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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 : 44권 2호 (2019)

고위험신생아 임종에 대한 신생아 중환자실 간호사의 대처 경험

김유미 ( Yu Mi Kim ) , 윤효영 ( Hyu Yong Yoon ) , 최용준 ( Yong-jun Choi ) , 신동수 ( Dong-soo Shin )
4,500
키워드보기
초록보기
Objectives: This study aimed to explore neonatal ICU nurses’ coping with stress from the death of high risk newborns. Methods: Participants were 26 nurses working in a neonatal ICU. Five focus group interviews and one 1:1 interview were conducted guided by stress-coping model. Each interview lasted about two and a half hours. A directed content analysis was conducted. Results: Nurses’ primary appraisals to stress from the death were being frightened and feeling guilty, empty and ambivalent. Secondary appraisals were responsibility for recovery, uncertainty and being overwhelmed. Coping strategies were empowerment, emotional relieving, keeping distance, avoidance and being blunt. Lastly, meaning-based copings were ‘carrying on’ the death of newborns, being dignified, and getting energy from patients’ recovery. Conclusions: The death of newborns were stressful regardless of participants’ careers. They believed that they would carry on the stress for the rest of their lives. Nurses need team- and organization-wide support in order to overcome the stress. It is important to provide stress management programs including timely debriefing and mentoring.

농촌노인의 죽음불안에 미치는 영향요인

황혜남 ( Hyenam Hwang )
4,500
초록보기
Objectives: The health of the aged in rural areas is significantly poorer than that of the urban elderly, and the social function of the elderly is lower than that of the urban elderly. The purposes of this study were to identify death anxiety, death attitude, and spiritual well-being and to identify the factors that affect death anxiety of the elderly living in rural areas of South Korea. Methods: Total 101 elders aged 65 or older were recruited for this descriptive study and answered questionnaires. The questionnaire included death anxiety, attitudes toward death, and spiritual well-being. Results: The level of death anxiety, attitudes toward death, and spiritual well-being in rural areas were more than moderate. Attitudes to death (β=-0.39) and living arrangements (β=0.27) were found as the influencing factors on the death anxiety among rural elderly. The more positive the attitudes toward death, the lower the death anxiety for the rural elderly, and the lower the death anxiety for the elderly living with their families than those who living alone. Conclusions: To ease death anxiety, it is necessary to develop programs to affirm their attitudes to death and to mediate support resources to replace families for the elderly who live alone. It is very important to reduce death anxiety to ensure successful aging, one of the biggest challenges for the elderly at the last stage of their lives.

우울증, 삶의 질과 비만의 관계: 국민건강영양조사 제7기(2016년) 자료

서유빈 ( Yoo-bin Seo ) , 한아름 ( A-lum Han ) , 신새론 ( Sae-ron Shin )
4,500
초록보기
Objectives: Obesity is one of the most significant issues in global health due to its impact on health, socioeconomic burden. To better understand its etiology, this study investigated cross-sectional association between obesity and general characteristics (age, sex, income, education). Also, this study mainly focused on health related quality of life (HRQoL) and presence of depression as factors contributing to obesity. Methods: This survey investigated Korean population (n=5,808) from the Korea National Health and Nutrition Examination Survey (2016). Chi-squared test, t-test, logistic regression analysis were used to explore the relationship between each characteristic and obesity. Multiple regression analysis was further undertaken to assess the relationship between depression and obesity. Results: Age, sex, education, smoking, stress perception, depression and EuroQol-5 dimension (EQ-5D) were found to be associated with prevalence of obesity. The odd’s ratio (OR) of higher EQ-5D score group to obesity was 0.24 (95% confidence interval, 95% CI=0.13-0.44), and through multiple regression analysis, the adjusted OR of depression to obesity was 2.37. Additionally, there was a higher probability that obese individuals would perceive themselves as obese than non-obese individuals. And obese individuals were less likely to have weight-loss for 1year. Among weight control behaviors, intake restriction (OR=1.30, 95% CI=1.10-1.53) and fasting (OR=1.82, 95% CI=1.12-2.96) were associated with prevalence of obesity. Conclusions: HRQoL and depression significantly affected to prevalence of obesity. These results suggest that HRQoL and mental health should be considered as important factors contributing to obesity.
4,500
초록보기
Objectives: This study examined the association among lifestyle factors, obesity, and C-peptide secretion, metabolic syndrome (MS) and cardiovascular disease (CVD) risk in newly diagnosed type 2 diabetes mellitus (T2DM) adults. Methods: In this cross-sectional study, 99 participants completed measures of lifestyle factors and the anthropometric, metabolic, and glycemic indices. Obesity was classified by body mass index (BMI) of 25 kg/m2. C-peptide secretion was classified into severe, moderate, and non-secretory defect. MS was defined by National Cholesterol Education Program Adult Treatment Panel III guidelines. The 10-year CVD risk score was calculated using Framingham equation. Results: The incidence of obesity, non-secretory defect of C-peptide, MS, and CVD risk>20% were 49.5%, 52.5%, 65.7%, and 52.5%, respectively. New T2DM adults with MS had greater consumed alcohol, lower regular exercise rate, higher BMI, and greater fasting blood C-peptide. Male and usual T2DM onset age (≥40) had greater high CVD risk than female and the early T2DM onset age (< 40). MS associated with greater consumed alcohol (odds ratio [OR]: 3.25, 95% confidence interval [95% CI]: 1.34- 7.93) and fasting C-peptide (OR: 1.99, 95% CI: 1.03-3.87). CVD risk >20% associated with more MS traits (OR: 1.84, 95% CI: 1.07-3.16). Conclusions: An integrated educational program including more intensive and strict behavioral change, exercise, diet, and self monitoring may help newly diagnosed type 2 diabetes mellitus adults.

개인적 가치관과 일반인의 자살에 대한 태도와의 관계

이정환 ( Jung-whan Lee )
4,500
초록보기
Objectives: The purpose of this study is to identify attitudes of the general public towards suicide and to examine the effects of personal values related to social integration and regulation and sociodemographic variables on the attitudes. Methods: Samples for the study were drawn from 2013 Korean General Social Survey which collected data from the adult population aged 18 or over (n=1,294) who live in households of Korea using face-to-face interviews with a structured questionnaire. The data were analyzed with descriptive statistics, bivariate analyses and multivariate regression analysis. Results: The rates of agreement with an opinion that there are cases in which people have a right to commit suicide were 42.8% for incurable disease, 14.3% for bankruptcy, 10.3% for dishonoring the family and 9.4% for being tired of living. The mean of suicide index score was 0.77 on a 4-point scale. Among the variables in the study, age, religion, marital status, health condition and personal values related with social integration and regulation appeared to be salient in predicting the attitudes towards suicide. Conclusions: Programs and policies to prevent suicide need to consider developing and implementing strategies to change positive attitudes and perceptions towards suicide among general people.

신규 고혈압 환자의 치료지속성 추이와 관련 요인

박은복 ( Eunbok Park ) , 류동희 ( Dong Hee Ryu ) , 감신 ( Sin Kam )
5,100
초록보기
Objectives: This study aimed to examine medication adherence in newly diagnosed hypertensive patients and to investigate factors affecting their medication adherence. Methods: The present study used sample cohort database (DB) 2.0 provided by National Health Insurance Service and assessed 7,294 subjects meeting the inclusion criteria. The proportion of medication adherent and 8-year medication possession ratios (MPRs) according to general characteristics of subjects were analyzed. In addition, multiple regression and logistic regression analyses were used to examine relationship between MPR and medication adherence with its associated factors. All statistical analyses were completed with SAS statistical software version 9.4 (SAS Institute Inc., Cary, NC, USA) and p-value <0.05 was considered to indicate statistical significance. Results: The proportion of medication adherent increased from 64.5% in the 1st year to 67.9% in the final follow-up year (maximum in the 7th year, 68.1%). Mean MPRs according to general characteristics of subjects were the lowest in the 2nd-3rd year. Medication adherence in newly diagnosed hypertensive patients was associated with age, complication, and MPR in the 1st year. The regression analyses suggested that MPR in the 1st year explained both the final and overall follow-up medication adherence 12.9% and 37.4%, respectively. In addition, medication adherents in the 1st year were more likely to remain as so in the final year (odds ratio, OR= 3.48). Conclusions: The findings suggested medication adherence in the early year of diagnosis is associated with the final and overall medication adherence in newly diagnosed hypertensive patients. It is necessary for medical institution and community to work together to establish education system for patients with hypertension at the initial stage of diagnosis.
4,500
초록보기
Objectives: The purpose of this study is to explore the effect of the socio-demographic characters on their induced abortion among young married couples in Korea at parity 0 and 1. Methods: This research uses the data from the Korean National Fertility and Family Welfare Survey conducted by the Korean Institute of Health and Social Affairs in 2012. Since this research concerns on the induced abortion of young married women below 36 at parity 0 and 1, our sample consists of 1,096 ever-married women aged 15 to 35. The data were analyzed with bivariate analyses and multivariate logistic regression at parity 0 and 1. Results: In bivariate model, women with higher socioeconomic status have lower risk of having the induced abortion at parity 0. In multivariate model analysis, the variables of wife’s stable job and income and husband’s education at parity 0, and only one variable at parity 1 is significant. Conclusions: The first birth of young women is considered as their choice, not as obligation. Women with stable jobs have higher probability of practicing induced abortion, since they are more likely to value their profession rather than wife-role and having child (ren).
5,200
초록보기
Objectives: This study examined the effect of body image distortion on adolescents’ stress and suicidal ideation. Methods: Using statistics from 2011- 2016 Korea Youth Risk Behavior Web-based Survey, adolescents of multi-cultural family were included in the analysis. The study sample was divided into two groups according to the average height of their parents’ country of origin. Multinomial logistics regression and logistic regression was conducted. Results: The discrepancies between BMI and subjective perception of body image showed significant differences according to parents’ country of origin. It was found that adolescents of group 2 (parents’ height is shorter than average) tend to underestimate their body shape compared to group 1 (parents’ height is taller than average). The relationship between body image distortion and suicidal ideation differed according to the group. The risk of stress and suicide was high for adolescents of group 2 who underestimated their own body shapes. In the case of group 1, adolescents who perceived themselves as overweight were greater risk of stress and suicidal ideation. Conclusions: Implications of this study were discussed for better understanding and improving adolescents’ body image. Institutional and cultural supports should be given to multi-cultural adolescent to reduce the potential risks for stress and suicidal ideation.

병원 종사자의 역할갈등 및 역할모호성이 팀성과에 미치는 영향과 관계갈등 및 과업갈등의 매개효과

김태경 ( Tae Kyoung Kim ) , 지재훈 ( Jae Hoon Ji ) , 신희경 ( Hee Kyoung Shin )
4,500
초록보기
Objectives: The objective of this study is to grasp effects of role-conflict and role-ambiguity on team performances in hospital employees and to verify the mediating effects of relationship conflict and task conflict on the relationships among the variables. Methods: In order to achieve research purposes, an empirical study model was designed to test the cause-and-effect relationship between team performances and conflicts among the members through earlier studies. The subjects were 280 employees of 9 hospitals located in Busan and the survey was conducted by self-administered questionnaire. Results: The role ambiguity was the greatest in team performance, the task conflict in sequence and the relationship conflict in order. In terms of direct effect, the task conflict was the biggest variable. However, the role ambiguity which has both direct and indirect effects was verified as the most important variable among variables in study model. Conclusions: In conclusion, the role ambiguity in total effect and the task conflict in direct effect are the most precious variable. Therefore, it is necessary to develop the management method to effectively manage the role ambiguity and the task conflict among the different conflicts in organization.

텍스트마이닝을 이용한 청소년의 성고민 분석

유정옥 ( Jungok Yu )
4,500
초록보기
Objectives: Because of its accessibility and anonymity, the internet is common way for adolescents to find information about sensitive issues, such as sexual concern. The purpose of this study was to explore the concerns of adolescents about sex through internet Q&A on a Korean popular portals site by applying a text mining. Methods: The web page of the NAVER Q&A was crawled by searching the keyword using R. A total of 3,150 questions (male 1,440, female 1,710) from 2003 to 2017 on adolescent sexual concerns were used as object. Latent Dirichlet Allocation (LDA) was applied to perform text mining on the dataset. Results: In the LDA, 7 topics were selected for male adolescents and 11 topics for female adolescents such as same sex attraction, sexual identity confusion, masturbation, genital anatomy and sexual assault. Conclusions: This study provides useful information on sexual concerns of Korean adolescents. Topic modeling could be used as a tool to understand the online big data by discovering relevant topic.
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