• Title/Summary/Keyword: Health Problem

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Development of Community Health Nursing Service Model: - Based on the Visiting Nurses Project in Seoul, Kyonggi, and Kang-won Area- (지역사회 간호 서비스 전달 체계 모형 개발 -가정방문서비스를 중심으로-)

  • Kim, Sung-Sil
    • Research in Community and Public Health Nursing
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    • v.12 no.2
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    • pp.361-374
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    • 2001
  • This study was done to identify a status of home visiting project as a community health nursing system, that was the organization. personal who have age, educational background, marital status, position, experience of the home visiting in the public sectors in part of Seoul. Kyonggi, Kang-won area, It was done to provide basis data for the development of effective visiting nurses project in the health sectors, where was Health Centers in urban and rural. Branch of Health Center in rural and Health posts. The question airs were distributed 352 public health workers who working place was 118 health workers in 12 health centers in Seoul. 56 public health workers among 39 health center and other public health sectors in Kyonggi and 178 public health workers among health center and health care sectors. Data collected from October to December. 2000. The analysis by SAS system with F test, percentage and frequency. The major result were as follows. The general characteristics of the respondent show that most of them were graduates from community college and RN-BS with broadcast that they had not completed CPHN course but only two health workers have trained for the visiting nurses project. As for their grade in the position, the most of health workers have seventh level and the other CHP were above sixth level in the health care post that in the government structure. This indicates that workers do not have great authority in decision making, the most period of works in the position was one and two years indicating that they change jobs frequently. On an average their clinical experience was 4.11 years which is ideal for the total service. As for preparation of staff for home visiting workers education on visiting nurses program have to receive short term or longer term training course for strong emphasis. The analysis showed that public health visiting workers responds about active job performance that based on an area, approach of acting by districts, education and position are shown statistically significant difference between acceptance of the visiting nursing job show the same as well as visiting nurses project. Special concerns for visiting Nursing care spread came to burden, many of activity carry out main solution is covered the health problem connective support system needs of quality and quantity which out health problem. As 71.1% of visiting health service held on the poor population was under the guardianship of the law, but people who health insurance wide application under law shown a tendency to increase gradually. The general characteristics of the patients showed 56.2% of female on average of age was 66.1 years old, they have health problem was the most of 47.6% of high blood pressure and stroke, the other and as a problem that economics, which is complex welfare with out health problem. Community health care service should be combined health and social work program. The form of delivery of visiting health care given the most guide and education with counselling and support. (33.6%) Among the six category of visiting care service shown statistically significant difference and next is fundamental care, remedy care with priority.

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The Effect of Problem Solving Group Counseling on the Index of Obesity and Health Habits of Obese Children (문제해결 상담프로그램이 아동의 비만지수와 건강습관에 미치는 영향)

  • Cho Mee-Young;Lee Hae-Jung;Lee Hwa-Ja;Park Hyoung-Sook
    • Journal of Korean Academy of Nursing
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    • v.34 no.7
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    • pp.1224-1233
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    • 2004
  • Purpose: This study was to investigate the effects of problem solving group counseling on the index of obesity and health habits for obese children. Method: Forty seven obese children participated in the study(Exp.=22, Cont.=25). Children were recruited from the forth and fifth grade with higher than $20\%$ of the obesity degree. The problem solving counseling lasted for 10 weeks. In order to evaluate the effects of counseling, physical characteristics and health habits were measured three times; pretest, posttest, and at 10 weeks follow-up. The obtained data was analyzed by $x^2-test$, t-test, and repeated measures ANOVA, using the SPSS WIN 10.0program. Result: Problem solving group counseling was effective on the physical characteristics(BMI, obesity degree, body fat ratio, waist measurement) and health habits over time. Children in the experimental group controlled their body weight better and reported lower scores in the index of obesity than children in the control group at 10 weeks follow-up. Conclusion: This counseling program helped obese children modify their health habits so that they could decrease their scores in the obesity index. It can be concluded that problem-solving counseling enhanced problem-solving abilities of obese children, which could help modify their ordinary health habits.

Effects of Slime Program on Hand Function and Problem Behavior of Adults with Intellectual Disabilities

  • Jang, Woo-Hyuk;Kim, Su-Hyun;No, Seo-Yeong;Moon, Ji-Yeong;Lee, Eun-Byeol;Jeon, Se-Hyun
    • The Journal of Korean Physical Therapy
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    • v.32 no.4
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    • pp.250-257
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    • 2020
  • Purpose: This study examined the effects of training using the slime on the hand function and problem behavior in adults with intellectual disabilities. Methods: Five adults with intellectual disabilities who were judged as Level 1 or Level 2 were selected. The training consisted of one session (50 min)/day, one day/week for 10 weeks (preparatory activities: 5 min, slime activities: 40 min, finishing activities: 5 min) The functions of the hand (Purdue Pegboard Test [PPT], grip strength test [GST]) and problem behavior (Korean Behavior Problems Inventory [KBPI]) were assessed three times (first assessment; pre, second assessment; post-5 weeks, third assessment; post-10 weeks). Wilcoxon signed-rank tests were used to analyze changes in the subjects' performance before and after the intervention. Results: In the PPT, the use of the non-dominant hand was increased significantly (p<0.05). No significant differences were observed in the remaining results, but the mean value increased. In addition, although the problem behavior was not statistically significant, an increase in the problem behavior score was noted. Conclusion: The training using the slime for adults with intellectual disabilities is effective in hand function improvement and reducing problem behavior.

Relationships among Depression, Self-rated Health, Health Behaviors and Drug Abuse by Job Status (근로여부에 따른 약물오남용과 우울, 주관적 건강상태, 건강행태와의 관련성)

  • Chae, Su Mi;Jeong, Jin Wook;Lee, Sang Young;Heo, Kyung Hwa
    • Korean Journal of Occupational Health Nursing
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    • v.24 no.3
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    • pp.245-257
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    • 2015
  • Purpose: This study was performed to investigate the present condition of drug abuse and its association with depression, self-rated health and health behaviors by job status in Korean adults. Methods: Data were derived from the study on four addiction problem and suicide in 2014. Multiple logistic regression was used to analyze patterns of drug abuse according to depression, self-rated health and health behaviors. Results: The prevalence of drug abuse during the past year was 17.1% of the 4,018 subjects. About 3.3 times risk for drug abuse was found among individuals who had high depression scores. The risk of drug abuse was higher among those who were smoking (OR:1.46, 95% CI:1.17~1.83), drinking more frequently (OR:1.30, 95% CI:1.07~1.58), sleeping insufficiently (OR:1.31, 95% CI:1.03~1.67), eating irregularly (OR:1.45, 95% CI:1.19~1.76). Drug abuse problem was detected more seriously among employed than unemployed adults. Conclusion: Health-related behaviors, such as smoking, drinking, sleeping, eating should be considered simultaneously when designing strategies to deal with drug abuse problem, and it is important to understand the interaction between drug abuse and mental health. Furthermore, workplace based intervention can be effective in solving drug abuse problem.

The Mediating Effect of Bullying on the Associations Between Children's overweight and Obesity Problem and Mental Health Problems (아동의 과체중·비만과 정신건강문제의 관계 -집단따돌림의 매개효과-)

  • Kim, Jin-Hee
    • Journal of the Korean Society of Child Welfare
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    • no.40
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    • pp.201-228
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    • 2012
  • The purpose of this research was to investigate the mediation effect of bullying on the associations between children's overweight and obesity problem and mental health problems. Data from a subsample of 2,306 adolescents, who participated in the "child-youth synthesize survey" was utilized. The measurement and structural models were estimated using structural equation modeling. Partial and full mediation models were compared, and X2 difference test was conducted between the two models. The study results show that children's overweight and obesity problem have a direct effect on mental health problems. In addition, bullying was found to mediate the association between children's overweight and obesity problem and mental health problems. The analytic results confirmed that the model fit for the full mediation model was better than the partial mediation model when examining the mediating effect of bullying on the relations between children's overweight and obesity problem and mental health problems. Efforts to prevent mental health problems may require interventions for children's with overweight and obesity problems as well as inventions for reducing bullying in general.

The relationship between stress perception and oral health status (스트레스 지각과 구강건강의 관련성)

  • Choi, Jun-Seon
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.4
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    • pp.555-561
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    • 2014
  • Objectives : The aim of this study was to investigate the factors related to stress perception. Methods : A self-reported questionnaire was filled out by 109 people living in Gimpo city from January 16 to April 15, 2013. The data were analyzed using SPSS window ver. 19.0(IBM CO., Armonk, NY, USA) for t-test, one-way ANOVA, and multiple linear regression analysis. Results : Men and group of 59 years old tended to have higher stress perception than women and those who over 60 years old, but the results were not statistically significant. Stress perception was higher among the group with systemic dryness and oral dryness(each${\geq}1$) and the group reporting high difficulty in daily living due to oral problem(${\geq}2$)(p<0.05). Especially, the factor that was most correlated to stress perception was systemic dryness(${\beta}$=0.347) followed by problem of daily living for oral problem(${\beta}$=0.278, p<0.01). Conclusions : Systemic dryness and oral problem can increase the level of stress perception, mouth dryness and oral problems are a part of stress responses. Therefore, the regular health checkup must be done and early treatment to reduce stress perception as well as negative aspects caused by stress. It will contribute to the enhancement of public health and life of quality.

Factors Related to College Student's Problem Drinking (대학생 문제음주 관련요인)

  • 이원재
    • Korean Journal of Health Education and Promotion
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    • v.20 no.3
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    • pp.109-124
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    • 2003
  • This study conducted multiple logistic regression to investigate what factors and how much they influence problem drinking. In this study, problem drinking was defined by AUDIT and NAST. Most of the studies on problem drinking focused on socio-demographic factors even though problem drinking is caused by bio-psycho- socio-cultural factors. The current study tried to estimate a logistric regression models including socio-demographic, environmental, psychological, economical, emotional, values, and MMPI factors. The best fit model suggested that problem drinking, which was determined by AUDIT, of college students were related to sociodemographic, environmental, psychological, and emotional factors. Students who were male, whose father, brother or sister had been abused alcohol or drug, students thought that his/her mother had not trusted him/her, who worried about his/her health, smokers, who had strong impulsivity, who had three or more feelings among the sorts of feelings, such as sadness, loneliness, boring making him/her feel to drink alcohol were more likely to had drinking problem. Students who were indulgers-who could not help buying things immediately after they saw goods they like, who were smokers, who had low ego-control, who had three or more feelings among the sorts of feelings, such as become excited, anxiousness, healthy were more likely to be dependent on alcohol. The study suggested intervention programs for college students to prevent problem alcohol drinking and alcohol dependency.

A study on the critical thinking and problem-solving abilities of dental hygiene students (치위생과 학생의 비판적 사고성향과 문제해결능력에 관한 연구)

  • Shim, Hyung-Soon;Lee, Hyang-Nim;Kim, Eun-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.6
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    • pp.1171-1182
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    • 2017
  • Objectives: The purpose of the study was to investigate the correlation between critical thinking and problem-solving abilities in dental hygiene students. Methods: This is a cross-sectional study. A self-reported questionnaire was completed by 386 dental hygiene students enrolled in Gwangju Health university from August 30, 2017 to September 2, 2017. The general characteristics of the subjects, their critical thinking and problem-solving abilities were measured for the study. The tool to measure critical thinking was adapted from Yoon which had a Cronbach' alpha of 0.77. The tool for problem-solving ability was adapted from that used in Heppner & Petersen, which had a Cronbach' alpha of 0.77. The collected data are analyzed using ANOVA, Pearson's Correlation analysis, and multiple regression using SPSS/Win 18.0 program. Results: The results show that critical thinking scored 3.45 while problem solving ability scored 3.20. The correlation between critical thinking and problem-solving abilities was found to be strong. The strongest positive correlation in problem-solving ability was critical thinking (p<0.001). The multiple regression analysis suggests that the factors affecting problem solving ability of the subjects was statistically significant. The significant variables included critical thinking (${\beta}=0.440$) (p<0.001), satisfaction with one's major (${\beta}=0.108$) (p<0.05), interpersonal relationships (${\beta}=0.104$) (p<0.05) and academic performance (${\beta}=0.086$) (p<0.05) with an explanatory power of 38.3%. Conclusions: It is necessary to develop a curriculum and learning method for critical thinking and problem-solving abilities in the dental hygiene students.

The Analysis of Priority Setting in Community Health Planning in Korea and its Implications (지역보건의료계획에서 우선순위선정 방법에 대한 분석과 함의)

  • Kim, Jae-Hee
    • The Journal of the Korea Contents Association
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    • v.15 no.1
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    • pp.264-275
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    • 2015
  • While the method of prioritization has been practicing in the community needs-based programs to improve the effectiveness and efficiency of community health planning, it has not been systematically used. This study aims to suggest more sophisticated method of prioritizing. Based on the analysis of 81 community health plans which adopt prioritizing method, this study tried to examine their methods and criteria and evaluate their adequacy. In the prioritization process, projects themselves, rather than health problems, were commonly adopted for the subject of the analysis. The most used was the Basic priority rating, followed by the Prioritization matrix. Looking at the size of health problem among the prioritization criteria, the prevalence for chronic diseases and the proportion of people with health problems for health behaviors, mainly were used as indicators. Along with the size of health problem, other factors such as the degree of seriousness of health problem, and the effectiveness of intervention have been used as the criteria of prioritizing, not fully supported by objective data base and the clear standard of scoring. In the prioritization, the analysis need to be limited only to health problems, and the scoring criteria for each health problem area be presented.

A Study of Nursing Student Teacher for School Nurse in the Field Practice (양호교생(養護敎生) 현장실습(現場實習)을 통(通)한 연구(硏究))

  • Lee, In-Kyu
    • Journal of Korean Public Health Nursing
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    • v.3 no.2
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    • pp.109-132
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    • 1989
  • I studied the problems of the field practice of nursing student teacher for school nurse from March, 1986 to April, 1989 at several primary schools of Wonju City. The Significant problems on the field practice and the results of questionnaire research were summarized as follows: 1. Suggestion of educational goal(both physical and mental aspect rather than only physical aspect as concept of health and disease changes. 2. A need of change in educational organization of school nurse: unify the two educational organization (junior college of 3yrs and college of 4yrs) by raisin g junior college to regular college status of 4yrs_ 3. Experience of questionnaire research for health problem in field practice(such as questionnaire research for detection of the problem of emotion and physical and mental status and a case report of effective training method of teeth brushing in children). 4. The improvement of school facilities for better child health education by the educational practice in primary school. 5. The educational goals for new roles of school nurse: 1) Role in exact recognizing the school health problem. 2) Role in dealing with mental problem. 3) Role in organized activity. 6. Improvement of educational act for activating teachers' role.

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