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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 2호 (2021)

소규모 의원의 Joint Commission International 인증: 사례보고

황연수 ( Yeon-soo Hwang ) , 이혜원 ( Hae Won Lee ) , 김은희 ( Eun Hee Kim ) , 민복기 ( Pok-kee Min )
4,500
초록보기
목적: 환자의 안전과 의료의 질에 대한 관심이 증가함에 따라 병원 인증이 세계적으로 증가하고 있다. 국제의료기관평가위원회(Joint Commission International, JCI) 인증이 가장 대표적인 병원 국제인증이다. JCI 인증기준에 속하는 광범위한 척도들은 실제적으로 큰 기관들에게 더 유리하다. 그러나, 소규모 의원의 역량에 적합한 JCI 체계를 구축하는 것이 가능하다. 이 사례 보고는 소규모 의원에서의 인증 관련 업무 경험을 요약하고, JCI 인증 전후 기간 동안 외래 환자 진료시에 이러한 인증에서 얻은 교훈을 논의하고자 하였다. 방법: 2016년에 성공적으로 JCI 인증을 받은 한 소규모 의원을 3년 동안 관찰하였다. JCI 인증 업무를 담당한 직원과의 면담을 통하여 자료를 수집하였다. JCI 인증 전후 기간 동안 외래 환자 진료시에 이러한 인증에서 얻은 교훈과 함께, 국제 환자 안전 목표 및 투약관리에 집중하여 연관 경험을 요약하였다. 결과: 인증을 위한 업무과정에 참여하고 3년 동안 후속 관찰한 결과, 이 의원의 환자의 안전 및 의료의 질 개선을 위한 기준 만족 수준이 초기에는 낮았고, 이후 유의하게 개선되었다. 결론: 결론적으로, 이 사례 보고에 따르면, 소규모 의원에서의 JCI 인증으로 관심과 역량이 고취되어 의료의 질을 성공적으로 개선하였다.

대학병원 간호사의 자기효능감과 건강증진행위가 전문직 삶의 질에 미치는 영향

송선희 ( Sun Hee Song ) , 서순림 ( Soon Rim Suh ) , 박정미 ( Jeong Mi Park )
4,500
초록보기
Objectives: The purpose of this study was to identify the effects of self-efficacy and health promoting behaviors on professional quality of life in university hospital nurses. Methods: As a descriptive study, the data were collected from 300 nurses who workjng at the university hospital by means of self-reported questionnaires. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé-test, Pearson correlation analysis and step-wise multiple regression. Results: The self-efficacy and health promoting behaviors had a significant correlation with professional quality of life. In a step-wise multiple regression analysis, self-efficacy, health promoting behaviors and clinical length of career were significant predictors and explained of 42% of compassion satisfaction, and 35% of burnout in professional quality of life. Conclusions: The results of the study showed that self-efficacy and health promoting behaviors are significant factors affecting the professional quality of life in nurses. This indicates that developing a counseling and caring program that promote self-efficacy and health promoting behaviors would be beneficial to enhance their professional lives.

만성폐쇄성폐질환자의 신체활동 관련 요인: 2013-2015 국민건강영양조사 자료 활용

김원빈 ( Won-bin Kim ) , 류소연 ( So Yeon Ryu ) , 박종 ( Jong Park ) , 한미아 ( Mi Ah Han )
4,500
초록보기
Objectives: The purpose of this study was to identify the associated factors with physical activities in people with chronic obstructive pulmonary diseases (COPD). Methods: This study enrolled 1,176 COPD patients aged 40 and over who had the pulmonary function test in 2013-2015 Korean National Health and Nutrition Examination Survey (KNHANES VI). The measured physical activities were self-reported walking and strength exercise. Descriptive statistics, chi-square test and multiple logistic regression analysis were used for statistical analyses. Results: The self-reported rates of walking and strength exercise were 45.1% and 26.6% among all the subjects. Age, gender, education level, income status, smoking status and stress perception were statistically significant associated with physical activities. Conclusions: Physical activity in patients with COPD was associated with non-modifiable factors including age, gender and socio-economic status and modifiable factors including smoking and stress perception. These findings suggest that a multi-dimensional program for patients with COPD comprising lifestyle modification and the amelioration of socioeconomic factors may be necessary to increase physical activity and improve health status from the long perspective.

초미세먼지와 노인 우울증의 관련성

조경희 ( Kyung Hee Jo ) , 류소연 ( So Yeon Ryu ) , 한미아 ( Mi Ah Han ) , 최성우 ( Seong Woo Choi ) , 신민호 ( Min Ho Shin ) , 박종 ( Jong Park )
4,500
초록보기
Objectives: This study confirmed the relationship between particulate matter (PM2.5) and depression in the elderly over 65 years old using community-based data. Methods: The 2017 Community Health Survey was used, and 67,417 people who responded to the depression screening question were selected as subjects for the study. Multilevel logistic regression analysis was used to consider regional impacts based on community-based data. In addition, in order to confirm the relationship between PM2.5 and depression, physical activity and social relation factors were considered together and evaluated. Results: As a result of this study, the risk of depression was increased in Q3 area of 1.66 (95% confidence interval, 95% CI: 1.09-2.52) and Q4 area of 1.50 (95% CI: 1.04-2.18) compared to the Q1 area. In the case of walking, the risk of depression decreased to 0.66 (95% CI: 0.59-0.60), and when there was no trust between neighbors, the risk of depression increased significantly to 1.76 (95% CI: 1.75-1.78). Conclusions: This study suggests that the risk of depression may increase in the elderly living in areas with high PM2.5. Therefore, it is considered that there will be a need for education for the elderly to prevent PM2.5 and health programs to improve physical activity and social relations.

한국의 암 빅데이터 인식과 활용: 설문 조사

백은실 ( Eun Sil Baek ) , 이충근 ( Choong-kun Lee ) , 장지석 ( Jee Suk Chang ) , 최정은 ( Jeong Eun Choi ) , 신상준 ( Sang Joon Shin )
5,200
초록보기
목적: 암 연구 및 치료를 위한 빅데이터에 대한 관심이 높아짐에 따라 헬스케어 관련 종사자들의 암 빅데이터 수요도를 조사하였다. 방법: 본 연구는 2019년 12월 3일부터 2020년 1월 7일까지 한국에서 실시되었다. 18개 헬스케어 관련 기관이 설문조사에 참여하였다. 회신 받은 172건의 설문지 중 164건의 설문지가 최종 분석에 활용되었다. 결과: 응답자의 대부분은 암 빅데이터에 대한 높은 인지도를 보였다(n=148, 90.2%). 다만 응답자의 절반 정도만이 암 빅데이터가 잘 활용되고 있다고(n=85, 51.8%) 답변했다. 빅데이터 사용 경험이 있는 응답자(n=83, 50.6%) 중 절반 이상은 1년에 한 번 정도만 빅데이터를 사용한 것으로 나타났다(n= 43, 51.8%). 응답자들은 ‘항암제’(n=154, 94.5%) 정보 개방을 가장 필요로 하였으며, ‘암종별 진단 상태’, ‘임상 병기’, ‘재발 정보’ 등의 순서로 응답했다. 결론: 본 연구는 설문 조사를 통해 암 빅데이터에 대한 응답자들의 높은 인지도와 수요도를 확인할 수 있었다. 하지만 그에 비해 빅데이터는 잘 활용되지 못하는 것으로 확인하였다. 암 연구와 치료를 위한 빅데이터 활용도를 높이기 위해서는 의료 산업, 병원, 학계의 구체적인 요구사항에 적용할 수 있는 활용방안을 고려할 필요가 있다.

2005년부터 2016년까지의 퇴원손상심층조사에서 비사망을 포함한 고의적자해방법과 호전율의 변화추이

김아름 ( Ah-reum Kim ) , 정선락 ( Sun-rak Jeong ) , 김은석 ( Eun-seok Kim ) , 이원기 ( Won Kee Lee )
4,500
초록보기
Objectives: The purpose of this study is to estimate trend of intentional self-harm methods and recovery rate by using ICD (International Classification of Diseases)-10 codes (X60-X84). Methods: The analysis was based on data of intentional self-harm injury in 2005-2016 from hospital discharge registry investigation in Korea. Results: Through 2005-2016, intentional self-harm by drug was the most common. Self-harm caused by pesticides has decreased since 2012, but those caused by gas has increased rapidly since 2008. By ages, pesticide poisoning by intentional was the most common in 60s and 80s, except those ages, self-harm by drug was the most frequent. The number of intentional self-harm was 1.2 times higher for women than for men, and for women, the rate of self-harm caused by drug was more than half. In the case of men, self-harm caused by pesticides was the most common, and they did various self-harm methods compared to women. The recovery rate tends to increase compared to the past, but as the age increases, it tends to decrease. In particular, the recovery rate of ‘hanging’ was significantly lower at 48.1%. Conclusions: Therefore, in order to increase the rate of recovery of the self-harm injuries that have already occurred, it is necessary to establish a variety of systems such as rapid reporting system and transfer to medical center.

한국인의 아침 결식 빈도와 영양 보충제 섭취의 연관성

임성규 ( Seong Gyu Lim ) , 이찬미 ( Chan Mi Lee ) , 김민호 ( Min Ho Kim ) , 한혜진 ( Hye Jin Han ) , 박연해 ( Youn Hae Park ) , 임용환 ( Yong Hwan Lim ) , 김나연 ( Na Yeon Kim ) , 김영중 ( Young Joong Kim ) , 박종 ( Jong Park ) , 류소연 ( So Yeon Ryu )
4,500
초록보기
Objectives: Although many studies indicate health effect of breakfast, little is known whether taking breakfast regularly has effect on intake of nutritional supplements. Therefore, this study was performed to examine the relationship between breakfast absence frequency and intake of nutritional supplement in Koreans. Methods: The analysis used the data from The Korea National Health and Nutrition Survey (2018). Main independent variable is breakfast frequency and other valid variables are sex, residence, age, education level, economic status, current smoking status, drinking frequency, body mass index, numbers of time to eat out, exercising habits, underlying conditions, subjective health status and job status. Dependent variable is intake of nutritional supplements. Breakfast frequency variable is divided in to four groups, which are none, 1-2 days, 3-4 days, and 5-7 days per week. Intake of nutritional supplements variable is divided in to two group, which are none taking and taking the supplements. Data were analyzed using PASW Statistics 18 and chi-square and multiple logistic regression analysis. Results: Regular breakfast eating group (5-7 days per week) took nutritional supplements 1.563 times more than non eating group (p=0.002). This study interestingly suggests that breakfast frequency and intake of nutritional supplements had positive correlation. Conclusions: Having breakfast regularly leads to taking nutritional supplements, and will eventually lead to health promotion. Thus, educating proper dietary habit is needed for encouraging to have breakfast regularly.

여성의 생애주기에 따른 자녀 수, 수면시간, 비만 간의 관계

안효정 ( Hyojeong Ahn ) , 박상신 ( Sangshin Park )
4,500
초록보기
목적: 출산 후 여성이 겪는 생리학적 변화들은 다양한 건강문제들이 발생하는 결과가 될 수 있다. 이 연구의 목표는 자녀 수, 수면시간, 그리고 비만 간의 관계를 한국 성인 여성의 생애주기에 따라 제시하는 것이다. 방법: 이 연구에서는 2010-2012년까지 한국 국민건강영양조사에 참여한 10,081명을 연령에 따라 3개의 그룹(20-39, 40-64, 65세 이상)으로 세분화하여 분석하였다. 수면시간은 하루 평균 수면시간을 뜻하며, 비만은 체질량지수 _25 kg/m2으로 정의하였다. 자녀 수와 수면시간, 비만 간의 관계는 로지스틱 및 선형회귀분석을 통해 조사하였다. 결과: 65세 미만의 여성의 수면시간은 자녀 수가 많을수록 감소하였다(그룹 1 [β]: -0.193, p<0.001; 그룹 2 [β]: -0.098, p<0.001). 비만의 교 차비(odds)는 40세 이상 여성에서 자녀 수가 많을수록 증가하였다(그룹 2: 1.19 [1.10-1.29], p<0.001; 그룹 3: 1.08 [1.01-1.15], p= 0.017). 40-64세까지 여성 중 자녀 수가 4명 이상인 경우, 비만의 교차비는 자녀가 없는 여성보다 1.92배 높았다(그룹 2: 1.92 [1.18-3.12], p for trend <0.001). 하지만 수면시간과 비만의 유의미한 관계는 어느 연령대에서도 확인할 수 없었다. 결론: 한국 여성들에게 자녀 수와 수면시간 간의 부정적인 관계가 유의하게 나타났다. 또한, 자녀 수가 많은 여성은 비만의 위험이 증가하는 것을 관찰하였다.

인지지원등급자의 주야간보호서비스 이용 현황에 관한 연구

권진희 ( Jin Hee Kwon ) , 황라일 ( Rah Il Hwang ) , 장혜민 ( Hye Min Jang )
4,500
초록보기
Objectives: The purpose of this study is to provide basic data for developing services suitable for the characteristics of cognitive assistance graders by monitoring the use of day care centers. Methods: In this study, frequency analysis and paired t-test were conducted using a survey conducted before and after the use of the services. Results: ‘Cognitive training’ and ‘Art therapy’ were the most frequent cognitive activity programs implemented, but they did not operate specialized programs for each dementia severity. In addition, day care centers presented difficulties such as a lack of manuals for operating cognitive activity programs. The rate of satisfaction with the service use of cognitive-assistance graders and willingness to continue using the service was high. It was found that they additionally hoped for mobility support necessary for going out and health care services by nurses. After using day care centers, there was little change in cognitive function, depression, and health-related quality of life of cognitive assistance graders. Conclusions: In order to develop a program suitable for the characteristics of cognitive assistance graders, it is necessary to develop a manual and provide professional training for workers in day care centers.

지역사회 거주 노인의 수면과 우울, 대사증후군과 인지의 관련성

심주희 ( Joohee Shim ) , 백지현 ( Jihyun Baek )
4,500
초록보기
Objectives: The purpose of this study was to examine the cognitive function, subjective memory, sleep, depression and metabolic syndrome in the elderly and to identify the relation between these variables. Methods: This study was descriptive research design. The data were collected from June to September 2020, 116 elderly people (aged over 65 years), who visited senior community centers. Data were analyzed using Windows SPSS Statistics 27.0 program. Collected data were analyzed using percentage, mean, standard deviation, independent t-test, one-way ANOVA, Pearson’s correlation analysis. Results: The mean score of cognitive function was 24.13±3.82, subjective memory was 2.59±2.61, depression was 7.05±7.30 and sleep was 4.49±2.82. The results showed that depression was correlated with cognitive function (r=-0.20, p=0.033) and subjective memory (r=0.31, p=0.001). Cognitive function was negatively correlated with subjective memory (r=-0.24, p=0.011) and depression (r=-0.20, p=0.033). In addition, Subjective memory was positively correlated with sleep (r=0.25, p=0.006). Conclusions: The findings of this study suggests that cognitive decline, subjective memory, and depression can be accompanied, therefore it is necessary to develop health assessment and intervention of the elderly in the community.
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