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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 : 43권 1호 (2018)

중환자실 간호사의 인공호흡기관련 폐렴 예방을 위한 감염관리 수행도 및 관련 요인

이현화 ( Hyeon Hwa Lee ) , 한미아 ( Mi Ah Han ) , 박종 ( Jong Park ) , 최성우 ( Seong Woo Choi )
4,500
초록보기
Objectives: Ventilator-associated pneumonia (VAP) is the most common form of nosocomial infections in intensive care units. The purpose of this study was to measure infection control knowledge and practice for VAP, and investigate the factors associated with them among staff nurses in intensive care units. Methods: The 232 staff nurses working in three university hospitals were surveyed by closed ended questionnaires using scoring system about infection control knowledge, practice for VAP and general characteristics. Practice scores for VAP were compared in groups of nurse. The factors associated to practice for VAP were analyzed with multiple linear regression using a SPSS version 16.0 statistical program. Results: The score of knowledge and performance of infection control were 4.85±1.18 and 1.82±0.13, respectively. In multiple regression analysis, the level of performance of infection control was significantly higher in nurses who cared for less than 3 patients compared to nurses who cared for more than 4 patients (β=0.04, p=0.067). And nurses with experience of education for the VAP prevention within 2 years had higher performance for the VAP prevention (β=0.05, p=0.009). The level of knowledge was higher, performance of infection control better. Conclusions: Performance for the VAP prevention was associated with the number of patients in charge, experience of education and the level of knowledge for the VAP prevention. So the level of performance of the VAP prevention will be improved by the reasonable nurse-to-patient ratio in intensive care unit and supplying of education and increasing of the level of knowledge for the VAP prevention.

12주간 지속적, 간헐적 운동형태가 중년여성의 심혈관질환 위험인자에 미치는 영향

정주하 ( Joo-ha Jung ) , 박정준 ( Jung Jun Park )
4,500
초록보기
Objectives: The purpose of this study was to examine the effects of continuous combined exercise with detraining and retraining on metabolic syndrome risk factors in middle-aged women. Methods: Forty women (40-49 years) were randomly divided into four groups, continuous combined training group (CCTG, n=10), intermittent combined training group (ICTG, n=10) and continuous aerobic training group (CATG, n=10), intermittent aerobic training continuous group (IATG, n=10). CCTG and CATG was trained for 12 weeks and ICTG and IATG was trained for the first 4 weeks, detrained for the following 4 weeks, and then retrained for the last 4 weeks. CCTG and ICTG conducted a combined exercise program, CATG and IATG conducted an aerobic exercise for 60 minutes a day, 3 days per week. Date analyzing method were two-way repeated ANOVA, one-way ANOVA and scheffe, paired t-test using SPSS 21.0. Results: Cardiovascular risk factors were measured before and 12 weeks after training. Combined exercise for 12 weeks was effective for cardiovascular risk factors such as body weight, % body fat, 1,600 m walk & run, glucose, HDL-C and triglyceride. However, intermittent combined exercise group was effective only in blood glucose and HDL-C. When aerobic exercise was continued for 12 weeks, it was effective only in % body fat and 1,600 m walk & run, and it was not effective in all items when intermittent. Conclusions: Thus, the combined exercise was more effective for cardiovascular risk factors than intermittent exercise and continuous exercise than aerobic exercise. However, in intermittent exercise, combined exercise, including strength training, was more effective for cardiovascular risk factors than aerobic exercise.
4,500
초록보기
Objectives: The purpose of this study is, using the data of Korean National Hospital Discharge In-depth Injury Survey, to examine the characteristics of cancer patients’ medical care utilization rate and provide the baseline data for development of cancer policy. Methods: This is a cross-sectional study using the data of Korean National Hospital Discharge In-depth Injury Survey provided by Korea Centers for Disease Control and Prevention every year since 2005. It used 9 years (2005-2013) of data finished with refinement after investigation. Based on the Korean standard classification of disease and cause of death, considering principal diagnosis, patients diagnosed with C00-C97 code, malignant neoplasm, were selected as research subjects. Results: The medical care utilization rate in other regions was 31.7%, and there were statistically significant differences in the general characteristics including gender, age, hospital average length of stay (ALOS), and the scale of beds. There were changes in the medical care utilization rate and mortality in other regions depending on cancers, and there were differences in the medical care utilization rate and mortality in other regions depending on patients’ residential districts. The results of multivariate analysis using logistic-regression analysis also revealed that the scale of beds and residential districts should be the major factors for the medical care utilization rate in other regions. Conclusions: In order to resolve regional inequality of cancer patients’ medical care utilization rate, the current supply-centered policy should be changed to a policy that can improve healthcare quality.

노년기 건강검진과 건강행동의 관계에 대한 종단적 연구

정윤경 ( Yunkyung Jung )
4,500
초록보기
Objectives: Despite the increasing importance of older adults’ own health behaviors in achieving healthy aging, there has been lack of research on associations between health screening and other health behaviors of older adults. The present study aims to examine longitudinal associations between health screening and smoking, drinking, and practice of regular exercise among older adults. Methods: Analyse were based on 2,458 individuals aged 65 and over who participated in the 1-4 waves of the Korean Longitudinal Study of Ageing (KLoSA). Generalized Estimating Equations were performed to investigate associations between health screening and health behaviors when effects of demographic characteristics and health-related variables were controlled. Results: Findings suggested that older adults who participated in private health screening showed a lower odds of drinking over the 6-year-period. Both public screening and private screening were associated with greater odds practice of regular exercise. Conclusions: Results from the present analyses emphasized health screening, as a preventive health behavior, could promote healthier lifestyle of older adults and suggest potential needs for follow-up after health screening.

간호대학생의 자기효능감, 전공만족도 및 진로결정 수준과의 관계

박형숙 ( Hyoung Sook Park ) , 윤정미 ( Jung Mi Yun ) , 이선녀 ( Sun Nyeo Lee ) , 이숙련 ( Sook Ryon Lee ) , 이미순 ( Mi Soon Lee )
5,100
초록보기
Objectives: The purpose of this study was to contribute to career counseling and career guidance for nursing students by investigating the influences of self efficacy and major satisfaction on career decision level of nursing students. Methods: For this study, data were collected from 383 nursing students from Busan and South Gyeongsang Province Data collection was done during the period November, 2017. A descriptive survey design was used and data were collected using questionnaires from a sample of 380 nursing students. Data were analyzed using descriptive statistics, Mann Whiney U test, Kruskal-Wallis test, Pearson correlation coefficient and multiple regression with SPSS WIN 22.0. Results: Career decision level had a significant correlation with self-efficacy and major satisfaction. Fits aptitude (β=0.14, p=0.001), score (β=-0.11, p=0.004), major reselect (β=0.11, p=0.016), hospital employment (β=0.10, p=0.011), self efficacy (β=0.33, p<0.001), general satisfaction (β=0.18, p=0.003), social perception satisfaction (β=0.15, p=0.003) were significant predictors of career decision level. Conclusions: It is necessary to develop effective career support programs according to type of motivation, career plans to improve nursing students’ self efficacy and satisfaction in the nursing major.
4,500
초록보기
Objectives: The main symptom of stroke is upper limb function deficit. Robotic intervention has been applied to treat the paretic upper limb. Through this meta-analysis, we investigated the effect of robotic intervention on upper limb function recovery of individuals with stroke. Methods: The analyzed studies were identified through electronic search engines such as PubMed, CINAHL, MEDLINE for the last 5 years. The PEDro scale was used to rate the methodological quality of included studies. Meta-analysis is performed to analyze the sample size, means, and standard deviations in selected studies. Results: Ten randomized controlled trails were included for meta-analysis. PEDro scale was more than 6 points in all studies. Three hundred twenty subjects participated in included studies. In order to statistically analyze the effect size of the robotic interventions, the outcomes of studies were classified into upper limb function (ULF) and activities of daily living (ADL). In consideration of heterogeneity of effect size, we used random effect model. Meta-analysis of 10 trials showed “small effect size”. The effect size of ULF was 0.288 and the effect size of ADL was 0.265. Conclusions: Robotic intervention was not more effective than other dose-matching conventional therapies. Therefore, it is necessary to select appropriate individual interventions reflect characteristics of the individuals with stroke and robotic interventions may be used as a complementary methods to conventional therapy.

디지털 헬스케어 서비스에 대한 보건의료제공자의 인식

문세연 ( Seyeon Mun ) , 윤영미 ( Young Mi Yun ) , 한태화 ( Tae Hwa Han ) , 이상은 ( Sang Eun Lee ) , 장혁재 ( Hyuk Jae Chang ) , 송시영 ( Si Young Song ) , 이유미 ( Yumie Rhee ) , 김현창 ( Hyeon Chang Kim )
4,500
초록보기
Objectives: The purpose of this study is to examine healthcare providers’ understanding, opinions and requirements about digital healthcare services. Methods: We conducted an online survey of 1,942 healthcare providers on their opinions about digital (or information technology-based) healthcare services between May 15 to 31, 2017. The respondents were divided into four groups: medical doctors, nurses, other certified personnel, and the remainings. The characteristics of respondents were summarized as number and percentage. Chi-square test was used to assess statistical differences according to job. Results: More than half of the respondents knew about digital healthcare, and the awareness of doctors was higher than other groups (70.5%, p<0.001). Only a part of the respondents (31.8%) ever used digital healthcare services, and 67.7% of them used services for self-care. A majority of respondents answered that digital healthcare could improve the quality of healthcare (88.2%) and they were willing to use digital healthcare services in the future (72.2%). Respondents were most concerned about the risks of mistakes or medical accidents (37.7%) and security of personal information (28.3%), when digital healthcare was applied to real practice. Most wanted services were ‘personal health record management’ and ‘disease prevention information’ in the prevention area, and ‘notification for medication’ and ‘notification for treatment schedule’ in the treatment area. Conclusions: There was a high expectation for the digital healthcare services in the healthcare providers. Therefore, if the considered problems are mitigated, the active introduction could be achieved.
4,500
초록보기
Objectives: The purpose of this study was synthetically examine the relationship between oral health-related behaviors and high-sensitivity CRP levels. Methods: This study was conducted using data of Fifth Korea National Health and Nutrition Examination Survey. SPSS 20.0 for Window was applied for statistical analysis. The data were collected from 5,945, age ≥19 years. To analyze the association between oral health-related behaviors and high-sensitivity CRP level, was used multiple logistic regression analysis and the independent t-test. Results: The concentration of high-sensitivity CRP was lower in group for preventive dental care such as scaling treatment in recent 1 year (p<0.10). The frequency of daily tooth brushing was significant to high-sensitivity CRP level (r=-0.055, p<0.001). Preventive dental care and the frequency of daily tooth brushing were significantly correlated with the plasma high-sensitivity CRP level after adjusting for sex, age and chronic disease status. Conclusions: The concentration of high-sensitivity CRP seems to be correlated with oral health-related behaviors such as the frequency of daily tooth brushing and preventive dental care. This study may be used as a basic data for research to clarify the relationship between oral health-related behaviors and cardiovascular diseases and chronic inflammatory diseases.

텍스트마이닝을 이용한 금연 홍보 웹툰의 반응분석: “씌가렛뎐” 댓글을 중심으로

이동균 ( Dong Kyun Lee ) , 이서준 ( Seo Joon Lee ) , 최인영 ( In Young Choi )
4,500
초록보기
Objectives: Recently, webtoons have been developed through a variety of fields’ advertisement platforms as well as non-smoking campaign. However, the only way to evaluate the effect of brand webtoons is limited to ratings, comments, and page views so far. Our research analyzed smoking cessation advertising brand webtoon’s comments by using text mining method. Methods: We chose the “Tale of Cigarette” webtoon which was well known as a cartoon for non-smoking campaign. Its rating was 9.91 rated by 107,264 readers. We analyzed the association between frequent morpheme and morpheme, and also analyzed sentiments embedded in user comments. A total of 20,560 comments were manually exported from Naver webtoon site and 18,117 comments were used for morpheme analysis and sentiment analysis. Results: Frequent morpheme analysis results showed that the ‘cigarette’ was most frequent, and was followed by other words such as ‘smoking cessation’, ‘human’, ‘smoker’, ‘dad’, ‘please’, ‘smoking’ in ranking. Comments were converted through transaction for association analysis. Support, confidence and lift were applied to the transaction data to check for association patterns, and results showed high lifts between the word ‘cigarette’ and words ‘smoking’, ‘tax’, ‘street’, ‘smell’, and ‘smoke’. Sentiment analysis results showed that negative sentiment in the early episodes changed into positive sentiment as the episodes progressed. Conclusions: Our results showed that the webtoon was an effective media as a non-smoking campaign. In order to successfully advertise smoking cessation through brand webtoon, it was important to convince the users and make them understand the harmful effects of smoking. In addition, it was equally important to ultimately make them quit through repeated publishing, and to attract them to smoking cessation related topics.

IPA를 활용한 의료기관 아웃소싱 직원의 내부고객 서비스품질 인식차이

김성수 ( Sung-soo Kim )
4,500
초록보기
Objectives: This study was undertaken to analyze the difference between the expectation and performance of service quality provided by a medical institution with outsourced employees in charge of telephone booking services at the medical institution, and use the results to establish strategies for efficient outsourcing management tasks. Methods: The data were collected through a self-administered questionnaire survey of 197 employees providing telephone booking services at four upper-scale general hospitals located in Seoul. A paired t-test was used to analyze the difference between the expectation and performance of service quality, and an importance-performance analysis (IPA) was conducted to derive strategies. Results: Among the determinants of perceived service quality, tangibles showed a great difference between expectation and performance and were found to be an area that requires urgent improvements with consistent interest and concern in the IPA matrix. Conclusions: Therefore, there is a need for strategies to prioritize improvement in tangible aspects of service quality for internal customer satisfaction and maintain reliability and assurance.
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