글로버메뉴 바로가기 본문 바로가기 하단메뉴 바로가기

논문검색은 역시 페이퍼서치


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~)
수록 범위 : 45권 4호 (2020)

단태 후기 미숙아의 모유수유 영향 요인

김수진 ( Su Jin Kim ) , 장군자 ( Gun Ja Jang )
목적: 본 연구는 단태 후기 미숙아의 병원 퇴원 후 1개월 시점에서 모유수유 영향요인을 규명하기 위함이다. 방법: 후기 미숙아의 모유수유 실천율과 관련된 2개 선행 연구에서 쌍태아를 제외하고 단태아 데이터를 활용한 이차분석연구이다. 후 기 미숙아 244명의 퇴원 1개월 시점 수유형태의 데이터를 활용하였고, 모유수유군과 조제유군 간 일반적 특성 및 수유관련 특성은 chi-square test와 t-test, 모유수유 영향 요인은 로지스틱 회귀 분석으로 분석하였다. 결과: 후기 미숙아의 퇴원 1개월 모유수유에 영향을 미치는 요인은 병원 입원 기간 동안의 수유형태였다. 즉, 병원에서 완전 모유수유를 하거나 혼합유를 통해 모유를 제공받은 경우 퇴원 후에도 모유수유를 지속하는 것으로 나타났다. 결론: 후기 미숙아의 입원 동안 임상에서 모유수유를 적극적으로 지지하고 권장하는 것이 단태 미숙아의 모유수유를 증진하는 중요 한 요인임을 밝히는 바이다.

변수 중요도를 이용한 설명 가능한 인공지능 기법의 시각화에 대한 고찰과 보건정보 자료에의 응용

정혜린 ( Hyerin Jeong ) , 박정훈 ( Junghoon Park ) , 이영섭 ( Yungseop Lee ) , 임창원 ( Changwon Lim )
Objectives: Deep learning techniques have been actively used in the medical field where precise diagnosis and results are very important. Deep neural network-based models utilizing big data from medical records are supporting medical opinions and are revolutionizing the medical industry. In addition, the convolutional neural network model shows excellent performance in analyzing image data and are used for image classification and X-ray/CT image reconstruction. Methods: In this paper, we conducted a visualization study using structured and unstructured data in the medical field. Results: In order to determine input variables affecting mortality and to evaluate their importance, a total of five techniques, namely, the augmented neural network model with multi-task learning, random forest, extra tree, gradient boosting and xgboost are applied to the intensive care unit data. Variable importance is calculated for each technique, and these indicators are all converted to ratios in consideration of the differences considering the patient group as a stratification variable. The converted values are shown in three graphs, a lollipop graph, a bubble chart graph, and a heat map graph. Through the visualization, it was easy to see which variables were relatively important for each technique and to what extent. InceptionResnetV2 was used as a classification model for skin cancer image data, and LIME and Grad-CAM were applied to the model to easily identify the characteristics of each cancer. Conclusions: Through this study, we apply several explainable artificial intelligence techniques to medical data to enhance understanding of the results of analysis and to help identify and visualize important input variables and features.

중등교사의 미세먼지 관련 건강행위 영향요인: 지식과 태도를 중심으로

박용경 ( Yong-kyung Park ) , 김은휘 ( Eun-hwi Kim )
Objectives: The purpose of this study was to investigate the factors affecting health behavior related to particulate matter (PM) in middle school teacher. Methods: The subjects of analysis were 192 middle school teachers. Data were analyzed with SPSS 22.0 program. Results: The greatest influential variable of heath behavior of PM were behavior attitude (β=0.38, p<0.001) and knowledge (β=0.13, p=0.034). These factors explained for 28.3% of health behavior related to PM. Conclusions: It will be necessary to develop a program to improve knowledge, attitude and health behavior for PM in middle school teacher.

요양병원 전원 노인 환자의 종합병원 중환자실 재원기간 영향요인

정이슬 ( Lee-seul Jeong ) , 이수정 ( Su Jung Lee ) , 신동수 ( Dong-soo Shin )
Objectives: This study aimed to identify factors affecting the length of intensive care unit (ICU) and characteristics among older patients transferred from long-term care hospital. Methods: This is a retrospective study and we extracted data from electronic medical records. Study participants were patients aged 65 or older who were admitted to ICU after they had been transferred to emergency department from long-term care hospitals. Length of stay (LOS) in ICU was defined as the patients had stayed in ICU for 7 days or more. Factors influencing the LOS were identified through the binary logistic regression analyses based on demographic and clinical characteristics and laboratory parameters. Results: Of all screened patients, 243 subjects were transferred from long term care hospitals. Participants mean age was 80.3 (±7.0) years and female comprised 63%. Participants had stayed in ICU for 13.4 days in average. Factors affecting the LOS in ICU were presence of multidrug resistant organism after ICU admission (odds ratio, OR 5.66, 95% confidence interval, 95% CI=1.79-17.82, p<0.010), tracheostomy insertion (OR 3.35, 95% CI=1.28-8.74, p<0.014), mechanical ventilator application (OR 2.49, 95% CI=1.11-5.58, p<0.026), central venous catheterization (OR 2.13, 95% CI=1.09-4.17, p<0.027) and simplified acute physiology score III (OR 0.95, 95% CI=0.91-1.00, p<0.039) by multivariate binary logistic regression analysis. Conclusions: Older patients in long-term care hospitals stayed longer in ICU and were vulnerable to infection. It is important to develop strategies to reduce LOS in ICU as the number of older patients admitted from long-term care institutions increases.

금연 시도자의 금연지원서비스 이용 관련 요인

김현우 ( Hyun-woo Kim )
Objectives: This study was executed to understand the factors related to utilization of smoking cessation support service among attempters for quitting smoking. Methods: The data of Korea National Health and Nutrition Examination Survey in 2016-2017 was used for the analysis in this study. Logistic regression analysis was executed to understand the factors related to utilization of smoking cessation support service among attempters for quitting smoking. Results: the factors related to utilization of smoking cessation support service are daily average smoking amount, current electronic cigarette usage status and subjective health status and the anti-smoking attempters use the smoking cessation support service more in case of having more daily average smoking amount, using the electronic cigarette currently and having worse subjective health level. Conclusions: To increase the smoking cessation success rate of the attempters for quitting smoking, the strategy to make the anti-smoking attempters having lower usage rate of smoking cessation support service participate the smoking cessation support service more should be established.

만성신장질환의 동반질환이 말기신부전으로의 진행에 미치는 영향

서화정 ( Hwa Jeong Seo )
Objectives: Due to the aging of population and increase of chronic diseases worldwide, the prevalence of chronic kidney disease (CKD) is on the rise. The increase of CKD is connected to the development of end-stage renal diseases (ESRD) and the occurrence of death caused by ESRD. This study explored the risk factors affecting the progression of CKD patients to ESRD using the sample cohort database built by the Korean National Health Insurance Service. Methods: This study targeted 2,354 new patients to whom the CKD occurred between 2003 and 2012. The development of ESRD of the CKD patients was checked through the number of cases per 1,000 person years. Significance was confirmed through the t-test and Wilcoxon signed-rank test. For the factors affecting the occurrence of ESRD by risk factor of comorbidities, the Cox proportional hazard regression analysis was carried out. Results: The average routing period of the subjects of this study was 2.98±2.69 years. 105.69 cases of ESRD among CKD patients took place per 1,000 person years during the observation period. The proportional hazard of CKD patients’ ESRD became higher as the subjects’ age became younger (50-59, HR=0.76; 60-69, 0.64; 70-79, HR=0.63), and the proportional hazard was higher from the subjects having proteinuria (Yes, HR=2.16), high hypertension (Yes, HR=1.38), diabetes mellitus (Yes, HR=1.23), and anemia (Yes, HR=1.77) (All p<0.05). Conclusions: Risk factors for the progression of CKD to ESRD were low age group (less than 60), underweight (less than 23), diabetes, hypertension, and anemia patients. To control the occurrence of ESRD that increases social and economic burdens, along with death risk, it is necessary to establish individualized treatment plans depending on the characteristics and risks of patients based on each type of comorbidity.

욕창예방간호의 임상적 의사결정지지 시스템의 컨텐츠 개발과 활용

김명수 ( Myoung Soo Kim ) , 류정미 ( Jung Mi Ryu )
Objectives: The purpose of this study was to develop the contents of a clinical decision support system and assess the actual degree of utilization in order to promote the performance of pressure ulcer prevention care. Methods: Data were collected from March to April 2020. The development of the clinical decision support system was carried out through the steps of according to the ADDIE (analysis -design-development-implementation and evaluation) model. The system was built using Android, iOS, and Safari 604.1 browsers. This study was assess the utilization of clinical decision support system developed over four weeks to 23 nurses. Collected data were analyzed using SPSS WIN 25.0 program. Results: Algorithm for calculation of risk of oral mucous pressure ulcer was developed in clinical decision support system, and information on determination of skin pressure ulcer and oral mucosa pressure ulcer stage and suitable nursing interventions were constructed. At the skin pressure ulcer stage, the deep tissue injury suspected stage and unclassified stage were used a lot. Information corresponding to the second stage of oral mucosa pressure ulcer and the risk level of 31-60% was used a lot. Conclusions: These results suggest that it has been developed as a clinical decision support system content applicable to practice for nurses at the pressure ulcer prevention care.

소방공무원의 외상 후 성장 관련요인에 대한 체계적 문헌고찰 및 메타분석

김명관 ( Myung-gwan Kim ) , 한승우 ( Seung-woo Han )
목적: 본 연구는 소방공무원의 외상 후 성장에 관련된 요인들을 분석하기 위하여 선행논문들을 중심으로 한 체계적 문헌고찰 및 메타분석 연구이다. 방법: 최종 선정한 14편의 논문은 오픈 소스 통계 소프트웨어인 R (3.6.0)프로그램을 사용하여 상관계수를 활용한 효과크기 메타분석을 실시하였다. 4개의 국외 검색엔진과 4개의 국내 검색엔진으로 시행하였다. 국외 검색엔진으로는 EMBASE, CINAHL, PubMed, Cochrane Library를 통해 검색하였다. 반면 한국 검색엔진으로는 KISS, RISS, NDSL, KMbase를 사용하여 문헌검색을 하였다. 결과: 연구결과 내적요인의 자아탄력성과 외상 후 성장 간의 효과크기는 r= 0.37, 회복탄력성의 효과크기는 r= 0.34, 자존감의 효과크기는 r= 0.32로 나타났다. 외적요인에서 소명의식과 외상 후 성장 간의 효과크기는 r= 0.50, 직업소명의 효과크기는 r= 0.25로 나타났다. 대처기전의 사회적 지지와 외상 후 성장 간의 효과크기는 r= 0.36, 자기노출의 효과크기는 r= 0.20이었다. 대처전략의 문제중심대처와 외상후 성장 간의 효과크기는 r= 0.49, 의도적 반추의 효과크기는 r= 0.54로 나타났다. 마지막으로 외상 후 스트레스 장애와 외상 후 성장 간의 효과크기는 r= 0.23으로 나타났으며 의도적 반추는 외상 후 성장에 가장 크게 효과크기가 나타났다. 결론: 한국 소방공무원의 외상 후 성장에 영향을 미치는 관련요인으로 내적요인, 외적요인, 대처기전, 대처전략, 외상 경험에서 영향을 미치는 변인으로 확인되었다. 그 중 의도적 반추는 가장 큰 효과크기를 나타내었다. 따라서 의도적 반추를 촉진할 수 있는 전략을 개발하고 본 연구를 바탕으로 정신간호 중재 프로그램에 기초자료를 제공하고자 한다.

댄스스포츠 프로그램이 농촌지역 여성노인의 신체기능과 인지, 우울 및 삶의 질에 미치는 영향

안윤희 ( Yun-hee An ) , 홍남수 ( Nam-soo Hong ) , 윤희정 ( Hee-jung Yoon )
Objectives: In this study, the effects of dance sports programs on the physical function, cognition, depression and quality of life of the elderly were verified for women aged 65 and older. Methods: The experimental group applied dance sports programs for once a week, 50 minutes/times and 12 weeks, and the comparison group was required to participate in existing sports programs without applying dance sports programs for 12 weeks. The experimental group and comparison group were randomly allocated with 33 subjects and 31 controls. Results: balance, depression, and quality of life were investigated in advance and post-production of the program to compare the changes between the experimental group and the control group. Conclusions: Dance sports programs targeting the elderly are life sports that help improve balance, depression, and quality of life.

간호대학생의 간호전문직관, 돌봄효능감 및 윤리적 민감성이 돌봄행위에 미치는 영향

진수희 ( Su Hee Jin ) , 김은희 ( Eun Hee Kim )
Objectives: It is important for nursing students to properly establish the caring behaviors awareness in order to become a competent and professional nurse in the future. This study was to examine the effects of nursing professionalism, caring efficacy, and ethical sensitivity on caring behaviors in nursing students. Methods: The subjects of this study were total 205 nursing students in universities located in D Metropolitan City. Data were collected from September 2 to 30 in 2019 by using self-reported questionnaires. The data were analyzed by using statistical package the independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and stepwise multiple regression analysis with IBM SPSS 25.0 program. Results: The mean score of ethical sensitivity was 4.40±0.42, caring efficacy was 3.69±0.33, nursing professionalism was 3.57±0.40, and caring behaviors was 4.04±0.49. There were significant differences in biomedical ethics awareness by grade and satisfaction of nursing major. The influencing factors on caring behaviors in nursing students were ethical sensitivity (β=0.44, p<0.001), nursing professionalism (β=0.18, p=0.005), grade (β=0.18, p=0.006), and caring efficacy (β=0.16, p=0.006) which explained 31.1% of the variance. Conclusions: These results highlight the importance of developing caring behaviors in nursing students and the need to develop intervention programs that can enhance their nursing professionalism, caring efficacy, and ethical sensitivity should be considered.
1 2 >