• Title/Summary/Keyword: Community Health Assessment

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Development of an Assessment Tool for Drinking Motives and Problem Drinking in Female University Students (여대생 음주동기와 문제음주 측정도구 개발)

  • Wie, Seoung Uk;Jung, Moon Hee
    • Research in Community and Public Health Nursing
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    • v.25 no.4
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    • pp.225-236
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    • 2014
  • Purpose: The purpose of the study is to develop a tool that can identify drinking motives and measure the degree of problem drinking in female university students. Methods: From June 25th, 2012 to September 21st, 2012, a methodological study was carried out on this subject. A basic questionnaire was made based on research literature and interviews with 8 female university students. The subjects who participated in the survey for factor analysis were 397 female university students from 2 universities in G Metropolitan City. Results: Exploratory and confirmatory factor analyses were conducted using PASW and AMOS 18.0. The developed tool was found to be acceptable in terms of construct validity and modeling suitability. The questionnaire comprised 16 questions on drinking motives in 4 sub-categories including 'relief' (4 questions), 'friendship' (3 questions), 'consolation' (4 questions), and 'escape' (5 questions). Problem drinking consisted of 11 questions in 3 different sub-categories including 'loss of control,' 'health hazards,' and 'sexual hazards.' Conclusion: The questionnaire was proved to have reliability and validity. Finally, the researcher suggests that this questionnaire is adequate for assessing drinking motives and problem drinking of female university students.

Development of a Simple Screening Test for Identifying Korean Elderly at Risk of Undernutrition (한국 노인의 영양부족위험 진단을 위한 간이조사표의 개발)

  • 김기남;현태선;이정원
    • Korean Journal of Community Nutrition
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    • v.5 no.3
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    • pp.475-483
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    • 2000
  • The develop a simple screening test for identifying Korean elderly at risk of undernutrition, the data of the health-related habits, dietary behaviors and nutrient intakes of the elderly in Chongju were analyzed. Two risk indicators, mean adequacy ratio (MAR) and the respondents perceived health, were used to detect the undernutrition risk of the elderly. In order to select a list of questions for the test, factors a affecting nutritional status and items investigated in previous nutrition surveys of the elderly were considered, and 21 questions were primarily selected. A multiple regression and stepwise regression analysis were used to take out the weak predictors of poor nutrient intake, and to give item weights to the strong predictors, and a list of 17 questions was finally adopted. To determine the cut-point of the test score, sensitivity, and positive predictive values were calculated. The Simple Screening Test developed in this study is a brief, easily scored tool to predict poor nutrient intake and the perceived health status of the elderly. The test may provide a basis of further comprehensive nutritional assessment or intervention planning, if necessary, for those who are diagnosed ad "high risk". The test, however, needs to be independently validated by other groups of individuals.dividuals.

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Analysis of Various Ecological Parameters from Molecular to Community Levels for Ecological Health Assessments (생태 건강성 평가로서 분자지표에서 군집지표 수준까지의 다양한 변수분석)

  • Lee, Jae-Hoon;An, Kwang-Guk
    • Korean Journal of Ecology and Environment
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    • v.43 no.1
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    • pp.24-34
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    • 2010
  • This study was carried out to analyze some influences on ecological health conditions, threaten by various stressors such as physical, chemical and biological parameters. We collected samples in 2008 from three zones of upstream, midstream and downstream, Gap Stream. We applied multi-metric fish assessment index (MFAI), based on biotic integrity model to the three zones along with habitat evaluations based on Qualitative Habitat Evaluation Index (QHEI). We also examined fish fauna and compositions, and analyzed relations with MFAI values, QHEI values, and various guild types. Chemical parameters such as oragnic matter (BOD, COD), nutrients (TP, $NH_3$-N), coli-form number (as MPN), and suspended solids (SS) were analyzed to identify the relationship among multiple stressor effects. Using the sentinel species of Zacco platypus, the population structures and condition factors were analyzed along with DNA damages related with genotoxicant effects by comet assay. This study using all these parameters showed that stream condition was degraded along the longitudinal gradient from upstream to downstream, and the downstream, especially, was impacted by nutrient enrichment and toxicant exposure from the point source, wastewater treatment plant. Overall results indicated that our approaches applying various parameters may be used as a cause-effect technique in the stream health assessments and also used as a pre-warning tool for diagnosis of ecological degradation.

Factors Influencing Overactive Bladder Symptom Severity in Community Residents (일 지역 주민의 과민성방광 증상심각도 영향요인)

  • Choi, Eun Hui;Lee, Eun Nam;Cho, Jeong Lim;Jang, Moon Jung
    • Journal of muscle and joint health
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    • v.23 no.1
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    • pp.39-48
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    • 2016
  • Purpose: This study was conducted to determine factors that influence overactive bladder (OAB) symptom severity in community residents. Methods: The participants of the study were 115 adults who participated in the health lectures for patients with OAB between March 1 and June 30, 2013. The overactive bladder-questionnaire (OAB-q) was used to assess the OAB symptom severity. Results: The mean score of OAB symptom severity was 35.48 out of 100. Participants showed the highest score of urgency among OAB symptoms. The significant predictors were the monthly income, operation history of urogynecology, and body mass index accounting for 23% of the variance of OAB symptom severity. The OAB symptom severity was higher in subjects who had lower monthly income, urogynecology operation history and higher BMI (>$25kg/m^2$). Conclusion: The findings of this study demonstrate that it should be considered to recommend weight loss as a component of nursing intervention for alleviating OAB symptom severity in overweight OAB patients.

Quality Dimension of Long Term Care Hospital (요양병원의 서비스 질 평가 영역 수립을 위한 질적 연구)

  • Kim, Chun-Mi;Lee, Ji-Yun;Ko, Ryeo-Jin
    • Research in Community and Public Health Nursing
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    • v.20 no.2
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    • pp.243-250
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    • 2009
  • Purpose: This is a qualitative study to identify dimensions of long-term care hospital care quality that provide high-level medical services for long-term care patients in Korea. Methods: Service consumers and providers were interviewed, and collected data were analyzed into thesis, type and dimension. The focus group method was applied to two provider groups and individual interview was applied to two persons who had experienced a long-term care hospital. Results: The results of analyzing the consumers and providers was integrated into 8 dimensions: physical environment, staff, clinical care and nursing, multiplicity of activity program, atmosphere, interaction with family, nutrition, and quality improvement system. Conclusion: The dimensions of long-term care hospital care quality from this study can be used as a basis of quality indicators. Quantitative studies to test these dimensions are required for establishing quality management systems.

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Status and Needs Assessment of Health Education in Child Daycare Centers (유아기 보건교육 실태와 보건교육 요구도)

  • Ko, Young-Aie;Baek, Hee-Chong
    • Journal of Korean Public Health Nursing
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    • v.22 no.2
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    • pp.237-245
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    • 2008
  • Purpose: The objectives of this study were to conduct assessments of health education status and needs in health education programs in child daycare centers. Methods: An 11-subject instrument was developed to assess health education for children. The Cronbach's alpha of the importance and implementation were found to be .904 and .862. A survey was conducted by mail using a sample of 337 teachers who were working in 71 child daycare centers in a district in Seoul. Results: 26.5% of the respondents reported that they teach health education regularly, and 19.3% of them reported never teach health education. Deficits of material, knowledge, and skill were the principal reasons for difficulties in health education. All of the respondents identified a need for health education, and also that health professionals are the most appropriate people to teach health education. The priorities of needed health education were, in order: sex education, information on community health, and mental health. Conclusion: Health education programs for preschoolers should be developed by health professionals. In health education programs, environmental health should be included, as well as health and illness education.

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Smoking Status and the Related Factors in the Rural Elderly (농촌 지역 노인의 흡연상태와 관련요인)

  • Beak, Dal-Hyun;Hwang, Byung-Deog;Moon, Hyo-Jung;Yoon, Hee-Jung;Back, Young-Doo;Lee, Sung-Kook
    • Journal of agricultural medicine and community health
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    • v.33 no.2
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    • pp.243-254
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    • 2008
  • Abstract - Objective: The purpose of this study was to examine smoking status and the relates factors in the rural elderly. Methods: This study was conducted with 2,421 elderly people(male 1,273 and female 1,148) residing in the selected 25 villages, and face-to-face interviews with the subjects were made from January 1 through March 30, 2002. Results: The average age of the male subjects was 72.7 and that of the female subjects 72.8. The investigation of smoking states showed that for male subjects, smokers accounted for 49.4%, nonsmokers 26.9%, and abstainers from smoking 23.7% and that for female subjects, smokers accounted for 18.3%, nonsmokers 75.4%, and abstainers from smoking 6.3%. The level of ?low ADL? was significantly higher in abstainers. In men, smoking rate had higher in alone, non-job, queerstreet, 「high ADL」. In women, smoking rate had higher in younger age, queerstreet, unhealthy, 「high ADL」. Conclusions: The smoking rate of the elderly was relatively high, especially at abstainers. The smoking status of elderly was correlated with age, family type, job, economic status by self-assessment, Self-recognition of health status, ADL level.

Priority Setting for the Healthy City Program in Busan Using the Analytic Hierarchy Process (계층 분석법을 적용한 부산시 건강도시 사업의 우선순위 설정)

  • Yoon, Tae-Ho;Choi, Min-Hyeok;Cheong, Kyu-Seok;Kim, Yun-Hee;Kim, Keon-Yeop;Jung, Baek-Geun
    • Korean Journal of Health Education and Promotion
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    • v.28 no.3
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    • pp.31-42
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    • 2011
  • Objectives: Busan had the highest mortality and the shortest life expectancy at birth among 16 provinces in Korea in 2008 and there were considerable health inequalities within the region. This study was performed to build up a priority setting framework in Healthy City Busan project. Methods: Analytic hierarchy process was used to determine the relative priority weight for different strategic and program dimensions along with the consistency of response. An on-site workshop-based meeting (calculating importance) and online survey (calculating risk) were conducted to obtain data from 8 experts. Results: The results showed that in strategic criteria "active health promotion & diseases prevention" and "building infrastructure for the Health City project" were two most important factors. In program criteria, considering both importance and risk scores, "making a healthy community" and "building community health centers" in disadvantaged areas were a top priority group. In addition, "enacting an ordinance for the Healthy City", "building the infrastructure for health impact assessment" and "making health care safety net for vulnerable population" were also higher priorities group. Conclusions: Our findings suggest that the Healthy City project in Busan should be focused on strengthening health equity and building infrastructure for sustainability of the project.

A Web-based Platform for Managing Rehabilitation Outcome Measures

  • Sujin Kim;Jiwon Jeon;Haesu Lee
    • Physical Therapy Korea
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    • v.31 no.2
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    • pp.174-181
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    • 2024
  • Background: Effective management of clinical assessment tools is critical in stroke and brain injury rehabilitation research. Managing rehabilitation outcome measures (ROMs) scores and training therapists in multicenter randomized clinical trials (RCTs) is challenging. Objects: The aim of this study was to develop a web-based platform, the Korean Rehabilitation Outcome Measurement (KoROM), to address these limitations and improve both therapist training and patient involvement in the rehabilitation process. Methods: The development of the KoROM spanned from June 2021 to July 2022, and included literature and web-based searches to identify relevant ROMs and design a user-friendly platform. Feedback from six physical therapy and informatics experts during pilot testing refined the platform. Results: Several clinical assessment tools categorized under the International Classification of Functioning, Disability, and Health (ICF) model are categorized in the KoROM. The therapist version includes patient management, assessment tool information, and data downloads, while the patient version provides a simplified interface for viewing scores and printing summaries. The master version provides full access to user information and clinical assessment scores. Therapists enter clinical assessment scores into the KoROM and learn ROMs through instructional videos and self-checklists as part of the therapist standardization process. Conclusion: The KoROM is a specialized online platform that improves the management of ROMs, facilitates therapist education, and promotes patient involvement in the rehabilitation process. The KoROM can be used not only in multi-site RCTs, but also in community rehabilitation exercise centers.

A Study on the Development of the Record forms for the Home Care Nursing (가정간호기록지 개발에 관한 연구)

  • Han, Kyung-Ja;Park, Sung-Ae;Hah, Yang-Sook;Yun, Soon-Nyoung;Song, Mi-Soon
    • Journal of Home Health Care Nursing
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    • v.3
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    • pp.5-38
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    • 1996
  • The objective of this study is to develope the record forms for the home care nursing. Through the literature review and 4 times of workshop participated with the health practitioner and nursing professors from July 1993 to March 1995, the standands of home nursing care, initial assessment tools, progress notes by diseases and the referral sheet were developed. The Community health practitioner were trained for home nursing care and participated with 5 nursing professors in the workshop to validate the content of the record forms. It is suggested that the more refinement of these record forms fased a defined conceptual framework in the various home nursing area is needed in the future.

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