청소년의 성별에 따른 비타민 D 결핍 영향요인: 제5기 국민건강영양조사 자료 (2010~2011년)

민해영,민아리,Min, Haeyoung,Min, Ari 한국아동간호학회 2018 Child Health Nursing Research Vol.24 No.2

Purpose: The purpose of this study was to examine differences in the prevalence of vitamin D deficiency between male and female Korean adolescents and to investigate gender-specific factors associated with vitamin D deficiency. Methods: This cross-sectional descriptive study included 975 adolescents aged 12-18 years who participated in the fifth Korean National Health and Nutrition Examination Survey (2010~2011). Multiple logistic regression using complex sample analysis was performed to examine gender-specific factors associated with vitamin D deficiency with adjustments for covariates. Results: Among the participants, 82.9% had vitamin D deficiency. The prevalence of vitamin D deficiency was higher among female adolescents (88.4%) than their male counterparts (78.4%). A rural place of residence (OR, 0.40; 95% CI, 0.19~0.87; p=.021) and daily milk intake (OR, 0.23; 95% CI, 0.07~0.75; p=.015) were significant factors significantly associated with vitamin D deficiency in males, while body mass index (OR, 8.40; 95% CI, 1.05~67.04, p=.045) and having breakfast (OR, 0.22; 95% CI, 0.10~0.49; p<.001) showed significant relationships in females. Conclusion: The results of this study provide preliminary evidence for developing effective strategies to prevent vitamin D deficiency in Korean adolescents. The different factors influencing vitamin D deficiency in males and females should be considered when providing interventions.

한국 청소년의 음주행태와 대사증후군과의 관련성

민해영(Haeyoung Min),강민경(Minkyung Kang) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.9

본 연구는 제6기(2013-2015년) 국민건강영양조사 자료를 이용하여 만12세 이상 19세 미만 청소년의 음주행태와 대사증후군의 관련성을 파악하고자 시도되었다. 청소년의 음주행태와 대사증후군 위험요인들과의 상관관계를 확인하기 위해 Multivariate logistic regression을 이용하여 분석하였다. 대상자는 총 1,698명으로 남자 901명, 여자 797명이었다. 남자청소년의 경우 최근 1년간 음주빈도와 혈중 중성지방에 유의한 상관관계가 나타났다(p for trend=0.03). 한 번에 마시는 음주량이 5잔 이상일 경우 고중성지방혈증이 나타날 위험성이 유의하게 높아지는 것으로 나타났다(OR 2.28, 95% CI 1.12-4.66, p=0.02). 여자 청소년에서 최근 1년간 음주빈도와 혈중 고밀도지단백 콜레스테롤 수치 사이에 유의한 상관관계가 나타났다(p for trend=0.01). 남자 청소년에서 음주빈도와 음주량이 대사증후군의 위험인자인 혈중 중성지방 증가와 관련성이 나타났다. 이는 청소년 음주가 성인기의 대사증후군으로 발전 가능성이 높음을 시사한다. 본 연구결과를 근거로 청소년기의 음주가 성인기의 대사증후군으로 발전 되는 것을 예방하기 위해 지속적인 음주예방교육과 음주와 성인기 대사증후군 예측요인간의 보다 엄밀한 연구를 제언한다. This study was conducted to examine relationships between drinking patterns and metabolic syndrome among Korean adolescents. Statistically weighted data from the Sixth(2013-2015) Korea National Health and Nutrition Examination Survey data were analyzed. Multivariate logistic regression was used to determine relationships between adolescent drinking patterns and metabolic syndrome risk factors with adjustments for individual covariates. A total of 1,698 Korean adolescents (Men=901, Women=797) were identified. Among male adolescents, drinking frequency in the past year was significantly associated with triglyceride level (p for trend=0.03); and men who usually consumed ≥5 drinks on a typical occasion had a greater risk of high-triglyceride level (adjusted odds ratios: 2.72, 95% confidence intervals: 1.00-7.34, p=0.05). Among female adolescents, drinking frequency in the past year was significantly associated with blood high-density lipoprotein cholesterol level(p for trend=0.01). Drinking frequency and amount were associated with higher triglyceride level among male adolescents, indicating that adolescent drinking may be associated with increased metabolic syndrome development in adulthood. The study results suggest that continuous drinking prevention education and further research for adolescents and metabolic syndrome predictors are needed to prevent development of metabolic syndrome in adulthood.

Mobile Technology in Undergraduate Nursing Education: A Systematic Review

이혜정,민해영,오수미,Kaka Shim 대한의료정보학회 2018 Healthcare Informatics Research Vol.24 No.2

Objectives: This study aimed to identify and systematically review the literature on the use of mobile technology in nursing education. The research findings could evidence the effectiveness of mobile technology in undergraduate nursing students’ learning outcomes. Methods: Computerized searches were conducted using the Ovid-MEDLINE, Ovid-EMBASE, Cochrane Library, and CINAHL databases for relevant primary studies and limited to those between 2000 and February 2018. Only randomized controlled trials (RCTs) and quasi-experimental studies published in either English or Korean were included and critically appraised using Joanna Briggs Institute tools. Results: Seven RCTs and 7 quasi-experimental studies were identified. The mobile device and intervention applied varied throughout all the studies. Studies published earlier in the 2000s found that immediate access to clinical and pharmacological referencing information through the mobile device increased students’ efficacy in clinical practice. Later studies, which were mostly conducted in Korea, reported that smartphone-based applications could promote nursing students’ learning motivation and satisfaction but not their clinical skills and knowledge. Conclusions: We still seem to be in the beginning stage of implementing mobile technology in nursing education due to the limited implication of mobile technology and inconsistent research conclusions. In the future, rigorous primary empirical studies are needed to suggest the effective use of mobile devices in nursing education.

Effects of Sleep Pattern, Stress, Menstrual Attitude, and Behavior That Reduces Exposure to Endocrine Disrupting Chemicals on Premenstrual Syndrome in Adolescents

김혜진,최소영,민해영 한국여성건강간호학회 2019 여성건강간호학회지 Vol.25 No.4

Purpose: The study aimed to examine the effects of sleep pattern, stress, and attitude towards menstruation, and behavior that causes a reduction in exposure to endocrine disrupting chemicals (EDCs) in the course of premenstrual syndrome (PMS) in female adolescents. Method: In total, 200 girls attending middle school in K city were recruited via convenience sampling between December 11 and 31, 2018, and 192 subjects were selected for the analysis. Data were analyzed using descriptive statistics, an independent t-test, ANOVA, Pearson's correlation coefficient, and multiple regression. Results: Overall, 9 (4.7%), 152 (79.2%), and 31 (16.1%) students had morning-, intermediate-, and evening-type sleep pattern, respectively. The mean scores for school-related stress were highest. Scores for stress regarding relationships with friends were the lowest. The mean score for attitudes toward menstruation was 72.33 out of 147. The mean score for behavior that led to a reduction in EDCs exposure was 56.57 out of 85. The mean scores for PMS severity were 25.30 and 38.39 out of 60. Analysis of factors affecting PMS revealed that severity of menstrual pain (β=.28), use of analgesics during menstruation (β=.17), family history of PMS (β=−.16), stress (β=.19), and behavior that reduces EDCs exposure (β=−.17) exerted significant effects on PMS. The explanatory power of these variables was 37%. Conclusion: The findings propose the necessity of a health intervention program including educational information, which can reduce PMS in adolescents, induce the behaviors which can decrease exposure to EDCs, and activities for managing the stress levels.

임상간호사의 임종간호수행에 미치는 영향요인

구연희(Yeonhee Koo),민해영(Haeyoung Min) 한국자료분석학회 2023 Journal of the Korean Data Analysis Society Vol.25 No.5

본 연구는 임상간호사의 긍정심리자본, 임종간호스트레스와 환자-가족 중심 간호에 대한 인식이 임종간호수행에 미치는 영향을 규명하고자 시도되었다. G도 J시에 소재한 일개의 상급종합병원에서 근무하는 총 임상경력 12개월 이상인 임종환자를 1회 이상 간호한 경험이 있는 간호사를 대상으로 자료를 수집하였다. 연구대상자는 총 193명이고, 수집된 자료는 SPSS/WIN 25.0 프로그램을 활용하여 실수와 백분율, 표준편차, independent t-test, one-way ANOVA, Scheffé test 사후검증, Pearson’s correlation coefficient, stepwise multiple regression analysis로 분석하였다. 대상자의 임종간호수행은 현부서 경력(F=3.60, p=.015), 근무부서(t=2.36, p=.019), 1년 이내 임종환자 간호제공횟수(F=2.76, p=.044), 환자-가족 중심 간호교육 경험(t=-2.26, p=.025)에 따라 유의한 차이가 있었다. 임상간호사의 임종간호수행의 영향요인을 확인하기 위해 단계별 회귀분석을 실시한 결과, 긍정심리자본(β=.38, p<.001), 환자-가족 중심 간호에 대한 인식(β=.23, p=.001), 근무부서(β=.15, p=.014), 환자-가족 중심 간호 교육경험(β=.14, p=.026)이 임종간호수행에 영향을 미치는 요인을 확인되었으며 전체 설명력은 29.0%로 나타났다(F=20.57, p<.001). 따라서 임종간호수행을 증진하기위해 임상간호사의 긍정심리자본, 환자-가족 중심 간호에 대한 인식 및 환자-가족 중심 간호교육경험을 높이는 효과적인 교육 프로그램이 제공되어야 할 것이다. The purpose of this study was to examine the effects of clinical nurses’ positive psychological capital, terminal care stress and perception of patient-family centered care on performance of terminal care. Data were collected from 198 nurses, and analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and stepwise multiple regression analysis. There were significant differences between clinical nurses’ performance of terminal care and working experiences in current unit (F=3.60, p=.015), work unit (t=2.36, p=.019), number of terminal care provided to dying patients within 1 year (F=2.76, p=.044), and experience of patient-family centered care education (t=-2.26, p=.025). The factors affecting clinical nurse’s performance of terminal care were positive psychological capital (β=.38, p<.001), perception of patient-family centered care (β =.23, p=.001), work unit (β=.15, p=.014), and experience of patient-family centered care education (β=.14, p=.026), explaining 29.0% of the variance. Therefore, the effective education program is needed to enhance clinical nurses’ positive psychological capital as well as to increase their education experience and awareness of patient-family centered care in order to better perform terminal care.