• 한국환경보건학회지
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• 제46권6호
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• pp.676-684
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• 2020

Objectives: In this study, the extent of environmental exposure reduction behavior among the elderly living in Gongju City was identified according to demographic and sociological characteristics of individual health behavior and environmental factors. In addition, the relationship between subjective health knowledge and environmental exposure reduction behavior among the elderly was investigated. Methods: Demographic and sociological factors, subjective health status, environmental factors, and environmental exposure reduction behavior were investigated among 120 elderly people in Gongju City. Through multiple regression analysis, variables with significant relationships with environmental exposure reduction behavior were identified (SPSS ver. 22, IBM, Armonk, NY, USA). The survey (IRB-2018-0096) was conducted over about two weeks (from Dec. 3 to 14, 2018). Results: The extent of practicing environmental exposure reduction behavior by the elderly in Gongju City was high in terms of cleaning, ventilation when cooking food, periodic outdoor activities, and ventilation when smoking. Significant variables were gender, past smoking and current non-smoking, subjective health knowledge, and subjective health status. The most influential variable was subjective health knowledge (β= .411). Conclusion: There was a significant relationship between the level of subjective health knowledge and the level of objective education for health behavior related to the reduction of environmental exposure among the elderly.

• 산업융합연구
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• 제20권4호
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• pp.39-46
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• 2022

본 연구는 고등학생이 지각하는 건강관리능력에 미치는 영향요인을 파악하기 위한 서술적 조사연구이다. D시 고등학생 최종 119명을 대상으로 2020년 5월 7일부터 9월 17일까지 진행하였다. SPSS WIN 22.0 프로그램을 이용하여 t-검정, 일원 분산분석, Pearson's correlation coefficients, 위계적 회귀분석을 이용하여 분석하였다. 고등학생이 지각한 건강관리능력은 가족기능의 하위영역인 가족결속력(r=.65, p<.001), 가족적응력(r=.54, p<.001)과 정적인 상관관계가 있었다. 고등학생의 건강관리능력에 유의한 영향요인은 성별(β=.17), 자신의 건강상태 인식(β=.23), 가족결속력(β=.45)으로 확인되었으며, 모형의 설명력은 50%로 나타났다. 추후 고등학생들이 지각하는 가족기능과 고등학생의 건강관리의 실천을 증진시키고, 건강한 성인기를 위한 건강교육 프로그램 중재 및 효과 검증 연구를 제언한다.

• 한국간호교육학회지
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• 제28권2호
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• pp.117-126
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• 2022

Purpose: This study aimed to examine the effects of an eye health education program on the level of knowledge and eye health practice of middle school students. Methods: This quasi-experimental study was conducted using a pretest-posttest nonequivalent control group non-synchronized design. The study participants were from one middle school first graders in a province of Korea. The experimental group was composed of three classes (76 students), and the control group was composed of three other classes (77 students). Pretests were conducted in June for the experimental group and in August for the control group. The experimental group received an eye health education program developed for this study consisting of four sessions in total, given once a week for 45 minutes per session. The control group was instructed by the school's health teacher in the eye health education included in the existing health education curriculum. Posttests were conducted three weeks after the training in the control group and immediately after the fourth eye health education session in the experimental group. Results: After being instructed in the eye health education program, the eye health-related knowledge (t=9.45, p<.001) and eye health practice (t=2.18, p=.031) of the experimental group participating in the education program were higher than those of the control group. Conclusion: The eye health education program was effective in improving middle school student's level of eye health-related knowledge and eye health practice. School health teachers could implement this program as a part of the standard eye health education for middle school students. The long-term effects of practicing eye health behavior needs to be confirmed in a future study.

• 보건의료산업학회지
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• 제2권1호
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• pp.105-124
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• 2008

The purpose of this research is to provide the data base for the activation of Quality Improvement operation through investigating the status of Quality Improvement operation, and finding out factors influencing on the goal-orientation of QI performers in the medical centers of more than one hundred beds where are practicing Quality Improvement operation. In order to reach the purpose, document study was carried out grounded on the proceeding researches and formulated statistical data in relation with the status of Quality Improvement performers, and proof study was carried out through questionnaire survey. The subjects of the survey were the Quality Improvement performers working in seventy three medical centers in Pusan-Gyeongnam, Daegu-Gyeongbuk, and Ulsan. Among eighty three Quality Improvement performers, fifty, five were questionnaire surveyed, on the result of which Reliability Analysis, Factor Analysis, and Multiple Regression Analysis were made, using statistical program. The the results of the proof analysis on this research are as follows. First, in the factors influencing the devoting to goal pursuit of QI performers, organization-goal contribution(0.44) had significant positive effects, while organization conflict(-0.25) had significant negative effects. In other words, the higher the organization-goal contribution was, the higher the devoting to goal pursuit was, while the less the organization conflict was, the higher the devoting to goal pursuit was, which was statistically significant.(p<0.05). Second, in the aspect of goal performance types of QI performers, the process-centered type showed high level of the devoting to goal pursuit, which was statistically significant.(p<0.05). Third, in the aspect of QI performance degree, the higher the devoting to goal pursuit was, the higher the QI performance degree was, which was statistically significant.(p<0.05). In addition, the performers who perceived their workplaces organic structure showed much higher QI performance degree, which statistically significant.(p<0.05). Generalizing the results of this research, it is possible to offer a few suggestions as follows. First, as the competition among the medical centers is more severe recently owing to medical center evaluation system, medical centers are practicing various Quality Improvement operation in all of medical services such as clinical performance and management performance, to reach the purpose of both cost-cutting and medical quality improvement. Thus in order to practice Quality Improvement operation more efficiently in medical centers, it is essential to nuke use of problem-solving methods and statistical members. This as the willingness of chief executives and positive attitude and recognition of organization members. This requires the installation of divisions in charge and disposition of persons in charge, not to speak of persistent training of Quality Improvement. Second, the divisions in charge of QI carry out Quality Improvement operation at the medical center level, and take the role of generalizing and adjusting QI performances of various departments. Owing to this role, the division in charge of QI is considered indispensable organization in the QI operation of medical centers along with medical QI committee, while it contributes to the government's goal of reducing quality level gaps among medical centers. Therefore it is necessary for government and QI organizations to give institutional support and resources for the sake of QI operation of medical centers, besides to supply systematic trainning and informations to the divisions and persons in charge of QI. Third, it is certain that disposition of persons in charge should be determined in view of the scale and the scope of QI operation in medical centers.

• 지역사회간호학회지
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• 제5권2호
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• pp.203-215
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• 1994

The purpose of this study was to investigate the needs for exercise of adult inpatients and ultimately to provide basic data for planning nursing intervention of patients who need exercise. The tool used for this study was a structured questionnaire which consisted of 42 items. The test items were classified into seven factors. The seven factors of the needs for exercise were need for achievement, need for activity, need for affiliation, need for autonomy, need for catharsis, need for homeostasis, and need for exhibition. Subjects of this study were 127 patients in two general hospitals in Seoul, and one general hospital in Chun Ann City. The needs of exercise were identified and the data were analyzed by gender, age, occupation, education level, monthly income, size of patient room, patient group who requires exercise and the other patient group who requires bed rest, using one-way ANOVA and Scheffe test as post-hoc. The findings of this study were as follows ; 1) Among the needs for exercise of adult patients, the highest level of the needs was the need for homeostasis. The next highest was the need for achievement, then need for activity, need for catharsis, need for autonomy, need for affiliation, and the lowest was the need for exhibition. 2) Maintaining physical fitness stood first in the need for homeostasis, relieving psychological and physical powerlessness in the need for activity, mood diversion in the need for catharsis, happiness of the family in the need for affiliation, maintaining the balanced body figure in the need for exhibition, practicing planned life in the need for achievement, and improving the ability to overcome the crisis in the need for autonomy. 3) Male patients exhibited the higher level of the needs than female patients in all factors except the need for exhibition and homeostasis. 4) There was no statistical difference in the needs between age, occupation, monthly income, and the size of patient room. 5) The need for achievement was high as the level of education goes higher. 6) The patients who performed regular exercise before admission had higher needs for activity, achievement, and autonomy, compared with the patients who did not perform the regular exercise before admission. 7) There was no statistical difference in the needs between patient group who requires exercise and the other patient group who requires bed rest. The need for homeostasis was the highest in both groups. The results from this study suggest that the need for exercise of adult inpatients should be assessed before planning exercise intervention.

• 보건교육건강증진학회지
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• 제18권2호
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• pp.65-82
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• 2001

The purpose of this study is to find out how well the middle school students are practicing the health promotion behaviors and the factors relating their health promotion behavior. Questionnaire survey on 922 middle school students attending 6 middle schools (three middle schools for each sex) located in Taegu City from the 7th through 19th of Feb. 2000 were conducted. The following were as follows; 1. The perceived health status is higher in male students than in female students(p〈0.01). And the ratio of the students' feeling that they are healthy becomes also high in proportion to their economic status, and their mothers' educational level, and their parents' interest in health(p〈0.01). The perceived importance of health is high in proportion to the students' economic status, and their parent's interest in health. 2. In case of the Health Locus of Control in Personality, the students with both parents have higher trend of inner control than the students with single mother or single father. The perceived self efficacy is significantly higher in male students than in female students(p〈0.01). And it becomes significantly high in-proportion to the students' economic status and their parents' educational level and interest in health(p〈0.01). It is also higher in the students who had no diseases. 3. In case of the perceived benefit of the health promotion behavior, the ratio of the students responding that it is high is higher in male students than in female students(p〈0.01). It also becomes high in proportion to the students' economic status, and their parent's educational level and interest in health(p〈0.01). The barriers of the health promotion behavior was found to have no variables that are related to itself. 4. According to the data from Multiple Regression of Analysis which has the health promotion behavior practice as a subordinate variable, in male students' case the degree of health promotion behavior practice becomes high in proportion to their parents' interest in health, and the perceived health status. Their degree of health promotion behavior practice is also in proportion to their perceived self efficacy and the perceived benefit of the health promotion behavior practice. But in case of the barriers of the health promotion behavior practice, the result is the opposite. As to the female students, their health behavior practice becomes high in proportion to their parents' interest in health. It also becomes high in proportion to the perceived health status, the understanding of the importance of the health, the perceived self efficacy and the perceived benefit of the health promotion behavior. But in case of the barriers of the health promotion behavior, it was the same as the male students' case.

• 한국가정과교육학회지
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• 제17권2호
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• pp.159-170
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• 2005

본 연구는 관련 변인에 따른 중학생의 효 의식과 효행의 수행정도를 파악하여 올바른 효 의식 정립과 효의 실천을 지도하는데 기초자료를 제공하는 것을 목적으로 한다. 광주광역시과 전남 읍${\cdot} $면 지역 중학생 412명을 대상으로 하여 얻어진 결과를 요약하면 다음과 같다. 첫째, 중학생의 효 의식과 효행은 전반적으로 높게 나타났다. 둘째, 관련변인에 따른 효 의식과 효행에 있어서 효 의식은 성별, 학교 소재지, 모직업, 부교육정도, 월평균 수입, 종교, 가족구성, 효 교육 매체 등에 따라 유의한 차이가 나타났다. 즉 남학생인 경우, 시 지역에 거주하는 경우, 모직업이 사무종사자인 경우, 부의 교육정도가 대졸 이상인 경우, 가정의 월평균 소득이 300만원 이상인 경우, 종교가 천주교인 경우, 핵가족인 경우, 부모와 교사에게서 효 교육을 받은 경우에 효 의식이 높았다. 또한 효행은 성별, 모직업, 부교육정도, 종교 효 교육 매체 등에 따라 유의한 차이가 나타났는데 남학생인 경우, 모직업이 전문가인 경우, 부의 교육정도가 대졸 이상인 경우, 유교 등 기타 종교를 가진 경우에 효행이 높았고 메스컴을 통해 주로 효교육을 받은 경우가 부모와 교사에게서 교육을 받은 경우보다 낮은 효행을 보였다. 셋째, 효 의식이 높은 집단의 효행이 높게 나타났다. 넷째, 중학생의 효행에 미치는 변인들의 영향력은 효 의식. 성별 순으로 나타났다. 즉 효 의식이 높을수록 효행 실천이 높았고 성별에서는 여학생보다 남학생의 효행 실천이 높은 것으로 나타났다.

• Journal of Preventive Medicine and Public Health
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• 제34권2호
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• pp.175-181
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• 2001

Objectives : To compare the multiple outcomes of patients with cataract surgery at perioperative time,3-4 months and 12 months after surgery and to assess patient outcomes associated with visual improvement(visual acuity of operated eye, visual function-14(VF-14), symptom score). Methods : For this assessment, a prospective study was conducted with 389 patients who had undergone cataract surgery for either one eye or both eyes. The surgery was peformed by 20 ophthalmologists who were practicing at university hospitals and general hospitals. Patients were interviewed and clinical data were obtained. Doctors were questioned with self-reported questionnaire forms. Medical records were examined in order to measure variables related to the surgical process such as surgical methods and ocular comorbidity. The survey was 'conducted at 4 stages' : preoperative time(389 cases), perioperative time(344 cases, 88.4%), postoperative 3-4 months (343 cases, 88.2%), and postoperative 12 months (281 cases, 72.2%). After excluding cases with incomplete data, 198 cases were enrolled in the study. Patient outcomes was measured for any improvement in the functional outcomes(visual acuity of operated eye, visual function, symptom score) at postoperative 3-4 months. Results : The visual acuity(operated, weighted average), symptom score, VF-14 score, satisfaction with vision, and subjective health status were shown to be improved at the perioperative time, postoperative 3-4 months and 12 mouths. An improvement in the Snellen visual acuity score was observed in 190 patients(96.0%), whereas improvements of the VF-14 score and cataract symptom sure were observed in 151 patients(76.3%) and 179 patients(90.4%), respectively. All three outcome measures demonstrated improvement in 137 patients(09.2%). The improvement of the three functional outcomes at 3-4 months after receiving surgery was associated with a lower level of visual function and a higher level of cataract symptom score at perioperative time, as well as a greater experience level of the surgeon. Conclusions : In this study, the estimates of the proportion of patients benefiting from cataract surgery varied with the outcome measure of benefit. Preoperative VF-14 score, a measure of functional impairment related to vision, and symptom score may be better measures of the benefit derived from cataract surgery than the change in visual acuity.

• 대한예방한의학회지
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• 제12권3호
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• pp.185-197
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• 2008

Purpose : To know the smoking status of regional residents and to contribute the development of smoking education program by analyzing the related characteristics and affecting variables. by convenience sampling of total 1,300 regional residents in Daegu. Method : The investigation was conducted with 1,204 residents in mid to small urban area of Gyeongsangbukdo. for 3 months from April 1, to June 30, 2007. Results : 1) The current smoking rate of test subjects was 19.3% and 63% responded as non smoker, and 17.1% of test subjects responded as currently stopped smoking. 2) The smokers' age that habitually started smoking resulted to show the highest distribution at their age of $20{\sim}29$ by including 49.3% in 446 smokers, and 39.6% in ages younger than 19 years old. 3) The subjective health status of test subjects was found to be healthy in 65.1% of nonsmokers. 4) The increase of stress along with the increase of depression significantly had large effects on smoking rate. 5) When the regression analyses were conducted, test subjects' sex, age, religion, current residing area, occupation, the level of health status, the level of stress and the level of depression found to have significant effects, and the influence of these variables was 27.4% by showing an overall significance. Conclusion : Primarily, the average smoking rate of regional residents was slightly decreased, but the smoking rate in juveniles, university students, professional workers, office workers, labor workers and women were found to be increased. Therefore smoking prevention and stop smoking policies have to be enforced with the development of more effective education programs. Secondly, the health status especially the increase of stress along with the increase of depression significantly had large effects on smoking rate. So, it is considered that the responsible government, related organizations and experts should make efforts not only for the improvement of health and but also for the establishment of stress and depression solving measures. Thirdly, the supports and willingness of government and local government for substantial practicing the development of smoking prevention and stop smoking enforcement policy education programs have to be advanced with the systematic backup as the first step of improving health of national peoples.

• 보건교육건강증진학회지
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• 제21권1호
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• pp.183-195
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• 2004

The purpose of this study was to discover the effects on women's health education for college women on their health promotion behaviors and the health related knowledge. The content of women's health education consisted of sex education, smoking, alcohol, exercise, nutrition, diet and stress management. “A Women and Heath” course was provided as an optional full term subject in the years of 2002 and 2003 at C University in G City. Out of 210 students who had chosen this course, 134 had agreed to participate in the research and had answered the same questionnaire which was given before the education and 14 weeks after the course at the last class. The findings are as follows： 1. It was found that the subjects have obtained knowledge mainly from television, radio, the Internet, women's magazines in order before the education. 2. Knowledge related to women"s health origionally scored low(average 1.92 out of 5). However, having completed a course on women and their health, they showed a significant increase of knowledge statistically(t＝26.945, p＝ .001) with average score of 3.48. 3. Health promotion behaviors who had completed the course has statistically significantly increased (t＝6.464, p＝ .001) compared to before the education. The results of this study are that by providing a women's health related course for college women on a regular basis, they could broaden their health related knowledge and become more active in practicing health promotion behaviors. This shows us the need to broaden the curriculum on women's health at the college level so that women have good knowledge and practice the knowledge for the sake of their health throughout their life.