수면의 질 영향 요인: 전기노인과 후기노인 비교

서영미(Yeong-Mi Seo),김정숙(Jeong-Sook Kim),제남주(Nam Joo Je) 한국산학기술학회 2019 한국산학기술학회논문지 Vol.20 No.6

본 연구는 전기노인과 후기노인의 수면의 질을 조사하고 수면의 질에 영향을 미치는 요인을 비교하기 위한 서술적 조사연구이다. 연구 대상은 편의표출법을 적용하여 G도에 거주하는 재가 노인을 대상자로 200명을 선정하였다. 구조화된 설문지를 이용하여 사회·인구학적 특성, 생활습관 및 건강관련 특성, 우울, 그리고 수면의 질을 조사하였다. 자료분석은 IBM SPSS WIN/21.0을 이용하여 χ<SUP>2</SUP>-test, t-test, ANOVA(Scheffe’s test), Pearson"s Correlation coefficient, Multiple Regression을 이용하여 분석하였다. 연구결과는 다음과 같았다. 수면의 질은 전기노인에 비해 후기노인이 통계적으로 유의하게 나빴다. 상관관계를 분석한 결과, 전기노인에서는 우울(r=-.22, p =.038)만이 수면의 질과 유의한 부적 상관관계가 나타났다. 후기노인에서는 우울(r=-.19, p =.045)과 주관적 건강상태(r=-.29, p =.002)가 수면의 질과 유의한 부적 상관관계가 있었다. 수면의 질에 영향을 미치는 요인을 분석한 결과, 전기노인에서는 직업, 만성질병 그리고 경제수준으로 나타났고, 후기노인에서는 만성질병, 주관적 건강상태 그리고 흡연이 유의하게 나타났다. 본 연구 결과는 노인의 수면 건강을 향상시킬 수 있는 연령별 맞춤형 전략 수립에 기초자료로 활용될 수 있을 것이다. This study is a descriptive survey study to investigate the quality of sleep and to compare the factors relating quality of sleep in the young-old people and the old-old people. The subjects of the study were 200 elderly people who live in the G-region applying convenient expression method. Using a structured questionnaire, sociodemographic characteristics, lifestyle and health-related characteristics, depression, and quality of sleep were examined. We analyzed χ<SUP>2</SUP><SUP></SUP>-test, t-test, ANOVA(scheffe"s test), Pearson"s correlation coefficient and multiple regression using IBM SPSS WIN/21.0. The results of the study were as follows. The quality of sleep was significantly worse in the old-old people than in the young-old people. In young-old people, only depression (r=-.22, p =.038) showed a significant negative correlation with sleep quality. Old-old people was a significant negative correlation between sleep quality and depression (r=-.19, p =.045) and subjective health status (r=-.29, p =.002). In the young-old people, job, chronic illness, and economic level were significant influencing factors in the quality of sleep. In the old-old people, chronic disease, subjective health status, and smoking were significant influencing factors. The results of this study can be used as basic data for establishing tailored strategy for ages that can improve health of the elderly.

일 지역사회 여성노인의 심리적 욕구와 건강증진행위

서영미 ( Yeong Mi Seo ) 경희대학교 동서의학연구소 2015 동서간호학연구지 Vol.21 No.2

Purpose: The purpose of this study was to identify the factors that affect the health promoting behavior targeted older women. Methods: Subjects were 181 women older than 60 years who agreed to participate and understand the purpose of the study. A trained investigator collected data using structured questionnaires regarding general characteristics, health-related characteristics, competence, relatedness, and health promoting behavior. The collected data were analyzed using SPSS WIN 18.0 program by descriptive statistics, t-test, ANOVA, and stepwise multiple regression. Results: The mean age of subjects was 74.7 years old. Factors showing significant associations with health promoting behavior were age, educational level, family type, economic status, current health status, competence, and relatedness. Stepwise regression analysis identified that age, current health status, competence, and relatedness were factors affecting on health promoting behavior. Conclusion: This study shows that competence and relatedness are influencing factors on health promoting behavior in older women. Therefore, it is important to emphasize competence and relatedness for developing a health promoting program.

제 2형 당뇨병 환자의 피로와 영향요인

서영미(Seo, Yeong-Mi),최원희(Choi, Won-Hee),함종렬(Hahm, Jong-Ryeal) 한국산학기술학회 2014 한국산학기술학회논문지 Vol.15 No.9

본 연구는 제 2형 당뇨병 환자의 피로정도와 피로에 영향을 미치는 요인을 확인하기 위하여 시도된 서술적 조사연구 이다. 연구는 117명의 제 2형 당뇨환자를 대상으로 하였으며 자료는 2013년 5월1일에서 6월 30일까지 J시에 위치한 일대학병 원에서 면대면 설문지법으로 수집하였다. 수집된 자료는 SPSS WIN 15.0 program을 이용하여 기술통계, t-test, one way ANOVA, Pearson Correlation, 다중회귀분석 등으로 분석하였다. 연구 결과, 대상자의 피로는 2.80점이었다. 피로에 영향을 미치는 요인들은 우울, 나이, 질병이환기간으로 확인되었고 이들 변수는 피로에 대해 40%의 설명력을 보였다. 따라서 건강전 문가들은 제 2형 당뇨환자의 건강관리를 위하여 피로감소 간호중재개발이 필요하며 이러한 간호중재의 보다 나은 효과를 위하여 나이, 질병이환기간을 고려하고 대상자의 우울 감소프로그램을 제공할 필요가 있다. This descriptive study was performed to identify the factors that influence fatigue in patients with type 2 diabetes mellitus. A total of 117 subjects were recruited from a university hospital in J city. For data collection, a questionnaire survey was performed between May 1 and June 28 2013. Data were analyzed by descriptive statistics, t-test, one way ANOVA, Pearson Correlation, and multiple regression analysis using the SPSS WIN 15.0 package. The mean fatigue scores of the subjects was 2.80. Depression, age, and time since the diagnosis were the variables influencing fatigue. The total explanatory power of these factors on fatigue was 40%. In conclusion, it is essential to develop a fatigue control nursing program considering depression, age and time since the diagnosis for patients with type 2 Diabetes mellitus.

제2형 당뇨병 성인 남성 환자의 약물치료 이행과 혈당 조절 수준 간에 치료 스트레스의 매개효과

서영미 ( Seo Yeong-mi ),최원희 ( Choi Won-hee ) 경희대학교 동서간호학연구소 2016 동서간호학연구지 Vol.22 No.2

Purpose: The purpose of this study was to examine the mediating effect of regimen distress in the relationship between medication adherence and glycemic control in men with type 2 diabetes. Methods: A total of 116 patients with type 2 diabetes was recruited for the cross-sectional survey design. Data were analyzed using descriptive statistics, independent t-test, ANOVA, Pearson`s correlation coefficient, and multiple regression using Baron and Kenny steps for mediation. Results: The mean score for medication adherence was 6.32, and the mean glycemic control level (HbA1c) was 7.47%. The mean score was 2.37 for regimen distress. There were significant correlations among medication adherence, regimen distress, and HbA1c. Regimen distress had a partial mediating effect (β=.22, p=.005) in the relationship between medication adherence and HbA1c (Sobel test: Z=2.47, p=.013). Conclusion: Regimen distress was found to be associated with glycemic control in men with type 2 diabetes. Based on the findings of this study, nursing intervention programs focusing on decreasing regimen distress are highly recommended to improve level of glycemic control in patients with type 2 diabetes.

성인 남녀별 치매 예방행위 의도의 영향 요인 비교 : 건강신념모형 적용

서영미(Yeong-Mi Seo),최원희(Won-Hee Choi) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.8

본 연구의 목적은 건강신념모형을 적용하여 성인 남녀의 치매 예방행위 의도에 영향을 미치는 요인을 규명하는데 있다. 연구는 B시에 거주하는 중년후기 이후의 성인 남녀 226명을 대상으로 실시한 조사연구이다. 자료는 구조적인 설문지를 이용하여 연구 대상자가 자가 보고하도록 하였다. 수집된 자료는 SPSS 21.0을 이용하여 기술통계, t-test와 ANOVA를 이용한 차이검증, 상관분석과 변수의 영향요인 확인을 위하여 성별로 단계적회귀분석을 실시하였다. 연구결과, 치매 예방행위 의도의 평균평점은 남자 집단에서 4.82점, 여자 집단에서 5.08점으로 여자 집단이 높은 것으로 나타났다. 치매 예방행위 의도에 유의한 영향요인은 남자 집단에서는 자기효능감과 행동단서로 설명력은 28%였으며 (F=19.73, p <.001), 여자 집단에서는 자기효능감과 결혼상태로 설명력은 23%로 나타났다(F=20.18, p <.001). 따라서, 치매 예방행위를 촉진하기 위하여 남자와 여자 성별에 따라 맞춤형 전략을 개발할 필요가 있음을 시사하고 있으며 성별에 따른 전략을 개발할 때 남자 집단에서는 자기효능감과 행동단서를 높일 수 있는 전략을 제공하고 여자 집단에서는 결혼상태를 고려하여 자기효능감을 높일 수 있는 프로그램을 제공할 필요가 있다. This study aimed to compare the factors that influence the intention to practice dementia preventive behavior among male and female adults using the Health Belief Model. The subjects were 226 adult males and females living in B city. Data were collected using a self-reported questionnaire. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson"s correlation, and stepwise multiple regression analysis using SPSS 21.0. The results showed that the intention to practice dementia preventive behavior was higher in women than in men (The mean scores were male=4.82 and female=5.08.). In male adults, self-efficacy and cue of action were significant influencing factors in the intention to practice dementia preventive behavior. In female adults, self-efficacy and marital status were significant influencing factors. The results of this study can be used as basic data for establishing tailored strategies for male and female adults that can improve preventive dementia care.

전기 여성노인의 관계성과 운동참여 간의 관계에서 주관적 건강상태의 매개효과

서영미(Seo, Yeong-Mi)최원희(Choi, Won-Hee) 한국노인간호학회 2019 노인간호학회지 Vol.21 No.3

Purpose: In this study the mediating effects of subjective health status on the relationship between relatedness and participation in exercise in younger elderly women were examined. Methods: This study was a cross-sectional survey using structured questionnaires including questions on general characteristics, relatedness, subjective health status and participation in exercise. From September to October 2018, 122 women were recruited from two general welfare facilities for elders in J city. The data were analyzed using descriptive statistics, independent t-test, ANOVA, Point-biserial correlation, Pearson correlation coefficient and multiple regression using Baron and Kenny steps for mediation. Results: The mean score for relatedness was 3.37±0.75 (range of scale 1~5) and the mean score for subjective health status was 3.10±0.97 (range of scale 1~5). The participation rate in exercise was 68.9%. There were significant positive correlations among relatedness, subjective health status and participation in exercise. Subjective health status had a partial mediating effect (β=.28, p=.001) in the relationship between relatedness and participation in exercise (Sobel test: Z=3.07, p=.002). Conclusion: Based on these results, development of interventions to improve the subjective health status of elderly women are necessary in order to encourage them to participate in exercise.

당뇨환자의 신경병증 통증과 혈당조절정도 및 자가관리간의 관계

서영미(Seo, Yeong-Mi),최원희(Choi, Won-Hee) 한국산학기술학회 2013 한국산학기술학회논문지 Vol.14 No.4

본 연구는 당뇨 환자를 대상으로 신경병증 틍증과 혈당조절정도 및 자가관리간의 관계를 파악하는 서술적 상관관계 연구이다. 자료는 일 대학교 병원의 내분비 내과에서 2011년 5월 10일부터 5월 31일까지 당뇨로 방문한 환 자 중 연구기준에 적합한 108명을 대상으로 자가보고식 설문지와 의무기록을 이용하여 수집되었다. 자료분석은 SPSS WIN 18.0을 이용하여 서술통계와 Pearson's correlation coefficient를 실시하였다. 연구 결과 당뇨환자의 통증은 9.3±0.4점이었으며 당화혈색소 수치는 7.5% 이상인 군이 33.3%를 차지하였고 자가관리는 5.40±0.76점이었다. 당뇨환 자의 신경병증 통증은 혈당조절 정도가 양호할수록(r=.18, p=.035), 자가관리 수행정도가 높을수록(r=-.19, p=.023) 적었 다. 결론적으로 당뇨환자의 신경병증 통증을 조절하기 위하여 보다 엄격한 혈당관리와 자가관리를 향상시키는 노력이 필요하다. The purpose of this study was to investigate the relationship between diabetic neuropathy, and glycemic control, self-management in type 2 diabetes mellitus(DM) patients. This was a cross sectional descriptive study and data were collected between May 10 and 31, 2011 using a questionnaire and medical record. The participants were 108 with DM who were treated at the endocrine medical outpatient department. The data were analyzed Pearson's correlation with SPSS WIN program. The mean scores of neuropathic pain and self-management were 9.3±1.4(Range 0-14.64) and 5.40±0.76(Range 1-7), respectively. There were 33.3% of the patients whose HbA1c levels are higher than 7.5%. Neuropathic pain was positively correlated with glycemic control(r=.18, p=.035), and was negatively correlated with self-management(r=-.19, p=.023).

한국인의 이상지질혈증 발생 위험 요인 및 약물복용이행 영향 요인 평가: 2013-2015 국민건강영양조사 자료 이용

전미양,최원희,서영미,Jeon, Mi Yang,Choi, Won Hee,Seo, Yeong Mi 한국기초간호학회 2017 Journal of korean biological nursing science Vol.19 No.3

Purpose: Dyslipidemia was a known risk factor for cardiovascular disease and was a leading cause of mortality in worldwide. This study aimed to determine the factors associated with prevalence and medication treatment of dyslipidemia in Korean adult population. Methods: In this study, based on the criteria set by the Korean Society of Lipidology and Atherosclerosis, the factors associated with prevalence and medication treatment of dyslipidemia was evaluated in a population of 12,506 people ($age{\geq}20$), who participated in the Korean National Health and Nutrition Examination Survey (2013-2015). The findings were tested by using multivariate logistic regression. Results: Dyslipidemia prevalence rate was 36.5%. Among populations with dyslipidemia, 17.5% were treated with lipid-lowering drugs. In the multivariate logistic regression model, male, increase in age, lower education level, non-drinker, current smoking, less physical activity, increase of body mass index, hypertension, and diabetes were associated with an increased odd of dyslipidemia. Female, increase in age, higher income, excess fat intake, hypertension, diabetes, myocardial infarction, and angina were associated with an increased odd of medication treat. Conclusion: The results of this study could be used to screen patients at the high risk for dyslipidemia or to predict medication adherence.

임신 초기 임신양상에 따른 혈청 β-hCG의 결과 예측에 의한 희석배수 참고치 설정

김윤식,신장용,서영미,유신수,Kim, Yoon Sik,Shin, Jang Yong,Seo, Yeong Mi,Yoo, Shin Soo 대한임상검사과학회 2004 대한임상검사과학회지(KJCLS) Vol.36 No.2

This study was carried out to predict the value of serum ${\beta}$ subunit of humans chorionic gonadotropin(${\beta}$- hCG) in early pregnancy viability. This was performed among 85 women in vitro fertilization and embryo transfer(IVF-ET). The serum ${\beta}$-hCG levels were established for 30 normal singleton pregnancies, 10 twin and triplet pregnancies, 10 preclinical abortions, 10 clinical abortions, 20 biochemical abortions and 5 ectopic pregnancies. In comparison to normal singleton pregnancies, multiple pregnancies showed higher ${\beta}$-hCG. But clinical abortions, preclinical abortions and ectopic pregnancies showed lower ${\beta}$-hCG levels than singleton pregnancies. In conclusion, if we predict the value of serum ${\beta}$-hCG of variable early pregnancies and analyze it, we could predict the dilution protocol. Also, it can be useful in other ways.

노인의 치매예방 행위의도에 미치는 영향요인

최원희 ( Choi Won-hee ),서영미 ( Seo Yeong-mi ),김보람 ( Kim Bo Ram ) 경희대학교 동서간호학연구소 2019 동서간호학연구지 Vol.25 No.2

Purpose: The purpose of this study was to identify the factors influencing dementia preventive behavior intention of the elderly people based on the Health Belief Model. Methods: The participants included 113 elderly people who met the eligibility criteria. Demographic variables, variables of the Health Belief Model (perceived susceptibility, perceived severity, perceived benefit, perceived barrier, cues to action, general health motivation, and self efficacy), dementia fear and behavioral intention of dementia prevention were examined using structured self-report questionnaires. Statistical analysis was performed by stepwise multiple regression using SPSS for Windows version 21. Results: Self efficacy, alcohol drinking, perceived barrier and education level were significant factors, which explained 32% of the variance in dementia preventive behavior intention. Multiple regression analysis demonstrated that a powerful predictor of dementia preventive behavior intention of the elderly was self efficacy. Conclusion: Developing nursing intervention to enhance self efficacy toward improvement of dementia preventive behavior among elderly people would be recommended.