• Title/Summary/Keyword: Health Examination

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A Study on the Periodic Medical Examination, and Health Care Management Programs in Industries -Kwang-Ju city and Chonnam Province- (산업장의 특성별 건강검진과 보건관리 -광주.전남지역-)

  • Kang, Heoi-Young;Park, In-Hee;Choi, Young-Ae;Oh, Mi-Sung;Choi, Hee-Jung;You, Su-Ok
    • Research in Community and Public Health Nursing
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    • v.4 no.1
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    • pp.58-66
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    • 1993
  • The purpose of this study was to explore the condition of periodic medical examination, and health care services in industries. This will offer some basic data in developing industrial nursing care requirements. To achieve this goal a self-administered questionnaire (developed by the academic affairs of community health nursing) was provided to the nurses working in 40 industries from Dec 20, 1992 to Jan 20, 1993. The statistical computer package SAS, along with t-test, and ANOVA was used to manipulate the date. The results were as follows : 1. General Characteristics: The greater part of the industries studied were manufacturing company, with over 500 employees. The shift system was used with most companies using one or three shifts, and 75.0% of them were organized with Industrial Safety and Health Committees. 2. Periodic Medical Examination : Most of the workers were receiving periodic medical examination from a designated hospital (96.7%). Of those 15.8% had a close medical examination. In the medical examination 9.4% were evaluated at 'C' and 3.8 were evaluated at 'D'. About 55.0% of those workers received the result of the periodic medical examination individually(95.0%). 3. Special Medical Examination : The rate of those who were receiving special medical examination was 98.4% and about 11.7% were evaluated at 'C' and 3.9% were evaluated at 'D'. Those who had any health problems (54.2%) were receiving follow-up care, 52.4% of them had medical treatment while working. The health care managers in the company consulted 97.1% of them who had any suspicious signs and symptoms of occupational diseases. 4. Health Care Services : The average score of health care services was 13.8 out of a possible 28 point. The score of health education and health assessment, was lower than medical diagnosis and environmental hygiene. There were no significant differences in health care services according to the size of the industries(F=.95, P=.429). The score of health care services was higher in the worker who had better health and showed significant differences (F=4.50, p=.025).

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The Analysis of the Physical Examination of Elementary & Secondary School Students -Centering on the Primary Health Assessment- (초(初)·중(中)·고등학생(高等學生)의 체질검사(體質檢査) 실태분석(實態分析) - 1차(次) 건강사정(健康査定)을 중심(中心)으로-)

  • Lee, Kang Soon;Chung, Yeon Kang;Park, Keoi Sug
    • Journal of the Korean Society of School Health
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    • v.7 no.1
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    • pp.9-28
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    • 1994
  • This study is to investigate the status and problems in the anual physical examination in elementary & secondary schools. The study helps the introduction of health assessment. Two hundreds and forty nurse teachers of elementary & seconcary school in Seoul received in-service traomong fpr 20 daus frp, September 7 to September 27, 1992. Questionnaires were given to the 240 teachers and the number of collected questionnaire is 112. The result of the questionnaire analysis is like the following. First, the answered teachers aged 35~39, 36.6%; experience 6~10 years 37.5%; the number of class 31~40, 28.6%. Among the answered of the school doctors is practicioners. The doctors major subjects are 26.8% of internal medicine and 35.7% of surgery. Second, in elementary & secondary school nurse teachers received in-service training for the primary health assessment. And then 37.5% of schools practiced the health assessment. The term of the health assessment is largely a-year-length, occurately its rate of schools have practiced the assessment reaches 81.0%. The number of health assessment are consist of eyes, nose, ear, throat, skin, spine, heart and other abnormal regions and diseases all over the body. And 83.3% of the rate of the health assessment includes all these contents. The period of the health assessment is 7 to 28 days. Third, the physical examination conducted by school doctors is 91.0%. The method is various; one is 56.6% of the students who checked first by he nurse teacher. The number of 15.1% of the schools is directly checked by the school doctor. The invited medical doctors are divided into two categories. The number of general physician is 61.9%. Contrary to that school doctors are 38.1%. The contents of the medical examination is all the items printed on the medical examination sheet. To follow the medical examination sheet the number of school is 59.6%. Eyes, throat, skin and heart etc. partly medical examination is 40.4%. The rate of schools that used only stethoscope, tongue pressor as the medical instruments reaches 53.4% and 87.1% of elementary & secondary school give the invited doctors the allowance a nurse teachers conference decided. The number of 8.9% schools pay the doctors independent allowance. The medical examomatopm allowance is 200 to 250 won per capita. The rate is 56.1%. Forth, after the medical examination 72.1% of school sends letter to the parents to notice the result of the examination. The number of response from parent is 12.5%. The observation record in secondary school is 70.6% for junior, and 80.0% for senior respectively, and 65.5% is for the elementary school children. To conclude the regular physical examination in elementary & secondary school is very important. Because the students are in the stage of rapid growth and development. Early finding of the students diseases can help to cure with ease. In the light of public health the management of health program in the elementary & secondary school is of consequence.

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Factors Influencing Fundus Examination in Patients with Diabetes (당뇨병 환자의 안저검사 수검 영향요인)

  • An, Soodeuk;Yu, Jungok
    • Journal of Korean Public Health Nursing
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    • v.32 no.1
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    • pp.44-55
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    • 2018
  • Purpose: This study was conducted to identify factors influencing fundus examination to prevent diabetic retinopathy in diabetes patients to provide basic data to improve screening rates of fundus examinations. Methods: Raw data from the 6th Korea National Health and Nutrition Examination Survey, which is a cross-sectional and nationally representative survey, were used in this study. The subjects of the study were 1,029 adult diabetes patients over the age of 19 years who had been diagnosed with diabetes. The demographic characteristics, diabetes and disease-related characteristics and health behavior characteristics according to the fundus examinations were analyzed by the chi-squared test and logistic regression analyses were used to examine the factors influencing fundus examination. Results: A total of 333 patients underwent fundus examination at a screening rate of 32.2%. We identified factors influencing fundus examination in patients with diabetes as level of education, type of diabetes care, period of diabetes, and smoking. Conclusion: A multiple approach is required to raise the low screening rate of fundus examination, including specialized education for low-education groups. Moreover, nursing intervention should focus on subjects who do not engage in insulin and oral hypoglycemic agents and with diabetes for a long period.

The Effect of Family Cohabitating on Dental Examination Rate : Use of the 7th national health and nutrition survey (가족동거여부가 치과진료 수진률에 미치는 영향 : 제7기 국민건강영양조사 이용)

  • Ho-Jin Jeong;Kyung-Min Kim
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.4
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    • pp.291-298
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    • 2023
  • Purpose : Although Korea's health insurance system and access to medical care are well established compared to other countries, the rate of non-fulfillment of dental treatment is high. Medical use rates can be affected by economic characteristics, individual heatlh condtions, health concerns, and health behaviors. This study was implemented to investigate the effect of the middle-aged elderly people's family living together on the dental examination rate and to use it as basic data for program development, research, and poicies to promote oral health. Methods : Raw data from the 7th national health and nutrition survey conducted by the Korea centers for disease control and prevention (2016~2018) were used and analyzed using SPSS 21.0 Version (IBM, United States). Results : As a result of the study family types accroding to general characteristics, the more women are (p<.001), the higther the age (p<.001), the lower the hosehold income level (p<.001), the lower the educational background (p<.001), the more people who live in Eup-Myeon (p<.001) It was fouend that the rate of living alone was high. The dental examination rate according to general characteristics was related to age (p<.001), income (p<.001), and educational background (p<.001), and the higher the examination rate was in the same (p<.001), and the higher the family living together (p<.001). Factors influencing whether or not dental treatment was not performed were in the following order: household income (p<.001), age (p=.001), and family type (p=.017). Conclusion : The above results confirmed the relationship between family membership and dental examination rates, and measures such as the development and operation of participatory programs to improve public oral health by resolving medical inequality and enhancing health equity, and it is believed that the development of professional manpower and the operation of education and programs for professionals are necessary.

A Study for the Health Education of Breast Self-Examination (유방자가검진 교육을 위한 조사 연구)

  • Lee, Young Whee
    • Korean Journal of Adult Nursing
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    • v.12 no.4
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    • pp.717-726
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    • 2000
  • This study was undertaken to examine the degree of knowledge and compliance of breast self-examination with women. The subjects for this study were 474 women aged 35-65 receiving health examination from Yonsu-ku Public Health Service Center in Inchon. Data collection was conducted through the use of 2 questionnaires. Analysis of the data was done by used of descriptive statistics, t-test, ANOVA, and Pearson Product Moment Correlation Coefficient. The results of this study were as follows: 1. There were significant differences in the breast self-examination compliance rate according to age(F=5.82, p=.000), marital status(F=2.67, p=.047), educational level (F=5.83, p=.000) and household income (F=3.41, p=.018). 2. The correct answer rate for each items of breast self-examination knowledge scale was between 14.1% of a minimum rate and 65.0% for a maximum rate of 100. The degree of knowledge for relation of breast cancer and menopause, the time of the highest occurance of breast cancer, the best time of breast self-examination and inspection methods of breast self-examination shows relatively low understanding. 3. The average score of breast self-examination was 1.34 from a maximum score of 6. The score of breast self-examination with palpation methods was higher than with inspection methods. 4. A positive correlation was found between breast self-examination knowledge and compliance rate (r=.417, p=.001). According to the results, it is necessary to provide knowledge of the relationship of breast cancer and menopause, the time of the highest occurance of breast cancer, and the best time of breast self-examination and inspection methods of breast self-examination. Also, it is necessary to provide detail guidance for inspection methods and develop a program for promoting the compliance of breast self-examination.

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The Behavioral and Educational Factors Affecting the Breast Self-examination and Breast Cancer Screening (일부 보건소 내소 여성의 유방자가검진과 유방암 검진의 관련요인)

  • 최종숙;박재용;한창현
    • Korean Journal of Health Education and Promotion
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    • v.18 no.1
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    • pp.61-78
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    • 2001
  • The purpose of this research was to find out plans to promote the fulfillment of the breast self-examination and breast cancer screening, which is preventive health behavior about women's having breast cancer exam in some part of our country with searching for the primary causes which have an effect on their fulfillment. The subjects of the study were 540 literate volunteers who were of age from 20 to 69 and who visited 8 health centers in Taegu. The survey research was made through questionares in the 8 health centers in Taegu from the 15th to the 30th of September, 1998. Based on Becker's health belief model asking medical staff's opinions with bibliographies, the major findings from the survey was as follow. The fulfillment rate of the breast self-examination and the breast cancer screening was 37.8%(204 subjects), 27.6% (149 subjects) each. Getting breast self-exam varied significantly depending on subject's age, income of family, religion, occupation and the number of children. As far as the breast cancer screening was concerned, there was remarkably significant difference in accordance with their age, marital status, religion, occupation, income of family, the number of children, ways of nursing and parturition age of the first baby. The subjects in their forties accounted for the highest rate. Based on the fulfillment of the breast self-examination and the breast cancer screening, the average points of all the variables presented from the health belief as well as the points of the susceptibility, seriousness, benefits, knowledge and level of health concern of interest in health were significantly higher than the points of non-fulfillment of them in the statistical analysis whereas the barriers was lower than them. In consequence of the multiple-logistic regression analysis putting the breast self-examination and the breast cancer screening in dependent variables, occupation, knowledge, seriousness, benefits, barriers and cues to action had significant effects on breast self-examination against breast cancer. Looking more attainments, thinking diseases more seriously, feeling more usefulness and there being any patient around with breast cancer led to the higher rate of the breast self-examination against it. On the other hand, feeling more impedition as well as housewives caused the lower rate of it. The breast cancer screening was significantly affected by age, sensitivity, usefulness, impedition and behavior momentum as well. The cases who are older, feeling more sensitivity against breast cancer, more usefulness of the examination and where any patient around, the fulfillment rate was higher. Contrarily the more impedition they felt, the lower the fulfillment rate was. Accordingly, the study of the causes, which have significant effects on the fulfillment of the self-examination and the breast cancer screening in order to find it in an early stage, and the development of health education programs as well as proper education for public health through carrying on campaigns and stepping up public relations must be indispensable.

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A Study on Knowledge and Attitude about Breast Self Examination and the Ability and Practice among Adult Women (일부 성인여성의 유방자가검진에 대한 지식, 태도 및 검진능력에 관한 연구)

  • 성미혜
    • Korean Journal of Health Education and Promotion
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    • v.21 no.2
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    • pp.187-198
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    • 2004
  • The purpose of this study was to investigate knowledge, attitudes and the ability of women toward breast self-examination and to identify factors that may influence the ability of breast examination. The subjects for this study were 105 women in a community health center located in Busan. Data was collected during the period from September I to 20, 2002 by means of a structured questionnaire. The data was analyzed using the SPSS WIN 10.0 program and included descriptive statistics, Pearson correlation coefficient and stepwise multiple regression. The results of study are as follows: 1. The mean knowledge score for the total sample was 9.62 and the mean attitude score was 62.95. The mean self- practice score was 5.79. 2. Women's knowledge about breast self-examination was significantly related to attitudes and the ability of women toward breast self-examination (p<0.05). 3. The ability of women toward breast self-examination was significantly related to attitudes about breast self-examination (p<0.05). 4. According to the results of stepwise multiple regression analysis, factors affecting women's ability of breast self-examination were practice of breast self-examination and level of education and explained 19.7% of variance. From the results of this study it can be said that women need to be taught proper breast self-examination so that they can become more proficient in detecting breast abnormalities.

A Study on Program Development for Disease Prevention and Health Promotion (의료보험 적용대상자의 질병예방 및 건강증진사업 활성화 방안)

  • 변종화
    • Korean Journal of Health Education and Promotion
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    • v.8 no.1
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    • pp.22-33
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    • 1991
  • The Korean people are all the beneficiaries of medical insurance or medical aid. It is important and needful to develop the preventive health program such as health examination and health education for disease prevention and health promotion of the beneficiaries. This paper diagnoses the status and problems of the current preventive health services to the beneficiaries and recommends how to develop the preventive health program in the medical insurance. This paper suggests that the government should strengthen the political support and supervision in order to develop the preventive health program in the medical insurance. In addition to the above suggestion, the following are recommended ; 1) to designate the large number of qualified hospitals for health examination. 2) to use the supplementary methods such as the health questionnaires in order to give the accurate health examination services. 3) to combine the health examinations by both laws of medical insurance and industrial health. 4) to arrange the manpower in charge of health education and to establish the health promotion centers. 5) to develop the effective mass media and materials for health education by use of TV, radio, VTR and slide projector.

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Sex Workers' Satisfaction and Intention to Use Sexually Transmitted Disease Examination Service in Korea (성병검진서비스에 대한 성매매 종사자의 만족도와 이용의도)

  • Lee, Jung-Whan;Lee, Ju-Yul
    • Korean Journal of Health Education and Promotion
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    • v.26 no.5
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    • pp.27-39
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    • 2009
  • Objectives: The purpose of this study is to examine how sex workers perceive the current STD examination service and how the perceptions are related with sex workers' intention to use the service. Methods: The data for this study came from a survey among sex workers who had an experience of using STD examination service provided by local public health centers. Sex workers' perceptions to STD examination service and their intention to use the service were measured with multiple items adapted from the Patient Satisfaction Questionnaire (PSQ) developed by Ware and his colleagues. Results: Most sex workers are satisfied with the current STD examination service provided by local public health centers and they have a strong intention to use the service. In predicting general satisfaction and intention to use STD examination service, few socioeconomic variables play a significant role. Among specific dimensions of STD test service, technical quality and accessibility of the service affect both general satisfaction and intention to use the service in a positive direction. The most important determinant of sex workers' intention to use STD examination service is their general satisfaction with the service. Conclusion: With the existing laws that still officially justify STD examination programs, the demand and need for STD examination service by sex workers further the current STD examination programs. Health authorities which aim at health maintenance, health promotion and health protection for the people, thus, need to continue their STD control programs actively and effectively regardless of the Special Law on Sex Trade.