입원환자가 느끼는 불안의 내용과 정도에 관한 연구

배우경,원영순,허정옥 이화여자대학교 간호과학대학 1981 이화간호학회지 Vol.- No.15

전파시스템 개발센터(RCR) 소개

배우경 한국정보통신기술협회 1992 TTA소식 Vol.4 No.2

Diet Quality Index-International를 이용한 암 생존자와 정상대조군의 식이패턴 분석: 국민건강영양조사 2013-2015년 자료이용

이유진,구혜연,조인영,조민경,김경철,엄윤희,김주영,김사라,한종수,배우경,이혜진,김사라,한종수,배우경 대한가정의학회 2019 Korean Journal of Family Practice Vol.9 No.2

Background: Dietary patterns have a significant impact on prognosis, recurrence, and survival in patients with cancer. This study investigated dietary patterns using the Diet Quality Index-International (DQI-I) in cancer survivors compared to those in the general population without cancer. Methods: Using the Korea National Health and Nutrition Examination Survey VI data, cancer survivors were defined as those diagnosed with cancer more than 1 year before the survey. The associations between possible predictors and the DQI-I score were examined using t-tests and analysis of variance. Adjusted multiple linear regression analysis was performed to compare the differences in DQI-I scores between cancer survivors and controls. Results: In univariate analysis of 9,351 subjects (433 cancer survivors and 8,918 controls), age, sex, body mass index, marital status, education level, income, residential area, smoking status, and alcohol consumption were associated with the DQI-I score (each P-value <0.05). After adjustment, cancer survivors showed higher DQI-I scores than the controls (67.40±8.90 vs. 65.50±9.40, P-value=0.007). In subgroup analysis, cancer survivors within 5 years after cancer diagnosis showed higher DQI-I scores than the controls (68.70±8.30 vs. 65.50±9.40, P-value=0.034), whereas those who survived beyond 5 years post-diagnosis did not show significant differences from the controls (66.70±9.20 vs. 65.50±9.40, P-value=0.063). Conclusion: Cancer survivors within 5 years of cancer diagnosis showed better dietary patterns than those in the general population. However, the differences were not observed after 5 years post-diagnosis. To reduce the risks of second primary cancer and mortality, targeted inventions for dietary habits are necessary for long-term survivors of cancer. 연구배경: 암 생존자에서 식이패턴은 예후, 재발 및 생존에 중요한영향을 미친다. 이번 연구에서는 Diet Quality Index-International(DQI-I)값을 이용하여 암 생존자의 식이패턴을 일반 대조군과 비교하여 분석해보고자 한다. 방법: 국민건강영양조사 제6기 자료(2013–2015년)를 이용하여 암진단받은 후 1년이 지난 군을 암 생존자 군으로 정의하였다. 암 진단여부에 응답하지 않은 사람과 연구 변수에 결측값이 있는 대상자들은 제외하여 총 9,351명이 연구에 포함되었고, 이 중 암 생존자는 433명, 대조군은 8,918명이 연구에 포함되었다. 결과:암 생존자가 일반 대조군에 비해서 높은 DQI-I 점수를 보였다. 나이, 성별, BMI, 결혼 상태, 교육수준, 월 수입, 주거지역, 흡연, 음주수준등을보정한후에도암생존자의점수가대조군에비해 유의하게 높았다. 5년을 기준으로 층화분석을 시행하였을 때 5년 미만의그룹은 대조군에 비해서 점수가 높았으나, 5년 이상의 그룹은 대조군과 통계적으로 유의한 차이를 보이지 않았다(P=0.034, P=0.06). 결론: 암 생존자가 일반 대조군에 비해서 좋은 식이습관을 가지고있으나, 5년이 지나면 대조군과 차이가 없어진다. 암 생존자 관리에서 생존기간과 상관없이 지속적인 식이습관 평가 및 중재가 필요하다.

Monitor Preference for Electronic Medical Record in Outpatient Clinic

이기혁,배우경,한종수,유수영,김존수,윤종활,백현영,백롱민,황희 대한의료정보학회 2012 Healthcare Informatics Research Vol.18 No.4

Objectives: The objective of this paper is to assess which wide type monitor configurations are preferred when physicians use an Electronic Medical Record (EMR) system in an outpatient clinic setting. Methods: We selected three kinds of monitor configurations available for adoption at outpatient clinics with reference to monitor market trends. Fifteen attending physicians of the Seoul National University Bundang Hospital used each monitor configuration in their outpatient clinics. After completing the outpatient sessions, they selected the best monitor configuration for criteria described in five questionnaire items. We counted the number of votes and reviewed opinions of participants. Results: The Wide Quad High Definition (WQHD) 27-inch single monitor configuration was most preferred for all questionnaire items. All participants answered that the WQHD 27-inch single monitor configuration was the best for desk space utilization. Eleven out of fifteen participants chose the WQHD 27-inch single monitor configuration as the most suitable monitor for outpatient practice. Conclusions:This study found that physicians preferred the WQHD 27-inch single monitor configuration in outpatient clinic settings. Healthcare organizations need to consider this finding when they purchase wide type monitors for EMR systems instead of the standard type monitor.

생활습관개선 프로그램이 일개 대학 의대생들의 건강행동에 미치는 영향

허시원,배우경,유태우,김현수,이연지,손지영 대한가정의학회 2009 Korean Journal of Family Medicine Vol.30 No.4

Background: Lifestyle is an important risk factor for many diseases. We need to educate medical students for advocating health promoting behaviors to their patients. Teaching knowledge, however, was not enough for medical students to change their health-related lifestyle. In this study, we investigated health promoting behaviors of medical students, and the improvement of their health behaviors after competitive lifestyle modifi cation program. Methods: All sophomores of medical college in Seoul National University were included in this study. We performed lifestyle modifi cation program consisting of lecture, group competition, and feedback. We focused on reforming health behaviors like smoking, drinking, exercise, stress management and eating habits. And we also checked common symptoms of functional diseases, medication frequency for relieving these symptoms and general life satisfaction. Results: After 2 months of lifestyle modifi cation program, the obese (P = 0.0455) and the average value of BMI (P < 0.001) were decreased and two of smokers quitted smoking. Numbers of medical students with health related habits such as regular exerciser (P = 0.027), frequent user of symptom-relief medication (P < 0.001), breakfast skipper (P = 0.005) were signifi cantly changed in positive way, and the average value of general life satisfaction score (P = 0.003) was improved. Conclusion: Lifestyle modification program improved medical students’ health habits and enhanced general life satisfaction. 연구배경: 음주, 흡연, 운동부족, 비만 등의 생활습관은 순환 기 질환을 포함한 여러 질환의 위험요인이다. 환자의 생활습 관개선을 위해서는 건강한 의사를 양성해야 하지만 의대생에 게 의학지식을 가르치는 것만으로는 생활습관을 개선시키기 힘들다. 이에 저자들은 의대생들의 건강행동을 조사하고, 생 활습관개선 프로그램을 통해 건강행동이 얼마나 개선되는지 평가하고자 하였다. 방법: 일개 의과대학 2학년 학생들에게 그룹간 경쟁과 피드 백을 포함한 생활습관개선 프로그램을 실시하였다. 학생들의 흡연, 음주, 운동, 비만, 식습관 등의 건강행동을 조사하고 개선 방법을 교육하고 실행할 수 있는 동기부여에 초점을 두었으 며 학생들의 기능성 질환 증상과 약물 복용, 불안, 우울 및 삶의 만족도 여부도 확인하였다. 자료는 생활습관개선 프로그램 전후에 학생들이 인터넷으로 입력한 설문지를 통해 수집하였 다. 결과: 2개월 간의 생활습관개선 프로그램을 통해 비만자가 감소했고(P=0.0455), BMI의 평균이 감소하였으며(P<0.001), 흡연자의 12.5%인 2명이 금연을 시작하였다. 규칙적인 운동 을 하는 의대생이 증가하였고(P=0.011), 아침식사를 하지 않 거나, 잦은 약물사용을 하던 의대생이 감소하였으며(각각 P= 0.0047, P=0.0001), 전반적인 삶의 만족도도 증가(P=0.003)하 였다. 결론: 경쟁적 생활습관개선 프로그램이 의대생의 운동 부족 과 비만, 흡연 등의 생활습관을 개선시켰고, 이와 함께 삶의 만 족도가 증가되는 것이 관찰되었다.

Changes of Body Mass Index and the Incidence of Hypertension in Late Middle Age: A Nationwide Cohort Study in South Korea

정세영,장연훈,배우경,한종수 대한임상건강증진학회 2022 Korean Journal of Health Promotion Vol.22 No.4

Background: Previous studies revealed weight gain is an independent risk factor for hypertension. Hypertension in late middle age increases the risks of dementia and cardiovascular diseases. We aimed to analyze the difference in the risk of hypertension in the late middle age according to the change of body mass index (BMI) using nationwide cohort data of South Korea. Methods: We used 64,136 individuals from National Health Insurance Service-Health Screening Cohort in South Korea. The primary endpoint is newly diagnosed hypertension after observation start date, which was defined as the date of first examination after 50. BMI changes were measured between two consecutive health examinations before and after 50. Cox proportional hazard regression analysis was performed to evaluate the association between the change of BMI and the risk of hypertension. Results: During the mean follow-up period of 3.4±1.9 years, 8,676 individuals were diagnosed with hypertension. Both normal-to-obese group and obese-to-obese group had 19% higher risk for hypertension, and obese-to normal group had 10% higher risk for hypertension in late middle age, compared to normal-to-normal group. Conclusions: We confirmed becoming obese and maintaining obese increase the risk of hypertension in late middle age. Thus, clinicians need to assess obese patients regularly for the possibility of new onset hypertension and take preventive measure to reduce the risk by losing weights before late middle age.

Effectiveness of Proactive Quitline Service and Predictors of Successful Smoking Cessation: Findings from a Preliminary Study of Quitline Service for Smoking Cessation in Korea

명승권,박재갑,배우경,이연지,김열,서홍관 대한의학회 2008 Journal of Korean medical science Vol.23 No.5

This study was to evaluate the effectiveness of the first proactive Quitline service for smoking cessation in Korea and determine the predictors of successful smoking cessation. Smoking participants were voluntarily recruited from 18 community health centers. The participants were proactively counseled for smoking cessation via 7 sessions conducted for 30 days from November 1, 2005 to January 31, 2006. Of the 649 smoking participants, 522 completed 30 days at the end of the study and were included in the final analysis. The continuous abstinence rate at 30 days of follow-up was found to be 38.3% (200/522), in the intention-to-treat analysis. Compared with non-quitters, quitters were mostly male, smoked <20 cigarettes/ day, had started smoking at the age of ≥20 yr, and were less dependent on nicotine. Based on the stepwise multiple logistic regression analysis, the significant predictors of successful smoking cessation were determined to be male sex, low cigarette consumption, and older age at smoking initiation. We investigated the short-term effectiveness of the Quitline service and determined the predictors of successful smoking cessation.

The Difference between Serum Vitamin D Level and Depressive Symptoms in Korean Adult Women before and after Menopause: The 5th (2010–2012) Korean National Health and Nutrition Examination Survey

이수미,최희원,배우경,신은영 대한임상건강증진학회 2023 Korean Journal of Health Promotion Vol.23 No.1

Background: The relationship between serum vitamin D levels and depressive symptoms has not been consistent in previous studies in Korean women. Menopause is known to be related to depression and vitamin D. Methods: This study included 11,573 women from the 5th Korea National Health and Nutrition Examination Survey. Serum vitamin D levels were divided into four groups according to quartiles, and depressive symptoms were collected into two groups. Multiple logistic regression analysis was conducted in each group of women before and after menopause. Results: Compared with the highest vitamin D group, the lowest vitamin D group did not show significant differences in all females (odds ratio [OR], 0.98; 95% confidence interval [CI], 0.78-1.22). In premenopausal women, compared to the first quartile, ORs were presented in the second quartile (OR, 0.75; 95% CI, 0.53-1.07), third quartile (OR, 0.70; 95% CI, 0.49-1.00) and fourth quartile (OR, 0.62; 95% CI, 0.43-0.92) respectively, and they were statistically significant (P=0.016). In postmenopausal women, compared to the first quartile, ORs were presented in the second quartile (OR, 1.06; 95% CI, 0.78-1.44), third quartile (OR, 1.18; 95% CI, 0.87-1.61), and fourth quartile (OR, 1.27; 95% CI, 0.98-1.66) respectively; however, they were not statistically significant (P=0.057). Conclusions: Depression symptoms increased with a decrease in serum vitamin D in premenopausal women, but the opposite trend was observed in postmenopausal women. In future studies, if the relationship between blood vitamin D and depression is studied, the menopausal status of women can be used as an important criterion

Osteoarthritis Affects Health-Related Quality of Life in Korean Adults with Chronic Diseases: The Korea National Health and Nutritional Examination Surveys 2009–2013

양지혜,이기헌,정세영,배우경,주혜진,조인영,송재경,박화연,한종수,이가혜,배예슬 대한가정의학회 2017 Korean Journal of Family Medicine Vol.38 No.6

Background: Osteoarthritis (OA) is a chronic disease that commonly afflicts the elderly. This disease reduces thehealth-related quality of life (HRQoL) and causes a significant social burden. Whether the effect of coexistingchronic conditions on HRQoL varies according to the presence of OA remains unclear. Therefore, this study aimedto investigate this notion. Methods: A total of 13,395 participants were identified from the 2009–2013 Korean National Health and NutritionExamination Survey for analysis. HRQoL was assessed using the European quality of life-5 dimensions (EQ-5D) index. Patients with OA were defined as those diagnosed by a physician or those who displayed both, symptoms andradiological findings consistent with OA at the time of the survey. Associations between OA and 8 chronic conditionswere tested using regression analysis. Results: The EQ-5D index was lower in patients with OA than in those without (mean difference, -0.145; 95% confidenceinterval [CI], -0.138 to -0.151; P<0.001). Most patients with OA and chronic conditions showed a lower scorethan those without. EQ-5D was particularly lower in OA patients with hypertension, dyslipidemia, stroke, and renalfailure. The estimated β coefficient for the interaction term was significant in renal failure (-0.034; 95% CI, -0.055 to-0.012), after adjusting for demographic and socio-economic variables. Conclusion: OA significantly affects HRQoL of Korean elderly individuals alone or when combined with other conditions. OA combined with renal failure is particularly detrimental. These results indicate the importance of managingOA, which is an underestimated disease in public health surveys.

ITU-T의 전자적 문서처리(EDH) 현황 - ITU-T Circular 182를 중심으로 -

구경철,이준섭,송기평,배우경 한국정보통신기술협회 1999 TTA저널 Vol.65 No.-