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Kano Test for Social Nicotine Dependence (KTSND-K) 설문지를 이용한 폐암환자의 사회적 니코틴 의존도
한유진,여고은,옥소영,옥철호,장태원,정만홍,( Chiharu Yoshii ) 대한결핵 및 호흡기학회 2012 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.114 No.0
연구배경: 흡연은 많은 질병과 사망의 가장 중요한 원인이나 니코틴의존성으로 인해 금연이 어렵고 이로 인한 사회적, 의료적 손실이 증가함에도 불구하고 개선되지 못하고 있다. 한국인의 니코틴의존성에 관해 일반인에 대하여 선행연구가 있어왔지만 폐암환자에 대한 연구는 없어서 본 연구는 폐암환자의 사회, 문화적 니코틴의존성을 알아보고자 하였다. 방법: 2012년 3월부터 8월까지 고신대학교 복음병원에서 폐암으로 처음 진단된 환자들을 대상으로 KTSND-K 설문지를 이용하여 흡연에 관한 의식 조사를 시행하였다. 총 100명 중 평균 연령은 65.8±11.6세이었 고, 남자는 68명(68.8%)이었다. 흡연력은 현재흡연자 24명 (24.0%), 과거흡연자 47명(47.0%), 비흡연자 29명(29.0%)이었다. 조직형에 따라 편평상피암세포암 50명(50%), 선암 40명(40%), 소세포폐암 10명(10.0%)이었다. 결과: 폐암환자의 KTSND총점은 12.84±5.65였다. 흡연력에 따른 KTSND 총점은 남녀 각각 13.51±6.12, 12.01±5.72로 흡연율이 높은 남성이 유의하게 높게 나타났다(p<0.001). 현재흡연자, 과거흡연자, 비흡연자에서 각각 13.85±5.87, 14.21±5.65, 10.48±5.16으로 흡연자일수록 의미 있게 높게 나타났다(p<0.001). 결론: KTSND 설문지는 폐암환자의 사회적 니코틴의존성을 평가할 수 있는 유용한 방법이 될 수 있다고 생각된다.
( Jeong Uk Yang ),( Chulho Oak ),( Mann Hong Jung ),( Tae Won Jang ),( Chiharu Yoshii ) 대한결핵 및 호흡기학회 2013 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.116 No.-
Medical students will be in critical position to change smokers` behavior and to educate non-smokers` knowledge about second hand smoke in the future. Many stresses from educational courses can place students at a high risk of dependence not only to smoking, but also to alcohol, gambling, or internet. The purpose of this study is to investigate addictions (alcohol, internet, gambling) and social nicotine dependence among medical students using a structured questionnaire (Kano Test for Social Nicotine Dependence; KTSND), and to examine the relationships between KTSND and demographic variables (gender, school year, religion, smoking status) and investigated variables (alcohol, internet, gambling). A cross-sectional survey was conducted on 271 medical students in a Korean medical school using a self-administered questionnaire. A significant difference was observed in KTSND scores according to gender, smoking status, and religion. The total KTSND scores were significantly different according to the degrees of alcohol addiction defined as normal, problem drinking, alcohol use disorder, and alcohol dependence (12.22±5.11, 15.24±3.68, 15.44±3.68, and 15.90±4.48, respectively, p≤0.001). The regression analysis with alcohol addiction as a dependent variable showed a significant influence by smoking status (ß=.237, t=4.154, p<.001) and social nicotine dependence (ß=.192, t=3.350, p<.01). This study demonstrated a significant correlation between the KTSND and alcohol addiction, which supports potential importance of the KTSND for concurrent treatments.Medical students will be in critical position to change smokers` behavior and to educate non-smokers` knowledge about second hand smoke in the future. Many stresses from educational courses can place students at a high risk of dependence not only to smoking, but also to alcohol, gambling, or internet. The purpose of this study is to investigate addictions (alcohol, internet, gambling) and social nicotine dependence among medical students using a structured questionnaire (Kano Test for Social Nicotine Dependence; KTSND), and to examine the relationships between KTSND and demographic variables (gender, school year, religion, smoking status) and investigated variables (alcohol, internet, gambling). A cross-sectional survey was conducted on 271 medical students in a Korean medical school using a self-administered questionnaire. A significant difference was observed in KTSND scores according to gender, smoking status, and religion. The total KTSND scores were significantly different according to the degrees of alcohol addiction defined as normal, problem drinking, alcohol use disorder, and alcohol dependence (12.22±5.11, 15.24±3.68, 15.44±3.68, and 15.90±4.48, respectively, p≤0.001). The regression analysis with alcohol addiction as a dependent variable showed a significant influence by smoking status (ß=.237, t=4.154, p<.001) and social nicotine dependence (ß=.192, t=3.350, p<.01). This study demonstrated a significant correlation between the KTSND and alcohol addiction, which supports potential importance of the KTSND for concurrent treatments.