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입원환자 영양지원에 대한 일개대학병원 의료진의 태도 및 관련 요인
정휘수 ( Hwee Soo Jeong ),등건훈 ( Chen Hsuen Teong ),최유정 ( You Jung Choi ),김우정 ( Woo Jeng Kim ),이아란 ( Ah Ran Lee ) 한국정맥경장영양학회 2014 한국정맥경장영양학회지 Vol.6 No.1
Purpose: Knowledge of nutritional support and attitudes of medical staff both affect patient care. We identified attitudes regarding nutritional support among medical staff as well as changes in attitudes when a nutritional support team is present. Methods: Data were collected from 172 medical staff members who served at a university hospital located in Gyeongju by self-administered questionnaire from June 12∼August 30, 2013. The questionnaire inquired about importance of nutritional support, self-confidence about nutritional support, consideration of nutritional support for patient care, consideration of nutritional support when a nutritional support team is present, and nutritional knowledge training during the past year. Results: A total of 169 subjects (98.3%) thought that nutritional support is important for patient care. Only 19 subjects (11.0%) were highly self-confident about nutritional support. In total, 147 subjects (85.5%) considered nutritional support for some or all patients, whereas 169 (98.3%) considered nutritional support for patient care when a nutritional support team is present. Thirty-eight subjects (22.1%) received nutritional knowledge training during the past year. High self-confidence for nutritional support was related to nutritional knowledge training and service part. Positive changes regarding nutritional support when a nutritional support team is present were associated with nutritional knowledge training and high self-confidence for nutritional support. Conclusion: No differences in nutritional support attitudes for patient care were observed among the medical staff. Nutritional knowledge training and service part affected self-confidence of nutritional support and induced positive changes in attitudes for nutritional support.
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1년간 체중감량 노력을 한 대상자들에서 성공적인 체중감량과 관련된 요인: 국민건강영양조사 제6기(2015년) 자료
정호근 ( Ho-geun Jung ),정휘수 ( Hwee-soo Jeong ) 한국보건정보통계학회(구 한국보건통계학회) 2017 보건정보통계학회지 Vol.42 No.4
Objectives: Behaviors of weight control for obesity, which is closely related to all causes death, are affected by the subjective perception of obesity, degree of body mass index (BMI), and the state of multiple chronic diseases. The purpose of this study was to identify factors related to successful weight reduction among subjects who tried to reduce their weight. Methods: This study was conducted using data of the Korea National Health and Nutrition Examination Survey (2015). Among 1,687 subjects who answered “I tried to reduce my weight for 1 years.”, the subjects who answered “I have lost weight” in the question of change in weight were the group of successful weight reduction. We compared gender, demographics, lifestyle, obesity, mor bidity, and weight control methods between successful weight reduction group and control group. Results: Two hundreds sixty (15.4%) among total subjects reported successful weight reduction. Young age (odds ratio=1.02, 95% confidence interval=1.00-1.04), aerobic exercise activity (1.36, 1.01- 1.81), subjective perception of obesity (0.68, 0.47-0.97), obesity by BMI (0.62, 0.43-0.89), history of diabetes (2.35, 1.28-4.32) and prescriptive anti-obesity agents (3.44, 1.80-6.57) were associated with successful weight reduction. Conclusions: In order to achieve successful weight reduction, intervention strategies based on this results will be needed.
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정호근 ( Ho-geun Jung ),정휘수 ( Hwee-soo Jeong ) 한국보건정보통계학회(구 한국보건통계학회) 2017 한국보건정보통계학회지 Vol.42 No.4
Objectives: This study was conducted to investigate the relationship between triglyceride/high-density lipoprotein cholesterol (TG/HDL-C) index, waist-to-height ratio (WHtR) which were evaluated as cardiometabolic risk factors and components of heart rate variability (HRV). Methods: This study was conducted on 2,008 subjects who underwent HRV test among those who had health-check up at a university hospital in Korea during 2016. The pres ence of metabolic syndrome in the subjects was identified. TG/HDL and WHtR were calculated and blood level of leukocyte, erythrocyte, amino transfer ase, uric acid were used for analysis. Standard deviation of the NN interval (SDNN), low frequency (LF), high frequency (HF), and LF/HF were used for the components of HRV. Results: Among the total subjects, 330 (16.4%) had metabolic syndrome. The mean SDNN in the subjects with metabolic syndrome was 32.78±16.49 (ms), which was significantly lower than that (36.16±18.75 ms) of the control group (p<0.01). The HF values were also significantly different between the two groups (162.77±278.08 ms<sup>2</sup> vs. 225.74±330.99 ms2, p<0.05). Except HDL, waist circumference, blood pressure, fasting blood glucose, and triglyceride concentration among metabolic syndrome components were negatively correlated with SDNN and HF. Significant negative cor relations were found in SDNN (p<0.01) and HF (p<0.05) with WHtR and only SDNN (p<0.05) with TG/HDL. Conclusions: TG/HDL and WHtR, including the metabolic syndrome, showed a negative correlation between SDNN indicating left ventricular function and HF indicating activation of parasympa thetic nerve.
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지역사회 성인 남성에서 금연시도 및 금연유지와 만성질환과 연관성 : 2014년 지역사회 건강조사 자료를 중심으로
정진욱(Jin-Wook Chung),김상규(Sang-Kyu Kim),정호근(Ho-Geun Jung),정휘수(Hwee-Soo Jeong) 한국자료분석학회 2018 Journal of the Korean Data Analysis Society Vol.20 No.1
고혈압이나 당뇨와 같은 만성질환은 흡연자들에서 금연시도 및 금연유지와 관련된 요인 중 하나이다. 본 연구는 고혈압, 당뇨, 이상지질혈증 등의 만성질환 인지와 금연시도 및 금연유지와의 연관성을 확인하기 위하여 지역사회 건강조사 자료를 이용하여 수행되었다. 평생 흡연력을 가진 19세 이상 성인 남성 76,065명 중 현재 흡연자는 41,509(54.6%)명, 금연자는 34,556(45.4%)명이었다. 현재 흡연자 중 금연 미시도자는 14,206(34.2%)명, 금연 시도자는 27,303(65.8%)명이었다. 평생 흡연력을 가진 성인 남성들 중 고혈압, 고지혈증, 심장질환의 질병력이 있을 때 금연 시도의 교차비는 각각 1.100(95% 신뢰구간, 1.019∼1.187), 1.284(1.173∼1.406), 1.499(1.277∼1.833)이었다. 금연유지에 대해서는 고혈압, 고지혈증, 뇌졸중, 심장질환 질병력이 있는 경우 교차비가 각각 1.364(1.270∼1.465), 1.426(1.306∼1.557), 1.362(1.097∼1.690), 1.590(1.319∼1.915)이었다. 당뇨 병력은 금연 시도 및 금연유지와 관련이 없었다. 향후 금연 상담 시 각각의 만성질환을 가진 흡연자들에서 금연시도 및 유지에 영향을 주는 요인을 확인하고 이를 바탕으로 질환별로 맞춤형 금연중재에 대한 연구를 실시할 것을 제언한다. Chronic diseases as hypertension or diabetes are known to be one of the related factors for quit smoking attempt and smoking cessation. This study was conducted to confirm the association between smoking cessation and chronic diseases such as hypertension, diabetes, and dyslipidemia using community health survey data. There were 41,509 (54.6%) current smokers and 34,556 (45.4%) former smokers among 76,065 who were 19 years old and older male adults with lifetime smoking habits. Among current smokers, 14,206 (34.2%) were no-quit smoking attempt and 27,303 (65.8%) were quit smoking attempt. The odds ratio for quit smoking attempt was 1.100 (95% confidence interval, 1.019 ∼ 1.187), 1.284 (1.173 ∼ 1.406) and 1.499 (1.277 ∼ 1.833), respectively, when the patients were diagnosed with hypertension, dyslipidemia and heart disease. The odds ratios for smoking cessation were 1.364 (1.270 ∼ 1.455), 1.426 (1.306 ∼ 1.557), 1.362 (1.097 ∼ 1.990) and 1.590 (1.319 ∼ 1.915) for hypertension, dyslipidemia, stroke and heart disease. Diabetes was not associated with quit smoking attempt and smoking cessation. Smoking cessation counselors identify the factors for smoking cessation in smokers with chronic diseases. It is suggested to conduct a study on customized smoking cessation intervention for each disease.
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