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논문검색은 역시 페이퍼서치

보건정보통계학회지검색

Journal of Health Informatics and Statistics


  • - 주제 : 의약학분야 > 예방의학및보건학
  • - 성격 : 학술지
  • - 간기: 계간
  • - 국내 등재 : KCI 등재
  • - 해외 등재 : -
  • - ISSN : 2465-8014
  • - 간행물명 변경 사항 : 한국보건통계학회지(~2003) → 한국보건정보통계학회지(2004~)
논문제목
수록 범위 : 41권 1호 (2016)

유헬스 비만관리에서 생체 지표 변화량과 영양소 지표 변화량의 상관성

이창희 ( Chang Hee Lee ) , 박정림 ( Jung Lim Park )
4,500
초록보기
Objectives: The purpose of this study is to analyze the changes in the body indices and nutritional indices between the smartphone user group who received the remote healthcare services and paper record group who performed only the self-record and to analyze the correlation between changes of body indices and changes of nutrition indices in the SmartCare Service Pilot Project conducted in 2011. Methods: Among 422 participants who were randomized in this study, the final analysis subjects were a total of 324 people, excluding the people who dropped out during the 6-month service period and who missed dietary intake records. For evaluation, the changes were compared with baseline and after 6 months by comparing 6 types of body indices and 14 types of nutritional indices and the correlation of changes were analyzed for elements of each evaluation index. Results: Changes in body indices, the smartphone user group showed statistically significant improvement much higher in weight, BMI, waist circumference, and percentage of body fat than the paper record group (p<0.05). Also, changes in nutritional indices, Energy, Carbohydrate, Protein, Fat, Niacin, Ca, and Cholesterol showed more statistically significant reduction (p<0.05). In addition, correlation of changes in the body indices and nutritional indices, the body indices of smartphone user group showed the statistically significant positive correlation with Energy, Carbohydrate, Protein, Fat, Niacin, Ca, P, Mg, and Cholesterol (p<0.05). On the other hand, the body indices of the paper record group didn’t show any statistically significant correlation with all elements of nutritional indices. Conclusions: The smartphone user group showed more improved indices related to obesity compared to the paper record group and it was confirmed that the most changes of body indices and nutritional indices have the positive correlation.

수술실 간호사의 혈행성 감염예방을 위한 수행도 관련 요인

정기라 ( Gi Ra Jeong ) , 류소연 ( So Yeon Ryu ) , 한미아 ( Mi Ah Han ) , 최성우 ( Sung Woo Choi )
4,500
초록보기
Objectives: This study was conducted to find the factors associated with performance of blood-borne infection prevention. Methods: The study subjects were 204 operating room nurses from 23 hospitals in G metropolitan city. The data were collected with self-reported questionnaire, and the used statistical methods of analysis were t-test, ANOVA with post-hoc test, Pearson’s correlation analysis and multiple regression analysis. Results: Of the subjects, 41.2% was exposed to the patients’ blood during the surgery. As for the awareness and performance of blood-borne infection prevention, the mean scores of subjects were 107.4±10.8 and 100.6±13.3, respectively. The results of multiple regression analysis suggested that as the awareness of blood-borne infection prevention increased (β=0.6, p<0.001), participation in surgery after the confirmation of infection test results (β=4.1, p=0.042) and hospital’s training for infection control (β=3.4, p=0.040) increased the performance of blood-born infection prevention, whereas experiences in being exposed to blood significantly decreased the performance of blood-borne infection prevention (β=-5.5, p<0.001). Conclusions: It is essential that hospitals prepare aggressive and effective management measures for preventing blood-borne infection and operating room nurses make individual efforts to recognize and perform infection control well despite the limited conditions of the hospitals where they are working.

한국 성인 남성에서 흡연과 대사증후군 및 동맥경화증과의 관계

김수영 ( Suyoung Kim ) , 나은희 ( Eun Hee Nah ) , 조한익 ( Han Ik Cho )
4,500
초록보기
Objectives: Smoking is an important risk factor for metabolic syndrome (Mets) and cardiovascular disease. This study has been designed to investigate the relationship between smoking, metabolic syndrome, and arteriosclerosis among men in South Korea. Methods: We have retrospectively enrolled data of 5,103 men aged over 20 years, who underwent a health check-up including carotid ultrasonography in 2014. Smoking status and amount were collected from self-reported questionnaires. The diagnosis of Mets was made using criteria modified NCEP-ATP III. Using multivariate logistic regression analysis, the risk of Mets and arteriosclerosis defined as abnormal carotid intima-media thickness (CIMT) and carotid plaque according to smoking amounts was examined. Results: Both former (29.7%) and current (27.8%) smokers had a higher prevalence of Mets than never (23.2%) smokers [OR (95% CI): former, 1.35 (1.14, 1.6); current, 1.63 (1.35, 1.98), respectively]. There had been a significant increase in the risk of Mets, low HDL-cholesterol and high fasting blood sugar among the former and current smokers who smoke ≥20 pack-years (PY) (p<0.001). And there had also been a significant increase in the risk of high triglyceride at all levels in smoking amount. There was a clear dose-dependent relationship between smoking amount and arteriosclerosis especially the risk of carotid plaque (all p<0.005). In individuals without Mets, smoking consumption in former or current smokers was positively associated with the risk of CIMT and carotid plaque by adjusted age, BMI, LDL-cholesterol. Conclusions: The former or current smoking status and high level of smoking amount were relation with Mets and arteriosclerosis in men. The smoking was risk factor for arteriosclerosis and that was explained by relationship with metabolic syndrome in part.

장애 노인의 우울 궤적과 관련 위험 요인

남일성 ( Ilsung Nam )
4,500
초록보기
Objectives: Recent longitudinal studies examining changes in depressive symptoms among older adults with disability reported mixed results. The current study sought to determine if subgroups of older adults with disability diagnosed by a doctor follow distinctive trajectories of depressive symptoms and the factors associated with the depressive symptom trajectories. Methods: Study participants were those who participated in the Korean Longitudinal Study of Ageing and aged above 65. A semi-parametric group-based model was performed to identify the trajectories of depressive symptom changes with time measured by the Center for Epidemiologic Studies Depression. Results: The present study found three distinctive depressive symptom trajectories. Social participation (OR=0.55 for Low vs. Risk-persistent, OR=0.55 Low vs. Risk-Increasing), ADL (OR=1.21 for Low vs. Risk-Persistent, OR=1.38 for Low vs. Risk-Increasing), and satisfaction with economic status (OR=0.99 for Low vs. Risk-Persistent, OR=0.98 for Low vs. Risk-Increasing) were associated with the trajectory group membership. Conclusions: Depressive symptoms trajectories among older adults with disability were not homogeneous. Intervention to help older adults with disability manage their social relationship, lifestyle, and economic circumstances.

사회경제적 계층별 주관적 건강수준의 차이

윤병준 ( Byoung Jun Yoon )
4,500
초록보기
Objectives: This study was conducted in order to determine how the association between socioeconomic class and self-rated health among Korean aged 25-64 years. Methods: A nationally representative sample (1,875 men and 2,426 women) from the 2013 Korea National Health and Nutrition Surveys was analyzed. To estimate the odds ratio and 95% confidence intervals of self-rated health by socioeconomic class, logistic regression was conducted. Results: The study shows that socioeconomic class is related with self-rated health. that is, lower education and income led to a significant increase in poor health status. The odds ratio of self-rated health after controlling for age was 3.61 (95% CI, 2.02-6.47) for men, 3.07 (95% CI, 2.10-4.48) for women among those with the lowest-educated group compared to the highest-educated group. When equivalenced personal income was considered, the odds ratio of self-rated health for men was 2.25 (95% CI, 1.29-3.95), and 1.92 (95% CI, 1.30-2.83) for women among those in the lowest-income group compared to the highest-income group. Conclusions: This study finds out that there exist socioeconomic differences in poor health status in Korean. The effect of education is stronger than that of income for both men and women.

우리나라의 요일별 출생 빈도에 관한 연구, 1995-2012

박상화 ( Sang Hwa Park ) , 이재형 ( Jae Hyung Lee ) , 송인명 ( Inmyung Song ) , 임달오 ( Daroh Lim )
4,500
초록보기
Objectives: To analyze the weekly variations of birth by using by analyzing the birth certificated data of Korea Statistics. Methods: The analysis was based on birth data of Korea (715,020 births in 1995, 493,471 births in 2003, 470,171 births in 2010 and 484,550 births in 2012). For analyzing of weekly variation in birth, we used the average number of births per day of the week and the index of birth occurrence (IBO). IBO is defined as a ratio of the average number of births per day of the week to the average number of births per day of the year. Results: The daily average of birth was significantly lower at weekends and national holidays than on weekdays, they have become more concentrated on weekdays during 1995-2012. The variations of daily average of birth for 2012 (coefficient of variation: 21.2) showed wide fluctuation as compared with daily average of birth for 1995 (17.9). There was a range of 11 to 17 percent decrease in birth on weekends and holidays, and 6 percent increase on Monday during the periods. The most popular day of week to give birth continue to be Monday, Tuesday and Friday during 1995-2012. Index of birth occurrence in 2012 was highest for Monday (114), and lowest for Sunday (59) followed by holidays (62) and Saturday (78). Conclusions: There was a significant variation in weekly day of birth in Korea.

Original Article : Inter-Rater Reliability of Carotid Intima-Media Thickness Measurements in a Multicenter Cohort Study

( Jung Hyun Lee ) , ( Dong Phil Choi ) , ( Jee Seon Shim ) , ( Dae Jung Kim ) , ( Sung Ha Park ) , ( Hyeon Chang Kim )
4,500
초록보기
Objectives: Carotid intima-media thickness (CIMT) and the presence of carotid artery plaque are widely used as preclinical markers of atherosclerosis. Due to operator dependency in measuring CIMT, it is important to evaluate the reliability of measuring CIMT and plaque between centers in a multicenter study. The purpose of this study is to evaluate the inter-rater reliability of CIMT and plaque presence among three clinical centers of the Cardiovascular and Metabolic Disease Etiology Research Center (CMERC). Methods: Twenty people without known cardiovascular disease (age 37-64) were enrolled during 2014-2015, and their left and right carotid arteries were examined repeatedly with ultrasonography for CIMT measurements at three clinical centers according to a predetermined protocol. Maximum and mean values of CIMT at distal common carotid artery were recorded. Plaque presence at a carotid artery was checked by an operator. The reliability of CIMT and carotid plaque presence was assessed using an intraclass correlation coefficient (ICC) and kappa statistics, respectively. Results: Calculated ICC was 0.647 (95% CI: 0.487-0.779) for maximum CIMT, and 0.758 (95% CI: 0.632-0.854) for mean CIMT. In Bland Altman plot, most observed values were distributed within mean difference ±1.96 SD ranges. Kappa statistics of plaque presence between two centers were 0.304 (center 1 and 2), 0.507 (center 1 and 3), and 0.606 (center 2 and 3), respectively, while Fleiss kappa for overall agreement was 0.445. Conclusions: The inter-rater reliability of CIMT measurements among three clinical centers turned out to be high, and the agreement of measuring carotid plaque presence was fair.

간호사를 위한 코칭 프로그램 개발 및 효과성 검증

백명 ( Myeong Baek ) , 장금성 ( Keum Seong Jang )
4,500
초록보기
Objectives: The purpose of this study was to develop a coaching program for nurses and verify its effects on emotional intelligence, coaching skills, selfefficacy and job satisfaction. Methods: A quasi-experimental study applying a non-equivalent control group pre-post test design was used. Sixty staff nurses with three years to ten years career were recruited, 30 nurses for the experimental group and 30 nurses for the control group. The coaching program was composed of coaching education step and coaching application step with lecture, practice used role-playing and fishbowls discussions with team-based learning, and it was implemented with the experimental group over 8 weeks. Data were collected from February 1st to March 31th, 2010, and were analysed using frequency, ratio, chi-square test, Fisher’s exact probability, Kolmogorov-Smirnov test, t-test and ANCOVA with the SPSS program. Results: The experimental group who had the coaching program showed significant higher scores in emotional intelligence (p=0.001), coaching skills (p<0.001), self-efficacy (p<0.001), and job satisfaction (p<0.001) compared with the control group, it was supported for all hypothesis. Conclusions: The results of this study is considered to be the foundation assuming the systematic introduction of nursing education and coaching program development.

병원의 조직유효성에 영향을 미치는 지식경영 핵심요인의 구조적 관계

김성수 ( Sung Soo Kim )
5,100
초록보기
Objectives: Knowledge management has become critical to an efficient hospital management due to the development of hospital information systems. Thus, this study by targeting hospital staff, aims to reveal the structural relationship of key factors in knowledge management that affect the organizational effectiveness of hospitals. Methods: Data was collected through a self-administered questionnaire survey carried out with 323 staff members who work at five tertiary hospitals located in Seoul. Reliability analysis and confirmatory factor analysis were conducted to confirm the reliability and validity of measurement items. Structure equation analysis was used to test the hypotheses of the presented research model. Results: All the key factors in knowledge management were revealed to have a positive effect on the parameter of job satisfaction, which turned out to have a significant effect on even both competitive advantage and innovation. In the path with the organizational commitment as a parameter, knowledge sharing culture and business strategy were shown to have a positive effect on organizational commitment, which turned out to have a significant effect on innovation. Conclusions: The knowledge management of hospitals were empirically shown to have a positive effect on their organizational effectiveness; and thus an introduction of knowledge management in managing hospitals is expected to raise organizational effectiveness.

비전문건강조언자를 활용한 암검진 독려사업의 효과

장지현 ( Ji Hyun Chang ) , 홍남수 ( Nam Soo Hong ) , 감신 ( Sin Kam ) , 김건엽 ( Keon Yeop Kim ) , 이원기 ( Won Kee Lee ) , 김기수 ( Ki Su Kim ) , 배상근 ( Sang Geun Bae )
4,500
초록보기
Objectives: To evaluate effects of an intervention using lay health advisors on promoting cancer screening and to develop effective strategies and health services. Methods: The number of subjects included in the final analysis was 188. Of those, 72 were applied to health services provided by public health centers (control group) and 116 composed the experimental group. They were selected from residents of Daegu and Gyeonsangbuk-do aged older than 40 years. We designed a questionnaire applying Trans-theoretical Model and Health Belief Model in order to determine the subjects’ intentions to participate in the national cancer screening program. Any thought changes occurred after the interventions were compared with the intial responses. For statistical analysis, paired t-test, ANCOVA and multiple logistic regression analyses were conducted. Results: After the intervention using lay health advisors, knowledge about cancer screening and its benefits were improved and self-efficacy increased with statistical significance. Moreover, barriers to cancer screening decreased. Compared to application of health services provided by public health centers, encouraging cancer screening by lay health advisors was 1.64 times more likely to generate forward stage movement in cancer screening, but there was no statistical significance. Conclusions: Even though, effects of the intervention using lay health advisors on promoting cancer screening were not clearly determined, it is a precedent study for emphasizing application of community resources and participation of residents in promoting cancer screening. Further studies are required to specify effects of the intervention.
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