• Title/Summary/Keyword: Community health management

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The relationship between body mass index and health behavior, oral health behavior and oral health knowledge in some university student (일부 대학생의 비만도와 건강행동, 구강건강행동 및 구강보건지식과의 관계)

  • Im, Ae-Jung;Cho, Han-A;Lim, Hee-Jung
    • The Journal of Korean Society for School & Community Health Education
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    • v.20 no.1
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    • pp.57-68
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    • 2019
  • Objectives: We would like to manage university student's health factors by researching the connection between BMI and oral health and behavior of university students. And provide basic data by integrating for weight management programs that target overweight people can improve oral health. Methods: Self-evaluation questionnaires were surveyed for 315 students who agreed to participate in the survey, using questionnaires used in the preceding study were modified and complemented. We analyzed the data with frequency analysis, descriptive statistics, t-test, chi-square test와 ANOVA, Spearman correlation coefficient by using IBM SPSS Statistics 21.0 (IBM Co., Armonk, NY, USA). The significance level for significance was set at 0.05. Results: People who smoke and alcohol drink have a lower score in their oral health behavior and oral health knowledge than those who do not. There was a significant difference between the BMI group, in the oral health behavior and oral health knowledge scores. BMI and smoking (r=0.230, p<0.001), alcohol drinking (r=0.121, p<0.05) were significant positive correlation. BMI and sleep time (r=-0.127, p<0.05), oral health behaviors (r=-0.133, p<0.001) were significant negative correlation. oral health behaviors and oral health knowledge (r=0.344, p<0.001) were significant positive correlation. Conclusion: Schools and communities will need to be educated about smoking and drinking, while at the same time developing programs that can improve oral health by integrating weight management programs.

Factors affecting the Intention to get COVID-19 Vaccine according to Employee's Health Beliefs (직장인의 건강신념이 COVID-19 예방접종 이행의도에 미치는 요인)

  • Kim, Yu-Mi;Jung, Se-Young;Lee, Geun-Chul;Kim, Byoung-Gwon
    • Journal of agricultural medicine and community health
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    • v.46 no.4
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    • pp.207-217
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    • 2021
  • Objectives: The purpose of this study was to investigate the factors in which employee's health beliefs affect their intention to get COVID-19 vaccines. Methods: The participants of this survey were 237 emlpoyees living in Busan. Data were collected using structured online questionnaires from April 26th to May 6th, 2021. The data were analyzed in SPSS WIN version 25.0 using descriptive statistics, t-test, chi-square test, multiple logistic regression analysis. Results: At the average score for each area of health beliefs regarding COVID-19, self-efficacy was 4.45 points, perceived sensitivity 4.71 points, perceived severity 3.59 points, perceived benefit 4.46 points, and perceived disability 2.19 points. Monthly income, perceived sensitivity, perceived severity, and perceived benefit were found to be factors affecting the intention to get COVID-19 vaccines. Conclusions: In order to improve the vaccination intention of COVID-19, it is necessary for subjects to recognize the seriousness of the disease, increase their sensitivity to the disease, and actively promote and educate the community about the benefits of vaccination.

A Case-Control Study on the Predictors of Neonatal Near-Miss: Implications for Public Health Policy and Practice

  • Johnson, Avita Rose;Sunny, Sobin;Nikitha, Ramola;Thimmaiah, Sulekha;Rao, Suman P.N.
    • Neonatal Medicine
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    • v.28 no.3
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    • pp.124-132
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    • 2021
  • Purpose: Neonatal near miss (NNM) allows for the detection of risk factors associated with serious newborn complications and death, the prevention of which could reduce neonatal mortality. This study was conducted with the objective of identifying predictors for NNM in a tertiary hospital in Bangalore city. Methods: This was an unmatched case-control study involving 120 NNM cases and 120 controls. NNM was determined using Pileggi-Castro's pragmatic and management criteria. Data was collected from in-patient hospital records and interviews of postpartum mothers. Multiple logistic regression of exposure variables was performed to calculate adjusted odds ratio (AOR) with 95% confidence interval (CI). Results: Significant predictors were maternal age ≥30 years (AOR, 5.32; 95% CI, 1.12 to 9.29; P=0.041), inadequate antenatal care (ANC) (AOR, 8.35; 95% CI, 1.98 to 51.12; P=0.032), <3 ultrasound scans during pregnancy (AOR, 12.5; 95% CI, 1.60 to 97.27; P=0.016), maternal anaemia (AOR, 18.96; 95% CI, 3.10 to 116.02; P=0.001), and any one obstetric complication (hypertensive disorder in pregnancy, diabetes in pregnancy, preterm premature rupture of membranes, prolonged labour, obstructed labour, malpresentation) (AOR, 4.34; 95% CI, 1.26 to 14.95; P=0.02). Conclusion: The predictors of NNM identified has important implications for public health policy and practice whose modifications can improve NNM. These include expanding essential ANC package to include ultrasound scans, ensuring World Health Organization recommendations of eight ANC visits, capacity building at all levels of health care to strengthen routine ANC and obstetric care for effective screening, referral and management of obstetric complications.

Effects of a Fall Prevention Program on Physical Fitness and Psychological Functions in Community Dwelling Elders (낙상예방 프로그램이 재가노인의 체력과 심리기능에 미치는 효과)

  • Kwon, Myung-Soon
    • Journal of Korean Academy of Nursing
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    • v.41 no.2
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    • pp.165-174
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    • 2011
  • Purpose: This study was done to identify effects of a fall prevention program on physical fitness and psychological functions in community dwelling elders. Methods: A quasi-experimental study was carried out with a nonequivalent control group pre & post-test design. The program, which included exercises and education, consisted of a 12-week group program and an 8-week self-management program using a health calendar. An experimental group (32) and a control group (21) participated. Results: There were significant differences in SPPB (t=-3.92, p<.001), TUG test (t=4.94, p<.001), standing with right leg (t= -3.60, p=.001), standing with left leg (t=-3.74, p<.001), front and rear maximum step length test (t=-4.34, p<.001), right-left maximum step length test (t=-2.65, p=.011), and fall efficacy (t=-2.42, p=.019). Fall efficacy, fear of falling and depression showed significant differences following the 12-week exercise program and 8-week self-management program in the experimental group. Conclusion: Study findings indicate that the fall prevention program is an effective nursing intervention to enhance physical fitness and psychological functions for elders. Using a health calendar, the self-management program was more effective for psychological functions compared to only the group program. Therefore, health providers should develop diversified fall prevention programs which include motivation plans to encourage clients in participating.

Factors Affecting Medication Errors and Medication-related Educational Needs of Community dwelling Older Adults (지역사회 거주 노인의 약물오용 영향요인: 약물지식 및 복약관리 교육요구를 중심으로)

  • Jeong, Hye Sun
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.24 no.1
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    • pp.87-98
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    • 2017
  • Purpose: The purpose of this study was to investigate the factors affecting medication errors and the medication management educational needs of community-dwelling older adults. Methods: From February 20 to February 23, 2017, 150 elderly people aged 65 or older were surveyed using a structured questionnaire. Results: A total of 85.7% of the older adults were taking medication, but their drug knowledge was found to be low. The medication error rate was 24.9%, and the score for medication management education requirement was 3.61 out of a possible 5points. Factors affecting medication errors were perceived health status and knowledge of medication, and their explanatory power was 43% in total. Conclusion: It was concluded that nursing intervention is needed to reduce older adults' medication errors and to increase their knowledge of medication. Additionally, groups of older adults with high medication errors should be intensively educated, and when developing a medication management education program, the contents of the sub-areas and items in which the participants' needs were high should be reinforced.

Effect of Jang-Gu Program and Self-help Management Program on Depression, Stress, Pain and Body Discomfort in Women with Osteoarthritis (장구치기와 관절염 자조관리교육이 골관절염 여성 환자의 우울, 스트레스, 통증, 신체불편감에 미치는 효과)

  • Jeong, Yeong-Hee;Kim, Jong-Im;Kim, Sun-Ae;Lim, Keum-Ok
    • Journal of muscle and joint health
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    • v.17 no.2
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    • pp.212-221
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    • 2010
  • Purpose: The purpose of this study was to determine the effects of music therapy (Jang-Gu) on depression, stress, pain and body discomfort in women with osteoarthritis. Methods: The study is designed using one group pretest-posttest experimental design. 31 arthritis patients, the subjects of the group participated in the music therapy program. The program was provided for 12 weeks (two times per week). The questionnaires were used to measure the outcome variables before and after the program. Data were analyzed with the SPSS 17.0 using descriptive statistics, paired t-test. Results: Depression, Stress, Pain did not decrease. But body discomfort decreased (p=0.001). Conclusion: Therefore this program was effective in body discomfort and can be a community based self-help management program for arthritis patient.

Process Evaluation and Influencing Factors of Building up a Network System between a National University Hospital and a Public Community Hospital in a Korean Provincial Area (한 광역자치도에서 국립대병원과 지방의료원간 협력체계 구축 사례의 성립 요인 및 과정평가)

  • Lee, Weon-Young
    • The Korean Journal of Health Service Management
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    • v.6 no.4
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    • pp.219-229
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    • 2012
  • This study aimed to explore influencing factors on the establishment of the network system between public hospitals and to make a process evaluation of it. we analyzed the case of a strategic alliance contracted by a National University Hospital(NUH) and a Community Hospital(CH). Main points of the project were regular dispatch of clinical specialists in the NUH such as gastroenterologist and running teleradiology program. The NUH considered the improvement of it's image as a public hospital as a successful element of the network program. The provincial office which have to manage the CH satisfied with these program in terms of helping CH in need of clinical specialists. Staffs in the CH pointed out the problem of discontinuity for patients who visited the CH. Three institutes argued that continuous support of central government in the relevant institution and budget could play the most important role in the advance of the network system between public hospitals.

A Study on Influencing Factors in Health Promoting Lifestyles of Female College Student (일부 여대생의 건강증진 생활양식과 관련요인연구)

  • Kang, Mal-Soon;Kim, Chung-Nam
    • Research in Community and Public Health Nursing
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    • v.11 no.1
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    • pp.184-198
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    • 2000
  • This descriptive correlational study was conducted to identify the variables related to a health promoting lifestyle in college female students. Participants were 232 female college student living in chinju city who selected by convenience sampling method. The data were collected by self-reported questionnaires from May to December. 1999. The data were analyzed by using descriptive statistics. pearson correlation coefficient. t-test. ANOVA. Duncan verification and stepwise multiple regression with an SAS program. The result to this study were as follows; 1) The average score of a health promoting lifestyle performance was 97.19, the average score of each item was 2.37. among the each items. self-actualization was obtained the most high score(31.10) and stress management was obtained the low score(14.74). 2) The result of compare health promoting lifestyle performance with related variables was follows; (1) In intervention factor, school lifestyle level showed significant positive correlations with teaching relationship level. (2) In Analysis of relationship of health definition. self-efficacy, perceived health status. and perceived benefit & barriers of health that is recognition-perception factors. health promoting lifestyle performance showed significant positive correlations with health definition (r = .2948. p = .001) and self-efficacy (r= .4587. p = .001). (3) A health promoting lifestyle showed significant positive correlations with school lifestyle(9.9%), family support (12.8%), and relationship with teacher (14.6%). This result indicate that; 1) need to development the health promoting model that suitable to our situation. 2) need to development the health promoting model that include family member and application and test to women. 3) need to development of the health promotion program and health education to women. 4) need to study for find out variables that have a influence to stress management. exercise. nutrition. and health promoting performance with low score in test.

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Factors influencing oral health-related quality of life in health allied college students (일부 보건계열 대학생들의 구강건강관련 삶의 질에 영향을 미치는 요인)

  • Park, Hee-Jung;Lee, Jun Hyup
    • The Journal of Korean Society for School & Community Health Education
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    • v.14 no.3
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    • pp.1-14
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    • 2013
  • Objectives: The purpose of this study was to investigate the possible impact factors(oral health level, oral health promotion behaviors, health level, health behaviors, and mental health) on oral health related quality of life using OHIP-14 of health allied college students. Methods: A total of 363 self-administered questionnaires were collected from university student in Seoul. To investigate the casual relationship between each variable presented in the research model, descriptive statistics, t-test, one-way ANOVA(Scheffe's test), man-whitney, kruskal wallis, multiple regression analysis were carried out by using SPSS ver. 21.0 Results: The study shows that the students reported mean score of OHIP-14 ($8.32{\pm}7.51$), of which physical pain was the highest score($1.88{\pm}1.45$) and social disability was the lowest score($0.69{\pm}1.13$). Multiple regression revealed that the score of OHIP-14 was shown to be significantly higher for the following people: who were get more self-reported symptom of periodontitis, halitosis, negative self-perceived general health and oral health, no received dental scaling treatment, and participants who had no experience awareness of distress in two weeks. The explanatory power was 18.2%. The most powerful factor regarding to self-reported symptom of periodontitis was shown to be negatively relations oral health-related quality of life. Conclusions: In order to enhance the students' life quality, there need to be considered for a comprehensive oral health-related quality of life program for the students through health education policy.

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Analysis of Perceived Levels on Health in Paraguay (파라과이 보건의료분야에 대한 인식수준 실태분석)

  • Lee, Myung-Sun
    • The Journal of Korean Society for School & Community Health Education
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    • v.14 no.3
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    • pp.67-76
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    • 2013
  • Objectives: This study was intended to provide the base of developing countries' Health Partnership Strategy by investigating the Paraguay's awareness level of health and analyzing the actual state. Methods: The data was collected from 11 government employees, 20 hospital staffs, 26 local residents on Asunci$\acute{o} $n, Paraguay in February, 2012. The method of the study was the questionnaires consisting of 62 questions including 7 questions of general features, 3 questions of awareness on maternal health care, child health care, planned parenthood program, 52 questions of awareness on health. The questionnaires was translated into Spanish which is local language in Paraguay. Results: The results of this study are summarized as follows; 1) The most important awareness on maternal healthcare, child healthcare, planned parenthood program was providing child health care. 2) The most important awareness to prevent non-health behavior was sufficient nutrition. The most important awareness to reduce the rate of chronic disease was diabetes. The most important awareness to eradicate communicable disease was HIV/AIDS. 3) The most important awareness to provide healthcare service was vaccination. 4) The most important awareness on healthcare delivery system was policy. The most important awareness on health education was student's health education. 5) The most important awareness to strength healthcare capacity was developing domestic economy. Conclusion: The results of this study suggest that awareness levels on health are high against low health behavior status in Paraguay. But awareness on health can lead to health behavior by healthcare system. Therefore, it has to induce the healthcare network and system by injecting public health funds, infrastructure, human resources on prevention of disease and healthcare management.

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