제 2형 당뇨병 환자의 약물 순응도 영향요인

길은하 사단법인 한국안전문화학회 2023 안전문화연구 Vol.- No.24

Diabetes continues to increase due to changes in lifestyle habits such as obesity, irregular diet, and decreased physical activity along with the aging population. Moreover, diabetes is difficult to cure and has a high incidence of complications and mortality, so it is very important to increase the drug adherence to maintain normal blood sugar. therefore, this study is a cross-sectional and descriptive survay conducted to identify factor affecting drug adherence in patients with type 2 diabetes. This study used the Korea Medical Panel data (β-version 1.0) in 2018, and among them, 1,069 people who were taking drugs after diagnosis of type 2 diabetes. The dependent variable of the study was the presence or absence of drug adherence, and the independent variable included demographic, physical and social characteristics and drug use characteristics. Data analysis was performed using Chi-Square and Logistic Regression using SPSS/wWin 22.0. The study result that 95.3% of patients with type 2 diabetes had a 1.97 (95% CI=1.06~3.67) times higher drug adherence factors than those without spouses of demographic factors. As for the physical and social characteristics factors, the group without decision-making disabilities had a drug adherence ratio of 2.25 (95% CI=1.16~4.24) for those with decision-making disabilities. Finally, compared to the group that did not occur in the drug side effects of drug use characteristics, the group satisfied with the drug was 4.44 times higher (95% CI=2.34-8.45) and the drug adherence ratio of the moderate/ unsatisfied subjects was 17.70 (95% CI=5.72-54.76). In conclusion, in order to increase drug adherence in type 2 diabetes patients, it is necessary to increase drug satisfaction through active intervention by health and medical staff through immediate monitoring of drug side effects, as well as education and intervention.

심뇌혈관질환자의 미 충족 의료실태와 위험요인

길은하 국제차세대융합기술학회 2022 차세대융합기술학회논문지 Vol.6 No.6

본 연구는 심뇌혈관질환자의 미 충족 의료 발생원인과 위험요인을 파악하기 위한 서술적, 2차 분석 조사 연구이다. 연구대상자는 한국의료패널 2018년 데이터(β-version 1.0)를 활용하여 심뇌혈관질환을 진단받은 1,158명 을 대상으로 하였다. 자료분석은 SPSS 22.0을 이용하여 Chi-Square, Scheffé’s test, logistic regression을 실시 하였다. 연구결과 심뇌혈관질환자의 미 충족 의료 발생은 15.8%이며 미 충족 의료의 가장 큰 원인은 거동이 불편 하거나 건강 문제(33.9%)로 나타났다. 또한 나이(51세 이상), 현재 미혼상태, 시력장애와 기억력 문제, 진단 시기 (6~10년), 총 가구소득(2,4,5분위)과 스트레스 군에서 미 충족 의료 발생이 높았다. 결론적으로 심뇌혈관질환자의 합병증 예방과 삶의 질 향상을 위해서는 미 충족 의료가 발생하지 않도록 개개인의 인구학적, 신체적 요인 및 사 회-심리적 요인을 반영한 총괄적 관리가 필요하다. This study is a descriptive, secondary analysis research study to identify the causes and risk factors for unmet healthcare needs in patients with cardio-cerebrovascular disease. The subjects of this study were 1,158 people diagnosed with cardio-cerebrovascular disease using the 2018 data of the Korea Medical Panel(β -version 1.0). Dat a analysis was performed with Chi-Square, Scheffé's test, and logistic regression using SPSS 22.0. As a result of the study, 15.8% of patients with cardio-cerebrovascular disease had unmet healthcare needs, and the reasons for unmet healthcare needs were unable th move or health problems(33.9%). The incidence of unmet healthcare needs was higher in the age(51 years or older), current single status, vision impairment and memory problems, diagnosis period(6-10 years), total family income(2,4,5 quartiles), and stress group. In conclusion, to prevent unmet healthcare needs for patients with cardio-cerebrovascular disease, comprehensive management that reflects individual demographic, physical, and socio-psychological factors is required.

외래환자가 지각한 간호사의 의사소통 능력과 유형에 따른 간호서비스 만족 및 병원 재이용 의도

길은하,오희영 대한의료커뮤니케이션학회 2014 의료커뮤니케이션 Vol.9 No.2

Purpose: The purpose of this study is to compare the outpatient’s nursing service satisfaction and intent to revisit hospital according to nurses’ communication ability and styles. Methods: Descriptive cross sectional study design was used. Data were collected from 271 patients using self administered surveys in outpatient clinic at a hospital located in a D metropolitan city in Chungcheong area. Data were managed using SPSS 20.0. Results: The nursing service satisfaction and intent to revisit hospital differed by patient’s perception of nurse’s communication ability. The nursing service satisfaction and intent to revisit hospital were higher among the patients who perceive nurses’ communication style as informative or affective than authoritative. Conclusion: It was confirmed that outpatient’s nursing service satisfaction intent to revisit hospital can be improved by increasing nurses’ communication ability and modifying communication style.

간호대학생의 임상실습 만족도 영향요인

길은하 대한의료커뮤니케이션학회 2018 의료커뮤니케이션 Vol.13 No.1

Background: The purpose of this study is to investigate the influence of nursing student‘s communication ability, nursing professional intuition and self-esteem on clinical practice satisfaction. Methods: Descriptive cross sectional study design was used. Data were collected from 223 nursing students using self administered surveys at a university located in a D metropolitan city in Chungcheong area. Data were managed using SPSS 20.0. Results: As a result of regression analysis on clinical practice satisfaction and variables, regression analysis of clinical practice satisfaction and variables revealed that regression model was significant (F=31.80, p <.001). The adjusted coefficient of determination(adj. R2) was .358 and the explanatory power was 35.8%. The most important factors affecting the satisfaction of clinical practice were nursing professional intuition (β =.371, p <.001), department satisfaction (β=.251, p <.001), communication ability (β=.166, p= .004), and grade (β=.133, p= .016). Conclusions: Nursing students should improve their communication ability, nursing professional intuition and department satisfaction in order to increase the satisfaction of clinical practice.

한국 고혈압환자의 허혈성 심장질환 발생 영향요인

길은하 국제차세대융합기술학회 2021 차세대융합기술학회논문지 Vol.5 No.2

본 연구는 한국 고혈압환자의 허혈성 심장질환 발생에 영향을 미치는 요인을 파악하기 위한 서술적, 2차 분석 조사연구이다. 연구대상자는 한국의료패널 2015년 데이터(β-version 1.0)를 활용하여 고혈압 진단 후 약물을 복용하고 있는 2,484명을 대상으로 하였다. 자료분석은 SPSS 22.0을 이용하여 Chi-Square, Scheffé’s test, logistic regression으로 하였다. 연구결과 한국 고혈압환자의 허혈성 심장질환 발생률은 20.2%이며, 나이(60대), 교육(고등 이상), 총 가구소득(중산층 이상), BMI 23~25kg/m2 그룹, 불안/우울 군, 약물 불순응과 약물 부작용 발생 군에서 허혈성 심장질환의 발생이 높았다. 결론적으로 한국 고혈압환자가 허혈성 심장질환이 발생하지 않도 록 연령, 교육수준, 경제상태 등의 인구학적 특성을 고려하여 우울 및 불안관리가 필요하며 약물 순응도를 높이고 약물의 부작용이 발생하지 않도록 고혈압환자의 총체적 관리가 필요하다. This study is a descriptive and secondary analysis research study to identify the factors affecting the incidence of ischemic heart disease in Korean hypertensive patients. The subjects of this study were 2,484 people who were taking drugs after diagnosis of hypertension using data from the Korea Medical Panel 2015 (β-version 1.0). Data analysis was performed by Chi-Square, Scheffé’s test, and logistic regression using SPSS/win 22.0. As a result of the study, the incidence of ischemic heart disease in Korean hypertensive patients was 20.2%. Age(60s), education(higher than high school), household income(middle and above), BMI(23-25kg/m2), anxiety/depression, drug noncompliance and drug side effects group have high incidence of ischemic heart disease.

고혈압 환자의 라이프케어 증진을 위한 약물 순응도 영향요인 분석

길은하(Eun-Ha Gil) 한국엔터테인먼트산업학회 2020 한국엔터테인먼트산업학회논문지 Vol.14 No.2

본 연구는 고혈압 환자의 라이프케어 증진을 위한 약물 순응도 영향요인을 파악하기 위하여 패널 데이터를 활용한 서술적, 2차 분석 조사연구이다. 연구대상자는 한국의료패널 2015년 데이터(β-version 1.0)를 활용하여 고혈압 진단 후 약물을 복용하고 있는 2,484명을 대상으로 하였다. 자료분석은 SPSS/win 22.0을 이용하여 Chi-Square, Scheffe’s test, logistic regression으로 하였다. 연구결과 고혈압 환자의 약물순응도 수준은 94.2%로 나타났으며 약물 순응도 영향요인은 인구학적 요인의 Model I에서는 성별, 나이로 나타났고 신체-사회적 요인을 추가한 Model II에서는 장애유무, 흡연, 음주여부로 나타났으며 약물복용 요인을 추가한 Model III에서는 음주여부, 약물복용 기간, 부작용 발생, 약물 만족도, 약제비 지불 부담으로 확인되었다. 본 연구결과를 바탕으로, 고혈압환자가 라이프케어를 증진시켜 합병증이 발생하지 않도록 고혈압 진단 초기부터 개개인의 특성에 맞춰 약물복용의 중요성 및 부작용, 복용 방법 등에 대한 교육과 중재가 필요하겠다. Purpose: This study is a descriptive and secondary analytical study that uses panel data to identify the factors of medication adherence to improve life care of hypertensive patients. Methods: The subjects of this study were 2,484 patients who were taking medication after hypertension using Korea Medical Panel 2015 data (β-version 1.0). Data analysis was performed using Chi-Square, Scheffe’s test, and logistic regression using SPSS/win 22.0. Results: The level of medication adherence in patients with hypertension was 94.2%. The factors of medication adherence were gender and age in Model I of demographic factors, and the presence of disability, smoking, and drinking in Model II. Model III, which added drug use factors, was identified as drinking, drug duration, side effects, drug satisfaction, and payment of drug costs. Conclusion: In order to improve life care for hypertension patients, education and interventions on the importance of take medication and side effects of medications and how to take them will be needed in the early stages of diagnosis.

간호학생의 객관구조화 임상시험(OSCE) 후 피드백 유형에 따른 임상수행 자신감과 피드백 만족도 효과 비교

길은하(Gil, Eunha),오희영(Oh, Heeyoung),신선경(Shin, Seonkyoung),박연희(Park, Yeonhee),이예은(Lee, Yeeun),박정아(Park, Jeong Ah) 기본간호학회 2015 기본간호학회지 Vol.22 No.3

Purpose: The purposes of this study were to compare confidence in practice of intermittent gavage tube feeding and participants’ satisfaction by three types of feedback; professor verbal feedback, professor feedback with smartphone video, and peer feedback with smartphone video. In addition, frequently failed items in the intermittent gavage tube feeding procedure were analyzed. Methods: Data were collected from a convenience sample of 78 nursing college students in November 2014. Students were randomly assigned to the control group, experimental group I (smartphone video with professor feedback) or group II (smartphone video with peer feedback). Data were analyzed using descriptive statistics including chi-square test, ANOVA, and Scheffe test with SPSS 21.0. Results: Confidence in practice of intermittent gavage tube feeding and satisfaction with feedback were highest in experimental group I that had professor feedback with smartphone video. For the procedure, the most frequently failed item was giving an explanation to patients about the purpose and the procedure of tube feeding. Conclusion: The results indicate that professor verbal feedback with smartphone video is the most benefit to the nursing students in acquiring core nursing practice skills.

만성질환 자가간호 중범위이론 검증

길은하(Gil, Eunha),오희영(Oh, Heeyoung) 한국간호과학회 2018 Journal of Korean Academy of Nursing Vol.48 No.5

Purpose: The aims of this study are to provide a theoretical framework for improving the self-care of adults with severe hypertension and to examine the practical suitability of a middle-range theory of self-care for chronic illness by validating the structural model. Methods: Data were collected at a university hospital in D metropolitan city from July 1 to August 14, 2015. A total of 224 Korean adult patients with severe hypertension were recruited. Data were analyzed using SPSS 22.0 and AMOS 22.0. Results: The results show that the fit index of the hypothetical model meets the recommended level; 7 out of 8 hypothetical model paths were statistically significant. Motivation, self-efficacy, support from others, and accessibility to care showed statistical significance and explained 67.3% of the self-care process. The self-care process explained 45.3%, 63.6%, and 26.5% of quality of life, health, and illness stability, respectively. Conclusion: This model can be used as a theoretical framework for improving self-care among adult Korean patients with severe hypertension. Moreover, the practical suitability and validity of the middle-range theory of self-care for chronic illness is secured.

성인과 노인의 응급의료서비스 만족도 영향요인

길은하(Gil, Eunha),오희영(Oh, Heeyoung) 한국성인간호학회 2017 성인간호학회지 Vol.29 No.1

사티어의 의사소통 유형에 따른 생활 스트레스와 전공 만족도 -일개 대학 간호대학생을 중심으로 -

길은하 ( Gil Eunha ) 대한의료커뮤니케이션학회 2016 의료커뮤니케이션 Vol.11 No.2

Background: The purpose of this study is to compare the life stress and major satisfaction according to satir`s communication styles among nursing students. Methods: Descriptive cross sectional study design was used. Data were collected from 239 nursing students using self administered surveys at a university located in a D metropolitan city in Chungcheong area. Data were managed using SPSS 20.0. Results: The life stress and major satisfaction differed by Satir`s communication styles. The life stress were lower among the nursing students who functional communication than dysfunctional communication. Also, the major satisfaction were higher among the nurse students who functional communication style than dysfunctional communication style. Conclusions: It was confirmed that nursing students` life stress can be decreased and major satisfaction can be improved by increasing communication ability and modifying communication style.