• Research in Community and Public Health Nursing
• /
• v.15 no.1
• /
• pp.84-94
• /
• 2004

Purpose: The purpose of this study was to examine the health care management status of preschoolers depending on the children's characteristics. Methods: The sample of this study were 212 mothers of preschoolers attending Child Care Centers in three cities, Seoul, Daejon, and Suwon, in Korea. A self administered questionnaire developed by investigators was used to collect data from September 15 to October 31, 2002. Data was analyzed with SPSS 11.5 Win program. Results: 5.7% of the children had not completed their vaccination programs. Children who were second or later birth order showed less complete vaccination rates than firstborn babies. Children who had working mothers showed less complete vaccination rates than those whose mothers did not work. Among the various vaccinations, the DPT and MMR booster vaccination rates were the lowest. Home safety scores were higher when mothers have younger children. higher monthly incomes and reside in apartment type houses. Forty one(41%) of the preschoolers experienced accidents, and the accident rate was higher in boys and children with easy temperament. The most frequently experienced accident was laceration. Twenty eight point eight percent(28.8%) of the children experienced hospitalization because of various diseases. Most of the mothers perceived their children healthy. However, children who were second or third born were perceived less as healthy. Children in families with less monthly income were perceived as less healthy. Conclusions: This study provided basic data about preschoolers' health care management status focusing on vaccinations and accident rates. More attention should be paid to preschoolers' health and safety. Related factors found in this study should be considered when providing anticipatory guidance for parents.

• Asian Pacific Journal of Cancer Prevention
• /
• v.16 no.9
• /
• pp.4031-4035
• /
• 2015

Background: Breast cancer is one of the most feared diseases among women and it could induce the development of psychological disorders like anxiety and depression. An assessment was here performed of the status and to determine contributory factors. Materials and Methods: A cross-sectional study was conducted among breast cancer patients at University Kebangsaan Malaysia Medical Center (UKMMC), Kuala Lumpur. A total of 205 patients who were diagnosed between 2007 until 2010 were interviewed using the questionnaires of Hospital Anxiety and Depression (HADS). The associated factors investigated concerned socio-demographics, socio economic background and the cancer status. Descriptive analysis, chi-squared tests and logistic regression were used for the statistical test analysis. Results: The prevalence of anxiety was 31.7% (n=65) and of depression was 22.0% (n=45) among the breast cancer patients. Age group (p= 0.032), monthly income (p=0.015) and number of visits per month (p=0.007) were significantly associated with anxiety. For depression, marital status (p=0.012), accompanying person (p=0.041), financial support (p-0.007) and felt burden (p=0.038) were significantly associated. In binary logistic regression, those in the younger age group were low monthly income were 2 times more likely to be associated with anxiety. Having less financial support and being single were 3 and 4 times more likely to be associated with depression. Conclusions: In management of breast cancer patients, more care or support should be given to the young and low socio economic status as they are at high risk of anxiety and depression.

• Journal of Korean Society of Occupational and Environmental Hygiene
• /
• v.19 no.3
• /
• pp.182-194
• /
• 2009

This study was conducted to evaluate health status and to propose health protection measures of irregular plant construction workers in Yoesu National Industrial Complex (YNIC). The status of safety and health management was examined in five areas including safety and health education, work environment monitoring, health examination, health management record, and personal protective equipment (PPE) for plant construction workers. The safety training rate for plant construction workers was reached high at 91%, The training was mostly consisted of safety accident related things, but training on hazardous materials was found to be insufficient. Workplace monitoring results showed that the compliance rate for work environment for irregular construction workers was 54% and workplace monitoring during turnaround (TA) period with high risk of exposure to hazardous agents has not been implemented. While 61.4% of irregular workers received the general health examination but only 36.8% received the special health examination. The special health examination was found to be conducted only upon welders from 2-3 years ago. The issue of health management record upon irregular construction workers was not being implemented. In case of PPE, basic safety protective equipments such as safety shoes, safety belt, safety helmet were being supplied well while the supply rate of respirator for organic vapor was relatively low at 40%. Based on this study, two suggestions to maximize the utilization of the current safety and health program were made while boosting its effectiveness in protecting workers' health. First, the role of owners (petrochemical plant) related to safety and health should be strengthened. Second, in consideration of the characteristics of construction workers who usually engage in short term employment and frequent movement, community based health management organization is suggested that can overcome such structural problem and carry out the implementation of health examination and sustained health management.

• The Korean Journal of Health Service Management
• /
• v.11 no.2
• /
• pp.65-79
• /
• 2017

Objectives : This study aimed to investigate the types of unmet health care needs of the elderly and factors affecting them. Methods : This study used data from the 2012 Community Health Survey. Multinomial logistic regression analysis was conducted to identify the relevance between each type of unmet health care needs and predisposing, enabling, and needs factors, based on the cases without unmet health care needs. Results : Persons with unmet health care needs were 4,460 (9.5%) of the total sample. By types of unmet health care needs, 1,171 (2.5%), 1,026 (2.2%), and 2,263 (4.8%) persons reported inaccessibility, non-accommodativeness, and unaffordability respectively. It was concluded that the there were differences in the associated factors according to the types of unmet medical needs. Conclusions : It is suggested that unmet health care needs in the elderly should be examined from diverse angles rather than from a single aspect of partial limits. In particular, diverse types of unmet health care needs for health care in the elderly according to limited accommodation shoulder be examined. Finally, strategies to decrease unmet health care needs that reflect the associated factors should be developed.

• Journal of The Korean Society of Integrative Medicine
• /
• v.10 no.3
• /
• pp.141-150
• /
• 2022

Purpose : Community care occupational therapy is an integrated mediation method such as evaluating and mediating daily life activities, evaluating and modifying the environment, and providing information by visiting the home where the client resides. In this study, we examine the effect of implementing a community-care occupational therapy program on the levels of depression, quality of sleep, and quality of life of elderly individuals living alone. Methods : Among the users of organizations C and D located in City B, province A, South Korea, a total of 32 elderly citizens aged above 65 were chosen as the study subjects and randomly divided into an experimental group and a control group. For the experimental group, a total of 24 sessions, each lasting 60 minutes, comprising a community-care occupational therapy program and each organization's own program, were conducted, with each session conducted twice a week for a total of 12 weeks. On the other hand, those in the control group participated in the existing programs of their organizations. Changes in the levels of depression, quality of sleep, and quality of life before and after the intervention were compared using the GDSSF-K, GQOL, and GQOL. Results : Overall, the levels of depression, quality of sleep, and quality of life were found to improve among the experimental group after the intervention. In a between-group comparison of the changes before and after the intervention, the experimental group was found to exhibit a more statistically significant difference than that of the control group. Conclusion : The results obtained in this study confirm that community-care occupational therapy programs have a positive effect on the levels of depression, quality of sleep, and quality of life of elderly individuals living alone. This implies that such programs may represent an effective solution for the problems of these individuals.

• Journal of Soil and Groundwater Environment
• /
• v.27 no.4
• /
• pp.1-9
• /
• 2022

This study was conducted to supplement new-normal strategies on management plans of rural groundwater resources in the era of Post COVID-19. Global outbreak of COVID-19 has damaged across all areas including public policy, economics, industrial services, and others without exception, which has resulted in establishing new-normal strategies in order to restore balance and functions as for these areas. The new-normal ones were represented as enhancing preventative management on infectious diseases, expanding non face-to-face services, enhancing protective trades and food securities, and preparing growth policies on public services using the 4^th industrial revolution techniques. In this study, G-WASH_AD (Groundwater supply, sanitation, and hygiene with attraction and digitization) was suggested to be new-normal strategies on rural groundwater resources. The G-WASH_AD was consisted of three detailed action plans: a preventative plan on waterborne-diseases of groundwater (PP), a groundwater-tourism plan with rural heritage (GP), and an application plan of the 4^th industrial revolution techniques to groundwater facilities and its data (P4). The PP can contribute to protect human health from waterborne-diseases and minimize hazardous effects on crop cultivation. The GP accompanied with high-quality groundwater resources is able to strengthen rural tourism, to promote marketing activities on local agricultural products, and to increase household incomes of rural communities. The P4 can reinforce fast, comfortable, and scientific management on groundwater facilities and its data, creating a virtuous cycle between innovative management on groundwater and growth of technology related to it. Results of the G-WASH_AD strategies can encourage a green growth engine in field of rural groundwater management keeping up with Post COVID-19.

• Korean Journal of Occupational Health Nursing
• /
• v.23 no.4
• /
• pp.197-207
• /
• 2014

Purpose: The purpose of this study was to investigate the status and characteristics of visiting nurses' management for elders with cognitive impairment living in a community focused on health centers in a metropolitan city and five medium-sized cities. Methods: Data were collected from 47 visiting nurses working in a metropolitan city and 47 visiting nurses working in five medium-sized cities from November to December 2012. Results: There were no statistically significant differences in knowledge, attitudes, and nursing behaviors of cognitive impairment between two groups (F=2.13, p=.148; F=3.64, p=.060; F=0.28, p=.595). Among the elders referred to a physician in a metropolitan city by visiting nurses, 42.4% were diagnosed as mild cognitive impairment and 15.2% were diagnosed as severe dementia. The major intervention programs which visiting nurses currently applied for elders were medication and exercise intervention programs, and the intervention programs which they would want to apply in the future were playing, music and recall intervention programs. Conclusion: The cognitive impairment screening test can be done effectively by visiting nurses. This study also suggests to develop various kinds of intervention programs to improve cognitive function for elders living in a community.

• The Journal of Korean Society for School & Community Health Education
• /
• v.11 no.1
• /
• pp.149-158
• /
• 2010

Background & Objectives: Rising concerns about patient safety and looming health provider shortages were generating new recognition for an old idea. Interprofessional education means that two or more professions learn with, from and about other to improve collaboration and the quality of healthcare. The University of British Columbia established the College of Health Disciplines in 2001 to examine the merits of interprofessional health education. The objective of this study was to review UBC's interprofessional health education and to introduce the theoretical framework of interprofessional education for collaborative patient-centered practice. Methods: This study was conducted with the materials relevant to the interprofessional education. We reviewed the journals and Web site for this subject and we obtained interview data from administrators in the University of British Columbia, College of Health Disciplines. Results: We introduced interdisciplinary education for collaborative patient-centered practice model. It is assumed valuable model in preparing the interprofessional education as well as theoretical framework for implementation. We preseuted the example for interprofessional education of the College of Health Disciplines, University of British Columbia. Conclusion: We need to introduce the interprofessional education at the health care departments of University or College in Korea.

• Research in Community and Public Health Nursing
• /
• v.19 no.4
• /
• pp.622-635
• /
• 2008

Purpose: The purpose of this study was to measure the level of job stress and health status and find out factors affecting the health status among circulation enterprise workers. Method: This study was a cross-sectional descriptive study. The subjects were 128 workers whose mean age was 33.2 years. Korean occupational stress questionnaire Short Form was used to measure job stress. Todai Heath Index that was made by Aoki in 1977 and translated by Kim(1997) was used to measure the health status. Results: The total job stress scores of men and woman fell in the lower 50% of Korean workers. Job autonomy and interpersonal conflicts as a subcategories fell in upper level 50% in both men and women and job insecurity fell in the upper level 50% in women. The mean score of health status was 51.47, indicating slightly higher frequency of complains of health symptoms. There was no significant correlation between total job stress and total health status. Finally, factors influencing the health status were organizational system and age. Conclusion: Based on the results of this study, it is necessary to develop comprehensive stress management programs including interventions of personal and organizational levels for promoting workers' health.

• Research in Community and Public Health Nursing
• /
• v.22 no.2
• /
• pp.87-99
• /
• 2011

Purpose: The purpose of this study was to contribute children's health care and health promotion by surveying the use of visiting nurses in child day care centers. Methods: This study is a descriptive study, and the study period covers July to September, 2010. The research subjects were 27 public health center managers, 166 visiting nurses and 137child care teachers. Results: Teachers' need of visiting health care services and visiting nurses' work performance of were statistically significantly different. The teachers' need of visiting health care was higher in all areas (health examination, health life practice, infectious disease control, safety accidents and disaster management, emergency measures and linkage, nutrition, parent education) but the visiting nurses had a low level of work performance. Conclusion: Child care teachers are not health professionals for child health care, and therefore they are in need of professional help. Thus, for the current public health centers in need of customized visit health care, new visiting nurses in charge of professional child health care need to be developed. Also, new models need to be developed for visiting nurses and child care teachers through the connection of community child health care.