• Title/Summary/Keyword: Community health management

Search Result 1,879, Processing Time 0.026 seconds

The Effects of Health Promotion Programs for the Healthy Lifestyle in the Community Elderly: A Systematic Review (지역사회 노인의 건강한 라이프스타일을 위한 건강증진프로그램 중재효과에 대한 체계적 고찰)

  • Lee, Ji-Soo;Lee, Soo-Kyoung
    • Journal of Digital Convergence
    • /
    • v.18 no.4
    • /
    • pp.371-380
    • /
    • 2020
  • This study is a systematic review study to confirm the effectiveness of the health promotion program for the elderly in the community. The research method was to search for published papers using the domestic databases RISS, KISS, DBpia, and KoreaMed, analyze a total of 10 studies, and code them for 2 researchers. As a result, the characteristics of intervention in the health promotion program were often applied to the frequency of intervention more than twice a week, and the intervention time of more than 12 weeks, approximately 60 minutes once. In the composition of intervention, the study that applied exercise and education together and the study that mixed the types of exercise were mainly. The outcome measurement variables were muscle strength, body mass index, depression, self-efficacy, health promotion lifestyle, and quality of life. Through this study, it is necessary to develop a sustainable health promotion program and verify effectiveness in the lives of the elderly in the community.

Usage of Foodservice Systems Management Competencies by Korean Dietitians

  • Jeong, Hee-Sun;Yoon, Ji-Young
    • Journal of Community Nutrition
    • /
    • v.8 no.3
    • /
    • pp.119-126
    • /
    • 2006
  • The purpose of this study was: 1) to investigate whether Korean dietitians are engaged in Foodservice Systems Management (FSM) competencies in their current jobs, and 2) to identify the relationship between types of dietetic practice areas and Korean dietitians' usage of FSM competencies. Fifteen FSM competencies were widely used, 17 were somewhat used, 13 were seldom used and the remaining two competencies were little or not used by the dietitians. The most used competency was related to menu planning (98%). Whereas, the least used competency was related to marketing skills (17%). As a whole, the categories of 'technical and communication skills' (78%) and 'production and distribution management' (77%) were more widely used than other FSM categories. Of 47 competencies, 34 competencies were found to be significantly associated with the type of practice area. Considering the findings, the type of dietetic practice area was a strong factor of Korean dietitians' usages of FSM competencies. Of 34 competencies associated with the type of dietetic practice area, 25 FSM competencies were more likely to be used by the dietitians from health care facilities.

Factors Affecting Early Cancer Screening for Lung Cancer: Focusing on Lung Cancer Screening Subjects (폐암의 조기 암검진 여부에 미치는 요인: 폐암 검진 사업대상자를 중심으로)

  • Kim, Seok Hwan
    • The Journal of Korean Society for School & Community Health Education
    • /
    • v.20 no.3
    • /
    • pp.53-65
    • /
    • 2019
  • Objectives: The purpose of this study is to examine the current status of cancer screening among subjects in the lung cancer screening cycle and to analyze the factors affecting the cancer screening of subjects in the lung cancer screening cycle. Methods: This study used the 'National Health and Nutrition Survey 7th Year (2017)' surveyed nationwide as the main data. The subjects are lung cancer screening projects, the dependent variable is early cancer screening, the independent variables are gender, age, marital status, household income level, education level, national health insurance type, private health insurance, The number of chronic diseases, general health examination, smoking status, drinking status, moderate intensity physical activity, stress perception rate, and weight control efforts were determined. Results: The results of this study showed that factors affecting early cancer screening of lung cancer screening subjects were gender, age, marital status, education level, national health insurance, smoking status, drinking status, moderate physical activity, and weight. Irrespective of the control effort, it was found that the private medical insurance, the number of chronic diseases, the medical examination, and the stress perception rate were affected. Conclusion: If the lung cancer screening subjects recognize the importance of early cancer screening themselves and create a social environment to increase their participation rate, lung cancer screening patients and their families will help them to live a healthy life.

Bone Mineral Density, Body Mass Index, Stress, and Health Promotion Lifestyle of Female College Students (일 대학 여대생의 골밀도, 체질량지수, 스트레스 및 건강증진 생활양식)

  • Kim, Chun-Mi;Kim, Eun-Man
    • Research in Community and Public Health Nursing
    • /
    • v.21 no.3
    • /
    • pp.333-340
    • /
    • 2010
  • Purpose: The purpose of this study was to examine the bone mineral density (BMD), body mass index (BMI), stress, and health promotion lifestyle of female college students and to assess relations among them. Methods: A total of 220 female college students were assessed through anthropometric measurements and bone mineral density test using quantitative ultrasound. In addition, the subjects were asked about stress and health promotion lifestyle with a self-rating questionnaire. Collected data were processed with the SPSS/WIN 12.0 program. Results: 1) Of the students, 67.8% had weight control experience. The percentage of the osteoporosis, osteopenia and normal groups were 2.8%, 53.5% and 43.8%, respectively, and the percentage of the underweight, normal and overweight groups according to BMI were 27.9%, 57.2% and 14.9%, respectively. 2) The levels of stress and health promotion lifestyle were 2.9 and 2.3, respectively. 3) There was a positive correlation between BMD and BMI (r=.196, p<.01). There was a negative correlation between stress and health promotion lifestyle (r=-.35, p<.01). 4) Weight control experience made negative effects on BMD and BMI. Conclusion: The findings of this study suggest the necessity of new health promotion programs to increase bone density of female college students. Stress management programs are also needed.

The development of the scale for Health promotive behavior (건강증진 행위 관련 요인)

  • So, Hee-Young;Hong, Choon-Sil;Kim, Hyun-Li
    • Research in Community and Public Health Nursing
    • /
    • v.6 no.2
    • /
    • pp.250-258
    • /
    • 1995
  • The purpose of this study was to determine the level of health promotive behavior of adults and thereby to develope the health promotive behavior scale adjusting our sociocultural situation. The item for health promotive behavior was aquired from statements which was reported by Kim through deep interview with 164 Korean adults. The scale was measured with 4 points Likert type. Data was collected with questionnaire for population living in farm of Chungnam Province and Dae Jon City, from July to August 1994 by research assistant trained by researchers. Data was analysed using SPSS program with Cronbach $\alpha$ and factor analysis. The results are as follows : 1. For the reliability of the scale, Cronbach $\alpha$ was .8264 2. The factor analysis to examine the construct validity showed that health promotive behaviors included 9 factors: health management (16.0%), regular life style(7.4%), psychosomatic control(5.6%), moderation of living(4.6%), stress rnanagement(4.1%), abstain from favorite (3.9%), sanitary habit (3.8%), thought (3.2%), diet habit(3.1%). Nine factors explained 51.7% of varient.

  • PDF

The Association between the Subjective Perception of the Regional Healthcare Environment and Unmet Medical Needs (지역의 의료서비스 환경에 대한 주관적 인식과 연간 미충족의료 발생 간의 연관성)

  • Seohyun Woo;Hyun Woo Moon;Yeong jun Lee;Sun jung Kim
    • Korea Journal of Hospital Management
    • /
    • v.28 no.4
    • /
    • pp.62-72
    • /
    • 2023
  • Based on the basic ideology of health care, this study realized the seriousness of annual unmet medical need and conducted a study to confirm the relationship between the subjective perception of regional healthcare environment and unmet medical needs. The independent variable was classified into attitude 'satisfaction' and 'unsatisfaction' toward regional healthcare, and the dependent variable was classified as whether unmet medical needs occurred annually. Based on previous studies, the control variables were selected as demographic and socioeconomic characteristics that can affect the occurrence of unmet medical care annually and characteristics related to health behavior. Descriptive statistics were conducted for each variable on the extracted sample, and multivariate survey logistic regression analysis was conducted to confirm the association between variables. As a result, more unmet medical needs occurred annually than those who were satisfied with the medical services in the area where they lived. In addition, more unmet medical need occurred annually in "unsatisfied" households compared to households "satisfied" with local medical services. In residential areas, women live in "metropolis" and "rural areas" compared to "urban," women live in men, lower education levels, and poor subjective health levels, and less satisfied with local medical services. As such, the impact of environmental factors in the community on the use of health and medical services is one of the major areas of interest in the field of health science, such as health policy and social dynamics. Therefore, hospitals in each region need to make efforts in terms of hospital management to increase the overall satisfaction of medical services in the region by continuously monitoring the attitude of residents to achieve universal health security, and policymakers should also be interested and propose new policies.

  • PDF

Effects of Community-based Case Management Program for Clients with Hypertension (고혈압 대상자의 지역사회 중심 사례관리 프로그램 효과)

  • So, Ae-Young;Kim, Yun-Mi;Kim, Eun-Young;Kim, Chang-Yup;Kim, Cheol-Hwan;Kim, Hee-Gerl;Shin, Eun-Young;Yoo, Weon-Seob;Yi, Ggod-Me;June, Kyung-Ja
    • Journal of Korean Academy of Nursing
    • /
    • v.38 no.6
    • /
    • pp.822-830
    • /
    • 2008
  • Purpose: The purpose of this study was to analyze effects of a community-based case management program for clients with hypertension living in the community. Methods: The research design was a one group pre and post-test design with 30 participants with hypertension who agreed to participate in the 8-12 week case management program provided by case managers from the National Health Insurance Corporation in 2002. Data were collected three times, before and after the case management services, and 6 months later. Outcomes included changes in blood pressure, knowledge of hypertension and daily life practices, including alcohol consumption, smoking, exercise, and medication adherence. Results: Repeated-measures ANOVA and post-hoc tests of means revealed significant differences before and after service for systolic blood pressure, daily life practices (monitoring body weight and BP, low salt and cholesterol and high vegetable diet, and stress-relief practices), and exercise. The goal for medication adherence was attained after service. Significant improvements from baseline to 6 months after service were observed in measures of salt and vegetables in diet. There were no significant differences on hypertension knowledge, alcohol consumption or smoking behavior between before service and after, and at 6 months. Conclusion: The findings provide preliminary evidence that case management intervention can have positive outcomes on BP control, daily life practices, exercise, and medication adherence for clients with hypertension. However, additional interventions are needed to sustain long-term effects.

A Case Study on the Operation and Management Simulation of Pension Insurance House in Later Life : In the Case of Muju Rural Village (노후연금보험주택의 운영과 관리 시뮬레이션 사례연구 : 무주군의 전원마을 모델을 중심으로)

  • Hong, Hyung-Ock;Kim, Jung-In
    • Journal of Families and Better Life
    • /
    • v.27 no.1
    • /
    • pp.61-71
    • /
    • 2009
  • The purpose of this study was to resolve the issues of inferior housing environment and the population decrease in rural community by improving the environment and attracting urban inhabitants. A simulation on the costs and the local programs was operated from a point of view that Pension Insurance House with Long-term Lease and a plan for the program in connection with local resources should be accompanied to attract urban inhabitants. The study was carried out through mainly documents analysis and specialists' opinions. The simulation results are as follows. Firstly, the pre-existing rural housing development projects have only emphasized the hardware, while underestimated the post-management with operating programs. The software should be underlined when Pension Insurance House is developed. Secondly, as a result of the simulation on construction expenditure and the operating and maintenance cost for 30 years, about 82.3 million Wons are necessary residential expenses for 15 years per unit. Thirdly, in case of MUJU County, it has made the most of its pre-existing institutions. It's medical institutions provide medical care system with health education, facilities related leisure and culture offer recreational programs and the local community center and its program of each town helps new habitants adopt to the rural life. Additionally, the employment project of a local welfare center allow people living in a rural community to continue their careers with their talents and interests through local class programs for a life worth living. Lastly, guide for getting information of rural life, local community gathering and preliminary education should be carried out to reduce expectant tenants' incompatibility and assist them settle down early. The community program expansion is also required at the local government level.

Case Manager's Perception and Practices of Case Management Process at Community Psychiatric Rehabilitation Centers -Focused on the community psychiatric rehabilitation centers in Busan- (사회복귀시설 사례관리자의 사례관리 과정에 대한 인식과 수행에 관한 연구 -부산지역 사회복귀시설의 사례관리를 중심으로-)

  • Kim, Sun-Joo;Kim, Gyo-Jung
    • The Journal of the Korea Contents Association
    • /
    • v.13 no.1
    • /
    • pp.221-233
    • /
    • 2013
  • This study aims to explore how to cognize and perform case management process to community psychiatric rehabilitation center in Busan area. The case of case manager for 12 people obtained by conducting focus group interviews were in-depth analysis. Many commissioned by a variety of human service organizations in the contract and the client-centric intake has been received. Assessment, rather than a function of mental disabilities center service needs, planning difficulties in securing resource discovery and felt. Intervention phase focuses on direct service and when several agencies responsible for the case management approach. The possession of responsibility was unclear. Mainly monthly facilities within the checking step checks are being made, there was a desire for the realistic-supervision. Completion stage expectations showed a performance evaluation oriented, and individualized case management that can be represented well on the rating scale.

Antropometric and Health Status of the Elderly Women Attending a Health Promotion Program in an Urban Community (건강증진프로그램을 이용하는 도시지역 여자노인의 신체 및 건강수준)

  • 권진희;윤희정;문효정;이재무;손윤희;박성화;이희경;이성국
    • Korean Journal of Community Nutrition
    • /
    • v.7 no.6
    • /
    • pp.762-768
    • /
    • 2002
  • This study was conducted to evaluate the health status of elderly women who attended in a Health Promotion Program of the Seo-gu Health Center in Daegu. The study subjects were 158 elderly women (over 65 years) in an urban community. The subjects were investigated by means of individual interviews using a questionnaire, Blood tests for analyzing their biochemical status were carried out. The average age of the study subjects was 70.9 $\pm$ 2.3 years. Of the subject group 79.1% ranged in age from 65 to 74 year and 20.9% were over 75 years. With respect to health related factors, 23.4% of subjects drank alcoholic beverages and 15.2% of subjects currently smoke.The prevalence with chronic diseases was 51.9%, and 26.6% of the subjects were healthy. The diseases most frequently reported as having been or being treated were arthritis (38.1%), hypertension (21.4%), and diabetes (17.9%). The average height of subjects was below the standard established in the Korean Recommended Dietary Allowances, while the average weight was close to the standard. The means of systolic and diastolic blood pressure were 130.2 mmHg and 71.9 mmHg, respectively. The mean serum albumin level was 4.5 mg/d$\ell$ and the value of hemoglobin and hematocrit was 12.5 mg/d$\ell$ and 0.7%, respectively. The mean serum cholesterol level was 207.1 mg/d$\ell$ and the mean triglyceride level was 187.7 mg/d$\ell$. The serum lipid levels were higher then in those reported in research. The serum cholesterol levels of 71.5% of subjects were within the normal range. The GOT and GTP levels were within the moderate range. In conclusion, the health status of the elderly who attended the Health Promotion Program in the Seo-gu Health Center were very average. However, it was necessary to prepare a health management program to deal with the serum lipids so as to establish and maintain good health. When we carry out the health promotion program in a community, individual program Of adequate to health status should be developed more.