치과민간보험 가입여부에 따른 인식과 치과의료이용

박규빈 경북대학교 보건대학원 2018 국내석사

본 연구는 치과건강보험 및 치과민간보험에 대한 인식의 정도를 조사하고 치과의료이용의 관련성을 분석하여 앞으로 나아가야 할 방향 및 치과의료이용 활성화를 위한 기초자료를 제공하고자 한다. 2018년 1월 2일부터 2018년 1월 26일까지 부산지역에 소재해 있는 치과 병․의원 10곳의 내원환자를 대상으로 최종 254부(84.7%)를 연구의 분석 자료로 이용하였다. 일반적 특성, 구강건강상태, 치과민간보험 가입여부에 따른 보험의 인식의 정도와 치과의료이용의 관련성을 알아보기 위해 빈도분석, 기술통계, 교차분석, 로지스틱회귀분석을 시행하였다. 치과민간보험 가입군과 비가입군에 따른 치과의료이용과 관련된 요인에서는 치과민간보험 가입군 중 여성의 치과의료이용률이 남성에 비해 더 높았다. 치과건강보험 인식도에서는 신경치료(근관치료), 사랑니 발치, 치주치료, 치아홈메우기, 치주치료 스케일링에 대한 인식도가 높은 환자의 치과의료이용률이 높았고, 치과민간보험 인식도에서는 레진, 인레이, 크라운, 노인틀니, 노인임플란트에 대한 비보험 진료에 인식도가 높은 환자의 치과의료이용률이 높았다. 치과민간보험 비가입군의 치과의료이용은 40대와 50대 이상에서 높았다. 따라서 치과건강보험과 치과민간보험의 인식도를 높일 수 있는 방안을 모색하고 치과 의료를 정기적으로 이용함으로써 초기에 치료가 가능하도록 하여야 한다. 또한 국가적인 구강보건관리체계의 정립과 치과건강보험과 치과민간보험의 합리적인 발전방향을 모색해 나가야 할 것이다. This study aims to investigate the degree of perception on the dental health insurance and private dental insurance analyzing the relationship with usage of dental care services, and to provide the fundamental data for the direction and activation of dental service utilization. Analyzed final study data were 254 survey sheets (84.7% response rate) from the patients who visited 10 dental hospitals and clinics located in Busan from January 2 to 26, 2018. Frequency analysis, descriptive statistics, cross tabulation analysis, and logistic regression analysis were performed to understand the relationship between the degree of perception on the insurance and the usage of dental care services according to the statuses of general characteristics, dental health, and buying private dental insurance. With respect to the factors on dental service usage between the group with private dental insurance and without insurance, women showed higher usage rate of dental care services than men in the group with private dental insurance. The patients with higher level of perception on endodontic treatment, extraction of wisdom teeth, periodontal treatment, tooth sealant, and scaling showed higher usage rate of dental care services in terms of the degree of perception on the dental health insurance, while those with higher level of perception on the non-reimbursed treatments including resin, inlay, crown, denture, senile dental implant therapy showed higher usages. 40s and 50s showed higher usage rate of dental care services in non-buying group of private dental insurance. Therefore, early treatment should be available by seeking the measures to enhance the perception on the dental health insurance and private dental insurance, and also utilizing dental care services regularly. In addition, establishment of national dental health control system and reasonable development of dental health insurance and private dental insurance should be sought.

보건소 방문건강관리 대상 여성 노인 고혈압 환자의 건강정보 문해력이 혈압조절에 미치는 영향

배화 경북대학교 보건대학원 2018 국내석사

The purpose of this study was to investigate the level of health literacy among the elderly hypertensive patients and to investigate the effect of health literacy on hypertension control. This study was conducted for four weeks between February 5 and March 2nd, 2018 in cooperation with the health center of D county. The subjects of the study were 150 elderly female hypertension patients who were regularly supervised by the visiting health care project, and the material of 146 patients amon them were used for the analysis. Crossover analysis was conducted to determine the difference in hypertension control according to demographic characteristics, health behavior, disease-related characteristics, and health literacy. The elements related with blood pressure control in elderly women with hypertension, who are the health care management visitor targets of health center were analyzed by logistic regression analysis. The blood pressure control rate of the subjects was 74.7%. The literacy rate of health information was 8.70 (± 2.12) out of 12 points, and the correct answer rate was 74.5%. The higher the age and the higher the level of education and the higher the salt-based practice rate, the higher the health literacy. The control rate of blood pressure was significantly higher when the level of health literacy was higher while other factors were controlled. In conclusion, health literacy level and hypertension control are closely related. Since the people with low literacy for health information do not understand various kinds of health related information, it is highly likely that their knowledge and self-management level is insufficient. Therefore, in community visiting health management, it is necessary to apply effective educational methods which is suitable to the level of literacy.

농촌지역의 주민주도형 건강증진 프로그램 효과의 지속성

이지현 경북대학교 보건대학원 2021 국내석사

Purpose : This study investigates whether the level of health promotion activities and the degree of depression among rural residents persists after a certain period (about a year) after they participate in the resident-led health promotion project. Materials and methods : A resident-led health promotion project was conducted at a primary health care post in Gyeongsangbuk-do from September to November 2019. A total of 63 residents who participated in this program took part in the surveys. Repeated measured ANOVA was used to compare the level of health promotion activities and the degree of depression at three different times: before the project, immediately after the project, and a year after the project. Results and discussions : The survey results revealed that the level of health promotion activities among the participants increased immediately after the project, and decreased after a year. However, the level of health promotion activities measured a year after the project was higher than before. The degree of depression among the participants decreased after the program. However, it returned to the degree measured before the project after a year. Conclusions: The level of health promotion activities and the degree of depression among the participants did not improve compared to the level and degree measured immediately after the project, implying that the effects of the project did not last. Therefore, to ensure the persistence and continuity of the project, it is necessary to propose a strategy to sustain the effects of the project through active resident participation and cooperation with local community resources. Key words : rural area, resident-led health promotion project, health promotion activities, depression, persistence

청소년 금연 프로그램 참여자의 금연 성공에 영향을 미치는 요인

홍명탁 경북대학교 보건대학원 2018 국내석사

본 연구의 목적은 다양한 청소년 금연 프로그램 개발을 위해 청소년 금연에 영향을 미치는 요인을 파악하여, 청소년 금연사업의 효과적인 수행에 대해 기여를 할 수 있도록 기초자료 및 방안을 제시하는 것이었다. 이 연구는 2016년 6월 21일부터 2016년 12월 18일까지 대구광역시 교육청과 경북대학교 간호과학연구소가 운영한 청소년 금연학교 프로그램인 ‘2016년 학생 금연학교’에 참여한 학생 총 511명을 대상자로 하였다. 대상자의 일반적 특성, 흡연 관련 특성, 금연성공 여부의 차이, 금연성공 여부에 영향을 미치는 요인을 파악하기 위하여 빈도분석, 교차분석을, 다중 로지스틱 회귀분석을 시행하였다. 금연성공률은 남학생 74.8%, 여학생 58.8%였다. 남학생의 금연성공 여부에 영향을 미치는 요인은 학교생활만족도, 첫 흡연 경험시기, 금연성공 중요도, 금연성공 자신감, 금연성공 자신감 증가였다. 여학생의 금연성공 여부에 영향을 미치는 요인은 흡연 친구 수, 금연성공 중요도, 금연성공 중요도 증가였다. 따라서 청소년 금연프로그램은 첫 흡연시기별, 연령별, 성별 수준에 맞는 프로그램과 참가자 특성을 고려한 세분화 된 프로그램으로 구성되어야 한다. 그리고 흡연에 대한 잘못된 인식과 흡연에 대한 중요도와 자신감을 변화시킬 수 있는 교육적인 프로그램이 필요하다. This study aimed to investigate the influential factors on the smoking cessation of the adolescents and to suggest the fundamental data and plans to contribute to the effective execution of the adolescent smoking cessation project for the development of adolescent smoking cessation program. The study subjects were 511 students who participated in ‘Students Smoking Cession School in 2016’ which was a smoking cessation program operated by Daegu Education Office and Nursing Science Research Institute in Kyungpook University from June 21 to December 18, 2016. Frequency analysis, cross analysis, and multiple logistic regression analysis were performed to investigate the factors to influence the general characteristics of the subjects, smoking related features, difference by success of smoking cessation, and success or failure of smoking cessation. The success rates of smoking cessation were 74.8% for male students and 58.8% for female students. The factors to influence the success of smoking cessation in males were satisfaction level of the school life, timing of first smoking experience, importance of smoking cessation success, confidence on smoking cessation success, and increased confidence on smoking cessation success. The factors to influence the success of smoking cessation in males were number of smoker friends, importance of smoking cessation success, and increased importance of smoking cessation success. Therefore, adolescent smoking cessation program should be segmented in consideration of the participants characteristics and customized by the timing of first smoking, ages, and genders. Also, the educational program is required to change the wrong perception on the smoking, importance of smoking, and confidence.

1형 당뇨병 아동 및 청소년의 연속혈당측정기 사용 기간에 따른 혈당 관리

손예나 경북대학교 보건대학원 2022 국내석사

This study investigated the perception of continuous glucose monitoring (CGM), glucose management behavior, and diabetes-related stress according to the period of CGM use in children and adolescents with type 1 diabetes mellitus (T1DM). From February 14 to March 11, 2022, through the 「Korea Society of Type 1 Diabetes」, 35 children and adolescents aged 9 to 18 years with T1DM, including socio-demographic characteristics, diabetes-related characteristics, and a structured questionnaire consisting of CGM benefits/burden (16 items in total), diabetes knowledge (23 items), diabetes management behavior (29 items), and diabetes-related stress (14 items) was used. The collected data were analyzed by descriptive statistics, Pearson's correlations, two-sample t-test, one-way ANOVA, and regression analysis, and the p-value was set to less than 0.05. Through ROC analysis, based on 3 years of entering HbA1c level of 7.0%, CGM was divided into a group with a period of less than 3 years (short-term user, SU) and a group with a period of more than 3 years (long-term user, LU). The duration of T1DM and the frequency of insulin use per day were higher in the LU group than in the SU group (<.001, <.016). There was no difference in the total score between the two groups in terms of benefits and burdens related to CGM use, but the LU group scored higher than the SU group in “feeling more secure” among the details of the CGM use-related benefits (<.033). There was no difference between the two groups in the overall score of diabetes knowledge and diabetes management behavior, but the LU group had a higher score than the SU group in temporary coping, a detailed item of diabetes management behavior (<.034). There was no difference in diabetes stress between the two groups. For each year of CGM use, HbA1c decreased by 0.235%. Also, there was a significant negative correlation between HbA1c and diabetes management behavior (total) (<.05), and a significant positive correlation (<.01) between the benefits related to CGM use and diabetes management behavior (total). As basic data related to glucose management in children and adolescents with T1DM who use CGM, it is expected that it will contribute to the development of health care policies for practitioners such as CGM users and medical personnel/diabetes educators.

메르스 사태를 경험한 지방의료원 간호사의 스트레스와 신종감염병환자 간호의도

오남희 경북대학교 보건대학원 2016 국내석사

(Abstract) Risks of occurrence of new infect ious diseases caused by change of environmental ecosystem and possibilities of introduction and fast expansion of new infectious diseases due to rapid increase of movement of population with globalization have been increasing. Possibilities of occurrence of new infectious diseases have been gradually increasing, but no studies on awareness of hospital workers exist. Therefore, this descriptive study is to apprehend stress of nurses, views on nursing profession and nursing intention for patients with new infectious diseases in the MERS situation with 313 nurses both in 2 local medical centers that have nationally designated isolated rooms and in 3 local medical centers that do not operate nationally designated isolated rooms among nurses in local medical centers who directly or indirectly experienced the MERS situation in 2015. As a result of the study, it has difference of stress by selected treatment of institutions and participation type of isolated treatment in hospitals and nurses educated about infection management in preparation for new infectious diseases before the MERS situation are less stressed out. Generally, it has significant difference by years of service, age, department, marital status and the number of children. In addition, nurses who participated in treatment in the MERS situation, were educated about infection management and answered goods had been supplied smoothly have high nursing intention. Stress nurses experienced the MERS situation has influenced nursing intention and the nursing intention is influenced by views on nursing profession, so conditions to train nurses who have high views on nursing profession that makes them provide high-quality nursing service with confidence and voluntary intention should be needed. This study suggests that repetitive researches are implemented with hospital workers in all departments and private hospitals, stress factors are researched and plans for supply and demand of stable medical workers, stress management and recovery programs are prepare.

병원근무자 환자안전문화인식도의 경시적변화와 관련요인

정선화 경북대학교 2017 국내석사

Changes in Patient Safety Culture Perceptions of Hospital Workers over Time and Related Factors Jung Sun-hwa Department of Healthcare Management Graduate School, Kyungpook National University Daegu, Korea (Supervised by Professor Hong, Nam su) (Abstract) The purpose of this study was to investigate the perception of patient safety culture among all occupations of hospitals and to obtain the basics for improvement of patient safety culture by grasping the degree of improvement over time. The survey was conducted for doctors, nurses, health workers, and administrators at five hospitals in the Daegu area. The results of the survey were collected from the same patient safety culture of the Agency for Healthcare and Quality (AHRQ) in 2011, 2013 and 2015 Patient Safety Culture questionnaire was selected and tracked for 3 years. In the positive response to the patient safety culture by year, the occupational safety awareness of occupations was lower than that of other occupations such as nurses, and it was the lowest in 2011, 2013 and 2013. There was a statistically significant improvement from 50.5% to 52.9% by year for the positive response to the patient's safety culture by HSOPSC dimension by year. In conclusion, the perceptions of doctors, nurses, health workers, and administrators about the patient safety culture have been improving positively enough. However, there has not yet been an active system for forming a safety culture for patients with open culture formation, communication, and manpower against safety errors. In order to improve the awareness level of patient safety culture, it is necessary to carry out regular education and increase the number of education as safety education affects the recognition level. Also, accurate information on accident report and a non-punitive and open organizational culture are formed In order to do this, active support and fundamental measures of hospital management and management will be needed.

요양병원 간병 인력의 감염관리지식, 환경적 요인이 감염관리 수행도에 미치는 영향

이승재 경북대학교 보건대학원 2018 국내석사

본 연구는 포항지역 요양병원에 근무하는 간병 인력을 대상으로 감염관리 지식, 환경적 요인이 감염관리 수행도에 미치는 영향을 파악하고, 이들 요인의 상관관계를 파악하여 간병 인력에 대한 교육을 위한 기초자료를 마련하고자 실시한 자가 보고형 설문지 조사연구이다. 포항시 소재 26개 요양병원 중에서 8개 병원을 편의 추출하여 직접 환자를 담당하며 간병업무를 수행하는 간병 인력을 대상으로 동의서에 서명한 사람만 조사하였다. 간병 인력의 감염관리 지식도 21문항, 감염관리 환경적 요인 11문항, 간병 인력의 감염관리 수행도 26문항을 측정하였다. 자료수집 기간은 2018년 1월 9일부터 2월 28일까지 수집하였으며, 총 240부의 자료가 수집되었으나, 응답이 불완전하거나 누락된 30부를 제외하고 최종적인 연구 분석은 총 210부를 사용하였다. 자료의 분석은 IBM SPSS 22.0 program을 이용하여 분석하였으며, 서술적 통계와 t-test, ANOVA 및 다중회귀분석을 하였다. 일반적 특성에 따른 수행도의 차이는 나이, 전체 근무경력, 근무형태 및 업무 시 환자 수에서 통계적으로 유의한 차이가 있었다. 감염관리 수행도와 감염관리 지식은 통계적으로 유의한 정적 상관관계가 있는 것으로 나타났다. 일반적 특성, 환경적 요인, 감염관리 지식도와 감염관리 수행도를 회계분석결과 일반적 특성에서 전체근무경력, 근무형태가 감염관리 수행도에 영향을 미치는 것으로 나타났으며, 감염관리 지식도 또한 통계적으로 유의한 결과를 나타냈다. 환경적 요인은 통계적으로 유의하지 않았다. 요양병원 감염관리를 위해서 간병인력에 대한 교육과 근무환경 개선이 필요하다. This study is designed to identify the knowledge of infection control and environmental factors of practice level of infection control at geriatric hospitals in Pohang, and to identify the correlation of practice level of infection control among those factors. Only those who signed the consent were examined for the care-giver's who were directly responsible for patients by extracting them from eight hospitals in Pohang City. The data collection period was collected from January 9 to February 28, 2018, and a total of 240 pieces of data were collected, but the final analysis of the study was not complete except for the 30 pieces with incomplete or missing responses. The general characteristics of the care-giver, their knowledge of infection control and infection preventative environment were classified as independent variables, and dependent variables were set as the practice level of infection control of the care-giver. The differences in practice level of infection control depending on general characteristics were statistically significant in age, total work experience, type of work and number of patients at work. practice level of infection control and knowledge of infection control have shown a statistically significant static correlation. A regression analysis of general characteristics, infection preventative environment, knowledge of infection control and practice level of infection control has also shown that the total work experience and work type have an impact on practice level of infection control in general characteristics. Environmental factors were not statistically significant. For infection control in geriatric hospitals, education of care-giver and improvement of working environment are required. key words care-giver, knowledge level of infection control, practice level of infection control, infection preventative environment

재활요양병원 물리·작업치료사의 직무스트레스, 자기효능감 및 우울

박재우 경북대학교 보건대학원 2019 국내석사

본 연구는 대구광역시 내에 소재한 7개의 재활요양병원에 근무하는 물리치료사와 작업치료사를 대상으로 직무스트레스, 자기효능감 및 우울의 관계를 이해하고, 대상자의 우울에 영향을 미치는 요인을 파악하여 향후 치료사의 인력관리나 근무환경 시스템 개선을 위한 기초 자료를 제공하고자 실시하였다. 대상자의 수는 G*Power 3.1.9.2 프로그램을 이용하여 산출하였으며 최종 171명의 자료를 분석 대상으로 하였다. 연구도구는 구조화된 무기명 자기기입식 설문지를 사용하였으며 설문지의 내용은 대상자의 일반적 특성 11문항, 직무스트레스 11문항, 자기효능감 8문항, 우울 9문항으로 구성되었다. 자료수집은 각 병원 재활치료실의 부서장에게 자료수집에 대한 협조를 얻은 후, 2019년 2월 1일부터 2월 22일까지 약 3주간 방문 및 우편을 통하여 수집하였으며, IRB의 승인을 받은 후 진행되었다. 자료 분석은 IBM SPSS/WIN 23.0 통계 프로그램을 사용하여 분석하였다. 본 연구의 결과를 요약하면 다음과 같다. 1. 대상자의 직무스트레스가 높을수록 우울도 높은 것으로 나타났다. 2. 대상자의 자기효능감이 높을수록 우울은 낮은 것으로 나타났다. 3. 대상자의 직무스트레스와 자기효능감 간에는 관련이 없는 것으로 나타났다. 4. 대상자의 직무스트레스와 자기효능감은 우울에 영향을 미치는 것으로 나타났다. 이상의 결과를 토대로 재활요양병원의 물리치료사 및 작업치료사의 직무스트레스와 자기효능감은 상관성이 없었으며, 우울 정도는 직무스트레스가 낮을수록, 자기효능감이 높을수록 감소할 수 있음을 확인하였다. 그러므로 치료사들의 직무스트레스와 우울을 예방하고 자기효능감을 높일 수 있는 프로그램 개발이 필요할 것으로 사료된다. 또한, 의료법에 관한 법률 제정 및 개선과 같은 보건 정책적인 노력을 통해 재활요양병원에서 근무하는 치료사의 전반적인 환경 개선이 필요할 것으로 사료된다. The purpose of this study was to investigate the relationship among job-stress, self-efficacy and depression in physical therapists and occupational therapists in 7 nursing and rehabilitation hospitals in Daegu Metropolitan City, and to provide basic data for improvement of manpower management and work environment system. The number of subjects was calculated using G*Power 3.1.9.2 program and the final 171 data were analyzed. The research tool used structured anonymously self-filling questionnaires, consisted of 11 questions of general characteristics, 11 questions of job-stress, 8 questions of self-efficacy, and 9 questions of depression. The data was collected through visits and mailings for about 3 weeks from February 1st to 22nd of 2019, after receiving permission from the department head of each hospital rehabilitation center. The collection of data was conducted after approval of the Institutional Review Board. Analysis of the data was performed using the IBM SPSS/WIN 23.0 statistical program. The results of this study are summarized as follows. 1. The higher the job-stress of the subjects, the higher the depression. 2. The higher the self-efficacy of the subjects, the lower the depression. 3. Job-stress and self-efficacy were not related to each other. 4. Job-stress and self-efficacy of subjects were found to affect depression. Based on the above results, it was found that job-stress and self-efficacy of physical therapists and occupational therapists of nursing and rehabilitation hospitals were not correlated with each other, and depression was found to be decreased with lower job-stress and higher self-efficacy. Therefore, the development of a program to prevent job-stress and depression and promote self-efficacy will be needed for therapists. In addition, it is necessary to improve the overall environment of therapists working at nursing and rehabilitation hospitals through health policy efforts such as amendment and improvement of legislation on medical law.

대학 신입생들의 심폐소생술 교육경험과 심폐소생술 지식, 태도 및 시행의지

김기현 경북대학교 2017 국내석사

This study is to estimate the long term effect of CPR education at elementary, middle and high schools. The study subjects were 198 University freshmen in Daegu and Gyeongsangbuk-do. It used multiple regression analysis and multiple logistic regression analysis to understand the factors that affect the CPR knowledge, attitude and willingness. The factor that affects the CPR knowledge was the education type. The knowledge on CPR was higher with theoretical education than with practical education. The factor that affects the attitude of CPR was the gender. Male students had higher CPR attitude than female students. The factor that affects the CPR willingness was the gender. Male students had 6.4 times higher CPR willingness than female students. Their willingness was 2.8 times higher with an ambulance worker as an educational instructor for CPR than a school health teacher. It is necessary to have new method to increase the educational effect of CPR considering the result of this study.