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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 : 42권 1호 (2017)

간호대학생의 횡문화간호 자기효능감에 대한 영향요인

이규은 ( Kyu Eun Lee ) , 김남선 ( Nam Sun Kim )
4,500
초록보기
Objectives: The purpose of this study is to identify the relationship among cultural competency, empathy and transcultural self-efficacy and to identify the predictors of transcultural self-efficacy among nursing students. Methods: The research design for this study was a descriptive survey using convenience sampling. Data collection was done using self-report questionnaires of 504 nursing students in G and C provinces. The data were analyzed using percentage, mean, standard deviation, t-test, ANOVA, Scheffe test, Pearson correlation analysis and hierarchical multiple regression with the SPSS Win 20.0 Program. Results: The mean score of transcultural self-efficacy was 5.99±1.25 out of a possible 10. Transcultural self-efficacy showed a significantly positive correlation with cultural competency (r=0.45, p<0.001) and empathy (r=0.25, p<0.001). In the hierarchical multiple regression analysis, cultural skills, perspective taking, empathic concern and personal distress were significant predictors and explained 30.1% of transcultural self-efficacy. Conclusions: The results of this study showed that there are significant factors affecting the transcultural self-efficacy of nursing students. Based on these results, cultural education programs are needed to in order to improve cultural self-efficacy.

우리나라 단태아 및 다태아에서 임신 기간별 세분화된 조기분만율의 변화 추이: 1997-98, 2013-14

박상화 ( Sang Hwa Park ) , 김종석 ( Jong Seok Kim ) , 임달오 ( Dar Oh Lim )
4,500
초록보기
Objectives: To compare the secular trend (1997-2014) of gestational age specific preterm birth rate in singleton and multiple birth. Methods: The birth certificate data of Statistics Korea was used for this study (1997-98: 1,292,336 births, 2013-14: 849,779 births). The data of extra-marital birth and missing information cases (gestational age, maternal age and other variables) were excluded from all analyses. Odds ratio and 95% confidence intervals were calculated from logistic regression to describe the secular trend of very preterm birth (≤31 weeks), moderate preterm birth (32-33 weeks), late preterm birth rate (34-36 weeks) in singleton and multiple birth adjusted by maternal age (15, 20, 25, 30, 35, 40, 45), birth order (1st=1, 2nd=2, 3rd=3), infantile gender (male=1, female=0), and education (≤middle=1, high=2, college/university=3). Results: The rate of preterm birth increased 1.9 times, from 3.31% to 6.44%, during 1997-2014. After adjustment by logistic regression for infantile gender, parity and maternal age, and type of birth, the odds ratio of preterm birth of phase II was 1.69 (95% confidence interval: 1.66-1.71), compared with phase I. During the period, preterm birth rate increased 2.71 times in multiple birth, whereas the rate was 1.57 times increment in singleton birth. 47.2% of the overall increase in the preterm birth rate was attributable to the increase of preterm birth in multiple birth during the period. The odds ratio of very preterm birth, moderate preterm birth and late preterm birth rate in singleton birth for phase II were, respectively, 1.37 (95% confidence interval: 1.30-1.44), 1.08 (1.03-1.14), and 1.68 (1.65-1.72), compared with preterm birth rate of phase I. Comparing the preterm birth rate of phase I, the odds ratio of preterm birth in multiple birth of phase II was 2.61 (2.32-2.93) for very preterm birth, 1.35 (1.22-1.49) for moderate preterm birth and 2.78 (2.64-2.92) for late preterm birth rate. Conclusions: The rate of gestational age specific preterm birth increased higher in multiple birth than that of singleton birth during the period. The remainder of the total increment in the preterm birth between phase I & II was explained by increase the multiple birth and late preterm birth. There is a need for close attention in this area to understand the contributing factors to late preterm birth and to reduce preterm birth rate for multiple birth.

권역심뇌혈관질환센터 사업의 비용-편익 분석

김병호 ( Byung Ho Kim ) , 감신 ( Sin Kam ) , 배상근 ( Sang Geun Bae ) , 김건엽 ( Keon-yeop Kim ) , 이원기 ( Won Kee Lee ) , 홍남수 ( Nam-soo Hong ) , 박형근 ( Hyeung-keun Park ) , 이혜진 ( Heyjean Lee ) , 조은정 ( Eun-jung Cho ) , 채성철 ( Shung Chull Chae ) , 박헌식 ( Hunsik Park ) , 황
5,100
초록보기
Objectives: This study was conducted to investigate economic feasibility of operating Regional Cardiocerebrovascular Centers using cost-benefit analysis. Methods: The current study assessed cost and benefit data collected from nine hospitals which were designated as Regional Cardiocerebrovascular Centers between 2008 and 2010. Results: The operation of Regional Cardiocerebrovascular Centers reduced mortality rate and length of stay due to acute myocardial infarction and stroke and also decreased disability occurred after stroke. The total calculated cost of operating nine Regional Cardiocerebrovascular Centers was 19.85-22.30 billion won and the minimum benefit calculated was 23.98 billion won. Applying the maximum cost and the minimum benefit, the net benefit was 1.68 billion won, which is estimated to 190 million won per Regional Cardiocerebrovascular Center. Conclusions: The present study revealed that the operation of Regional Cardiocerebrovascular Centers was economically beneficial. The benefit would be larger if intangible benefit such as the long-term effects to community hospitals and enhancement of quality of life of patients and their families are considered.
4,500
초록보기
Objectives: The characteristics of nursing workforce is critically important in achieving quality care in a hospital. However, current hospital industry environment does not allow ample investment in human resource. Therefore, hospital management has to come up with effective ways of investment in nursing resources. This study was conducted with the purpose of providing basic information needed for effective nurse staffing decision in hospitals. The impacts of nurse staffing level in terms of quality and quantity on health outcome were analyzed. Methods: Nurse staffing level and in-hospital mortality data of 3,451 hospitals nationwide were analyzed using multiple regression models. Dependent variable of the model was in-hospital mortality and independent variables included number of patient per nurse and percentage of nurse aid in nursing staff. As the control variables, patients characteristics and hospital organizational characteristics were included in the model. Results: Number of patients per nurse and proportion of nurse aides in nursing staff showed significant positive effects on in-hospital mortality. The effects were stronger in the hospital group that had relatively lower nurse staffing level. The positive relationship between staffing level and mortality rate was stronger in the hospitals that had higher severity level. Conclusions: Health policy should focus on improving minimum standard of nurse staffing level. Also, hospitals should lay nursing staff investment priority on the nursing units that serve high severity patients.

간호대학생의 대학생활적응과 학업성취도에 영향을 미치는 요인

한미현 ( Mi Hyun Han )
4,500
초록보기
Objectives: Recently, the characteristics of students enrolled in a nursing school have changed; the number of aged students and students who have various motivations has increased. Also various admission types are used to select the students. The author investigated the changes and contributing factors in college adaptation and academic achievement among these students. Methods: Eighty nursing students participated in this study. A survey was performed using the Baker and Siryk`s Student Adaptation to College Questionnaire (SACQ) for the class of 2012 during the 1st year term. The same survey was performed 2 years later. Academic achievement of the 1st and 3rd year students was also compared. Paired t-test, Pearson correlation and regression analysis were performed with SPSS WIN 23.0. Results: The SACQ score increased from 5.22±0.82 (1st year) to 5.45±0.96 (3rd year) (p<0.05). Students motivated by their own will showed a higher SACQ score than students who had other motivations during the 1st year and 3rd year. Academic achievement score decreased from 3.68±0.52 (1st year) to 3.49±0.64 (3rd year). Student of younger age and students selected via regular admission showed higher academic achievement in the 1st and 3rd year. Students motivated by their own will showed higher academic achievement in the 1st year but not in the 3rd year. There was a positive correlation between the SACQ score and academic achievement. Conclusions: Motivation, age at admission and admission type affected the SACQ score and academic achievement. It is recommended that measures to motivate the students should be instituted earlier and special attention should be paid to aged students.

중소병원 내부마케팅이 고객지향성과 경영성과의지에 미치는 영향 및 시장지향성의 매개효과

배성윤 ( Sung-yoon Bae ) , 김지원 ( Jiwon Kim ) , 김경란 ( Gyeong-lan Kim )
4,500
초록보기
Objectives: The objectives of this study were to examine the effect of internal marketing on the employees` customer orientation and their business performance will, and to verify the mediating effect of market orientation in local hospital setting. Methods: A questionnaire-based survey was conducted among 300 employees working at 9 hospitals in Changwon area, and 279 responses were analyzed. The data were collected from April 4 to April 17, 2015. SPSS 18.0 program was used for descriptive statistics, t-test, ANOVA, factor analysis and reliability test, and AMOS 18.0 program was used for path analysis. Results: First, delegation of authority, education and training, and compensation, among other factors of internal marketing, showed a statistically significant effect on market orientation. Second, market orientation had a significant effect on both customer orientation and business performance will. Third, internal marketing influenced rather indirectly on the customer orientation and business performance will, mediated by market orientation. Conclusions: Leveraging market orientation could help local hospitals make the most of their internal marketing activities in order to improve customer orientation at the individual level and the business performance at the organizational level.

여자 교대생들의 BMI에 따른 체격, 체력, 체조성 및 혈중지질 비교

김도연 ( Do-yeon Kim ) , 김종원 ( Jong-won Kim )
4,500
초록보기
Objectives: The purpose of this study was to provide the basic materials to form sense of value for health and to emphasize the importance of physical education by comparative analysis of physique, physical fitness, body composition and blood. Methods: The subjects were 188 female college students and they were classified 3 groups by BMI: lower weight group (LWG), normal weight group (NWG), and over weight group (OWG). Results: In the physique, there was significantly high in order LWGNWG, OWG in unbalance of the upper and lower parts of the body, and LWG, OWG< NWG in body developmental Index. In blood lipid, there was significantly high in order LWG >NWG, OWG in HDL-C. Conclusions: In the result of this study, it is recognized that regular exercise as well as eating right, life style are needed and offered to take part in the exercise programs for healthy campus life of female college students.

당뇨병가족력 여부에 따른 공복혈당장애율

김은혜 ( Eun-hei Kim ) , 배상근 ( Sang-geun Bae ) , 김건엽 ( Keon-yeop Kim ) , 나윤주 ( Yoon-ju Na )
4,500
초록보기
Objectives: This study was to investigate the prevalence of impaired fasting glucose and the influence of a family history of type 2 diabetes on it. Methods: The data was used from National Health and Nutrition Survey in 2013. Among 5,185 subjects aged 19 to 69 years, 3,561 were selected after excluding the data of previous diagnosis of diabetes, fasting plasma glucose (FPG)≥126 mg/dL, HbA1c≥6.5%, or missing values of diabetes family history. Impaired fasting glucose was defined as FPG of 100 to 125 mg/dL. We analyzed the prevalence of impaired fasting glucose and the influences of the related factors including a family history of type 2 diabetes on it using the logistic regression model. Results: The prevalence of impaired fasting glucose in non-diabetes Korean population was 20.9%. 682 (19.2%) had a family history in at least one first degree relative and it was significantly associated with impaired fasting glucose (p=0.020). A family history in brothers or sisters was significantly associated to IFG (p<0.001), that in father (p=0.335) or mother (p=0.067) was not. After adjustment for known risk factors related to diabetes including age, sex, smoke, drinking, body mass index (BMI), hypertension and dyslipidemia, a family history of type 2 diabetes was associated with impaired fasting glucose, the odds ratio for it was 1.40 (1.13-1.73). Conclusions: The family history of type 2 diabetes is a major risk factor of impaired fasting glucose in general adults and more effort is needed for early detection and prevention of impaired fasting glucose in case with family history.

로지스틱 회귀모형을 사용한 율의 표준화 방법: 국민건강보험공단 건강검진코호트 사용

조상훈 ( Sang-hoon Cho ) , 강근석 ( Gunseog Kang ) , 김현창 ( Hyeon Chang Kim )
4,500
초록보기
Objectives: To illustrate an approach for standardizing rates utilizing logistic regression models that leads to the enhanced reliability of estimation with reduced calculation cost. Methods: For illustrative purposes, data regarding metabolic syndrome patients in 2013 were extracted from the National Health Insurance Service-National Health Screening Cohort (NHIS-HEALS). The detailed step-by-step calculations of age-sex adjusted prevalence rates of metabolic syndrome were demonstrated by both direct and logistic regression standardization approaches whose results were then compared. Results: Standardization of rates using logistic regression models facilitated relatively simple calculation that can be easily implemented by using widely employed analytical programs such as R, SPSS, and SAS. Treating age as a continuous variable, the logistic regression approach produced confidence intervals of age-sex adjusted prevalence rates that were much narrower as compared to confidence intervals obtained by the direct standardization. Conclusions: Standardization of rates utilizing logistic regression models may be a competitive alternative to the direct standardization in terms of computational efficiency and estimation reliability.

대학생 문제음주 영향요인

마진경 ( Jin-kyoung Ma ) , 유문숙 ( Moon-sook Yoo )
5,200
초록보기
Objectives: The purpose of this study was to examine affecting factors on problematic drinking of college students. Methods: The subjects were 258 college students. Data collected from November 28 through December 9, 2016. Collected data were analyzed with Independent t-test, One-way ANOVA, Pearson`s correlation and multiple regression analysis. Results: Problematic drinking based on general characteristics showed statistically significant difference in gender, age, grade, resident type, major GPA, having smoke and drinking cost. The factors affecting problematic drinking were as follows: high drinking costs, low major GPA, smoker, drinking refusal self-efficacy and drinking motivation. The explanatory power of theses factors was 54.3%. Conclusions: This findings suggest that in order to reduce the problematic drinking of college students, it is necessary to develop and apply a reducing drinking program considering individual factors, cognitive factors, and socio-cultural factors and it should be approached from a diverse and comprehensive viewpoint including smoking cessation education.
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