergenic food labeling system. The parents of school aged(6-9yr olds) children in Gyeongbuk area were recruited to assist in this survey. Surveys were conducted by 404 parents. The prevalence of food allergy was 18.1%(73 students) and about one-half of the food allergic children had a family history of allergies, in particular, maternal family history. The major symptoms were related to skin and the major allergenic foods were mackerel, eggs, milk, wheat, crab and tomatoes. The parents eliminated the allergenic food from diet of 43.8% of the children with food allergy. Participants had an average knowledge score of 68% correct. The average knowledge score was higher for parents with food allergic children than for parents with intact children(p<.05). Over 61% of the respondents were not satisfied with allergenic food labeling system operated in school food service. The requirements for the allergenic food labeling system were the front-of-package labeling, conspicuous description and insert of warning sign. The parents estimated that the most important effect of the allergenic food labeling system was the improvement of psychological and physical health in children with food allergy. Because the only prevention method for food allergy is the restriction of allergenic food, the institutional device to expand the food labeling to unpackaged food as well as packaged food and to make people trust the food labeling should be prepared.

• Journal of Korean Neurosurgical Society
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• 제63권6호
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• pp.757-766
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• 2020

Objective : Spinal epidural abscess (SEA) is a severe and life-threatening disease. Although commonly performed, the effect of timing in surgical treatment on patient outcome is still unclear. With this study, we aim to provide evidence for early surgical treatment in patients with SEA. Methods : Patients treated for SEA in the authors' department between 2007 and 2016 were included for analysis and retrospectively analyzed for basic clinical parameters and outcome. Pre- and postoperative neurological status were assessed using the American Spinal Injury Association Impairment Scale (AIS). The self-reported quality of life (QOL) based on the Short-Form Health Survey 36 (SF-36) was assessed prospectively. Surgery was defined as "early", when performed within 12 hours after admission and "late" when performed thereafter. Conservative therapy was preferred and recommend in patients without neurological deficits and in patients denying surgical intervention. Results : One hundred and twenty-three patients were included in this study. Forty-nine patients (39.8%) underwent early, 47 patients (38.2%) delayed surgery and 27 (21.9%) conservative therapy. No significant differences were observed regarding mean age, sex, diabetes, prior history of spinal infection, and bony destruction. Patients undergoing early surgery revealed a significant better clinical outcome before discharge than patients undergoing late surgery (p=0.001) and conservative therapy. QOL based on SF-36 were significantly better in the early surgery cohort in two of four physical items (physical functioning and bodily pain) and in one of four psychological items (role limitation) after a mean follow-up period of 58 months. Readmission to the hospital and failure of conservative therapy were observed more often in patients undergoing conservative therapy. Conclusion : Our data on both clinical outcome and QOL provide evidence for early surgery within 12 hours after admission in patients with SEA.

• 한국콘텐츠학회논문지
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• 제21권12호
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• pp.803-815
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• 2021

전 세계의 고령 인구가 늘어남에 따라 방대한 인구수를 보유한 중국의 고령화 문제는 심각한 상황에 이르렀다. 이에 본 연구에서는 스마트 홈 케어의 CCRC의 모델을 제시하고자 한다. 이론 고찰과 사례분석을 통해 스마트 홈 케어의 CCRC의 7가지 적용 요소와 중국 스마트 홈 케어의 CCRC의 문제점을 도출하였다. 이를 기반으로 본 연구는 중국의 노후 현황과 미래 기술수요에 맞춘 스마트 홈 케어 CCRC의 7가지 적용 요소의 가치제안을 제시한다. 첫째, 생활환경 분위기를 개선하고 공간 환경의 쾌적함을 높인다. 둘째, 노인의 신체와 환경 안전을 중시한다. 셋째, 온라인 편의서비스를 제공한다. 넷째, 노인들의 신체 건강과 심리 건강을 보장한다. 다섯째, 돌발 상황이 발생했을 때 반응할 수 있는 효율을 높인다. 여섯째, 노인의 몸 상태와 주변 환경을 예측한다. 일곱째, 레저용 놀이기구를 증설한다. 이를 통해 고령자에게 안전하고 편안한 스마트 서비스 환경을 제공해 삶의 질 향상을 기대해본다.

• 가족자원경영과 정책
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• 제27권2호
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• pp.49-62
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• 2023

그릿(Grit)은 장기적인 목표를 달성하고자 하는 열정과 인내를 의미하며, 심리적 건강과 적응을 예측하는 성격 특성이다. 본 연구는 한부모가 다양한 어려움 속에서도 자녀양육에 관심을 가지고 꾸준히 노력할 수 있도록 한부모의 그릿을 향상시킬 수 있는 실제적인 자원들을 밝히고자 하였다. 한국아동·청소년패널조사 2018(KCYPS 2018)의 4차년도 패널자료를 활용하여 총 284명의 한부모를 대상으로 빈도, 평균 등의 기술통계 및 상관관계분석을 실시하였으며, 위계적 회귀분석을 실시하여 한부모의 그릿에 영향을 미치는 인구사회학적 변인, 개인적 자원(심리자원, 생활시간 및 건강 자원), 가족자원(가족관계 및 자녀 자원, 경제자원)을 탐색하였다. 첫째, 상관관계 분석결과, 한부모의 그릿은 인구사회학적 변인 중 연령, 학력, 개인적 자원 중 삶의 만족도, 행복감, 자아존중감, 스마트폰 의존도, 운동시간, 아침식사 횟수, 가족자원 중 가구원수, 자녀성적만족도, 자녀학교생활만족도, 주관적 가정경제수준, 월평균 사교육비와 유의한 상관관계를 보였다. 둘째, 위계적 회귀분석을 실시한 결과, 인구사회학적 변인 중 학력, 개인적 자원 중 자아존중감, 근로 여부, 스마트폰 의존도, 운동시간, 가족자원 중 가구원수, 자녀성적만족도, 주관적 가정경제수준이 한부모의 그릿에 유의미한 영향을 미치는 것으로 나타났다. 본 연구는 한부모가 자녀양육을 잘 해낼 수 있도록 한부모의 그릿을 증진시키는 개인 및 가족 자원을 밝혔으며, 이를 통해 한부모가족의 안정적인 자녀양육 환경을 조성하기 위한 프로그램 및 정책의 방향성을 제시하였다는 점에서 연구의 의의가 있다.