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스트레스 측정 도구로서의 Hemoglobin AHemoglobin A₁c 유용성 평가
김혜숙,정경동,감신,최광서,김건엽,김성아 大韓産業醫學會 1997 대한직업환경의학회지 Vol.9 No.3
To assess the possibility and usefulness of glycosylated hemoglobin (HbA₁c) as a screening tool for measuring stress; single-item for stress, BEPSI(Brief Encounter Psychosocial Instrument), PWI(Psychosocial Wellbeing-Index), FBS(Fasting Blood Sugar) and other demographic variables were assessed in 89 healthy male workers at periodic health examination. HbA₁c was not correlated with any kind of stress scores used in this study, but correlated with age(r=0.226). The single-item for stress, BEPSI, PWI were correlated each other(p<0.05). This result suggests well-organized brief questionnaire for stress might be enough to evaluate the stress level of workers in periodic health examination.
産業災害로 인한 手脂切斷 患者의 療養期間과 診療費의 變異
이종호,이종영,손지연,하영애,박순우,감신,이영숙,김건엽,강윤식 大韓産業醫學會 1997 대한직업환경의학회지 Vol.9 No.3
This study was conducted to analyze variation in patient days and medical care benefits among finger-amputated patients due to industrial injury. The 242 personal data on medical care for finger-amputated patients due to industrial injury(131 in 1994, 111 in 1995) of Regional Labor Office were analyzed. The major results of this study were as follows: Patient days per case were 69. And the ratio of the maximum and the minimum among patient days for case was 26.6. Patient days per case in university hospital were 134.8 and the longest than other medical facilites. The ratio of the maximum and the minimum among the patient days per case was higher in hospital(24.7) than in other medical facilities. Benefits per case were 1,258,000 Won. And the ratio of the maximum and the minimum among benefits of case was 232.0. Case benefits was higher in university hospital (2,685,000 Won) than in other medicl facilities. The ratio of the maximum and the minimum among the benefits per case was higher in hospital(232.0) than in other medical facilities. Variation in patient days and medical care benefits per finger-amputated patient in industrial injury was large. This study results indicated need for a new industrial injury compensation insurance policy initiative for efficient utilization of medical resources and quality assurance. And the author thought that the results of this study would influence the policy for the industrial injury compensation insurance policy.
Health Impact Assessment of Free Immunization Program in Jinju City, Korea
Kim, Keon-Yeop,Jeon, So-Youn,Jeon, Man-Joong,Lee, Kwon-Ho,Lee, Sok-Goo,Kim, Dong-Jin,Kang, Eun-Jeong,Bae, Sang-Geun,Kim, Jin-Hee The Korean Society for Preventive Medicine 2012 예방의학회지 Vol.45 No.4
Objectives: This study was conducted to assess the potential health impacts and improve the quality of the free immunization program in Jinju City by maximizing the predicted positive health gains and minimizing the negative health risks. Methods: A steering committee was established in September 2010 to carry out the health impact assessment (HIA) and began the screening and scoping stages. In the appraisal stage, analysis of secondary data, a literature review, case studies, geographic information systems analysis, a questionnaire, and expert consultations were used. The results of the data collection and analyses were discussed during a workshop, after which recommendations were finalized in a written report. Results: Increased access to immunization, comprehensive services provided by physicians, the strengthened role of the public health center in increasing immunization rates and services, and the ripple effect to other neighboring communities were identified as potential positive impacts. On the other hand, the program might be inaccessible to rural regions with no private clinics where there are more at-risk children, vaccine management and quality control at the clinics may be poor, and vaccines may be misused. Recommendations to maximize health gains and minimize risks were separately developed for the public health center and private clinics. Conclusions: The HIA provided an opportunity for stakeholders to comprehensively overview the potential positive and negative impacts of the program before it was implemented. An HIA is a powerful tool that should be used when developing and implementing diverse health-related policies and programs in the community.
김건엽(Kim, Keon-Yeop),김현지(Kim, Hyun-Jee),윤창호(Youn, Chang-Ho) 한국산학기술학회 2011 한국산학기술학회논문지 Vol.12 No.2
본 연구는 건강도시 지자체를 대상으로 국내 생활터 중심의 건강증진사업 사례들을 살펴봄으로써 국내 건강 증진사업의 성공적인 확산을 위한 기초자료를 제공하고자 실시되었다. 2008년부터 2010년까지 국내 건강도시에서 실 시한 생활터 중심 건강증진사업 자료, 건강도시 현황자료, 보고서, 논문, 워크숍 및 심포지엄 자료집 등 관련 이차자 료를 수집하고 전문가 회의를 통해 시사점을 도출하였다. 2008년 수행한 건강도시 총 사업 중 건강한 생활터 사업은 27개 사업(14.7%), 2009년의 경우에는 42개(21.8%)였다. 생활터 종류를 살펴보면 2008년에는 마을과 학교가 각각 6개 (22.2%)로 가장 많았다. 2009년에는 학교 12개(28.6%), 아파트 8개(19.0%), 마을 6개(14.3%), 어린이집 5개(11.9%), 직 장 및 경로당이 각각 4개(9.5%), 시장 3개(7.1%)의 순이었다. 대도시 지역의 경우 학교, 아파트를 중심으로 생활터 접 근을 하고 있고, 농촌 지역의 경우 마을이나 경로당을 중심으로 생활터 접근을 하고 있다. 국내 생활터 중심의 건강 증진사업 사례를 건강증진학교, 건강한 작업장, 건강마을과 건강한 아파트, 건강증진병원, 건강한 시장, 건강경로당을 중심으로 살펴보았다. 생활터 중심의 건강증진사업을 지속적으로 하기 위해서는 ‘생활터’와 ‘건강증진’에 대한 인식을 바꾸고 이를 위해 생활터가 건강한 도시(지역사회)를 만들기 위한 중요한 역할을 할 수 있도록 노력하여야 할 것이다. This study was conducted to investigate setting approach of health promotion in Healthy city projects. We used the secondary data of 2008-2010 Healthy city projects, reports, papers, workshops and symposia and had professional meetings to obtain the implications. Setting approach of health promotion in Healthy city projects conducted 27 (14.7%) in 2008 and 42 (21.8%) in 2009. Looking at the type of setting approach, villages and schools, respectively, was the highest (six, 22.2%) in 2008. In 2009, the school was 12 (28.6%), apartment 8 (19.0%), village 6 (14.3%), day nursery 5 (11.9%), workplace and senior center 4, respectively (9.5%), market 3 (7.1%). School and apartment are the most common setting approach in the metropolitan area, but senior center and village are most common in the rural areas. The good examples of health promoting schools, healthy workplaces, healthy villages, healthy apartments, health promoting hospitals, healthy markets, healthy senior centers were examined. To sustain and success the setting approach in health promotion, persons in settings must know the exact meaning of 'setting' and 'health promotion' and the efforts that setting can play an important role in healthy cities (communities) will be required.
코로나19 유행 시 지역사회주민의 심리적 염려에 따른 건강행태 변화, 정신건강, 방역수칙 실천정도
김현우 ( Hyun-woo Kim ),김건엽 ( Keon-yeop Kim ),김세아 ( Se-a Kim ),윤해창 ( Hae-chang Yoon ),진수희 ( Soo-hee Jin ),장은화 ( Eun-hwa Jang ),추유진 ( Yoo-jin Choo ) 대한보건협회 2021 대한보건연구 Vol.47 No.4
배경 : 이 연구의 목적은 코로나19 발생으로 인한 대구지역사회 주민들의 심리적 염려에 따른 변화된 건강행태, 정신건강 및 방역수칙 실천 정도를 살펴보고 그 영향을 분석하고자 하는데 있다. 방법 : 2020년 지역사회건강조사 가운데 대구지역에서 수행된 7,307명을 대상으로 한 자료를 이용하였다. 분석은 대상자의 일반적 특성과 건강 관련 특성에 따른 코로나19로 인한 심리적 염려 정도의 차이, 코로나19로 인한 심리적 염려 정도에 따른 변화된 건강행태/정신건강 및 방역수칙 실천정도는 카이제곱검정을 시행하였다. 코로나19로 인한 심리적 염려가 변화된 건강행태/정신건강 및 방역수칙 실천에 미치는 영향을 알아보기 위해 다중로지스틱 회귀분석을 시행하였다. 결과 : 코로나19로 인한 지역사회주민들의 심리적 염려는 여성 및 노년층, 소득 및 교육수준이 낮을수록, 주관적 건강상태가 나쁘거나 만성질환이 있는 경우, 서비스직이나 농림어업에 종사하거나 기혼/사별/이혼/별거 상태에 있을수록 높게 나타났다(p<.01). 또한 심리적 염려가 낮은 군 대비 높은 군에서 인스턴트식품/탄산음료 섭취량(OR=1.40, 95% CI 1.190-1.654) 그리고 스트레스(OR=1.40, 95% CI 1.208-1.623)가 증가하였고 수면시간(OR=1.50, 95% CI 1.229-1.821)은 감소하였다. 게다가 심리적 염려가 높을수록 기침 예절(OR= 2.11, 95% CI 1.570-2.834), 환기(OR=1.88, 95% CI 1.256-2.813), 소독 실천율(OR=1.78, 95% CI 1.559-2.041)을 포함한 방역수칙 실천정도가 높게 나타났다. 결론 : 코로나19로 인하여 지역사회주민들의 심리적 염려가 높아지고 건강행태, 정신건강, 방역수칙 실천정도에 영향을 미치는 것을 알 수 있었다. 따라서 코로나19로 인한 대응책을 마련할 때 이를 고려하여 효과적인 중재를 마련해야 한다. Background : The purpose of this study is to examine the changed health behaviors, mental health, and the degree of practice of quarantine rules due to the psychological concerns of residents of the Daegu community in the outbreak of COVID-19 and to analyze the effects. Methods : A total of 7,307 people in Daegu were used in the 2020 Community Health Survey. The chi-square test was performed to determine the difference in the degree of psychological concerns due to COVID-19 according to the general characteristics and health-related characteristics of the subject, and the changed health behavior/mental health and the degree of practice of quarantine rules according to the psychological concerns level due to COVID-19. Multiple logistic regression analysis was performed to investigate the effect of psychological concerns due to COVID-19 on changed health behavior/mental health and practice of quarantine rules. Results : The psychological concerns of community residents due to COVID-19 are higher among women and the elderly, lower income, lower education level, poor subjective health status, chronic disease, service work, engaged in agriculture, forestry and fishing, or married, widowed, divorced and separated(p<.01). Consumption of instant food and carbonated beverages (OR=1.40, 95% CI 1.190-1.654) and stress (OR=1.40, 95% CI 1.208-1.623) were increased in the group with high psychological concerns compared to the group with low psychological concerns, and sleep time (OR=1.50, 95% CI 1.208-1.623) was decreased. The higher the psychological concern, the higher the level of practice of quarantine rules, including cough etiquette (OR=2.11, 95% CI 1.570-2.834), ventilation (OR=1.88, 95% CI 1.256-2.813), and disinfection practice rate (OR=1.78, 95% CI 1.559-2.041). Conclusions : Due to COVID-19, the psychological concerns of local residents are increasing, and psychological concerns have an effect on health behavior, mental health, prevention level practice. Therefore, when preparing countermeasures due to COVID-19, effective interventions should be prepared in consideration of them.