Earticle

본 연구는 성인의 주관적 구강 건강상태와 건강 실천행위가 구강 건강 관련 자기효능감에 미치는 영향을 파악하고자 부산광역시에 거주하는 성인을 대상으로 설문 조사를 시행한 후, SPSS 21.0 프로그램을 사용하여 분석 하였다. 주관적 구강 건강 상태가 좋을수록 칫솔질 관련 자기효능감(p<.001)과 구강 건강관리 자기효능감(p<.01)이 유의하게 높게 나타났고, 건강 실천 행위를 이행할수록 칫솔질 관련 자기효능감(p<.001)과 구강 건강관리 자기효능 감(p<.001)이 유의하게 높게 나타났다. 주관적 구강 건강상태가 좋을수록 구강 건강 관련 자기효능감에 긍정적 영 향을 미치며(p<.001), 운동, 건강 책임이행, 흡연 순으로 건강 실천 행위를 이행할수록 구강 건강 관련 자기효능감 에 긍정적 영향을 미치는 것으로 나타났다(p<.05). 따라서 전신건강과 구강건강의 상호 융합적 계속 구강 보건 프 로그램 개발의 기초 자료로 활용되어 성인의 포괄적 건강 및 구강건강 증진에 기여하고자한다.

In order to investigate the effects of subjective oral health status and health practice behavior on oral health-related self-efficacy in adults, a survey was conducted in adults living in Busan and analyzed using the SPSS 21.0 program. The better the subjective oral health status, brushing-related self-efficacy and oral health management self-efficacy were significantly higher. The better the health practice behavior, brushing-related self-efficacy and oral health management self-efficacy were significantly higher. The better the subjective oral health status, the more positively it affected oral health-related self-efficacy. The implementation of health practice behavior in order of exercise, health responsibility implementation, and smoking showed a positive effect on oral health-related self-efficacy. Therefore, we hope that the results of this study are used as fundamental data for development of continued oral health programs converging systemic and oral health and contribute to the promotion of comprehensive and oral health in adults.

Purpose: This study examined breast cancer screening practice and health promoting behaviors and the predicting factors of breast cancer screening practice in Chinese women. Methods: A correlational research design was used to recruit a convenience sample of 770 women living in four cities (Beijing, Shanghai, Guangzhou, and Xi’an) in China. Participants completed self-report questionnaire consisting of general characteristics, breast cancer screening, health promoting behaviors,perceived benefits and perceived barriers. Results: The participants were mostly 3655 years old (51.3%), married (86.8%), premenopause (77.7%),had children (83.4%), and breastfed (73%). About 60% of Chinese women participated in some type of breast cancer screening practices, among them only 60 (7.8%) women used mammography, ultrasonogram and breast self-examination. The main reason for doing breast cancer screening was "feeling necessary for the screening". About 36% of the participants reported they did not perform any of screening practices, because they "don’t feel it necessary". The women who had breast cancer screening regularly reported better health promoting behavior and perceived benefits and less perceived barriers than those who did not (F ¼ 10.45, p < .001). Logistic regression showed that model 1 (age, higher education, being employed) and model 2 (perceived benefits and health behaviors) were the significant predicting factors (p < .05), explaining 1013.8% of variance in breast cancer screening practice. Conclusion: On the basis of these results, public education about importance of breast cancer screening and health promoting behavior should be strongly advocated by health professionals and mass media in China.

This study aimed to determine the relationships between the quality of life, health condition, and caring in terms of health practice behaviors of parents of children with developmental disabilities. Two hundred for-ty-three parents of children with developmental disabilities participated. We examined the quality of life; the health practice behavior question-naire comprised details of health condition, caring behavior, and diet, and it used a 10-point scale for scoring. The data were analyzed using a one-way analysis of variance; linear regression was conducted using IBM SPSS Statistics ver. 23.0. The results indicated that there were as-sociations between quality of life, relations with family members, rela-tions with neighbors, living standards, physical condition, and function among the subfactors. There were significant differences between ex-ercise practice behavior, quality of life, relations with family, relations with neighbors, living standards, physical condition and functioning, emotional state, and self-esteem among subfactors. It was found that there were significant differences between diet behavior and quality of life, and physical condition and function, emotional state in sub factor of quality of life. Based on the results of this study, if a health promotion behavior program is developed and applied systematically, it will con-tribute to improving the quality of life for parents’ children with develop-mental disabilities.

목적: 본 연구는 외래 통원치료중인 관상동맥질환 노인환자의 건강정보이해능력, 건강임파워먼트 및 건강행위이행 정도를 확인하고, 제 변수들이 건강행위이행에 미치는 영향을 살펴보기 위한 서술적 조사연구이다. 방법: 본 연구의 대상자는 65세 이상 239명의 노인 관상동맥질환자이며, 자료분석은 기술통계, t-test, ANOVA, 위계적 회귀분석을 이용하였다. 결과: 노인 관상동맥질환자의 건강행위이행에 유의한 영향을 미치는 주요 변수는 건강정보이해능력(β=.26, p<.001)과 건강임파워먼트(β=.32, p<.001)이었다. 건강정보이해능력은 일반적 및 건강관련 특성을 통제한 상태에서 4.7%p 설명력이 증가하였으며, 건강임파워먼트는 5.9%p 증가하였다. 두 변수가 건강행위이행의 35%를 설명하였다(F=7.74, p<.001). 결론: 본 연구 결과는 노인관상동맥질환자의 건강행위 이행과 건강임파워먼트 향상을 위한 프로그램 개발의 기초자료로 사용될 수 있으며, 나아가 대상자의 건강관련 전략을 세우는데 이용되어 질 수 있다.

Purpose: The purpose of this descriptive study was to identify the influence of health literacy and health empowerment on health behavior practice in elderly patients with coronary artery disease. Methods: 239 elderly outpatients older than 65 years of age were included. The data were analyzed with descriptive statistics including independent t-test, ANOVA, and hierarchical regression. Results: Major factors having a significant impact on health behavior practice were health literacy (β=.26, p<.001) and health empowerment (β=.32, p<.001). Health literacy was increased by 4.7% after controlling for general and health-related characteristics. Health empowerment increased by 5.9% after controlling for general and health-related characteristics, and health literacy. The two variables explained 35% of the variance in health behavior practice (F=7.74, p<.001). Conclusion: The main findings of this study can be utilized as the foundation for developing programs to promote health empowerment and health behavior practice of the elderly population. Furthermore, the results of the study can also be used to establish health-related strategies.

본 연구의 목적은 근로자의 건강행위실천 및 직업적 특성과 치주질환 간의 관련성 분석을 통해 근로자의 구강건강 증진사업에 필요한 기초자료를 제공하는 것이다. 2015년도 국민건강영양조사를 이용하여 만 19세 이상 총 1,737명의 근로자 를 연구대상으로 하였으며, 자료는 SPSS 24.0 프로그램을 이용하여 분석하였다. 근로자의 건강행위실천에 따른 치주질환 위험도는 흡연, 비만, 유산소 신체활동 실천에서 통계적으로 유의한 차이를 보였으며, 직업특성에 따른 치주질환 위험도에서 는 직업의 종류, 근무상태, 정규직여부에서 통계적으로 유의한 차이를 보였다. 이상의 결과에서 근로자의 치주질환은 건강행 위실천과 사회경제적 수준에 영향을 받기에 근로자의 건강행위실천을 위한 사업주들의 적극적인 관리와 저소득층을 위한 구강보건의료정책 개발을 통한 의료서비스 양극화 해소가 필요할 것으로 사료된다.

The purpose of this study was to reveal association between health behavior practice and jab characteristics on periodontal disease of employees. The analysis was conducted on 1,737 of above the age of nineteen in employees by using raw data from the 2015 National Health and Nutrition Survey. The data were analyzed using SPSS for windows version 24.0. Smoking, BMI and aerobic exercise in health behavior practice had statistically significant difference. Occupation, work status and regular work in jab characteristics had statistically significant difference. In conclusion, business owners need active management to health behavior practice their employees and the government needs to resolve the polarization of medical services through the development of oral health care policies for low-income people.

Purpose: The purpose of this study was to define and clarify the concept of volition for health behavior. Methods: For this study the process of Walker & Avant's concept analysis was used. Seventeen studies from electronic data basses met criteria for selection. Results: Volition can be defined by the following attributes: 1) planning, 2) maintenance of self-efficacy, and 3) self regulation. The antecedents of volition consisted of: 1) risk awareness, 2) outcome expectation, 3) perceived self-efficacy, and 4) social support. The consequences occurring as a result of volition were: 1) prevention of disability and complications, 2) improvement of functional ability, and 3) enhencement of quailty of life. Conclusion: Definition and attributes of volition identified by this results can be applied to develop measurements and intervention programs for chronic patients health behavior.

The purpose of this study was to examine the among practice behavioral related health, decision balance, self efficacy with special physical education teacher, and to provide fundamental data for establishing the exercise intervention policy to contribute special physical education teacher quality of life. We firstly set up the population as the special physical education teacher who were kyongki-do 2009. Using the purposive random sampling method, total 133 subjects were finally collected. The conclusions of this study were as being follows; First, there were differences statistically in behavioral related health, decision balance, self efficacy factors by sex, age, and married at the p<.05 level. Second, there were influences statistically in behavioral related health, decision balance, self efficacy factors by each other factors at the p<.001 level.

=in Elementary Schol StudentsKim, Shin-Jeong1)Yang, Soon-Ok1)Jeong, Geum-Hee1)Lee, Seung-Hee2)

To keep the appearance beauty, it has been known that skin care is important and the management of skin health is helpful to relieve the stress. The aim of this study is to investigate the effect of the socio-psychological health on the practice of skin care behavior. The survey with the questionnaires was performed in the subjects with 300 adult females in Busan from July to August in 2015. The obtained data was analyzed with t-test, one-way ANOVA, and multiple regression analysis, using SPSS program (version 21.0). The practice score of skin care behavior in the subjects was 65.13±12.95 points out of 100. Their distributions of socio-psychological health were 21 subjects in healthy group (8.3%), 173 subjects in potential stress group (68.1%), and 60 subjects in high risk stress group (23.6%). As the risk of socio-psychological health status was higher, the practice score of skin care behavior was significantly lower (p<0.001). Upon multiple regression analysis for the impact of socio-psychological health on the practice of skin care behavior, it showed the significance in potential stress group (β =-0.25) and high risk stress group (β =-0.31) (p<0.05). As socio-psychological health was poorer, the skin care behavior was not managed well. Therefore, it is required to relieve the stress for the healthy skin management.

Purpose: The purpose of this study was to identify factors associated with quality of life of nursing students during clinical practice. Methods: A convenience sample of 332 nursing students completed the questionnaire from July to September, 2013. A self-reported questionnaire was used to obtain data on quality of life, stress related to clinical practice, and health promotion behavior. Data was analyzed with independent t-test, one way ANOVA and Scheff${\acute{e}}$'s post hoc test, Pearson correlation coefficients, and hierarchical multiple regression by using SPSS version 20.0. Results: There were significant differences in quality of life scores by age, economic status, interpersonal relationships, daytime somnolence, number of visits in pharmacy and/or healthcare center, health status, and stress management. Quality of life had positive correlation with health promotion behavior but had negative correlation with the level of stress related to clinical practice. Models including these variables explained 34.3% (F=9.77, p<.001) of the variance for quality of life. Age, economic status, sleep amount, numbers of pharmacy/hospital visits, health status, stress during clinical practice, and health promotion behavior were significantly associated with quality of life in nursing students. Conclusion: There is a need to develop and implement new strategies that will result in improvement in nursing students' quality of life.

Purpose: The purpose of the study was to identify the factors affecting the practice of COVID-19 infection preventive behaviors in university students focusing on the extended health beliefs model (HBM) and the theory of planned behavior (TPB). Methods: Data was collected from November 1, 2021 to November 30, 2021. The participants were 180 university students at 3 universities. The data was analyzed through the independent t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficient, and multiple regression by using SPSS/WIN 24.0. Results: In the first stage of hierarchical regression analysis, it was shown that perceived barrier and self-efficacy, among the HBM variables, were significant factors, explaining 18.4% of the infection preventive behaviors (F=7.73, p<.001). In the 2nd stage, it was shown that self-efficacy, among the TPB variables, was a significant factor, explaining 15.3% of the infection preventive behaviors (F=11.80, p<.001). In the 3rd stage, it was shown that perceived barrier and self-efficacy, among the HBM and TPB variables, were significant factors, explaining 18.5% of the infection preventive behaviors (F=6.08, p<.001). Conclusion: When an effective infection preventive behavior program is developed and provided for students to improve their self-efficacy and reduce perceived barrier based on the results, it will contribute to the improvement of infection prevention behaviors among university students.

This study was conducted investigate the practice of health promoting behavior in hospital workers. The subjects for this study were 529 hospital war kern working in four university hospitals in the Kyong-in area. Data were collected by using constructed questionnaires from January 13. 1997 to February 24, 1997, analyzed by descriptive statistics, ANOVA and Scheff comparison test, Pearson correlation coefficient and stepwise multiple regression. The results were as follows 1. The mean score of health promoting behavior for hospital workers was 2.40. The health promoting behavior in relation to the characteristics of the subjects varied significantly according to sex, age, career, religion and number of children. 2. The mean score of health perception was 3,29. The health perception in relation to the characteristics of the subjects showed no statistical discrepancy. 3. The mean score of self-esteem was 3.80. The self -esteem in relation to the characteristics of the subjects varied significantly according to sex, age, occupation, educational background, religion and marital status. 4. The mean score of self-efficacy was 69,63. The self-efficacy in relation to the characteristics of the subjects sailed significantly according ding to sex, age, occupation, career, religion, marital status and number of children, 5. The mean score of internal health locus of control was 2,8~. The internal health locus of control in relation to the characteristics of the subjects varied significantly according to sex and occupation. The mean score of chance health locus of control was 2.08. The chance health locus of control in relation to the characteristics of the subjects varied significantly according to occupation and religion. The mean score of powerful others health locus of control was 2.35. The powerful others health locus of control in relation to the characteristics of the subjects varied significantly according to career, educational background, marital status and number of children. 6. Performance in health promoting behavior was significantly correlated with self-esteem, self -efficacy, powerful others health locus of control, health perception and internal health locus of control. 7. The combination of self-esteem. powerful others health locus of control, health perception, self-efficacv, internal health lot-us of control, age and marital status explained 45.72% of the variance of likelihood to engage in health promoting behavior.

The purpose of this article was to review the current research theories and perspectives on minorities’health behavior such as mammogram practice and discuss the relationships between social and individual components for that behavior through the case of the breast cancer screening among Korean American women (KAW) theoretically. Previous research studies on the issues of mammogram practice among minorities including KAW heavily rely on individual aspects such as the Health Belief Model (HBM), which limits diverse approaches on them. Hence, in this manuscript, the theoretical frame works on health behavior for mammograms of previous research studies, based on HBM mainly were reviewed and their limitations were discussed. At the same time, there was the effort to revise the theoretical frame work of HBM in the combination with social structural perspectives utilizing habitus, a concept of Pierre Bourdieu, to bridge the gap between both individual and social aspects. Especially, within the revised theoretical framework, the influence of social factors such as the information and service resource on individual’s behavior for mammogram practice is discussed. Furthermore, research with empirical data is suggested to verify the revised theoretical framework in practice fields of breast cancer screening for minority groups.

본 연구의 목적은 근로자들의 건강인식과 건강행위실천이 직장생활에 미치는 영향을 조사하는 것이다. 2014년 6-7월 기간 중 A항공사에 근무하는 객실승무원 314명을 대상으로 건강인식, 건강행위실천, 스트레스, 외적이미지, 직장생활 영향 인식에 관한 조사를 하였다. 수집된 자료는 SPSS AMOS 18.0 을 이용하여 구조방정식 모형, 빈도와 백분율, T-test, ANOVA로 분석하였다. 연구결과 건강관리는 외적이미지와 직장생활에 영향을 주고, 건강행위실천은 스트레스 관리에 영향을 준다. 본 연구결과를 통하여 향후 고객에게 질적 서비스를 제공하는 승무원의 인적자원 관리측면에서 건강관리 프로그램이 필요한 것을 알 수 있었다.

This study examined the impact on work life on health recognition and health behavior practices. The data was collected from 314 flight attendants from June to July 2014 in A airline. Questionnaires were used to measure the levels of health recognition, health behavior practice, Stress index, external image, and the impact on the work life. The data was analyzed using descriptive statistics, T-test, ANOVA, Pearson's correlation, structural equating model using the SPSS AMOS 18.0 program. The research showed that health care influences the external image and work life, and the health behavior practice influences the stress management. A survey of the various influencing factors of work life will be needed in terms of human resource management to provide quality service to customers, and health care programs for flight attendants in workplace will be needed.

Purpose: The purpose of this study was to develop a health promotion behavior program for elementary school students by investigating their level of health promotion behavior practice. Method: data were collected from 1276 1-6th grade elementary school students (11 elementary schools) using a self-report questionnaire. Results: 1) The mean score for health promotion behavior practice was above the mid point at 3.10(${\pm}.43$) 2) There were significant differences in health promotion behavior practices according to student's grade(t=4.447, p=.000), gender(t=-3.044, p=.002), age(t=4.402, p=.000), father's education level(t=4.365, p=.000), mother's education level(t=-4.672, p=.000), and perceived health status (F=19.124, p=.000). 3) There were significant correlations between health promotion behavior practice and the sub-areas of health promotion behavior practice. Conclusion: Systematic health education is necessary for elementary school students and their parents.

본 연구는 고급형 실버타운 거주 노인의 건강증진행위 실천 정도 및 유형을 파악하고, 그 유형에 따른 인구학적 특성과 관련 제 변인의 관계를 규명하며 각각의 유형에 영향을 미치는 변인을 탐색하고자 시행된 서술적 조사연구이다. 연구의 대상자는 서울시내에 소재한 일개 고급형 실버타운에 1개월 이상 거주한 만 60세 이상노인으로서 연구참여 동의서에 서명하고 설문조사에 모두 응답한 170명이었다. 실버타운 거주 노인의 건강증 진행위 실천 평균 점수는 3.05점(SD=54)으로 나타났고, 군집분석 결과 소극적 건강증진행위 실천군(M=2.75점)과 적극적 건강증진행위 실천군(M=3.29점)의 2가지 유형으로 나타났다. 건강증진행위 실천 관련 제 변인 중지각된 자기효능감, 지각된 유익성, 지각된 장애성, 우울, 주관적 건강상태는 유형에 따라 통계적으로 유의한 차이를 나타냈으나, 인구학적 특성 관련 변인은 통계적으로 유의한 차이가 없었다. 단계적 다중회귀분석 결과, 소극적 건강증진행위 실천군에서는 지각된 유익성(B=.50, R2=.25)이, 적극적 건강증진행위 실천군에서는 지각된 자기효능감(B=.38, R2=.30)과 지각된 장애성(B=-.20, R2=.30)이 노인의 건강증진행위 실천에 영향을 미치는 변인으로 나타났다. 본 연구결과를 바탕으로 볼 때 고급형 실버타운 거주 노인의 건강증진행위 실천을 증진하기 위해서는 우선 먼저 노인의 건강증진행위 실천 유형을 파악할 필요가 있으며, 파악된 유형에 가장 적합한 프로그램과 전략을 활용하는 것이 보다 효율적일 수 있을 것으로 사료된다. 특히, 건강증진행위 실천의 유익성을 적극적으로 홍보하고, 자기효능감을 증진시킬 수 있는 다양한 프로그램을 개발하는 방안이 도움이 될 수있을 것이며, 따라서 추 후 이를 위한 구체적인 중재 프로그램 개발 연구가 필요함을 제언하는 바이다.

The purpose of this study was to identify the types of health promotion behavior practice (HPBP) of retirement community residents in Korea and investigate the factors relative to their HPBP. The sample of this study consisted of 170 older adults in a retirement community located in the city of Seoul. Data was collected by a structured questionnaire that included demographic information, the Health Promotion Lifestyle Profile (HPLP), Self-Efficacy, the Perceived Benefit, the Perceived Barrier, Depression, and Subjective Health Status. For the analysis of data, Descriptive statistics, cluster analysis, Chi-square test, t-test, and Stepwise Multiple Regression were used for the statistical with the SPSS and the SAS program, The results were as following: 1) The mean score of the HPLP was 3.05(SD=.54). 2) HPBP was classified into two types based on the results of cluster analysis. Type I was named "passive HPBP group" (2.75±.29) and type II "active HPBP group"(3.29±.25). 3) Stepwise multiple regression analyses showed that only perceived benefit (B=.50, R2=25) was a significant factor predicting participants` HPBP of the passive HPBP group, while perceived self-efficacy (B=.38, R2=30) and perceived barrier (B=-.20, R2=30), were for the active HPBP group. The limitation, implication of this study and future tasks for the older adults were discussed.

본 연구는 2019년 7월 충남지역 220명의 산업체 남성근로자를 대상으로 건강관리 실천, 식행동 및 영양소섭취실태를 조사하였으며, 그 결과를 요약하면 다음과 같다. 알코올의존도 분석 결과, '정상음주군'은 84명(38.2%), '문제음주군' 45명 (20.4%), '알코올의존 I군' 60명 (27.3%), '알코올의존 II군' 31명 (14.1%)이었다. 조사대상자의 평균연령은 45.42 ± 10.63세이며, 연령이 높아질수록 알코올의존도가 유의적으로 낮아졌다. 건강관리 실천의 총점은 50점 중 34.66점, 평균값은 3.47점이었다. 알코올의존도에 따라 '정상음주군', '문제음주군', '알코올의존 I군', '알코올의존 II군'의 순으로 건강관리 실천 수준이 유의하게 낮아졌다. 하위항목 중 '매일 2 L이상의 수준을 섭취하고 있다'는 '문제음주군'이, '평소 6시간 이상의 충분한 수면을 한다', '나는 긍정적인 생활습관을 가지고 있다', '적정한 체형유지를 위해 노력한다', '가까운 거리는 차를 이용하지 않고 걸어 다닌다', '전반적으로 건강하다'는 '정상음주군'이 유의적으로 높았다. 식행동의 총점은 65점 중 44.71점, 평균값은 3.44점이었다. 알코올의존도에 따라 '정상음주군', '문제음주군', '알코올의존 I군', '알코올의존 II군'의 순으로 알코올의존수준이 높아 질수록 식행동 수준이 유의하게 낮아졌다. '식사할 때 소금이나 간장을 넣지 않는다'와 '채소를 먹는 습관이 중요하다'는 '문제음주군'이 유의적으로 높았으나, '식사할 때 채소를 골고루 먹는다', '평소 과일을 자주 먹는다', '식사할 때 과식하지 않는다', '식사 전에 손을 깨끗이 씻는다', '식사 후에 양치질을 한다'는 '정상음주군'이 유의적으로 높았다. 영양소섭취량은 '알코올의존 I군'의 '에너지' (2,472.48 kcal), '비타민 E' (23.98 mg), '비타민 C' (69.05 mg), '니아신' (17.56 mg) 섭취량이 유의적으로 높았다. 관련요인 및 영양소섭취상태 간의 상관관계에서 '연령'은 '알코올의존도'와 음의 상관관계 (r = -0.213), '알코올의존도'는 '건강관리 실천' (r = -0.212), '식행동' (r = -0.199)과 음의 상관관계, '건강관리 실천'은 '식행동' (r = 0.526)과 양의 상관관계를 보였다. '알코올의존도'는 '에너지' (r = 0.168), '수분' (r = 0.160)과 양의 상관관계, '건강관리 실천'은 '칼슘'과 양의 상관관계 (r = 0.138), '식행동'은 '칼슘' (r =0.139), '비타민 C' (r = 0.148), '리보플라빈' (r = 0.140), '엽산' (r = 0.136)과 양의 상관관계를 보였다. 이상의 결과, 충남지역 산업체 남성근로자의 문제음주자 비율이 높은 수준으로 근로자의 건강관리실천, 식행동 및 영양소섭취에 영향을 주고 있었다. 특히, 알코올의존도가 높을수록 모든 지표가 낮게 나타났다. 따라서 근로자들의 건강유지와 근무만족도를 높일 수 있는 음주교육 및 건강 프로그램의 시행이 요구된다.

Purpose: This study was undertaken to identify the alcohol drinking status of industrial workers, their health care practice, and dietary behavior, as well as their nutrient intake. Methods: In July 2019, 220 male subjects working in the Chungnam area were enrolled in the study. Their alcohol drinking status was evaluated by applying the Alcohol Use Disorder Identification-K (AUDIT-K) system. Demographic characteristics, status of health care practice, and dietary behaviors were assessed using a self-administered questionnaire; nutrient intakes were analyzed using 24-hour recalls. Data were analyzed by applying χ²-test, ANOVA, Duncan test, and Pearson's correlation analysis with SPSS v. 25.0. Results: Workers were classified by their alcohol drinking status as 'normal' (84, 38.2%), 'problem drinker' (45, 20.5%), 'alcohol dependence I' (60, 27.3%), and 'alcohol dependence II' (31, 16.0%). The alcohol drinking status showed significant differences with age (p < 0.05), monthly income (p < 0.05), smoking status (p < 0.05), and need for weight control (p < 0.05). Moreover, increased alcohol intake resulted in significantly decreased levels of health care practice and dietary behaviors (p < 0.05, p < 0.01, respectively). The energy intake was highest in the 'alcohol dependence I' group, followed by 'alcohol dependence II', 'problem drinker', and 'normal drinker' (p < 0.05). Intakes of vitamin E, vitamin C, and niacin in the 'alcohol dependence I' group were found to be higher than the other groups (p < 0.05). A negative correlation was obtained between alcohol drinking status, health care practice, and dietary behaviors, whereas a positive correlation was determined between alcohol drinking status, energy and water intakes. Conclusion: Considering these results, we conclude the necessity to consider nutritional and alcoholic education programs for improving the quality of work life of industrial workers, based on their alcohol drinking status.

본 연구의 목적은 농어촌 복합 섬지역에 거주하는 노인의 감염예방행위 건강신념과 감염예방행위 실천에 영향을 미치는 요인을 확인하여 농어촌 복합 섬지역에 거주하는 노인의 감염예방행위 증진프로그램을 개발하는데 기초자료로 활용하고자 함이다. 본 연구는 G도 N군에 거주하는 60∼95세 노인 212명을 대상으로 2020년 11월∼2021년 2월까지 설문조사하였다. 본 연구에서 감염예방행위 건강신념과 감염예방행위 실천과 관련된 요인으로 선정된 대상자의 인구사회학적 특성, 질병관련 특성, 감염예방행위 관련 특성은 구조화된 설문지를 이용하여 자료를 수집하였다. 본 연구에서 수집한 자료는 SPSS통계프로그램을 이용하여 분석하였다. 본 연구 대상자는 여성이 64.6%으로 남성보다 많았으며, 연령 범위는 60세에서 95세이고, 평균 연령은 76.93±6.45세이며, 70대가 44.3%로 가장 많았다. 대상자의 학력은 초등학교 졸업 이하가 66.1%로 가장 많으며, 가족 동거형태는 배우자와만 거주하는 부부군이 53.3%로 가장 많았으며, 독거군은 27.4%이었다. 본 연구 대상자의 의사로부터 진단받은 질환의 수는 2.46개이었고, 의사로부터 처방받아 복용하는 약물의 수는 2.23개이었다. 본 연구 대상자가 감염예방행위와 관련된 정보를 획득하는 경로는 TV 100.0%로 가장 높았으며 그 외 SNS 31.6%, 신문 7.5%, 인터넷 4.2% 순이었다. 본 연구 대상자의 감염예방행위 건강신념은 5점 만점에 지각된 민감성 4.31점, 지각된 심각성 4.66점, 지각된 유익성 4.68점, 지각된 장애성 3.57점, 행동 계기는 4.74점으로 나타났다. 본 연구에서 대상자 일반적 특성에 따른 건강신념을 비교한 결과, 건강신념은 80세 이상군이 60∼79세군보다, 초졸이하군이 중졸이상군 보다, 배우자 이외 가족가 동거하는 군이 다른 군보다 높았다. 건강신념 중 지각된 장애성은 의사로부터 진단받은 질환 수가 3~5개군이 1∼2개군 보다 높았다. 감염예방교육을 받은 군이 받지 않은 군보다 높았다. 본 연구 대상자의 감염예방행위 실천의 총점은 2.11점이었으며 하위영역별 점수는 마스크 실천 2.36점으로 가장 높았으며 다음은 손씻기 실천 2.12점, 생활방역 실천 2.11점, 건강생활 실천 1.87점 순이었다. 본 연구에서 대상자의 일반적 특성에 따른 감염예방행위 실천을 비교한 결과, 80세 이상군이 60∼79세군보다, 초졸이하군이 중졸이상군보다, 배우자 이외 가족군이랑 동거하는 군이 다른 군보다 높았다. 그리고 의사로부터 진단받은 질환의 수가 3~5개인 군이 1∼2개군보다, 감염예방교육을 받지 않은 노인이 감염예방 교육을 받은 군보다 감염예방행위 실천 점수가 높은 것으로 나타났다. 본 연구 결과는 감염예방 관련 건강신념과 감염예방행위 실천은 대상자의 일반적 특성과 관련이 있음을 의미한다. 추후 본 연구 결과를 기반으로 농어촌 복합 섬지역에 거주하는 노인의 예방행위에 영향을 미치는 요인을 규명하고 이를 근거로 중재전략을 개발하고 적용할 것을 제언한다.

This study aims to identify influencing factors of health beliefs variables related to infection prevention and infection prevention behavior of the elderly in island areas, aiming to serve as foundational data for developing an infection prevention enhancement program. This study surveyed 212 elderly individuals aged 60 to 95 residing in G city, N county, from November 2020 to February 2021, using structured questionnaires to collect data on demographic, disease-related, and infection prevention-related characteristics. The collected data were analyzed using the SPSS statistical program. Demographic Characteristics were female participants constituted 64.6%, with an age range of 60 to 95 and a mean age of 76.93±6.45. 70-year-olds were the largest age group at 44.3%. 66.1% had education levels of elementary school graduation or below. 53.3% lived with a spouse only, while 27.4% lived alone. Health Beliefs scores (out of 5) related to infection prevention were perceived sensitivity 4.31, perceived severity 4.66, perceived benefits 4.68, perceived barriers 3.57, and behavioral motivation 4.74. Infection Prevention behaviors scores (out of 4) were a total score of 2.11, with mask practice scoring the highest at 2.36, followed by handwashing at 2.12, environmental hygiene at 2.11, and health lifestyle practices at 1.87. When comparing health belief variables according to general characteristics, those aged 80 and above had higher health beliefs than those aged 60 to 79. Individuals with education levels below elementary had higher health beliefs than those with at least a middle school education. Participants living with family other than a spouse had higher health beliefs. Perceived barriers were higher for those diagnosed with 3 to 5 diseases compared to those with 1 to 2. Participants who received infection prevention education had higher health beliefs. When comparing infection prevention practices to general characteristics, those aged 80 and above had higher infection prevention behaviors than those aged 60 to 79. Individuals with education levels below elementary had higher behaviors than those with at least a middle school education. Participants living with family other than a spouse had higher behaviors. Those diagnosed with 3 to 5 diseases had higher behaviors than those with 1 to 2 diseases. Participants who did not receive infection prevention education had higher behaviors than those who did. The results of this study mean that infection prevention-related health beliefs and prevention behavior practice are related to the subjects’ general characteristics. In the future, based on the results of this study, we propose to identify the factors that influence the preventive behavior of elderly people living in rural and fishing island areas and develop and apply intervention strategies based on this.

본 연구는 간호대학생의 정신건강복지센터 실습 교육이 정신질환자에 대한 차별행동 및 태도, 사회적 거리감에 미치는 효과를 알아보기 위해 실시하였다. 연구 대상자는 간호학과 3학년에 재학 중인 학생 48명이며, 자료수집기간은 2017년 10월 30일부터 2017년 12월 22일까지였다. 단일군 전-후 원시실험설계로 SPSS/Win 22.0 프로그램을 이용하여 일반적 특성은 빈도와 백분율을 구하였고, 정신건강복지센터 실습 전·후의 정신질환자에 대한 차별 행동, 태도 및 사회적 거리감의 사전사후 평균 차이는 Paired t-test로 분석하였다. 본 연구 결과 정신질환에 대한 차별행동은 유의미한 차이가 나타나지 않았으며(t=1.571, p=.123), 정신질환자에 대한 태도의 하위영역 가운데 낙관성과(t=-2.534, p=.015), 사회적 거리감에서 유의미한 차이가 나타났다(t=13.606, p<.001). 본 연구의 결과를 통하여 간호대학생의 정신질환자에 대한 차별행동 및 태도, 사회적 거리감을 줄일 수 있는 다양한 교육 프로그램 개발 및 검증을 제언하다.

The purpose of this study was to evaluate discrimination, attitude, social distance toward mental illness in nursing students after clinical practice of mental health welfare center. A quasi-experimental study with one group pretest-posttest design. The 48 nursing students participated in this study from October 30 to December 22. Data were analyzed using descriptive statistics, paired t-test with the SPSS/Win 22.0 program. There were not significant differences in discrimination behavior toward mental illness. In the areas of the attitudes toward people with mental illness, scores of optimism (t=-2.534, p=.015) and social distance (t=13.606, p<.001) were significantly different before and after the clinical practice of mental health welfare center. The results of this study, we suggest the development and verification of various educational programs to reduce discrimination behaviors, attitudes, and social distance toward mental illnesses of nursing students.

본 연구는 60세 이상의 노인 200명을 대상으로 텔레비전에서 방송되는 각종 건강정보프로그램에 대한 태도를 살펴, 이것이 궁극적으로 건강정보를 실천하는 데에 어떻게 영향을 미치는지를 알아보고자 하였다. 연구 결과를 살펴 볼 때 노인들 역시 TV 건강정보프로그램들을 자신들의 주요 건강정보원으로 적극적으로 이용하고 있음을 알 수 있었으며, 노인들의 적극적인 건강정보프로그램 시청행위는 건강정보에 대해 보다 긍정적인 태도를 유발하고, 긍정적인 태도는 건강에 대한 관심과 학습효과를 높여 학습된 건강정보를 실천할 가능성을 높여줄 것이라는 기대를 갖게 한다. 이와 같은 건강정보의 실천은 TV를 통한 건강정보전달의 궁극적인 목적이라는 점에서 매우 의의가 있으며, 고령화 시대에 노인들에게 주요 건강정보원으로서 TV의 중요성을 다시 한 번 강조하고 있다.

The purpose of this study is to explore the influence of the TV health information program on older person’s attitude, health interest, health knowledge and the practice of health behavior. The respondents of this study included 200 people over the age of 60. Data was collected using online survey for a month of April, 2013. Most of the respondents watched TV health information programs on a regular base. The old turned out to watch health program for health knowledge rather than for fun. The old tried to practice health knowledge gained from the TV program. Hierarchical regression analysis showed the old's attitude to the health program, health interest, and knowledge as well as their socio-economic factors and TV viewing behaviors had meaningful influence on their health information practices. Television media is expected to play a key role as health information source to the old in an aging society.