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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 : 46권 1호 (2021)

임상시험을 위한 연구계획서의 오류에 대한 고찰

이휘승 ( Hui Seung Lee ) , 임지연 ( Chi-yeon Lim )
4,500
초록보기
Statistics are essential for clinical trials, and it is very important to have an accurate understanding of the purpose of the study and to apply the appropriate statistical design or methodology. Prior to conducting a clinical trial, the research protocol requires approval from the IRB (Institutional Review Board) or regulatory agency approval, and contains a variety of contents. The research protocol conducts clinical trials according to GCP (Good Clinical Practice) and describe clinical design and statistical methodologies for demonstrate the efficacy and safety of new drug or new medical devices using the obtained data in clinical trials. At this time, statistical design is applied for the protocol based on the primary study objective. The primary study objective is to influence the selection of primary endpoint to evaluate this, the sample size, the technique of minimizing the bias, the statistical analysis and method of testing the statistical hypothesis. However, statistical errors and contradictions are easy to find in the study protocol and the same errors are repeated many times, so in this paper we aim to avoid these errors in clinical studies and apply them correctly in clinical trials, intended to be helpful in derives scientific design, validity, and reliable results.

응급의료 취약지 거주가 심근경색증 증상 인지에 미치는 영향

조미래 ( Mirae Jo ) , 오희영 ( Heeyoung Oh ) , 장석용 ( Suk-yong Jang )
5,100
초록보기
The purpose of this study is to investigate the awareness level of myocardial infarction (MI) symptoms for the residents in the underserved and deserved emergency medical services areas and verify the effect of the existence of residence in the underserved emergency medical services areas on the awareness of MI symptoms. Methods: This is a cross sectional study by using the data of the 2017 Korea Community Health Survey. The residence in the underserved emergency medical services areas is defined as being targeted to the residents in 101 areas notified in 『Emergency Medical Service Act』. The awareness of MI symptoms was classified as being aware of all five items of MI symptoms. Adjusted odds ratios (aOR) and 95% confidence intervals (CI) are computed by multivariable logistic regression. Results: Of the total 195,246 subjects, 43.6% were aware of MI symptoms (43.7% and 43.6% of underserved and deserved emergency medical services areas, respectively). The residence in the underserved emergency medical services areas was associated with the awareness of MI symptoms (aOR 1.15, 95% CI=1.11-1.18). In addition, this study has found that gender, age, education level, income level, occupation, subjective stress level, drinking frequency, current smoking, and diagnosis of hypertension and diabetes were factors influencing the awareness of MI symptoms. Conclusions: Continuous efforts are needed to increase the awareness of MI symptoms for the residents in the underserved and deserved emergency medical services areas. Education and promotion should be conducted in consideration of gender, age, education level, income level, and occupation to improve the awareness of MI symptoms.

임상간호사의 투약오류에 영향을 미치는 요인

서순림 ( Soon Rim Suh ) , 김준규 ( Junekyu Kim ) , 송영숙 ( Yeoungsuk Song )
4,500
초록보기
The aim of this study was to identify predictive factors (fatigue, labor intensity, quality of sleep, and job stress) of medication errors in clinical nurses to improve patients’ safety. Methods: The participants of this study were 148 female nurses who have clinical experience for more than 1 year at K hospital and pregnant nurses among them were excluded. The data were collected from February 27th to March 20th, 2019. The measurements of medication errors, fatigue, labor intensity, quality of sleep, and job stress were used. Data were analyzed with descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation coefficients and multiple regression analysis using IBM SPSS/WIN 23.0. Results: The predictive factors associated with nurses’ medication errors were clinical experience (β=-0.41), fatigue (β=0.31), work department emergency room (β=0.28), work department surgery ward (β=0.25), and job stress (β=0.23). The results showed that the nurses who had less clinical experience and felt more fatigue or job stress, were likely to have more medication errors. Also, the nurses who work in emergency room or surgery units, experience more medication errors. Conclusions: Clinical experience, fatigue, work area-emergency room, work area-surgery word and job stress were the main influential factors on medication errors of clinic nurse. Theses influential factors should be integrally considered in nursing management to decrease medication errors. Especially, it is needed to develop a programs that can indirectly improve clinical experience to prevent medication errors.

65세 이상 고령자에서 비만과 악력의 상호작용이 건강관련 삶의 질에 미치는 영향: 제7기(2016-2018) 국민건강 영양조사 자료를 기반으로

현승재 ( Seungjae Hyun ) , 우다래 ( Darae Woo ) , 박상신 ( Sangshin Park )
4,500
초록보기
The aim of this study is to determine interaction between obesity and grip strength in health-related quality of life (HRQOL). Methods: This study analyzed the data of 4,119 Korean men and women aged 65 years or older who participated in Korea Health and Nutrition Examination Survey, 2016-2018. Body mass index was divided into normal and obesity. Grip strength was defined as the maximum value of the measured data. Sarcopenia was considered as the average of grip strength less than 26 kg in men and 18 kg in women. HRQOL was measured based on the Euro quality of life-5 dimensions questionnaire. We conducted a linear regression analysis to examine interaction effect between obesity and grip strength, and to estimate the interaction term between obesity and sarcopenia in HRQOL. Results: We identified that obesity interacted with grip strength to affect HRQOL (p=0.022) in aged people. Obese elderly men and women were more likely to have lower HRQOL scores compared to those who had normal weight among participants with low grip strength values. However, there was no significant difference between obesity and normal weight at high grip strength (34.3 kg- 52.7 kg) in HRQOL significantly (p=0.41). Moreover, we identified interaction effect between obesity and sarcopenia (p=0.019). Participants who had sarcopenia with normal weight were not different from those who were obese in HRQOL (p=0.61). Conclusions: Obesity and grip strength were associated with HRQOL. Also, those two factors were interacted to affect HRQOL. Obesity was interacted with sarcopenia to shape HRQOL. Therefore, we need to give a more attention to the elderly who were obese with low grip strength.

간호대학생의 건강신념, 안전동기, 안전환경이 감염관리 표준주의 수행도에 미치는 영향

송영숙 ( Yeoungsuk Song ) , 변소혜 ( So Hae Byun ) , 강선영 ( Sun Yeong Kang ) , 정다민 ( Da Min Jeong ) , 최유진 ( Yu Jin Choi ) , 장지원 ( Ji Won Jang ) , 한예령 ( Ye Ryeong Han ) , 이정훈 ( Jung-hoon Lee )
4,500
초록보기
This study was conducted to investigate the effect of health beliefs, safety motivations, and safety-climate on the performance of taking standard precautions of nursing college students with clinical practice experience. Methods: The subjects of this study were 173 students in the 3rd and 4th grades of nursing college located in Daegu Metropolitan City with clinical practice experience, and data were collected from September 7th to September 25th, 2020 using a structured questionnaire. Results: As a result of the study, the health belief of nursing college students was 3.60 (±0.75) points, safety motivation 22.40 (±5.33) points, safety-climate 4.79 (±1.90) points, and the performance of taking standard precautions was 3.21 (±0.63) points. Hierarchical regression analysis was performed with the presence or absence of infection management education, health belief, safety motivation, and safety-climate as independent variables to identify the factors that affect the performance of taking standard precautions. Factors affecting the performance of taking standard precautions are health belief (β=0.33, p=0.003), safety motivation (β=0.28, p=0.003), safety-climate (β=0.20, p=0.009). Conclusions: According to this study, health belief, safety motivation, and safety-climate influenced the performance of taking standard precautions. These results suggest that it is necessary to emphasize the importance of practicing standardism, motivate nursing students, and provide a safer hospital practice environment in order to improve the performance of taking standard precaution when nursing college students are in hospital practice.

우리나라 성인 여성의 골다공증 위험도 평가점수 모형 개발

박일수 ( Ilsu Park )
4,500
초록보기
The aim of the study was to develop the osteoporosis risk scorecard model in korean adult women aged over 30 years old. Methods: The participants of the study were 11,427 adult women aged over 30 years old who participated in the four years of the Korea National Health and Nutrition Examination Survey (2015-2018). The data were analyzed using Rao-Scott chi-square test and weighted multiple logistic regression analysis of complex sampling design. The osteoporosis risk scorecard model was developed by weighted multiple logistic regression using points to double the odds (PDO) method. Results: This study found that there were many major influencing factors for osteoporosis which included household income, educational level, body mass index (BMI), hypertension, stroke, rheumatoid arthritis, hypercholesterolemia, sarcopenia, menopause and age of menarche. In the scorecard results, the highest score range was observed in the order menopause, age of menarche (16-17 years old), educational level (elementary school or below), rheumatoid arthritis BMI (<18.5 kg/m2) and others, suggesting that these were the most important risk factors. Conclusions: The significance of this study is that it comprehensively grasps the causal relationship between osteoporosis and various factors in korean adult women. Also, it can be used as a useful measurement tool for women’s musculoskeletal health management in health-related organizations by scoring this relationship.

코로나19 팬데믹 상황에서 국내 지역사회 노인들의 우울감 영향 요인

서부덕 ( Boo Deuk Suh ) , 권경희 ( Kyoung Hee Kwon )
4,500
초록보기
The purpose of this study was to examine factors influencing on depression among elderlies of activity of daily living, participation of social activity, loneliness, stress in COVID-19 pandemic. Methods: The research design for this study was a descriptive survey using convenience sampling. Data collection was done using self-report questionnaire of 142 elderlies in D city and K province. Collected data were analyzed using percentage, mean, standard deviation, independent t-test, one-way ANOVA, Pearson’s correlation analysis, step-wise multiple regression. Results: Total mean scores of activity of daily living was 3.66±0.52, total mean scores of participation of social activity was 2.77±0.58, total mean scores of loneliness was 2.09±0.43 and total mean scores of participation of depression was 9.97±4.45. Depression was showed significantly positive correlation with loneliness (r=0.67, p<0.001), stress (r=0.10, p=0.260). Depression was showed significantly negative correlation with activity of daily living (r=-0.49, p<0.001), participation of social activity (r=-0.54, p<0.001). In the step-wise multiple regression analysis, loneliness, activity of daily living were significant predictors and explained 54% of depression. Loneliness was the biggest predictor of depression. Conclusions: The results of this study showed that loneliness and activity of daily living are significant factors affecting the depression of elderlies in the South Korea community in COVID-19 pandemic.

계획된 행위이론에 근거한 대학생의 인플루엔자 예방접종 행위의도 관련 요인

채여주 ( Yeojoo Chae ) , 김선주 ( Sunjoo Kim ) , 양승경 ( Seungkyoung Yang )
4,500
초록보기
The purpose of this study was to identify the factors that affect the influenza vaccination intention in university students based on theory of planned behavior. Methods: The data were collected total 149 university students in the G region who agreed to participate in the study from September 21 to September 29, 2020 by using self reported questionnaires. Date were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficients and multiple regression with the SPSS 23.0 program. Results: The mean score of attitude toward influenza vaccine was 6.06±1.03, subjective norm was 5.90±1.19, perceived behavioral control was 5.85±0.96, intention was 5.71±1.35. Intention to influenza vaccine showed a significantly positive correlation with attitude (r=0.62, p<0.001), subjective norms (r=0.50, p<0.001), perceived behavioral control (r=0.48, p<0.001). The influence the intent to influenza vaccination in university students were attitude (β=0.47, p<0.001), subjective norm (β=0.18, p=0.032). The explanatory power of these variables was 43.0%. Conclusions: In order to improve the influenza vaccination rate of university students, positive attitude toward influenza vaccination should be made first, and efforts should be made to improve the purpose of vaccination by meaningful people around them through interest in vaccination and positive awareness.

사람유두종 바이러스 백신 미접종 관련 요인: 미국 국민건강영양조사 자료를 이용한 단면연구

김민주 ( Min-ju Kim ) , 임은선 ( Eunsun Lim ) , 박상신 ( Sangshin Park ) , 최남경 ( Nam-kyong Choi )
4,500
초록보기
The purpose of this study was to investigate the human papillomavirus (HPV) vaccination proportion and the factors associated with HPV non-vaccination according to the characteristics of Americans. Methods: The 2015-2018 National Health and Nutrition Survey (NHANES) data were analyzed. The subjects aged 9 to 26 were divided into subgroups according to age and sex. Results: The meaningful variables influencing HPV vaccination included birth country, health insurance, hepatitis A vaccine, hepatitis B vaccine, routine place to go for healthcare and times receive healthcare last year. The factors associated with HPV non-vaccination were income, hepatitis A vaccine, hepatitis B vaccine and times receive healthcare last year. Conclusions: This study was based on a survey of Americans, so the factors associated with HPV non-vaccination may differ from those of Koreans.

우리나라 혼외 출생아의 조기분만과 저체중아 발생에 관한 연구: 2015-2018년

박상화 ( Sang Hwa Park ) , 임달오 ( Dar Oh Lim )
4,500
초록보기
The purpose of this study was to analyze the risk of preterm birth (PTB) and low birth weight (LBW) in babies born to unmarried parents (extramarital birth). Methods: This study used birth certificate data (1,523,594 births) from Korea Statistics, 2015-2018 years. Odds ratio and 95% confidence intervals were calculated by logistic regression analyses to describe the risk of PTB and LBW in extramarital birth adjusted for maternal age, maternal education, infantile sex, and type of birth (singleton & multiple birth). Results: During this periods, the rate of extramarital birth was 1.9 percent in 2015-2018. The incidence of LBW was 8.4 percent in extramarital birth and 5.9 percent in marital birth. The rate of PTB in extramarital birth were 10.6 percent and 7.3 percent in marital birth. The LBW and PTB rate of extramarital birth (father listed on the birth certificate) was 7.4 percent and 9.1 percent, respectively. Among extramarital birth (father not listed on the birth certificate) was associated with increased risk of PTB (12.3%) and LBW (9.5%). Compared with LBW and PTB rate of marital birth, the odds ratio (OR) for LBW and PTB were 1.66 (95% confidence interval, 95% CI: 1.56-1.77) and 1.57 (95% CI: 1.49-1.67) for extramarital birth (father listed). Risk of LBW (OR: 2.14) and PTB (OR: 2.14) was higher in extramarital birth (father not listed) than that of marital birth. Conclusions: The babies born to unmarried parents was associated with increased risk of LBW and PTB, compared with those of marital birth. Risk of adversed pregnancy outcome was higher in extramarital birth (father not listed on the birth certificate). More study is required to understand the factors to adversed pregnancy outcome of extramarital status.
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