• Title/Summary/Keyword: Community health management

Search Result 1,889, Processing Time 0.032 seconds

Role, Change, Job Satisfaction and Obstacles in Carrying out the Role of Public Health Nurses in Health Center (보건소 보건간호사의 역할변화, 역할수행의 장애요인과 만족도)

  • Ahn, Kyeong-Sook;Jung, Moon-Sook
    • Journal of agricultural medicine and community health
    • /
    • v.20 no.1
    • /
    • pp.1-13
    • /
    • 1995
  • Based on the questionnaires sent to 270 nurses of public health centers in kyungnam during the period of March 19 to April 11 in 1992, this study was written for the of finding out the grade of satisfaction, obstacles in carrying out duties concerned with nursing services and the change of nurses role needed according to the change of the local public health administration. The first-ranking tasks carried by nurses of public health center are believed to have been family planning activities before the 1970's, nursing services during the 1970's, mother-child health activities during the 1980's, and nursing services during the period of 1990 to 1992. As far as the priority order of all the family planning activities is concerned, the counseling of the insertion of intrauterine contraceptive device, the use of oral pill or the distribution of condom was placed emphasis on before 1970, and publicity activities of family planning after that time. The first priority order of mother-child health activities has been put on the registration of pregnant women since 1970, with prenatal examination and vaccination ranking next to it. The priority order for activities against tuberculosis was laid on finding out and registration of new T.B. patients every year, with patients' control, and medication or injection ranking next to it. As for the priority order of nursing services, traveling medical examination and treatment ranked the first-stressed activity before 1970, with medication and injection ranking next to it. The first priority order management activity of communicable diseases was put on vaccination before 1970, with medication and injection. ranking next. And consultation and education ranked second to it during 1990 to 1992. As for the health services of the aged, traveling examination and treatment ranked the order, with the assistance of medical examination ranking next to it. As far as troubles and obstacles shown in case of family planning, the rate of residents' lack understanding was 28.8%, that of lacking budget 13.6%, and the imperfection of public health administration system 11.9%. In the case of tuberculosis control, residents' lacking understanding was 32.5%, the deficiency of public health administration system 18.2%, over-duty(shortage of hands) 15.6%, and the insufficiency skill and know-how 13.0%. In the case of nursing services, the deficiency of public health administration system was 18.2%, each over-duty(the shortage of hands) and the shortage of facilities and equipment 15.6% respective, and residents' lacking understanding 13.0%. The rate of dissatisfaction with the chance or possibility of promotion for his or her career or capability was shown to be 49.2%, and 65.9% of the health nurses expressed their complaints of the deficiency of the chance of the promotion to a professional or expert. when the public health nurses were asked in the questionably whether they were satisfied or not with current state of equipment and facilities needed for public health service, 49.6% of them answered in the negative. The grade of the satisfaction with the current individual position was shown to be low as much as the status of his or her position was now. 37.6% of those asked in the research answered to have the readiness to switch jobs for the reasons of dissatisfaction and so on with lacking promotion chance as well as bad working condition. Significant correlation between the grade of job satisfaction and the current status of the po as found to be in this research, which showed that the lower the status of position was, the lower the grade of job satisfaction was. But little correlation between the grade of job satisfaction and his or her schooling and career was found. In order to carry out primary health care successfully, it can be said that more education and publicity activities to make public health nurses and residents see it in a new light are requested. In addition to it, it is suggested that the improvement of promotion system for public health nurses and the enlargement of job province should also be taken in consideration of the high dissatisfaction with and complaints of the chance of promotion and the system of position. In order words, it is important that considerations for system improvement enough to make nursing services pleasant and satisfactory should be taken into.

  • PDF

The Age-Related Trend in Blood Pressure and the Prevalence of Hypertension in Korean Adults (한국 성인의 연령에 따른 혈압변화 양상과 고혈압 유병률)

  • Lee, Dae-Taek;Lee, Yong-Soo
    • Journal of Life Science
    • /
    • v.22 no.2
    • /
    • pp.148-155
    • /
    • 2012
  • A cross-sectional analysis of blood pressure (BP) changes and the current prevalence and distribution of hypertension among age groups in Korea were conducted. Systolic (SBP), diastolic (DBP), and pulse (PP) pressures were evaluated. Residents visiting a local Community Health Center for a health check-up and/or participating in the Health Promotion Program were included for the analyses. A total of 6,570 subjects (2,809 men, 3,761 women) were divided into five age groups: 30-39, 40-49, 50-59, 60-69, and $70\leq$ years. Comparisons were made between sex and among age groups. SBP and DBP were continuously elevated, while men showed higher levels than women until their mid-60s; then, the trend was reversed. DBP in men became elevated from their 30s, reaching the highest in the 40s then slowly decreasing. DBP in women increased up to their 40s and 50s, then reached a plateau. PP increased rapidly from the 50s in both sexes. The major contributor of age-related BP elevation may be large artery stiffness in men, particularly from their 50s, while the blood pressure elevation of women may relate to diverse factors including large artery stiffness, stroke volume, and ventricular ejection rate. The rapid elevation of PP after the 50s in both men and women could represent a risk of cardiovascular or coronary mortality, particularly with increasing age. The current data showed a higher rate of hypertension in both sexes compared to previous reports. When those with both high-normal BP and hypertension are looked at in combination, BP management of the target population should be drastically elevated.

The Analysis of Self-care Knowledge, Competence, Behavior, and Quality of Life in Community Diabetes Elderly (지역사회 당뇨노인의 당뇨 자가관리 지식, 자신감, 행위 및 삶의 질 분석)

  • Lee, Song-heun
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.18 no.9
    • /
    • pp.157-166
    • /
    • 2017
  • This study was conducted to identify the level of diabetes self-care knowledge, confidence, behavior and quality of life in elderly people with diabetes. The participants were 205 elderly with diabetes who visited a citizen health center located in D city. Korea. The data were collected from April, 20th to August 31th, 2015, and were analyzed by the t-test and ANOVA. The results were as follows; 1) The mean scores for diabetes self-care knowledge, confidence, behavior, and quality of life were 6.99 (2.17), 71.27 (10.21), 62.78 (1.29) and 0.86, respectively. 2) There were significant differences in the self-care behavior according to the education level, duration of diabetes mellitus and subjective health, and the quality of life differeddepending on the level of subjective health(F=35.253, p=0.000). 3) Knowledge of diabetes diet was the lowest among the various aspects of diabetes self-care knowledge. Confidence for exercise was lowest, while confidence for medication and blood sugar check was highest. However, the participants exhibited good medication behavior, whereasthey did not carry out blood glucose checks in their self-care management behavior. The most uncomfortable aspect of the quality of life was found to be pain and discomfort. Based on the results of this study, it is necessary to develop guidelines and methods for dietary education reflecting the dietary habits of Koreans, and to investigatethe reasonsfor thelow performance of theblood glucose check. In addition, customized nursing interventionstaking into consideration the characteristics of elderly with diabetes need to be developed and verified.

Remaining Useful Life Prediction of Li-Ion Battery Based on Charge Voltage Characteristics (충전 전압 특성을 이용한 리튬 이온 배터리의 잔존 수명 예측)

  • Sim, Seong Heum;Gang, Jin Hyuk;An, Dawn;Kim, Sun Il;Kim, Jin Young;Choi, Joo Ho
    • Transactions of the Korean Society of Mechanical Engineers B
    • /
    • v.37 no.4
    • /
    • pp.313-322
    • /
    • 2013
  • Batteries, which are being used as energy sources in various applications, tend to degrade, and their capacity declines with repeated charging and discharging cycles. A battery is considered to fail when it reaches 80% of its initial capacity. To predict this, prognosis techniques are attracting attention in recent years in the battery community. In this study, a method is proposed for estimating the battery health and predicting its remaining useful life (RUL) based on the slope of the charge voltage curve. During this process, a Bayesian framework is employed to manage various uncertainties, and a Particle Filter (PF) algorithm is applied to estimate the degradation of the model parameters and to predict the RUL in the form of a probability distribution. Two sets of test data-one from the NASA Ames Research Center and another from our own experiment-for an Li-ion battery are used for illustrating this technique. As a result of the study, it is concluded that the slope can be a good indicator of the battery health and PF is a useful tool for the reliable prediction of RUL.

Developing the high-risk drinking predictive model in Korea using the data mining technique (데이터마이닝 기법을 활용한 한국인의 고위험 음주 예측모형 개발 연구)

  • Park, Il-Su;Han, Jun-Tae
    • Journal of the Korean Data and Information Science Society
    • /
    • v.28 no.6
    • /
    • pp.1337-1348
    • /
    • 2017
  • In this paper, we develop the high-risk drinking predictive model in Korea using the cross-sectional data from Korea Community Health Survey (2014). We perform the logistic regression analysis, the decision tree analysis, and the neural network analysis using the data mining technique. The results of logistic regression analysis showed that men in their forties had a high risk and the risk of office workers and sales workers were high. Especially, current smokers had higher risk of high-risk drinking. Neural network analysis and logistic regression were the most significant in terms of AUROC (area under a receiver operation characteristic curve) among the three models. The high-risk drinking predictive model developed in this study and the selection method of the high-risk intensive drinking group can be the basis for providing more effective health care services such as hazardous drinking prevention education, and improvement of drinking program.

Waterquality Characteristics and Ecosystem Health Assessments Using a LEHA Fish Model in Shingu Reservoir (신구저수지의 수질특성 및 LEHA 어류모델을 이용한 생태건강도 평가)

  • Lee, Jae-Yon;Lee, Sang-Jae;Han, Jung-Ho;Lee, Eui-Hang;Choi, Ji-Woong;Hwang, Soon-Jin;An, Kwang-Guk
    • Korean Journal of Ecology and Environment
    • /
    • v.41 no.spc
    • /
    • pp.42-49
    • /
    • 2008
  • For this study, we collected fishes of four times at the four site during June 2006 ${\sim}$ September 2007. In the result, the tolerance and omnivore species like a Carassius auratus and Pseudorasbora parva were largely dominated over all, and the sensitive species was not appeared at all except S4 in Shingu reservoir. This reservoir was appeared the simplified of trophic guild was shown in Shingu reservoir. Demonstrating that the omnivore species was occupied 78% of whole. According to the water chemistry data set obtained from the Korea Rural community & Agriculture corporation during $2002{\sim}2005$, the Shingu reservoir showed severe eutrophication and water pollution, therefore the increase of primary production and frequent algal blooms had been occurred. On the other hand, ecosystem health of reservoir was appeared "Fair${\sim}$Poor", and we judged that eutrophication and water pollution were due to this. Consequently, we thought that interception of nutrients and organic matters from the farmland and village and management of reservoir would be need, after this.

An Operations Study on the Home Care Nursing Delivery System (지역사회 중심 가정간호사업 운영연구(가정간호사업 운영을 위한 정보전달체계 개발Ⅱ))

  • Park, Jung-Ho;Kim, Mae-Ja;Hong, Kyung-Ja;Han, Kyung-Ja;Park, Sung-Ae;Yun, Soon-Nyoung;Lee, In-Sook;Cho, Hyun;Bang, Kyung-Sook
    • Journal of Home Health Care Nursing
    • /
    • v.5
    • /
    • pp.20-31
    • /
    • 1998
  • The purpose of this study was to develop the framework of community-based home care nursing delivery system, and to examine the validity of it. For these, home care nursing study team of College of Nursing, Seoul National University has studied home care nursing system since September, 1996, and has operated home care center since August, 1997. This study has been supported by the Korean Sience Foundation. We organized Committee of rules, and Clinical specialist consultant group for more efficient running of the home care center. In nursing station, research assistant controlled general work, and 5 home care nurses were hired for home visiting. We developed the Standards for operations, that included criteria for clients, central supply system of nursing materials, central management of nursing care cost, advertisement, patient referral system, and so forth. In our center, 108 patients enrolled, and neurologic disorders including cerebrovascular accident, and cancer were the most prevailing diseases. We tried to overcome the limitations of hopital -based home care, and to provide more accessible, efficient, safe, and stable home care nursing. Therefore, we were referred clients from patients and families, public health care center, industries, as well as from hospitals. Meanwhile, we developed home care recording system and assessment-intervention algorithm for various diseases for quality control and standardization. Also, we did continuing education, and tried to detect problems and to find solutions by regular meeting between the committee of rules and home care nurses. As the results of this study, several limitations of operation were found. First, it was difficult to manage and communicate with the doctor in the emergency situation, Second, we spent too much time for trasnsportation, because only five nurses covered all areas of Seoul and nearby cities. Third, preparation for special care of home care nurses were lacked. Forth, criteria for termination of care and frequency of home visit were ambiguous. Fifth, some difficulties were found in retrospective payment system. And finally, interconnection with home care machinery company were needed. Strategies for solving these problems were suggested.

  • PDF

Parenting Stress in Mothers of Premature Infants (미숙아를 출산한 어머니의 양육스트레스)

  • Hwang, Hyun-Sook;Kim, Hee-Soon;Yoo, Il-Young;Shin, Hyun-Sook
    • Child Health Nursing Research
    • /
    • v.19 no.1
    • /
    • pp.39-48
    • /
    • 2013
  • Purpose: The purposes of this study were to assess the parenting stress in mothers of premature infants and stress related characteristics of mothers and infants. Methods: The methodology was a cross sectional survey study using self-report questionnaires. Participants in this study were 36 mothers of infants with corrected ages of 4 months to 12 months who were born prematurely. Data were analyzed using t-test, ANOVA, and Pearson correlation with the SPSS WIN 19.0 program. Results: The mean score for parenting stress in mothers of premature infants was $74.639{\pm}17.570$, indicating that the mothers actually experienced stress. When mothers were able to have some private time, parenting stress was statistically significantly lower. When the residential status was having one's own house and the local community provided informational support regarding child nurturing, there was a statistically significant decrease in the sub-category of particular infant temperament. There was a statistically significant positive correlation between mothers' depression and parenting stress. Conclusion: These results indicate that there is a need for nursing interventions to increase mothers' private time and to include informational support regarding health management of children including developmental status assessment from local communities.

A Study on Children's Rights and Happiness for Building Child Friendly Cities - Comparative study between elementary and middle school students (아동친화도시 구축을 위한 아동권리와 행복감에 관한 연구 -초등학생과 중학생의 비교연구)

  • Kim, Woong-Soo
    • Journal of Digital Convergence
    • /
    • v.15 no.2
    • /
    • pp.485-491
    • /
    • 2017
  • Child friendly cities are to be prepared to create a community environment that allows children to live happily when children's rights are created when the environment in which children's rights are guaranteed is created. Therefore, this study examined the relationship between children's rights and happiness and explored what needed to be done to build child friendly cities for children. For this purpose, 1,000 elementary and middle school students in W district with the certification of child friendly cities were surveyed and analyzed. From the results of this study, first, elementary students were more aware of children's rights than middle school students. Second, children's rights affecting happiness appeared as health, social services, and educational environment. Third, children's rights affecting happiness were found to vary according to the level of school. Housing, safety and protection, and educational resources were important for elementary school students, and health and social services, and safety and protection were important for middle school students. Based on the results of this study, this study suggested that multifaceted intervention and approach should be considered for various aspects of health, welfare, education, safety, etc. to build child friendly cities.

Concept Analysis of Frail Elderly based on Walker and Avant's Method (Walker와 Avant 방법에 근거한 허약 노인 개념 분석)

  • Kim, Jae-Hyeon
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.20 no.5
    • /
    • pp.394-405
    • /
    • 2019
  • The purpose of this study is to clarify the concept of the frail elderly and to obtain theoretical evidence. The research method was conducted using the basic principles for conceptual analysis of Walker and Avant(2005). As a Result of a review of the literature about how to utilize the concept of a frail elderly, frail elderly might be in the intermediate state of health and disease. They can be defined as physically vulnerable in the sarcopenia, inflammation, insulin resistance, and preceding advanced disease, lead to hospitalization, falls, disability, and death. The attributes were physiological, psychological, and socio-environmental and economic factors, so they had multidimensional factors. They were required the assist daily living of another person. Also, their attributes had decreased the amount of recovery time and degree, and exhaustion. The attributes of frail elderly consisted of these facts: dynamic process, multidimensional factors, dependency, vulnerability. The frail elderly was a dynamic process that involves the possibility of change to health and disease, and include physical, mental, cognitive, and social environmental factors. In addition, the frail elderly was difficulty in daily life, physical vulnerability and difficulty in adaption. In conclusion, frail elderly as defined by the results of this study will contribute to the foundation of health care systems, including community visiting nursing to understand the level of frail elderly and systemic management to do not go into long term care.