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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 3호 (2017)

전자적 의약품 부작용 데이터 표준분석과 국내 적용

서정원 ( Jeong-won Seo ) , 이재옥 ( Jaeok Lee ) , 채규한 ( Gyuhan Chae ) , 도원임 ( Won-im Do ) , 이상훈 ( Sang-hun Lee ) , 정래석 ( Raeseok Jung ) , 신원 ( Won Shin )
4,500
초록보기
The aim of this study is to provide a method to apply the electronic data standard for electronic transmission of individual case safety reports (ICSRs) in Korea. In Korea, it is necessary to implement the ICH E2B guideline and the ICH MedDRA guideline within 5 years after approval to join ICH members in November 2016. With the spread of the internet network and the IT infrastructure worldwide, Data standardization has been developed not only by major countries such as the US, Europe, and Japan, but also by around the world. In addition, it is necessary to strengthen voluntary or mandatory reporting from consumers, pharmaceutical companies, and healthcare professionals by following the standardized electronic information exchange system for international sharing. This can be an opportunity to overcome limitations on the quality and quantity of information available at the time of authorization. Based on the data system applying the electronic standards, it is possible to search and prevent Korean inherent side effects by using the collected and analyzed information. The exchange of information of standardized data will enable regulatory authorities to communicate with data from different structure as well as many other countries with a single common document. We first reviewed the necessity of development of data standard for drug safety reporting. The ICH E2B guideline adopted as an international standard has been analyzed and the need for introduction into Korea has been examined. In major ICH regions like US, EU and Japan, regional implementation guides for E2B (R3) guideline were prepared and implemented in accordance with the guide. The guides and the status of these countries were compared and analyzed. Regional implementation guide for introducing ICH E2B, an international standard, in Korea was made which was reflecting domestic regulations such as pharmaceutical safety management regulations.
4,500
초록보기
Objectives: The central nervous system (CNS) diseases cause serious damage to motor and sensory functions. The individuals with CNS disease have great limitations in activities of daily living and social participation. This meta-analysis was conducted to investigate the effect of vibratory stimulation on physical function recovery in individuals with CNS disease. Methods: Data were collected through data search engines such as PubMed, CINAHL, MEDLINE from 2005 to 2017. The PEDro scale was used to assess the quality of study. The sample size, mean and standard deviation in the studies were analyzed by meta-analysis. Results: Ten studies were selected for analysis and all studies had PEDro score of 6 points or more. Three hundred fourteen participants were included. The outcome data were categorized as physical functions focused on community participation such as “balance function” and “upper & lower function and gait function.” The effect sizes of the selected studies were statistically insignificant in heterogeneity. The effect sizes of combined outcomes and “upper & lower function and gait function” were 0.356 and 0.421 as indicated by a “medium effect size” and the effect size of “balance function” was 0.223 as indicated by a “small effect size.” Conclusions: We found that vibratory stimulation has the advantage of enhancing physical function in CNS rehabilitation field. However, there was no superior effect than other types of intervention.

병원간호사의 전문직업관 및 조직몰입이 간호업무수행에 미치는 영향

전옥분 ( Ok-bun Jeon ) , 류시원 ( Seewon Ryu )
4,500
초록보기
Objectives: This study investigated the effects of professional consciousness and organizational commitment on nursing performance of hospital nurses. Methods: Data were collected using a structured self-administered questionnaires (5-point scale) from nurses working in three hospitals, over 500 beds in Gyeonggi-do. We analyzed 305 cases using SPSS 21.0. Results: Professional consciousness and organizational commitment were significantly correlated with nursing performance. Professional consciousness of hospital nurses was a positive influencing factor to nursing performance when controlling socio-economic characteristics. Organizational commitment was not significantly influenced to nursing performance because it was significantly correlated with professional consciousness. Among socio-economic factors, working area was influencing factor to nursing performance that nurses working in nursing and care-giving integrated ward were more positively influenced to that than those working in general care ward. Conclusions: Education and training program planning for enhancing professional consciousness of hospital nurses would contribute to improve quality of nursing and nursing performance. Motivation and extended enforcement is needed to improve nursing performance for nurses working in nursing and care-giving integrated services ward.

아동병동 입원 환아를 대상으로 간호학생이 내린 간호진단의 네트워크 분석

문미경 ( Mikyung Moon )
4,500
초록보기
Objectives: The purpose of this study was to identify key nursing diagnoses and sub groups of nursing diagnoses for children admitted in pediatric units using a Network Analysis. Methods: Data were obtained from 205 case reports submitted from nursing students who had done a clinical practicum in pediatric units. Five hundred and twenty-four NANDA-I nursing diagnoses were extracted from the case reports. Frequency, Centrality, and Clusters were generated by Network analysis with NetMiner 4.0. Results: Seventy eight different nursing diagnoses were identified. In general pediatric units, Hyperthermia was the most frequently used and highest degree centrality diagnosis. Ineffective airway clearness showed the highest between centrality. In a pediatric intensive unit, Impaired gas exchange showed the highest frequency, degree centrality, and between centrality. Four sub-groups in general pediatric units and 2 sub-groups in a pediatric intensive unit were identified. Conclusions: The results from this study could support clinical decision for selecting nursing diagnoses accurately and promptly.

가구의 가계소득분위에 따른 의료비지출 분포의 불평등 실태와 과부담 의료비 관련요인

김민정 ( Min Jung Kim ) , 감신 ( Sin Kam ) , 이원기 ( Won Kee Lee )
4,500
초록보기
Objectives: The purpose of this study was to investigate the inequality tendency of household medical expenditure distribution and associated factors with household catastrophic medical expenditure. Methods: The current study analyzed the raw data of the Korean Health Panel over the years 2009 to 2014. Results: The proportion of household medical expenditure to household income in 2014 was 16.9% in 1st income quartile, 9.7% in 2nd income quartile, 5.7% in 3rd income quartile, 4.1% in 4th income quartile, and 2.5% in 5th income quartile. The Gini coefficient for distribution of household medical expenditure was 0.548, 0.536, 0.533, 0.527, 0.523, 0.528 respectively between 2009 and 2014. The Gini coefficient for distribution of household medical expenditure according to income quartile was higher in lower income household than that of higher income household. The incidence rate of household catastrophic medical expenditure was higher when the total annual household income was lower, the age of the householder was older, the number of household members was smaller, the education level of the householder was lower, the healthcare coverage type was National Health Insurance, the householder had disability, and the prevalence rate of the chronic disease of the household was higher (p<0.05). Conclusions: In consideration of above findings, there was inequality of household medical expenditure distribution and the household medical expenditure was higher when the total household income was lower. Therefore, a policy for vulnerable households should be established.

지역사회건강조사의 자가보고 키, 몸무게 그리고 체질량지수의 정확성

정진영 ( Jin-young Jeong ) , 김동현 ( Dong-hyun Kim ) , 김건엽 ( Keon-yeop Kim ) , 류소연 ( So Yeon Ryu ) , 이순영 ( Soon-young Lee ) , 박용순 ( Yong Soon Park )
4,500
초록보기
Objectives: The purpose of this study is to check accuracy of height, weight and body mass index (BMI) and to verify usefulness of the obesity rate based on the self-reported height and weight. Methods: Self-reported height and weight values of those who took part in the 2016 Community Health Survey in 3 areas (2,198 persons) were investigated and measured. The mean difference between the self-reported and the measured height, weight and BMI was estimated with paired t-test and the Pearson correlation coefficient. Percent agreement (%) and Kappa Statistics of BMI were calculated per group (<18.5, 18.5-24.9, 25-29.9, ≥30) and validity (sensitivity, specificity and predictive factor) of the self-reported obesity rate (BMI ≥25) was estimated. Results: The mean values between the self-reported and the measured values were compared, and it was found that height was over-reported, weight and BMI was under-reported (p<0.05). The correlation coefficient between the height, weight and BMI was all 0.9 or higher (p<0.05). When it comes to the mean difference in height and weight per group (4 groups), both sexes in height group 4 under-reported the height and male in weight group 1 over-reported the weight. BMI % agreement per BMI group was 88.3% in male and 85.4% in female, and Kappa Statistics was 0.779 (95% CI, 0.76-0.80) in male and 0.673 (95% CI, 0.65-0.70) in female. The sensitivity of self-reported BMI based on BMI 25 was 82.7% in male and 67.8% in female, showing a higher value in male. Obesity prevalence based on the self-reported values was 87.1% and 71.3% of that based on the measured values in male and female respectively, and it got lower among elderly people who are 60 years old or more. Conclusions: In community-based epidemiological studies, height, weight, and obesity rate should be compared and evaluated based on measurement data.

노인의 주관적 계층인식과 자살생각과의 관련성

박선희 ( Sun Hee Park ) , 제갈정 ( Jung Jekarl ) , 김광기 ( Kwang Kee Kim )
4,500
초록보기
Objectives: This is to explore the relationship between perceived social class and experience of suicidal ideation among the elderly and to provide policy implications in terms of health promotion and prevention of a suicide committed by the elderly. Methods: As a secondary data analyses a sample of the elderly aged 65 and older (n=2,209) was drawn from the panel of Korea Medical Care Utilization collected in year of 2012. Multivariate logistic regressions were employed to explore an association of perceived social class and suicidal ideation with held socio-demographic covariates constant with using SPSS 22.0. Results: Of the respondent 8.8% of them reported to have experienced at least once suicidal ideation in previous year and to perceived themselves as members of lower social class groups (Mean=3.62 out of 10 score). Multivariate logistic regression showed that perceived social class was associated with experience of suicidal ideation. Those among the lowest social group were 2.19 times as high as those among the highest likely to have experience of a suicidal ideation during a year under study. Significant covariates being associated with experience of suicidal ideation included gender, abilities to perform physical activities, and the number of chronic diseases they have. Conclusions: With psychological and physical health factors, perceived social class should be taken into consideration in making an effort to prevent a suicide committed by an elderly.

대학생의 성격특성에 따른 건강염려성향과 인터넷에서의 건강정보추구행위 비교

김남선 ( Nam Sun Kim ) , 이규은 ( Kyu Eun Lee )
4,500
초록보기
Objectives: The purpose of this study was to compare the health anxiety and health information seeking behaviors on the internet according to personality traits among university students. Methods: The research design for this study was a descriptive survey using quota sampling. Data collection was done using self-report questionnaires of 348 university students in G city. The data were analyzed using percentage, mean, χ2 test, ANOVA, Pearson correlation coefficients and stepwise multiple regression with the SPSS Win 20.0 Program. Results: Depending upon the worry score, the group with normal worry and the group with pathological worry were classified. And those with normal worry were classified as those with a high level of intolerance for uncertainty (top 25%) and those with low level of intolerance for uncertainty (below 25%). 21.3% of university students were pathologically worried. There were significant differences between the three groups in health anxiety and health information seeking behaviors on the internet. In the stepwise multiple regression analysis, group with high level intolerance of uncertainty, and adaptation disorder due to illness were significant predictors and explained 45% of health information seeking behavior on the internet. Conclusions: The results of this study showed that it can be seen that the group with high level intolerance of uncertainty has more health concerns and more health information seeking behaviors than the other groups. Based on these results, it is necessary to consider the personality traits in interventions for subjects with health anxiety.

일부 여고생과 여대생에서의 월경곤란증 및 허리통증과 체간 근지구력 및 가동범위

두영택 ( Young Taek Doo ) , 정연우 ( Yeon Woo Jeong )
4,500
초록보기
Objectives: This study was conducted to investigate the association of dysmenorrhea and back pain during menstruation with muscular endurance and angle of trunk in high school girl students and women university students. Methods: The current study assessed data collected from 49 high school girl students and 50 women university students who participated in self-administered questionnaire survey on dysmenorrhea and back pain and test for measurement of muscular endurance and angle of trunk. A path analysis model was designed. Results: Menstrual distress questionnaire (MDQ) scores on dysmenorrhea and visual analog scale (VAS) scores on back pain were higher in high school girl students than that of women university students. For high school girl students, a path analysis model was designed to evaluate effects of MDQ, VAS on muscular endurance and angle of trunk. When VAS was higher, MDQ was higher and MDQ affected on muscular endurance of trunk negatively. For women university students, the effects of MDQ on VAS was statistically significant (p<0.05) and when VAS was higher, angle of trunk was smaller. Conclusions: Considering the present result, dysmenorrhea and back pain during menstruation will affect muscular endurance and angle of trunk. Therefore, a proper approach is required to alleviate dysmenorrhea and back pain during menstruation for high school girl students and women university students.

고혈압·당뇨병 자조모임프로그램 후 지식, 자가관리행위 및 자기효능감의 지속성

김정희 ( Jung Hee Kim ) , 김건엽 ( Keon Yeop Kim ) , 이수진 ( Su Jin Lee ) , 배상근 ( Sang Geun Bae ) , 류동희 ( Dong Hee Ryu ) , 이원기 ( Won Kee Lee )
4,500
초록보기
Objectives: The present study was conducted to evaluate level of knowledge related to diseases, self-management behaviors, and self-efficacy level of hypertensive and diabetic patients immediately after completion of a self-help group program and about 4 to 9 months after the completion of the program. Methods: A total of 86 individuals (41 hypertensive and 45 diabetic patients) participated in the self-help group program which was a part of the 2015 chronic disease health support services provided by D regional headquarter of National Health Insurance Service. A telephone survey for the participants was conducted from February to April 2016. Results: The level of self-management behavior for hypertensive and diabetic patients showed no significant changes. The level of knowledge related to the diseases and self-efficacy level were decreased significantly. The level of knowledge related to the diseases was significantly decreased in women, low-educated, single or short-term hypertensive or diabetic patients. The level of self-efficacy was significantly decreased in women, elderly, low-educated, or long-term hypertensive or diabetic patients. Conclusions: The results of this study can be used as a basis for the improvement of hypertension·diabetes self-help group program and the establishment of effective follow-up measures. Based on the present study, a systematic approach should be made to minimize the incidence of complications by continuing the follow-up management for the vulnerable cases who are single or with low educational level.
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