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청년, 중장년, 노년층의 지역 계속거주의사 영향요인 분석: 자연환경, 안전, 의료서비스 만족도를 중심으로
이창관,박선주 한국지방자치학회 2024 韓國地方自治學會報 Vol.36 No.1
본 연구는 지역 주민의 계속거주의사에 영향을 미치는 요인을 분석하였다. 거주지역의 물리적 환경에 대한 주관적 인식이 지역거주만족도를 거쳐 계속거주의사에 미치는 매개효과에 초점을 맞추었으며, 분석대상을 청년, 중장년, 노년층으로 구분하여 세대별 모형을 구성하였다. 거주지역의 물리적 환경은 자연환경, 안전 인식, 의료서비스를 중심으로 살펴보았고, 그 외에 사회・심리적 요인, 거주지역 특성 및 개인 특성이 계속거주의사에 미치는 영향을 분석하였다. 비수도권 대도시 가운데 20세 이상 전 연령층에서 인구 순유출이 발생하고 있는 대구광역시를 대상으로 ‘2020년 대구사회조사’ 원자료를 활용하여 분석을 실시하였다. 분석 결과, 지역거주만족도는 미래 시점의 계속거주의사에 영향을 미치는 주요 변수로 나타났다. 특히, 거주지역의 물리적 환경에 대한 주관적 인식은 직접 혹은 간접적으로 계속거주의사에 영향을 미치는 것으로 나타났는데, 녹지환경 만족도와 의료서비스 만족도는 세대를 불문하고 계속거주의사에 긍정적인 영향을 미치는 것으로 나타났다. 그 외에 사회・심리적 요인 가운데 시민 자부심, 개인 특성 가운데 대구거주기간이 공통적인 긍정요인으로 작용하였다. 한편, 청년층에서는 경제활동 참여, 사회재난 안전인식, 지자체의 부패인식, 배우자 유무가 계속거주의사에 영향을 미치는 것으로 나타났다. 중・장년층에서는 교육 수준이 높을수록, 노년층에서는 대구출생인 경우와 교육 수준이 높을수록 계속거주의사가 낮게 나타났다. 본 연구는 향후 지역의 정주환경 개선을 통한 세대별 인구정책 수립 시 기초자료로 활용될 수 있을 것으로 기대된다. This study investigates the determinants of residents' intention to age in place, focusing on the physical environment of municipalities and the mediating role of residential satisfaction. Generational models—including the young, middle-aged, and older adults—were employed, emphasizing the natural environment, safety awareness, and medical services as independent variables. Utilizing data from the '2020 Daegu Social Survey,' the study identifies residential satisfaction as a pivotal variable influencing future intentions to age in place. Notably, the physical environment of the residential area, including green spaces and medical services, positively influences this intention across all generations. Civic pride, economic and marital status, and disaster safety awareness emerged as positive factors among young adults. Higher educational attainment was negatively associated with aging in place among middle-aged and elderly groups. This research provides foundational data for shaping population policies and enhancing settlement environments to accommodate diverse generations in the future.
이창관 그리스도신학대학교 출판부 2010 교수논문집 Vol.19 No.-
요양병원 간호사의 임종간호인식, 태도와 수행의 관계
제2형 당뇨병 환자의 혈당조절 영향요인 분석: 제7기 국민건강영양조사자료(2016∼2018) 이용
이창관 ( Changkwan Lee ) 이화간호과학연구소 2021 Health & Nursing Vol.33 No.2
Purpose: This study examined factors influencing glycemic control among type 2 diabetes mellitus (T2DM) patients using data from the seventh Korea National Health and Nutrition Examination Survey. Methods: The subjects were 1,459 patients aged 30 years and older who with T2DM. The subjects were divided into three groups according to glycated hemoglobin A (HbA1c) values: good glycemic control group (good GCG, HbA1c<7%), insufficient GCG (7≤HbA1c< 8%), and poor GCG (8%≥HbA1c). Univariate multiple multinomial logistic regression was used. Results: The patients were distributed as follows: 52.7%, good GCG; 28.4%, insufficient GCG; and 18.9%, poor GCG. In the insufficient GCG, DM duration was a significant factor influencing glycemic control in T2DM. In the poor GCG, age, DM duration, hypertriglyceridemia, waist circumference and muscular exercise were significant factors influencing glycemic control in T2DM. Conclusion: Strategies for insufficient glycemic control should include intensive glucose control interventions for patients with a DM duration over 5 years. Strategies for poor glycemic control should include intensive glucose control interventions for younger age groups, those with a DM duration >1 year, and those with hypertriglyceridemia. In addition, nursing interventions for weight loss and muscular exercise are needed.
간호대학생의 영적안녕과 죽음에 대한 태도가 임종간호태도에 미치는 영향
이창관 ( Chang Kwan Lee ) 이화간호과학연구소 2022 Health & Nursing Vol.34 No.1
Purpose: This study aimed to explore the influences of spiritual wellbeing and attitude toward death on terminal care attitude among Korean nursing students. Methods: The participants were 146 nursing undergraduates from two nursing schools in Korea. The students responded to a self-report questionnaire that included demographics, spiritual wellbeing, attitude toward death and terminal care attitude. Results: In total, 71.9% of the participants were religious, 95.2%, and 67.8% had hospice education. The mean score of spiritual wellbeing of the students who were religious was significantly higher than among those who were not. Regression analysis indicated that existential spiritual wellbeing, attitude toward death, and Christian schooling were the most significant predictors of terminal care attitude. These explained 39.6% of variation in terminal care attitude. Conclusion: Death-related education is needed throughout the nursing curriculum including to develop a positive terminal care attitude. In this way, nursing undergraduates will be better prepared to cope positively and constructively with the suffering and death they will encounter and thus may minimize the distress they experience with patient death. may also create a significant positive increase in nurses’ terminal care attitude.