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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 3호 (2018)
4,500
초록보기
Objectives: The purpose of this study was to examine to impact of symptom severity, hope and social support on illness burden in patients undergoing long-term hemodialysis. Methods: A secondary analysis using survey data was performed for 130 patients receiving hemodialysis for more than five years. To measure illness burden, symptom severity, hope, and social support, the burden of kidney disease and the symptoms/problem list of the kidney disease quality of life short form, heath hope index, and multidimensional scale of perceived social support were utilized. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation, and hierarchical multiple regressions. Results: Illness burden scored 3.36 out of 5 points on average. There were differences in scores for illness burden according to primary disease, especially diabetic nephropathy (F=3.41, p=0.020), and monthly family income (F=3.79, p=0.025). Illness burden was positively correlated with symptom severity (r=0.40, p<0.001) and negatively correlated with hope (r=-0.33, p<0.001) and social support (r=-0.22, p=0.012). In the final multivariate regression model, symptom severity (β=0.32, p<0.001) and hope (β=-0.18, p=0.047) were significantly associated with more illness burden accounting for 23.0% for the variability. Conclusions: There is a large burden of illness in hemodialysis patients. Diabetic nephropathy could impose even larger burden on individuals. More aggressive interventions should be implemented to manage complex chronic disease and prevent diabetes. Better assessment and alleviation of patients’ symptom and positive attitude toward their illness would seem to have the potential to reduce illness burden in patients underdoing hemodialysis.

일반신뢰와 정부신뢰가 뇌사 후 장기 기증에 미치는 영향

이수인 ( Soo-in Lee )
4,500
초록보기
Objectives: This study analyzed the effects of Generalized trust and Trust in government Trust on organ donation after brain death. Methods: The study used the data from 2016 Korean General Social Survey (KGSS) which was made up of 1,052 people collected nationwide. 1,000 people in final analysis were selected by the response to the organ donation thought. For all analysis, SPSS 19 was used. Frequency analysis and chi-square analysis were conducted to characterize the variables involved in the analysis. To examine the effect of Generalized trust and Trust in government on organ donation. This study conducted logistic regression analysis, controlling socio-demographic variables and subjective health recognition. Results: It was confirmed that generalized trust did not influence the organ donation intention after brain death. On the other hand, trust in government was confirmed to have a positive relationship with the organ donation after brain death. This results seem to reflect social reality of low generalized trust. Conclusions: In order to spread organ donation, we should tried to build a system that can increase trust in government and suggested that we should increase generalized trust based on trust in government.

다기관 한국 전립샘 암 등록(KPCR) 데이터베이스를 이용한 근치적 전립샘 절제술의 수술 결과 비교

유성혜 ( Sung Hye Yu ) , 최문주 ( Mun Joo Choi ) , 김청수 ( Choung-soo Kim ) , 서성일 ( Seong Il Seo ) , 정창욱 ( Chang Wook Jeong ) , 변석수 ( Seok-soo Byun ) , 이지열 ( Ji Youl Lee ) , 홍준혁 ( Jun Hyuk Hong ) , 최인영 ( In Young Choi )
4,500
초록보기
목적: 전립샘암은 한국 남성에서 발병률이 급격히 증가하는 추세이다. 국소 전립샘암의 표준 치료로 근치적 전립샘 절제술이 시행되고 있으며 수술 기법은 개복, 복강경 그리고 로봇 수술로 나뉜다. 여러가지 수술 기법은 삶의 질, 경제적 측면, 수술 및 예후의 결과에서 차이가 있다. 이에 저자는 다기관 한국 전립샘 암 등록(KPCR) 데이터베이스를 이용하여 국소 전립샘 암 수술을 시행한 환자들의 결과와 예후에 대한 결과를 비교하고자 한다. 방법: KPCR 데이터베이스에는 5개 의료기관에서 수집한 6,032명의 데이터가 수집되어 있고 데이터의 무결성 보장을 위해 데이터 표준화 및 품질 관리를 시행하였다. KPCR 데이터베이스로부터 분석에 필요한 데이터를 추출하였다. 추출된 데이터는 2006년 1월부터 2011 년 12월까지 수집된 3,262명으로 최종 분석을 시행하였다. 이 데이터를 이용하여 수술 기법에 따른 국소 전립샘 암 환자의 인구학적 특성, 수술 결과 및 예후에 대해 분석하였다. 통계 분석방법은 one-way ANOVA, chi-square test, post-hoc 분석을 실시하였다. 무재발 생존율 분석을 위해 Kaplan-Meier와 multivariable Cox proportional hazard regression model을 통해 분석을 실시하였다. 결과: 분석 결과, 초기 전립샘 특이 항원치의 평균 값은 10.30 ng/mL이었다. 총 환자의 56.7%는 임상 병기 T2를, 43.3%는 병기 T1을 가지고 있었고 환자의 64.4%는 글리슨 스코어가 7 이상이었다. 절제면 양성률의 결과는 개복수술이 33.6%, 복강경 수술이 27.0%, 로봇수술이 28.8%로 나타났다(p <0.001). 로봇수술은 수술 후 합병증 및 예상 출혈량 결과에서 우수한 결과를 나타냈다. 5년 생화학 무 재발 생존율은 전체 환자에서 77.0%의 결과를 보였고 세 수술 기법은 임상 결과에 있어서 차이가 없었다. 또한 Cox 회귀분석 결과 세 수술기법은 생존율에 영향을 미치지 않았다. 결론: 본 연구결과는 국소 전립샘 암 환자의 예후와 특성을 설명한다. KPCR 데이터베이스를 통한 본 결과는 환자와 의료진의 올바른 의사 결정에 도움을 줄 것이라는 것을 보여준다.

신장장애인의 자살생각 관련요인

이은미 ( Eun-mi Lee ) , 홍남수 ( Nam-soo Hong ) , 이수진 ( Su-jin Lee )
4,500
초록보기
Objectives: Increase of chronic diseases due to development of modern society has resulted in increased rate of disability, showing increase of 115,000 kidney patients during recent 3 years. Kidney disease requires constant treatment and management and therefore, suicidal ideation has been on the rise together with increased rate of disability. Accordingly this study has examined factors related to suicidal ideation of the kidney patients. Methods: The data analysis has been carried out using the 2014 Census for Disabled carried out by the Korea Institute for Health and Social Affairs. This study has analyzed suicidal ideation of the 205 kidney patients having kidney disorders depending on demographic sociology factors, disease-related factors and mental health-related factors using SPSS 23.0 for Window. Results: Influence factors on suicidal ideation of the kidney patients using logistic regression analysis showed low suicidal ideation of the kidney patients in cases of living with spouse, having a job, no kidney dialysis, having good subjective health evaluation, no depression, satisfaction on family relation, number of friends and the current life. Conclusions: It suggest that it is required to select high-risk groups of suicide and depression based on results of this study and provide them with aggressive support and social intervention to prevent them from falling into risk of attempting suicide.

청소년의 신체이미지 왜곡이 정신건강에 미치는 영향

윤현정 ( Hyun Jung Yun )
4,500
초록보기
Objectives: The purpose of this study was to examine the effect of body image distortion on mental health in adolescents. Methods: Using statistics from 13th (2017) Korea Youth Risk Behavior Web-based Survey, complex samples logistic regression was conducted. The study sample comprised 49,180 adolescents. Results: The prevalence of subjects with body image distortion was 50.5% in this study. Gender, grade, school type, school achievement, and economic status were significantly different among the groups. After controlling general characteristics, body image distortion was significantly related to stress, depression, and suicidal ideation. That is, compared to adolescents without body image distortion, those with body image distortion showed significantly higher risk for having stress, depression, and suicidal ideation. Conclusions: Findings indicate that interventions focusing on body image distortion to prevent poor mental health should be developed to help adolescents.

항암화학요법을 받은 대장암환자의 증상, 피로 및 삶의 질의 종단적 경로분석

김은희 ( Eun Hee Kim ) , 서순림 ( Soon Rim Suh )
4,500
초록보기
Objectives: This study was examined to investigate the levels of symptom, fatigue and quality of life in patients with colorectal cancer during chemotherapy using FOLFOX, and to identify the fitness of a longitudinal path model of variables. Methods: The number of subjects were 31. Data were collected from February 15 to November 27, 2013. The measurements were taken five times in total. Data were analyzed with IBM SPSS 20.0 and LISREL 8.8 programs. Results: Symptom and fatigue increased significantly over the chemotherapy cycles and influenced on the symptom of the next chemotherapy cycle. Quality of life influenced on the quality of life of the next chemotherapy cycle. The longitudinal path model of symptom, fatigue and quality of life of subjects was a good fit with the model (Q=1.54, GFI=0.92, AGFI=0.88, RMSEA=0.05). Conclusions: The results of this study indicate that colorectal cancer patients’s symptoms, fatigue and quality of life can be changed over the chemotherapy cycle and can be influenced on symptoms, fatigue and quality of life of the next cycle. Thus there is a need to perform timely nursing interventions continuously, and to develop nursing intervention program to improve the symptoms, fatigue and quality of life of colorectal cancer patients during chemotherapy cycle.

우리나라 전립샘비대증 유병률: 국민건강보험공단자료를 이용하여

김혜심 ( Hye Sim Kim ) , 고태화 ( Tae Hwa Go ) , 강대용 ( Dae Ryong Kang ) , 정재흥 ( Jae Hung Jung ) , 권성원 ( Sung Won Kwon ) , 김세철 ( Sae Chul Kim ) , 송재만 ( Jae Mann Song ) , 정현철 ( Hyun Chul Chung ) , 고상백 ( Sang Baek Koh )
4,500
초록보기
Objectives: To provide evidences for effective management and prevention of benign prostate hyperplasia (BPH) by analyzing the status of the prevalence of BPH in Korea. Methods: This study was conducted on patients diagnosed with BPH from the claim data of the Korean National Health Insurance Service between 2012 and 2016. We calculated the age-standardization prevalence of patients with BPH and conducted comparative analysis by region and year. Results: The prevalence of age-standardization was 10,847.09 per 100,000 population in 2012 (95% CI, 10,828.72-10,865.47) and 23,552.31 in 2016 (95% CI, 23,526.70-23,577.92). According to comparative analysis by administrative districts, the cumulative prevalence was the highest at in Daejeon (26,076.23, 95% CI, 25,912.82-26,239.64) and the lowest in Ulsan (20,966.97, 95% CI, 20,795.85-21,138.08) in 2016. Also, the proportion of patients who did not visit continuously was 23.5% in 2013 and 37.1% in 2016. Conclusions: The prevalence of BPH increased by 46% in 2016 compared to 2012, and the prevalence increased with age. Therefore, in order to prevent BPH related health problem, it is necessary to develop a systematic management and preventive policy for a super-aged society.

우리나라 전립샘비대증 발생률: 국민건강보험공단자료를 이용하여

고태화 ( Tae-hwa Go ) , 김혜심 ( Hye Sim Kim ) , 강대용 ( Dae Ryong Kang ) , 정재흥 ( Jae Hung Jung ) , 권성원 ( Sung Won Kwon ) , 김세철 ( Sae Chul Kim ) , 송재만 ( Jae Mann Song ) , 정현철 ( Hyun Chul Chung ) , 고상백 ( Sang Baek Koh )
4,500
초록보기
Objectives: We investigated the incidence rate of benign prostatic hyperplasia (BPH) in Korean adult males. Methods: Data were obtained from 2008 to 2016 in the National Health Insurance Service. The incidence was defined as a newly diagnosed patients with BPH in 2012-2016 after excluding patients with BPH in 2008-2011. The incidence rate was confirmed by age, administrative districts, and scale of city. Results: The age-standardized incidence rate of BPH was 16.3% from 2012 to 2016. The incidence rate was presented to be 8.9%, 16.8%, 25.0%, 26.7%, and 30.4%, respectively, in the 40s to 80s or over. According to administrative districts, the highest incidence rate was 18.2% and 17.3% in Daejeon and Gwangju, respectively, and the lowest incidence rate was 15.0% in Gangwon. And the highest incidence of 16.5% was observed in the big city among big city, small-to-medium city and rural area. Conclusions: The age-standardized incidence rate in Korea was 16.3% and incidence rate of BPH increased with age.

질병에 따른 소득분위별 의료이용 불평등도 추이

김윤주 ( Younjoo Kim ) , 이원기 ( Won Kee Lee ) , 감신 ( Sin Kam )
4,500
초록보기
Objectives: Equal medical access to equal medical needs is critical to health care. The purpose of this study was to investigate the inequity trend on medical utilization by diseases. Methods: We estimated the horizontal equity of subjects over 20 years old and the medical service frequency and medical expenditure by disease using the Korea Health panel data from 2009 to 2014. Results: The horizontal equity index of medical expenditure was shown to be a negative (-) number of both the actual and necessary personal medical expenditure over six years from 2009 to 2014, with lower actual expenditure than required in low-income level. However, the absolute number was decreasing more and more over the years, so it was becoming balanced on horizontal equity. The horizontal equity index of medical service frequency was 0.016 in 2009, showing a pro-rich tendency to use more medical service in high-income level, and a pro-poor trend in 2014 -0.006, which means more medical service use in low-income level. Conclusions: Therefore, it is estimated that the horizontal equity index on medical expenditure by income level is gradually decreasing due to the effect of various policy for reducing the patient’s own burden rate. Thus, if there is the same medical expenditure when using medical services for equal medical needs, the burden on the lower income class would be greater than the burden on the upper income. So it should be sustainedly implemented the policies with reducing the burden on medical expenditures for the lower income groups.

경두개직류자극이 정상 성인의 하지 민첩성에 미치는 영향

고운 ( Un Koh ) , 두영택 ( Yeong Taek Doo ) , 이정우 ( Jeong Woo Lee )
4,500
키워드보기
초록보기
Objectives: The purpose of this study is to examine effects of transcranial direct current stimulation (tDCS) on leg agility of normal adults. Methods: Subjects were 18 healthy male adults in their 20s, and they were distributed into them group (9) and tDCS application group (9). The tDCS was applied in 0.083 mA/cm2 intensity for 15 minutes, and stimulating current during application was interrupted DC, with pulse duration of 2 msec, and interpulse interval duration of 5 msec. agility were measured through Burpee test and Sidestep test before and after tDCS application. Results: The reaction time in muscle contraction showed significant differences interaction effects between group and time in rectus femoris, tibialis anterior, semitendinosus, and gastrocnemius muscles. Burpee and sidestep tests all showed significant differences interaction effects between group and time. Conclusions: The reaction time of muscle contraction after tDCS was reduced in all muscle. The numbers of sidestep and Bupee test after tDCS were increased. Therefore, the results of this study suggest that tDCS application might help increase lower limb agility.
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