노년기 건강행동의 결정요인 : 앤더슨 행동 모델의 적용

백서영(Baek Seoyoung),홍석호(Hong Seokho) 한국노인복지학회 2020 노인복지연구 Vol.75 No.3

본 연구의 목적은 앤더슨 행동 모델을 기반으로 노년기의 건강행동에 어떠한 요인이 영향을 미치는지를 분석하기 위함이다. 국민노후보장패널 6차 부가조사 자료를 활용하여 65세 이상의 노인 4,229명의 건강행동관련 응답에 대한 위계적 로지스틱 회귀분석이 사용되었다. 연구 결과 첫째, 배우자가 있고, 사회적지지가 높으며, 기타질환이 없는 노인일수록 아침식사 실천이 높았다. 둘째, 남성이며, 종교가 있고, 사회적지지와 가족관계 만족도가 높을수록, 주관적 건강상태가 높고, 질환이 존재하지 않는 경우 적정수면 실천이 높게 나타났다. 셋째, 연령이 낮고, 종교가 있으며, 학력, 사회적지지, 주관적 건강상태가 높을수록, 4대 중증질환, 기타질환이 없을수록 규칙적 운동을 하는 것으로 나타났다. 넷째, 연령이 낮고, 배우자와 종교가 있으며, 학력, 월평균 소득, 사회적지지, 주관적 건강상태가 높을수록, 가족 외 관계만족도가 낮을수록, 질환이 존재할수록 정기 건강검진을 실천하는 것으로 나타났다. 이는 건강행동의 영향요인별로 접근을 달리하여야 함을 의미하며, 노년기의 건강수명 유지를 위해 지역사회의 보건복지교육 프로그램과 관련 정책마련의 필요성을 제안한다. The purpose of this study is to examine the factors of health behavior among the elderly by applying Andersen’s model. A sample of 4,229 from the sixth KReIS was used for the statistical analyses and hierarchical logistic regression was performed. The results, showed that first, the elderly who had spouses, higher levels of social support, and no other illnesses were likely to have breakfast. Second, the elderly who were male, had higher levels of social support and satisfaction with family relationships, better health condition, and no illness were likely to demonstrate adequate sleeping time. Third, the elderly who were younger, had religion, higher levels of education, social support, better health condition, and no severe or other illnesses were likely to exercise regularly. Lastly, the elderly who were younger, had spouses and religion, showed higher levels of education, income, social support, and better health condition were likely to practice regular health check-ups. The elderly who were less satisfied with family relationships and had illness tended to practice regular health check-ups. The results mean that policy and interventions should differ depending on the factors of health behaviors among the elderly and community programs and policies are necessary for health life extension.

산후 분노에 대한 서술적 문헌고찰

백서영 ( Baek Seoyoung ),정슬기 ( Jung Seulgi ),김성해 ( Kim Sunghae ),김수 ( Kim Sue ),유호지 ( Yu Hojee ) 부모자녀건강학회 2018 부모자녀건강학회지 Vol.21 No.1

Purpose: The purpose of this study was to investigate the trends of research on postpartum anger experienced by women after childbirth, through a narrative review. Methods: Articles published from 2008 to 2018 were searched in seven electronic databases using combinations of the terms 'anger', 'angry', 'aggress*', and 'postpartum'. Results: Ultimately seven studies were selected and analyzed. Six of the quantitative studies and one qualitative study were included and postpartum anger or anger was found to be measured in all six quantitative studies. Postpartum anger was influenced by hostility during pregnancy and women’s dependence and self-criticism of women after childbirth. Attachment with parents in the past and affection between married couples in the present influenced the expression and management of anger. Conclusion: The results indicated that postpartum anger was influenced by internal and external factors such as the individual characteristics of women, past experiences, current marital relations and social support. However, there was no study focusing on postpartum anger and related factors in domestic context. Thus, we suggest future studys which clarify the concept of postpartum anger and its measurement so that awareness of postpartum anger can be improved and mediation could be developed.

군 근무자의 비만 여부에 따른 대사증후군 발생 영향요인 : 2017년 건강검진자료 분석

백서영 ( Baek Seoyoung ),권명옥 ( Kwon Myung-ok ),김윤미 ( Kim Younmi ),전윤경 ( Jeon Yungyoung ),조순영 ( Joe Seunyoung ) 국군간호사관학교 군건강정책연구소 2021 군진간호연구 Vol.39 No.4

Purpose: The purpose of this study was to explore the factors affecting the metabolic syndrome depending on the obesity. Methods: This study was a secondary analysis and 144,399 military workers' health check-up data for 2017 was retrieved from the National Health Insurance Service. Results: 53.4% of military workers was metabolically healthy non-obese (MHNO); Metabolically healthy obese (MHO) 35.0%, Metabolically unhealthy obese (MUO) 10.1%, and 1.5% were Metabolically unhealthy non-obese (MUNO). High risk drinking and smoking rates were the highest in the MUO, and the MUNO had the lowest level of physical activity. In the obese group, sex, age, drinking, smoking, and high and moderate intensity exercise were significantly associated with increased odds of being metabolic syndrome. On the other hand, in the normal weight group, sex, age, drinking, smoking, and high and low intensity exercise were significantly associated. Conclusion: The affecting factors of the metabolic syndrome were different depending on the obesity. It is needed for nurses to consider tailored interventions based on the group classification. This study is expected to contribute to develop the health promotion program to prevent metabolic syndrome in the military.

육군 병사의 의무부대 의료서비스 경험, 재이용 의도 및 일차의료 질 평가

백서영 ( Baek Seoyoung ),최용백 ( Choi Yongbaek ),황신우 ( Hwang Sinwoo ),조순영 ( Joe Seunyoung ) 국군간호사관학교 군건강정책연구소 2021 군진간호연구 Vol.39 No.1

Purpose: The purpose of this study was to identify the relationships among patient experience, revisit intention, and assessment of primary health care of military division medical facilities. Methods: This study was a cross-sectional survey, and investigated a total of 198 soldiers who visited medical facilities. Data were collected from August to December 2020 using the structured questionnaires. Results: The average score of patient experience was 86.40±11.83, revisit intention 5.98±1.15, and assessment of primary health care 84.63±12.88 out of 100 each. There was significantly positive correlation between patient experience and revisit intention (r=.66, p<.001), patient experience and assessment of primary health care (r=.65, p<.001), and revisit intention and assessment of primary health care (r=.68, p<.001). Conclusion: This study identified the importance of virtuous cycle among patient experience, revisit intention and assessment of primary health care. The result is expected to be used as a evidence for developing policy and strategies to improve quality of primary health care in the military.

전립선암 환자의 수면장애: 주제범위 문헌고찰

백서영(Baek, Seoyoung),박성호(Park, Sungho),김혜인(Kim, Hyein),김수현(Kim, Sue Hyon),김상희(Kim, Sanghee) 한국성인간호학회 2022 성인간호학회지 Vol.34 No.1

간호대학원생의 기후-건강 관련 인지행동과 영향요인: 이차 자료분석

박민경(Park, Min Kyung),백서영(Baek, Seoyoung),정다운(Jeong, Da Woon),김광숙(Kim, Gwang Suk) 한국성인간호학회 2023 성인간호학회지 Vol.35 No.1

국군간호사관학교 재난관리대학원 프로그램 개발

조순영 ( Joe Seunyoung ),김윤미 ( Kim Younmi ),백서영 ( Baek Seoyoung ),김혜원 ( Kim Hyewon ) 국군간호사관학교 군건강정책연구소 2021 군진간호연구 Vol.39 No.2

Purpose: The purpose of this study was to develop a master's course in the graduate school of disaster management at Korea Armed Forces Nursing Academy (KAFNA). Methods: Initial items were drawn from relevant literature review and focus group interview (FGI) with 5 disaster nursing experts who have experienced in disaster site and 10 nurses who have completed disaster nursing education of KAFNA between February and August in 2020. The content validity index about initial items were reviewed by 10 experts in September, 2020. Results: The content analysis of FGI showed 8 categories (Prevention/preparedness management, response management, recovery management, disaster management practice, international health, disaster and mental heath, advanced statistics, seminar on thesis) including 22 sub-categories. Based on the review for usability by the experts who were instructors, and education curriculum for graduate course on disaster management were revised in the final version. The education curriculum for graduate course on disaster management were 10 subjects with 30 credits. Conclusion: The study proposed the academical development of disaster management field and improved the actual competency of disaster management.

한국과 태국 군병원 간호장교의 환자안전 지식, 태도, 수행 비교

정유미 ( Jung Yoomi ),( Paorohit Wacharaporn ),최지안 ( Choi Jian ),( Khamrath Jirapinya ),백서영 ( Baek Seoyoung ),황선영 ( Hwang Sunyoung ) 국군간호사관학교 군건강정책연구소 2021 군진간호연구 Vol.39 No.3

Purpose: The purpose of this study was to compare patient safety knowledge, attitude, and skills between the Republic of Korea and Thailand nursing officers. Methods: Data were collected from 104 Korean nursing officers and 106 Thai nursing officers using structured questionnaires, patient safety knowledge, attitude and skills. Results: The proportion of men in Korean nursing officers were higher than that of Thai nursing officers, and Thai nursing officers had longer work experience than Koreans. The ROK nursing officer's patient safety knowledge score was significantly higher than Thai's (t=5.38, p<.001). However there was no difference between them in patient safety attitude and skills scores. Both countries had no difference in patient safety knowledge, attitude, and skills according to general characteristics. Conclusion: Nursing officers of the two countries had similar levels of patient safety knowledge, attitudes, and skills. However, in order to understand the gaps in patient safety culture, policy, and education programs between them, the two parties need to exchange information and benchmark with each other to strengthen their nurses' competence in patient care.

국군간호사관학교 생도의 신종감염병에 대한 인식, 신종감염병 상황에서의 윤리인식, 윤리적 의사결정

채수연 ( Chae Sooyeon ),류하은 ( Ryu Haeun ),오효진 ( Oh Hyojin ),이나경 ( Lee Nakyung ),이다현 ( Lee Dahyun ),백서영 ( Baek Seoyoung ) 국군간호사관학교 군건강정책연구소 2021 군진간호연구 Vol.39 No.2

Purpose: The purpose of this study was to investigate the level of awareness about emerging infectious diseases (EID), ethical awareness, and decision-making in responding to EID among Korea Armed Forces Nursing Academy (KAFNA) cadets, and to identify their relationship. Methods: KAFNA cadets participated in this cross-sectional survey. The structured questionnaire consisted of 41 questions about awareness about EID, ethical awareness, decision-making, and general characteristics of participants. Results: The average score of awareness, and ethical awareness were 3.67±0.33, and 4.17±0.38 out of 5. The average rate of answering questions about ethical decision-making was 92.0%. Ethical decision-making was positively correlated with both awareness about EID (r=.14, p=.016), and ethical awareness (r=.22, p<.001). In addition, there was significantly positive correlation between awareness and the ethical awareness (r=.38, p<.001). Conclusion: Based on the study results, an education program for KAFNA cadets to improve the awareness about EID and ethical awareness is needed to enhance the ethical decision-making in response to future pandemic outbreaks of EID.