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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 4호 (2016)

간호사의 섬망관련 지식, 간호 자신감과 섬망 간호 수행과의 관계

박향미 ( Park Hyang-mi ) , 장미영 ( Mi Young Chang )
4,500
초록보기
Objectives: This study was conducted to investigate the correlation among nurses` knowledge, their self-confidence about care for delirium and nursing performance for patients with delirium. Methods: The study subjects are the 203 nurses working at general hospitals. The data were collected using the instruments for knowledge of delirium (47 items), performance (23 items), and self-confidence (15 items). The used statistical analysis were t-test, ANOVA, Pearson`s coefficient and multiple regression analysis. Results: Nursing performance level for patients with delirium was 2.85±0.47, knowledge of delirium nursing 32.15±4.36, and self-confidence in delirium nursing 52.00±17.05. The difference in performance were associated with number of caring experience with delirious patients (during for 1 year) (F=3.22, p=0.024), perceived importance (Caring delirious patient is an important nursing intervention) (F=5.85, p=0.003), necessity of education for delirium (F=5.58, p=0.004), and necessity of manuals for delirium care (t=2.11, p=0.036). The nursing performance for patients with delirium had positive relationship with knowledge of delirium (r=0.30, p=0.000) and self-confidence (r=0.35, p=0.000). Factors related to the nursing performance for patients with delirium were `self-confidence in nursing performance for patients with delirium` (β=0.24, p=0.001), `knowledge of delirium` (β=0.16, p=0.002), and `necessity of manuals for delirium care` (β=0.16, p=0.014). These variables explained 18.5% of the variance in nursing performance for patients with delirium. Conclusions: It is necessary to develop systematic educational program and manual for improving the knowledge, self-confidence and performance for patients with delirium among nurses working at general hospitals.

한국 중년여성의 예방적 보건의료서비스 이용에 대한 사회적 불평등

박현희 ( Hyun Hee Park ) , 천인애 ( In Ae Chun ) , 류소연 ( So Yeon Ryu ) , 박종 ( Jong Park ) , 한미아 ( Mi Ah Han ) , 최성우 ( Sung Woo Chio ) , 신준호 ( Jun Ho Shin )
4,500
초록보기
Objectives: This study was performed to examine the utilization rates of preventive health services including flu vaccination, general health and cancer screenings among Korean women aged 40-64, and to identify disparities in these services utilization according to socioeconomic factors. Methods: This study used the data from 2014 Community Health Survey, and study subjects were 57,522 women aged 40-64. The selected socioeconomic factors in this study were age, educational attainment, job, monthly income, marital status and residential area, and preventive health services were defined the utilizations of flu vaccination in the past year, and general health and cancer screenings in last 2 years. To examine the social disparities in utilization of preventive health services, chi-square test and multiple logistic regression analysis were used. Results: The service utilization rates of flu vaccination, general health and cancer screenings were 34.3%, 77.8%, and 73.6%, respectively. Increasing age, lower educational attainment, being unemployed and living in rural area had higher odds ratios for flu vaccination. Increasing age, lower educational attainment, being employed, increasing monthly income, living with partner and living in urban area were statistically significant associated with receiving general health screening. The associated factors with cancer screening were increasing age, lower educational attainment, being employed with non-physical job, increasing monthly income, living with partner and living with urban area. Conclusions: This study was showed that socioeconomic disparities in utilization of preventive health services were found in Korean women aged 40-64. Efforts to improve social disparities in preventive health service utilization among Korean women need an important public health focus.

병원 온라인교육 참가자 및 프로그램 특성이 효과성에 미치는 영향과 자기효능감의 조절효과: 병원 간호사를 중심으로

장원혁 ( Won-hyuk Jang ) , 조영부 ( Young-bu Cho ) , 이기효 ( Key-hyo Lee )
5,300
초록보기
Objectives: The purpose of this study is to contribute to the development and operation of hospital online curriculum by examining the characteristics of education participants and programs that affect the effectiveness of online training for hospital members and by examining the moderating effect of self-efficacy. Methods: Data were collected from the 3 hospitals which have experienced online training for the past one year in Busan, Korea. Likert 5-point scale was applied to measure research variables and structured questionnaire was used. Total valid 201 cases were analyzed by SPSS win 18.0. For hypothesis testing, multiple regression analysis and hierarchical regression analysis of the Moderating effects were performed. Results: In the transition effect, course motive, business associations had a significant influence. Satisfaction of education was influenced by course motive, business associations and the ability of the instructor. Self-efficacy has a moderating effect in career planning and transition effect. Conclusions: In-depth survey on participants` motivation in online training and education programs should be structured in relation to work, and ability of the instructor should be considered. The organizational support of hospitals in connection with career planning is important to increase self-efficacy through online training.

요양병원 간호사의 전문직 자아개념, 셀프 리더십이 노인간호수행도에 미치는 영향

류정미 ( Ryu Jung Mi ) , 김명수 ( Kim Myoung Soo )
5,100
초록보기
Objectives: The objectives of this study were to elucidate the relationship between geriatric care hospital nurses` professional self-concept, self-leadership, and their geriatric nursing performance and to clarify factors that affect geriatric nursing performance. Methods: A questionnaire-based survey was conducted among 159 individuals working at 12 geriatric hospitals. To evaluate professional self-concept, Nurses` Self-Concept Instrument (NSCI) developed by Angel et al. were used. And, The data were collected from December 29, 2015 to January 30, 2016, and analyzed with descriptive statistics, t-test, and ANOVA, multiple regression conducted using SPSS 18.0. Scheffe test was utilized for post hoc tests. Results: The average score of professional self-concept was 6.02±0.84 out of 8 points, that of self-leadership was 3.69±0.44 out of 5 points, and that of geriatric nursing performance was 3.79±0.52 out of 5 points. Four subcategories of professional self-concept showed significant positive correlations with nine subcategories of geriatric nursing performance, with correlations ranging between 0.18 and 0.57. `Knowledge` subcategory of professional self-concept was the factor that would affect geriatric sleep quality care nursing most significantly (t=2.83, p=0.005), and that it additionally explained 30% of sleep quality care nursing performance after controlling for general characteristics. As for communication in nursing, `staff relation` of professional self-concept (t=2.21, p=0.029) and `rehearsal` subcategory of self-leadership (t=2.24, p=0.027) were significant factor, and 26% explaining change of communication in nursing. Conclusions: Influencing factors of geriatric nursing performance were participants` socio-demographic characteristics such as monthly income and number of beds, and the subcategories of professional self-concept and self-leadership. Based on the results of this study, interventions to improve nurses` professional self-concept and self-leadership should be needed for enhancing nursing performance in geriatric hospitals.

공복혈당 궤적에 따른 심장병 발생 위험: 국민건강보험공단 표본 코호트 연구

전주은 ( Jooeun Jeon ) , 조어린 ( Eo Rin Cho ) , 정금지 ( Keum Ji Jung ) , 지선하 ( Sun Ha Jee )
4,500
초록보기
Objectives: To classify trajectories of fasting blood glucose (FBS) levels and examine each trajectory`s associations with risk of cardiovascular disease (CVD). Methods: The National Health Insurance Service-National Sample Cohort (NHIS-NSC) sampled in the 2002 NHIS database was followed until 2010, and 13,829 participants aged 20 years and above had conducted nationwide health examinations annually. We used Cox proportional hazards models to examine the association of trajectories to risk of CVD. Four distinct trajectory groups were identified for FBS: low-stable, moderate-stable, elevated-upward, and High-upward. Results: During 88947.9 person-years of follow-up (mean follow-up, 6.4 years), we documented 2,778 incident case of CVD. Age-standardized incidence rate were increased with FBS levels (5,296.2 in low-stable group, 6,292.6 in moderate-stable group, and 8047.9 in elevated-upward group), but not in High-upward group. In multivariate models adjusted for age and sex, FBS was a significant predictor of CVD in elevated-upward group (hazard ratio (HR)=1.6, 95% confidence interval (CI):1.4-1.8) and High-upward group (HR=1.6, 95% CI:1.3-2.1). However, further adjustment for clinical covariates, only elevated-upward group was significantly associated with CVD (HR=1.2, 95% CI:1.1-1.4). Conclusions: Using the trajectory approach, we found that elevated-upward and High-upward FBS trajectories were associated with greater risk of CVD. These findings indicate the importance of FBS management across the lifespan, prognostic assessments and the targeting of prevention strategies to high-risk individuals.

연령 구조가 고의적 자해 사망률에 미치는 기여 효과, 1985-89, 2010-14

임달오 ( Dar Oh Lim ) , 박상화 ( Sang Hwa Park )
4,500
초록보기
Objectives: To compare contribution of age distribution and age specific death rates to intentional self-harm (ISH) between 1985-89 and 2010-14. Methods: We used 1985-89 (16,977 deaths) and 2010-14 (73,883 deaths) ISH death data of Korea Statistics. We decomposed the contributions of age-specific ISH death rates and age distribution of population (Kitagawa`s decomposition method) to overall increment of ISH death rates during the period. Odds ratio (OR) and 95% confidence intervals were calculated to describe the secular trend of ISH death rates by age groups. Results: Between 1985-89 and 2010-14, ISH death rates (per 100,000 persons) increased from 8.16 to 29.57 (OR: 3.62, 95% confidence interval: 3.56-3.86). ISH death rates increased from 11.74 to 40.45 in male (OR: 3.44) and increased from 4.53 to 18.66 in female (OR: 4.12). ISH death rates have risen with advancing age, peaking at 60 years & older in both gender. In 1985-2014, a prominent increase in ISH death rates occurred among those aged 60 years and older (3.82 times in male, and 4.28 times in female), and followed by the group of 40-59 years (2.81 times in male, and 3.54 times in female). Most (59.6 percent) of the overall increase in the ISH death rates was attributable to male age group of 40-59 years and 60 years & older, and 25.3 percent of the overall increase of death rates was attributable to female age group of 40 years & older. Conclusions: The remainder of the total increment in the ISH death rates during the period was explained by increase the proportion and the excessive death rates of male age group of 40-59 years and 60 years & older. There was a need to close attention in male age group of 40 years & older to reduce ISH death rates and understand the contributing factors to ISH death.

소셜 빅데이터 기반 보건복지 정책 미래신호 예측

송태민 ( Tae-min Song ) , 송주영 ( Juyoung Song )
5,100
초록보기
Objectives: The purpose of this study is to collect health and welfare-related documents mentioned in and collectable from online channels, analyze important health and welfare keywords through topic and sentimental analyses, detect future signals concerning major policies and issues related to health and welfare services, and propose a prediction model. Methods: 201,849 Health & Welfare related online documents from January 1 to March 31, 2016 from 171 Korean online channels and analyzed such documents using machine learning with random forest and Apriori algorithm association analysis. We used R software (version 3.2.1) for the association analysis data mining and visualization. Results: As for the prediction of future signals of health and welfare policies, policies that were important and supported by the people were welfare payment, health promotion, job, marriage/childbirth, health insurance, and healthcare industry (in this order). Specifically, as support for documents mentioning welfare payment and jobs was high, job creation through building a spontaneous welfare system is thought to be needed. Additionally, similar to the linkage analysis result of policies, as people were against documents that mentioned only {basic pension} policies, but supported documents that included {basic pension, welfare payment, job}, there is a strong demand for the establishment of a welfare system through active self-support and labor of the elderly. Conclusions: Social big data can be utilized in various areas. First, similar to the application in this study, future signals concerning government`s policies and new technologies can be predicted in advance and prepared for. Second, they can be used as a new data collection methods that supplement limitations in survey data collection systems. Finally, a preemptive response system against risk can be established through monitoring and predicting social crisis.

연구중심병원의 연구역량에 미치는 영향요인

김기성 ( Ki Sung Kim ) , 유문형 ( Mun Hyung Ryu ) , 임달오 ( Dar Oh Lim )
4,500
초록보기
Objectives: The Purpose of this paper is to identify the critical factors of Research-driven hospital. Methods: Data used to analyze was collected from the 10 Research-driven hospitals designated in 2013 by the Korea Government. Multiple regression analysis and Correlation analysis was accomplished to identify the critical factors of Research-driven hospital by statistical package SPSS. Results: Research capability of Research-driven hospital was composed of research manpower and research expense. Research manpower was significantly different from research expense (p<0.01). And Research expense had strong correlation with medical revenue (R2=0.89, p<0.01). Conclusions: The study emphasize that research capability is important for successful research-driven hospital. And research manpower, research expense and medical revenue are the critical influence factors of Research-driven hospitals.

우리나라 지역별 다태아 출생률에 관한 연구: 2009-2013

박상화 ( Sang Hwa Park ) , 김종석 ( Jong Seok Kim ) , 임달오 ( Dar Oh Lim )
4,500
초록보기
Objectives: To analyze the regional variance of multiple birth rate (MBR). Methods: We used the 2009-2013 birth certificated data (2,252,771 births) of seven metropolitan cities and nine provinces from Statistics Korea. The data of extra-marital birth and information missing cases were excluded. The odds ratio and 95% confidence intervals were calculated using logistic regression to describe the regional variance of MBR adjusted for year of birth, infantile sex, maternal age, age difference between couple, and maternal education and occupation. Results: The higher incidence of maternal age standardized MBR were observed in Seoul metropolitan city (3.24%), Ulsan metropolitan city (3.21%), Chungcheongbuk-do (3.13%) and Gwangju metropolitan city (3.11), and the lower in Jeju-do (2.47%), Gangwon-do (2.51%), Daegu metropolitan city (2.57%), Gyeongsangbuk-do (2.57%) and Chungcheongbuk-do (2.61%). After adjustment by logistic regression for demographic variables. there was a significant increase in the risk of MBR in Ulsan metropolitan city (odds ratio: 1.281, 95% confidence interval: 1.195-1.373), Seoul metropolitan city (1.272: 1.205-1.343), Gwangju metropolitan city (1.233: 1.152-1.319), Chungcheongbuk-do (1.232: 1.152-1.317), and Incheon metropolitan city (1.231: 1.158-1.308), as compared with the incidence of MBR in Gangwon-do. Compared with MBR of Gangwon-do, the odds ratio of MBR by region were 0.965 in Jeju-do, 1.010 in Daegu metropolitan city, 1.021 in Gyeongsangbuk-do, and 1.030 in Jeollabuk-do (p>0.05). Conclusions: Regional variance of MBR was observed between metropolitan cities and provinces in Korea. Further study is needed to understand the risk factors (socio-demographic factors, medical factors: fertility therapies) associated with this differences.

임상시험에서 분석대상군 설정과 자료의 블라인드 검토

임지연 ( Chiyeon Lim ) , 곽민정 ( Minjung Kwak )
4,500
키워드보기
초록보기
Objectives: The balance of confounding factors between treatment groups is supported by intention-to-treat (ITT) principle and this can reduce bias and confounding effects. Therefore clear definition of analysis set and blind review are essential prerequisites to perform statistical analysis. In this paper, we discuss the blind review and analysis set to check carefully the data during a blind review and finalize the statistical analysis set in clinical trials. Methods: The concept of ITT principle and ITT set has been often mixed and misused. Based on ITT principle, the definition of proper analysis sets are required to show the efficacy in statistical analysis. The analysis sets must be determined in blind review for data management and quality control. We review the analysis sets, such as FAS, PPS, and Safety set based on ITT principle and present blind review procedures. Conclusions: The determination of analysis sets through blind review is a very important procedure to reduce bias and to get appropriate result in randomized clinical trial. Blind review can assure the data quality and that is important prerequisites for statistical analysis. Therefore the role of blind review will be emphasized in clinical trial.
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