母性 特性이 成人 家族 構成員의 나트륨 攝取量에 미치는 影響

최현미 건양대학교 2015 국내석사

This study was conducted to investigate effects of mother's characteristics on sodium intake of adult family members. In 2012, the national health nutrition research center used the multiple recurrence analysis with the sodium intakes as dependent variable for 1,083family household (787men and 296women) and analyzed the family's sodium intakes for them depending on the characteristics of individual, mother and household. The family's sodium intake quantities depending on the characteristic of individual or family shows notable statistical differences base on sex, age, occupation, 'marriage status, life-long alcohol experience, currently smoking status, frequency of eating out and household income level. For the characteristics of motherhood, the sodium intakes show differences of a notable statistic base on her education status and marriage statue. From the result of multiple regression analysis with sodium intake quantities as a dependent variable, sex, 'marriage status, household income level and mother's sodium intake give effects to statistical differences. The research results reveals that the mothers sodium intake quantities has influence on the quantities of adult family member's sodium intake. As a result of this analysis, it is necessary for mothers who prepare meals for her family to instruct or teach skills of the low sodium culinary. The makes a suitable proposal from this analysis and fulfills the low sodium intake.

한국 간호조무사의 직장 내 성희롱 및 괴롭힘에 관한 연구

김 진석 건양대학교 대학원 2023 국내석사

요약 및 결론 이 연구는 국내 간호조무사들의 성희롱 및 괴롭힘에 대한 경험율과 관련 변수를 찾기 위해 대한간호조무사협회에서 2021년 6월 18일부터 6월 27일까지 4,889명의 간호조무사를 대상으로 시행한 모바일 설문조사를 분석하였으며, 그 결과는 다음과 같다. 최근 2년 이내에 성희롱 경험율은 16.8%로 나타났다. 성희롱 경험과 유의한 관련 변수로는 성별(여자), 연령(29세 이하, 30∼39세), 근무 부서(일반병동), 100인 이상 사업장, 서울·인천지역, 근무 형태(교대근무), 성희롱 수강 여부(교육을 받지 않은군)등 이었다. 최근 6개월 이내에 직장 내 괴롭힘 경험율은 33.1%였고, 유의한 관련 변수로는 연령(29세 이하, 30∼39세), 근무 기관(종합병원), 근무형태(100인 이상), 근무기간(2년이하), 비정규직, 교대근무를 하는군, 주당근무일수(6일 이상), 괴롭힘에 대한 신고 인지를 하지 못한 군 등이었다. 이상과 같은 결과를 통하여 국내 간호조무사들의 직장 내 성희롱 및 괴롭힘은 상당히 높은 비율로 발생하고 있고, 이에는 다양한 요인들이 관련되어 있음을 알 수 있었다. 따라서 성희롱 및 괴롭힘의 재발 방지를 위하여 관련 요인을 고려한 병·의원 내 지속적 교육과 제도적 보완이 필요할 것으로 사료 된다. This study was conducted to find the status and related factors of sexual harassment and bullying among nursing assistants in hospitals and clinics. The study was based on a mobile survey of 4,889 nursing assistants conducted by the Korea Nursing Assistant Association from June 18 to June 27, 2021. The results were as follows. Incident of sexual harassment in the workplace within the last two years was 16.8%. Significant variables related to sexual harassment incident in the workplace were gender(female), age(29 years old and under, 30 to 39 years old), department of work (general wards), size of ---------------------------------------- * A thesis to Committed of the Graduate School of Public Health and Welfare, Konyang University in partial fulfillment of the requirements for the degree of Master of Public Health in February, 2023 workplaces(with 100 or more employees), region(work in Seoul and Incheon), type of work(shift worker), and whether to take sexual harassment prevention education(un-educated group), respectively. 33.1% of bullying cases in the workplace within the last six months were reported. Significant variables related to bullying in the workplace were age(29years or younger, 30 to 39 years old), type of work institution(general hospital), size of workplaces(with 100 or more employees), duration of work(2 years or less), characteristics of employment(non-regular workers), type of work(shift worker), working days per week(6 or more), and whether to know declare of bullying(not aware), respectively. Sexual harassment and bullying among nursing assistants in hospitals and clinics were occurring at a fairly high rate, and various factors were related. Therefore, in order to prevent the recurrence of sexual harassment and bullying in hospitals and clinics, it should considered necessary to educate and institutional complement continuously the related factors shown in this study. Keywords 1. Sexual harassment 2. Bullying 3. Nursing assistant 4. Hospital and clinic

輕度認知障碍와 알츠하이머病에서 NeuroQuantⓇ에 基盤한 腦 部位別 容量에 관한 硏究

박의철 건양대학교 2021 국내박사

NeuroQuant를 이용한 연구는 경미한 인지 장애와 알츠하이머병에서 뇌 부위별 신경 인지 기능과 부피 사이의 유의한 관계를 찾는 것이다. 이 연구에서는 60세 이상 연령을 대상으로 경미한 인지장애(32명)과 AD 환자(56명)에 대해 신경인지기능 평가(CERAD-K) 및 3차원 자기공명영상(3D magnetic resonance imaging)을 수행했다. 기본적인 자료분석은 각 연구변수의 빈도와 백분율 및 대푯값 등을 활용하였으며, 경미한 인지장애집단과 AD집단 간의 연구변수 평균값 비교는 t-검정으로 분석하였고, 두 집단 간의 연구변수 및 특성별 관련성 분석은 카이제곱검정으로 분석하였다. CERAD-K 하위 구성, 주요 뇌 영역의 볼륨, 측두엽의 비대칭 지수, 해마 점유 점수는 로지스틱 회귀 분석에 의해 분석되었다. 로지스틱 회귀 분석 결과 중 유의한 볼륨 영역에 대하여 ROC 분석을 검정하였다. 경미한 인지 장애와 AD를 종속 변수로 사용한 로지스틱 분석은 여성, 노인 및 하위 교육 수준에서 AD와 더 중요한 관계를 보여주었다. NeuroQuantⓇ에 의해 측정된 뇌의 각 부위의 부피는 구성회상검사, 왼쪽 피질 회백질, 왼쪽 창백핵, 해마점수에서 유의했다. ROC 곡선에 기초한 진단 예측은 구상회상검사, 왼쪽 피질 회백질, 왼쪽 창백핵 및 해마 점수와 유의미한 관계를 보여주었다. 이 연구 결과에 따르면, NeuroQuantⓇ 자동 영상검사 결과는 알츠하이머병 환자의 뇌량 평가와 ROC 곡선의 절단점 발견 과정에서 진단을 예측하는 적합한 도구인 것으로 확인되었다. NeuroQuantⓇ study provides the key to find a significant relationship between neurocognitive function by brain region and its areal volume in mild cognitive impairment and Alzheimer's disease(AD). In this study, Neural cognitive function evaluation(CERAD-K) and three-dimensional magnetic resonance imaging (MRI) were conducted for mild cognitive impairment (32 patients) and AD (56 patients) over 60 years old. The basic data analysis was conducted using frequency, percentage, and representative values of each study variable, and the average value comparison of research variables between mild cognitive impairment group and AD was analyzed by t-test, and the analysis of the relationship between the two groups was analyzed by chi-square test. CERAD-K sub-compositions, volume of major brain areas, asymmetry index of temporal lobe, and hippocampal occupancy scores were analyzed by logistic regression analysis. ROC analysis was performed on significant volume regions among the logistic regression results. The logistic analysis using mild cognitive impairment and AD as dependent variables showed more significant relationship with AD in women than men, in older age, and in lower education levels. The volume of each part of the brain measured by NeuroQuant® was significant in constructional recall test, left cortical gray matter, left parlidum, and hippocampus scores. Diagnostic predictions on the basis of the ROC curve showed significant relationships with constructional recall test, left cortical gray matter, left pallidum, and hippocampal occupancy scores. According to the results of this study, it was confirmed that the NeuroQuantⓇ automated imaging result is a suitable tool to predict the diagnosis in the process of evaluating brain volume of AD patients and finding the cut point of the ROC curve.

韓國 學校 青少年의 손씻기 實踐이 疾病感染에 미치는 影響

장동방 건양대학교 2015 국내석사

The purpose of this study was investigate that relationship between elementary, middle and high school students to the practice of hand washing and the infections, such as colds, diarrhea, eye infections, and food poisoning. This study highlights the importance of hand washing, and was to provide a basis for improving the execution rate of hand washing school youth. In 16 regions of the Korea, student were surveyed from fourth grade student of elementary school to third grade student of high school. Individual interviews and an online web survey from September 05 to September 25 was conducted. The General characteristics and hand washing and hand washing method of survey respondents was set independent variable. And cold, diarrhea, eye infections, and food poisoning infection as the dependent variables and the chi-square test was conducted bipartite logistic regression analysis. As a result, cold, except for food poisoning, diarrhea, eye disease took more high grade student than low grade student. In particular, the case of cold infections were a lot more women than men experience. And the case of cold infections were a lot more water of hand sanitizer than hand washing with soap. And not the back of the hand wash cold of the group experience rate was higher than the back of the hand washing group. According to youth health behavior survey online surveys and handwashing survey, High grade student low hand washing practices. Given the results of this study, the hand washing was determined by factors that affect the prevention of infectious diseases, such as cold. Because adolescents were high risk of infectious disease caused by group life, therefore adolescents need an education about proper hand washing with soap in school. This study provided a policy on how to improve hand washing’s the execution rate.

중독에 의한 병원밖 급성심장정지환자 생존 연관요인

이재광 건양대학교 대학원 2022 국내박사

우리나라 병원밖 급성심장정지의 일반인 심폐소생술 시행률은 증가하고 있다. 미국에 비하면 아직은 미흡하지만 꾸준히 증가하고 있음을 보여주고 있다. 그로인해 급성심장정지 환자의 생존율의 증가를 보이고 있다. 급성심장정지의 원인이 대부분 질병에 의한 경우이고 이에 대한 연구는 활발하게 이루어지고 있다. 하지만 중독에 의한 병원밖 심장정지에 대한 연구가 적다. 중독에 의한 병원밖 심장정지환자의 특성, 시기별 임상적 결과를 분석하여 심폐소생술 시행 시기별 중독에 의한 병원밖 심장정지환자의 생존과 연관성을 알아보고자 하였다.본 연구 결과, 중독에 의한 심장정지 환자에서 심폐소생술 시작 시점이 자발순환회복, 응급실퇴원, 30일생존 모두에 영향을 주고 있다. 중독에 의한 심장정지환자에서도 생존 사슬이 중요하고 필요함을 확인하였다. The rate of CPR for the general public for out-of-hospital cardiac arrest is increasing in Korea. Because of that, the survival rate of patients with acute cardiac arrest is increasing. Most of the causes of sudden cardiac arrest are diseases, and research on this is being actively conducted. However, there are few studies on out-of-hospital cardiac arrest caused by poisoning. This study was conducted on the relationship between the factors related to the survival of out-of-hospital cardiac arrest patients due to poisoning by analyzing the characteristics and clinical results of patients with cardiac arrest due to out-of-hospital poisoning.The site of starting CPR in patients with cardiac arrest due to poisoning has an effect on survival. It was confirmed that the survival chain is important and necessary even in patients with cardiac arrest due to poisoning. However, there are few educational programs on cardiac arrest caused by poisoning.

世代構成에 따른 成人 家口員의 健康行態와 健康水準에 관한 硏究

김미자 건양대학교 대학원 2023 국내석사

This study was a cross-sectional survey study that used data from 12,810 adult household members aged 19 and over to confirm the relationship between the health behaviors and health status of household members of adult according to generational household composition by using data from the Korean Medical Panel in 2019. The analysis methods included frequency analysis, chi-square test, and logistic regression analysis. As a result of the analysis, the variables with the highest probability of mental health problems were women(OR=2.300, 95% CI 1.763~3.003), no spouse(OR=1.491, 95% CI 1.251~1.777), no economic activity (OR=1.559, 95% CI 1.311~1.854), having a chronic disease(OR=5.242, 95% CI 4.037~6.806), and smoking(OR=2.168, 95% CI 1.662~2.829) (p<0.05). The variables influencing the self-rated health were 65 years of age or older(OR=1.349, 95% CI 1.156~1.573), educational attainment(OR=1.569, 95% CI 1.380~1.784), alcohol consumption (OR=1.474, 95% CI 1.349~1.611), walking 4~7 days per week(OR=1.893, 95% CI 1.679~2.135), and weight control efforts(OR=1.239, 95% CI 1.138~1.349)(p<0.05). As a result of the study, it was confirmed that mental health problems were highly related to demographic and sociological factors. It was confirmed that self-rated health was highly related to demographic factors and health behaviors. In order to increase health status, policy support is needed to provide education and participation programs for health behavior change, opportunities for social activities and social support, and mental health examination programs to be provided to the personal environment without discrimination. 이 연구는 한국의료패널 2019년 연간 데이터를 제공받아 만 19세 이상 성인 가구원 12,810명의 자료를 이용, 이들 구성원의 건강행태와 건강수준의 관련성을 확인하는 단면 조사연구이다. 분석방법은 빈도, 백분율, 카이제곱 검정, 로지스틱 회귀분석을 이용하였다. 분석 결과 정신건강문제 발생 가능성이 높은 변수는 여성(OR=2.300, 95% CI 1.763~3.003), 배우자 없음(OR=1.491, 95% CI 1.251~1.777), 경제활동 안함(OR=1.559, 95% CI 1.311~1.854), 만성질환 있음(OR=5.242, 95% CI 4.037~6.806), 흡연(OR=2.168, 95% CI 1.662~2.829) 등 이었다(p<0.05). 주관적 건강상태 평가에 영향을 주는 변수는 65세 이상(OR=1.349, 95% CI 1.156~1.573), 교육수준(OR=1.569, 95% CI 1.380~1.784), 음주(OR=1.474, 95% CI 1.349~1.611), 일주일동안 4~7일 걷기(OR=1.893, 95% CI 1.679~2.135), 체중조절 노력함(OR=1.239, 95% CI 1.138~1.349) 등 이었다(p<0.05). 연구 결과 정신건강 문제는 인구사회학적 요인과 높은 관련성이 있음을 확인하였다. 주관적 건강상태는 인구사회학적 요인 및 건강행태에서 높은 관련성이 있음을 확인하였다. 건강수준을 높이기 위해서 건강행태 변화를 위한 교육 및 참여 프로그램의 제공, 사회적 활동을 위한 기회 마련 및 사회적 지지를 제공, 정신건강 진단 프로그램을 계획하여 차별이 없되 개인 환경에 맞게 제공될 수 있도록 정책적 지원이 있어야 할 것으로 생각된다.

陸軍將兵의 戰公傷및 障礙補償金決定要因 : ROK Army Soldiers

김종도 건양대학교 2018 국내석사

Objectives : The aims of this study was to analyze the determinants and impact of the service-related disability and the disability compensation and to utilize as a basic material for minimizing medically discharged soldiers. Methods : The study classified the factors by using the 10 year(2007∼2016) audit data(n=14,848) of the ROK Army headquarters, the service-related disability audit committee, which includes rank, gender, branches, service period, military hospitals, the disease type. These factors were analyzed by the 10 year trend frequency analysis and the 5 year chi-square test to find the determinants of disability compensation and a univariable and multivariable logistic regression were performed. Results : The service-related disability cases are increasing continually showing a significant increase of the cases, especially in 2013(n=405), comparing with 2012. For 10 years, the service-related disability cases increased by 11.3% and the disability compensation cases grew 1.2%. In the 5 year chi-square test, the soldiers grew 14.8% and the mild diseases increased by 19.6%. The very serious and severe diseases decreased by 9.3% and 10.1% respectively. The major determinants of the service-related disability were rank, service period, disease type and the disability compensation were determined by rank, military hospital, disease type, medically discharged grade and service-related disability. Most of officers and noncom missioned officers considered they had more cases of the service-related disability than soldiers but complained they had fewer cases of the disability compensation cases than soldiers because they hope to be in the active services. Conclusions : The results of this study suggest that the determinants of the medically discharged soldiers will be analyzed in depth and manifoldly as it is the first study on the determinants of the service-related disability and the disability compensation cases. It is also expected that the compensation system for the medically discharged soldiers will be improved further and more efficiently by utilizing it as a base material for military health care and the work of the National Veterans Affairs.

韓國 老人의 醫療利用이 健康關聯 삶의 質에 미치는 影響

홍영경 건양대학교 2021 국내박사

(Background) This study is purpose to improve the quality of life which relating the health in the elderly at ages of 65 and higher, it was conducted to find out the variables affecting healthcare usage and quality of life. The study was attempted to find out the directly and indirectly affecting paths to provide a basic sources for healthcare policies. (Method) This study was analyzed the raw data of the 7th National Health and Nutrition Examination Survey(2016∼2018) by the Korea Disease Control and Prevention Agency(KDCA), and the subjects were 4,956 for the final analysis. The hypothetical model was analyzed by using AMOS 22 program, and utilizing R Project Ver 3.13 program, cross-tabulation and the logistic regression analysis were carried out on data collected. (Results) Using healthcare service was increased more in female than men, in older age, in worse subjective health, in more stress, in higher BMI, more limited activities, and in higher rates of depression, respectively. However, it was decreased more in higher educational attainment, in employed people than unemployed ones, and in having employees' health insurance, respectively. In addition, subjective health seemed to influences quality of life related to health through mediation of healthcare usage. (Conclusion) According to the results this study, for elderly health is important to use efficient healthcare service, therefore, it is expected that quality of life related to health will be improved through it.

一介 保護治療施設 健康相談 內容分析

전재웅 건양대학교 2015 국내석사

objectives : the research was aimed at analyzing the contents of the health counseling in the protection and treatment facility from 2012 June to 2013 May. Methods : I did medical examination in the protection and treatment facility at every ot every other saturday. I have analyzed total 341 cases of health counseling

一介 廣域市民의 코로나-19 流行前後 身體活動 및 걷기 變化와 그 關聯要因

한지헌 건양대학교 대학원 2022 국내석사

코로나-19 유행이후 일개 광역시를 대상으로 신체활동 및 걷기활동의 변화와 관련된 요인들에 대해 확인하였다. 신체활동 및 걷기 지침 준수 여부를 기준으로 인구사회학적 특성과 건강 상태요인들에 대해 확인하였다. 코로나-19 유행이후 걷기활동에는 큰 변화가 없었으나, 신체활동 실천에서는 큰 감소가 확인되었다. 성별, 연령, 교육수준, 경제적 여건 등에 관련된 사항에 대하여 각 특징을 확인하였다. Factors related to changes in physical activity and walking activity were checked in one metropolitan city after the COVID-19 outbreak. Demographic characteristics and health status factors were checked based on physical activity and compliance with walking guidelines. After the COVID-19 outbreak, there was no significant change in walking activity, but a significant decrease in physical activity practice was confirmed. Each characteristic was checked for matters related to gender, age, educational level, and economic conditions.