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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 2호 (2017)

동통실험을 통한 국악중재효과 평가

최수빈 ( Suvin Choi ) , 이형환 ( Hyung-hwan Lee ) , 박상규 ( Sang-gue Park )
4,500
초록보기
Objectives: To assess the effects of Korean traditional music on perceived pain through cold-pressor task (CPT). Methods: This was a two-sequence, two-period, two-treatment crossover study and involved giving two treatments to each subject. Twenty-six subjects were divided into two groups by randomization, and CPT was performed. In sequence group 1, subjects listened to Korean traditional music (KTM) during their first period but not in the second period. This sequence was reversed in group 2. After each CPT, subjects` pain intensity (PI) in visual analog scale (VAS) and pain tolerance (PT) in time scale were measured. Anxiety sensitivity inventory (ASI-16) from subject was also measured to show the relationship between the pain responses and the degrees of anxiety. Results: There were statistically significant differences in PI with listening KTM (6.26±2.25) compared to without listening KTM (6.69±1.83; p<0.0001) and in PT with KTM (15.42±11.06) compared to without KTM (11.24±8.54; p=0.040). PI between normal and anxious group classified by anxiety scores was statistically significant. Conclusions: KTM has a meaningful effect on reducing PI and increasing PT during CPT. KTM effect in PI differs from normal and anxious group. These results may be useful in the context of other surgical procedures to reduce perceived pain.
4,500
초록보기
목적: 이 연구는 경기 북부 대학생을 대상으로 우울 정도와 이상섭식과의 관계를 규명하고자 수행되었다. 방법: 이 연구는 경기북부 대학생 총 481명을 대상으로 자기기입방식의 설문조사를 실시하였다. 이상 섭식 유무를 파악하기 위해서 Garner와 Garfinkel(1979)이 개발한 Eating Attitude Test-40(EAT-40)을 우리나라에서 표준화한 섭식 태도 검사(Eating Attitude Test-26, EAT-26)를 활용하였고, 우울 정도를 파악하기 위해 DSM-IV(미국정신협회)의 우울증 진단 기준에 따른 10문항의 자가 우울증 진단 테 스트를 연구 도구로 사용하였다. 결과: 이상섭식태도를 보이는 대학생은 91명으로 전체 연구대상의 18.9%이었다. 이상 섭식 태도를 보이는 대학생의 경우 우울 정도의 평균은 4.73점으로 정상적인 섭식 태도를 보이는 대학생의 우울 정도의 평균 2.57 점 보다 높았다. 이상 섭식과 우울 정도 간에는 통계적으로 유의한 차이를 보였으며, 우울 점수가 1점 증가할 때 이상 섭식 발생 위험이 1.31 배임을 볼 수 있었다. 우울 정도 이외에 이상 섭식 에 영향을 미치는 요인은 야식, 체중감량여부, 스트레스, 외모 만족도였다. 결론: 이 연구를 통해 우리는 이상 섭식에 우울 정도가 중요한 역할을 한다는 것을 확인할 수 있었다. 따라서, 대학생의 올바른 섭식 태 도 증진과 우울증 예방을 위한 프로그램의 개발이 필요하다고 사료된다.

가족갈등이 우울에 미치는 영향: 경제요인으로 인한 갈등을 중심으로

박종돈 ( Jong Don Park ) , 송태민 ( Tae Min Song ) , 이원재 ( Won Jae Lee )
5,100
초록보기
Objectives: This study analyzes how financial issues - major causes of conflicts within families-affect depression of individuals, and tests the intermediary effects of self-esteem and physical health between the financial issues and depression. For the analysis, this study uses part of the general household member data, which is included in the `Prevalence of conflicts and social pathologies at individual level and counter measures in Korea` conducted by the Korea Institute for Health and Social Affairs (KIHASA), as secondary data. Methods: We used multiple-group structural model to test the effects of family conflict, self-esteem, and physical health on the depression. The findings of this study can be summarized as follows. Financial issues were the major factor that increased depression caused by family conflicts. Also, family conflicts arising by financial issues significantly reduced self-esteem. Self-esteem have a greater negative correlation than physical health on depression. In addition, family conflicts affected depression, self-esteem, and physical health among groups of different ages, sexes, and income levels by the multiple-group structural model analysis. Results: This test analyzes the significance and direction of the indirect effect exerted by self-esteem and physical health on depression caused by family conflicts. The higher a person`s sense of self-esteem and the healthier a person is, the less severe his or her depression will be. The control variables, such as age, sex, income, also exert partial intermediary effects. Conclusions: Most importantly, society as a whole needs to care more about women and the elderly who are prone to depression associated with family conflicts, and policymakers must make available a broader range of mental health services that cater to the particular needs and characteristics of women and the elderly.

간호대학생의 진로탄력성 예측 요인

문경자 ( Kyoung-ja Moon ) , 조은정 ( Eun-jung Cho )
4,500
초록보기
Objectives: The purpose of this study was to identify correlates influencing career resilience of undergraduate nursing students. Methods: A self-administered survey was conducted among 199 second-year students enrolled in Bachelor of Science in Nursing degree at a college in Daegu city, from 3 to 7 March 2014. The survey tool consisted of seven demographic questions and the scales of career decision-making self-efficacy, career decision and career resilience. Statistical Package for Social Science were used for statistical analysis. Results: The score of nursing student`s career decision-making self-efficacy, career decision and career resilience were 3.51±0.36, 2.54±0.56 and 3.63±0.38, respectively. Among demographic characteristics, the effect of gender, satisfaction in major, and satisfaction of college life on career decision-making self-efficacy and career resilience were statistically significant. A positive correlation existed between career resilience and career decision-making self-efficacy (r=0.70, p<0.001), career decision (r=0.57, p<0.001). Similarly, career decision-making self-efficacy was positively associated with career decision (r=0.54, p<0.001). The model including career decision, career decision-making self-efficacy, academic performance and satisfaction of college life explained 57.3% of variability in career resilience. Conclusions: Theses results indicate the importance of multidimensional factors in understanding career resilience of undergraduate nursing students, and it could be used to develop a comprehensive career planning and development program.

한국어판 약물에 대한 신념도구의 타당도와 신뢰도: 항호르몬제를 복용하는 유방암 환자를 대상으로

김영란 ( Younglan Kim ) , 민열하 ( Yul Ha Min )
4,500
초록보기
Objectives: The purpose of this study was to assess the validity and reliability of the Korean version of the Beliefs about Medicines Questionnaire-Specific (BMQ-specific). Methods: Forward-backward translation of the BMQ-specific from English to Korean was conducted. Data were collected from 210 breast cancer patients on hormone therapy treated at a hospital in Seoul using the questionnaires. Data were analyzed by item analysis for validity, which included factor analysis of Principal Component Analysis and correlation with the Morisky Medication Adherence Scale (MMAS), and for internal consistency reliability. Results: The overall score for the BMQ-specific, necessity beliefs and concern beliefs were 24.50±6.47, 13.83±4.17, and 10.68±4.10, respectively. The item-total correlation coefficients of all the items were >0.20 and ranged from 0.26 to 0.59. A factor analysis was conducted, and 10 items that had a factor loading of more than 0.40 were extracted. The explained variance from two factors was 61.2% of the total variance. The criterion-related validity was supported by the MMAS. The total Cronbach`s alpha was 0.80. Conclusions: The findings show that the Korean version of the BMQ-specific was reliable and valid in measuring the patients` beliefs about medication in Korean breast cancer patients on hormone therapy. The K-BMQ-specific enables healthcare providers to effectively measure the necessity beliefs and concern beliefs of patients regarding medication so they can provide appropriate and adequate management and strategies for medication adherence.

재미있는 작업환경이 병원 간호사의 직무만족 및 작업열의에 미치는 영향

안금식 ( Geum Sik Ahn ) , 류시원 ( Seewon Ryu )
4,500
초록보기
Objectives: Culture and climate of hospital would be an important factor on quality of services in these competitive healthcare industry. This study aimed to investigate the effects of workplace fun to job satisfaction and work engagement of hospital nurses. Methods: Data were collected by self-administered questionnaire from 3rd to 9th May, 2013. Respondents were 196 nurses working in four hospitals in Seoul and Gyeonggi-do province. Four dimensions pf workplance fun, such as The effects of workplace fun on job satisfaction and work engagement of nurses were tested through multiple linear regression analysis by controlling population and social variables. Results: Global fun at work and personal freedoms, dimensions of workplace fun, were significantly influenced to satisfaction with rewards of hospital nurses. Global fun at work and socializing with coworkers were significantly influenced to satisfaction with hospital nurses` coworkers and superiors. Global fun at work, personal freedoms, and socializing with coworkers were significantly influenced to work engagement of hospital nurses. Global fun at work was the most influential to organizational effectivieness among four dimensions of workplace fun. Conclusions: Workplace fun in general hospital revealed as effective factor to job satisfaction and work engagement of hospital nurses. Sub-factors of workplace fun should be used cautiously except global fun at work. We recommend to hospital managers to build fun culture and climate to nurses in general hospitals.

한국어판 혈액투석환자의 자기관리 측정도구의 타당도와 신뢰도 검증

차지은 ( Jieun Cha ) , 강지영 ( Jiyoung Kang )
4,500
초록보기
Objectives: The purpose of this methodological study was to evaluate the validity and reliability of the Korean version of the Hemodialysis Self-Management Instrument (HDSMI). Methods: Forward-backward translation was performed to develop the Korean version of the HDSMI. The translated scale was pilot tested and then administered to 215 patients with hemodialysis from January to February, 2016. Construct validity using exploratory and confirmatory factor analysis and internal consistency reliability were conducted. Results: Through a principal component method of exploratory factor analysis, the original twenty items were analyzed into four factors - problem solving and communication (7 items, 33.8%), fluid and weight control (3, 8.3%), diet and hemodialysis (5, 6.6%), and self-advocacy and emotion control (5, 5.7%), explaining 54.5% of total variance. The four-subscale model was validated by confirmatory factor analysis (χ2/df=2.13, p<0.001, RMR=0.04, GFI=0.86, CFI=0.87, TLI=0.85, RMSEA=0.07). Factor loadings of the four sub-scales ranged from 0.69 to 0.78. Average variance extracted was .80 and construct reliability was 0.94. The Cronbach`s alpha for the total scale was 0.89. Conclusions: The Korean version of the Hemodialysis Self-Management Instrument showed acceptable reliability and validity and can be utilized to assess self-management behaviors of hemodialysis patients in Korea. Additional studies are recommended to continue the psychometric evaluation of self-management scale.

간호대학생의 진로결정수준과 진로준비행동의 관계에서 셀프리더십의 매개효과

문미경 ( Mikyung Moon ) , 김소연 ( Soyeon Kim )
4,500
초록보기
Objectives: The purpose of this study was to investigate the mediating effect of self-leadership on the relationship between career decision level and career preparation behavior of nursing students. Methods: The subjects were 179 nursing college students using questionnaires with a total of 63 items including general characteristics (11 items), career decision level (18 items), career preparation (16 items), and self-leadership (18 items) respectively. The collected data were analyzed by SPSS Statistics 23 using the mean, standard deviation, t-test, ANOVA (Scheffe test), Pearson`s correlation coefficient, multiple regression analysis and Sobel test. Results: The mean score of career decision level was 2.79±0.45, career preparation behavior was 2.59±0.48, and self-leadership was 3.75±0.45. Career preparation behaviors were positively correlated with career decision level (r=0.40, p<0.001) and self-leadership (r=0.32, p<0.001). The level of career decision was positively correlated with self-leadership (r=0.28, p<0.001). The higher the career decision level and the self-leadership, the better the career preparation behavior. The higher the self-leadership, the higher the career decision level. Sobel test showed that the mediating effect of self-leadership was significant (z=2.32, p<0.001). Conclusions: A variety of educational programs should be attempted in various ways to improve self-leadership in order to drive career preparedness.

일 병동에서 간호·간병통합서비스 전후 임상관찰, 간호활동 및 간호진단에 관한 간호기록의 변화

이승신 ( Seung Shin Lee ) , 유소영 ( Soyoung Yu )
4,500
초록보기
Objectives: The purpose of this study is to identify the differences between the integrated nursing care service and non integrated nursing care service through electronic nursing documentation. Methods: We retrospectively reviewed the electronic nursing documentation of 102 patients who were admitted to G general hospital for analyzing the frequency of nursing statements between the month of January 2016 and the month of January 2017 using random sampling. The data were analyzed using percentage, mean, standard deviation, chi-square test and independent t-test with the SPSS Win 20.0 Program. Results: The frequency of use for the nursing statements was investigated: there was a significant difference in nursing record on pain assessment (p<0.001), nurse rounding, fall prevention (p=0.001), rounding for voiding, oral medication counseling, skin assessment, oral care, cold pack apply, bath, shampoo, face wash and teeth brushing, meal assistance, hot pack apply and tube feeding (p<0.001) between the integrated nursing care service and non integrated nursing care service. There was no significant difference in the frequency of nursing diagnosis. Conclusions: Results confirm that the nurse`s job had changed in the integrated nursing care service for example the direct patient care related in daily living assistance. Based on these results, the additional efforts to increase the records of patient education, counseling and emotional assessment are needed in order to improving the effective integrated nursing care service through job analysis.

항암화학요법을 받는 혈액종양환자의 치료목적에 따른 지지적 간호요구도

김수연 ( Soo-yeon Kim ) , 홍남수 ( Nam-soo Hong ) , 배상근 ( Sang-geun Bae )
4,500
초록보기
Objectives: This study was performed to investigate the supportive care needs in accordance with therapeutic purposes of blood cancer patients. Methods: The study was conducted among 100 subjects treated as hematologic malignancies during 2016 in Daegu. The questionnaires included various disease-specific characteristics including Supportive Care Needs Survey-long form 59. We analyzed data using descriptive statistics, t-test, ANOVA and ANCOVA. Results: Of 6 domains in Supportive care needs survey (SCNS), the psychological domain showed the highest score followed by the patient care and support domain and the physical and daily living domain. The supportive care needs had a significant relationship with therapeutic purposes of blood cancer patients. The health system and information domain of supportive care needs was the highest in the patients who had been taking remission induction chemotherapy, while psychological domain was the highest in those who had been taking chemotherapy about consolidation therapy or relapse, and physical and daily living domain was the highest in the patients who had been taking chemotherapy before bone marrow transplantation. Conclusions: The patients with hematologic malignancy showed a distinct difference of supportive care needs depending on their therapeutic purposes. Patients` supportive care needs with hematologic malignancy should be assessed and used to provide patient-centered care.
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