글로버메뉴 바로가기 본문 바로가기 하단메뉴 바로가기

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 3호 (2016)

요양병원종사자의 조직 내 관계가 조직효과성에 미치는 영향

정지나 ( Ji Na Jeong ) , 이상진 ( Sang Jin Lee )
4,500
초록보기
Objectives: The purpose of this paper is to verify how worker relationships in organizations (leader-member exchange, LMX; team-member exchange, TMX) influence organization effectiveness of workers in geriatric hospitals. Methods: The study executed a complete enumeration survey on 397 employees working in 10 geriatric hospitals located in Jeollabukdo region. 372 cases were gathered, 347 of which were used for final analysis by statisti-cal package SPSS 21.0. Results: There is a clear statistical difference in organization commitment, a subfactor of organization effectiveness, depending on varying degree of subjects` population sociological features such as age, marital status, monthly wages, career, and duty. Both LMX and TMX have sig-nificantly positive effect on organizational effectiveness: LMX explains it with 39.0% (p<0.001), showing explanation power total of 49.0%, and TMX explains it with 3.0% (p<0.001), showing explanation power total of 52.0%. Conclusions: The study emphasizes that worker relationship is, indeed, a key to enhancing convalescent hospitals` overall effectiveness. In order to improve hospital`s productivity and ultimately to provide quality service to elderly patients, leaders are encouraged to strengthen their ability and leadership to lead members with emotional intimacy and contribution, while members are encouraged to operate efficiently within team with loyalty and respect.

간호대학생의 의료관련 감염관리 표준주의지침 수행에 미치는 영향요인

오자영 ( Ja-young Oh ) , 문지연 ( Ji-yeon Mun ) , 오혜경 ( Hye-kyung Oh )
4,500
초록보기
Objectives: The purpose of this study was to investigate the affecting factors on nursing students` performance of standard precautions for Healthcare associated Infection Control and Prevention. It was conducted to offer basic data for education of nursing students concerning Healthcare associated Infection Control and Prevention. Methods: The subjects were 199 nursing students. Data collected from October 1 to October 30, 2015. Collected data were analyzed with Independent t-test, Pearson`s correlation coefficient and Multiple Regression analysis. Results: Mean score of Knowledge, Awareness and Performance about standard precaution were 18.34±1.90, 4.59±0.32, 4.34±0.36, respectively. Statistically significant differences were shown in the Knowledge (p=0.007) related to the experience of exposure to sources of infection, the Knowledge (p=0.026) related to Post exposure procedure and the Awareness (p=0.020) related to gender. There was positive correlation between the Awareness and Performance of Standard Precautions. Awareness of standard precautions only stood out significantly among the factors affecting the performance of standard precautions, accounting for 25% in the performance variance of standard precautions. Conclusions: Based on the results of this study, expanding the Awareness of Standard Pre-cautions could lead to the increase of the Performance of Standard Precautions. It is suggested to develop effective educational programs to improve the Awareness and Performance of Standard Precautions.

소셜빅데이터 분석을 위한 식품안전 온톨로지 구축

배지영 ( Ji Young Bae ) , 조미숙 ( Mi Sook Cho )
5,200
초록보기
Objectives: Anxiety of citizens on food safety is relatively high. Groundless anxiety on food could build mistaken dietary culture. Therefore, there needs to be risk communication based on verification for recognition of citizens on food safety. As existing questionnaire method or recognition survey via FGI have various limits, recognition survey through internet big data is certainly necessary. Object of this study is to develop food safety ontology which is surely necessary for big data analysis on food safety. Methods: In this study, all keywords of accidents relevant to food safety were derived from 62 prec-edent studies in 5 sectors such as food safety policies, food hygiene, recognition on food safety, activities relevant to food safety, the media as well as food gadgets(Food Journal) from 2011 to 2014. Those keywords were categorized and classified according to 5 phases which were modified and supple-mented from its original development methodology named ‘Ontology Development 101’ in order to develop ontology. Results: Keywords related to food safety were classified into high classes including ‘Preventive factors’, ‘Generating factors’, ‘Consequence factors’, ‘Social relationship factors’ after clas-sification for subjects with their common attributes. These high classes were categorized into middle class 1, middle class 2 and small class in order to develop final ontology. Conclusions: As food safety is directly connected with health of citizens, both big data research on it and development of ontol-ogy which is a research tool necessary for big data analysis is essential. Therefore, this research was significant thanks to development of ontology for food safety necessary for further various big data analysis on food safety at the first time.

우리나라 쌍태아의 임신기간별 출생체중 불일치 수준에 관한 연구; 2007-2014

박상화 ( Sang Hwa Park ) , 조진만 ( Jean Man Jo ) , 임달오 ( Dar Oh Lim )
4,500
초록보기
Objectives: To compare the relationship between gestational age and inter twin birth weight discordance level. Methods: We used the 2007-2014 birth certificated data of Statistics Korea 51,783 pairs of twins. The data of unmatched twin cases, extra-marital birth and non-hospital birth cases were excluded. Birth weight discordance rate was calculated as (birth weight difference between larger and smaller birth weight/birth weight of heavier twin) x 100. Odds ratio and 95% confidence intervals were calculated from logistic regression analyses to describe the birth weight discordance (≥25%) of gestational age adjusted by year of birth, infantile gender, maternal age, maternal education, and age difference between couples. Results: The inci-dence of inter twin birth weight discordance was 55.3 percent in discordance of ≤9 percent, 10.9 percent in discordance of 20-29 percent, and 4.4 per-cent in discordance of ≥30 percent. The frequency of more than 25 percent discordant set demonstrated polynomial relationship to gestational age (Y=-82.294+6.226X-0.101X2, R2=0.77, p<0.01). Overall incidence of birth weight discordance more than 25 percent was 8.3 percent. The frequency of discordance level (≥25%) by gestational age was 10.7 percent in extremely preterm (≤27 weeks), 14.3 percent in very preterm (28-31 weeks), 13.1 per-cent in moderate preterm (32-33 weeks), 8.7 percent in late preterm (34-36 weeks), and 5.8 percent in full and late term (≥39 weeks). The rate of discor-dance level of ≥25 percent decreased with increasing gestational age. Compared with discordance level (≥25%) of full and late term, odds ratio of dis-cordance level (≥25%) was 2.76 (95% confidence interval; 2.05-3.70) in very preterm, 2.48 (1.86-3.31) in moderate preterm, 1.97 (1.37-2.83) in extremely preterm, and 1.56 (1.19-2.05) in late preterm. Conclusions: The risk of discordance level of ≥25 percent increased significantly with very preterm and moderate preterm birth. There is a need to understand the contributing factors and close attention to reduce the risk of discordance level of ≥25 per-cent in gestational age from 28 to 33 weeks.

일반계고등학교 학생의 알레르기 질환 관련요인

조영미 ( Young Mi Jo ) , 이지선 ( Jee Seon Yi )
4,500
초록보기
Objectives: This study aimed to investigate the relevant factors of allergic disease in general high school students in Korea. It also aims to provide key data for the effective prevention and management of allergic diseases. Methods: Study subjects were general high school students participating in the 11th (2015) Online Survey on Adolescents` Health Behaviors. Participant demographics, lifestyle factors, and type of allergic disease were expressed in absolute values and percentages. The binominal logistic regression model was used for statistical analysis of characteristics and relevant factors of aller-gic disease. Analysis was performed by complex sample design using SPSS/WIN 18.0. The statistical significance was defined as p<0.05 with a two-sided test. Results: Asthma was associated with sex, high school grade, body mass index (BMI), stress, smoking, breakfast, fast-food and vegetable consump-tion, milk, and walking. Allergic rhinitis correlated with sex, high school grade, residential area, economic statis, stress, vegetable consumption, and sleep satisfaction. Atopic dermatitis was associated with sex, BMI, residential area, economic status, stress, fast-food consumption, sleep satisfaction, and walking. Conclusions: This study highlights the need for the development of strategies promoting a healthy lifestyle associated with allergic disease. Furthermore, a longitudinal study examining the association between medical and family history and allergic disease is required. This would contribute to the understanding of individual predisposition to allergic disease.

스마트 기기를 활용한 간호사 보수교육 도입을 위한 교육담당자와 일반간호사의 인식 및 활용의도

김명수 ( Myoung Soo Kim ) , 정현경 ( Hyun Kyeong Jung ) , 김성민 ( Sung Min Kim ) , 김명희 ( Myoung Hee Kim )
5,100
초록보기
Objectives: When developing smart-based continuing nursing educational (SCNE) program, it is necessary to examine the intention to use of nurse education managers and staff nurses. This study was conducted to identify the level of perceived positive and negative attitude of SCNE among nurse education managers and to define perceived ease to use and perceived usefulness among staff nurses. And we compared the factors influencing inten-tion to use SCNE of nurse education managers and staff nurses. Methods: The data were collected by questionnaires from October 24 to November 20 of 2014. A total of 71 nurse education managers from 71 institutions and 486 staff nurses from 14 institutions participated in this study. Data were ana-lyzed using descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression. Results: The mean scores of intention to use SCNE of nurse education managers and staff nurses were 5.86 vs. 6.67 (t=-3.44, p=0.001). The factors influencing intention to use SCNE of nurse education managers were perceived effectiveness of on-line education (β=0.19, p=0.044), perceived positive attitude (β=0.34, p=0.002) and perceived negative attitude (β=0.40, p<0.001)(Adjusted R2=0.60) Perceived effectiveness of on-line education (β=0.13, p=0.028), perceived ease to use (β=0.50, p<0.001) and perceived usefulness of staff nurses (β=0.20, p=0.010) were influencing factors for staff nurses (Adjusted R2=0.55). Conclusions: Staff nurses had more positive perceptions and intention to use than nurse education managers for SCNE. Based on the result of this study, SCNE must be developed for staff nurses using strength such as ubiquity and freedom from the limitation of space and time.

혈청 대사체와 뇌졸중 발생위험의 용량반응 분석

지연호 ( Yon Ho Jee ) , 정금지 ( Keum Ji Jung ) , 임연희 ( Youn-hee Lim ) , 이예승 ( Yeseung Lee ) , 박영자 ( Youngja Park ) , 지선하 ( Sun Ha Jee )
4,500
초록보기
Objectives: Except the known risk factors for stroke, few studies have identified novel metabolic markers that could effectively detect stroke at an early stage. In this study, we explored the dose-response relationship between serum metabolites and the incidence of stroke. Methods: We studied 213 adults in the Korean Cancer Prevention Study-II (KCPS-II) biobank and estimated dose-response relationship between serum metabolites and stroke (42 cases and 171 controls). Three serum metabolites (Acetylcholine, HexadecylAcetylGlycerol, and 1-acetyl-2-formyl-sn-glycero-3-phosphocholine) were used in this study. The analysis included (1) exploratory nonlinear analysis, (2) estimation of flexion points and slopes at below and above the points. In the model to estimate risk of incidence of stroke, we controlled for conventional risk factors such as age, sex, systolic blood pressure, type 2 diabetes, tri-glyceride, and smoking status. Results: The relationship between incidence of stroke and log-transformed 1-acetyl-2-formyl-sn-glycero-3-phosphocho-line was non-linear with flexion point around intensity score of 8.8, whereas other metabolites, log-transformed Acetylcholine and HexadecylAcetylGlyc-erol, showed negative linear patterns. Conclusions: The study suggests that metabolic markers are associated with incidence of stroke, particularly, at or above the flexion point. The study result may contribute to developing a novel system for precise stroke prediction.

Growth Modulation Index의 추정에 대한 연구: 잠재적 변수와 가속실패시간 모형의 적용

박세정 ( Se Jung Park ) , 김윤남 ( Yoon Nam Kim ) , 남정모 ( Chung Mo Nam )
4,500
초록보기
Objectives: For cytostatic cancer trials, Growth Modulation Index (GMI) defined by an intrapatient progression-free survival (PFS) ratio, has been pro-posed to evaluate the efficacy of new target agent. The purpose of this study was to suggest new methods for the estimation of GMI with censored data in the first PFS (PFS1) interval, and subsequent second PFS (PFS2) interval. Methods: The proposed methods include latent variable approach based on Rank Preserving Structural Failure Time (RPSFT) model and Accelerated Failure Time (AFT) model. Simulations were conducted to compare the perfor-mance of proposed GMI estimates and estimates based on the Kaplan-Meier method in terms of bias and mean squared error (MSE) by varying depen-dency of two PFS and censoring rates. Results: Simulation results show that new GMI estimates using latent variable approach and AFT model exhibited smaller bias and MSE than the previous estimates based on the Kaplan-Meier survival function. As censoring rates increased in PFS1, bias and MSE increased in the previous GMI estimates. When the AFT model was applied in the case of high censoring rates, bias was relatively higher than those of latent variable approach. Conclusions: When using GMI as primary endpoint in cancer clinical trials, cautious statistical application and interpretation is needed, particularly for the presence of censored data in the first PFS interval.

담도암 miRNA 진단 칩을 이용한 분석적 성능 시험

이창희 ( Chang-hee Lee ) , 이정수 ( Jeong-soo Lee ) , 이재훈 ( Jaehoon Lee ) , 허지연 ( Jiyeon Heo ) , 노미숙 ( Mi Suk Noh )
4,500
초록보기
Objectives: This study`s purpose was to analyze the analytical performance test of miRNA diagnosis chip for a national project, Development of Multiple Biomarkers Using Integrated Analysis of Next Generation Bio-data, and it was attempted in June 2016. Methods: The evaluation indices of the analytical performance test were reproducibility, repeatability, and specificity. The analytical performance test of miRNA diagnosis chip for bile duct cancer were subjected to analysis of five markers. One same subject had two sessions of the test, and three times were repeated per each session for reproducibility analysis whereas two different subjects had two sessions of the test, and three times were repeated per each session for repeatability analysis. The mea-sured value taken from six times repeated test of patient group of bile duct cancer and the measured value taken from two times repeated test of normal group were compared by using hierarchical clustering analysis in order for specificity analysis. Results: As a result of analysis, all CV (coefficient of vari-ance) values of markers were 10% or below for reproducibility and repeatability, and patient group of bile duct cancer were significantly divided from normal group being completely different groups. Conclusions: Analytical performance test confirmed suitability of miRNA diagnosis chip designed for diagnosing bile duct cancer.

대학신입생의 남녀별 미용성형수술계획 실태 및 관련 요인

윤연옥 ( Yeon Ok Yun ) , 감신 ( Sin Kam ) , 이원기 ( Won Kee Lee ) , 류동희 ( Dong-hee Ryu ) , 정호영 ( Ho-young Chung )
4,500
초록보기
Objectives: This study was conducted to evaluate experience in aesthetic/cosmetic procedures, future planning status, and its related factors in college freshmen. Methods: The current study assessed data collected from 1,086 college freshmen who participated in a self-administered questionnaire sur-vey. A path analysis model was designed. A study model was designed to figure out effects of related determining factors on possible future experiences in cometic plastic surgery. Results: Among the study subjects, 2.5% of male and 28.9% of female students had cosmetic surgery in the past with a total of 28.9% who had cosmetic surgeries before college entrance. In addition, 3.9% of male and 16.5% of female subjects were planning cosmetic surgery in the future. For female students, a path analysis model was designed to evaluate effects of self-esteem, body image, and sociocultural attitude toward appearance through acceptance of cosmetic surgery and the past experience on planning of cosmetic surgery in the future. Even though the standard-ized path coefficient reflecting the effect of self-esteem on acceptance of cosmetic surgery was not statistically significant, the effects of the past experi-ence on the future plan was statistically significant at 5% significant level. All the other coefficients were found to be significant at 1% significant level. The magnitude of the indirect and direct effects of acceptance of cosmetic surgery was found to be the strongest, 0.394. Conclusions: Considering the present result, the proportions of those willing to have cosmetic surgery in the future were 16.5% for female college freshmen. Therefore, a proper approach is required to understand the present phenomenon and a health education course regarding this topic is also necessary in college as well as before college entrance.
1 2 >