• Research in Community and Public Health Nursing
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• v.25 no.4
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• pp.259-269
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• 2014

Purpose: The purpose of this study was to examine dry eye syndrome and ocular fatigue according to the status of contact lens wearing and management among female university students. Methods: The subjects were 195 female university students wearing contact lenses. Ocular Surface Disease Index (OSDI) and Virtual Reality Symptom Questionnaire (VRSQ) were used to determine the level of dry eye syndrome and ocular fatigue. The SPSS/WIN 21.0 program was used for analysis of data. Results: Significant differences in the level of dry eye syndrome were observed according to the period of case solution change (F=3.36, p=.037) and the reasons for the change of lens (F=4.56, p=.004). In ocular fatigue, significant differences were observed according to the price of lens (F=3.53, p=.031), rinse in storing lens in a case (t=-2.57, p=.011), and learning about contact lens (t=-2.01, p=.046). A significant positive correlation was observed between dry eye syndrome and ocular fatigue in the subjects. Conclusion: The results of this study show that some subjects have problems in wearing and management of contact lenses. Therefore, an education program related to contact lenses should be provided to contact lens wearers to improve the status of wearing and management of contact lenses.

• Journal of agricultural medicine and community health
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• v.41 no.3
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• pp.152-161
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• 2016

Objective: The purpose of this study was to develop a motivation-enhancing self-management program and apply to rural aged with hypertension to evaluate the applicability of the Program. Methods: The motivation-enhancing self-management program was on the evidence of Orem's self-care theory and Ford's Motivational system theory which consists of group education and tele-coaching conducted 12-week. The program evaluation was done by structured questionnaires of motivation (self-efficacy, perceived benefit, perceived barrier and emotional salience), self-care and blood pressure. There were totally 31 aged with hypertension in 2 rural areas enrolled in the program. Results: There was only perceived benefit statistically significant between the intervention and control group (t=2.05, p=.04) and self-care level was no difference between the two groups (t=0.21, p=.84) after program. But there are statistically significant differences of systolic blood pressure between the intervention and control group(t=-2.62, p=.01). Conclusion: The motivation-enhancing self-management program is necessary for the rural aged with hypertension, but it's needed modify and revise in the future study.

• Research in Community and Public Health Nursing
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• v.18 no.4
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• pp.513-522
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• 2007

Purpose: The purpose of this study was to gain knowledge of successful aging for the Korean elderly and to identify the effects of an intervention program on the change of the knowledge Method: Data were collected from 134 elders from 3 schools for the elderly in H City. The Successful Aging Scale was used to collect data and modified CDSMP was applied as the intervention. Descriptive statistics, t-test, ANOVA and ANCOVA were used. Results : The total score of the knowledge of successful aging among the elderly cohort was 2.44 out of 3, and the scores of the factors making up old age were 2.66 for the success of children, 2.63 for self-control, 2.56 for self-efficacy, and 2.05 for happy marriage. Life satisfaction from the success of children and self-control were strongly correlated(r=0.7036, p=0.000). Conclusion: The self-management program brought positive changes to the knowledge of successful aging through the self-control parameter, and although it could not change the degree of knowledge of the overall successful aging among the elderly cohort, the program represents the first Korean nursing intervention focused on self-management techniques needed for successful aging.

• The Korean Journal of Health Service Management
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• v.9 no.2
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• pp.33-46
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• 2015

This study was done on the basis that IT convergence-contents can help the elderly. The effects of IT convergence-contents were analyzed on the occupational performance of the elderly. This investigation was done with 100 elderly people above 65 years of age who lived in local community and two senior welfare centers in Busan and Kyeongbuk. The 100 elderly people were split into two groups of 50: the one group who has experience with IT convergence-contents was the experiment group, and the other group with no experience was the control group. In both groups, body functions, cognitive functions, activities of daily living and community participation were tested. The experimental group had higher scores for cognitive function, and activities of daily living than that of the control group. In conclusion, future studies can support continued IT convergence-contents at the local business community level rather than with smaller samples. This work lays the groundwork for follow-up studies to evaluate the effectiveness of IT convergence-contents.

• The Korean Journal of Health Service Management
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• v.8 no.1
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• pp.75-86
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• 2014

The purpose of this study was to examine the factors affecting quality of life among elderly people with type 2 diabetes mellitus (DM) in a community. The design of this study was an exploratory survey. The subjects were 268 adults aged over 65 years with DM in a community. The data were collected from July to October, 2011 and analyzed by descriptive statistics, Pearson's correlation coefficient, and stepwise multiple regression by using SPSS/WIN 20.0 program. The quality of life was positively associated with self care behavior (r=.226, p<.001), self-efficacy (r=.323, p<.001), and social support (r=.345, p<.001). However, quality of life had moderately negative correlation with depression (r=-.445, p<.001). Among the variables, depression, social support, and self-efficacy were explanatory factors accounting for 23.9% of quality of life. These findings suggest that depression and self-efficacy are important factors affecting quality of life in the elderly with DM and it can be improved by strengthening social support.

• Research in Community and Public Health Nursing
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• v.15 no.2
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• pp.187-196
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• 2004

Purpose: The purposes of this study are: to evaluate the effectiveness of organizations engaged in MCH programs; and to suggest the executive organizational system of maternal and child health (MCH) services linked to HP services at public health centers. Method: This study analyzes data on the present conditions and evaluates the organizational effectiveness of MCH workers at public health centers nationwide. The organizational effectiveness of MCH organization is assessed by MCH workers. Finally, this study seeks to obtain consensus among experts in the field of MCH. Result: The results are as follows. Of public health centers, 61.9% have a MCH organization for their MCH programs. For the other 38.2%, MCH services are undertaken by HP organization. Executive organizational systems for MCH services at leading MCH health centers are classified into three types: Type I (provides MCH and HP services through MCH organizations); Type II (provides MCH and HP Services through HP organizations) ; and Type III (provides MCH services through MCH organizations and HP services through HP organizations). The evaluation of the organizational effectiveness of MCH organizations shows that Type II is the most effective in terms of teamwork, autonomy, service quality and resource utilization. Conclusion: This study suggests that executive organizations for MCH and HP services for women and children should be established in accordance with lifetime health programs in order for public health centers to utilize the limited MCH and HP resources efficiently.

• Health Policy and Management
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• v.32 no.2
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• pp.205-215
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• 2022

Background: The purpose of this study is to identify the factors infecting the medical care utilization from a new perspective by newly classifying the categories of administrative districts using the urban decline index and medical vulnerability index as indicators. Methods: This study targeted 150,940 people who used medical services using the 2015 cohort database (DB), 2010-2015 urban regeneration analysis index DB, and 2014-2015 public health and medical statistics DB. The decline of the region was classified using the urban decline index typed using k-means clustering and the medical vulnerability index typed using the quantile score calculation. Regression analysis was performed 3 times with medical expenditure, length of stay, and the number of outpatient visits as dependent variables. Results: There were 37 stable region (47.4%), 29 health vulnerable region (37.2%), and 12 decline region (15.4%). The health vulnerable region had lower medical expenditure, fewer outpatient visits, and a higher length of stay than the stable region. The decline region was all higher than the stable region but had no significant effect. Conclusion: The factors that cause the health disparity between regions are not only factors related to individual health behavior but also environmental factors of the local community. Therefore, there is a need for a systematic alternative that properly considers the resources within the community and reflects the characteristics of the population.

• Journal of Korean Public Health Nursing
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• v.7 no.1
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• pp.1-16
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• 1993

The objective of this study is to review the role and function of the village health worker in the wake of the recent social changes in Korea. The stud}' also aimed at' elucidating' the characteristics of the village health worker organizations developed through community participation in this country. The study methods employed were: a review of literature and other existing information related to VHW's activities ; the use of Questionnaire and interview with VHW's on their activities in one selected county in 1992. The major findings obtained are as follows: 1. So far the community health care activities have been carried out by medical colleges, foreign aid agencies and religious organizations with a view to improving health care for the population in rural area. 2. The VHWs employed by the local community health services received remuneratiorin cash or in kind. However, presently no remuneration is paid to VHWs employed by the government village health projects. The training for VHWs is organized by County Health Center once a year for 1-2days regardless of pre-employment or refresher. 3. The needs of care for maternal and child health and family planning has been decline due to the decrease of the target population, but on the other hand, the needs of care by VHW for prevention of infectious diseases, health of the aging, management of geriatric diseases, prevention of poisoning of pesticides and environmental sanitation has beer increased. 4. It was felt strongly that the training for VHWs should be strengthened by means of developing a problem-solving oriented educational program in order to improve practical skills of VHWs.

• Korean Parent-Child Health Journal
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• v.13 no.2
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• pp.63-77
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• 2010

Purpose: The purpose of this study was to develop child's health assessment tools and tailored home visiting nursing service model in a community. Methods: Based on the literature review and several types of workshops participated with the child health nursing professors and visiting nurses in public health centers from May to December 2009, the standards of child health assessment tools, service model and education materials for visiting nurses were developed. Results: Some record forms were newly developed, including neonatal assessment, breast feeding, mother-infant interaction, oral care, vaccination and safety, and appropriate developmental screening tests in the community were selected. For systematic health care management in the community, problem list, problem criteria, health care plan, outcome criteria were also developed. Conclusion: On the demand of growing need for health promotion and early intervention for children and their association with parenting and socioeconomic status, assessment and control measures are indispensable to the promotion of child health for vulnerable population. Children's health and developmental problems, and safe circumstances can be assessed using this assessment tools, and can be used for tailored home visiting nursing care for children.

• Korean Journal of Adult Nursing
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• v.18 no.1
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• pp.22-30
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• 2006

Purpose: This study was conducted to identify the effects of the self efficacy promoting program on self efficacy and performance of preventive health behavior of uterine cervical cancer for community nurses. Method: A one group quasi-experimental research with pre and post test design was used. The subjects of the study were consisted of twenty two community nurses in a city in Korea. The whole program was carried out from July to September, 2003. The effect of the program was analyzed at the first week, the fifth week, and the ninth week since the experiment input began. Data were analyzed with repeated ANOVA to determine the effects of program. Results: 1) After the self efficacy promoting program, self efficacy scores were significantly increased compared to those before the program(F=12.029. p=0.005). 2) After the self efficacy promoting program, preventive health behavior scores were significantly increased than those before the program(F=10.431. p=0.006). Conclusions: This 9-week program showed much affirmative effect on the prevention of uterine cervical cancer for community nurses. Thus this program can be recommended to the management of the prevention and early detection of uterine cancer.