Purpose: This mixed methods study aimed to investigate the anxiety and nursing satisfaction levels and experiences among users of a general health checkup center. Methods: A total of 152 participants completed a questionnaire to assess their pre-checkup anxiety and post-checkup nursing satisfaction levels. Additionally, 11 participants were individually interviewed to determine their pre-checkup anxiety and post-checkup nursing satisfaction experiences. Survey data were analyzed using SPSS software, while qualitative data were analyzed using content analysis. Results: The mean anxiety scores were 2.80±2.24 on the Visual Analog Scale for Anxiety and 44.06±9.55 on the State-Trait Anxiety Inventory (STAI) scale. Education level was a significant factor influencing the STAI scores. Participants with a college education or higher had significantly lower STAI scores(p<.005), indicating the association between higher education levels and lower STAI scores. The mean nursing satisfaction score was 36.49±8.84, with male participants reporting higher nursing satisfaction levels. The pre-health checkup anxiety experience included three themes: “contrasting expectations about checkup results,” “various emotions felt during the checkup process,” and “physical and mental reactions.” The health checkup nursing satisfaction experience included four themes: “satisfaction with nurses’ support and care,” “comfort during the checkup process,” “dissatisfaction due to nurses’ habitual responses,” and “expectations for nurses’ emotional support and communication.” Conclusion: Providing comprehensive nursing information is essential to reduce user anxiety and improve nursing satisfaction. Moreover, integrating advanced technologies, such as virtual reality, augmented reality, and metaversing, into information delivery can enhance educational effectiveness and better address the experiences and needs of checkup users.

In Korea, reliable and affordable individual health information is obtained through national health examinations, which can be actively utilized in community health services based on examination data. The purpose of this study is to analyze national health examination data in order to identify the health behavior and health status of the elderly, and to incorporate the examination results into home visiting healthcare services provided at health centers. Methods: This study is a cross-sectional survey that analyzed the national health examination data of 2018 using the National Health Insurance Service-National Health Information Database. Data analysis was conducted using the SAS program. The overall results of the health examinations were presented in terms of frequency and percentage. Results: The national health examination rate was 72.6%, and 97% of the examinees had health needs such as improving health behavior and managing diseases. It was found that 52.2% of patients had high blood pressure, followed by diabetes and dyslipidemia. The health data generated from the national health examination includes information relevant to home visiting healthcare services. Conclusion: By utilizing health data generated from national health examinations, the process of collecting data in home visiting healthcare services can be simplified. By focusing on providing customized services, it will be possible to increase the efficiency of home visiting healthcare services.

목적 : ‘치매관리법’에 따라 전국적으로 치매안심센터가 설립되고, 치매 관련 서비스를 제공할 수 있는 전문 인력의 요구도 증가되고 있다. 하지만 치매안심센터 조기검진팀의 구성원으로 작업치료사는 배제되어 있다. 따라서 치매안심센터 조기검진팀 구성원으로서 작업치료사의 필요성과 중요성을 알아보고자 하며, 이에 근거 자료를 제시하고자 한다. 연구방법 : 치매 평가영역에서 작업치료사의 역할에 대한 문헌을 중심으로 고찰하였으며, 작업치료사가 시행하는 평가도구 및 평가영역에 대하여 국내 및 국외 연구, 보건복지부 치매정책 관련 자료집과 치매센터 책자를 통하여 자료를 수집하였다. 치매안심센터 조기검진팀에서 시행하는 선별검사 및 신경인지검사와 작업치료사가 주로 사용하는 인지관련 평가도구의 항목들을 분석하였다. 결과 : 작업치료 수행영역에서 인지ᆞ지각영역의 평가 및 치료는 중요도나 수행도 측면에서 상위에 위치한다. 치매안심센터의 평가와 작업치료사들이 임상에서 사용하는 평가는 6가지 인지영역(기억력, 시공간 능력, 집중력, 실행능력, 계산능력, 언어능력)에서 중복되어 사용되고 있다. 결론 : 본 연구에서 작업치료사는 인지ᆞ지각 평가 영역에서 충분한 자질을 갖추고 있는 전문가임을 제시 하였기에 치매안심센터 조기검진팀의 구성원으로 포함되어야 하는 근거자료가 될 것이다. 본 연구는 앞으로 보건복지부에 치매정책관련 개정사항으로 의견 제출 시 유용하게 활용 될 것이다.

본 연구는 국민건강보험공단의 장애와 건강통계 자료를 분석하여 장애인 건강검진 수검률을 살펴보고 건강검진에 따른 문제점과 향후 개선방안을 제시하고 건강검진 문진조사 결과를 바탕으로 장애인의 건강관리 형태 등을 소고하고자 한다. 연구대상은 장애인복지법 제2조에 따른 신체적, 정신적 장애로 오랫동안 일상생활이나 사회생활에서 제약을 받고, 2015. 12. 31. 기준 등록한 장애인2,479,080명중 건강검진과 건강형태 조사에 참여한 장애인으로 한정하여 정책적 의견을 제시하였다. 결론으로 장애인 건강검진은 첫째, 장애인에 적합한 건강검진 서비스를 준비하기 위해서는 장애인 당사자들의 의견이 필요할 것이다. 둘째, 장애유형 및 중증도별 건강검진 항목 개발이 필요할 것으로 생각된다. 셋째, 장애 인건강검진 의료장비 및 편의시설에 대하여 고민해 보아야 할 것이다. 넷째, 서비스 제공자에 대한 인력확보와 교육이 필요할 것으로 생각된다. 다섯째, 장애인의 이동권을 확보할 수 있도록 하여야 할 것이다. 장애인의 건강형태는 첫째, 장애인 건강증진을 위한 각 영역별 전문가 협의체를 구성하여야 할 것이다. 둘째 장애인 건강증진 프로그램과 이를 운영하는 시설 현황분석이 필요할 것으로 생각된다. 셋째, 장애인건강권 및 의료접근성 보장에 관한 법률에 나와 있는 중앙장애인 보건의료센터에서 장애유형 및 중증도별 표준화된 건강증진 프로그램 개발이 필요할 것으로 생각된다. 지금까지 장애인 건강검진과 건강형태에 대한 내용을 살펴보고 이에 따른 정책적 의견을 제시하였다. 따라서 향후 연구로 본 연구에서 제시하고 있는 과제를 바탕으로 세부적인 연구들이 추진되길 바라며 장애인의 건강과 관련된 프로그램의 인과관계가 지속적으로 밝혀져야 할 것이다.

The purpose of this report is to discuss the obtained findings gathered from ultrasound screenings of the liver. After running diagnostic tests health, screens were then conducted to analyze and compare the gained results. This data was then charted and used to strengthen our theorized hypothesis. From January 2013 to June 2013 a recorded 2906 people over the age of 20 visited Health Promotion Centers in various areas throughout Daejeon. Of those 2906 participants 1789 underwent screenings for abdominal ultrasonography; these participants as well as their ultrasound results were used as the bases of our study. For the establishment of our baseline and the comparison of our results, we gathered case-controlled studies from various reputable sources. Both the control and the experimental groups were tested to measure the following liver enzymes (AST, ALT, r-GTP, ALP, and etc.). Kidney functions were measured as well enzymes such as BUN, Creatinine, and Uric Acids levels were analyzed and recorded to see if any relationships existed between the levels documented in the liver and those in the kidneys. It was shown that the two primary causes of fat build up within the liver were significantly connected to obesity BMI(OR=4.14) and waist circumference(OR=3.88).

The purpose of this study was to analyze the dietary habits and food intake by age, based on the nutrition counseling data of medical health examination. The subjects were 5, 511 adults(3, 139 males and 2, 372 females) who took comprehensive medical test in Gyeonggi area, and they were evaluated from January 1, 2007 to December 31, 2007. Survey samples were divided by age groups: 30>, 30~39, 40~49, 50~59, 60~69, 70≤ years. The subjects were composed of 57% male and 43% female. The results showed that the dietary habits of ≥50 group were relatively good. On the other hand, in 30> yrs group had more dietary habit problems, they had irregular meals and the ratio of skipping breakfast was high. And they frequently had meals out. regularity of meals, eating breakfast was higher in ≥70 yrs groups than in other groups(p<0.001). frequency of overeating was higher in 30>, 30~39≥yrs groups than in other groups(p<0.001) and speed of eating meal were fast in 50~59 yrs groups than in other groups(p<0.01). For foods with high cholesterol and fat, it was shown that the older the subject, the fewer the frequency of consumption(p<0.001). For kimchi and salty foods, food intake showed a negative relationship with age(p<0.001), whereas for fresh vegetables and high-calcium fish, it showed a positive relationship(p<0.001). All in all, it was shown that as the people get older, their dietary habits tend to get more appropriate. In conclusion nutrition education based on their dietary habit by age should be taught, so that people have a healthy dietary habit and food intake for the rest of their life.

Objective : After arranged and estimated the result of Oriental Medical Health Examination Program, considered the way of improvement and how Oriental Medicine participate in industrial health service. Results : As a point at issue of occidental medicine examination, followings have been indicated, 1) Occidental medical examination is performed by mainly test and instrument and therefore, role of doctors could be excluded and it could be diagnosed only for target disease and 2) in Korea, it could not be conducted in public medical system and therefore improvement effect of public health promotion could not be made due to increase of total medical expenses and infirmity of post management. These points are substantial limit of paradigm resided in occidental medicine and also problem caused by unique characteristics of medical system of Korea. Conclusion : According to the estimate of present special health examination for workers, it seems that special health examination forworkers is a way of specializing the purpose of special health examination and searching the group that needs a special mediation for promoting the health and preventing the disease as a part of industrial health service that needs a connection with other industrial health service. A program replaced by the health effect-oriented methods that limits the purpose of special health examination be studied. After understood the potential health disorder of workers according to where they are exposed to, it also should be contained items for the disease which can be examined in health examination.

전국 65개 시군에 소재하는 착유우 20두 이상 규모의 760개 목장에서 85,983두를 대상으로 초음파 번식 검진 및 치료를 실시하여 다음과 같은 결과를 얻었다. 번식 검진우 85,983두 중 난소 질병이 40,399(47.0 %)로 가장 많았으며 자궁 질병 11,912두(13.9%), 임신 및 임신기 사고가 26,587두(30.9%), 난소나 자궁의 유착이 172두(0.2%), 프리마틴 8두(0.01%)그리고 분만 후 50일 이내로서 정상적인 발정

The National Health Insurance Act, the Industrial Health Act and the School Health Act require chest radiography at least once a year. In chest radiographic examination, most group examinations use indirect X-ray primarily aiming at diagnosing diseases and enhancing people's health. This study purposed to minimize radiation exposure dose by comparing it between direct and indirect chest X-ray studies. According to the result of comparing and analyzing radiation exposure dose, the average incident dose and penetrating dose were 0.929μGy and 0.179μGy respectively in direct chest X-ray and 6.807μGy and 1.337μGy in indirect chest X-ray In order to minimize radiation exposure dose at direct and indirect chest X-ray, indirect X-ray should be excluded from group examination if possible. Moreover, it is necessary to control the quality of equipment (Q/A & Q/C) systematically and to avoid using unqualified equipment in order to reduce radiation exposure dose.

대향타겟트형 스파터기에서 BaO-l2Fe 복합타겟트를 사용하고 50% O2+Ar 스파터가스를 사용한 반응성 프라즈마를 스펙트로스포프법으로 검진하였다. 프라즈마의 스펙트럼은 Ba, Ba+, Fe, FeO, Fe+, Ar, Ar+, O, O+의 피크로 이루어져 있었으며 타겟트로 부터 멀어짐에 따라 이온의 상대강도는 중성원소의 그것에 비하여 더 감소하였다.

본 연구는 건강검진 목적으로 시행된 관상동맥 CT에서의 성별, 연령에 따른 관상동맥질환 발견율에 대 한 유용성과 글루코스, 총 콜레스테롤, 내장지방, 체질량지수, 중성지방, 고밀도지단백질(HDL), 저밀도지단백질(LDL) 각각의 인자들과 관상동맥질환과의 관련성에 대해 알아보았다. 총 299명의 수검자를 대상으로 후향적 분석을 실시한 결과 관상동맥질환 발견율에 대해서는 남성, 50세 이상에서의 유병율이 높은 것으로 나타났으며, 통계적으로 유의성을 보였다. 특히 남성의 유병율(37.9％)은 여성의 유병율(17.0%) 보다 약 ２배가 높은 것으로 확인되었다. 또한 관상동맥질환과 관계되는 혈액학적 요인으로는 글루코스와 고밀도 지단백질(HDL)이 통계적으로 유의성을 보였다. 관상동맥질환의 예방 및 관리를 위해서는 글루코스와 고밀도지단백질(HDL)의 조절이 필요할 것으로 보이며, 다른 혈액학적 인자들과는 통계적으로 유의성은 낮았지만, 관상동맥질환에 대한 관리의 필요성이 확인되었다. 주요 결과로서 선별검사 목적으로 관상동맥 CT의 사용은 방사선 피폭 등의 문제점으로 인해 수검자의 성별, 나이를 고려하여 시행하는 것이 좋을 것으로 생각되며, 관상동맥 CT 시행 이전에 비침습적인 방법들의 선행검사를 통한 관상동맥 질환 검사가 필요함을 제안한다．

Purpose - This study aims to identify the priorities of medical service quality improvement by customer satisfaction characteristics and potential customer satisfaction improvement (PCSI) index based on the dualistic quality classification of Kano Model (1984) for Comprehensive Health Screeening Center in General Hospitals and Centers only for Comprehensive Health Screening and suggest a direction for future improvement. Research design, data, and methodology - Through advanced research on health screening medical service quality, this study set four service quality factors, including tangible, human, process and supportive factors, and 39 measurement items. Based on these items, the study used 117 questions, which consist of dualistic quality factors, customer satisfaction coefficients, positive and negative questions for PCSI index and questions for current satisfaction. 300 effective samples were collected for adults in their 20s who experienced health screening service in Seoul, Gyeonggi-do and Incheon within the past two years. Collected data were input in the quality evaluation duality table to categorize quality factors and calculate customer satisfaction coefficients by Timko(1993). The study also analyzed PCSI index in comparison with current satisfaction and identified priorities in quality improvement. Results - It was found that the most urgent factors to improve the quality in both groups were adequate waiting hours and emergency response for complications, which are process factors classified as unitary quality. It is urgently needed to improve the quality as the PCSI index was high in supportive factors (complaint response team) as attractive quality in Comprehensive Health Screening Center in General Hospitals and in process factors (prevention of infection) as unitary quality in Centers only for Comprehensive Health Screening. As the PCSI index was low in space use as a tangible factor, it was found that the current level can be maintained instead of improvement. Conclusions - To improve the health screening medical service quality, it is required to focus on process factors (adequate waiting hours, emergency response for complications, prevention of infection) and supportive factors (complaint response team) among service qualities perceived by users. It is proposed to ensure continuous efforts to manage and reinforce priorities as a direction for future improvement in health screening service.

일반적으로 유방암 발생에 영향을 미치는 요소는 여러 연구가 진행되었으나 위험인자에 관한 체계적인 조사는 드물다. 따라서 본 연구에서는 유방초음파 검사 전 실시하는 건강문진표 작성내용과 실제 초음파 검사에서 유방암 판정을 받은 환자를 바탕으로 관련인자를 파악하고자 하였다. 유방초음파를 실시한 417명 을 대상으로 자기기입식 문진표를 작성하였고 양성, 악성으로 분류하여 후향적 연구를 시행하였다. 유방암 발생 관련인자로 나이, 체질량지수, 투약 종류에서 관련성을 보였으며(p<0.05), 다변량분석 결과 교차비(Od ds ratio)는 나이에서 50대 이하를 기준으로 50대에서 4.93배, 체질량지수 정상군보다 비만군에서 2.43배 증 가하였고 타목시펜과 여성호르몬제 투약 시에는 0.14배, 0.16배 감소하였다(p<0.05). 따라서 나이가 증가함 에 따라 정기적인 검사를 실시하고 적절한 체중관리가 필요하다. 따라서 본 연구는 유방암 발생에 영향을 미치는 위험인자 규명의 기초자료로 제공될 것으로 기대한다.

본 연구는 건강검진센터에 내원 환자를 대상으로 방사선 검사 시 방사선피폭 인식에 대한 관련요인을 분석하여 방사선피폭 인식의 변화를 위한 교육 자료를 만드는데 기초자료를 제공하기 위해 시도하였다. 방사선 장치 중 가장 방사선 피폭을 가장 많이 받는 검사에 대해서는 전체 72.0%로 CT가 가장 높았으며, 방사선 검사 시 피폭에 가장 민감한 부위에 대해서는 생식선 63.5% 가장 많았고, 방사선에 대한 정보 파악은 전체 29.0%가 TV나 신문을 통해 습득하는 것이 가장 많았다. 방사선 인식도, 방사선 유해성, 방사선 검사 시 심리상태, 방사선 피폭방지, 방사선 필요성에 대해서는 성 별간 남자가 더 높게 나타났으며, 통계학적으로는 유의한 차이가 있었다. 본 연구를 통해서 환자들로 하여금 방사선피폭에 대하여 올바르게 인식을 할 수 있도록 교육프로그램의 개발이 시급하며, 방사선사들에게는 환자의 피폭선량을 경감을 위한 세심한 배려가 필요하다고 하겠다. 또한 환자들은 방사선에 대해서 올바르게 인식하는 것이 촬영 시 불안감과 방사선피폭을 줄일 수 있을 것이다.