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입원환자 영양지원에 대한 일개대학병원 의료진의 태도 및 관련 요인
정휘수 ( Hwee Soo Jeong ),등건훈 ( Chen Hsuen Teong ),최유정 ( You Jung Choi ),김우정 ( Woo Jeng Kim ),이아란 ( Ah Ran Lee ) 한국정맥경장영양학회 2014 한국정맥경장영양학회지 Vol.6 No.1
Purpose: Knowledge of nutritional support and attitudes of medical staff both affect patient care. We identified attitudes regarding nutritional support among medical staff as well as changes in attitudes when a nutritional support team is present. Methods: Data were collected from 172 medical staff members who served at a university hospital located in Gyeongju by self-administered questionnaire from June 12∼August 30, 2013. The questionnaire inquired about importance of nutritional support, self-confidence about nutritional support, consideration of nutritional support for patient care, consideration of nutritional support when a nutritional support team is present, and nutritional knowledge training during the past year. Results: A total of 169 subjects (98.3%) thought that nutritional support is important for patient care. Only 19 subjects (11.0%) were highly self-confident about nutritional support. In total, 147 subjects (85.5%) considered nutritional support for some or all patients, whereas 169 (98.3%) considered nutritional support for patient care when a nutritional support team is present. Thirty-eight subjects (22.1%) received nutritional knowledge training during the past year. High self-confidence for nutritional support was related to nutritional knowledge training and service part. Positive changes regarding nutritional support when a nutritional support team is present were associated with nutritional knowledge training and high self-confidence for nutritional support. Conclusion: No differences in nutritional support attitudes for patient care were observed among the medical staff. Nutritional knowledge training and service part affected self-confidence of nutritional support and induced positive changes in attitudes for nutritional support.
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한국형 노쇠측정도구로 평가된 노쇠와 관련된 임상적 요인들
정휘수,이동욱,박기흠,이용국,배상호,강미진,심민성,등건훈 대한노인병학회 2013 Annals of geriatric medicine and research Vol.17 No.2
Background: On the point of entering into the aged society, frailty will be recognized as a new geriatric problem in Korea. This study was conducted to identify clinical factors related to frailty in the community dwelling elderly. Methods: This was a cross-sectional study comprised of 515 participants among 834 potential subjects who were residents of three towns in Gyeong-ju and had health check-ups at a university hospital in the same region. Using the Korean Frailty Index, those with a total score of 5 or more were considered frail and those with scores 3 to 4 as prefrail. Socio-demographics, anthropometry and laboratory data were the selected clinical factors. Those younger than 65 years or with incomplete data were excluded. Finally, 447 participants were analyzed. Results: Among the participants, those identified as frail were 20 (4.5%), prefrail 72 (16.1%) and robust 355 (79.4%). By gender, the percentage of frail, prefrail and robust individuals were 3.2%, 17.4% and 79.5%, respectively, in men and 5.4, 15.2% and 79.4% in women (p=0.447). On ordinal logistic regression analysis, factors related to frailty were increased age (odds ratio [OR], 1.08; 95% confidence interval [CI], 1.01 to 1.17), functional disability (OR, 8.88; 95% CI, 4.46 to 17.68), chronic disease such as pulmonary disease (OR, 4.69; 95% CI, 1.47 to 14.99) or hypertension (OR, 2.23; 95% CI, 1.15 to 4.32), increased waist circumference (OR, 1.06; 95% CI, 1.01 to 1.11), decreased serum cholesterol (OR, 0.98; 95% CI, 0.97 to 0.99) and elevated blood urea nitrogen (OR, 1.07; 95% CI, 1.01 to 1.14). Conclusion: Clinical factors related to frailty were age, functional disability, chronic disease, waist circumference, serum cholesterol and blood urea nitrogen. Primary physicians should assess frailty when seeing elderly patients who have these factors.
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김누리 ( Nu Lee Kim ),정휘수 ( Hwee Soo Jeong ),김성우 ( Sung Woo Kim ),이동욱 ( Dong Wook Lee ),심민성 ( Min Sung Shim ),등건훈 ( Chen Hsuen Teong ) 한국보건정보통계학회(구 한국보건통계학회) 2012 한국보건정보통계학회지 Vol.37 No.2
Objectives: Many clinical factors has associated with metabolic syndrome, but well-known factors related to number of diagnosing criteria of metabolic syndrome have been a few. This study was conducted in order to find out clinical factors associated with number of metabolic syndrome`s component. 43 Methods: This study was a cross-sectional study. Using medical records of 324 participants who received health check ups at health promotion center of a university hospital in Gyeongju from March to July 2011, age, body mass index (BMI), white blood cell count, liver enzyme, fasting insulin, total cholesterol, uric acid, ferreting, the degree of fatty liver and esophagi is were collected and analyzed. The diagnostic criteria of metabolic syndrome were based on the National Cholesterol Education Program`s Adults Treatment Panel (NCEP ATP) III study.91 Results: Subjects who met to the diagnostic criteria of metabolic syndrome were 47 (14.5%). On ordinal logistic regression analysis, the clinical factors increasing components of metabolic syndrome were fatty liver (Odds ratio 2.60, 95% CI 1.48~4.537) elevated fasting insulin level (1.19, 1.08~1.31) and increasing age (1.07, 1.03~1.12).40 Conclusions: Clinical factors related to number of diagnosing criteria of metabolic syndrome were fatty liver, elevated fasting insulin level and increasing age.22
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