With the changing consciousness of community people and the rising standard of living, there has recently been an emphasis on the creation of public facilities' new functions and their role as local community facilities. This changing trends are accordingly requiring a change in spatial structure of the public facilities. In this study, an analysis was conducted with 24 public facilities situated in the Buk-gu district of Daegu to identify the adequacy of their space scale after functional variation. The results of this study are summarized as follows. 1) The site area of public facilities has been being widened after functional variation since more spaces are needed to provide an outdoor resting space with community people, expand a parking space, and operate a community center. 2) The factors that had a direct effect on the change in the use of space are the reduced space for administrative work and the expanded scope of the community center's function. Specifically, the areas of activities for civil service and administrative work and for reserve forces have been reduced due to reduction of function, and floor division by each function group has been becoming stricter due to addition of a community center's function. 3) It was shown that in terms of the space for functions of public facilities, spaces for civil service and waiting have increased mostly after function variation. After functional variation, the scale of spaces for civil service and administrative work has been being planned within the range of $200\~300 m^2$, regardless of the number of population to be covered by public facilities. 4) The space for public use is showing the greatest increase in public facilities which have been built after functional variation. The major factors seem to be the increased moving passages, the expanded convenient facilities for community people, and the increased convenient facilities for disabled. Facilities scale plans have been being made more systematically, compared to the conventional facilities.
The role of Community Health Practitioner(CHP) should be continuously adapted to the social changes and the needs for health care services. That is the reason CHP needs to be retrained through the continuing education program. This paper showed CHP's roles to be reinforced by analyzing his present . task performance and ability in seven task areas as well as the changes of the social environment. In addition, this paper presented retraining areas needed for the reinforcement of the CHP's role in the future, and the development strategy of related continuing education package. The major results are as follows: 1. CHP's main practice area is health care services and management & guidance, whereas the development of health information system is neglected. 2. As a result, CHP plays a role mainly as a health care supplier, a consultant and a health instructor. Therefore CHP's roles to be reinforced are management of the community health system, act as a spokesman and a team member, promotion, assessment, collection & maintenance of information, coordination and research. 3. The areas to be reinforced in CHP's continuing education are (]) aged people's health, (2)?drinking & smoking, (3)?young people's health(including drug and sexualissues), (4) rehabilitation, (5)?administration and management for community health, (6)?partnership & membership, (7) local residents' participation and community development, (8) collection & treatment of health information and (9) environmental issues for community health. 4. The priority in developing continuing education package should be given to the area, which is encountered often in rural area but important, and has a good opportunity to be resolved. The health management of aged people was selected as a top priority by members of the Community Nursing Academic Society. 5. It is recommended that the instruction materials be accommodated to the small scale workshop or seminar in order that CHPs can participate actively in the continuing education program.
Proceeding of Spring/Autumn Annual Conference of KHA
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2008.04a
/
pp.117-122
/
2008
As the industrialization and urbanization are advanced rapidly, the apartment housing has been in excessive supply. Also, the apartment housing that offers modern people a comfortable life has been the typical housing type in Korea. Meanwhile, people today have lost their morality and communities have been dissolved because of a sudden social change. But the lost morality can be recovered when the communities are established. As more increasing in the residents' demands, it is enlarging of residents' interests and participations in pursuit of quality of life. In this process, residents' participation has occurred of their free will not only in offline communities but also online communities. For developing of IT technology, people using internet have exceeded 75% and development of online communities in apartment housing have boundless potentialities despite in a delicate situation that is at the same time and same space. The purpose of this study is that examine the possibilities and directions of participation, as it attempts to grasp the present conditions and problems of online community. In the study, we searched the word, apartment housing, on portal site to apprehensive the status of residents' voluntary participation on online community. According to research, residents' voluntary participation on online community was divided into three frames, such as remodeling, planed resident and designing friendship. Finally we found out resident's contents of communication and structure of their participation by these frames. As a result, participation on online community helps residents who have been not take part in offline community because of limited time in spite of difficulty of lasting participation. From now on, it will have possibility to increase and revitalize new communities on the purpose.
Purpose: The purpose of this study was to investigate the effects of Wheel of Wellness counseling on wellness lifestyle, depression, and health-related quality of life in community dwelling elderly people. Methods: A parallel, randomized controlled, open label, trial was conducted. Ninety-three elderly people in a senior welfare center were randomly assigned to two groups: 1) A Wheel of Wellness counseling intervention group (n=49) and 2) a no-treatment control group (n=44). Wheel of Wellness counseling consisted of structured, individual counseling based on the Wheel of Wellness model and provided once a week for four weeks. Wellness lifestyle, depression, and health-related quality of life were assessed pre-and post-test in both groups. Results: Data from 89 participants were analyzed. For participants in the experimental group, there was a significant improvement on all of the wellness-lifestyle subtasks except realistic beliefs. Perceived wellness and depression significantly improved after the in the experimental group (n=43) compared to the control group (n=46) from pre- to post-test in the areas of sense of control (p =.033), nutrition (p =.017), exercise (p =.039), self-care (p <.001), stress management (p =.017), work (p =.011), perceived wellness (p =.019), and depression (p =.031). One participant in the intervention group discontinued the intervention due to hospitalization and three in the control group discontinued the sessions. Conclusions: Wheel of Wellness counseling was beneficial in enhancing wellness for the community-dwelling elderly people. Research into long-term effects of the intervention and health outcomes is recommended.
Purpose: This study was conducted to identify relations among health behaviors, health symptoms and physical fitness of people in the same community. Method: The study was designed as a descriptive survey and the participants were 1,621 healthy people. Data were collected from March to December, 2003 using a structured questionnaire on health behaviors, health symptoms and physical fitness. Data were analyzed by descriptive statistics, $\chi^2$-test, t-test, two-way ANOVA, Pearson correlation coefficients and multiple regression using SPSS/PC. Results: The result of multiple regression showed that sex, age, and BMI were related to physical fitness. In health-related physical fitness, regular exercise was related to cardiorespiratory endurance and flexibility, and daily caffeine intake was related to muscular endurance. In performance-related physical fitness, having breakfast regularly was related to power, daily caffeine intake was related to agility, and regular lifestyle and health symptoms were related to balance. Conclusion: In conclusion, this study suggests that for better physical fitness, nursing strategies and intervention programs should include physical fitness-related factors, and education programs should be developed based on the above parameters to promote positive perception of physical fitness.
This study was to find out the perceptions of toward death and caring behavior of lay persons in one community : One Island in Puan County, Chonbuk. The methodology of this study was ethnography. For this study, the fieldwork was conducted from October 1997 to July 1998. Data collected by in-depth interview and participant observations. The participants consisted fo were 17 persons of both sexes. The key informants were four specific people. The result of this study is as follows ; The people perceived two different kinds of death. Normal death, which means death from old age. The person was respected as an ancestor God and was believed to exist forever with their offspring. Abnormal death was regarded as negative, many had fears toward this kind of death. The causes of abnormal death were supernatural phenomena and had absolute holy meanings. Whether death was good or bad, the death was not personal, but collective events as family or community affairs and was interpreted as death and birth for their offsprings. Funeral rites were family-centered and/or com munity-centered. They did normal procedures for normal deaths for abnormal deaths, there were many protective ceremonies(BuJungMagi : the prevention of the taboo of uncleanliness) for the remaining people. These ceremonies combined confucism and shamanism. Caring behavior for dying persons was ruled as community-centered, reciprocal and reality-centered principles.
The Journal of Korean Society for School & Community Health Education
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v.14
no.2
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pp.59-73
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2013
Objectives: Health promotion policies have been developed and implemented in most developed countries. The purpose of this study is to compare the national health promotion plans among Korea, Japan and USA. Methods: Data were collected and involved overview of health promotion plans, formulation of policy, evaluation, monitoring and research, implementation in each countries. I got the some literatures over the governmental websites related to the health promotion. The data from each country were analyzed for comparison. Results: The goals of Healthy People 2020 are to attain high-quality, longer lives, to achieve health equity, to create social and physical environments, to promote quality of life across all life stages. Those of Healthy Japan 21 are increasing the year of healthy life and reducing health disparities. and Those of Health Plan 2020 are prolonging of healthy age and improvement of healthy equity. The number of topic areas and objectives of health promotion in each countries were different. Healthy People 2020 lacks participation of community people and stakeholders in the process of planning, impletation, evaluation. Conclusion: The planning models of health promotion were different among countries. But they reflect the social determinants of health. The health plan goals of Korea were similar to Japan. but were different from USA. The implementation and evaluation systems of USA and Japan were systematic and performed well than those of Korea.
Purpose: The purpose of this study was to investigate bone mineral density (BMD) and risk factors related to osteopenia in community people. Methods: The subjects consisted of 145 community people. The variables of osteoporosis knowledge and preventive health promoting behavior were measured using questionnaires. BMD and BMI (body mass index) were measured. Dietary nutrients intake related to osteoporosis was measured using 24hours recall. Data analysis was performed using the SPSS 18.0 program, using mean, standard deviation, ${\chi}^2-test$, t-test, and logistic regression. Results: Eighty six people (59.3%) had an osteopenia. According to normal group and osteopenia group, there was significant difference in gender (${\chi}^2=6.72$, p=.010) and smoking (${\chi}^2=5.18$, p=.023). Predictors of osteopenia group were male (OR=2.65, CI=1.03-8.98), BMI(OR=0.86, CI=0.72-0.96). Conclusion: Health care providers must consider factors that affect osteopenia such as gender, BMI. These results suggest the need to instruct nursing activities and interventions which are beneficial for prevention of osteoporosis.
The purpose of this study was to understand experiences of successful aging of community-dwelling elderly living in the Korean community using mixed methods. This study is a mixed methods research using convergent parallel design. 483 elderly people living in the 2 cities were selected as subjects to collect quantitative data. For qualitative data collection, 6 elderly people participated. The level of successful aging for elderly people living at home scored an average of 4.30 ± .59 out of 5 points (4.46 ± .64 for self-efficacy, 4.31 ± .65 for good self-control, 4.29 ± .70 for satisfaction with children's success, and 4.26 ± .61 for partnership with spouses). The main themes of successful aging derived by interview were as follows: 1) fulfill responsibilities of raising children as parents, 2) establish a stable life to overcome difficulties, 3) accept the body being different from the past, and 4) live in harmony with people around them. Based on these results, it is necessary to provide useful health care services that can be used in the local community and to provide service utilization information through various routes in order to achieve a successful aging.
Purpose: This study was done to investigate community attitudes towards people with mental illness and to mental health services. Methods: From August to October of 2006, 474 citizens of Siheung city were asked to give demographic data and their personal attitude toward mental illness and mental health services. Results: The residents of Siheung community showed slightly negative attitudes, with a mean opinion about mental illness score of $93.38{\pm}17.29$. According to the study, health professionals and citizens showed a positive attitude to the establishment of day care centers and residential facilities (62.2% and 55.4% respectively). Civil servants showed negative attitudes (40.4%). There were significant differences in attitudes according to gender, age, education level, occupation, religion, and income. Positive attitudes were found for health professionals and negative attitudes for civil servants. Conclusion: The results of this study indicate a need to provide public information and education for civil servants, and for those who have negative attitudes, in particular, men, people in the younger age group, who have lower education levels, who are Buddhists, monthly renters, who have a monthly income below 1 million won, who have no children and no experience with people who have a mental illness.
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