폐결핵 환자의 치료 순응과 관련된 요인

김천태,이경수,강복수,Kim, Cheon-Tae,Lee, Kyeong-Soo,Kang, Pock-Soo 대한예방의학회 1996 예방의학회지 Vol.29 No.1

항결핵치료 시작 후 3개월간의 치료 경과와 치료 순응과의 관련성을 조사하기 위하여 3개 보건소(대구시 달성군, 경주시, 구미시)에 1995년 10월 15일 현재 단기 6개월 표준처방으로 치료 시작 후 3개월 이상 경과된 초치료 결핵환자 중 계속적인 추적관찰에서 누락된 10명을 제외하고 104명의 자료를 분석한 결과는 다음과 같다. 연구 대상자 104명 중 호전군은 80.8%였고, 비호전군은 19.2%였다. 호전군과 비호전군간에 성, 연령, 교육 수준, 직업, 동반 가족유무, 흡연 및 음주습관의 변화 등에 유의한 차이는 없었고, 평균 연령은 비호전군이 51세로 호전군 42세보다 많았으나 유의 한 차이는 아니었다. 호전군에서는 약제의 복용을 식전과 식후 30분에 복용하는 경우(p<0.05), 약의 복용을 잊지 않도록 가족들이 챙겨 주는 경우(p<0.05), 약을 규칙적으로 복용하는 경우(p<0.01), 항결핵치료 도중 의문점을 가족이나 결핵담당자와 상의하는 경우(p<0.01) 등이 유의하게 많았다. 비호전군에서는 당뇨병이나 위장 질환 등을 않고 있는 경우가 유의하게 많았다(p<0.01). 결핵에 대한 지식점수는 호전군이 12.9로 비호전군 10.6보다 유의하게 높았고(p<0.01), 지식정도의 문항에 대한 신뢰도 검증 결과 신뢰성$(Cronbach'\alpha:0.703)$이 있었다. 치료경과를 호전군과 비호전군으로 나누어 종속변수로 놓고 시행한 다중 지수형 회귀분석에서는 약의 복용을 잊지 않도록 가족들이 챙겨주는 경우(p<0.05)가 유의한 변수로 채택되었고, 결핵에 대한 지식이 높은 경우(p=0.054), 약을 규칙적으로 복용하는 경우(p=0.062), 항결핵치료 도중 의문점을 가족이나 결핵담당자와 상의하는 경우(p=0.075)는 경계역의 변수로 채택되었다. 결론적으로 약을 규칙적으로 복용할 수 있도록 항결핵치료에 대한 신념을 불어넣고 경각심을 높임으로써 환자의 치료 결과를 향상시킬 수 있을 것으로 생각되며, 향후 단기 6개월 표준요법에 의한 치료에 있어서 치료시작 후 3개월간의 치료 경과로 치료 결과를 예측하고 환자의 치료순응을 평가하기 위한 변수로 사용하기 위해서는 보다 많은 결핵환자를 대상으로 한 연구가 필요할 것으로 생각된다. 또한 환자의 치료 순응을 높이기 위하여 환자에 대한 교육과 의사 또는 결핵관리자와 환자, 조력자간의 강한 유대 관계의 형성에 도움을 줄 수 있는 방안의 모색이 필요할 것으로 생각된다. The purpose of the study was to determine factors influencing compliance with anti-tuberculosis therapy. The study subjects were 104 tuberculosis patients who have received the initial treatment in 3 health centers of Kyongju-City, Dalseong-Gun in Teagu and Kumi-City. Data were collected between September and October 1995. The patients were classified into the improved group and the non-improved group according to outcomes of 3 month treatment with short-term therapeutic regimen. To find factors influencing compliance with anti-tuberculosis therapy, multiple logistic regression was made. There was no significant differences between the improved group and the non-improved group in sex, age, education level, occupation, family pattern, and habitual change regarding smoking and drinking. The level of knowledge about anti-tuberculosis therapy in the improved group was significantly higher than the non-improved group(p<0.01). Multiple logistic regression analysis revealed that family support for not forgetting medication (p<0.05) wis a predictor of improvement and knowledge about anti-tuberculosis therapy(p=0.054), regularity of medication(p=0.062), and consultation to family, doctor and nurse(p=0.075) were marginal predictors of improvement. Treatment must be given to every patient confirmed as having tuberculosis and must be given free of charge to the patients. The requirements for adequate chemotherapy are prescribed in the correct dosage and taken regularly by the patient for a sufficient period to prevent relapse of the disease after cure. It is suggested that education to the patients should be reinforced and connectedness between patients and tuberculosis control workers and family should be solidated.

침구점포 경영에 영향을 미치는 요인에 관한 연구

김천태,민규식,Kim, Cheon-Tae,Min, Guy-Sik 한국전자통신학회 2013 한국전자통신학회 논문지 Vol.8 No.1

침구점포 경영성과 요인을 발굴하여 향후 침구점포 예비창업자와 침구회사의 신규점포상담, 개설시 통계적으로 유용한 자료로 사용함으로서 기존보다 정확하게 경영성과를 예측하는 도구와 기준을 제시하고자 한다. 첫째, 경영성과에 가장 큰 영향을 주는 요인으로는 입지 및 상권으로 분석되었다. 둘째, 침구점포의 경영성과 요인의 중요도는 입지, 소비자, 경쟁 순으로 나타났다. 셋째, 입지요인에서는 '침구점포 주변은 유동인구 다(多), 소비자요인에서는 거주 인구수 다(多), 경재요인에서는 상품 품질 우수가 가장 중요한 변수로 나타났다. This study is intended for bedding stores and finds management performance factors from providers' aspect. Henceforth this study can be used when bedding stores were considered to establish by determinations and bedding companies with statistics as a criterion and a tool so that make an accurate estimate. First, it was found that location and trade area are the most influential factor in the management performance. Second, the result of study showed that location placed first in the importance of management performance factors in bedding stores, consumer came second, followed by competition. Third, it was assumed that the large floating population around the bedding store was the most important variable in location factor, the large resident population was the most important one in the consumer factor and high quality product was the most important one in the economic factor.

소매점포 단위 면적당 연매출액 결정요인에 관한 연구

김천태(Kim, Cheon-Tae) 한국부동산정책학회 2013 不動産政策硏究 Vol.14 No.2

This study is intended factors for the annual sales per unit area in Retail Stores. Distribution structure of bedding market in Korea before the 1970s was mostly traded in traditional local market but its manufacture and distribution started from department store since 1970s with its new home fashion concept. The size of bedding market in Korea has been growing rapidly by as much as 1.5 trillion won by the end of 2012 from 1 trillion won in the mid 1990s. The market is composed of about 20 bedding specialty companies and 2,000 stores. As a summary, in the analysis of annual sales, annual sales per unit size, or determinant factor on annual profitability amount, projected regression analysis on dependent variable has low multi-collinearity and it is concluded that the regression model is the most optimal analysis.

침구점포 경영성과요인에 관한 연구

김천태(Kim, Cheon-Tae),채현길(Chae, Hyeon-Gil) 한국부동산정책학회 2010 不動産政策硏究 Vol.11 No.2

This study is intended for bedding stores and finds management performance factors from providers’ aspect. Henceforth this study can be used when bedding stores were considered to establish by determinations and bedding companies with statistics as a criterion and a tool so that make an accurate estimate. The scopes in the study is that analyze statistical data which contains general bedding stores, management performance by factors of locational, consumers, rivalry, management performance and demographic.

4년간의 추적조사에 의한 농촌지역 주민의 Helicobacter pylori 재감염률과 관련요인

김천태 ( Cheon Tae Kim ),강복수 ( Bock Soo Kang ),이경수 ( Kyeong So Lee ),황태윤 ( Tae Yoon Hwang ) 대한소화기학회 2005 대한소화기학회지 Vol.46 No.1

도시보건소 직원의 보건소 업무에 대한 인식 및 견해

김천태,이경수,강복수,이재무 영남대학교 의과대학 1995 Yeungnam University Journal of Medicine Vol.12 No.2

도시 보건소 직원의 보건소 업무에 대한 인식 및 태도를 파악하기 위하여 대구직할시 7개 보건소 직원 310명을 대상으로 1994년 8월 15일 부터 9월 30일까지 설문조사를 실시하여 252명(회수율 81.3%)의 자료를 분석하여 다음과 같은 결과를 얻었다. 조사대상은 남자가 95명(37.3%), 여자가 157명(62.3%)이고, 60.3%가 대졸이상자였다. 현재 근무부서의 시설이 보건사업을 수행하는데 적합하다고 한 의견이 28.6%, 적합하지 않다가 51.1%였고, 보유 기자재가 사업수행에 적합하다가 19.4%, 적합하지 않다가 39.0%였으며, 보건소의 인력수가 적정하다가 28.6%, 적합하지 않다가 44.8%였다. 근무부서의 예산이 보건사업수행에 적합하다고 한 의견이 13.1%, 적합하지 않다가 38.5%였다. 지방자치제 실시후 사업내용이 바뀌어야 한다고 한 의견이 51.9%, 지방자치제의 실시가 자신의 근무부서의 업무에 도움이 된다고 한 의견이 25.4%, 도움이 되지 않는다가 24.6%였다. 지방자치제 실시에 따라 보건소의 조직과 기능이 개선되어야 한다는 의견은 78.6%였다. 사업 목표량의 설정이 해당 부서나 지역의 실정에 비추어 맞게 책정되어 있다는 의견이 11.1%, '그렇지 않다'가 43.3%였다. 업무수행을 위한 전문적인 지식이나 기술에 대한 교육을 더 받아야 한다고 한 의견이 57.5%, 더 받을 필요없다가 20.6%였고, 자신의 업무수행을 자율성이 있다고 생각하는 견해가 35.7%, 자율성이 없다가 25.8%였으며, 현재 하고 일에 만족한다가 39.3%, 만족하지 못한다가 16.3%였다. 보건소가 인사관리에 대해서는 11.5% 합리적이라고 하였고, 47.3%가 불합리적 이라고 하였으며, 보건소가 주민들로부터 신뢰를 받고 있다는 의견이 41.3%, '그렇지 않다'는 의견이 13.1%였다. 보건소에서 지역주민에게 제공하는 서비스중에서 잘 시행되고 있는 사업은 결핵관리, 일반진료, 모자보건사업의 순이었으며, 부족한 사업은 보건교육, 치과진료, 위생, 통합보건사업의 순이었다. 향후 보건소에서 주민에게 제공해야 할 서비스로는 노인보건사업, 가정의료사업, 재활보건사업, 당뇨병관리, 고혈압관리, 학교보건사업, 정신보건사업의 순으로 지적하였다. 보건소 근무자들은 시설, 기자재, 인력, 예산, 인사관리, 사업목표량의 설정 및 평가, 인사관리등에 대해서는 부정적인 의견이 많았으며, 업무 수행을 위한 보수교육, 지방자치제 실시를 통한 업무의 변화, 업무의 자율성, 업무의 만족도 면에서는 대체로 긍정적인 의견을 가진 것으로 나타났다. A survey was conducted to study perception and attitudes of health workers towards health center's activities and organization of health services, from August 15 to September 30, 1994. The study population was 310 health workers engaged in seven urban health centers in Taegu City area. A questionnaire method was used to collect data and response rate was 81.3 percent or 252 respondents. The following are summaries of findings: Profiles of study population: Health workers were predominantly female(62.3%); had college education(60.3%); and held medical and nursing positions(39.6%), technicians(30.6%) and public health/administrative positions(29.8%). Perceptions on health center's resources: Slightly more than a half(51.1%) of respondents expressed that physical facilities of the centers are inadequate; equipments needed are short(39.0%); human resource is inadequate(44.8%); and health budget allocated is insufficient(38.5%) to support the performance of health center's activities. Decentralization and health services: The majority revealed that the decentralization of government system would affect the future activities of health centers(51.9%) which may have to change. However, only one quarter of respondents(25.4%) seemed to view the decentralization positively as they expect that it would help perform health activities more effectively. The majority of the respondents(78.6%) insisted that the function and organization of the urban health centers should be changed. Target workload and job satisfaction: A large proportion(43.3%) of respondents felt that present target setting systems for various health activities are unrealistic in terms of community needs and health center's situation while only 11.1 percent responded it positively; the majority(57.5%) revealed that they need further training in professional fields to perform their job more effectively; more than one third(35.7%) expressed that they enjoy their professional autonomy in their job performance; and a considerable proportion (39.3%) said they are satisfied with their present work. Regarding the personnel management, more worker(47.3%) perceived it negatively than positive(11.5%) as most of workers seemed to think the personnel management practiced at the health centers is not fair or justly done. Health services rendered: Among health services rendered, health workers perceived the following services are most successfully delivered; they are, in order of importance, Tb control, curative services, and maternal and child health care. Such areas as health education, oral health, environmental sanitation, and integrated health services are needed to be strengthening. Regarding the community attitudes health workers, 41.3 percent of respondents think they are trusted by the community they serve. New areas of concern identified which must be included in future activities of health centers are, in order of priority, health care of elderly population, home health care, rehabilitation services, and such chronic diseases control programs as diabetes, hypertension, school health and mental health care. In conclusion, the study revealed that health workers seemed to have more negative perceptions and attitudes than positive ones towards organization and management of health services and activities performed by the urban health centers where they are engaged. More specifically, the majority of health workers studied revealed to have the following areas of health center's organization and management inadequate or insufficient to support effective performance of their health activities: Namely, physical facilities and equipments required are inadequate; human and financial resources are insufficient; personnel management is unsatisfactory; setting of service target system is unrealistic in terms of the community needs. However, respondents displayed a number of positive perceptions, particularly to those areas as further training needs and implementation of decentralization of government system which will bring more autonomy of local government as they perceived these change would bring the necessary changes to future activities of the health center. They also displayed positive perceptions in their job autonomy and have job satisfactions.

에스크로우제도의 정착방안에 대한 인식 연구- 공인중개사와 거래당사자를 중심으로-

최수길,김천태 한국부동산경영학회 2015 부동산경영 Vol.12 No.-

중개업자들의 인식이 ‘현행 부동산안전거래 제도 미비로 거래사고를 경험’할 수 있다는데 동의하지 않을수록 에스크로우 서비스 채택확률이 낮아지고, 거래과정상 미래 위험인식 정도’가 낮을수록 에스크로우 채택확률이 낮아지며 ‘에스크로우 제도의 필요성’을 느끼지 못할수록 에스크로우 채택확률이 낮아지는 본 연구결과와 일치한다. 거래자의 경우, ‘현행 부동산안전거래 제도 미비로 거래사고를 경험’할 수 있다는데 동의하지 않을수록 에스크로우 서비스 채택확률이 낮아지고, ‘에스크로우 필요성’을 크게 느끼지 못할수록 에스크로우 채택확률이 낮아진다. 또한 ‘미국 등 정착요인’들이 한국에 필요하다고 느끼지 못할수록 에스크로우 채택확률이 낮아지는 것으로 나타났다. 의외의 결과로 ‘에스크로우 수수료’가 낮다고 인식할수록 에스크로우 채택확률이 낮은 것으로 나타났다. 이와 관련해서는 높은 만큼의 값어치가 존재할거라는 기대심리에 의한 것이 아닌가 하는 판단이 든다.

만성적 소음폭로가 근로자의 혈압에 미치는 영향

김복연,김천태,이중정,박홍진,김창윤,강복수 大韓産業醫學會 1996 대한직업환경의학회지 Vol.8 No.1

The question of an association between occupational noise exposure and blood pressure has important public health implications. The harmful effects of hypertension are well known and noise is considered the most pervasive problem of all occupational exposures in Taegu City, Korea. A cross-sectional study on the effect of long-term noise exposure on blood pressure was done for 276 noise exposed workers(203 male workers, 73 female workers). Long-term noise exposure was measured by cumulative noise exposure level and noise-induced hearing loss. Hearing loss = 500Hz+2×1,000Hz+2×2,000Hz+4,000Hz -------------------------------------- 6 Questionnaire was administered to the workers, which includes age, sex, occupational history on the noise exposure, habits on alcohol drinking and smoking, practice of regular exercises, family history of hypertension. Type A behavior, question on stress, height, weight and blood pressure were measured. Serum triglyceride and low density lipoprotein(LDL) were also measured. Audiometry was done in the closed booth at 1,000, 2,000, 3,000, 4,000, 6,000, 8,000, 1,000 and 500Hz in order. Multiple logistic regression analysis revealed that cumulative noise exposure level(p〈0.05), serum triglyceride(p〈0.01), age(p〈0.01) and family history of hypertension(p〈0.05) predict hypertension (systolic blood pressure : 160㎜Hg or above, or diastolic blood pressure : 95㎜Hg or above) in male workers. In female workers, serum triglyceride(p〈0.01), LDL(p〈0.01) and family history of hypertension(p〈0.05) were predictors of hypertension (systolic blood pressure : 160㎜Hg or above, or diastolic blood pressure : 95㎜Hg or above). As the number of female workers with hypertension was too small, the multiple logistic regression was done according to hypertension criteria of systolic blood pressure greater than or equal to 140㎜Hg, or diastolic blood pressure greater than or equal to 90㎜Hg. Based on this criteria, cumulative noise exposure level(p=0.055) and age(p=0.057) predict hypertension. It is suggested that long-term noise exposure which was calculated by cumulative noise exposure level was a significant predictor of hypertension in noise exposed workers.

Rifampin 내성 결핵균 검출을 위한 두가지 PCR-SSCP법

김철민,김천태,송선대,이민기,박순규 대한결핵 및 호흡기학회 1996 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.83 No.0

결핵균배양 양성검체중 비결핵 마이코박테리아의 빈도와 항결핵제 내성양상

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