• 디지털융복합연구
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• 제16권6호
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• pp.343-352
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• 2018

본 연구의 목적은 일개 중소도시 지방 65세 이상 노인을 대상으로 건강관련 삶의 질과 이에 영향을 미치는 요인을 분석하여 중소도시 노인의 삶의 질 향상을 위한 방안을 마련하기 위하여 시도 되었다. 조사대상은 2015년 9월 21일부터 10월 30일까지 자료를 수집하였고, spss/win 23.0을 이용하여 분석하였다. 연구결과 대상자의 일반적 특성과 건강관련 삶의 질은 성별(t=2.36, p=.019), 사회참여(t=4.10, p=.000), 주관적 건강상태(F=12.08, p<.001), 의료비부담 수준(F=4.39, p=.014), 주관적 경제상태(F=3.50, p=.032), 만성질환 수(F=7.91, p<.001)에 따라 유의한 차이가 있었다. 대상자의 건강관련 삶의 질의 영향요인은 사회참여, 성별, 주관적 건강상태, 가족지지, 의료비부담 순으로 나타났으며 설명력은 26.3%이었다. 따라서 중소도시 65세 이상 노인을 대상으로 건강관련 삶의 질 향상을 위하여 사회 참여, 성별, 주관적 건강상태, 가족지지, 의료비 부담 등을 고려한 지역적 특성에 맞는 실제적이고 포괄적이며 지속적인 건강증진프로그램 개발이 필요하다.

• 한방안이비인후피부과학회지
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• 제23권1호
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• pp.199-214
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• 2010

Objective : Atopic dermatitis (AD) may profoundly affect patient's quality of life (QOL), and also cause economic impact. The aim of our study was to evaluate the quality of life and the economic impact of adult atopic dermatitis patient in Seoul. We also evaluate the relationship of QOL and economic impact with severity of AD. Methods : 30 adult atopic dermatitis patient were included and evaluated by using the SCORAD Index and EASI. Patients were asked to fill in the questionnaires about their quality of life and financial costs during the past year by AD. Data about sleep disturbance and pruritus were also obtained. Pearson's correlation were used for statistical analysis. Results : 1. Among 30 patients, women were 19(63.3%), men were 11(36.7%). The mean age of the patients were 27.3 years old, patients between the ages of 17 and 30 years were 23, over 30 were seven. 2. The mean score of Objective SCORAD was $32.89{\pm}7.30$, Subjective SCORAD was $8.13{\pm}3.53$ and EASI was $9.15{\pm}6.90$이었다. 3. The mean score of Skindex-29 was $28.26{\pm}7.58$, DLQI was $10.17{\pm}5.55$. 4. By analyzing the questionnaire, a monthly average cost of 583,200 won for each patient was determined. Direct cost was 236,800 won and indirect cost was 346,300 won. 5. By analyzing the correlation between the severity of AD and QOL, Objective SCORAD and EASI were positively correlated with QOL(Skindex-29, DLQI) but not significant, meanwhile subjective SCORAD were significantly and positively correlated with QOL(Skindex-29, DLQI). 6. By analyzing the correlation between the severity of AD and economic impact, Objective SCORAD were significantly and positively correlated with direct cost and indirect cost. Also, EASI were significantly and positively correlated with direct cost and oriental medical hospital visits. Conclusions : The above results show that the QOL of the patients with atopic dermatitis is significantly related to their disease severity. Atopic dermatitis patients pay 583,200 won a month, and the economic impact of the patients is significantly related to their disease severity.

• 한국콘텐츠학회논문지
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• 제22권8호
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• pp.347-357
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• 2022

본 연구는 Health-related quality of life instrument with 8 items (HINT-8)을 중심으로 만성폐쇄성폐질환 (Chronic Obstructive Pulmonary Disease, COPD) 환자의 건강관련 삶의 질 정도와 영향요인을 파악하기 위해 2019년 국민건강영양조사에서 폐기능 검사를 수행한 만 40세 이상의 성인 중 1초간 노력성 호기량(forced respiratory volume in 1 second, FEV₁) 대 노력성 폐활량(forced vital capacity)을 측정하여 비율이 0.7 미만인 자 중 건강관련 삶의 질 측정도구인 HINT-8에 누락이 있는 3명을 제외한 총 451명을 대상으로 하였다. SAS program을 이용하여 실수와 가중백분율, 평균과 표준편차, 일반선형모델을 이용하여 분석한 결과, HINT-8 index와 EuroQol five-dimensions 3-level version (EQ-5D-3L) index 두 도구 모두 COPD 환자에게서 건강관련 삶의 질을 측정하는 도구로서 적절하였다. HINT-8을 중심으로 COPD 환자의 건강관련 삶의 질 영향요인은 연령, 성별, 소득, 흡연상태, 동반질환, 스트레스, 주관적 건강상태이었다. COPD 환자의 건강관련 삶의 질을 개선하기 위해서는 금연교육 및 스트레스 관리 등이 포함되어야 하며, 고령, 저소득층 등 대상자의 특성에 맞는 개별화된 관리프로그램이 개발되고 적용되어야 할 것이다.

• 한국조경학회지
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• 제38권5_2호
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• pp.151-162
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• 2010

This research aimed at measuring Park and Green Satisfaction (PGS) using subjective indicators of 'surface, line and spot' green evaluated by citizens. Also frequency of visits to park and green measured using objective indicators (number of visits) to find the relationship with PGS. A conceptual model of PGS was developed to relate evaluation to satisfaction and finally to utilization of open spaces. A sample of 500 questionnaire survey was employed for Uijeongbu City in Korea. A Structual Equation Modeling (AMOS) techniques was used to test the hypothesized relationship among factors (construct). As a result, first, PGS was explained by three latent factors of 'urban park' (${\gamma}=0.54$), 'linear facilities' (${\gamma}=0.25$), and 'surface green' (${\gamma}=0.15$) respectively. These three exogenous construct was found very useful classification system for open spaces of cities. Second, PGS (${\gamma}=0.34$) was found as a mediating variable to utilization of open spaces and also PGS was closely related to citizens Environmental Quality Satisfaction (EQS), such concept as, 'livability' and 'aesthetic quality'. The more satisfied with park and green the more people use the space. The PGS was an important QOL indicator together with the subjective indicator of 'livability'. Third, jogging and walking trails and bike ways along the river corridor was the most important green facilities contribute to the PGS and EQS. The near the distance (within 500m) the more number of visit to river corridor (green way). The river corridor promote accessibility to nature and other parks.

• 치위생과학회지
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• 제10권5호
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• pp.315-321
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• 2010

본 연구는 2009년 8월부터 2009년 11월까지 편의추출된 서울, 인천, 대구지역 치과 병의원 3곳에서 1개 이상 3개 이하 치아에 대해 임플란트 시술을 받은 20세 이상의 남녀 성인 환자 중 102명을 대상으로 하여 3개 이하의 임플란트 고정성 보철물 장착 전후의 구강건강관련 삶의 질(OHIP-14) 변화에 관하여 조사하고 다음과 같은 결론을 얻었다. 1. 3개 이하의 임플란트 고정성 보철물 장착 후 OHIP-14 총점은 치료 전에 비해 유의하게 감소하여(p<0.001) 구강건강관련 삶의 질이 향상된 것으로 나타났다. 2. 인구통계적 특성에 따른 보철물 장착 전 시점의 OHIP-14 총점은 성별(p=0.01), 경제적 수준별(p=0.04), 교육수준별(p=0.01)에는 유의한 차이가 있었으나 보철물 장착 후에는 OHIP-14 총점의 유의한 차이가 나타나지 않았다. 3. 3개 이하의 임플란트 고정성 보철물 장착 후 North Texas Periodontal Associates에서 제시한 모형의 저작 기능, 사회적 기능, 심리적 기능 만족도에 있어서도 유의하게 변화하였으나(p<0.001) 세부지표 중 구강건강에 대한 염려의 전후 변화는 유의하지 않았다. 4. 3개 이하의 임플란트 고정성 보철물 장착 후 구강건강관련 관심도 변화에 있어서 잇솔질 횟수 증가(p<0.001), 주기적 구강검진(p<0.001), 구강검진필요 인지(p<0.001), 구강질병치료 인지(p<0.001) 등에 있어서도 유의하게 변화하였다. 따라서, 본 연구에서는 소수 치아 결손 시 임플란트를 이용한 고정성 보철물 장착이 구강건강관련 삶의 질, 저작기능, 사회적 기능, 심리적 기능 만족도, 구강건강관련 관심도를 향상시킬 수 있다고 판단되었다.

• 융합정보논문지
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• 제11권3호
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• pp.54-67
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• 2021

본 연구는 국민건강영양조사 제 7기 3차 년도(2018년) 자료를 이용하여 대사증후군 노인과 골다공증을 동반한 대사증후군 노인의 삶의 질에 영향을 미치는 요인을 분석한 2차 자료 연구이다. 연구 대상은 대사증후군 노인 639명, 골다공증을 동반한 대사증후군 노인 161명이 참여하였다. 자료분석은 복합표본 Rao-Scott χ2검정, 일반선형 모형 t-검정 및 회귀모형을 이용하였다. 연구 결과 대사증후군 노인의 삶의 질 저하 요인은 연령, 배우자 동거, 근력운동, 주관적 건강상태, 활동제한, 체질량지수 및 우울이었으며 설명력은 50.4%였다(F=515.96, p<.001). 골다공증을 동반한 대사증후군 노인에서는 연령, 주관적 건강상태, 활동제한 및 스트레스가 삶의 질 저하 요인이었으며 설명력은 48.6%였다(F=10.42, p<.001). 이 결과를 토대로 골다공증 동반 대사증후군 노인에게는 건강상태에 대한 긍정적 수용, 도구적·사회적지지 및 돌봄 지원을 통한 활동제한 문제 해결 및 스트레스 감소 관리를 위한 집중적이고 공격적인 프로그램 개발 및 제공이 필요하다.

• 한국치위생학회지
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• 제11권4호
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• pp.499-509
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• 2011

Objectives : The purpose of this study was to provide some information on down-to-earth oral health policy to improve the systemic health involving oral health and the quality of life in Korean adults. Methods : The third-year data of the 4th National Health and Nutrition Survey in 2009 were analyzed, and $x^2$(Chi-square) test was carried out to see whether there would be any gaps in subjective oral health status according to demographic characteristics, systemic health state, frequency of eating between meals and oral health behavior. In terms of the DMFT index, one-way ANOVA was utilized, and then Scheffe post-hoc analysis was conducted. Besides, multiple regression analysis was made to grasp the relationship of oral health behavior to subjective oral health state and the DMFT index. Results : The demographic characteristics, systemic health status and oral health behavior had a significant relationship to both of subjective oral health status and the DMFT index. As a result of analyzing the relationship of oral health behavior to subjective oral health state and the DMFT index, the subfactors of oral health behavior exerted a significant independent influence on subjective oral health status and the DMFT index. Conclusions : The findings of the study suggest that in order to promote the oral health of adults, preventive measures should be taken, and systematic oral health education should be provided. As there is an increase in the elderly population in Korea, the successful implementation of senior oral health plans and the development of oral health programs geared toward adults are both required.

• 산업융합연구
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• 제18권2호
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• pp.1-7
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• 2020

본 논문은 고혈압이 있는 중년의 주관적 건강에 영향을 주는 요인을 파악하기 위해 시도되었다. 대표적 만성질환인 고혈압은 중년부터 유병률이 증가하는 질환이다. 중년부터 고혈압을 효과적으로 관리하기 위해서는 주관적 건강에 대한 인식을 바탕으로 생활양식을 수정해 나가야 한다. 본 연구대상은 2014-17년도 국민건강영양조사 대상자 중 30-64세의 고혈압이 있는 중년 2,254명이며 연구 변수는 일반적, 신체적, 심리적 요인으로 구성되었다. 자료 분석은 SPSS 25.0프로그램을 이용하여 복합표본을 만든 뒤 복합통계를 이용하였다. 본 연구결과 대상자의 주관적 건강에 유의하게 영향을 준 요인은 성별, 나이, 경제수준, 가구원 수, 주택소유여부, 스트레스, 삶의 질로 나타났으며 이들의 설명력은 20.4%이었다(F=12.58, p<.001). 본 연구결과는 고혈압이 있는 중년의 주관적 건강을 향상시키기 위한 중재 시 기초자료로 활용될 수 있을 것이다. 올바른 주관적 건강의 인식을 바탕으로 고혈압을 효과적으로 관리하기 위한 적절한 생활양식 수정 프로그램이 요구된다.

• 한국치위생학회지
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• 제12권2호
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• pp.355-363
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• 2012

Objectives : The purpose of this study was to examine the influential factors for denture-wearing elderly people's denture satisfaction and subjective oral health and the relationship between the two in an effort to provide some information on the oral health promotion of the elderly. The subjects in this study were 192 senior citizens who were residing in the city of Busan and were wearing denture. Methods : The collected data were analyzed by the statistical package SPSS 18.0. To see whether there would be any differences in subjective oral health awareness according to general characteristics and denture-related characteristics, $x^2$-test was carried out, and t-test or one-way ANOVA involving Duncan post-hoc analysis was utilized to look for any possible gaps in denture satisfaction according to those characteristics. Results : 1. Concerning oral health awareness by general characteristics, there were significant differences according to gender and the form of health insurance subscription. 2. As for subjective oral health awareness by denture-related characteristics, there were significant gaps according to denture-washing frequency. 3. Regarding denture satisfaction by general characteristics, there were significant differences in satisfaction with denture fixation according to living arrangements. 4. As to denture satisfaction by denture-related characteristics, there were significant differences in satisfaction with mastication and with fixation according to the type of denture. 5. Better subjective oral health awareness led to better satisfaction with mastication, better satisfaction with fixation and better aesthetic satisfaction. 6. In relation to subjective oral health awareness and denture satisfaction, that had a significant relationship to satisfaction with mastication and with fixation. Conclusions : The above-mentioned findings showed that the denture satisfaction of the denture-wearing senior citizens was linked to their subjective oral health awareness. Therefore it will be possible to improve denture-wearing elderly people's quality of life when oral health plans geared toward boosting their denture satisfaction are carried out.

• 한국치위생학회지
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• 제19권1호
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• pp.55-64
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• 2019

Objectives: The purpose of this study was to compare the differences in oral health-related quality of life among elderly people aged over 65 years, in terms of physical, mental and oral health status and to analyze factors affecting their oral health-related quality of life. Methods: From May 9 to June 23, 2017, we randomly visited aged-care community centers in the metropolitan area, and recruited 222 elderly, aged 65 or older. First, each participant completed a questionnaire consisting of 4 general items: 1 systematic disease, and 3 subjective oral conditions. Afterwards, the researchers interviewed the participants to assess their mental status, using MMSE-DS and recorded the responses. Finally, an oral examination was performed to determine the number of remaining teeth. The average oral health-related quality of life according to each characteristic was analyzed by t-test and ANOVA. Hierarchical multiple regression analysis and Pearson's correlation coefficient analysis were used to analyze the correlations between factors and the factors affecting oral health-related quality of life. Results: The mean oral health-related quality of life was 4.15. Participants with 20 or more remaining teeth demonstrated better oral health-related quality of life than those with 19 or less teeth. Higher oral health-related quality of life was also found among elderly without gingival bleeding, self-reported halitosis and dry mouth. In addition, positive correlation with the number of remaining teeth and negative correlation with gingival bleeding, self-reported halitosis and dry mouth, were noted. Finally, the results of the hierarchical multiple regression analysis indicated that remaining teeth, gingival bleeding, self-reported halitosis and education were influential factors in determining the oral health-related quality of life among the elderly. Conclusions: The results of this study confirmed the necessity of better policy support, and the importance of implementing delivered, elderly-centered oral health education program by professionals to prevent tooth loss and manage periodontal diseases.