• Title/Summary/Keyword: Community Health Assessment

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Oral health literacy of upper grade elementary school children (초등학교 고학년 아동의 구강건강문해력 평가)

  • Hong, Jinsil;Kim, Young-Sam;Chang, Kee-Wan
    • Journal of Korean Academy of Oral Health
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    • v.42 no.4
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    • pp.229-237
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    • 2018
  • Objectives: The purpose of this study was to examine oral health literacy in a sample of Korean of 5th and 6th grade elementary school children. Methods: Data were obtained from a convenience sample of 274 $5^{th}$ and $6^{th}$ grade children from two elementary schools located in Seoul and Uijeongbu. The oral health literacy assessment tool for children of Korea (OHLC-K) takes approximately 11 minutes to complete, and consists of 20 self-report questions with a score range of 0 to 20. Item analysis, descriptive statistics, correlation and multiple linear regression were performed using SPSS 23.0 and testAn 1.0. Results: The lowest and highest percentage of correct answers were found in "Definition of periodontal disease (19.3%)" and "Definition of halitosis (92.7%)," respectively. The mean score for oral health literacy was found to be $14.95{\pm}2.83$, corresponding to a score of approximately 75% correct answers. The correlation coefficient for Korean and OHLC-K scores was high (r=.73, P<.01). In the multiple linear regression, oral health literacy was associated with grade and gender. Conclusion: The present findings revealed that a quarter of the subjects were likely to misunderstand oral health information. Oral health education is indispensable to all children and, therefore, it is necessary to pay greater attention to children who exhibit poor oral health literacy.

The Relationship between Dietary Behaviors/health Risk Factors and Preference for Salty Taste among Korean Elderly People Living in Rural Areas (농촌지역 노인의 짠맛 기호도와 식습관 및 건강 위험인자와의 관계)

  • Lee, Mee Sook
    • Korean Journal of Community Nutrition
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    • v.19 no.5
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    • pp.448-458
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    • 2014
  • Objectives: Increasing salt preferences with age are said to increase preferences of salty foods, thereby leading to greater sodium consumption, which has further implication for hypertension. This study examined the link between preference of salty taste and dietary factors and health-related risk factors in Korean elderly people. Methods: We studied 312 elderly individuals aged > 65 years (male, 100 and female, 212). With each subject, pleasant concentration of NaCl was estimated using the sip-and-spit method. Dietary habits, food preferences, consumption frequencies, anthropometric and biochemical assessment were assessed. Results: The pleasant salt concentration was significantly increased in individuals older than 75 years (p < 0.05). Subjects who liked high concentration of salt showed significantly higher preferences for salty foods (p < 0.001). Results showed significant effects (p < 0.01) of fruit & fruit juice consumption frequencies, MNA (mini-nutritional assessment), cognition score, BMI, body fat %, waist circumference, arm circumference, calf circumference, vitamin D level that subjects who likes low salty taste were higher than subjects who likes high salty taste. Conclusions: The preference for salty taste in the elderly was not correlated with hypertension. But, increased preference for salty taste with age and increased salty food preferences may result in higher sodium consumption. Therefore, nutritional education regarding lowering salt preference and favorable behaviors of low-salt diet is needed to improve the quality of life in the rural elderly.

Application of Biotic Indices to Assess the Health Condition of Benthic Community in Masan Bay, Korea (마산만 저서생태계를 중심으로 연안해역 건강성 평가를 위한 저서생물지수의 적용)

  • Choi, Jin-Woo;Seo, Jin-Young
    • Ocean and Polar Research
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    • v.29 no.4
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    • pp.339-348
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    • 2007
  • In this work, we compared the characteristics of three benthic biotic indices (BPI, AMBI, BIBI) which indicates the health condition of benthic communities in Masan Bay, Korea where anthropogenic impacts have been concentrated. Also we evaluated the usefulness of these benthic indices and some problems if they were applied to the Korean coastal waters. For this we used the macrozoobenthos data collected using van Veen grab ($0.1\;m^2$) at 21 sites in Masan Bay in February and August 2004. Based on the BPI values, two stations in the inner bay were found in a very hard polluted condition and three stations in the middle bay were also in a highly polluted condition. Only one station located in the bay mouth was in a normal condition. The inner bay stations showed very high AMBI values (${\geq}5.0$), indicating a highly polluted condition. The bay mouth station was assessed in a moderately polluted condition. The overall BIBI values in Masan Bay were in the range between 1.0 and 3.0. The inner bay stations showed low BIBI values (${\leq}2.0$) in the severely degraded condition. The bay mouth station with high BIBI value over 3.0 was assessed as a normal condition. All three benthos indices showed that macrozoobenthic communities in the inner bay were in a seriously polluted condition all year round, and macrobenthic faunas in the bay mouth seemed in a bad healthy condition (slightly polluted) based on AMBI during summer season. These three benthic biotic indices showed the similar assessment result, and thus we consider that each of them is a useful tool for the assessment of coastal benthic ecosystems under the organic enrichment in sediment.

Development of Web-based u-Health Self-nutrition Management Program for Diabetic Patients (당뇨환자를 위한 웹 기반의 유헬스 자가영양관리 프로그램 개발)

  • Ahn, Yun;Bae, Jeahurn;Kim, Hee-Seon
    • Korean Journal of Community Nutrition
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    • v.19 no.4
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    • pp.372-385
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    • 2014
  • Objectives: The purpose of this study was to develop web-based self-nutrition management u-Health program for diabetic patients (DMDMG: Diabetes Mellitus Dietary Management Guide) for achieving systematic self-management of diet. Methods: The program consisted of five parts with different contents according to the results of needs assessment. Five major parts were 1) meal management part which contains calorie prescription, meals recording and dietary assessment, 2) prevention of disease part with information of diabetes and assessment of dietary behavior, 3) dietary behavior modification part with an education on dietary behavior modification plan and dietary behavior plan, 4) meal plan containing a training section for meal plan and self constructing part for meal planning by making tables, and 5) information about myself which composed with general and physical information. The system proposed in this study provides nutrients intake results right after input of diet intake, which is possible with simultaneous calculation of input data in the server with 3,495 food and 1,821 meal data base. The nutrients analysis program was evaluated with 26 diabetic patients with two-day 24 hr recall. Results: The differences of nutrients intakes between DMDMG and CANPRO 3.0 ranged from 13.5-16.5%, which was caused by the differences of databases of the two programs. The characteristics of DMDMG were; 1) it can provide an interactive tailored nutrition management, 2) it is a practical tool of diabetes nutritional management, 3) the program gives motivation for the dietary behavior modification. Conclusions: The effectiveness of whole program needs to be conducted, but the program was an innovative tool for self-management of nutrient intakes, diet behaviors, meal management and tailored nutrition education.

Intake Pattern and Needs Assessment for the Development of Web-Contents on Health Functional Foods according to Age of Adults (성인의 연령에 따른 건강기능식품 섭취실태와 정보 요구도 분석)

  • Ohn, Jeong;Kim, Jung-Hee
    • Korean Journal of Community Nutrition
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    • v.17 no.1
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    • pp.26-37
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    • 2012
  • This study was done to analyze the consumption patterns of health functional food (HFF) as well as to perform needs assessment for the development of web-contents on HFF according to age of adults. The subjects were 238 male and female adults, divided into 4 groups by their age. This study collected all information by self-administrated questionnaires. The awareness on HFF was high in the older adults. The younger adults showed more negative responses to reliability and safety on HFF. The main reason for the consumption of HFF was to supplement nutrients and to prevent diseases. The main types of HFF consumed by adults were nutritional supplementary food, red ginseng products, and glucosamine products. There was higher consumption of nutritional supplementary food in the younger adults and glucosamine products in the older adults. Internet users had low level of satisfaction, with tendency to complain poor contents, reliability, difficulties in searching as problems of the pre-existing HFF websites. As useful methods for provision of information on HFF, most adults wanted general information, articles written by experts and videos. They also wanted to know the safety and side effects of HFF. Requirement of contents composition were various in-depth information, clear indication of citation, fresh updated data while that of display composition was easily-findable, uncomplicated, allowing mutual exchange of communication through bulletin board. These results can be used as basic data that reflect the consumer's needs for developing HFF web-contents according to age of adults.

Development of the Self-Care Non-adherence Risk Assessment Scale for Patients with Chronic Illness (만성질환자의 자가간호 불이행 위험 사정도구 개발)

  • Jo, Mirae;Oh, Heeyoung
    • Research in Community and Public Health Nursing
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    • v.32 no.4
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    • pp.415-429
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    • 2021
  • Purpose: The purpose of this study was to develop the Self-Care Non-adherence Risk Assessment Scale (SCNRAS) for patients with chronic illness in South Korea. Methods: This study was conducted from April to July, 2020 and utilized a convenience sampling method to recruit 336 patients with chronic illness from three hospitals located in South Korea. The content, factorial structure, item-convergent/discriminant validity, convergent validity, internal consistency reliability, and test-retest reliability of the scale were evaluated. The data were analyzed using exploratory and confirmatory factor analyses, Pearson's correlation coefficient, Cronbach's α, and intra-class correlation coefficient. Results: The exploratory and confirmatory factor analyses yielded six-factors. Convergent validity was demonstrated using measures of defining issues. Internal consistency reliability and test-retest reliability were found to be acceptable, as indicated by a Cronbach's α of .65~.81 and an intra-class correlation coefficient of .93~.98. The Self-Care Non-adherence Risk Assessment Scale for patients with chronic illness is a new instrument that comprehensively measures the knowledge, skill, physical function status, access to health care, social support, motivation, and confidence. It comprises 18 items scored on a 5-point Likert scale. The validity and reliability of the scale were verified. Conclusion: The scale developed through this study is expected to screen those who need nursing intervention early by predicting the self-care non-adherence risk group.

Model Development of Nursing Care System for Women's Health : Based on Nurse-Midwifery Clinic (여성의 건강을 위한 간호전달체계 모형개발 - 조산원 중심으로 -)

  • Park, Yeong-Suk
    • Women's Health Nursing
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    • v.5 no.1
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    • pp.133-145
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    • 1999
  • The purposesof the study are to analyze the community nursing center in U.S.A and to develop the model of nursing care system based on nurse-midwifery clinic in community for women's health in Korea. 1. In America nursing center is defined as nurse-anchored system of primary care delivery or neighborhood health center. Nursing centers are identified the following four types: (1) community outreach centers, which are similar to traditional public health clinics: (2) institutional-based centers following the mission of a large institution, such as a hospital or university: (3) wellness/health promotion centers, which offer screening, education, counseling, triage, and health maintenance services: and (4) independent practice. Nursing centers are a concept of services provided by nurses in practice arrangements in a community. Nursing centers offer a variety of services, ranging from primary care provided by advanced practice nurses with medical acute management and nursing care to the more traditional education, health promotion, screening wellness and coordination services. Some services, such as the care provided by advanced practice nurses are reimbursed under various insurance plan in some instances and states, where as others, such as preventive and educational services, are not. Thus, lack of reimbursement has threatened the survival of some centers. Licensing of nursing centers varies by state and program and accreditation of nursing centers is also limited. 52% of centers are affiliated with another facility and 48% are freestanding centers. The number of registered nurse at the nursing centers ranges from just one to 115, with a mean of eight RNs peragency and a median of three. Nursing centers avail ability varies: 14% are open 24 hours, 27% have variable short hours, 23% are open 6-7 days per week, and 36% are open Monday- Friday. As the result of my visiting three health centers in Seattle and San Francisco, the women's primary care nurse practitioners focus on a systematic and comprehensive assessment of the health status of women and diagnosis and management of common physical and psychosocial health concerns of women in ambulatory settings. Therapeutic nursing strategies are directed toward self-care, risk reoduction, health surveillance, stress reduction, healthy nutrition, social support, healthy coping, psychological well-being, and pharmacological therapy. They function as primary care providers for the well ness and illness care of women from adolescence through the older adult years and pregnant families. 2. In Korea a nurse-midwife practices independently for pregnant women's health including childbearing family at her own clinic in community. Her services are reimbursed under national health insurance but they are not paid on a fee-for-service schedule covering items. Analyzing the nursing centers in America, I suggest that nurse-midwifery clinics offer primary care for women and home care for chronic ill patients. The health law and health insurance policy should be reovised in order to expand nurse-midwife's and home care nurse's roles at nurse-midwifery clinic.

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Patterns in Benthic Polychaete Community and Benthic Health Assessment at Longline and Bottom Culture Shellfish Farms in Gangjin Bay, Namhae, Korea (남해 강진만 수하식 및 살포식 패류양식장의 다모류군집구조 양상과 저서생태계 건강도 평가)

  • Sunyoung Kim;Sang-Pil Yoon;Sohyun Park;Rae Hong Jung
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.30 no.1
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    • pp.20-31
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    • 2024
  • This study was conducted to investigate the changes in the structure of benthic communities resulting from aquaculture activities and to assess the benthic health status of surface sediment in Gangjin Bay, a region known for concentrated shellfish aquaculture on the southern coast of Korea. Survey stations were divided into longline culture, bottom culture, and non-cultivation areas. The spatiotemporal distribution of physiochemical factors such as the grain size, water temperature, salinity, and total organic carbon in Gangjin Bay showed no significant differences between sampling stations. However, the species number, density, and diversity were relatively lower at the sampling stations in the bottom culture areas than at the other stations throughout the entire survey period. Cluster analysis and principal coordinates analysis also clearly distinguished the benthic communities in the bottom culture areas from those in the other sampling areas. At the sampling stations in the longline culture and non-cultivation areas, Scolectoma longifolia and Sigambra tentaculata, which are indicator species of organically enriched areas, appeared as dominant species. However, excluding some stations influenced by physical factors such as the water depth and current speed, the occupancy rate was not high. The health assessment results, conducted using the fisheries environment assessment method, revealed good conditions with Grades 1 and 2 across the entire area. However, an examination of the spatiotemporal changes in benthic communities and the benthic health index indicated that the benthic environment in the bottom culture areas was affected by physical disturbances.

Development of Nursing Center for Elderlies and the Disabled (노인 및 장애자를 위한 건강간호센타 운영모형 개발 - 대학 건강간호센타를 중심으로 -)

  • Lee Kap-Soon
    • Journal of Korean Public Health Nursing
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    • v.7 no.1
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    • pp.17-29
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    • 1993
  • Nursing centers are nurse-managed organizations that give the client direct access to professional nursing services. Academic nursing centers are faculty-created and -organized nursing centers integrated into nursing school or cooperated with community nursing center. Academic nursing centers are needed for providing services to the forgotten or underserved populations in the community, providing learning opportunities for nursing students and practice opportunities for faculties. The intent of this study is to identify the elements needed in developing process and operations of acedemic nursing center for elderlies and the disabled, and to present the desired model for academic nursing center. The processes of my study were : 1) The articles of the academic nursing centers in U. S. were reviewed and analysed. 2) The academic nursing center for elderlies and the disabled was developed and operated in my paper. 3) Desired model for academic nursing center was presented in my paper. The followings are the results of my study: 1. Elements needed in developing process of academic nursing center were philosophy and goals, the community support, assessment of the validity of the service and health needs, identification of the service contents, roles and responsibilities, communication lines, finances for facilities and operations, cooperation with resources, and developing record system. 2. Elements needed in operations of academic nursing center were the structural organizations, realization of the above philosophy and goals, development of policy and nursing standards, faculty participation, continuity of services, and financial solutions. 3. The desired model was presented according to the process and operations.

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Self-care Education Experience, Self-care Performance, and Home Care Service Needs of Patients With Rare and Incurable Diseases Who Use a Home Ventilator (가정형 인공호흡기를 적용하고 있는 희귀, 난치성 질환자의 자가관리 교육 경험과 수행정도, 가정간호 요구도)

  • Hwang, Moon Sook;Chang, Soo Jung
    • Journal of Home Health Care Nursing
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    • v.20 no.1
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    • pp.5-15
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    • 2013
  • Purpose: This study aimed to investigate the self-care education experience, self-care performance, and home care service needs of patients with rare and incurable diseases who use a home ventilator. Methods: From2 ventilator rental companies and 5 hospitals, records of 162 subjects were collected to obtain data regarding self-care education experience (23 items) and home care service needs (25 items). Results: Of the subjects, 65.4% were male and 55.6% had a myotrophic lateral sclerosis. The items with the highest and lowest levels of self-care education experience were "using the ventilator"(94.0%) and "community-available resource information"(27.0%), respectively. Meanwhile, self-care was performed well in terms of "personal hygiene"(59.6%) but not performed well in "community-available resource information"(23.7%). "Health status assessment" had the highest need(88.2%) of home care services. Generally, the need of home care services was higher for the patients using invasive ventilators than that for those using non-invasive ventilators. Conclusion: Home care nurses need to not only provide physical care for the patients but also strengthen their roles of enhancing patient access to and utilization of various community resources to provide systematic and individualized training and care.

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