경상북도 일부 지역주민들의 건강행태와 보건교육 요구도에 관한 연구

위광복 ( Wie Gwang-bog ),강창렬 ( Kang Chang-yeol ) 한국노인의료복지학회 2016 노인의료복지연구 Vol.8 No.2

In this study, literature regarding the demand for health education and community health services was reviewed; then, a survey was conducted in residents in Pohang, Andong, and Gyeongsan, North Gyeongsang Province from August 6 to 30, 2016 and 257 questionnaires (93.8%) were coded and analyzed. On the basis of these results, it is necessary to operate customized health programs, taking residents` demand for health education into account, and for local governments to take positive interest and make efforts to promote health successfully. It is also necessary to develop a systematic program through professional education in pursuit of responsible health education services, implement health promotion services based on residents` participation, and allow residents to do better health-promoting behaviors and enjoy higher quality of life on the basis of good health.

중소도시 여성들의 건강증진 생활양식 수행정도에 영향을 미치는 요인 연구

위광복 ( Gwang Bog Wie ),강창렬 ( Chang Yeol Kang ) 한국노인의료복지학회 2010 노인의료복지연구 Vol.2 No.2

This study has researched the factors witch affect life style performance degree of health promotion for women in some small and medium-sized cities so that it can provide data and help to improve effective programs of health promotion. The the performance degree of life style for health promotion amied at women living in Pohang, Andong and Gimcheon of Gyeongsang-bukdo province from July 1st to July 27th in 2010. The measures of the performance degree of life style for health promotion consist of 11 questions for recognized present health condition and general features and 60 questions for health promotion life style, totally 71 questions. They are composed of 4 questions about valanced relationship, 5 about self-regulation, 4 about emotional support and 8 about self-realization and these 4 factors are considered as mental health promotion. Also, physical health promotion of life style consists of 7 factors such as 3 questions about regular meal, 4 about professional health care, 7 questions about sanitary activities, 5 about rest and sleeping, 7 questions about exercise and activities, 6 diet adjustment, 7 about health diet. In the balanced relationship, the number of family members(p<0.05), recognized health conditions(p<0.05) are statistically meaningful and in self-regulation, age(p<0.05) and the presence of religion(p<0.05), the number of family members(p<0.05), recognized health condition(p<0.01) are statistically meaningful. In addition, regarding emotional support, age(p<0.01) and the number of family members(p<0.0l) are statistically meaningful and considering self-regulation, age(P<0.05) and recognised health condition(p<0.01) are statistically meaningful. Based on the results above, regarding life style performance degree of health promotion for women in some small and medium-sized cities, the presence of religion, family type has been influenced and life style performance degree of health promotion by each recognized present health condition is closely related. Especially, in life style performance degree of mental health promotion, age, the presence of religion, the number of family members, recognized health condition have been affected. Thus, women in small and medium sized cities should participate in the activities of health promotion by leading them to behavior change for both mental and physical health promotion and it is necessary to develop and manage systematic health education and health promotion program.

고등학생들의 자살생각에 영향을 미치는 관련요인

송성호(Sung-Ho Song),강창렬(Chang-Yeol Kang),이태용(Tae-Yong Lee),권인선(In-Sun Kwon) 한국농촌의학 지역보건학회 2011 농촌의학·지역보건 Vol.36 No.1

본 연구는 도시?농촌지역 고등학생들의 자살에 대한 생각을 파악하고, 일반적 특성, 학교생활특성, 자살경험특성 및 자살생각과의 관련성을 알아보기 위하여 수행하였다. 우리나라 중부권에 소재한 K시의 도시지역 학생 1,114명, 농촌지역 학생 968명을 대상으로 2009년 7월 1일부터 7월 31일까지 구조화된 자기기입식 설문지를 이용하여 설문조사하였다. 연구결과 최근 1년간 자살생각을 갖은 고등학생은 38.8%였으며 도시와 농촌 간에 유의한 차이가 없었다. 다변량분석 결과 자살생각에 영향을 미치는 관련요인으로 도시학생은 성별[남자에 비하여 여자의 교차비가 1.80 (95%CI: 1.31-2.47)]과 학년[1학년에 비하여 2학년 교차비가 1.40(95% CI: 0.98-2.00), 3학년 교차비 2.15(95% CI: 1.49-3.12)이 유의하였다. 농촌학생은 성별[남자에 비하여 여자의 교차비가 2.71 (95%CI: 1.23-2.38)], 경제악화 [비경험군에 비하여 경험군의 교차비가 1.81(95% CI: 1.24-2.64)], 그리고 학년[1학년에 비하여 2학년 교차비가 2.80(95% CI: 1.82-4.32), 3학년 교차비 3.84(95% CI: 2.52-5.87)이 유의하였다. 본 연구를 통해 밝혀진 고등학생들의 자살생각에 영향을 주는 가정환경 변인, 학교생활 변인, 자살에 대한 경험적 변인 등을 적극적으로 관리하는 자살예방프로그램개발 및 자살예방을 위한지속적인 관심과 지도가 필요하다. Objectives: The purpose of this study was to find out the suicide ideation of high school students in urban and rural areas, and especially to research the relationship between suicide ideation, and general characteristics, characteristics of school life, and empirical characteristics of suicide. Methods: This research targeted four urban and four rural high schools in two cities. The study subjects were 1,114 students in urban area and 968 students in rural area, total 2,082 students. The survey was conducted from July 1, 2009 to July 31, 2009. For statistical analysis, chi-square test, t-test and ANOVA were used for investigating related factors with suicide ideation in urban and rural areas, respectively, with multiple logistic regression for multivariate analysis. Results: The results showed that 38.8% of respondents had suicide ideation within 1 year. The percentage of female students (44.8%) was significantly higher than that of male students (33.4%). However, there was no significant difference between urban (38.0%) and rural area (39.9%). The significant influencing factors on suicide ideation in multiple logistic regression were gender [female student OR(odds ratio)=1.80 (95% CI 1.31-2.47) compared with male student] and grade [second year OR=1.40 (95% CI 0.98-2.00), third year OR=2.15 (95% CI 1.49-3.12) compared with first year] in urban area. Those in rural area were gender [female student OR(odds ratio)=2.71 (95% CI 1.23-2.38) compared with male student], economic deterioration [yes OR=1.81 (95% CI 1.24-2.64) compared with no], and grade [second year OR=2.80 (95% CI 1.82-4.32), third year OR=3.84 (95% CI 2.52-5.87) compared with first year]. Conclusions: This study showed about 40% of high school students had suicide ideation within 1 year. A suicide prevention program may be implemented considering factors related with suicide ideation identified in this study.

외래환자 복약지도와 환자만족도 영향요인

최수연 ( Su Yeon Choi ),강창렬 ( Chang Yeol Kang ) 대한보건협회 2007 대한보건연구 Vol.33 No.2

도시·농촌지역 고등학생들의 자살에 대한 인식 및 태도 비교

송성호(Song, Sung-Ho),강창렬(Kang, Chang-Yeol) 한국산학기술학회 2011 한국산학기술학회논문지 Vol.12 No.4

본 연구는 도시․농촌지역 고등학생들의 자살에 대한 인식 및 태도를 알아보고, 그에 관련된 요인을 파악하기 위하여 우리나라 중부권에 소재한 K시의 도시지역 학생 1,114명, 농촌지역 학생 968명을 대상으로 2009년 7월 1일부 터 7월 31일까지 구조화된 자기기입식 설문지를 이용하여 설문조사하였다. 연구결과 최근 1년간 자살생각을 갖은 고 등학생은 38.8%였으며 도시와 농촌 간에 유의한 차이가 없었다. 자살에 대한 인식 및 태도는 농촌지역학생이 도시지 역학생보다 높았으며, 자살 인식도에 영향을 미치는 관련요인으로 도시지역학생은 부모와 동거유무, 학교계열, 최근1 년 간 자살생각유무, 자살태도가 유의한 변수로 선정되었으며(설명력 22.3%), 농촌지역학생에서는 성별, 부모와 언쟁 유무, 최근1년 자살생각유무, 자살태도가 유의한 변수로 선정되었다(설명력 37.1%). 자살태도에 영향을 미치는 관련요 인으로 도시지역학생은 학교계열, 자살 인식도가 유의한 변수로 선정되었으며(설명력 20.6%), 농촌지역학생은 성별, 흡연유무, 자살 인식도가 유의한 변수로 선정되었다(설명력 38.8%). 따라서 자살에 대한 인식과 태도에 영향을 주는 가정환경 및 학교생활 변인을 적극적으로 관리하는 프로그램 개발 및 자살예방을 위한 지속적인 관심과 지도가 필요 하다. This study was performed to determine the levels of suicide awareness and attitudes among the high school students in urban and rural areas, and to reveal its related factors. The interviews were performed, during the period from July 1, to July 31, 2009, to the 2,082 students in urban and rural areas. As a results, the suicide awareness rate of subjects was 38.8%, and they were not significant between urban and rural areas. The levels of suicide awareness and attitudes were significantly higher in rural students than that of urban students. The factors affecting suicide awareness in urban areas were living with parents, academic speciality, suicide ideation, suicide attitudes, and sex, argument with parents, suicide ideation and suicide attitudes were affected in rural areas. The factors affecting suicide attitudes in urban areas were academic speciality, suicide awareness, and sex, smoking and suicide awareness were affected in rural areas. In conclusion, the development of suicide prevention programs would required to keep under management of the factors affecting suicide awareness and attitudes such as the factors family and school lifes.

의료기관 경쟁력 향상에 영향을 미치는 핵심 요인

염재광 ( Jae Kwang Yeom ),강창렬 ( Chang Yeol Kang ) 한국병원경영학회 2007 병원경영학회지 Vol.12 No.1

1) 병원의 경쟁 환경 변화에 대한 인식에서는 경쟁상대가 “있다”는 응답이 매우 높았고, 병원간 경쟁이 심한 것으로 조사되었다. 연구대상자의 특성에서는 “대도시이상”, “대졸이상”, “관리자”가 병원간 경쟁이 심하다고 인식하고 있었으며, 기존 병원들 간의 경쟁은 “의료의 질”에서 이루어진다는 의견이 가장 많았다. 경쟁에 영향을 주는 가장 큰 요인으로는 “의료소비자적 요인”이, 진료과목 경쟁력 인식에서는 단과 전문병원에 비해 “대학 및 종합병원의 진료과목”이 경쟁력이 있는 것으로 밝혀졌다. 2) 의료 기술적 서비스는 병원의 유형과 관계없이 병원경쟁력에 가장 많은 영향을 미치는 것으로 조사되었으며, 의료 기술적 서비스는 “의료의 질”, “진료 전문화”, “최신 의료기술”의 순으로 영향을 미치는 것으로 파악되었다. 의료기술 외적 서비스 또한 병원경쟁력에 많은 영향을 미치는 것으로 조사되었으며, 의료기술 외적 서비스는 “인적자원 측면”, “접근성 및 편의성”, “물리적 환경”의 순으로 영향을 미치는 것으로 확인되었다. 3) 병원의 경쟁전략 수립시 고려요인은 “기존 병원들 간의 경쟁”(서비스 경쟁)을 가장 고려해야 한다는 응답이 가장 많았으며, 다음으로는 “소비자의 교섭력”(소비자 요구와 권리의식 향상), “신규진입자의 위협”(신설 의료기관) 등의 순으로 파악되었다. 4) 환경요인 분석(SWOT)에서 강점은 “병원의 특성”(전문, 종합, 대학, 특수법인)이라는 응답이 가장 많았으며, 약점은 “시설, 장비 부족 및 노후”, 기회요인은 “전문적 의료서비스의 요구”, 위협요인으로는 “기존 병원들 간의 치열한 경쟁”이라는 응답이 가장 많은 것으로 확인되었다. 5) 환경요인 분석(SWOT) 전략에서는 “기회를 살리면서 강점을 활용하는 전략”을 가장 중요하게 생각하는 것으로 조사되었다. 다음으로는 “약점을 극복하면서 기회를 살리는 전략”, “위협을 회피하면서 강점을 활용하는 전략”, “위협을 회피하면서 약점을 극복하는 전략”의 순으로 분석되었다. 6) 본원적 경쟁전략에서는 “진료전문화전략”을 가장 중요하게 생각하고 있었으며, 다음으로는 “차별화전략”, “원가우위전략”의 순으로 조사되었다. 원가우위전략에서는 “재정 자립도향상”, 차별화전략에서는 “우수인력 확보”, 진료전문화전략에서는 “진료수준 향상”을 가장 중요하게 생각하는 것으로 분석되었다. Most of the employees responded that there is a rival in the competitive environment and the competitive is intense. Especially when the employees are married, live in urban areas, have an education level of university graduate or are managers, they tend to think the competitive is very intense. Also, they said that the competitive is based upon the quality of medical service. They mentioned the element that has the biggest effect on the competitiveness is the element of medical consumer and they recognized that the medical services in university and general hospitals have more competitiveness than the one-department hospitals. 2) It was investigated that the medical technique service has the most effect on the hospital`s competitiveness. Also, the external service of medical techniques also has a large effect on the hospital`s competitiveness. 3) When they were asked for the factors that affect the patients` decision on selecting a hospital, most of them responded capability and technique of the medical staffs. Also, they said that sufficient explanation from doctors and special center and clinic are the factors that have big effects on the patients` decision. 4) In the SWOT analysis, most of them responded that the strength is the hospital`s characteristics and the weakness is insufficient and obsolete equipment. They said the opportunity is the demands for professional medical service and the risk is the intense competitive among the hospitals. 5) In the SWOT strategy, they emphasized the strategy that uses the opportunity and the strength and the strategy that uses the opportunity while overcoming the weakness. 6) As for the basic competition strategy, most of them thought of the strategy of professionalizing the medical service most importantly. Next, they focused on the strategy of distinct service and the strategy of lower prime cost.

병원의 교대근무에 따른 수면과 사회생활 평가 - 대전, 충남지역을 대상으로

이상설(Sang-Seol Lee),강창렬(Chang-Yeol Kang),김대호(Dae-Ho Kim) 한국산업경영시스템학회 2007 한국산업경영시스템학회지 Vol.30 No.2

  This study is evaluation of shift-workers’ sleep and social life related to hospital workers’ performance and health. We researched shiftworkers’ sleep, sleeping quality and social relations using a questionnaire method to shiftworkplace scattered Daejeon and Chungnam province. The results of shiftworkers’ sleep are differ from habitual sleep. Social participations of shiftworkerse are interfered partially because of shiftwork. In preference, shiftworker preferred health to others because of physical load of shiftworks. Through result of this study about sleep and social life style, we hope to derive reduction methods of shift work fatigue and education for improvement of employers, for example an physiological and psychological accordance method, an health problem solving method and an social accordance method, etc.