유료노인장기요양보호서비스 이용의사 결정요인

유진영,전진호,Yoo, Jin-Yeong,Chun, Jin-Ho 대한예방의학회 2005 예방의학회지 Vol.38 No.1

Objectives : To help develop strategies to cope with the changes arising from the rapid aging process by predicting the determining factors of intention to actual use of the charged long-term care services for elderly as perceived by the middle aged who play the major role of supports. Methods : Subjects were the parents (men 177, women 507) in their 40s of the students selected from a university of Busan city. A questionnaire survey was conducted for 4 weeks in October 2003 about the knowledge for long-term care service, the intention of actual use, and the preferences about the type of service suppliers. Data analysis was performed with frequency, chi-square test, and t-test using SPSS program (ver 10.0K), along with data mining using decision tree of Enterprise Miner V8.2 by SAS. Results : About half of the subjects (53.7%) had the actual experiences of elderly supports. Intentions to use the charged services were relatively high in home visiting nursing care service (40.1%) and long-term care facilities service (40.4%), and were influenced by previous knowledge about the services. The intentions were stronger in women, those with higher education, and those with greater income levels. Actual elderly supports were mostly (80%) done by women, and the perceived burdens for the supports were bigger in women and those of lower socioeconomic level. Desired charges were about 10,000 won for the bath service, 20,000 won for the rests services per day, and about 500,000 won for the long-term care facilities service per month. From the result of decision tree analysis, the job professionalism was the most important determining factor of intention to actual use of the services with validation as $63{\sim}71%$. Health and welfare mixed type facilities were preferred, and the most important consideration was the level of professionalism. Conclusions : Intention to actual use of the charged services was largely determined by the aspects of time and cost. Polices to increase the number of service suppliers and to decrease the burdens perceived by actual supporters were strongly recommended.

우리나라 중학교 청소년의 신체활동이 정신건강에 미치는 영향: 2013년 청소년건강행태온라인 조사를 중심으로

유진영,김기만,Yoo, Jin-Yeong,Kim, Ki-Man 한국디지털정책학회 2014 디지털융복합연구 Vol.12 No.11

본 연구는 중학교 청소년의 신체활동이 정신건강에 미치는 영향을 파악함으로써 중학교 청소년의 정신건강 증진에 도움이 될 수 있는 보다 구체적 방안을 모색하고자 하였다. '2013년 제9차 청소년건강행태온라인조사' 원시자료를 이용하여 중학생 36,530명을 분석하였다. 복합표본자료 분석방법에 의해 분석하였다. 행복감 인지 정도는 학교 체육시간에 주 3회 이상 직접 운동하는 경우에 비해 2회 이하인 경우 행복감은 낮았으며 스트레스 인지 정도와 자살시도 가능성은 높았다. 참여하고 있는 팀 스포츠 수가 1개 팀 이하인 경우 행복감이 낮았으며 스트레스 인지 정도는 높았다. 4개 팀 이상 참여하는 학생에 비해 '1개 팀', '2개 팀' 참여가 자살가능성이 낮았다. 중학교 청소년들의 행복감 향상과 스트레스 완화에 도움이 될 수 있도록 2개팀 정도의 정규적 팀 스포츠 활동 참여와 교내 체육시간에 직접 운동을 주 3회 이상 수행함이 필요하며, 저학년인 경우 극단적 행동을 조절할 수 있도록 정서적 지지를 위한 교육프로그램이 함께 병행됨이 필요하다 여겨진다. This study tends to grasp the physical activity on its influences and effect s to the mental health of middle school students and we tried to look for a specific plan that will help to improve middle school students' mental health. We analyzed 36,530 students in middle school using a basic data "9th (2013) health behavior of juvenile on the online". The study is analyzed by complex sample data analysis method. The degree of euphoria recognition showed the low feeling of happiness when students exercise directly below two times rather than three times a week in the Physical Education class at school. On the other hand, the possibility of stress perception degree and suicide attempt is lowered. If the number of sports team participating is below one team, euphoria would be lowered and the limit of stress perception is high. However, the participation of one or two teams make the possibility of suicide lessens rather than students taking part in more 4 teams. In order to help middle school students reduce their stress and improve their happiness, they need to participate in sports as a regular team and join intramural games more than three times a week. In this case of the lower grade, it is considered that it is necessary for them to combine the educational program for the emotional support to control their extreme behavior.

간호.간병통합서비스 병동과 사적 간병인 고용이 수반된 일반병동의 환자경험과 안전경험 비교 분석

유진영(Yoo, Jin-Yeong) 고령자치매작업치료학회 2021 고령자.치매작업치료학회지 Vol.15 No.2

목적 : 본 연구는 환자중심의 의료문화조성과 지속적인 의료서비스 향상에 도움이 될 수 있도록 간호⋅간병통합서비스 병동과 사적 간병인 고용이 수반된 일반병동의 입원 의료서비스 환자 경험 및 안전 경험을 비교 분석하였다. 연구방법 : ‘2019 의료서비스경험조사’ 원시자료를 이용하여 간호⋅간병통합서비스 병동 입원경험자와 사적 간병인 고용이 수반된 일반병동 입원경험자 총 110명을 분석하였다. 간호⋅간병 서비스 유형에 따른 영역별 환자경험, 추천 의향과 전반적 만족도는 T검정 분석하였다. 간호⋅간병 서비스 유형에 따른 안전 경험은 교차분석을 실시하였다. 연구결과 : 간호⋅간병통합서비스 병동이 간호사 영역, 체계성 영역에서 환자 경험이 더 긍정적으로 나타났다. 입원 전반에 대한 만족도 역시 높았다. 입원의료서비스 안전 경험은 두 그룹 모두 비슷한 경험도를 보였으나 손 소독 사용 안전 경험은 간호⋅간병통합서비스 병동에서 더 높았다. 결론 : 간호⋅간병통합서비스의 환자경험과 안전경험이 사적 간병인 고용 이상의 효과가 있음을 확인한 점이 의의가 있다. 다양한 간호⋅간병통합서비스 모형에 대한 비교 분석 연구가 필요하다 생각된다. Objective : The purpose of this study is to compare and analyze the patient experience and safety experience of inpatient medical service in comprehensive nursing service ward(CNSW) and general ward with private caregiver employment(GWPCE) that can help to create a patient-centered medical culture and continuous improvement of medical services. Methods : Using the original data from the 2019 Medical Service Experience Survey, 110 people with medical services inpatient those who have experienced CNSW or GWPCE were analyzed. The T-test was analyzed for patient experience, recommendation intention, and overall satisfaction by type of nursing service. Cross-analysis was conducted on safety experiences according to types of nursing service. Results : The patient experience was more positive in the CNSW in the nurse area and systemic area. Satisfaction with the overall hospitalization was also high. The safety experience of inpatient medical service was similar in both groups, but the safety experience of using hand sanitizer was higher in t he CNSW. Conclusion : It is significant in that it confirmed that the patient experience and safety experience of the CNSW had more effects than hiring a private caregiver. A comparative analysis study on various CNSW models is needed.

경구피임약을 복용하는 한국여성과 치주질환의 관련성 연구: 제5기 3차년도(2012) 국민건강영양조사 자료 분석

이종화 ( Jong Hwa Lee ),유진영 ( Jin Yeong Yoo ),정기옥 ( Gi Ok Jung ),박지영 ( Ji Young Park ) 한국치위생학회(구 한국치위생교육학회) 2014 한국치위생학회지 Vol.14 No.6

Objectives: The purpose of the study was to investigate the relationship between the oral contraceptive pill and periodontal disease in Korean women aged from 19 to 50 years old. Methods: This study selected 1,579 women of childbearing age from 19 to 50 years old from the 5th National Health and Nutrition Survey data analysis(phase 3, 2012) taking the oral examination. The questionnaire consisted of socioeconomic demographic characteristics, health behavior, use of oral contraceptive pills, and periodontal disease. Socioeconomic demographic characteristics included age, marital status, education, monthly income, and vocation. The health behavior included obesity, stress, smoking, subjective oral health status, use of dental floss, tooth brushing, and diabetes mellitus by fasting blood sugar level. Use of oral contraceptive pills was recorded by monthly use and duration. The periodontal disease was documented by yes or no and selected as dependent variable by logistic regression analysis. Results: After revising the taking period of oral contraceptive pill for this study, there was the correlation between the prevalence of periodontal disease and odds ratio(95% CI) 1.288(1.027-1.617). Conclusions: This study will contribute to the direction of policy for an oral contraceptive pill and provide the basic data for counseling for the oral health and the side effects of oral contraceptive pills.

알코올중독전문병원의 서비스 제공 현황에 관한 연구

조현(Cho, Hyun),유진영(Yoo, Jin-Yeong),이지환(Lee, Ji-Hwan) 한국산학기술학회 2011 한국산학기술학회논문지 Vol.12 No.8

본 연구에서는 국내 알코올중독전문병원의 서비스 제공형태, 인력현황, 구조화된 알코올 프로그램 등의 현황 과 향후의 경향성에 대해 조사하고자 국내 알코올중독전문병원임을 표방하는 총 8곳 중 조사에 동의한 6개 기관을 대상으로 2010년 6월 17일부터 7월 15일까지 구조화한 설문지 조사를 수행하였다. 응답한 알코올 중독전문병원의 운 영 주체는 개인(공동)이 66.7%로 가장 많았으며, 소재지 별로는 대도시 지역에 위치한 기관이 50%로 가장 많았다. 알 코올 환자를 전문적으로 치료해 온 기간은 5년 미만이 50.0%로 가장 많았으며 조사 대상 기관의 병상 수는 평균 208 병상이었다. 서비스 제공 형태는 모든 기관이 입원·외래치료를 함께 제공하고 있는 반면 주당 최소 2∼3시간 정도의 구조화된 외래 치료서비스는 33.3%였다. 신체·개인 심리사정이 모든 기관에서 시행되고 있는 반면 낮 병원을 위한 프 로그램은 16.1%였다. 보호병동 병상이 72.0%였으며 밤 병원 및 낮 병원 병상은 각각 7.6%, 2.6% 으로 낮았다. 정신 보건법 시행규칙 기준과 비교하면 정신보건사회복지사와 정신보건간호사는 비교적 높은 것으로 나타났으나 기관별 차이가 높음에 비하여 정신과전문의와 간호사의 인력현황 비율은 전체적으로 높은 것으로 나타났다. 임상전문가들이 느끼는 가장 큰 문제점으로는 알코올 의존증에 대한 환자의 치료 거부로 원활한 치료가 시작되지 않는다는 것과 퇴 원 후 연계 가능한 지역사회정신보건 기관의 수가 부족하다는 의견이 높았고 다음으로 낮은 의료수가와 음주폐해에 대한 낮은 사회적 인식 문제가 제기되었다. The aim of this study is to take hold of the present situation as well as the perspective of the domestic alcohol specialized hospitals. The structured questionnaire was prepared to understand the type of services, manpower and systematic programs. Among eight hospitals that stand for the alcohol addiction specialized hospitals, six hospitals agreed to participate in the survey, which was made from Jun. 17 to July 15, 2010. The average number of beds of the surveyed hospitals was 208. They were mostly private ones(66.7%), located in urban area(50%), and had experiences of alcohol treatment less than five years(50%). While all of them practiced both the inpatient and outpatient services, only 33% provided the systematic outpatient program that was at least 2 or 3 hours per week. All hospitals practiced the physical and individual psychological evaluations, but only 16.1% had the daytime programs. The beds of protective ward were 72% of all beds, and the beds of night and day occupied 7.6% and 2.6% respectively. It was found that although the average number of mental health social worker and mental health nurse was larger than that required in the regulation of mental health law there are significant deviations between hospitals. However, the manpower of psychiatrists and nurses were comparatively large. The first problem indicated by clinical experts was the patient's refusal of care, which results in an inefficiency in the treatment. The next problem was the lack of local health care institutions that can attend on the discharged patients were important issues. Also the low reimbursement and indifferences to the alcohol abuse were considered as important issues.

대체의학 임상실험 현황에 대한 문헌고찰

조현(Cho, Hyun),유진영(Yoo, Jin-Yeong),박수희(Park, Soo-Hee) 한국산학기술학회 2010 한국산학기술학회논문지 Vol.11 No.11

본 연구는 2000년 1월부터 2010년 3월까지 Pubmed에 게재된 논문 중, alternative medicine 으로 검색하여 근거중심 대체의학에 대한 연구 현황을 알아보고자 문헌고찰을 하였다. 682편의 연구 중 대체의학에 관한 임상연구는 19개였으며 연구전체 대상자는 2,573명이었다. 논문분석 결과 RCT(Randomized Controlled Trial) 실험 설계연구가 44%였으며 CCT(Controlled Clinical Trials)가 16%, OD(efficacy studies with either a controlled or an Other than controlled Design) 40%였다. 가장 많은 임상실험이 시행된 중재 방법은 Acupuncture과 Massage 였다. 대상 질병군 분 포는 근골격계 및 결합조직의 질환과 관련된 ‘통증 완화’에 대한 임상연구가 20%, 다음으로 특정 감염성 및 기생충 성 질환, 신생물이 각각 15% 순이었다. 근거중심 대체의학 현황을 파악하고자 문헌 고찰한 결과 대체의학을 통한 중 재가 질병치료에 효과가 있는지에 대한 과학적 근거를 제시한 임상연구가 부족하다. 대체의학의 품질, 안정성, 유효성 확보를 위해 대체의학에 대한 질 높은 연구필요하며 근거중심 대체의학의 활성화가 필요할 것으로 생각된다. The aim of this study is to know about condition of alternative medicine. Methods which An literature search in Pubmed January 2000 to March, 2010 was performed. RCT(Randomized Controlled Trial), CCT(Controled Clinical Trials), and OD(efficacy studies with either a controlled or an Other than controlled Design) were included. PubMed databases were searched using key terms relating to alternative medicine. 19 clinical trials were included among 682 studies searched. RCT was 44%, CCT was 16% and OD was 40% in the review. In the all of included studies, the acupuncture and the massage was the biggest part. The using rate was 20% of pain control about Disease of the Musculoskeletal system and Connective tissue, 15% of Certain infectious and parasitic diseases, and 15% of Neoplasms. There was lack of evidence that alternative medicine was effective for progress. Future well-designed clinical trials is needed.

치매 환자의 인지를 측정하기 위해 사용된 평가도구에 대한 체계적 고찰

박수희 ( Soo Hee Park ),유진영 ( Jin Yeong Yoo ),박수정 ( Su Jong Park ),양영애 ( Young Ae Yang ) 고령자.치매작업치료학회 2009 고령자.치매작업치료학회지 Vol.3 No.2

경남지역 백세인의 장수요인과 일상생활수행능력(ADL) 및 도구적 생활수행능력(IADL)에 대한 연구

조현(Cho, Hyun),이지환(Lee, Ji-Hwan),유진영(Yoo, Jin-Yeong),권영채(Kwon, Young-Chae),지재훈(Ji, Jae-Hoon),심은경(Sim, Eun-Kyung),이경은(Lee, Kyeong-Eun) 한국산학기술학회 2012 한국산학기술학회논문지 Vol.13 No.1

본 연구는 경남지역의 백세인(100세 이상 자) 88 명을 대상으로 2011년 4월부터 6월까지 약 90여 일간장수 요인과 일상생활 수행능력‧도구적 생활수행능력 정도를 파악하기 위한 목적으로 수행하였다. 장수요인으로는 7시간 이 상의 충분한 수면(93.6%), 규칙적인 식사(95.5%,) 짠 음식 적게 섭취(69.8%), 그리고 자살을 생각하지 않는 낙관적 사 고(86.9%)와 금연(92.0%) 과 절주(86.4%,)로 나타났다. 일상생활수행능력(ADL) 중 목욕하는 것이 가장 힘들었으며 도 구적 생활수행능력(IADL)의 경우는 버스나 전철 혼자타기가 가장 힘든 것으로 나타났다. 모든 영역에서 여성이 남성 에 비해 일상생활수행능력, 도구적 생활수행능력이 높은 것으로 나타났으나 통계적으로 유의한 차이는 없었다 (p<0.05). 따라서 향후 연구에서는 본 연구의 결과를 토대로 점차 늘어나고 있는 백세인의 신체수행능력 저하를 보완. 지지할 수 있는 정책의 개발이 필요한 것으로 사료된다. This study conducted surveys of 88 eldery people over 100 years in Gyeongnam on April to June, 2011 during 90 days. It was intended to find the factors of longevity, Activity Daily of Living (ADL), and Instrumental Activity Daily of Living (IADL). Major results of this study were as follows: The factors of longevity are getting enough sleep over than seven hours(95.5%), taking in less salty food (69.8%), optimism without even thinking about suicide (86.9%), nonsmoking habit (92%), and moderation in drink (86.4%). The most difficult part of Activity Daily of Living (ADL) is taking a bath, and that of Instrumental Activity Daily of Living (IADL) is taking a bus or subway alone. All items of ADL and IADL, female was higher than the male, but not statistically significant(p<0.05). Therefore, further study is expected to develop the supplementary policy to support the elderly people with declining to carry out physical activities. It is also expected to develop the public welfare programs and policies for the aged, allowing them to take responsibility and to participate as a member of the society.

중 · 장년층의 노인부양 실태와 인지하는 부담 정도

유진영,전진호 白中央醫療院 2004 仁濟醫學 Vol.25 No.1

Background : Social concerns about elderly supports have been increasing with rapid progress of aging. To propose the data for developing the efficient welfare policy for the aged through observation about the real status and burdens about elderly supports perceived by the middle aged who play the major role. Method : Subjects were the 40~50 aged parents of the students candidated from a university of Busan city. Questionnaire survey about the cognitions, real status, perceived burdens for the elderly attendance was done during 4 weeks from October 2003. Data analysis is operated with frequency, chi-square test, t-test using SPSS program (ver 10.0K). Result : In cognitions, family centered tendency was still strong and, they hoped the paralleled children and nation's charge for the support. They wanted to live separately when the aged healthy. In the status of real supports, the first son had major role. Most of actual supporter were women, 62% of them had been supporting over 2 years, 53% of them charged over 200 thousand won for the supports. The mean level of burdens by Zarit index (0~4) was the highest in concerns to better support (2.0) and in concerns to do more (1.9). The actual needs for help to elderly supports were economic aids (33%), education and counselling about methods of real support (27%), opportunities free from the supports (16%), in order. Conclusions : To decrease the burden of supporters and to improve the quality of life of the aged, the strengthened polices mostly considering the aspects of time and cost would be recommended.