일 종합병원 의사, 간호사 및 입원환자의 가정간호사업에 대한 인식 조사

한영자,한숙정,백희정,김예진,한숙정,Han, Young-Ja,Han, Suk-Jung,Baek, Hee-Chong,Kim, Ye-Jean,Han, Suk-Jung 한국가정간호학회 2005 가정간호학회지 Vol.12 No.2

Purpose: To provide the data for improving home health care through investigating the recognition of home care services and the possibility of providing it by nurses, doctors and patients. Method: The subjects were 167 nurses and 71 doctors who were working at a general hospital in Seoul and 72 patients who were admitted to that hospital. Data were collected through questionnaire surveys from November 29 to December 17 in 2004. Result: Home care services were recognized by 70.7% of nurses, 64.8% of doctors and 58.4% of patients. The percentages of agreement regarding the necessity of home care services were 70.7% of nurses, 47.9% of doctors and 86.1% of patients. The percentages of agreement to refer the patients to home care when they only want to receive it, were 58.1% of nurses and 57.7% of doctors. There were significantly higher in nurses than doctors between the differences of possible or impossible percentages in agreements about each items in the test-related services, medication-related services and treatment-related services. Conclusion: The above findings indicated that more specific and continuous educations and advertisements are needed to enlarge home care services in general hospitals.

1999년도 한국의 영아사망수준과 특성분석

한영자 ( Young Ja Han ) 한국보건사회연구원 2003 保健社會硏究 Vol.23 No.1

영아사망률은 한 국가나 지역의 사회경제적 수준, 보건 복지수준을 종합적으로 반영하고 있어 정책수립 및 평가시 가장 많이 사용 되는 보건지표 중 하나이다. 그러나 우리나라는 일부 신생아사망의 신고누락으로 인해 신고자료로부터 영아사망률이 산출되지 못하고 있으며, 영아사망은 흔한 사건이 아니기 때문에 표본조사를 통해서 도 산출이 가능하지 않다. 한국보건사회연구원은 국민건강보험자료를 이용한 새로운 조사방법을 개발하였으며, 이 방법에 의해 보건 복지부와 3차에 걸친 전수조사를 통해 1993, 1996, 1999년도 출생아에 대한 영아사망률을 산출하였다. 1999년도 제3차 전국영아사망조사는 2001년 12. 17~30일 기간중 전국의 4,513개 의료기관에서 실시되었으며, 금번 조사는 모성사망 조사와 동시에 실시되었고, 특히 16개 시도와 시 ㆍ 도내에서 시부, 군 부별로 영아사망률이 산출되었다. 1999년도 출생코호트의 사망영아수는 3,836명이었으며, 성별 미상 3건을 제외하고 남아 2,122명, 여아 1,711명으로 남아가 전체 사망 영아의 55.4%를 차지하였다. 생존기간별로 보면 사망영아의 60.8%가 출생후 4주 이내인 신생아기에 사망하였다. 1999년도 출생아의 영아사망률은 출생아 천명당 6.2(남아 6.5, 여아 5.8)였다. 시부의 영아사망률은 6.1로 군부의 7.1에 비해 다소 낮은 수준이었다. 전국에서 영아사망률이 가장 낮은 지역은 인천 4.4, 경기 5.4, 서울 5.6 순 이었고, 높은 지역은 강원과 경남이 각각 7.8로 가장 높았다. Infant mortality rate (IMR) reflects comprehensively the socioeconomic, health and welfare level of a population. Therefore, it is among one of the most frequently utilized indices for establishing and evaluating the health policy of a country. In the meantime, infant mortality rate could not be produced by vital registration due to the under report of a part of neonatal deaths. It can not be produced by sample survey also because infant deaths are not a common event. Korea Institute for Health and Social Affairs had developed a new survey method to find out infant deaths by using national health insurance data sets. Ministry of Health and Welfare has conducted three rounds of national infant mortality survey based on the newly developed method by KIHASA and produced infant mortality rate of 1993, 1996 and 1999 birth cohort. The 3rd national infant mortality survey on the 1999 birth cohort was conducted at the 4,513 medical and health facilities during the period of December 17~30, 2001. National maternal mortality survey was conducted simultaneously with infant mortality survey and infant mortality was produced by 16 provinces and also by city and rural area within provinces this time. The number of infant deaths among the 1999 birth cohorts was 3,836(male 2,122, female 1,711, unknown sex 3) and male infant deaths occupied 55.4% of the entire infant deaths. 60.8% of the infant deaths occurred during the neonatal period that means less than 4 weeks after births. The infant mortality rate of the 1999 birth cohort was 6.2 per thousand live births(male 6.5, female 5.8). The infant mortality rate of the city area was 6.1 and lower than that of county(Kun) area at 7.1. The region with the lower infant mortality rate in Korea were Inchon at 4.4, Gyonggi at 5.4, Seoul at 5.6 in order, and the region with the highest infant mortality rate were Kangwon and Gyongnam at 7.8 respectively.

中國 新感覺派 도시소설에서 ‘보는 자’로서의 남성의 이미지

韓英子(Han, Young-ja) 중국어문학연구회 2011 중국어문학논집 Vol.0 No.71

施蛰存 도시 소설에 나타나는 어둠의 이미지

韓英子(Han Young-ja) 중국어문학연구회 2010 중국어문학논집 Vol.0 No.64

‘우산’ 이미지를 통한 욕망의 양상에 대한 고찰

韓英子(Han, Young-ja) 중국어문학연구회 2013 중국어문학논집 Vol.0 No.79

高行健의 〈二十五年後〉에 나타난 시공간 대비의 의미

韓英子(Han Young-ja) 중국어문학연구회 2010 중국어문학논집 Vol.0 No.61

우리나라 사산의 위험요인 분석

한영자 ( Young Ja Han ),이상욱 ( Sang-wook Yi ),오희철 ( Heechoul Ohrr ),김미영 ( Miyong Kim ) 한국보건사회연구원 2004 保健社會硏究 Vol.24 No.2

태아건강의 중요성에도 불구하고 사산의 원인은 잘 알려져 있지 않고 있으며, 우리나라에서 사산에 관한 연구는 상당히 적은 편이다. 본 연구는 우리나라 사산의 양상과 위험요인을 밝히기 위해 1999년도 출생 코호트의 전체 출생아와 함께 1999~2000년도 전체 사산아의 특성을 분석하였다. 보건 복지부와 한국보건사회연구원은 1999~2000년 발생한 우리나라 전체 사산에 관한 조사를 실시하였으며, 본 연구에서는 이 자료를 사용하였다. 사산아의 비차비(Odds Ratio) 산출을 위해 로짓회귀분석 방법을 사용하였다. 연구결과는 다음과 같다. 단변량분석에서 사산의 비차비는 태아의 재태기간이 짧고, 출생체중이 작으며, 남아, 다태아에서 높았다. 그리고 사산위험은 모연령에 따라 U-shape을 보였다. 다변량 로짓회귀분석 결과 출생체중과 사산의 위험성간에 가장강한 관계를 관찰할 수 있었다(기준군: 출생체중 3,000~3,999g, 출생체중 500~999g 사산아의 비차비: 763.7, 95% 신뢰구간: 586.1~995.2). 짧은 재태기간이 두 번째로 중요한 사산의 위험요인이었다. 다변량분석에서는 단변량분석 결과와 달리 사산의 위험요인은 10대의 여성에서만 높았으며, 35세 이상에서 사산위험이 높지 않은 것으로 분석되었다. 이 부분에 대해서는 추후 연구가 필요하다고 본다. 다태임신 태아의 경우 다변량분석에서는 단변량분석 결과와 달리 사산의 위험이 낮은 것으로 분석되었다. Objectives: In spite of the importance of the health of the fetus, the cause of stillbirth is still unknown and the study on the stillbirth is very rare in Korea. This study was conducted in order to find out the pattern of stillbirth and to investigate the risk factors of stillbirth in Korea. Methods: Total stillbirth cases that occurred during 1999 and 2000 in Korea were collected. The author has analyze the characteristics of the whole live birth of 1999 birth cohort and total stillbirths of 1999 and 2000. Logistic regression model was used to calculate the stillbirth odds ratio. Results and conclusion: The odds ratio(OR) of stillbirth was higher among fetuses of short gestation period, lower birth weight, male fetuses, and multiple pregnancy. The risk of stillbirth showed an U-shape by the age of the mother. Using multiple logistic regression model, the strongest relationship was observed between the birth weight and the risks of stillbirth(birthweight 500~999g group, OR:763.7, 95% Confidence Interval: 586.1~995.2, reference: birth weight 3000~3999g group) Short gestational age was secondly important risk factor. Contrary to the result of univariate analysis, the risk of stillbirth was high only among the teenaged mothers and the risk was not higher among mothers who were 35 years of age or older. The risk of stillbirth was lower among fetuses of multiple pregnancy from the multivariate analysis.

쑤퉁 단편소설에 나타난 피해의식 연구

韓英子(Han, Young-ja) 중국어문학연구회 2013 중국어문학논집 Vol.0 No.81

한국(韓國)의 인구전환속도(人口轉換速度)와 인구구조(人口構造) 변동(變動)

한영자 ( Young-ja Han ) 한국보건사회연구원 1989 保健社會硏究 Vol.9 No.1

The demographic transition is characterized by changing patterns in birth and death rates, and it inevitably bring about changes in the age structure of a population. The aging of the population is one type of the change. The speed and extent of aging is determined by the factors controlling demographic changes. With a drastic decrease in the birth rate, the aging process is accelerated. It has taken only several decades for demographic transition in some of the East Asian cou-ntries while it took a 150-year period in European Countries. This inevitably bring about rapid changes in the age structure of a population in those countries. This suggests that aging process will be accelerated in those countries. According to projections, Japan will be the most elderly society in the world in the near future. The speed of fertility decline in Korea was slower than in Japan in the earlier part of demo- graphic transition and age structure of Korea has followed that of Japan with a 25-year time lag. But recently, total fertility rate of Japan is stabilized around at 1.8, that is a little higher than that of 1.6 in Korea in 1987. This implies that the speed and extent of aging in Korea can be faster than in Japan in the long run. Rapid age structure transition and decrease in absolute number of a population will cause problems to the post transition societies. It is suggested for Korean government to prepare for the age structure change and reconsider the current population control policy.

각국의 금연정책 및 관련법 고찰

한영자 ( Young-ja Han ),남정자 ( Jung-ja Nam ) 한국보건사회연구원 1994 保健社會硏究 Vol.14 No.1

본 논문에서는 흡연이 건강에 미치는 영향에 대한 고찰과 우리나라와 외국의 흡연설태 및 흡연문제에 대한 대응책을 살펴보았다. 국민건강을 위협하는 가장 심각한 단일요인으로 파악되고 있는 흡연에 대한 각국의 대처방안을 분석하여 그를 근거로 다음과 같은 결론을 제시하였다. 첫째, 흡연은 각종 암과 만성질환의 주요 원인이 되고 있으며 비흡연자의 건강에도 큰 피해를 주고 있다. 또한 임부의 흡연은 유산과 조산 및 저체중출생아의 위험을 증가시키고 있다. 뿐만 아니라 흡연은 건강악화로 인한 노동생산성 감소, 국민의료비 증가, UR타결로 인한 외국산 담배의 국내시장 잠식 풍 경제적인 측면에서의 영향도 크다. 둘째, 우리나라의 흡연율은 세계 어느 나라 보다 높으며 선진국의 흡연율이 감소추세를 보임에 비해 전혀 감소의 기미를 보이지 않고 있다. 또한 우리나라 고풍학생들의 흡연율은 외국 성인흡연융 보다도 높아 우리나라 흡연실태의 심각성을 보여주고 있다. 셋째, 선진국은 흡연대책으로써 입법의 중요성을 강조하고 있으며 흡연정책의 성공사례는 금연사업과 국민건강 증진을 위한 안정된 기금확보(담배세로부터 확보) 및 광범위한 지원세력을 의도적으로 구축한 중앙정부의 조정역할이 크게 기여한 것으로 파악되었다. 마지막으로 우리나라는 아직도 국민건강 보호를 위한 종합적인 금연법이 없는 실정이므로 우리나라 실정에 맞는 입법활동을 적극 추진하여야 할 것이며 안정된 기금확보가 선결되어야 할 문제라고 사료된다. 흡연은 조기예방이 금연보다 훨씬 효과적인 방법임을 고려할때 청소년 대상 흡연대책이 절실히 요구된다. 효과적인 금연사업 전개를 위해서는 국가적인 차원에서 구체적인 장단기 흡연율 달성목표로 설정하고 이에 따른 사업계획을 수립해야 할 것이다. The purpose of this paper is to review the effect of smoking on health, to examine the status of smoking and the anti-smoking measures in Korea and other countries, especially on the anti-tobacco policy and legislation. Based on the analysis of smoking, one of the serious single factors threatening the health of the population, the following recommendations are suggested. 1) Cigarette smoking is closely related with various kinds of cancer and chronic diseases. Smoking by pregnant women increases the risk of abortion, fetal death, premature birth, and low birth weight child. Smoking also harms the health of non-smokers, and increases the socioeconomic cost due to the ill-health. 2) Korean Male Cigarette Smoking Prevalence Rate recorded one of the highest rates in the world and it does not show any decreasing tendency. The Korean government should establish an official comprehensive tobacco control policy immediately. 3) Cigarette Smoking Prevalence Rate for the Korean high school male students is higher than even that of adults in other countries. Poli- cy measures centered on the adolescents are urgently required because not to start smoking is much more effective than to stop smoking. 4) The success of the anti-smoking policy in Victoria State in Australia and California State in the USA is due to getting secure funds (from tobacco tax), and the coordinating role of the central government to establish supporting forces. The government`s role to secure funds and establish supporting forces is therefore important in Korea, too. 5) The importance of the legislation as antitobacco policy measures is emphasized in the advanced countries, especially on the cigarette tax, production, sales, price, regulation on advertising, regulation on smoking in public buildings and the workplaces, regulation on the contents of the tobacco, and health education. The Korean government should promote antismoking legislation appropriate to Korean situation based on the experience of other countries. 6) We need to secure funds and to establish supportive forces for the anti-smoking program and the coordinating role of the government is critically important for this. 7) Strengthening of anti-smoking measures is necessary not only for the health of the population, but also for the economic aspects, such as decreasing production and increasing medical costs arising from the ill health due to smoking. 8) Cigarette Smoking Prevalence Rate is high among the females and the lower socioeconomic class in the advanced countries. Recent trend is regarding smoking as anti-social behavior. We need to emphasize the anti-social aspects of smoking, to hold national anti-smoking campaigns through mass media which have proved to be most effective measures to control smoking. 9) Finally, the Korean government should set long-term and short-term target cigarette smoking rates and establish detailed program plans to achieve this.