• Title/Summary/Keyword: Health Maintenance Program

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Development of Internet Information Push-Delivery System Design of Smoking Cessation for Health Promotion (지역주민의 건강증진을 위한 인터넷 금연 강화 프로그램 개발)

  • Kim, Young-Bok;Shin, Jun-Ho;Kim, Shin-Woel
    • Journal of agricultural medicine and community health
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    • v.29 no.2
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    • pp.287-301
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    • 2004
  • Objectives: The development of internet programs for smoking cessation was motivated to quit smoking in the large group of smokers. This personalized program consisted of tailored message to consider the smokers characteristics, and contain the informations on the outcomes of smoking cessation and the skills to be used in the quit attempts. The purpose of this study was to develop the internet management program and information push-delivery system for smoking cessation to encourage the personal intention to quit smoking. Methods: We conducted in 3 steps as developing push service to encourage intention of smoking cessation, analyzing problems of smoking cessation program through the pilot test and suggesting improvements by implication stages. Results: This program is delivered for 30 days. if the participants do not fail to quit smoking. The contents consisted of 13 stages which were divided on starting period. practical period, maintenance period and success period. And push service afforded the tailored message to participants using their e-mail. According to the evaluation of pilot test, the problems of internet information push-delivery service for smoking cessation were the over-tasks per visiting time, recording style of participants, difficulty of terms and sentences, lack of visual effects, absence of follow-up module and unsuitable link with main homepage. Improvements were divided on 3 stages by implication period. The first stage included the immediate improvements as improving link with homepage, modifying menu of smoking information and upload file of notice part. The second stage included the short term improvements as alleviating condition of withdrawal, coordinating start stage of retrial, modifying errors of information push-delivery service and addition of educational materials. The third stage included the long term improvements as development of follow-up module, cost-effectiveness evaluation, reducing contents quantity, introduction of checking style, compensation of graphics effect and review for SMS utilization. Conclusions: This program contribute to improving smoking cessation rate. Therefore this program should be tested in a community to evaluate the effectiveness. To promote the effectiveness, this program should be developed the contents and the strategies for various targets, and established the follow-up system for ex-smokers.

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The Study on the Relationship between Health Concern, Health Behavior, and Subjective Health Cognition in Urban and Rural Area (도시(都市)와 농촌지역(農村地域)의 건강관심도(建康關心度), 건강행위(建康行爲) 및 주관적(主觀的)인 건강인식(建康認識)과의 관련성(關聯性) 연구(硏究))

  • Jun Sun-Young;Kwon So-Hui;Yu Hyun-Ju;Jahng Doo-Sub;Song Yung-Sun;Lee Ki-Nam
    • Journal of Society of Preventive Korean Medicine
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    • v.6 no.2
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    • pp.19-35
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    • 2002
  • To know the differences between health concern, health behavior, and subjective health cognition in urban and rural area, author used the correlation analysis between variables and wanted to provide basic data for public health service to support appropriate health care, health maintenance, and health promotion in community. Data collection were done in JeonBuk area from September 10 to October 10, 2001, and subjects were above 20 years old adult. 350 and 250 subjects were from urban and rural area by random sampling, respectively. Questionnaire were completed by interview with direct or self-recording type. Research tool was questionnaire with health concern, health behavior, and subjective health cognition, and data collected were analyzed into descriptives, crosstabs, T-test, ANOVA, Pearson correlation coefficient by SPSS 10.0 program. The results were as follows: 1. Health concern was 9.0% for upper group, 39.1% for middle group, 51.9% for lower group in urban area, and 10.1% for upper group, 41.0% for middle group, 48.8% for lower group in rural area. Health concern for middle and lower group was totally high percentage, and rural area had higher health concern than urban area. 2. Health behavior in both urban and rural area was statistically significant(p<0.01). Women who had higher age and with spouse had high degree of health behavior, and urban area had totally high score for health behavior compared to rural area. 3. Subjective health cognition was 71.0% for health, 29.0% for non-health in urban area, and 61.3% for health, 38.7% for non-health in rural area. Percentage of health group was higher in urban area than in rural area. 4. Degree of health behavior by health concern was statistically significant only in rural area. That is to say, the higher health concern had the higher degree of health behavior in rural area. Subjective health cognition by health behavior was totally significant correlation with health behavior in urban and rural area(p〈0.05). That is to say, the higher health behavior in urban and rural area had the higher subjective health cognition. 5. For correlations between 3 variables, there was significant correlation between health behavior and subjective health cognition in urban area (p<0.01). There were correlations between health concern and health behavior, health behavior and subjective health cognition(p<0.05). Considering above results, the higher health behavior had the higher subjective health cognition in urban area. The higher health concern had the higher behavior, and the higher health behavior had the higher subjective health cognition in rural area.

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A Study of Comparing with Nursing Needs between Parturient Women and Nurses during the Perinatal Period (질식분만 산모와 간호사의 간호요구도 비교 연구)

  • Joo, Sook-Nam;Youn, Mi-Sun
    • Women's Health Nursing
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    • v.14 no.2
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    • pp.131-142
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    • 2008
  • Purpose: The purpose of this study was to compare the nursing needs of parturient women with those of nurses during the perinatal period. Method: The subjects of this study were in two groups, one of which was composed of 244 postpartum women (vaginal delivery) while the other was composed of 144 nurses. The data was collected using a self-report Questionnaire between July and November of 2007, and was analyzed using the SPSS Win 12.0 program. Result: Statistically significant differences were found in nursing needs, specifically in the aspects of physical care, safety of delivery and newborn care between the nurse group and the parturient women group during the perinatal period. Furthermore, the nursing needs of parturient women were higher than those of nurses with regard to environmental needs, safety of delivery, newborn care, and especially among items such as routine examinations and the maintenance of hygiene during labor, as well as a desire for "kind and faithful" care. In addition, it was found that the nursing needs of parturient women in Women's hospitals were higher than those in University hospitals. Conclusion: This study showed that parturient women desire to be educated regarding Perinatal care for themselves and for their newborn.

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Importance and Performances of Visiting Nurse Services Provided under the Long Term Care Insurance System for the Elderly (노인장기요양보험 제도 하에 제공되는 방문간호 서비스의 중요도와 성과도)

  • Byeon, Do Hwa;Hyun, Hye Jin
    • Research in Community and Public Health Nursing
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    • v.24 no.3
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    • pp.332-345
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    • 2013
  • Purpose: This study was attempted to provide quality improvement and revitalization of visiting nurse services by Importance-Performance Analysis of persons being provided with the services. Methods: The subjects were 350 people being provided with visiting nurse services from a long term home care institution in the kangwon Province during the period of data collection between Aug. 16 and Sep. 15, 2011. Data analysis was conducted through t-test, ANOVA, and IPA by using the SPSS/WIN 12.0 program. Results: As a result of the Importance-Performance Analysis of visiting nurse services, it turned out that the strength on reliability, assurance, and empathy should be maintained with good work and the aspects of responsiveness appeared to be intensively improved, and the tangibility proved to be subject to improvement. Conclusion: For the activation of visiting nurse services, methods for improving the performance in the intensive care area and management strategy establishment which highlights the advantages of strength maintenance area are needed.

Comparative Study on the Technical Standards for the In-Service Inspection of Nuclear Power Plant Components in Several Countries (원전의 가동중검사 관련 각국의 기술기준 비교고찰)

  • Shin, Ho-Sang;Kim, Kyung-Jo;Jang, Chang-Heui;Kang, Suk-Chull
    • Journal of the Korean Society for Nondestructive Testing
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    • v.24 no.2
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    • pp.186-196
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    • 2004
  • In each country, the periodic ISI(In-Service Inspection) is required by the law to protect the public health and property from the potential accident of the nuclear facilities. To support the implementation of ISI program, the prescriptive ISI technical standards have been established. As the key parts of the ISI program, the non-destructive examination techniques are widely used to identify the degree of degradation of the pressure boundary components and welds. Recently, the risk informed-ISI program has been developed and implemented in several countries. Nonetheless, the existing ISI program which prescriptively decides the scope of inspection still has its own significance. In this article, the technical standards of ISI in leading countries like US, france, Canada, and Japan are reviewed and compared with the safety guide by IAEA. An outline to revise the domestic technical standards of ISI has been suggested.

A study on the Physical, Mental and Social Factors Influencing the Health Status of Aged Women in Korea (여성노인의 건강상태와 신체적.심리적.사회적 요소들과의 관계연구)

  • Ro, Seung-Ok
    • Women's Health Nursing
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    • v.2 no.1
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    • pp.53-67
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    • 1996
  • A total health state evaluation of Korean female elderlies was made by using the questionary scheme measuring the physical, mental and social functions of the elderlies, in order to investigate the critical factors for the health maintenance of female elderlies and to develop their preventive nursing program. A total of 280 subjects over 65 years old living in Seoul and the suburban area were selected and interviewed during the period of September and October in 1995. The materials collected were analyzed statistically by using SAS data processing program, and the results and recommendations are summarized as follows. 1. The physical health state of Korean elderly women was evaluated to be satisfactory by showing an average score of 3.722 in 5.0 full-score scale. But this score was lower than those evaluated for the elderlies combined both sexes(4.054). The mental health state of the subjects was also evaluated as high scoring 3.484, possibly due to the fact that 78% of the subjects lived together with their children's family. On the other hand, the social health state of the subjects was relatively low scoring 2.585, mainly due to that 80% of them was widows which was resulted by the 6-7 years longer life-expectancy of Korean women. 2. A significant differences in the physical health state scores between different age groups was observed, indicating the rapid ageing process occurring in this age group. The family structure was appeared to be an important factor influencing the physical health state of the female elderlies ; the physical health score of the women with her husband only was higher than that of those living with children's families, and the lowest score was obtained from those living alone. 3. The age was the most important factor determining the mental health state of the subjects, while the religion, educational status, marriage state and family structure did not significantly influenced the mental health state of the aged women. 4. The social health state of the subject was deeply influenced by the marriage state and family structure, showing significantly lower scores with widowers compared to the married couples. Those living with their married spouse only obtained the highest social health score, while those living along showed the lowest score. The parent and grandparentship of those living with their children and the religion, especially Catholic and Protestant, had positive influence on the social health state of the aged women. 5. The mental health state of aged women showed significant correlation with the factors determining the physical health, except for digestive system related ability and sexual ability and the highest extra home ability. 6. The mental health state of aged women showed significant correlation with the factors determining social health, especially with the parent and grandparentship and the family relative's role. From these results, the following recommendations are made. 1. Since the physical, mental and social health states of aged people are deeply influenced by the sex and the average values of the both sex can create misleading figures, the health evaluation of the elderlies should be made separately by sex. 2. Since the health state of aged women is highly influenced by their family structure, the spouse's role and living with married couple only should be emphasized in respect of preventive health care. 3. The social activity programs and grandparentship teaching programs should be prepared in the nursing care program for aged people.

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Prevalence and Risk Factors of Fatty Liver among Industrial Male Workers (산업장 남성 근로자의 지방간 유병율 및 위험요인 연구)

  • Paek, Yun-Mi;Choi, Tae-In;Kim, Yun-Jeong;Choi, Eun-Ok
    • The Korean Journal of Rehabilitation Nursing
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    • v.10 no.2
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    • pp.141-146
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    • 2007
  • Purpose: This study was conducted to estimate the prevalence rate, and related factors,of fatty liver in male industrial workers. Method: Fatty liver was diagnosed using ultrasonography. The data for abdominal ultrasonography, BMI, smoking, alcohol drinking, exercise, liver enzymes, and lipid profiles were collected in 4,604 male who were examined with a health screening program in 2005. Prevalence rate and associated factors of fatty liver were analyzed using SPSS v. 12.0. Results: Overall prevalence of fatty liver was 34.1% and higher in the 30-39 year male group. Age, body mass index(BMI), hypertriglyceridemia, hypercholesterolemia, HDL cholesterol, r-GTP level were independently associated factors with presence of fatty liver in logistic regression analysis. Conclusion: The prevalence of fatty liver and tendency of associated factors were similar to those in the western world. To prevent development of this hepatic disorder, which may result in end-stage liver disease, risk factors such as obesity and dyslipidemia must be monitored and controlled within normal levels. The results of this study suggested maintenance of a healthy lifestyle, including diet, exercise, and behavioral change, as fundamental rehabilitation nursing implications.

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Nutrient Supplementation in the Elderly

  • Meydani, Mohsen
    • Journal of Community Nutrition
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    • v.2 no.1
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    • pp.5-11
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    • 2000
  • Populations both in the US and worldwide are aging. It is projected that by the year 2030 the population of Americans over 65 will increase to 70 million, more than twice their number in 1998. About one-third of elderly over the age of 65 have debilitating chronic health conditions that greatly impede their activities. Age-associated chronic diseases are believed to be associated with free radicals and the imbalance in antioxidant and oxidative stress contributes to development of several chronic health conditions. Diet and nutrients can have great impact in the health status of elderly. Several factors may contributor to the inadequate consumption of nutrients in elderly, including an inability to chew food adequately, polypharmacy, living along and limited income. Low intake of energy and several micronutrients are common among the elderly. Although overt deficiency of nutrients among the elderly is not common. a recent study showed that while elderly consume more fat, the total energy intake is low among the elderly. Inadequate intake of antioxidant nutrients such as vitamin E in elderly may contribute to the development of chronic health problems. Intake of higher than normal RDA levels of vitamin E for long periods of time has been shown to reduce the risk of many degenerative diseases, such as cardiovascular diseases(CVD) and cancer, and improve immune response in elderly. High intake of other antioxidants is also associated with reduced risk chronic diseases. Dietary antioxidants are abundant in fruits and vegetables. However, due to variety of factors, the elderly may not be able to receive these and other micronutrients through diet. Therefore, supplemental intake of micronutrients in the form of multi vitamins/minerals and/or specific micronutrients is a more practical approach to the maintenance of health status in the elderly.

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Analysis of Smoking Temptation, Nicotine Dependency, Perceived Health Status corresponding to Stage of Change in Smoking Cessation in Middle Aged Men (중년흡연남성의 금연단계에 따른 흡연유혹, 니코틴의존도)

  • Chang Sung-Ok;Park Chang-Seung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.1
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    • pp.69-80
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    • 2001
  • This study was done to investigate the relation of smoking temptation, stage of change in smoking cessation, nicotine dependency and perceived health status in middle aged men. Convenience samples of 176 subjects who were either smoked or used to smoke, aged between 30 to 64, living in Seoul and Kyungi province area in Korea were selected for the study. The data was collected from December 1, 1999 to June 30, 2000. The research instrument were Stage of Change of Smoking Cessation Measure (DiClemente et al. 1991). Smoking Temptation Measure (Velicer, DiClemente, Rossi, Prochaska. 1990), Perceived Health Status Measure (McDowell & Newell, 1996), and Nicotine Dependency Scale (FTQ: Fagerstrom, 1978). The data were analyzed using the SAS Program. The result of the study are as follows : 1. The analysis of variance and multiple comparison showed that according to the stage of change, there were significant mean differences in the three sub-factors of smoking temptation; 'positive affect situation (F=12.64, p=.0001)', 'negative affect situation (F=16.01, p=.0001)', 'habitual craving situation (F=14.43, p=.0001)' and nicotine dependency (F=4.12, p=.0033) The mean score for smoking temptation for the subjects who were in the precontemplation stage outweighed the mean score for smoking temptation for subjects who were in the maintenance stage. 2. Through discriminant analysis, it was found that negative affect situation was the most influential variable of the smoking temptation sub-factors which can be used to discriminate stage of change. 3. The analysis of Pearson correlation coefficients showed that there was a significant positive relation between nicotine dependency and negative affect situation of smoking cessation((r=0.2182, p=0.0045) and a significant negative relation between nicotine dependency and perceived health status(r=-0.2115, p=0.0059).

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Application of the Transtheoretical Model to Obese Adolescents' Exercise Behavior Change Stages (범이론적 모형을 적용한 비만 청소년의 운동행위변화단계 연구)

  • Kim Nam Hee;Kim Young Hae;Kim Jeong Soon;Hwang Sun Kyung;Jun Seong Sook
    • Korean Journal of Health Education and Promotion
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    • v.22 no.1
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    • pp.103-115
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    • 2005
  • The Purpose of this study was to identify the process of change, decisional balance and self-efficacy corresponding to the stages of change in exercise behavior based on the Transtheoretical Model(TTM) in obese adolescents. A random sample of 517 obese adolescents was recruited in Pusan. The data were collected from June 15 to 30, 2004. The research instruments were Stages of Change for Exercise Behavior, Process of Change, Decisional Balance, and Self-Efficacy. The data were analyzed by descriptive statistics and ANOVA using SPSS WIN 10.0 program. The results of this study were as follows 1. The subjects were distributed in each stage of exercise behavior: There were 255 subjects($49.3\%$) in the contemplation stage, 131 subjects($25.3\%$) in the preparation stage, 52 subjects($10.1\%$) in the maintenance stage, 41 subjects($7.9\%$) in the action stage, and 38 subjects($7.4\%$) in the precontemplation stage. 2. Analysis of variance showed that cognitive process (F=13.57, p=.000), behavioral process(F=17.23, p=.000), decisional balance pros(F=11.95, p=.000), and self efficacy(F=12.52, p=.000) were significantly associated with the stages of exercise behavior change, but decisional balance cons(F=2.87, p=.023) was not significantly associated with the stages of exercise behavior change. This study can provide useful information for developing effective exercise behavior program considering obese adolescents' stages of change according t'.t the TTM.