Relationship between Perceived Health Status and Patient Satisfaction in Outpatient Settings - Korean National Health and Nutrition Examination Survey 2015

( Eun-joo Park ),( Seung-guk Park ),( Ji-hye Kwon ),( Seung-won Cheon ),( Hyo-eun Kim ),( Sun-mi Yoo ) 대한의료커뮤니케이션학회 2018 의료커뮤니케이션 Vol.13 No.2

Background: It is important to investigate patient satisfaction to improve the quality of healthcare. Among the many factors that affect patient satisfaction, perceived health status has been considered as one of the major factors. Therefore, we investigated patient satisfaction through patient experience in outpatient settings according to perceived health status. Methods: This cross-sectional study using questionnaires of patient experience and perceived health status from the Korean National Health and Nutrition Examination Survey 2015 included 4267 people aged over 19 years who met the inclusion criteria. Perceived health status was classified into three: good, fair, and poor. Questions about patient experience consisted of four items: doctor spending enough time with patients, doctor providing easy-to-understand explanation, doctor giving opportunity to ask questions or raise concerns, and doctor involving patient in decisions about care or treatment. Patient experience was classified into two: satisfied and non-satisfied. A multivariate regression model was used to analyze the data. Results: In the good perceived health status group, level of satisfaction was 79.2%, 88.5%, 83.3% and 87.2%, respectively for the four items targeting patient experience. In the poor group, level of satisfaction was 76%, 84.9%, 79.5%, and 83.1%, respectively for the four items. In multivariate logistic regression analyses, the odds ratios of good perceived health status group were 1.775 (1.347-2.338), 1.946 (1.356-2.793), 1.652 (1.218-2.240), and 1.665 (1.193-2.323) compared with the poor group. Conclusion: Perceived health status is associated with patient satisfaction. In particular, the better the perceived health status, the better the patient satisfaction through patient experience.

우리나라 노인의 구강건강상태 및 관리행태와 주관적 건강상태와의 관련성: 제7기 국민건강영양조사(2016-2018)를 이용하여

홍주희 ( Joo Hee Hong ),이용재 ( Yongjae Lee ),김태현 ( Taehyun Kim ),김노을 ( Roeul Kim ),정우진 ( Woojin Chung ) 한국보건행정학회 2021 보건행정학회지 Vol.31 No.1

Background: It is getting important to improve the oral health status of the elderly because oral health status may affect their health status of the whole body. In this respect, we aimed to explore the association of oral health status and behavior factors with self-rated health status by sex. Methods: Using the data from the 7th Korea National Health and Nutrition Examination Survey for health surveys and oral examinations (2016-2018), we analyzed a total of 3,070 people aged 65 or older (men: 1,329; women: 1,741). Our dependent variable, self-rated health status, was divided into two groups: not good (bad and very bad) and good (very good, good, and fair), whereas our independent variables of interest were oral health status and behavior factors. In addition to descriptive analysis and the Rao-Scott chi-square test, reflecting survey characteristics, we conducted hierarchical multivariable logistic regression analyses adjusted for socio-demographics and health status and behavior factors. All analyses were stratified by sex. Results: The proportion of people having ‘not good’ self-rated health was 36.5% in women but 24.5% in men. In a model adjusted for all covariates, the self-rated health status showed significant association with the self-rated oral health status. For example, in men, the risk of having ‘not good’ self-rated health was high in people having ‘poor’ (odds ratio [OR], 5.31; 95% confidence interval [CI], 2.34-12.03) self-rated oral health status and in those having ‘fair’ (OR, 4.03; 95% CI, 1.68-9.70) in comparison with those having ‘good’ self-rated oral health status. Dental status regarding speaking difficulty seemed to be very important in influencing self-rated health status. For instance, in women, compared to people having ‘no discomfort’ speaking difficulty, the risk of having ‘not good’ self-rated health was high in people having ‘not bad’ (OR, 1.60; 95% CI, 1.14-2.24) and ‘discomfort’ (OR, 1.79; 95% CI, 1.30-2.47) speaking difficulty. The covariates significantly associated with the risk of having ‘not good’ self-rated health were: physical activity, chronic disease, stress, and body mass index in both sexes; health insurance type and drinking only in men; and economic activity only in women. Conclusion: Oral health status and behavioral factors were associated with self-rated health status among the elderly, differently by sex. This suggests that public health policies toward better health in the elderly should take their oral health status and oral health behaviors into account in a sex-specific way.

영양교육 프로그램이 서울 지역 노인의 체력, 영양상태, 건강관련 삶의 질에 미치는 영향

최윤정(Choi Yoonjung),김찬(Kim Chan),박유신(Park Yoo-Sin) 韓國營養學會 2007 Journal of Nutrition and Health Vol.40 No.3

This study was performed to investigate the effects of nutrition education program in physical health, nutritional status and health-related quality of life (HRQoL) of the Elderly in Seoul. Nutrition education program was consisted of healthy eating, prevention and diet therapy of obesity, diabetes, cardiovascular disease, and osteoporosis. Seventy eight free-living elderly people (13 male, 65 female), aged ≥ 60 years participated in this program. Before and after nutrition education program, we surveyed the general characteristics, physical health, general health, nutrition status, and health-related quality of life to the subjects. All the subjects were divided into program completers (N = 47) and noncompleters (N = 31). All the data were analyzed by student t-test, chi-square test, paired t-test, and marginal homogeneity test using SPSS 9.0 version at p<0.05. After nutrition education program, physical activity and ADL maintained, however IADL improved in program noncompleters. In eating habits, 'slow eating' significantly improved in program completers in program completers. Nutrition knowledge and recognition scores were significantly increased in both groups, and accuracy score was significantly increased in program completers. However, nutrient-intakes of %RDA were not significantly changed in both groups, and it seemed to be more influenced by other factors such as 'family income' or 'family type' than by the nutrition education program. In HRQoL, social functioning was improved after nutrition education program in both groups (p<0.05). The nutrition education program has more effects on the program completers than on the noncompleters, and it is also needed social supports for the Elderly to fulfill their nutrient requirements. (Korean J Nutr 2007; 400): 270~280)

전기노인 여성의 삶의 질 중 기운에 따른 건강행태와 영양상태 비교: 2019년, 2021년 국민건강영양조사 자료를 이용하여

정지영,양윤정 한국영양학회 2023 Journal of Nutrition and Health Vol.56 No.5

Purpose: This study aimed to identify the general characteristics, chronic diseases, health behavior, mental health, and nutritional status of young-old women based on their vitality. Methods: This study used data from the 2019 and 2021 Korea National Health and Nutrition Examination Survey (KNHANES). The subjects were 1,113 young-old women aged 65 to 74 years old. The health-related quality of life concept with an 8-item questionnaire was used to measure the quality of life. Subjects were categorized into 4 groups (always, often, sometimes, never) based on their vitality. General characteristics, chronic diseases, health behavior, dietary behavior, food intake, and nutrient intake were compared among the groups. Results: Age, education level, household income, employment, fruit intake, dietary supplements, abundance of food, and nutrition labeling recognition were associated with the vitality of the subjects. Young-old women with arthritis, diabetes, and osteoporosis displayed lower vitality. Moreover, subjective health status, exercise, activity restrictions, and average daily sitting hours were related to vitality, while no significant difference was found in vitality between smoking and drinking. In terms of mental health factors, higher vitality was associated with 6-8 hours of sleep, lower stress levels, and reduced depression. The high-vitality group exhibited a higher intake of potatoes, starch, mushrooms, fruits, meat, milk, animal oils, and beverages than the low-vitality group. Additionally, the group with higher levels of vitality showed a higher intake of protein, fat, saturated fatty acids, monounsaturated fatty acids, polyunsaturated fatty acids, n-6 fatty acids, dietary fiber, sugars, phosphorous, potassium, magnesium, iron, zinc, and riboflavin. Conclusion: This study suggests that the vitality of young-old women is related to socioeconomic factors, health behavior, mental health, and food intake. To maintain a vibrant lifestyle in elderly women, it is necessary to have social and economic stability, prevent arthritis, diabetes, and osteoporosis, exercise regularly, get sufficient sleep, maintain mental health, and have a balanced diet.

Relationship between Perceived Health Status and Patient Satisfaction in Outpatient Settings - Korean National Health and Nutrition Examination Survey 2015

박은주,박승국,권지혜,전승원,김효은,유선미 대한의료커뮤니케이션학회 2018 의료커뮤니케이션 Vol.13 No.2

Background: It is important to investigate patient satisfaction to improve the quality of healthcare. Among the many factors that affect patient satisfaction, perceived health status has been considered as one of the major factors. Therefore, we investigated patient satisfaction through patient experience in outpatient settings according to perceived health status. Methods: This cross-sectional study using questionnaires of patient experience and perceived health status from the Korean National Health and Nutrition Examination Survey 2015 included 4267 people aged over 19 years who met the inclusion criteria. Perceived health status was classified into three: good, fair, and poor. Questions about patient experience consisted of four items: doctor spending enough time with patients, doctor providing easy-to-understand explanation, doctor giving opportunity to ask questions or raise concerns, and doctor involving patient in decisions about care or treatment. Patient experience was classified into two: satisfied and non-satisfied. A multivariate regression model was used to analyze the data. Results: In the good perceived health status group, level of satisfaction was 79.2%, 88.5%, 83.3% and 87.2%, respectively for the four items targeting patient experience. In the poor group, level of satisfaction was 76%, 84.9%, 79.5%, and 83.1%, respectively for the four items. In multivariate logistic regression analyses, the odds ratios of good perceived health status group were 1.775 (1.347-2.338), 1.946 (1.356-2.793), 1.652 (1.218-2.240), and 1.665 (1.193-2.323) compared with the poor group. Conclusion: Perceived health status is associated with patient satisfaction. In particular, the better the perceived health status, the better the patient satisfaction through patient experience.

청소년의 주관적 건강상태에 미치는 영향요인

박미라(Mee ra Park),양현주(Hyun Joo Yang) 인문사회과학기술융합학회 2018 예술인문사회융합멀티미디어논문지 Vol.8 No.10

This study was performed to find the influence factors on subjective health status of youth and to provide basic data for the preparation of the intervention program to improve the subjective health status of youth. The National Health and Nutrition Examination Survey(2013-2016) was used. and the varialbe were sex, age, type of high school, sleep time per day, time spent sitting per day, subjective body recognition, the degree of perceived stress in everyday, smoking experience and drinking experience. The data were stratified with age from 12 to 19 years old and the weighted data were used. Result are as follows: Subjective health status was better than female in male youth. The subjective body recognition is slim, the better the subjective health status. The more perceived stress was, the less the subjective health condition was. Subjective health status was better than drinking experience in no drinking experience. Factors influencing the subjective health status of the subjects were the usual stress perception and subjective body shape, the degree of perceived stress in everyday(β = -.187) was the most influential factor, followed by subjective body recognition(β = .184). Therefore, in order to improve the subjective health condition, it is necessary to prepare a program that lowers the usual stress level and increases the subjective body type. 본 연구는 청소년의 주관적 건강상태에 미치는 영향요인을 알아보고, 청소년의 주관적 건강상태 향상을 도모하는 중재프로그램 마련을 위한 기초자료를 제공하고자 시행되었다. 제 6기 국민건강영양조사 2차 년도 자료(2013-2016)를 이용하였으며, 성별, 연령, 고등학교 유형 등의 일반적 특성과 하루 평균 수면시간, 하루 동안 앉아서 보낸 시간, 주관적 체형인식, 평소 스트레스 인지정도, 흡연경험, 음주경험 등의 변수를 활용하였다. 자료는 만 12세~19세의 연령으로 층화 추출하였고 가중치가 적용된 자료를 이용하였다. 연구결과 청소년의 주관적 건강상태는 남학생이 여학생보다, 음주경험은 없는 경우가 있는 경우보다, 날씬하다고 인식할수록, 주관적 건강상태가 좋다고 인식한 반면, 평소 인지하는 스트레스가 많을수록 주관적 건강상태는 좋지 않다고 인식하였다. 대상자의 주관적 건강상태에 영향을 미치는 요인은 평소 스트레스 인지정도와 주관적 체형인지였고, 평소 스트레스 인지정도(β= -.187)가 가장 큰 영향을 미치는 요인이며, 주관적 체형인지(β= .184)가 그 다음 순으로 나타났다. 따라서 청소년의 주관적 건강상태 향상을 위해서는 평소 스트레스 인지정도는 낮추고 주관적 체형인지는 증가시키는 프로그램 마련이 요구된다.

중년여성의 주관적 건강상태에 미치는 영향요인 -제 6기 국민건강영양조사 2차년도 자료(2013-2016) 활용

박미라 사단법인 인문사회과학기술융합학회 2019 예술인문사회융합멀티미디어논문지 Vol.9 No.6

This study was to investigate the factors affecting subjective health status of middle - aged women aged 40-60 years and to provide nursing care for improving the subjective health status of middle-aged women. Data were stratification sampling by sex and age, utilized the National Health and Nutrition Examination Survey(2013-2016), and reflected a weight. The variable were age, economic statel, sleep time per day, time spent sitting per day, subjective body recognition, the degree of perceived stress. Result are as follows: The higher the age, the worse the subjective health status, The less the economic activity, the less the subjective health condition. The more perceived stress was, the less the subjective health condition was. The more that the subjective body perception is closer to obesity subjective health status was poor. The higher the degree of perceived stress in everyday, the better the subjective health status. The subjects' subjective health status was found to be influenced by the degree of perceived stress, the subjective body recognition, age and job state among the various health-related factors. Also, It is required to find the factors affecting stress, age, subjective body recognition and to provide care for middle-age women of at that time. 본 연구는 만 40-60세의 중년여성을 대상으로 주관적 건강상태의 영향 요인을 확인하고, 추후 중년여성의 주관적 건강상태 향상을 위한 간호를 제공하는 데 도움이 되고자 시행되었다. 보건복지부와 질병관리본부의 제 6기 국민건강영양조사 2차년도 자료(2013-2016)를 이용하여 성별과 연령으로 2차 층화추출 하였고 가중치가 적용된 자료를 이용하였다. 변수로는 연령, 경제활동상태, 하루평균 수면시간, 하루동안 앉아 있는 시간, 주관적 체형인식, 스트레스 인지정도로 정하였다. 연구결과는 다음과 같다. 주관적 건강상태는 연령이 높을수록 좋지 않았으며, 경제활동을 하고 있지 않을수록 주관적 건강상태는 좋지 않았다. 주관적 체형인식이 비만에 가깝다고 인지할수록 주관적 건강상태는 좋지 않았다. 스트레스 인지 정도가 높을수록 주관적 건강상태는 좋지 않았다. 주관적 건강상태에 가장 영향을 미치는 요인은 스트레스 인지정도(β= -.233)이였고, 그 다음으로는 주관적 체형인지(β= .184), 연령(β= .081), 직업유무(β= .070) 순으로 나타났다. 그러므로, 주관적 건강상태의 향상을 위해서 중년여성의 연령과 직업유무에 따른 스트레스 감소와 주관적 체형인지 증가에 도움이 되는 프로그램마련이 요구되며, 이를 도와줄 수 있는 간호제공이 필요하다.

대도시 영세 독거노인의 건강 및 영양상태에 관한 연구

하미정,박형숙 노인간호학회 2002 노인간호학회지 Vol.4 No.2

The purpose of this study was to identify the health and nutrition status of elderly poor people living alone and to develop basic data for improvement of health and nutrition by analyzing the relationship between them. The participants were 130 elderly people registered D public health center in Busan. Data collection was done for 2 months from December 20, 2001 to January 20, 2002. Data analysis was done using frequencies, percentages, means and standard deviation, Pearson correlation coefficient, and t/F-test with SPSS WIN 10.0. The major findings are as follows: 1. Women accounted for 84.6% of the participants, average age was 72.02±4.70, 60.8% were illiterate, average length of time living alone was 19.49±13.85 years, 93.1% were sick and the major disease was arthritis, 46.9% skipped meals and for 26.2% the main reason was no appetite. Irregular diet was found in 76.1% of the participants. Body fat for men was 24.95% and for women, 34.81%. Obesity in men was 55.0% and women, 40.0%, WHR for men was 0.93 and for women, 0.95. Abdominal obesity was found in 10% of men and 90.9% of women, indicating a serious problem for elderly women. 2. The mean scores for physical status and mental status were 87.74±4.71 and 69.60±6.78 respectively indicating good physical and mental status. The mean score for emotional status was only 30.34±9.00 indicating poor emotional status. The nutrition awareness checklist score was 10.13±2.19 indicating a high 97.7% were in the high risk group for nutritional problems. 3. There were correlations between physical and mental (r=. 549), physical and emotional (r=.311), mental and emotional status (r=-. 369). There was a converse correlation between emotional status and nutrition status (r=-.364). Women and those who were illiterate had poorer health. To sum up, it is necessary to improve the nutrition status of elderly people through the expansion of free meal service, economic support, nutrition education, and health promotion. These services can be achieved by managing chronic diseases through home nursing, accurately understanding health and nutrition in elderly people and preparing emotional support programs in cooperation with social welfare centers.

농촌주민의 건강상태와 영양지식ㆍ태도ㆍ실천과의 관계

조유향(Yoo-Hyang Cho),정해옥(Hae-Ok Jung) 한국보건교육건강증진학회 2006 보건교육건강증진학회지 Vol.23 No.1

Objectives: This study is to investigate and to test the overall level of nutritional knowledge . attitude . practice and health status of the residents in rural area. Methods: The interview survey was performed in March 2004 with structured questionnaires to 510 respondents of the residents who lived in Muan-Gun of Jeonnam province. The questionnaire was the abridged Scale of the Nutritional KnowledgeㆍAttitudeㆍPractice(SNKA) and health status as the morbidity, subjective health status, health management, and health examination. The covariate, F-test or t-test, and Chi-squire method were used for some of the cross-sectional data. Results: Average weight of nutritional knowledge was 10.64±5.98 by SNKA of the 20 items(0-20). Average weight of nutritional attitudeㆍpractice was 64.59±7.72 by SNKA of the 20 items(20-80). The level of the nutritional knowledge was lower than the level of the nutritional attitudeㆍpractice. 77.3% of the respondents have been health management, 49.6% of the respondents have been health examination. A majority of the respondents(31.3%) had disease, while 13.5% of the respondents had chronic disease, and 17.8% of the respondents had acute disease. The level of nutritional knowledge and general characteristics was positively correlated while the relationships were positive between nutritional knowledge and health status, and between nutritional attitude . practice and health status. Conclusion: These results suggested that education programs of the nutritional knowledge were necessary for the residents of rural area. And behavior change of the nutritional knowledge were necessary for the residents of rural area. Further research would be required to specify the necessities and operation researches.

직군별 건강관련 삶의 질

김선미,이지원 한국보건복지학회 2022 보건과 복지 Vol.24 No.3

This study aimed to identify factors related to health-related quality of life (EuroQol-5 Dimension) for occupational groups of the domestic working-age population based on the 2019 Korea National Health & Nutrition Examination Survey data. We provide data for the development of health management programs for them by identifying health-related quality of life by occupational group. This study is a secondary data analysis study. The subjects were 4,144 working-age population (19~65 years old and the final analysis was done by classifying them into white blue and others by occupation. These data were analyzed using the chi-square test multi-variable logistic regression using SPSS 26.0. Subjective health status suicidal ideation and stress perception were common factors affecting health-related quality of life in all groups. In addition sleep time in the white group body mass index (BMI) in blue, and BMI, sleep time, and smoking in other groups were health-related quality-of-life related variables. There were differences in health-related quality of life related factors by occupational group. It is necessary to improve subjective health status by improving health behaviors that greatly affect quality of life by occupation and to help manage mental health to cope with stress and prevent suicidal ideation. 본 연구는 2019년 국민건강영양조사 데이터를 활용하여 국내 생산가능인구의 직군별 건강관련 삶의 질의 관련요인을 규명하고자 하였다. 직군별로 건강관련 삶의 질의 5가지 차원을 파악함으로써 직군별 건강관리 프로그램 개발의 기초자료를 제공하고자 한다. 본 연구는 2차 자료분석 연구로 대상자는 생산가능인구 4,144명(만 19세 이상 ∼ 65세 미만)을 white, blue, others 직군으로 분류하여 최종분석하였고 SPSS 26.0을 활용하여 교착분석, 다변량 로지스틱 회귀분석을 실시하였다. 주관적 건강상태, 자살생각 및 스트레스 인지는 모든 직군의 건강관련 삶의 질에 영향을 미친 공통요인이었고, 특히 white 군에서는 수면시간이, blue 군에서는 체질량지수가, others 군에서는 체질량지수, 수면시간, 흡연이 건강관련 삶의 질의 주요 관련 요인이었다. 직군별 건강관련 삶의 질 관련 요인은 차이가 있는 것으로 나타나 직군별 삶의 질에 부정적인 영향을 미치는 건강행태를 개선하여 주관적 건강상태를 향상시키고 스트레스에 대처하고 자살생각을 예방하기 위한 정신건강 관리가 필요하다.