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장기요양 인정자의 신체적 및 정신적 기능 상태와 삶의 질과의 관계
김형선,배남규,권인선,조영채,Kim, Hyeong-Seon,Bae, Nam-Kyou,Kwon, In-Sun,Cho, Young-Chae 대한예방의학회 2010 예방의학회지 Vol.43 No.4
Objectives: This study was performed to determine the levels of quality of life (QOL) according to the grade of long-term care service for the elderly people who were admitted from long-term care insurance, and to reveal its association with the physical and mental functioning such as the Activity of Daily Living (ADL), the Instrumental Activity of Daily Living (IADL), the Center for Epidemiologic Studies Depression Scale (CES-D), and the Mini-Mental State Examination-Korean version (MMSE-K). Methods: The interviews were performed during the period from March 1 to May 31, 2009, for 958 elderly people in urban and rural areas. The questionnaire items included various indices such as the ADL, IADL, CES-D, and MMSE-K, as independent variables and the index of QOL, as the dependent ones. For statistical analysis, t-tests were used for the mean scores of QOL according to gender and the grade of long-term care services, and Spearman's correlation was used for each variable. The effects of physical and mental functioning for QOL were assessed by covariance structure analysis. The statistical significance was set at p<0.05. Results: The mean scores of QOL among all the subjects was $55.4{\pm}15.62$ (Grade I: $49.7{\pm}14.17$, Grade II: $56.8{\pm}14.62$, Grade III: $59.4{\pm}16.36$), and it was lower according to the higher grade of long-term care insurance. In terms of the correlation matrix of the QOL and the physical and mental function factors, the QOL showed positive correlation with the ADL, IADL and MMSE-K, while it had negative correlation with depression. On the analysis of covariance, mental functioning (depression and the MMSE-K) had a greater influence on the level of QOL than the physical functioning (ADL and IADL). Conclusions: The level of the QOL in the elderly people who were admitted from long-term care insurance was lower according to higher the grade of long-term care insurance. Also, the mental functioning (depression and MMSE-K) was more influential on the level of the QOL than the physical functioning (ADL and IADL).
노인 장기요양보험급여 이용자들의 삶의 질과 신체적 및 정신적 기능과의 관련성
김형선(Kim, Hyeong-Seon),박재영(Park, Jae-Young),권인선(Kwon, In-Sun),조영채(Cho, Young-Chae) 한국산학기술학회 2010 한국산학기술학회논문지 Vol.11 No.10
본 연구는 장기요양보험 인정자로 판정받은 노인들의 삶의 질 수준을 알아보고, 삶의 질에 영향을 미치는 관련요인들을 규명해 보고자 시도하였다. 조사대상은 65세 이상 노인 중 2008년 7월부터 실시된 노인장기요양보험제 도에 의해 장기요양인정자로 판정받은 노인 958명(1등급 305명, 2등급 323명, 3등급 330명)으로 하였으며, 조사는 2009년 3월 1일부터 5월 31일까지의 기간 동안에 표준화된 무기명식 면접조사용 설문지를 사용하여 면접조사를 실시 하였다. 연구결과, 전체 조사대상자의 삶의 질 평균점수는 55.4±15.62점이었으며, 장기요양등급별로는 1등급이 49.7±14.17점, 2등급이 56.8±14.62점, 3등급이 59.4±16.36점으로 등급이 높을수록 삶의 질 점수는 유의하게 낮은 것으 로 나타났다. 노인들의 장기요양등급별 삶의 질에 영향을 미치는 변수를 알아보기 위해 다중 회귀분석을 실시 한 결 과에서는 교육정도, 월수입, 주관적 건강상태, 우울 및 인지기능장애가 1, 2, 3등급에서 공통으로 유의하게 영향을 미치는 것으로 나타났으며 45~62%로 비교적 높은 설명력을 보였다. This study was performed to determine the levels of quality of life(QOL) according to the grade of long-term care service in the elderly people who were judged from long-term care insurance, and to reveal its association with related variables. The interviews were made to 958 elderlies in urban and rural areas from March 1 to May 31, 2009. The mean scores of QOL among all subjects were 55.4±15.62(Grade Ⅰ; 49.7±14.17, Grade Ⅱ; 56.8±14.62, Grade Ⅲ; 59.4±16.36), and they were lower according to the higher grade of long-term care insurance. The multiple regression analysis was used to reveal the explanatory powers of factors influencing on the level QOL. Such factors as educational level, monthly income, subjective health status, depression and MMSE-K were shown to affect their QOL in Grade Ⅰ, Grade Ⅱ, and Grade Ⅲ with explanatory powers of 45~62%.
진단용방사선발생장치의 안전관리에 관한 규칙 개정에 따른 이동형 방사선검사의 개선방안
최준구(Jun-Gu Choi),김경수(Gyeong-Su Kim),김병기(Byeong-Gi Kim),안남준(Nam-Jun Ahn),김형선(Hyeong-Sun Kim),김상건(Sang-Geon Kim),임시은(Si-Eun Lim) 대한방사선과학회(구 대한방사선기술학회) 2007 방사선기술과학 Vol.30 No.1
방사선종사자와 환자 및 보호자의 안전을 위해 개정된 진단용방사선발생장치의 안전관리 규칙이 2006년 2월 10일 공포되었다. 이 규칙에는 중환자실, 수술실, 응급실을 제외한 곳의 방사선검사 시 반드시 방사선방어 용칸막이를 설치하도록 하고 있다. 이 연구의 목적은 이동형 진단용방사선발생장치를 안전하게 관리하여, 방사선으로 인한 위해를 방지하고, 환자 및 보호자들로부터 발생될 수 있는 고객 불만사항들을 최소화 하는데 있다. 조사대상은 병실 이동형 방사선검사환경과 본원의 의료정보시스템(KIS) 및 의료영상전송시스템(PACS)의 통계 데이터를 조사하였다. 그리고 병실 이동형 방사선검사 시 환자 상태 및 감염 등 관련 정보를 조사하여 자료화 하였다. 자료 분석을 통한 이동형 방사선검사에 대한 개정된 규칙을 적용할 경우 고려되는 문제점은 공간적인 측면에서의 제약, 운영적인 측면에서의 인력 및 비용, 업무적인 측면에서 환자 및 보호자 만족도저하 등의 문제가 예상되었다. 따라서 위와 같은 문제를 해결하기 위해 다인병실의 검사를 제한하고, 각 병동에 있는 치료실을 이용하여 검사하도록 하였다. 그 결과 전체 병실 이동형 방사선검사율이 50% 가까이 감소하였고, 거동이 양호한 환자의 병실 이동형 방사선검사율도 85% 이상 감소하였다. 이 결과는 새로운 법 규정에 따라 예상되는 인력, 비용, 고객만족도 저하의 문제들을 해결할 수 있는 대안이 될 수 있었다. 또한 병실 이동형 방사선검사로 인한 환자 및 보호자를 방사선노출로부터 보호하고, 검사로 인한 주위 환자 및 보호자의 불편을 최소화하는데 의의가 있다. A safety management rule of the diagnosis radiation system which opened a court 2006 February 10th was promulgated for safety of the radiation worker, patients and patients" family members. The purpose of this study is to minimize injury by radiation that can happen to patients and people around a sick ward when managing mobile X-ray system. This study analyzed sickroom environment of mobile X-ray examination and the statistical data of the Konkuk medical Information System(KIS) and the Picture Archiving Communication System(PACS). This study also investigated patient conditions, infection, relation information and related data, when the sickroom mobile X-ray examination is used. Through data analysis, many problems were expected such as restriction of space side, manpower and expense of business side, satisfaction degree decline of patient and protector of operation side. Therefore, we tried to restrict examination of multi bed sickroom, and to use treatment room in each ward to solve problem mentioned. As a result, the whole sickroom mobile X-ray examination rate decreased to near 50%, and mobile X-ray examination rate for inpatients decreased to more than 85%. This study shows that several attempts we did should be helpful for manpower, patients satisfaction and expenses. Also, they should protect patients in sickroom from unnecessary radiation exposure and could minimize inconvenience of patients and their family members from x-ray examination.
도시지역 여자고등학생들의 체형과 체형에 대한 의식 및 자각증상과의 관계
류광하,권인선,김형선,조영채 한국학교보건학회 2008 韓國學校保健學會誌 Vol.21 No.2
Purpose: This study investigated the relationship between body type subjective symptoms and health awareness in female high school students Methods: The subjects were 393 students at the female high school in Taejon City by self-recorded questionnaires in May, 2006. Results: In the classification of body type based on the degree of obesity low weight group was 20.9% normal weight group was 58.0% over weight group was 11.7% and obesity group was 9.4% In the level of body type awareness those who consider themselves to be obesity type 13.7% standard type were 43.8% and leptosomic type 8.1% but there was a clear tendency to be leptosomic type that the rate was 76.3% In the complaint rates of subjective symptoms "fatigue" was the highest followed by "neck pain(stiffness)", "dizziness", "stomachache" in the descending order In the complaint rates of subjective symptoms by the degree of obesity dizziness irregular menstruation and anorexia were higher according to the lower obesity but constipation and wearied eyes were the higher the more obesity Conclusion: The study results showed that the recent female high school students were clear tendency to be leptosomic type and leptosomic and obesity type were related with subjective symptoms Considering these findings it appeared that being excessively thin is related to symptoms and young women's thinness-oriented attitudes are unhealthful.