• Title/Summary/Keyword: Health care behavior

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민간 의료기관에서 보건교육사의 활동 영역과 능력 개발 (The Roles and Professional Competencies of Health Education Specialists in Private Health Care Setting)

  • 김영복
    • 보건교육건강증진학회지
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    • 제27권2호
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    • pp.37-48
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    • 2010
  • Objectives: In health care setting, patient education and health promotion services are inexpensive and effective initiatives to change health behavior due to use medical service resources and personnel. This study performed to define the responsibilities and competencies of health education specialist in private health care setting. For our suggestion, we reviewed regulatory, recommendation, and programs related to health education and promotion in clinics and hospitals. Results and Conclusion: The health promoting hospital and health services in Europe and innovative hospitals of community health promotion in the U.S. were examples of approaches that supply target groups with health promotion services in health care setting. The National Commission for Health Education Credentialing has suggested the specified responsibilities and competencies of health education specialist in health care setting according to their general duty. Considering the recommendation of the NCHEC, our suggestion included: 1) the three kinds of job scope, 2) the major targets, 3) the specified responsibilities and competencies, and 4) the available health promotion programs in clinic and hospital setting. The suggestion will contribute to the development of job market for health education specialist and to the cooperation with community health resources in health promotion services and comprehensive health care.

성인들의 건강관리와 구강건강관리행태에 따른 주관적 건강과 구강건강, EQ-5D수준 (Subjective Health, Subjective Oral Health, and EQ-5D Level of Adults According to Health Management and Oral Health Management Behavior)

  • 박충무;윤현서
    • 대한통합의학회지
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    • 제11권1호
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    • pp.1-12
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    • 2023
  • Purpose : This study examined the relationship between oral health management behavior and subjective health perception by using a tool that measures health-related quality of life named EQ-5D. The findings are expected to provide fundamental data for developing diverse programs, including health- and oral-health-related educational media, to ultimately enhance people's health-related quality of life. Methods : Adults over the age of 20 were extracted from the raw materials of the 8th national health and nutrition examination survey conducted in 2019. Among them, 4034 were finally chosen as the study subjects after checking the response distribution of relevant questions and excluding inadequate samples. Variables included general characteristics, health management behavior, oral health management behavior, subjective health perception, and EQ-5D level. Cross-tabulation test, independent t-test, one-way analysis of variance, and linear regression analysis were conducted using SPSS 25.0. Results : EQ-5D, which measures the level of health-related quality of life, was high when the subjects had a medical check-up experience, no experience of unsatisfactory medical service, and did not get an influenza vaccination (p<.001). The quality of life was higher when the subjects received dental inspections, did not require treatment, and used oral care goods (p<.005). Health-related quality of life was also higher when the subjective health level and subjective oral health level were high. Conclusion : Results indicate that subjective health, oral health perception level, and quality of life together were high when people had a regular check-up, did not neglect treatment, and used oral care goods. Considering the findings of this study, check-up programs that are customized for each age group are necessary. Health-related quality of life could be enhanced through the provision of diverse medical services and active efforts to prevent any medical blind spot.

The effect of a nutritional education program on the nutritional status of elderly patients in a long-term care hospital in Jeollanamdo province: health behavior, dietary behavior, nutrition risk level and nutrient intake

  • Kim, Bok-Hee;Kim, Mi-Ju;Lee, Yoon-Na
    • Nutrition Research and Practice
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    • 제6권1호
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    • pp.35-44
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    • 2012
  • This study was conducted to assess improvements in nutritional status following the application of nutrition education to elderly patients in a long-term care hospital. The study was carried out from January to May 2009, during which a preliminary survey, a pretest, the application of nutrition education, and a post-test were applied in stages. The number of subjects at pretest was 81, and the number of participants included in the final analysis was 61 (18 men, 43 women), all of whom participated in both the nutrition education program and the post-test. The survey consisted of general demographic items, health behaviors, dietary behaviors, the Nutrition Screening Initiative checklist, and nutrient intake assessment (24 hour recall method). The nutrition education program lasted for four weeks. It included a basic education program, provided once a week, and mini-education program, which was offered daily during lunch times. The survey was conducted before and after the education program using the same assessment method, although some items were included only at pretest. When analyzing the changes in elderly patients after the nutritional education program, we found that, among subjective dietary behaviors, self-rated perceptions of health (P<0.001) and of depression (P<0.001) improved significantly and that dietary behavior scores also improved significantly (P<0.001), while nutritional risk levels decreased. In terms of nutrient intake, subjects' intake of energy, protein, fat, carbohydrate, calcium, phosphorus, iron, vitamin A, thiamin, riboflavin, niacin, and vitamin C all increased significantly (P<0.001). These results indicated that nutritional education is effective in improving the nutritional status of elderly patients. We hope that the results of this study can be used as preliminary data for establishing guidelines for nutrition management tailored to elderly patients in long-term care hospitals.

말기암 환자들의 의료이용행태 (Behavior Patterns of Health Care Utilization in Terminal Cancer Patients)

  • 한태형;조병진;신백효
    • The Korean Journal of Pain
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    • 제12권1호
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    • pp.101-107
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    • 1999
  • Background : In order to improve the quality of life of dying patients, they need to receive not only the physical, psychological, social, and spiritual care, but also systematic and continuous care to die with dignity. However, no adequate medical services are available for these terminal cancer patients. We studied their behavior patterns of health care utilization to understand more of their medical and social needs. Methods : We investigated 108 bereaved families through the telephone interview with structured questionnaires. They were randomly selected through the retrospective chart review of the terminal patients who passed away due to cancer. Results : Most of the terminal cancer patients received their care from proper medical services including admission to hospital (45.4%), outpatient clinic (22.2%), emergency room (16.7%), and oriental medicine (12.0%). But during the terminal phase of their illness, 32.4% of patients never received medical care including oriental medicine, and 28.7% received alterative natural care. 26 bereaved families (24.1%) pointed out the indifference of medical staff as a problem receiving proper hospital care, and 22 (20.4%) emphasized emotional strain of their helplessness with the patients' suffering as a problem of caring at home. Over 90% suggested availability of continuous care, hospice care, home care, and 24 hour telephone service to be improved. Conclusions : Due to various reasons, adequate medical care is not delivered to the terminal cancer patients in our present medical system. These problems can be approached with the establishment of proper education and medical delivery system. The role of comprehensive medical specialty cannot be overly emphasized to accomplish this most effectively.

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군인들의 계급에 따른 구강건강관리 실태조사 (The oral health care research according to the rank of soldiers and officers)

  • 유자혜;김정희
    • 한국치위생학회지
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    • 제13권1호
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    • pp.105-113
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    • 2013
  • Objectives : The purpose of this study was to perform researches and analysis on the use of dental institutions, oral health behavior, the actual conditions of oral health care, and the oral health knowledge according to the rank of soldiers and officers and then to provide the basic data for the contents development of an oral health education to the military. Methods : The subjects in this study were 380 soldiers serving in Gyeonggi, Gangwon and Chungchong provinces. Results : In terms of the use of dental institutions, the soldiers visit the dental clinics most(56.5%), and the officers visit the military dental clinics most(52.7%)(p<0.05). In the oral health behavior, the most of the soldiers(46.7%) and the officers(58.1%) answer that they thought to be in good oral health. Regarding the actual conditions of oral health care, it is investigated that the most of the soldiers brush their teeth twice a day(46.7%) and the officers three times a day(58.1%). With the oral health knowledge, the officers get a point of $2.89{\pm}1.36$, which is higher than the soldiers'($2.47{\pm}1.27$), and the person who have an experience to take an oral health education, getting a point of $2.83{\pm}1.22$, have higher level of the knowledge than the unexperienced with $2.48{\pm}1.31$(p<0.5). Conclusions : It is thought to be necessary to provide the military camps with an oral health education and to develop the contents of an oral health education customized to them.

관상동맥질환자의 분노표현유형과 건강행위 (Anger Expression and Health Behavior in Patients with Coronary Arteries Disease)

  • 홍은미;박진희
    • 가정∙방문간호학회지
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    • 제21권2호
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    • pp.101-109
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    • 2014
  • Purpose: The purpose of this study was to identify the difference in health behavior according to the anger expression styles in patients with coronary arteries disease. Methods: Participants included 99 patients with coronary artery disease who were treated with a percutaneous coronary intervention in K University Hospital in Seoul, from January to March 2012. The survey data were collected using the Anger Expression Inventory Korea Version and the Health Promoting Lifestyle Profile Version 2. The data were analyzed using descriptive statistics, acluster analysis, chi-square test,and ANOVA with the PASW 19.0program. Results: The anger expression styles identified from the cluster analysis were anger-control type(43.3%), anger-in/out type(42.4%), and high anger expression type(14.4%). The total score of the Health Promoting Life style Profile for the anger-control type was significantly higher than the other two types. Additionally, anger-control type showed significantly higher scores than the other two types in all domains of the Health Promoting Life style Profile. Conclusion: These results indicated that higher levels of anger-in and anger-out increased the risk of adverse health behavior and that anger control strategies could have some benefit in reinforcing healthy behavior in patients with coronary artery disease.

일부 유아교사와 어머니의 유아구강건강행동 및 구강건강교육에 대한 인식 비교 (Comparison between Early Childhood Teachers and Mothers in Perception of Oral Health Behavior and Education for Children)

  • 이세나;김은숙
    • 치위생과학회지
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    • 제13권2호
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    • pp.125-134
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    • 2013
  • 본 연구는 유아교사와 어머니들의 구강건강지식, 유아구강건강관리행동, 그리고 구강건강교육에 대한 인식 차를 알아보고자 충북 Y군 유아교사 90명과 어머니 235명을 대상으로 설문조사를 하였으며, SPSS Windows ver. 12.0 (SPSS Inc.)을 이용하여 분석한 결과 다음과 같은 결론을 얻었다. 1. 유아교사들과 어머니들의 구강건강지식정도는 차이가 없었다. 2. 유아교사들은 어머니들에 비해 보다 바람직한 치아우식예방 행동, 칫솔관리행동, 구강위생행동 지도를 하는 것으로 나타났다. 그리고 41%의 어머니들은 유아교육 및 보육 기관에서 실시하는 구강정기검진과 이후의 처치서비스에 대해 무관심하거나 인지하지 못하는 것으로 나타났다. 3. 어머니들은 유아교사들에 비해 구강건강에 대한 관심이 높으나, 유아교사들에 비해 구강건강교육에 대한 경험이 적었다. 어머니들은 유아들의 구강건강관리에 대한 내용으로 구강건강교육을 받기를 원하였고, 유아교사들은 구강건강교육을 위한 지침서와 매체에 대한 구강건강교육을 받기를 원하는 것으로 나타났다. 유아교육 및 보육기관과 가정에서 일관되게 유아를 위해 양질의 구강건강관리를 위해서는 유아교사와 어머니들 모두에게 구강보건교육에 대한 인식을 높이고, 유아구강건강 관리행동의 이행을 위해 올바른 구강건강지식을 전달하고 그들이 부족하다고 생각되는 영역에 대한 내용의 유아구강 보건교육 프로그램 개발이 요구되며, 또한 이들이 이런 프로그램을 손쉽게 접할 수 있는 교육방법 및 매체의 개발도 필요하다고 사료된다.

The Relationship Between Human Resource Management Practices, Work Engagement and Employee Behavior: A Case Study in Vietnam

  • PHAM, Thi Ngoc Mai
    • The Journal of Asian Finance, Economics and Business
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    • 제8권4호
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    • pp.1003-1012
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    • 2021
  • This study aims to identify the relationship between human resource management practices, work engagement, and proactive behavior of health workers in Gia Lai Province in Vietnam. Based on theoretical frameworks of human resource management, work engagement, and proactive behavior, this study developed a research model and tested its relationship between human resource management practices, work engagement, and the proactive behavior of healthcare workers in Gia Lai Province. This research has used a mixed research method with qualitative and quantitative research. The quantitative research was conducted by survey with 232 health workers. The hypotheses were tested by using structural equation modeling (SEM). The findings showed that human resource management practices have a positive and significant influence on proactive behavior, which directly influences healthcare workers' work engagement. Besides, work engagement plays a role in mediating the influence of human resource management practices on proactive behavior. This research implies that health care organizations should pay more attention to human resource management practices to improve work engagement that assists in increasing employee proactive behavior. Efficient human resource management practices help boost work engagement and, initiality, improve the quality of health care services and minimize errors in treatments.

노인의 주관적 구강건강수준 관련 요인 (Factors Related to Subjective Oral Health Level of the Elderly)

  • 정수진
    • 융합정보논문지
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    • 제11권6호
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    • pp.171-180
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    • 2021
  • 본 연구는 노인들의 구강관리행태, 구강건강관리 자기효능감, 사회적지지가 주관적 구강건강수준에 미치는 영향을 알아보기 위해 실시하였다. 자료조사는 2019년 9월 17일부터 2019년 11월 22일까지 대전광역시와 충청남도 일부지역에 거주하는 노인들을 대상으로 하였으며, 수집된 자료는 𝑥2-test, Pearson 상관분석, 로지스틱 회귀분석으로 분석하였다. 조사결과 주관적 구강건강수준은 틀니를 사용하고 있지 않은 경우 3.242배, 일일 칫솔질 횟수가 3회 이상인 경우 2.339배 증가하였으며, 구강건강관리 자기효능감과 사회적 지지가 각각 1.755배, 1.192배 증가함에 따라 주관적 구강건강수준도 증가하였다. 이상의 결과를 토대로 노인들의 주관적 구강건강수준의 증진을 위해서는 틀니관리방법과 칫솔질교습 등의 구강보건교육의 기회를 확대하고, 구강건강관리 자기효능감과 사회적 지지를 강화시킬 수 있는 정책 마련이 필요하다.