• The Journal of Korean Society for School & Community Health Education
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• v.24 no.1
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• pp.1-15
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• 2023

Objectives: The purpose of this study was to identify the major influencing factors of breast cancer death and to suggest policy measures to promote the health of breast cancer patients. Methods: The method of this study performed statistical analysis by applying weights to 2,300 cases of breast cancer registration statistics in Korea collected in 2018 due to the relatively small number of mortality data compared to survival. Statistical processing of the collected data was analyzed using SPSS 26.0. Results: The epidemiologic characteristics of death in breast cancer patients were 31.8% in those aged 70 years or older, and the mortality rate was 5.25 times higher in patients aged 70 years or older than those aged 39 years or younger. The anatomical site code was 36.4% in C50.4~C50.6, and the mortality rate was 1.82 times higher in C50.4~C50.6 than in C50.0~C50.1. The tumor size was 40.4% and larger than 4cm, and the mortality rate was 4.53 times higher in tumors larger than 4cm than those smaller than 1cm. The degree of differentiation was 13.9% in the poorly differentiated group, and the mortality rate was 4.38 times higher in the poorly differentiated group than in the highly differentiated group. In the hormone receptor test, non-triple negative cases were 59.6%, and the mortality rate was 0.57 times lower in non-triple negative cases than in triple negative cases. As for lymph node involvement, the presence or absence of lymph node involvement was 78.8%, and the mortality rate with lymph node involvement was 1.36 times higher than that without lymph node involvement. The survival period of 13 to 24 months was the highest at 26.5%, and the average survival period was 25.68 months (±14.830). Conclusion: A policy to advance the timing of national health examinations for early detection of breast cancer is necessary. In addition, a bill for the mandatory placement of health educators in medical institutions for patients with special diseases such as breast cancer should be prepared.

• The Journal of Korean Society for School & Community Health Education
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• v.25 no.2
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• pp.15-26
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• 2024

Objectives: The purpose of this study is to determine the relationship between electronic cigarette use and mental health factors such as stress, suicidal thinking, and generalized anxiety disorder among Korean adolescents. Methods: Based on the 19^th (2023) Youth Health Behavior Survey, cross-analysis(Rao-Scott χ2 test) and complex design logistic regression analysis were conducted to identify e-cigarette use and mental health factors. Results: Lifetime use experience with electronic cigarettes (OR:1.218) and current use of electronic cigarettes (OR:1.266) for male adolescents and lifetime use experience of electronic cigarettes(OR:1.587 ) for female adolescents were influential factors on stress. Lifetime experience with e-cigarettes (OR:1.866) and current use of e-cigarettes (OR:1.651) for male adolescents and lifetime experience with e-cigarettes (OR:2.375) and current use of e-cigarettes (OR:1.841) for female adolescents were influential factors on suicidal thinking. Lifetime experience with e-cigarettes (OR:1.307) among male adolescents and lifetime experience with e-cigarettes (OR:1.616) among female adolescents were influencing factors for generalized anxiety disorder. Conclusion: Because there is a significant relationship between adolescent e-cigarette use and mental health, e-cigarette prevention education is needed early in adolescence.

• The Journal of Korean Society for School & Community Health Education
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• v.1 no.2
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• pp.105-125
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• 2000

The purpose of this study was to examine the influence of school safety accident on teacher's normal educational activities and to seek some desirable ways to cope with it. The subjects in this study were 351 class teachers randomly selected from Seoul and Kyonggi Province and surveyed from April through July, 2000. The conclusions were as follows; 1. Actual Condition of School Safety Accident 1) Approximately many teachers investigated had had an experience to suffer safety accident. Safety accident occurred most during break or class, but there was a significant difference according to service area. 2) Safety accident took place most in playground, and the most common cause was student's own carelessness, and the most widely occurred accident type was an injury. But there was no significant difference caused by the general characteristics of the teachers. 2. Influence of Safety Accident On Teacher's Educational Activities. 1) The largest reason they offered safety education was to ensure student safety. The greatest number of them had an opinion they would consider changing or giving up a planned normal educational activity if they recognized any possibilities of safety accident. There was a significant difference in this point according to gender and career. 2) They worried about possible safety accident most during field study, but there was a significant difference according to gender or presence or absence of safety accident experience. 3) The general characteristics of teacher produced a significant difference to an experience of avoiding educational activity due to psychological withdrawal, but safety accident experience didn't make any difference. 3. Minimization of Teacher Damage or Loss from Safety Accident. 1) The dominant opinion about teacher's small mistake for any occurrence of safety accident was that the responsibility should be escaped to maintain teacher's authority. For severe mistake, however, there were two different opinions at the same percentage: one was being exempted and the other was taking civil liability. 2) Establishing teacher insurance was preferred as a way to minimize teacher's economic loss from safety accident, but there was a significant difference according to gender. 3) The dominant opinion about the payment of insurance premium for safety accident was that it should be paid from school operating expenses.

• The Journal of Korean Society for School & Community Health Education
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• v.13 no.3
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• pp.33-42
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• 2012

Purpose: This research targeted the high school students to analysis the behavior leading to oral health following the level of knowledge of and attitude towards oral health. Going steps further, this research examines the effect of the education on the oral cavity's health on the behavior leading to oral health to provide the need to conduct education on the oral cavity's health. Methods: High school students in the 1st to the 3rd grades in two high schools in Gyeongsangnamdo were targeted to conduct survey on 444 students. Collected data was subjected to the SPSS statistical program to obtain the frequency, percentage and average. Moreover, standard deviation, t-verification, one-way ANOVA, correlation analysis and logistics regression analysis were conducted. Results: First, average of the high school students' knowledge of and attitude towards oral cavity's health was higher when the education on the oral cavity's health was received compared to when education on the oral cavity's health was not received. Second, knowledge of and attitude towards oral cavity's health were high when there was the willingness to participate in the education on the oral health. In case education on the oral cavity's health was received, average of the knowledge of oral cavity's health was high, which manifested statistically significant difference. Average of the knowledge of oral cavity's health was high as well in case there is a perception that the need for the education on oral cavity exists. Third, the probability of having had their teeth scaled was higher when the total score for the knowledge of oral cavity's health was higher. The probability of having had their teeth scaled was higher when the score on the attitude for preventing periodontal disease was higher. Conculsion: These results demonstrate that the existence of high school students' education on the oral cavity's health, and knowledge of and attitude towards oral cavity's health exert significant influence on the behavior leading to oral cavity's health.

• The Journal of Korean Society for School & Community Health Education
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• v.6
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• pp.89-107
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• 2005

The purposes of this study were to investigate the recognition and the needs and problems of in-service education for school nurse, and to suggest the desirable guidelines, for supples the basic data of in-service education for school nurse to upgraded the quality as school nurse's professional specialist. The subjects of this study were 376 school nurses who were working in Jollanamdo. The research instruments used in this study was 'Needs of In-service Education questionnaire'. 305 collected Data were analyzed with the frequency analysis, $x^2$-test. The conclusions were as follows; First of all, the most important motives for the school nurses to participate in-service education are the enhancement of their specialties on teaching profession, self-realizations as educators, and improvement of health teaching skill. However, the motives to obtain the skill for school management or to obtain a high rank qualification and promotion are quite low. School nurses are generally satisfied with duration, time, place of in-service education, But they are not satisfied with contents of in-service education, professional specialist and understanding of real educational situation of the instructors. On the urgent problem of school nurses, promotion of health teaching skill was highest in the rank, and establishment of firm educational philosophy and a sense of teaching profession, proceed to university and graduate school ranked next, respectively. Second, the need of a school nurses on in-service education direction ranked the application of teachers' character and need, practicable and concrete educational programs, planning of school health development, reinforcement of health education, expansion of practical knowledge and on reflection thought, respectively. The need of a school nurses on in-service education contents(major part) ranked health education, health promoting program of student, knowledge and practice of practical medicine and oriental medicine, consultation process, health education of advanced country, respectively. The need of in-service education supervisory organization, the need for a cities provinces educational office was highest in the rank. The need of in-service education type, duty training ranked high, and abroad training, qualification training, general training ranked next. the need for specialist for lecturer of in-serve education ranked among the highest, along with school nurses and university professor. The need of school nurses on education method(duplication answer), need for conference and discussion teaching was highest in the rank. The need on evaluation method, evaluation through a examination ranked the highest. On the needs of in-service education times, need for vacation during the winter and summer was the highest. As for the duration, 31 to 60 hours in duration of in-service education was need most, and most school nurses need cities and provinces in-service training institute as the location of in-service education. On the organization size, need for 21 to 30 people was the highest, where as need for 41 people was relatively low. Lastly, on the problem of in-service education for school nurses, lack of opportunity of in-service education for school nurses was highest in the rank, and improperness of in-service education contents and method, lack of incentive ranked next, respectively.

• The Journal of Korean Society for School & Community Health Education
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• v.20 no.2
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• pp.69-80
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• 2019

Objectives: In this study, we tried to analyze the factors affecting Length Of Stay for serious patients in Republic of Korea. Methods: The study included 139,172 serious patients in the 2012-2016 discharge details. Using the SPSS 23.0 program, we conducted a rank regression analysis with social and social demographic characteristics as control variables, medical institution characteristics and medical use characteristics as independent variables, and Average Length Of Stay as a dependent variable. Results: Average Length Of Stay for participants was found to be 9.92days. And the location and bed size of medical institutions were not statistically significant, the hospitalization path was more urgent(B=0.43) than the outpatient (p<0.001), and there was no secondary diagnosis(B=0.35). However, Average Length Of Stay was higher (p<0.001) than there was no main surgery(B=0.80). After discharge, Average Length Of Stay for funding(B=0.43) and death(B=0.72) was long (p<0.001). Average Length Of Stay for participants was found to be 9.92days. And the location and the bed size of the medical institution were not statistically significant, and the hospitalization pass had longer Length Of Stay for emergency patients(B=0.43) than for outpatients(p<0.001). There was a longer Length Of Stay(B=0.35) than none was diagnosed. There were longer Length Of Stay(p<0.001) than there was no major surgery(B=0.80). After discharge, the outpatients had longer Average Length Of Stay(B=0.43) and deaths(B=0.72) than those who returned home(p<0.001). Conclusion: As a result of analyzing the factors affecting Average Length Of Stay of the participants, it was confirmed that regardless of the location and bed size of medical institutions, hospitalization route, department diagnosis, main surgery, and whereabouts after discharge. Therefore, appropriate interventions and necessary support must be provided so that efficient Length Of Stay can be managed according to the medical use characteristics of serious patient.

• The Journal of Korean Society for School & Community Health Education
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• v.22 no.4
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• pp.49-60
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• 2021

Objectives: Laboratories have various latent physical, chemical, biological, and ergonomical factors according to the diversification and fusion of research and development activities. This study aims to investigate the chemical exposure concentrations of college laboratories and evaluate their health risks, and use them as basic data to promote the health of college students. Methods: The sampling and analysis of harmful chemicals in the air in laboratories were performed using Method 1500 of the U.S. National Institute for Occupational Safety and Health (NIOSH)의 Method 1500. The harmful chemicals in the laboratories were divided into carcinogenic and non-carcinogenic chemicals. Risk assessment was performed using the cancer risk (CR) for carcinogenic chemicals and using the hazard index (HI) for non-carcinogenic chemicals. Results: The harmful chemicals in college laboratories consisted of acetone, diethyl ether, methylene chloride, n-hexane, ethyl acetate, chloroform, tetrahydrofuran, toluene, and xylenes. They showed the highest concentrations in laboratories A (acetone 0.001~2.34ppm), B (chloroform 0.95~6.35ppm), C (diethyl ether 0.08~8.68ppm), and D (acetone 0.07~14.96ppm). The risk assessment result for non-carcinogenic chemicals showed that the HI of methylene chloride was 2.052 for men and 2.333 for women, the HI of N-hexane was 4.442 for men and 5.05 for women. Thus, the HI values were higher than 1. The risk of carcinogenic chemicals is determined by an excess cancer risk (ECR) value of 1.0×10^-5, which means that one in 100,000 people has a cancer risk. The ECRs of chloroform exceeded 1.0×10^-5 for both men and women, indicating the possibility of cancer risk. Conclusion: College laboratories showed the possibility of non-carcinogenic health risks for methylene chloride, n-hexane, tetrahydrofuran (THF), toluene, and xylenes, and carcinogenic health risks for chloroform, methylene chloride. However, this study used the maximum values of measurements to determine the worst case, and assumed that the subjects were exposed to the corresponding concentrations continuously for 8 hours per day for 300 days per year. In consideration of the nature of laboratory environment in which people are intermittently exposed, rather than continuously, to the chemicals, the results of this study has an element of overestimation.

• The Journal of Korean Society for School & Community Health Education
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• v.13 no.2
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• pp.93-105
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• 2012

This study aimed to provide the fundamental resources for developing an effective safety education program. We analyzed the condition of school accidents and safety awareness, and the condition of school safety education and the factors related to safety education. Ultimately, this study can lead the following studies to develop the safety education program realistically, which can effectively change the safety behaviors of Korean students. Methods: We carried out a questionnaire survey that was targeted at the schools - three elementary, three middle, and three high schools - located in Chung-nam, from April 1, 2012 to May 2, 2012. Totally, the questionnaires of 578 students were fully filled out. The design of this study is a descriptive research. Results: 1. 64.5% of elementary school students, 33% of middle school students and 32% of high school students had experienced more than one safety accident. The frequency of occurrence was the highest in playgrounds for elementary and middle school students, and in stairs for high school students. The most safety accidents occurred during lunch time and at recess in elementary and middle school, and at recess in high school. Further, most of the students who had experienced the safety accidents had been treated in infirmary (school nurse's office) for elementary school students, and in a hospital for middle and high school students. 2. There was statistical significance in the safety consciousness for students in elementary school (18.09 points), middle school (17.68 points), and high school (17.26 points), on a twenty-point scale. (F=3.754, p=0.024). 3. Comparing the factors related to school safety education with safety consciousness, students in elementary school that gave an answer of the usefulness of safety education showed a high standard in the safety consciousness level. (F=12.347, p=0.002) For the need of safety education, the students in the elementary school and high school that expressed the necessity of safety education showed a high standard in the safety consciousness level. Conclusions: Accordingly, it is true that there are the differences at safety awareness among elementary middle high school students. This study is meaningful enough in that it provides the fundamental resources for developing the effective safety education methods for the subjects.

• Research in Community and Public Health Nursing
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• v.15 no.1
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• pp.36-43
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• 2004

Purpose: The main objective of this study was to develop a continuing education program for school health nurses using the Internet, and evaluate the satisfaction of users. Method: A survey using a self reported questionnaire was done to identify areas where education is needed. A stratified random sampling method was employed to select 1.746 school health nurses and to receive the respondings from 584 school health nurses. The contents of the module for the education program were determined to be counseling and teaching techniques to meet health care needs related to sex, and cessation of smoking. The researchers wrote the educational content for the program, and the storyboards and illustrations appropriate to the module were constructed and the domain was registered. The web site was named 'www.healthyyouth.org'. Results: Three topics were identified where education is needed: youth and sex, youth and smoking, and counseling techniques for children, and programs were developed under the web site named. 'www.healthyyouth.org'. Over 90 percent of the respondents reported that the web site was useful and 100 percent reported that they would recommend the web site to other school health nurses. Conclusion: The web based program allowed school health nurses to study and improve their health care knowledge and skills. Since almost all schools in Korea have personal computers in the infirmary, accessibility to the program is excellent. Based on the results of this study, this type of education program will be a useful method for the continuing education of school health nurses.

• The Journal of Korean Society for School & Community Health Education
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• v.10 no.2
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• pp.1-13
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• 2009

Objectives: This study is a quasi-experimental research with nonequivalent control group pretest-posttest design study to compare and verify the educational effects between CPR Song.Video Self-Instruction and CPR VSI. Method: We selected total 58 subjects who were freshmen at the Dept of Emergency Medical technology, G College in G Metropolitan City and 28 of them were experimental group which had no experience to have CPR instruction and consented to take part in this research and 30 students were control group. Data were collected from Apr. 27 to 29, 2009. Data were analyzed with SPSS/PC+(version 14.0). and all significance level was set as p<0.05. Results: 1. In the knowledge of CPR, the knowledge level before CPR instruction was 2.17 out of 10 in experimental group and 1.86 in control group. After CPR instruction, experimental group got 9.07 and it meant the increase of 6.89 and control group showed increase to 7.16(p=0.000). 2. Self-efficacy of CPR showed 2.61 out of 10 in both experimental and control groups, and after CPR instruction, experimental group showed increase of 3.93 as 6.55 and control group showed increase of 3.91 as 6.52(p=0.000). 3. Accuracy of CPR performance was 0.32 out of 10 in experimental group and 0.40 in control group. After CPR instruction, experimental group got 9.25 and showed increase of 8.92 and control group got 9.20 and showed increase of 8.80(p=0.000). 4. Study satisfaction was 4.22 out of 5 in experimental group and 3.04 in control group, and experimental group was higher than control group. there was no statistically significant difference. Conclusions: This study found that CPR Song；Video Self-Instruction achieved better results than CPR VSI. With these results, it is considered that CPR instruction for college students through mass communication or video will be very helpful.