• 보건행정학회지
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• 제27권2호
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• pp.177-185
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• 2017

Background: The mental problems of the elderly are at issue as a serious social phenomenon. The purpose of this study is to identify risk factors affecting the mood disorders of the elderly. Methods: The subjects were 1,779,236 aged ${\geq}65$ and participated in health screening. Dependent variable was mood disorders. Independent variables were consisted of community level (regional deprivation index and healthcare resources) and individual level (sex, age, insurance type, disability, smoking, alcohol, physical activity, body mass index, and healthcare utilization). Multilevel logistic regression was performed. Results: At the individual level, women, employed insured, severely disabled people, heavy alcohol drinkers, high-intensity physical activity, body mass index, and patients who had chronic disease and severe disease were significantly associated with mood disorders. As the age has increased, it has let increase of mood disorders. At the community level, as the regional deprivation index has increased by 1, mood disorders has been increased by 1.005 times. The intra-class coefficient was 7.04%. Conclusion: We found individual and community level factors are associated with mood disorders. Systematic approach is essential to reduce mood disorders.

• 보건의료산업학회지
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• 제13권4호
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• pp.163-177
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• 2019

Objectives: The purpose of this study was to identify the predictors of quality of life (QOL) for terminal cancer patients admitted into the community health center, and to establish a hypothetical model to explain and verify causative relationships among the variables. Methods: Data were collected from January 2015 to June 2016. Participants were 237 registered patients in Busan Metropolitan City hospice & palliative care center. The descriptive and correlation statistics were analyzed using the SPSS/WIN 24.0, and the structural equation modeling procedure was performed using the AMOS 24.0 program. Results: The results of this study showed that the physical symptoms of terminal cancer patients were the most direct factors affecting the QOL, and satisfaction with health care services has a direct effect on the QOL. Conclusions: The study contributes to drawing up measures to improve QOL for terminally ill cancer patients who are living in the end-of-life section of the community by revealing the causal relationship to the QOL for terminal cancer patients.

• 지역사회간호학회지
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• 제4권1호
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• pp.38-44
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• 1993

The purpose of this study was to identify the status of health management from Dec 5, 1992 to March 10, 1993. The data. was. collected from 30 industrial nurses, through a structured questionnaire. The results were as follows : 1. 1.50%. of the companies surveyed were manufacturing companies, 24% of them were research center. 2. The sizes of the companies were as follows: 300-499 employees 11(37%). more than 1,000 employees 4(13%). 3. 18 companies(60%) had organized safety and health committees. 4. 25 companies(83%) had there own health clinics. 5. 60% of companies had a Health center assigned as were hospitals 83%. 6. Practical nurses were employed by all industries, 10 companies had their own physicians, and 3 had their own industrial hygienist. 7. The primary health examination rate was 96% and workers who took follow up examinations were 8.5% out of them, 73.6% were evaluated at the C & D grade. Follow Up management to D. evaluations was performed about 50%. 8. 13 personnel(43%) required, special examinations. 9. The relation between the workers health score and the health status, score was negative and not significant. Therefore the better health management the higher health level score.

• 지역사회간호학회지
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• 제18권2호
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• pp.266-275
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• 2007

Purpose: The purpose of this study was to evaluate achievements of a community health center for vulnerable population in urban areas and to find out its strength and weakness. Method: This evaluative study employed system theories and analytic techniques. Results: The purpose of improving vulnerable population's health-related self-care abilities adequately met the operation of programs. This center maintained close connection to a nursing college as a information resource. The subjects' satisfaction was high because team members who visited them were faithful and there were face-to-face contact, sufficient time set, closeness and resourcefulness. There were needs for regular meetings to discuss overall matters in organizing the program and to improve management skills. The mean score of health promotion lifestyle was 2.23 on a 4 point scale. This score indicates what in higher than vulnerable people in other communities. Conclusions: Community-based nursing centers for vulnerable population in urban areas should be developed as support organizations and community network.

• 지역사회간호학회지
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• 제29권1호
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• pp.76-86
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• 2018

Purpose: The purpose of study was to examine the relationship between obesity and its associated factors (psychiatric symptom, duration of illness, type of medication, physical activity, dietary habits, depressive symptom, and stress) in patients with chronic mental illness registered to community mental health welfare centers. Methods: This was a cross-sectional correlation study using a convenience sampling. A total of 392 participants were recruited from community mental health welfare centers. The obtained data were analyzed using binary and multinomial logistic regression. Results: Atypical antipsychotic medication, duration of illness, dietary habits (overeating, and drinking instant coffee) were significantly contributed variables into body mass index (BMI) obesity. Atypical antipsychotic medication and instant coffee were significantly related to abdominal obesity. Conclusion: These results emphasized the needs of tailored obesity-preventive management for the community-dwelling patients with chronic mental illness, topically focusing on the administration of atypical antipsychotic medication, duration of illness, and dietary habits.

• 한국학교ㆍ지역보건교육학회지
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• 제8권2호
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• pp.97-108
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• 2007

Background & Objectives: Health management is performed at enterprises under the Industrial Safety and Health Act. At small and mid sized enterprises, the reality is that health management is poorly performed due to the shortage of resources, professional knowledge, and administrative capabilities, as well as the lack of recognition by company presidents, and generation difference. Purpose: The purpose of this study is to Provide basic materials to complement the future health management model by researching the extent of performing health-related tasks at small and mid sized enterprises and analyzing the related factors. Methods: The survey subjects were 130 small and mid sized enterprises nationwide which had received health management support from the Korean government. The data were collected using a systematic questionnaire at the companies from September 2005 to November 2005. The respondents were the Personnel for healthcare tasks. Results: The results indicate that the extent of performing health management tasks at the companies was significantly different in the working environment and task management field in terms of industry types and in the fields of the establishment of an industrial health system as well as working environments and task management in terms of regions. Also, a multiple regression analysis was performed step-by-step in order to research the factors that affect the execution of health management tasks at small and mid sized enterprises.

• 보건행정학회지
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• 제28권1호
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• pp.15-22
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• 2018

Background: Health is affected by various local factors. This study aims to investigate the age-standardized mortality variation of Seoul as well as the characteristics of the factors related to the mortality variation. Methods: The Korea Community Health Survey data, Seoul Survey data, Seoul statistics, and e-regional indicators of the National Statistical Office were used. To investigate the basic boroughs standardized mortality variation in Seoul, external quotient, coefficient of variation (CV), and systematic component of variation (SCV) values were suggested; correlation analysis and multiple regression analysis were conducted to investigate the characteristics related to standardized mortality rate. Results: The highest and the lowest standardized mortality rate of Seoul by boroughs had as much as 1.4 times difference; a low level of variation was shown in CV by 8.2; and was shown in SCV by 79. As a result of the multiple regression analysis of the factors that affect standardized mortality variation, the higher the rate of householders with college or higher, the lower the standardized mortality rate, and the higher the high-risk drinking rate, the higher the standardized mortality rate. Of the two, the rate of householder with a degree equivalent or higher than college was shown to have the biggest impact, followed by high-risk drinking rate. Conclusion: We found a variation in age-standardized mortality rate of boroughs in Seoul. The results suggest that policy makers should take into account socioeconomic environmental characteristics of community in developing community-based health promotion rather than focusing on lifestyle changes of residents.

• 지역사회간호학회지
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• 제10권1호
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• pp.44-52
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• 1999

This investigation & study has been made in oder to revitalilize the health care for the elderly in public health centers. The date subject, including 88 persons in charge health services in public heal centers, were from Chejudo. These were largely female, the average age was 38.4 at the health center. Their responsibilities included home visitation, nutrition management for the early, health education, and physical therapy. The most important problem were personal management and a lack of facilities, especially in home visitation, health education, physical therapy. Systematic networks of various activities are needed to encourage not only the patient but also volunteer who will also take part in these services. The numbers of members in charge of the elderly are not only to be increased and educate with facilities and equipment but also better provided with proper facilities and equipment. This is the best way to conduct health services the elderly.

• 보건행정학회지
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• 제13권3호
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• pp.35-51
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• 2003

This study purports to develop a quality assessment tool for the process of health promotion programs at public health centers(PHC). The draft of the assessment tool developed by the literature was distributed to 242 staffs who were in charge of the health promotion programs at PHCs for evaluating the feasibility of the tool on September and October 2002. The major results of the study were as follows; The quality assessment tool developed in the study consisted of four domains: strategic planning, program management, monitoring and evaluation, and resources and information. The strategic planning dealt with the function of the planning staff and committees, community data analysis, the feasibility of the program, and the approach methods for attaining the goal of the program. The program management included the items on the qualification and power of the program staff. The monitoring and evaluation included the items on the reporting and communication among program units, and feed back after monitoring. Finally, the resources and information dealt with community networking, clients' response, and consulting activity of the staff. The validity of the tools was tested and partly supported by both formative and criterion-related methods. The assessment tools developed in this study could be used by health promotion workers in the self-evaluation of the program quality. In conclusion, the quality assessment tool developed in the study will be a good safeguard for assuring the quality of the process of health promotion programs.

• 지역사회간호학회지
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• 제4권2호
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• pp.109-116
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• 1993

The purpose of this study was to examine industrial workers ; Knowledge, Attitude and Practice of occupational health management and service. The data was collected from Dec 4. 1993 to Jan 21, 1993. The data was collected from 352 industrial workers from 37 companies located in Kyng Ki Province and In cheon city. The measurement tool used in this study was a structured questionnaire developed by the community Nursing academy. The major findings attained from this study are summarized as follows : 1. The level of Knowledge, Attitude and Practice of industrial workers of occupational health management and service, were as follows : The total mean score was 72 out of 100. The total mean score of Knowledge was 22.5, out of 30. The mean score of Attitude was 39.2, out of 55. The mean score of Practice was 10. 6, out of 15. 2. The level of Knowledge, Attitude, and Practice of industrial workers of health management and service according to workers' general characteristics. The significant perceptions of health management as a whole that impact on the Knowledge score were occupational factors such as, age, income, number of workers, educational status, sex, and marital status. The significant factor of Practice which impact on the score was age, number of workers, sex, and marital status.