Factors associated with aggression in high school students in Korea : Comparison between 2006 and 2016

과거 청소년의 공격적 성향에 대한 연구는 대부분 가정환경, 학대경험, 선정적 매체 등 개인을 둘러싼 사회적 요인을 중점적으로 다루었다. 또한 약물 남용, 알코올 등도 공격성과 연관인자로서 연구되었다. 이후 청소년의 공격성이 사회적 이슈로 전 세계적 사안이 되면서 사회적 요인뿐 아니라 청소년의 정신건강과 더불어 비만, 변비 등 건강요인이 공격성과 유관한 인자로서 연구되었다. 본 연구는 청소년의 건강행태와 공격성의 상관관계 분석을 통한 공격성에 영향을 미치는 건강행태의 요인을 연구하여, 청소년기의 공격성에 대한 이해와 더불어 폭력적 행동의 예방에 이바지 하고자 한다. 본 연구는 2006년과 2016년 같은 지역의 학생들을 대상으로 자가 설문조사를 통하여 흡연, 음주, 카페인, 운동, 약물 복용, 기타 질환 등 청소년에서의 건강행태와 공격성을 분석한 단면연구 결과이다. 공격적 성향에 대한 설문 문항은‘The Aggression Questionnaire‘에 기반 하여 총 4가지 영역(신체적 공격성, 언어적 공격성, 분노성향, 적대감)에 대하여 공격성 평가하였다. 또한 공격성 관련 변인으로 흡연 여부, 음주 여부, 카페인 음료 섭취 여부, 규칙적 운동 여부, 복용 약물, 두통, 허리통증, 척추 측만증, 변비, 소화불량, 속쓰림, 심장질환, 알레르기성 피부염, 축농증, 천식, 우울 불안, 비염 등에 대해 조사하였다. 연구 결과, 공격적 성향의 항목은 2016년 조사 결과 2006년에 비해 2016년에서 모든 항목이 감소 하였다. 공격성 점수를 모두 합한 전체 공격성이 2006년 70.8%에서 2016년 60.8%로 10%감소한 결과를 보였다. 회귀분석 결과 2006년과 2016년의 두 차례 단면연구에 걸쳐 공통적으로 유의성을 보인 항목을 살펴보면, 신체적 공격성에 유의한 영향을 보인 성별, 흡연 항목이 있다. 또한 언어적 공격성의 경우 성별, 우울불안이 공통적으로 유의한 영향을 미쳤으며 분노성향의 경우 음주, 우울불안, 진통제와 두통약이 공통적으로 유의한 영향을 미쳤다. 적대감의 경우 소화불량, 우울불안이 공통적으로 유의한 영향을 미쳤으며 공격성 점수를 모두 합한 항목에 두 차례의 단면연구에 걸쳐 공통으로 유의한 영향을 미친 항목은 음주와 우울불안이었다.;Most of the research conducted on the aggressive tendency of adolescents in the past mainly focused on the social factors surrounding the individual, including home environment, abuse experience and sensational media. Drug abuse and alcohol, etc. were also studied as the related factors to aggressiveness. As the aggressiveness of adolescents has emerged as a global concern as a social issue, not only social factors but also health factors, such as obesity and constipation as well as mental health of adolescents, were studied as the factors related to aggressiveness. The present study aims to investigate the factors of health behaviors that affect aggressiveness through the analysis of correlations between adolescents’ health behaviors and aggressiveness in order to contribute to enhancing the understanding of aggressiveness in adolescence and preventing violent behavior. The present study is a cross-sectional study that analyzed the adolescents' health behaviors, including smoking, drinking, caffeine, physical workouts, medication and other diseases, and aggressiveness by conducting the self-questionnaire for students in the same area in 2006 and 2016. The questionnaire items were based on 'The Aggression Questionnaire' and aggressiveness was assessed on a total of 4 areas (physical aggressiveness, verbal aggressiveness, anger tendency, and hostility). In addition, we investigated smoking status, drinking status, caffeinated beverages status, regular physical workouts status, medication, headache, back pain, scoliosis, constipation, indigestion, brash, heart disorder, allergic dermatitis, sinusitis, asthma, depressive anxiety, and rhinitis, etc. as the variables related to aggressiveness. As a result, all items of aggressive tendency decreased in 2016 compared to 2006. Total aggression combining all types of aggression decreased from 70.8point in 2006 to 60.8point in 2016. As a result of regression analysis, if we examine the items that showed common significance through two cross-sectional studies, there are gender and smoking items that showed a significant effect on physical aggressiveness. Furthermore, in the case of verbal aggressiveness, gender and depressive anxiety had a significant effect in common. In the case of anger tendency, drinking, depressive anxiety, and analgesics and headache drugs had a significant effect in common. In the case of hostility, indigestion and depressive anxiety had a significant effect in common, and the items that had a significant effect in common on the items with the total aggressiveness score through two cross-sectional studies were only drinking and depressive anxiety.Ⅰ. 서론 1 Ⅱ. 연구방법 4 A. 대상 4 B. 방법 4 C. 통계방법 5 Ⅲ. 연구결과 7 A. 연구 대상자의 특성 7 B. 공격적 성향에 대한 분석 8 Ⅳ. 고찰 23 참고문헌 30 ABSTRACT 3

Feasibility of an outpatient-based pulmonary rehabilitation program for lung cancer patients during radiation therapy

Purpose Data are lacking regarding pulmonary rehabilitation (PR) programs in patients with lung cancer receiving radiation therapy. This study aimed to confirm the feasibility of an outpatient-based PR program in lung cancer patients during radiation therapy. Methods A retrospective chart review was performed of 40 patients with lung cancer who had undergone radiation therapy between July and December 2019. The patients received an outpatient-based PR program for a total of eight sessions two times weekly comprising 60 min per session. Feasibility was assessed based on the completion rate, adverse events, and satisfaction with the PR program. Functional evaluations using 6-min walk and grip strength tests were conducted before and after PR. Patient quality of life was assessed by the EORTC QLQ-C30 questionnaire before and after PR. Results The completion rate for the PR program was 72.5% among the 40 patients. No adverse events related to PR were reported. The overall satisfaction was 5.7 +/- 1.1 on a seven-point Likert scale in all participants. The mean 6-min walk test distance increased significantly from 419.1 to 446.2 m. The improvement in grip strength in the dominant hand after PR was not significant. The social functioning score in the EORTC QLQ-C30 improved significantly. Conclusion The results of this study showed the feasibility without serious adverse effects of a 4-week outpatient-based PR program for lung cancer patients undergoing outpatient-based radiation therapy. This program might improve patient physical function and quality of life