간호대학생의 문화적 역량과 윤리적 민감성이 간호전문직관에 미치는 영향

임형지(Hyeong Ji, Lim),김정희(Jung-Hee, Kim) 한국자료분석학회 2020 Journal of the Korean Data Analysis Society Vol.22 No.5

본 연구는 간호대학생의 문화적 역량과 윤리적 민감성이 간호전문직관에 미치는 영향을 규명하고자 시도되었다. 본 연구 대상은 193명의 간호대학생 3, 4학년으로, 자료는 자가보고식 설문지를 통해 2019년 11월 1일부터 11월 29일까지 수집되었다. 수집된 자료는 SPSS 21.0 프로그램을 사용하여 연구목적에 따라 독립표본 t검정, 일원분산분석, Pearson 상관계수 및 위계적 다중회귀분석으로 분석되었다. 문화적 역량의 평균점수는 5점 만점에 3.43±0.48점이었으며, 윤리적 민감성의 평균점수는 7점 만점에 4.99±0.55점이었고, 간호전문직관의 평균점수는 5점 만점에 3.63±0.49점이었다. 위계적 다중회귀분석 결과 간호전문직관에 영향을 미치는 요인은 임상실습만족도(β=.24, p=.001), 전공만족도(β=.16, p=.029), 문화적 역량(β=.15, p=.043), 입학동기(β=.13, p=.047)로 나타났으며, 간호전문직관에 대한 이들 변인의 총 설명력은 19%였다. 간호대학생의 긍정적인 전문직관 형성을 위해서는 이론과 실무 정규 교과과정에 다문화 간호 교육 프로그램을 반영하여 문화적 역량을 키우고, 전공만족도와 임상실습만족도를 강화할 수 있는 효과적인 교육전략을 마련할 필요가 있다. The purpose of this study was to identify the influence of cultural competency and ethical sensitivity on the professionalism of nursing students. The sample in this study consisted of 193 junior and senior nursing students. Data were collected through self-reported questionnaires from November 1 to November 29, 2019, and were analyzed using an independent t-test, one-way ANOVA, Pearson’s correlation coefficient and hierarchical multiple regression with the SPSS WIN 21.0 software. The mean score for cultural competency was 3.43±0.48 out of 5, While the mean score for ethical sensitivity was 4.99±0.55 out of 7. Further, the mean score for nursing professionalism was 3.63±0.49 out of 5. A hierarchical multiple regression analysis showed that 19% of the factors predicting nursing professionalism (F=8.86, p<.001) comprised satisfaction with clinical practice (β=.24, p=.001), satisfaction with their major (β=.16, p=.029), cultural competency (β=.15, p=.043), and motivation for applying to nursing courses (β=.13, p=.047). To improve professionalism among nursing students, it is necessary to establish effective educational strategies that can improve cultural competency among them and enhance their satisfaction with clinical practice and their major.

대사적으로 비정상 과체중군과 대사적으로 비정상 비만군에서의 건강습관과 영양소 섭취량 행태 연구

배상준,임형지,김주연,강희택,이재우 대한임상건강증진학회 2017 Korean Journal of Health Promotion Vol.17 No.3

연구배경: 대사적으로 비정상인 과체중군과 비만군에서대사위험을 높이는 건강습관과 영양소 섭취량에 어떠한 요인들이 있는지 알아보고자 하였다. 방법: 국민건강영양조사 자료(2007-2010년)를 이용하여, 총 18,188명 대상으로 대사증후군 기준에 따라 대사적 정상 여부를 그룹화하였고, 과체중과 비만군에서 건강습관, 식이습관 및 영양소 섭취 등에 따라 비정상 대사위험이 그룹 간에 차이가 있는지 살펴보았다. 결과: 남자와 여자 모두, 과체중군과 비만군에서 연령이 증가할수록 대사 비정상의 비율이 높아지는 경향을 보였다(P for trend <0.001). 남자 비만군은 식사결식(OR 1.318, 95% CI 1.066-1.631) 아침결식(OR 1.354, 95% CI 1.076-1.705)이, 여자비만군에서는 아침결식(OR 1.578, 95% CI 1.168-2.133) 과 탄산음료 다빈도 섭취(OR 1.540, 95% CI 1.188-2.492)가비정상 대사위험 교차비가 높았다. 남자 과체중군에서 1일칼륨 섭취량(P=0.032)과 1일 비타민 C 섭취량(P=0.048)이, 여자 과체중군에서는 1일 수분 섭취량(P=0.046)과 1일 탄수화물 섭취량(P=0.038)이 비정상 대사위험과 관련이 있었다. 결론: 과체중군과 비만군에서 대사 비정상 여부에 따라건강습관과 영양소 섭취량의 차이가 있었다 Background:The purpose of this study was to investigate the differences in health behaviors and dietary habits between the metabolically healthy group and the metabolically abnormal group in overweight and obese subjects based on the data of National Health and Nutrition Survey (NHANES). Methods:Using the NHANES data (2007-2010), a total of 18,188 subjects were grouped into the metabolically healthy group and the abnormal group using the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) definition. Then we compared their health behaviors, dietary behaviors and nutrient intakes after adjustment for variables in overweight and obese groups. Results:The proportion of metabolic abnormalities tended to increase with increasing age in both overweight and obesity groups.(Pfor trend <0.001) After adjusting various confounding variables, the odds ratio (95% confidence interval) of skipping any meal and breakfast for metabolically abnormality were 1.318 (1.066-1.631) and 1.354 (1.076-1.705) in male obese group and those of skipping breakfast and carbonated drink intake were 1.578 (1.168-2.133) and 1.540 (1.188-2.492) in female obese group. Daily potassium intake (P=0.032) and daily vitamin C intake (P=0.048) in the male overweight group and daily water intake (P=0.046) and daily carbohydrate intake (P=0.038) in the female overweight group were associated with metabolically abnormality. Conclusions:There were differences in health behaviors and nutrient intake according to metabolically abnormality in overweight and obese groups.

Factors Positively Influencing Health Are Associated with a Lower Risk of Development of Metabolic Syndrome in Korean Men: The 2007–2009 Korean National Health and Nutrition Examination Survey

김신혜,조미라,김태종,임형지,이재우,강희택 대한가정의학회 2017 Korean Journal of Family Medicine Vol.38 No.3

Background: The prevalence of metabolic syndrome (MetS) has risen rapidly worldwide, including in South Korea. Factors related to lifestyle are closely associated with the development of MetS. The aim of this study was to investi-gate the association between MetS and a number of factors positively influencing health, namely non-smoking, low-risk drinking, sufficient sleep, regular exercise, and the habit of reading food labels, among Korean men.Methods: This cross-sectional study included 3,869 men from the 2007–2009 Korean National Health and Nutrition Examination Survey. Information on five factors positively influencing their health was obtained using a self-re-ported questionnaire. We categorized subjects into four groups, depending on the number of positive factors re-ported (group I, 0–1 factor; group II, 2 factors; group III, 3 factors; group IV, 4–5 factors).Results: Men who reported a greater number of positive health factors had better laboratory and anthropometric values than men who reported fewer positive health factors. The prevalence of MetS was 29.1, 27.2, 20.7, and 14.6% in groups I to IV, respectively. Compared to group I, odds ratios (95% confidence intervals) for MetS were 0.96 (0.78–1.19) in group II, 0.67 (0.52–0.87) in group III, and 0.52 (0.35–0.76) in group IV, after adjusting for confounding factors. Odds ratios for abdominal obesity, glucose intolerance, and hypertriglyceridemia were statistically signifi-cant.Conclusion: A greater number of positive lifestyle factors influencing health were associated with a lower risk of developing MetS, in a nationally representative sample of Korean men.

Trends in Blood Pressure and Prevalence of Hypertension in Korean Adults Based on the 1998–2014 KNHANES

김태종,이재우,강희택,조명찬,임형지,김진영,배장환,이용재,이상현,인요한,김예슬 연세대학교의과대학 2018 Yonsei medical journal Vol.59 No.3

Purpose: To investigate trends in blood pressure (BP) and hypertension prevalence in Korea. Materials and Methods: Based on the Korean National Health and Nutrition Examination Survey (KNHANES) I (1998), II (2001),III (2005), IV (2007−2009), V (2010−2012), and VI (2013−2014), 56077 participants (23974 men and 32103 women) were included. Results: Mean systolic BP (SBP) and diastolic BP (DBP) decreased in both sexes (male SBP: 128.1 to 120.2 mm Hg, male DBP:82.0 to 78.5 mm Hg; female SBP: 125.7 to 116.0 mm Hg and female DBP: 77.4 to 73.2 mm Hg from the KNHANES I–VI). The agestandardizedprevalence of hypertension was significantly decreased in both sexes (male; 33.3% to 30.3%, female; 28.7% to 22.7%,all p for trend <0.001). Regardless of taking anti-hypertensive medication or not, SBP and DBP declined universally in both sexes. Compared to the KNHANES I, the odds ratios (95% confidence intervals) of the KNHANES II to VI for less-than-normotensiveand less-than-hypertensive BP increased in both sexes. Conclusion: Mean BP levels in both sexes and hypertension prevalence showed downward trends during the 16-year period.

The Association between Socioeconomic Status and Adherence to Health Check-up in Korean Adults, Based on the 2010–2012 Korean National Health and Nutrition Examination Survey

신현영,강희택,이재우,임형지 대한가정의학회 2018 Korean Journal of Family Medicine Vol.39 No.2

Background: We investigated the association between socioeconomic status and adherence to health check-ups in a Korean population aged 40 years or older.Methods: This cross-sectional study included 12,311 participants who participated in the 2010–2012 Korean Na-tional Health and Nutrition Examination Survey. Self-reported questionnaires were used to assess each partici-pant’s socioeconomic status (household income, occupation, and education) and adherence to health check-ups.Results: Men with a higher income (highest vs. lowest: odds ratio [OR], 1.799; 95% confidence interval [CI], 1.296–2.497) and men with a higher education level (≥12 vs. <6 years: OR, 1.488; 95% CI, 1.078–2.054) and office workers compared with manual workers (men: OR, 1.431; 95% CI, 1.077–1.902; women: OR, 1.783; 95% CI, 1.256–2.532) ap-peared to undergo more health check-ups. In particular, men and women with a higher income and education ap-peared more likely to undergo opportunistic health check-ups (men: highest vs. lowest income: OR, 2.380; 95% CI, 1.218–4.653; ≥12 vs. <6 years education: OR, 2.121; 95% CI, 1.142–3.936; women: highest vs. lowest income: OR, 4.042; 95% CI, 2.239–7.297; ≥12 vs. <6 years education: OR, 2.475; 95% CI, 1.283–4.775).Conclusion: A higher socioeconomic status was associated with a higher rate of participation in health check-ups. More efforts are needed to identify the factors associated with disparity in adherence to health check-ups.

한국인에서 높은 혈청 페리틴 수치와 당뇨와의 상관관계

김주연,강희택,이용제,김진영,김태종,임형지,이재우 대한임상건강증진학회 2017 Korean Journal of Health Promotion Vol.17 No.2

Background:The aim of this study was to investigate the relationship between serum ferritin and diabetes mellitus (DM) in the Korean population. Methods:This cross-sectional study included 9,576 subjects (4,264 men, 2,394 pre-menopausal women, and 2,918 post-menopausal women) older than 19 years using data from the 2010-2012 Korean National Health and Nutrition Examination Survey. DM was defined as fasting plasma glucose ≥126 mg/dL, glycosylated hemoglobin ≥6.5%, or use of any glucose-lower medication including insulin therapy. Results:The overall prevalence of DM was 12.0, 3.6, and 17.3% in men, pre-menopausal women, and post-menopausal women, respectively. DM prevalence was greater with ferritin levels from Q1 to Q4: 10.3, 10.2, 12.7, and 14.8% in men; 2.0, 2.8, 2.8, and 6.4% in pre-menopausal women; and 13.9, 14.4, 18.1, and 22.9% in post-menopausal women, respectively. Compared with participants in Q1, the odds ratios (95% confidence intervals) for DM among participants in Q4 were 1.67 (1.20-2.32) in men, 2.06 (0.91-4.66) in pre-menopausal women, and 1.60 (1.09-2.35) in post-menopausal women after adjusting for age and other covariates. Conclusion:Serum ferritin concentration was positively associated with a higher risk of DM in adult men and post-menopausal women. 연구배경: 한국 성인을 대상으로 당뇨와 혈청 페리틴의 상관관계를 알아보고자 하였다. 방법: 국민건강영양조사 제5기(2010-2012년) 자료에서 19 세 이상의 한국 성인 9,576명(남자 4,264명, 폐경 전 여성2,394명, 폐경 후 여성 2,918명)을 대상으로 연구를 시행하였다. 당뇨는 공복 혈당 ≥126 mg/dL이거나 당화혈색소 ≥ 6.5%, 또는 경구혈당강하제를 복용하거나 인슐린 치료를받고 있는 경우로 정의하였다. 결과: 당뇨 유병률은 남성, 폐경 전 여성, 폐경 후 여성에서 각각 12.0%, 3.6%, 17.3%로 나타났다. 혈청 페리틴 사분위가 증가할수록 당뇨 유병률은 증가하는 것으로 나타났다. 제1사분위에서 제4사분위로 갈수록 유병률이 남자에서는 10.3%, 10.2%, 12.7%, 14.8%; 폐경 전 여성에서는 2.0%, 2.8%, 2.8%, 6.4%; 폐경 후 여성에서는 13.9%, 14.4%, 18.1%, 22.9%로 나타났다. 제1사분위에 비해 제4사분위 교차비(95% 신뢰구간)가 연령 등을 보정한 후, 남성에서는1.67 (1.20-2.32), 폐경 전 여성에서는 2.06 (0.91-4.66), 폐경후 여성에서는 1.60 (1.09-2.35)로 나타났다. 결론: 한국 남성 및 폐경 후 여성에서 혈청 페리틴 수치는 당뇨 증가와 연관이 있었다.