유료노인전문요양원 입주의사 결정요인에 관한 연구

유영순,조은희,유병철,정귀원,엄상화,김성준,전진호,Yoo, Young-Soon,Cho, Eun-Hi,Yu, Byung-Chul,Jeong, Ki-Won,Urm, Sang-Hwa,Kim, Sung-Jun,Chun, Jin-Ho 대한예방의학회 2001 예방의학회지 Vol.34 No.1

Objectives : To gather information about the factors which influence the interest and intention of admission into charging nursing hones for the elderly(CNH), as these homes represent an important method for resolving the problems related to the rapid population aging occurring in Korea. Methods : A face-to-face interview survey was carried out with 320(men 159, women 165) patients over 60 years old who were admitted at 2 university hospitals and 5 general hospitals in the Busan area between December 1998 and March 1999. Data were analyzed through t-test, ANOVA, correlation and multiple regression analysis. Results : The mean age and years of education of the study population was 67.0 and 7.7 years, and the types of chronic degenerative disease included musculoskeletal disorders(20.1%), cerebrovascular disease(17.1%), and diabetes(14.3%). The major forms of household living arrangement prior to admission were elderly alone(22.6%), and elderly couple(33.5%), while about half of them(55.5%) didn't want to live with their children id the future. Almost half were paying medication fees by themselves(46.6%). The level of actual intention of admission$(3.07{\pm}1.39)$ into a CNH was lower than that of interest$(3.22{\pm}1.33)$(p<0.01). Multiple analysis revealed that the intention of admission increased with decreasing number of future supportive persons$(\beta=-0.107)$, lower level of activity in daily life$(\beta=-0.447)$, and longer years of education$(\beta=-0.447)$ with 32.7% of $R^2$. As for the factors which determined the admission into a CNH, the fee and facilities were considered to be most important, and professional nursing and physician's care were the most desired services. In nomenclature, they preferred 'elderly hospital' or 'elderly health center' to CNH. Conclusions : Interest in CNH is increasing recently, but existing studies about patient experiences in CHN are still limited. This study may form a basis for future examinations of the needs and uses for CNH. Active financial support and public information are considered by the authors to be important factors for the induction of welfare services for the elderly, though CNH.

치매노인을 돌보는 주가족 간호자의 부담감과 간호만족감

공은희(Eun-Hi Kong),조은희(Eunhee Cho),송미순(Misoon Song) 한국노년학회 2009 한국노년학 Vol.29 No.2

본 연구의 목적은 치매노인을 돌보는 주가족 간호자의 부담감과 간호만족감 정도를 파악하고, 부담감과 간호만족감에 영향을 미치는 문화적, 비문화적 요인을 규명하는 것이다. 본 연구의 대상자는 서울 및 경기도 소재 13개 치매주간보호센터를 이용하는 치매노인을 가정에서 돌보고 있는 주가족 간호자 112명 이었으며, 설문지 조사를 통하여 자료를 수집하였다. 주가족 간호자의 81%가 여성이었고, 관계별로는 며느리(46%)가 가장 많았다. 주가족 간호자가 느끼는 부담감 평균점수는 49.4 이었으며, 간호만족감 평균점수는 42.3 이었다. 주가족 간호자의 부담감에 통계적으로 유의한 영향을 미치는 요인으로는 비문화적 요인들인 간호자의 건강상태(β= .421, p= .049)와 치매노인의 기억 및 행동문제(β= .183, p= .041)로 나타났다. 간호만족감에 통계적으로 유의한 영향을 미치는 요인은 문화적 요인인 가족주의(β= .466, p= .005)로 나타났다. 치매노인 가족 간호자들의 부담감을 감소시키고 간호만족감을 증진시키기 위한 서비스 프로그램들의 개발과 활용 방안이 마련될 필요가 있다. The aim of this study was to investigate the burden and caregiving satisfaction of primary family caregivers of older adults with dementia, and to identify cultural predictors and non-cultural predictors of burden and caregiving satisfaction. This study included 112 primary family caregivers of community-dwelling older adults with dementia who utilized 13 dementia day care centers in Seoul or Gyeonggi-do. Data were collected by survey questionnaires. The majority of the primary caregivers were female (81%) and daughters-in-law (46%). The mean burden score was 49.4 and the mean caregiving safisfaction score was 42.3. Regression analyses revealed that the significant predictors of primary caregivers' burden were the non-cultural factors of caregiver's perceived health (β= .421, p= .049) and care recipient's memory and behavioral problems (β= .183, p= .041). The cultural factor of familism (β= .466, p= .005) was the only significant predictor of caregiving satisfaction. There is more need to develop programs which improve caregiver's burden and caregiving satisfaction. Strategies to increase caregiver's utilization of the programs also need to be developed.

고등학생의 충동성과 도박행동의 관계에서 도박동기의 매개효과

선혜민(Sun Hye Min),박진희(Park Jin Hee),조은희(Cho Eun Hi),양정하(Yang Jeong Ha),최지이(Choe Ji Yi),신현주(Sin Hyon Ju),천성문(Cheon Seong Moon) 학습자중심교과교육학회 2019 학습자중심교과교육연구 Vol.19 No.11

본 연구는 고등학생을 대상으로 충동성과 도박행동과의 관계에서 도박동기의 매개효과를 확인하고자 하였다. 이를 위해 부산, 경남지역 소재 고등학생 779명을 대상으로 충동성 척도, 도박동기 척도, 청소년 도박행동 척도를 사용하여 설문조사를 실시하였다. 수집된 자료를 바탕으로 주요 변인들 간의 관련성을 살펴보기 위해 상관관계 분석을 하였으며, 매개효과를 알아보기 위하여 Baron과 Kenny(1986)의 3단계 분석을 사용하였다. 결과를 살펴보면, 첫째, 충동성은 도박행동과 유의한 정적 상 관을 보였다. 또한 충동성과 도박동기의 하위유형인 흥분동기, 회피동기, 금전동기와 통계적으로 유의한 정적 상관을 보였으며, 사교동기와 유희동기는 통계적으로 유의한 상관이 존재하지 않는 것으로 나타났다. 둘째, 흥분동기, 회피동기, 금전동기 는 각각 충동성과 도박행동 간의 유의하게 부분 매개하는 것으로 나타났다. 본 연구 결과를 토대로 후속연구에 대한 제언과 시사점을 논의하였다. This study investigated the relationship among gambling motivation, impulsivity and gambling behaviors in high school students. For this purpose, 784 high school students in Busan and Kyungnam area were surveyed using impulsivity scale, gambling motivation scale, and youth gambling behavior scale. A correlation analysis was conducted to examine the relationship between the main variables on the basis of the collected data and mediate the relationship between impulsiveness and gambling behavior, Baron and Kenny(1986). In this paper, First, impulsiveness showed significant positive correlation with gambling behaviors. In addition, there was a statistically significant correlation with the sub factor of impulsivity and gambling motivation, excitement motivation, avoidance motivation, and money motivation. There was no statistically significant correlation between social motivation and play motivation. Second, the excitement motivation, the avoidance motivation and the money motivation each was significantly mediated between impulsivity and gambling behavior. Also, in this study, we examined the mediating effect of gambling motivation, There are important implications. Finally, the implications and limitations of the study were discussed.

경로분석을 통한 만성질환 노인 환자의 우울에 영향을 미치는 요인 모델 설정

조은희,전진호,이상원 대한노인병학회 2000 Annals of geriatric medicine and research Vol.4 No.3

폐결핵 초치료 환자들의 치료 결과에 영향을 주는 요인

김경순,조영하,전진호,조은희,은충기 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.3

Objectives : To figure out the factors related to the failure of primary pulmonary tuberculosis(Tb) treatment and to enhance the efficiency of the treatment. Methods and Materials : The subjects were 137 Tb patients composed of the two groups; 44 failure cases and 93 success cases who admitted in National Masan Tuberculosis Hospital during 2001. The failure means no improvement with the standard short term regimen of INH and RFP. Patients' informations were gathered through medical records and face-to-face interview survey, and, the data were analyzed with SPSS(ver 10.0). Results : Mean age of the subjects were 47.6 years. Most cases were diagnosed at clinics or hospitals at first, due to the symptoms. No difference in smoking and alcohol habits between the two groups. The cases who got the informations about the whole process of treatment, and following regular regimens were more in the success group. The proportion of multi-drug resistance to the regular primary Tb regimen was higher in the failure group 8 cases out of 25 detectable failure cases. 0 case among 46 successful cases. And the four regular regimen(INH, RFP, EMB, PZA) was popular type of the resistance. In chest X-ray, multiply involved lesion(≥ two lobes), atelectasis and pleurisy were more frequent in the failure group. Conclusion : The major factors that enhance the efficiency of Tb treatment were the informations and compliance. Enough explanation about the whole process would be essential during Tb treatment, and, in case of MDR-Tb, susceptible regimen and surgical therapy should be considered.