• Research in Community and Public Health Nursing
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• v.27 no.4
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• pp.319-326
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• 2016

Purpose: The aim of this study is to identify factors affecting elders' intention to participate in healthcare programs. Methods: This secondary data analysis used data of 390 elderly people who lived alone and were enrolled in the Visiting Health Care Center of H-city. In 2014, questionnaires were used to collect data about demographics, social activity, depression, frailty, and intention to participate in healthcare programs. The data were analyzed by descriptive statistics and multivariate logistic regressions. Results: Among the participants, 51.8% intended to participate in the offered healthcare programs. The strongest factor affecting the intention was gender. Women were 4.85 times more likely to participate in the programs than men. The women's intention was associated positively with increased levels of frailty. The men tended to participate in the program as they got older and as the level of frailty and the number of chronic diseases increased. Conclusion: Gender-specific public healthcare programs for vulnerable elders living alone should be developed to maximize their participation in the programs and to promote good health. The healthcare programs must be tailored to the levels of the patients' physical functions.

• Research in Community and Public Health Nursing
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• v.17 no.4
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• pp.530-541
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• 2006

Purpose: This study attempts to understand workers' need for health promotion programs in their workplace and factors influencing the need. Method: The subjects of this study were 1,626 workers employed at Korean enterprises throughout the country. The instrument was composed with the '2001 National Heal Nutrition Survey.' Data were analyzed using SAS 8.12 by applying $x^2$ and multivariate logistic regression. Results: Need for stress management programs was highest. The need for stress management programs was affected by career and exercise, and the need for exercise programs by marital status and exercise. In addition, the need for alcohol management programs was affected by regular diet, and the need for fatigue prevention programs by fatigue, and the need for non-smoking programs by health status and regular diet. Conclusion: Workers' need for health promotion is related to their health lifestyle, so it is necessary to study various health promotion methods and develop concentrated intervention programs in order to promote health lifestyle.

• Proceedings of The Korean Society of Health Promotion Conference
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• 1999.07a
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• pp.73-92
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• 1999

In present paper, author proposed an effective health education strategy for local health department, which was revised from the PATCH of CDC. The author suggested that an health department should follow several steps to have an effective health promotion programs in their community. First step would be community mobilization that encourage key persons and major organizations and agencies to participate in the program. The second step is collecting demographic and vital statistics in the community or for a target audience as well as social, psychological and behavioral data. Based on the data analysis, the next step is to choose a target audience and health problem(s) for the target audience in question. The fourth step is the development of health education strategy for the target audience and the health problem. The fourth step also includes selecting a proper communication channel and educational materials as well as pre- and post-testing. The final step is implementing health education programs and evaluating the process, outcome and impact of the program. Korean Institute for Health and Social Affairs(KIHASA) has developed a model for health education programs used in local health department. KIHASA can provide technical assistance and health education materials to assist local health departments in Korea.

• Journal of Korean Public Health Nursing
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• v.21 no.2
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• pp.241-251
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• 2007

Purpose: To identify the effects on tuberculosis mortality of a tuberculosis control program conducted at 108 community health centers in terms of structure and process. Methods: The dependent variable was tuberculosis mortality, and the independent variables were the structure(type of centers, staff, nurses, doctors, budget) and process(chest X-ray checking, immunization, case detection, health education, patients registering & managing) of the tuberculosis control programs at the community health centers. Data were analyzed using descriptive analysis and stepwise regression analysis. Result: Tuberculosis morality was positively correlated with type of centers(rural area)(p<0.01), but negatively correlated with type of centers(large cities) (p<0.01), (middle cities)(p<0.05), staff FTE(p<0.05), and number of nurses(p<0.05). Regression analysis indicated that type of centers(rural area)($\beta$=0.457) and case detection($\beta$=0.234) had a significant effect on tuberculosis mortality. Conclusion: Ultimately, this study will provide information to improve the effectiveness of tuberculosis control programs in community health centers.

• Research in Community and Public Health Nursing
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• v.13 no.2
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• pp.260-271
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• 2002

Objectives: The purpose of this study was to identify basic health needs of adult clients to develop a community nursing center model in Seoul. Methods: Data were collected using a questionnaire survey from 894 adults registered at a public health center who were health management members, and visiting 4 community nursing centers, University of Wisconsin, Milwaukee during the period from July 1999 to January 2000. The data were analyzed using frequency, percentile, t-test, and ANOVA. Results: 1) The University of Wisconsin- Milwaukee School of Nursing has a long tradition of developing 4 community nursing centers with innovative health care programs. CNCs integrate the ability to implement and test effective intervention strategies with education, research, and practices of nursing students and faculty. They were designed to enhance the health status and quality of life for urban communities through the development of productive, outcome focused, collaborative partnerships among UWM-Nursing faculties and staff, other health and human service providers, consumers, and policy makers. It links the financial resources between UWM and 9 voluntary agencies and 12 public funding organizations including federal. state, and local governments. 2) Of the total health management members, 37.4% were reported to have at least one type of chronic disease such as hypertension, diabetes, and arthritis. Ten percent of them reported having obesity, and 44.2% reported lack of exercise. The health status of the subjects was within normal range in laboratory tests. However, female subjects showed more significant differences in obesity and cholesterol levels than male subjects. The subjects, who were in their 50s, showed more significant differences in obesity, SGOT, SGPT, and cholesterol levels than the subjects in other age groups. Conclusion: A community nursing center needs to be developed, that has a link between the nursing college and the public health center, with partnerships and a multidisciplinary approach. Based on the study results, exercise programs for middle aged adults are considered necessary. In particular, specific exercise programs for pre-menopausal women needs to be implemented in the future to prevent them from developing osteoporosis.

• Korean Journal of Health Education and Promotion
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• v.32 no.2
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• pp.75-84
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• 2015

Objectives: This study examines that the compatibilities between the health promotion programs in community health center and the leading health indicators in National Health Plan. Methods: We analyzed health promotion programs associated with three health indicators; smoking(smoking rate in male), alcohol use(alcohol use rate in adults), obesity(obesity rate) in twenty five community health centers in Seoul. First, we classified three groups(excellent, fair and poor groups) using average scores of Seoul, that of Korea and National Health Plan2010 goals in three health indicators. Afterwards, we examined the compatibility between contents of health promotion programs regarding leading health indicators and the specific program activities. Results: The compatibility levels between health indicators and contents of health promotion programs was 80 % for smoking among fair and poor groups while fair and poor for smoking reported 60% and 70%, respectively. For obesity, excellent group reported 80% and fair group had 91%. Conclusion: In conclusion, although all districts were able to access available data for health indicators and health statistics every year, it seems that they did not only utilize these data enough in conjunction with health promotion programs but also did not integrate specific activities according to National Health Plan systematically.

• Journal of Korean Public Health Nursing
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• v.32 no.1
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• pp.19-29
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• 2018

Purpose: This study conducted to identify factors affecting on the job stress among employees of community integrated health promotion programs. Methods: A total of 175 employees of community integrated health promotion programs in public health centers were asked to complete a pack of self-report questionnaires. The data were then analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: Employees' emotional labor was a bit higher than moderate. Employees' job stress was higher than that of general employees in public health centers but similar to police officers. Job stress had a positive relationship with emotional labor and a negative relationship with self-efficacy. Factors affecting on the job stress were emotional labor, self efficacy and working period for integrated health promotion. Conclusion: Based on the results of this study, employees of community integrated health promotion programs in public health centers need to develop effective interventions to help them effectively decrease job stress. This, in turn, will decrease emotional labor and increase self efficacy.

• The Korean Journal of Community Living Science
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• v.18 no.1
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• pp.21-37
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• 2007

The purpose of this study is to investigate factors that explain the degree of need for community welfare services designed for the residents of Wonju City. For this purpose, we identify five categories of community welfare services : employment no income supporting programs, residence supporting programs, public health programs, family programs and welfare facilities for enhancing quality of life. The data come from 234 adults living in Wonju city, Major findings can be summarized as follows. Firstly, we find that participants are well aware of needs for community welfare service, and that the degree of need for public health services is the highest among the five types of welfare programs. Secondly, we find differential effects of the individual factors such as predisposing, enabling, and need, and the community factors such as quality of environmental facilities which make daily lives convenient, and residential region. Particularly, environmental facilities appear to have a strong association with high needs for the majority of welfare services. Finally, differences between urban and rural areas are still observed. These results suggest that the responsibility of Wonju city for providing diverse and adequate welfare services should be emphasized. Priorities for welfare policies based on the empirical data are also taken into consideration in the process of developing community welfare policies.

• Physical Therapy Korea
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• v.24 no.3
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• pp.47-56
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• 2017

Background: Given the potential benefits of wellness programs promoting physical activity of the community-dwelling frail elderly, it is recommended that comprehensive wellness programs combined with the component of physical activity. This may improve overall health and potentially lower the health care cost of the frail elderly. In general, the frail elderly residing in community or those after being discharged from hospitals are often committed to enhancing the status of participation in physical activity. Objects: The purposes of this study were to identify specific shortcomings of current wellness programs as part of continuum of community rehabilitation services and to propose alternatives for the care of the community-dwelling frail elderly. Through this study, geriatric health care professionals may be able to implement assessments and programs to successfully promote an effective continuum of care for the frail elderly. Methods: Article reviews were summarized and evaluated. Results: A model elaborating the relationship between components of successful wellness program and participation in physical activities for the community-dwelling frail elderly are recommended. First, periodic monitoring the levels of physical activity by the use of online measurement system should be considered. Second, individualized adaptive technologies for selecting optimal physical activities for the elderly may be better fit to individuals' current status of physical activity. Conclusion: The current status of physical activity in community-dwelling frail elderly can be monitored by online assessment systems. Through the innovative measurement system, elderly may assess his/her physical activity status overtime, select optimal physical activities matching the status, and create the elderly's own adaptive wellness programs that match to the status while residing in his/her community.

• Journal of Society of Preventive Korean Medicine
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• v.11 no.2
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• pp.101-112
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• 2007

Oriental public health programs have been introduced for the purpose of providing comprehensive oriental health care services to community people including vulnerable classes, increasing the accessibility of oriental medicine and the public benefit, and further more elevating the health promotion and the quality of life of community people. Promoting these programs since 2002 in earnest, it is evaluated that it has made a lot of performances. In the other side, it showed many problems and policy issues also. This study is accomplished to analyze the problems made since the system was introduced and until now, 2007, and with this analysis, to examine policy issues and the reasonable recommendations for its development Major problems are as follows. First, fundamental notions and identity of oriental public health programs are not positioned accurately. Second, the infra-structure construction for effective propulsion of business is insufficient. Third, it is short of the capacity for program implementation of oriental public health doctors, related manpower, and health centers. Fourth, oriental health promotion programs that can fulfill the various health needs of community people are deficient. Fifth, active aid of the government and the oriental medical world as well as legal and systematical support for oriental public health programs is insufficient. As a result, to solve the problems and induce the successful settlement of the program, the policy recommendations such as (i) the fundamental notions of the program and establishment of approach strategies, (ii) reinforcement of the foundation of the program implementation, (iii) capacity enhancement of the manpower of the program implementation, and (iv) effective building of supportive system of the program are presented.