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.
Purpose: In order to provide basic information for the development of nursing programs, health promoting behavior of students rewriting college entrance examinations was examined and factors related to health promotion were identified. Method: Data were collected by questionnaire from 804 examines in Seoul and Gyeonggi Province and were analyzed using the SAS program with t-test, ANOVA, Scheffe's test and Pearson correlation coefficients. Result: The mean score for health promoting behavior was 2.50. The highest score for the sub-areas was harmonious relationships and the lowest was, professional health maintenance. There were significant differences in health promoting behavior according to the following general characteristics; religion, frequency of rewriting college entrance examination, economic burden, parents' education level, grade, satisfaction with parents, friends and rewriting of college entrance examinations, parents' health concernsand knowledge of health, need for health education, and health condition and chronic disease over the past year. Correlations between health promoting behavior and family support and self-esteem were positive. The variables that influenced health promoting behavior were family support ($24.5\%$), self-esteem ($11.3\%$), anxiety ($2.6\%$), and stress of studying ($0.5\%$), explaining $38.9\%$ of the total variance. Conclusion: These results will help to develop a nursing program that enhances health promoting behavior of students rewriting college entrance examinations.
Health behavior constitutes the single most important factor in an individual's health maintenance program. Pender's health promotion model emphasizes the positive aspects of health-seeking behavior hut omits some negative ones. Although Pender's work does include the concept of barriers, the main focus is upon health habits rather than upon the interaction between the consumer and the health care system. Therefore, since individuals actually do face many barriers in their health-seeking behavior, the present study deals with negative concepts-the barriers to health and healthy behavior. For this reason the expression health-seeking behavior was chosen over health promotion. In conclusion, the results show that barriers to health-seeking behavior are causal factors that could explain and predict the health-seeking behavior of middle life women. Midlife women shows that they have barriers to health-seeking behavior especially in inconvenience, cost, healthcenter site-related problem, relationship, fear. These findings suggest the need to develop a nursing strategy to improve the empowerment of self-determination in middle-aged women. Consequently, a goal of nursing care for middle-aged women should be to help them pursue health care with a greater degree of self-sufficiency.
Purpose: The purpose of this study was to evaluate demonstration health promotion programs offered by 18 health centers in a structural aspect of the health centers. Methods: The Evaluation Committee was organized with professors from collaboration universities and researchers of this study. Using structure evaluation frame. reports from 18 health centers were reviewed by the committee. Evaluation categories included organizational change, manpower construction, budget, and manpower training and education. Results: Only 5 health centers out of 18 have independent health promotion department. Nurses played a major role for health promotion programs. Other health personnel participated in the health promotion programs included dental hygienists, nutritionists, and exercise specialists. Related to program budgets. local government support rates were varied by the region. Various kind of manpower training was offered to health personnel for the health promotion programs including smoking control. exercise, alcohol, nutrition, and so forth. Conclusion: The study results indicated that establishment of independent health promotion department, maintenance of same manpower construction, provision of diversity manpower training were the factors that foster effective health promotion programs.
The purpose of this study was to provide basic data for developing a nursing intervention for climacteric women by describing a health promoting lifestyle. Also this study identified the relationship between self-efficacy and family function which are factors affecting the health promoting behaviors. The subjects of this study were 143 women from 40 to 59 years of age. The data was analyzed using SPSS program for t-test, ANOVA, and Pearson's correlation coefficients. The results of the study are as follows; 1. The average score of performance in the health promoting lifestyle was 2.82. The variable with the highest degree of performance was the sanitary environment and reconciliatory relationship(3.31), whereas the one with the lowest degree was the professional health maintenance(2.27). The average score of self-efficacy was 71.44, family function was 68.50, and menopausal symptoms was 60.30. 2. There was a statistically significant difference in performance in health promoting lifestyle according to satisfaction of marital life. Also there was a significant difference between self-efficacy, religion, and family function. 3. Performance in the health promoting lifestyle was positively related to self-efficacy, and family function and negatively related to menopausal symptoms. Self-efficacy was positively related to family function. In conclusion, performance in health promoting lifestyle was related to self-efficacy, family function and menopausal symptoms. These factors were affected by religion, family type, and satisfaction of marital life. Therefore, health promoting programs to increase climacteric women's health should be a planed program based on results of this study.
The purpose of this study was to explain the relationship between health promoting behavior and self-esteem, and the relationship between health promoting behavior and self-efficacy. The instrument of this study was a structured questionnaire included health promoting lifestyle, self-esteem and self-efficacy. The data were collected from August 24 to September 3, 1999 and analyzed by Cronbach alpha, descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient and stepwise multiple regression by using SPSS/PC+ program. The results of research were as follows : 1. The average score of performance in the health promoting behavior variables was 2.61. The variable with the highest degree of performance was the sanitary life(3.14), whereas the one with the lowest degree was the professional health maintenance(1.50). The average score of self-esteem was 2.89, and self-efficacy was 6.60. 2. There was significant difference according to the demographic variables. The total health promoting behavior was predicted by age, religion, monthly income. personality, perceived health status and frequency of exercise. Self-esteem was predicted by religion, monthly income and personality. Self-efficacy was predicted by age, religion and personality. 3. There was a significant correlation between health promoting behavior and self-esteem, self-efficacy. 4. Self-efficacy was the highest factor (variable) predicting health promoting behavior. A total of 44.7% of the variance was explained in the total health promoting behavior by the self-efficacy, frequency of exercise, self-esteem, perceived health status and personality. In conclusion, this study revealed that self-efficacy, self-esteem may be important factors that can improve health promoting behavior. Therefore the findings of this study may provide significant basic data for health promoting program development.
Objectives : The purpose of this study was to analyze the status of oral health in relation to the acknowledgement of oral health trouble and oral health habits. Methods : This study was conducted after IRB was received, on 273 patients who had received health screenings between October-1, 2014 and January-31, 2015 at a general hospital in Busan. Results : Regarding the status of oral health in relation to the acknowledgement of oral health trouble, the rates of dental caries and periodontal disease were higher when the patients knew the reasons for trouble about the oral hygiene. With regard to oral health habits, our results showed that the more frequently the patients ate sugary snacks per day, the probability of experiencing periodontal disease was higher than for the patients who did not eat sugary snacks. Our results also, showed that the occurrence of dental caries is very much dependent upon whether a patient had experienced education on toothbrushing. Conclusions : Patients need to become more aware of their oral health through education. A program that emphasizes the importance of preventive oral health behaviors and the maintenance of correct oral health behavior should be developed.
Development and application of structural health monitoring system in Korea have become active since the early 1990's. In earlier applications, health monitoring systems were installed in several existing bridges in order to collect initial field data by full scale load capacity test for design verification and subsequently monitor long-term performance and durability of the bridge as part of an inspection and maintenance program. Recently, modem and integrated monitoring systems have been introduced in most of the newly constructed long-span bridges since the design stage. This paper outlines the progresses and applications of monitoring systems in Korea for both existing and newly constructed bridges and describes their aims and characteristics.
The purpose of this study was to identify the major factors affecting performance in health promoting lifestyle of industrial workers. The subjects for this study 241 workers employed in S company in T city and were obtained by a convenience sample. Data were collected from March 2 to April 28. 1998. The collected data were analyzed using frequency. percent. mean. cronbach alpha. t-test. ANOVA. Person coefficients of correlation. Duncan test. stepwise multiple regression with an SPSS program. The results of this are summarized as follows. 1) The average score of performance in the health promoting lifestyle was 2.62. The variable with the highest degree of performance was harmonious relationship. whereas the one with the lowest degree was professional health maintenance. 2) Performance in the health promoting lifestyle was significantly correlated with self esteem, internal health locus of control and powerful others health locus of control. 3) Performance in the health promoting lifestyle was significantly correlated with such demographic variables as age. religion, education level. marital state. family number. types of dwelling. 4) The most important factor that affect performance in the health promoting lifestyle was powerful others health locus of control and self esteem. On the basis of this study. other factors affecting others health promoting lifestyle should be identified.
Objectives: The purpose of this study is to obtain the basic data for the development of maternal health care by analyzing the status and needs of service target persons in Timor-Leste. Methods: The subjects were selected through the non-probability sampling method applying the FGI. Researchers interviewed 3 maternal health service managers, 6 midwives at Gleno and Railaco Health Centers and 2 women between 15 and 45 years of age. Results: In the results of on-site visit of the delivery facility and the FGI, we found poor sanitation in delivery room, lack of medical equipment related to antenatal consultation and delivery. In the case of the health center manager, the public health center provides various maternity health services, but the lack of the staff has difficulty in providing the service and managing the subjects. Midwives asked for regular maintenance education. Women in child bearing age living in mountainous areas had poor access to delivery facilities and lack of awareness of delivery services. Conclusions: It is necessary to increase the maternity management rate through regular maternity and maternal health check service and application to maternal management database, to improve the sanitation of the maternity clinic in the public health center, to strengthen the midwife competency program.
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