농촌지역 성인들의 혈청 총콜레스테롤치 및 관련요인

안순기,감신,진대구,김종연,천병렬,Ahn, Soon-Ki,Kam, Sin,Jin, Dae-Gu,Kim, Jong-Yeon,Chun, Byung-Yeol 대한예방의학회 2002 예방의학회지 Vol.35 No.3

Objectives : To investigate the fetal cholesterol levels and related factors in a rural adult population. Methods : 3,207 adults(1,272 men and 1,935 women) were examined in 1997 Their heights, weights, and fasting serum total cholesterol levels were measured, and their body mass indices were calculated. A questionnaire interviewing method was used to collect risk factor data. Results : The mean value of total cholesterol were 190.5 mg/dl, and 198.8 mg/dl, and the age-adjusted prevalence rates for hypercholesterolemia (above 240 mg/dl) were 13.7% and 10.2%, in men and women, respectively. From simple analyses, age, educational level, coffee intake, amount of meat and food intake, waist circumference, waist-hip circumference ratio(WHR), and body mass index(BMI) were significant risk factors in men (p<0.05) relating to serum total cholesterol levels. In women, age, educational level, hypertension history, diabetes history, herbal drug history, amount of feed intake, alcohol consumption, waist circumference, WHR, BMI, and menopausal status were significant risk factors (p<0.05). In multiple linear regression analyses, waist circumference (p<0.01), BMI (p<0.01), and coffee intake (p<0.05) proved to be significant risk factors in men. Whereas, menopausal status (p<0.01), BMI (p<0.01), herbal drug history (p<0.01), amount of food intake (p<0.05), waist circumference (p<0.05), and alcohol consumption (p<0.05) were significant risk factors in women. Conclusions : The significant risk factors, for both men and women, relating to the serum total cholesterol were waist circumference and BMI. Thus, for the reduction of serum total cholesterol level, it is recommended that health education for the control of obesity should be implemented.

한국과 중국의 서비스무역 국제경쟁력에 관한 연구

안순기(Soon-Ki Ahn),송진구(Jin-Goo Song) 한국무역연구원 2021 무역연구 Vol.17 No.6

Purpose This study compares and analyzes the trends in service trade between Korea and China by analyzing the RCA index, SRCA index, and TSI index. Design/Methodology/Approach For this analysis using the UN Comtrade DB, the service trade in 11 sectors was analyzed using Extended Balance of Payments Services (EBOPS) 2002 between Korea and China for 8 years (2010 to 2018). The comparative advantage was measured by calculating the present comparative advantage index (RCA), the revealed symmetric comparative advantage (SRCA), and the trade specialization index (TSI). Then, the level of competition was measured by analyzing the export competition (ESI) of the service sectors between Korea and China. Findings In Korea and China, the transportation and construction sectors, which are highly related to manufacturing, have relatively high international competitiveness; however, international competitiveness is weakening in other service trade sectors. Research Implications In the case of royalties and license fees, if international competitiveness is weakened, as product exports increase, the size of the service deficit in that sector will inevitably increase. Accordingly, it should be human investment related to infrastructure construction and human education, such as royalties and license fees.

대구지역 암등록사업의 효율적 수행방안

진대구,천병렬,안순기,김종연,감신,Jin, Dae-Gu,Chun, Byung-Yeol,Ahn, Soon-Ki,Kim, Jong-Yeon,Kam, Sin 대한예방의학회 2002 예방의학회지 Vol.35 No.4

Objective: This study was conducted to automatically improve the completeness and validity of the Daegu Cancer Registry, using cross record linkage of many data sources, and to develop a computerized patient enrollment system for efficient communication among cancer researchers via the internet. Method: We analyzed 10,229 cancer patients who were reported in the National Cancer Registry, and from pathological reports, health insurance cancer claims lists, cancer patient records at hospital information centers and death certificates from the Korea National Statistical Office. Result: We confirmed 4,624 cancer patients and found 897 of new cases from a review of medical chart. The new cases were detected efficiently using cross record linkage. We developed a computerized patient enrollment system, based on a client-sewer model, for the input of cancer patients, and then developed a web-based reporting homepage and patient enrollment system for the internet. Conclusion: This system could manage cancer databases systematically, and could be given to other researchers as a basic database.

대전광역시 지역사회 통합돌봄 체계내에서 공공보건의료 연계 모델 개발

임지연(Ji-Yeon Lim),안나나(Na-Na Ahn),이석구(Seok-Goo Lee),안순기(Soon-Ki Ahn) 한국농촌의학 지역보건학회 2022 농촌의학·지역보건 Vol.47 No.1

Objectives: This study aimed to establish a linkage model involving regional responsible medical institutions after analyzing the existing conditions and deriving problems through qualitative analysis within the community care system. Methods: A total of 14 participants of this study were selected through the snowball sampling method, including 7 community care service providers and 7 service users. As for the research data, primary data were collected through interviews, and as a result of analyzing according to Aday&Anderson’ model, a total of 5 catergories, 8 topics, and 22 sub theme were derived. Results: The problem derived from the interview is that division services are provided for each institution due to the absence of a key central institution of community care system, and users’ commercial institutions is unclear. The second is the inconsistency between the needs and supply for community care, resulting in a possibility of delay in returning to the community after discharge. Based on these problems, it is necessary to unify it as an community care window of the Dong-community center. In addition, there is a need for public health centers to play an active role, and to establish a public-private joint system with the Health and Living Support Center to establish a model that can play a certain role. Conclusions: Therefore, based on the results of this study, it can be used as basic data when constructing community care model and applying it as an expanded model in the future.

지역사회 보건사업에서 발견된 고혈압환자의 치료실태와 관련요인

감신(Sin Kam),김인기(In-Ki Kim),천병렬(Byung-Yeol Chun),이상원(Sang-Won Lee),이경은(Kyung-Eun Lee),안순기(Soon-Ki Ahn),진대구(Dae-Gu Jin),이경수(Kyeong-Soo Lee) 한국농촌의학 지역보건학회 2001 농촌의학·지역보건 Vol.26 No.2

당뇨병 환자 교육에 따른 지식, 자기효능감 및 자기관리행위의 변화

정진규(Jin-Gyu Jung),정은영(Eun-Young Chung),김아련(A-Ryeon Kim),박현진(Hyun-Jin Park),김윤정(Yun-Jung Kim),반영화(Young-Hwa Ban),김종성(Jong-Sung Kim),윤석준(Seok-Joon Yoon),김순영(Soon-Young Kim),안순기(Soon-Ki Ahn),남해성(Hae-Sung 한국농촌의학 지역보건학회 2017 농촌의학·지역보건 Vol.42 No.4

본 연구는 2014년 5월부터 2015년 5월까지 세종특별자치시 고혈압 · 당뇨병 등록교육센터에서 교육받은 당뇨병 환자 39명을 대상으로 교육 프로그램의 효과를 평가하고자 실시되었다. 프로그램은 제2형 당뇨병에 대한 질환, 영양, 운동 등에 관한 내용으로 2일 동안 2회의 세션(세션 당 45 분)으로 구성되었다. 교육 전에 당뇨병에 관한 지식, 자기효능감, 자기관리행위 등을 평가하였고, 교육 직후에 지식과 자기효능감 평가, 교육 후 12주째에 자기관리행위를 평가하여 다음과 같은 결과를 얻었다. 당뇨병 지식 점수(10점 만점)는 프로그램 전후 평균 5.72점에서 8.21점으로 유의하게 증가하였고 (p<0.001), 자기효능감 점수(10점 만점)는 프로그램 전후 6.88점에서 8.16점으로 유의하게 증가하였다 (p<0.001). 자기관리행위 점수는 프로그램 전 5점 만점 중 3.59점이었던 것이 프로그램 종료 12주째에 4.35점으로 유의하게 증가하였다(p<0.001). 본 프로그램은 당뇨병 지식, 자기효능감, 자기관리행위 등의 향상을 통해 등록환자의 효과적인 당뇨병 관리에 기여할 수 있을 것으로 사료된다. Objective: This study was aimed to evaluate the effectiveness of the diabetes education program implemented in a community hypertension and diabetes education center. Methods: Participants were thirty nine diabetic patients who received the education program in the center from May 2014 through May 2015. The education program consisted of two sessions for 2 days (45 minutes per session) regarding clinical information, nutrition and exercise for type 2 diabetes patients. Initially, they were assessed for general characteristics, knowledge on diabetes, self-efficacy and self-care behaviors. Reassessment was performed on their knowledge and self-efficacy directly after the program, and on self-care behaviors at 12 weeks after the program. Results: The mean score of diabetes knowledge was significantly increased from 5.27±2.10 to 8.21±1.20 (p<0.001) between before and after the program. The self-efficacy score was also significantly increased from 6.88±1.72 to 8.16±1.47 (p<0.001). The self-care behavior score was significantly increased from 3.59±1.89 before the program to 4.35±1.29 (p<0.001) at 12 weeks after the program. Conclusion: The diabetes education program may be effective on the improvement of knowledge, self-efficacy and self-care behaviors in type 2 diabetic patients.

지역사회중심 직업재활서비스 발전방안에 관한 연구

안순기,나운환 대구대학교 특수교육재활과학연구소 2005 再活科學硏究 Vol.23 No.2

The present study is about the development of community&#8208;based vocational rehabilitation service, reviewing relevant literature and previous researches and surveying 13 welfare centers for the disabled with vocational rehabilitation center and another 13 without. The objectives of this research are as follows. First, this study investigates the current state of local vocational rehabilitation service. Second, this study identifies variables affecting the performance of community&#8208;based vocational rehabilitation service and differences according to the variables. Third, based on the findings above, this study makes suggestions for the development of community&#8208;based vocational rehabilitation service at welfare centers for the persons with disabilities. Data collected in this research were analyzed through descriptive statistics, t&#8208;test, ANOVA, correlation analysis and regression analysis using Korean version SPSS 10.0 and the results are as follows. First, as for the current state of vocational rehabilitation service, large variations among welfare centers were observed in vocational counseling, vocational evaluation, employment service and post management, but the performance of vocational training was not much different among welfare centers. Services highly correlated with employment were vocational evaluation and vocational counseling, and services in significant correlation with supported employment were vocational counseling, vocational adjustment training and vocational evaluation. Second, variables affecting the performance of vocational rehabilitation service are as follows. vocational counseling service was significantly affected by the number of workers, and vocational evaluation service by the size of community, location and the number of workers in charge of vocational rehabilitation. Employment service was significantly affected by the existence of vocational rehabilitation center, the size of community and location, and the number of people employed by the existence of vocational rehabilitation center, the period of operation and the size of community. The execution of supported employment was significantly affected by the number of workers in charge of vocational rehabilitation, and the performance of supported employment by the existence of vocational rehabilitation center, the number of workers in charge of vocational rehabilitation and the size of community. Post management was significantly affected by the number of workers in charge of vocational rehabilitation. The results of analyzing differences according to influential variables are as follows. According to the existence of vocational rehabilitation center, welfare centers with vocational rehabilitation center showed higher performance than those without in vocational counseling, vocational evaluation, the number of vocational trainees, employment service, the number of people employed, supported employment service, the number of people employed through supported employment service and post management. According to the number of workers in charge of vocational rehabilitation, welfare centers with a large number of workers showed higher performance in vocational counseling, the number of vocational trainees, supported employment service, the number of people employed through supported employment service and post management. Based on the results of this study presented about, suggestions were made as follows for the development of community&#8208;based vocational rehabilitation service. First, because vocational rehabilitation service varies according to the existence of vocational rehabilitation center and the number of workers in charge of vocational rehabilitation, vocational rehabilitation centers should be installed in all welfare centers for the development of community based vocational rehabilitation service. Second, it is necessary to reinforce cooperation with the community and support projects. In this study, location, the size of community, the number of workers in charge of vocational rehabilitation appeared to affect the performance of vocational rehabilitation service. suggests that vocational rehabilitation service is being executed differently among communities. Third, manuals on the services of welfare centers for the disabled vocational rehabilitation need to reflect vocational rehabilitation programs adequately. 본 연구는 지역사회중심 직업재활서비스 발전방안에 관한 연구로서, 장애인복지관 직업재활사업을 중심으로 직업재활센터 설치운영 장애인복지관 13개소와 직업재활센터 미설치 운영 장애인복지관 13개소이다. 다음과 같은 구체적인 목적을 설정하고자 한다. 첫째, 지역중심 직업재활서비스의 운영실태를 알아본다. 둘째, 지역사회중심 직업재활서비스 성과에 미치는 영향변수와 변수별 차이를 알아본다. 셋째, 상기의 결과를 토대로 장애인복지관에서의 지역사회중심 직업재활서비스의 발전방향을 제안하고자 한다. 상기 연구 목적에 따른 연구 결과를 분석하여 지역중심 직업재활 서비스 발전방안을 제시하면 다음과 같다. 첫째, 직업재활서비스는 직업재활센터 설치 유&#8228;무, 직업재활 담당직원수에 따라 상당한 차이가 있는 것으로 나타난 바 지역사회중심 직업재활서비스가 발전되기 위해서는 직업재활센터가 전 복지관으로 확대 설치되어야 한다. 둘째, 지역연계나 지원사업을 확대할 필요가 있다. 지역, 소재지 규모, 직업재활 담당직원 수 등이 직업재활서비스에 영향을 주는 요인이 되는 것은 직업재활서비스가 고루 실시되지 않은 이유도 있다. 따라서 이를 해결하기 위해서는 네트워크 형성을 통한 연계방안이나 별도의 지원사업이 마련되어야 한다. 셋째, 장애인복지관 직업재활사업안내 매뉴얼이 직업재활과정을 균형있게 반영할 수 있도록 변화가 필요하다.