• Child Health Nursing Research
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• 제16권1호
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• pp.20-29
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• 2010

Purpose: The purpose of this study was to develop and evaluate the effects of a safety education injury prevention program in elementary school students. Methods: To develop the safety education program, Dick & Carey's teaching model and Keller's ARCS theory were applied. A safety education programs was developed for lower grade students (1st-3rd) and for higher grade students (4th-6th). To evaluate the effect of the safety education program, a pre-post test questionnaire was used with experimental and control groups. The participants were 238 (119 in the experimental group, 119 in the control group) lower (3th) grade and 296 (148 in the experimental group, 148 in the control group) higher (5th) grade elementary school students. For students in each experimental group, safety education was provided for 40 min once a week for 10 weeks. Results: There were significant differences in the level of injury prevention knowledge, attitude, and practice between the experimental group and control group in both the lower and higher grade elementary students. Conclusion: The findings of this study indicate that safety education is an effective nursing intervention to improve injury prevention knowledge, attitude, and practice in elementary school students.

• 보건교육건강증진학회지
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• 제23권4호
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• pp.67-87
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• 2006

Objective: In order to provide basic data required to evaluate the knowledge and behavior of old people towards health promotion and primary factors that influence them, to develop a health educational program. Method: A survey was conducted from March 6th 2004 to June 10th 2004. A total of 949 senior citizens over 60 participated in the survey. Results: The old people was the lower the educational level they had, the lower the level of health education experience they had and the lower the frequency of regular health check-ups they had. In regards to health education and health promotion, seniors citizens were neglected because of a lack of health awareness and knowledge, wrong habits related to healthy living, low access to medical examination, poor economic state, and low educational level. In addition to social atmosphere and systematic efforts by the government, senior citizens tried to find their own ways to have healthy living by improving their educational level, health awareness, and level of health knowledge, and lifestyle. Conclusion: Therefore, not only their family members, but local communities, public organizations, and the whole nation should make every effort to provide a effective health education system by using health educators for senior citizens. There is also a need to prepare a practical and systematic health education program for senior citizens so that they can enjoy comfortable and healthy living in their old age.

• 한국지역사회생활과학회지
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• 제27권spc호
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• pp.609-624
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• 2016

Korean's intake of Han-Sik (Korean food) has gradually decreased. The aim of this study was to assess needs for a dietary education program focused on increasing Han-Sik intake (Han-Sik program) in children and adolescents according to education level. A total of 2,858 child and adolescents (elementary students 30.1%; middle school students 34.8%; high school students 35.1%) were recruited in 2015 and 2016, and questionnaires were conducted by self-administration. There were significant differences in diet and health information sources, Han-Sik proportion in school meals, experience of Han-Sik nutritional program, and preference for program composition by education level (p<0.001). The Han-Sik proportion in school meals was 87.4% of the total, which was significantly lower in high school students than in elementary students (p<0.001). The percentage of high school students with Han-Sik nutritional program experience (25.1%) was twice as low than that of elementary students (55.7%) (p<0.001). In addition, the percentage of students with Han-Sik nutritional program experience who responded "The Han-sik program is needed" was significantly higher than those who responded "It is not needed" (p<0.001). The most preferred content was 'Han-Sik cooking training' in all students. In conclusion, differences in needs for Han-Sik program by education level should be considered to develop the Han-Sik program for all education levels to increase Han-Sik consumption and formation of healthy eating habits.

• Child Health Nursing Research
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• 제5권1호
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• pp.70-83
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• 1999

The birth of a premature infant is distressing for its parents. The parents of a premature infant experience stress according to the infant's physical appearance and behavior, the environment of the neonatal intensive care unit (NICU) , and the alteration in the parental role. Especially, a mother of a premature infant feels distressed even after the discharge of the infant : therefore, she has difficulties in maternal role performance. The main purpose of this study is to identify the effects of the planned infant care information program in order to lower the stress level for mothers of premature infants caused by the birth and hospitalization in NICU of premature infants, to reduce the maternal role strain, and to promote the maternal role performance after the infants' discharge. This study employed two methods of research at the same time : quasi -experimental non-equivalent pre and post test to compare : non-equivalent post test to compare. The total number of subjects was 19 who were assigned to the research program : 12 mothers of premature infants at the NICU at the Ch university hospital and 7 at the NICU at the Y general hospital located in Chounju city. The data were collected for 79 days from August 18 to November 5, 1998. The questionnaire method was applied for the data collection, and the measures used in this study were Parental Stressor Scale : NICU(Miles, 1993), the Maternal Role Strain Measures ( Hobbs, 1968 ; Steffensmeier, 1982) , and Self Confidence Scale (Pharis, 1978). Research procedure is as follows : after preliminary examination, the experimental subjects, the mothers of premature infants at the Nl CU at Ch university hospital were provided with slide films and information developed by the researcher based on existing documents and data. It took two 60-minute sessions a week for two weeks, and the mothers' stress level was measured using the same instrument twice one week and two week after the infants' hospitalization. The stress level of the contrast subjects, the mothers at Y general hospital was measured during the same period. The experimental subjects were provided with booklets on matters that require attention after the infants' discharge and on developmental project, and they were educated to play the maternal role in person for 2-3 hours a week : breast-feeding, burping a baby, and changing diapers. One week after the infants' discharge, the maternal role strain and the maternal role performance were examined in two groups of the subjects. The analysis of collected data was done using descriptive statistics including real numbers, percentages, averages, and standard deviations. Mann-Whitney test ; x² test ; Repeated Measures Analysis of Variance ; ANCOVA Spearman's rho correlation coefficients. The results on this study were as follows. (1) The examination of the same quality showed that there were no differences in the general and obstetrical characters between the two groups. However, in terms of the characters of premature infants. just right after their birth, the infants at the contrast group weighed more than those at the experimental group(U=16.5, p=.02), and the former was in mother's womb longer than the latter(U=15.5, p=.02). (2) The stress level of the mothers provided with the plannned nursing intervention program became lower as time passed compared to the others'(F=16.61, p=.00) Even when the influence of weight at birth and the length of gestation was removed among the premature infants' characters, the mothers' stress levels made a statistical difference 2 weeks after the infants' hospitalization depending on treatment (F=8.00, p=.01) (3) The maternal role strain of the mothers provided with the planned nursing intervention program was lower than the others'(U=2.0, p=.00). Even when the influence of weight at birth and the length of gestation was removed among the premature infants' characters, the maternal role strain levels made a statistical difference 2 weeks after the infants' hospitalization, depending on treatment(F=14.72, p=.00). (4) The maternal role performance level of the mothers provided with the planned nursing program was higher than the others'(U=.0, p=.00). Even when the influence of weight at birth and the length of gestation was removed among the premature infants' characters, the mothers' stress levels made a statistical difference 2 weeks after the infants' hospitalization, depending on treatment(F=8.00, p=.01). (5) The correlation between a mother's stress level 2 weeks after her infant's hospitalization, the maternal role strain and the maternal role performance were compared : the stress and the maternal role strain were statistically irrelevant to each other(r=.33, p=.12) : the stress was found to be in inverse proportion to the maternal role performance(r=-.53, p=.02). The maternal role strain was in inverse proportion to the maternal role performance as well(r=-.50, p=.00). In conclusion, for the mothers provided with the planned nursing intervention program, their stress level was getting lower as time passed during the infants' hospitalization, their maternal role strain reduced when they took care of their infants after their discharge, and their maternal role performance level was high compared to the other mothers. Besides, the lower the stress level of mothers of premature infants was during the infants' hospitalization, the higher the maternal role performance after their discharge was. The lower maternal role strain was, the higher the maternal role performance was as well. These results of the study suggested that the nursing intervention program for the mothers of premature infants developed by the researcher would be effectively applied to nursing practice, and it would be a foundation for the development of this kind of program.

• 보건교육건강증진학회지
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• 제24권2호
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• pp.1-14
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• 2007

Purpose: The purpose of this study is to investigate predictors of depression among elderly who have received visiting health services in public health centers. Method: The data has been collected from 678 elderly living in Seoul and Gyeonggi Province during the period from February 21 to June 30 in 2006. The data were collected by individual interview and were analyzed using correlation and multiple regression analysis with the SAS 9.1 program. Result: Among elderly, 73.8% of them showed depression. The elderly with higher level of socioeconomic status (${\beta}=0.136$, p=0.019) and higher level of social support including family support(${\beta}=-0.018$, p<.0001), friend's support(${\beta}=-0.025$, p<.0001) and special person's support (${\beta}=-0.021$, p<.0001) show lower levels of depression. In addition, elderly with perceived good health status (${\beta}=0.119$, p<.0001) feel less depression than those who have poor health condition. Conclusion: These findings suggest that low socioeconomic status and lower level of social support among elderly should be considered to decrease depression. These findings would contribute to health education, designing interventions and program development for appropriate depression management for the elderly.

• 대한예방한의학회지
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• 제11권2호
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• pp.141-157
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• 2007

This study aimes to devote development of health policy and program to obtain health promotion by finding the level of health behavior of college students in Korea and analysing its effects. The finds of this research was as follows ; First, the lower classes was lower concerns on health care and health behavior on hygiene controls than the higher classes. Based on this investigation, this paper suggests that the development of the effective sports program is specially necessary to obtain health promotion for the lower classes.

• 대한통합의학회지
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• 제3권2호
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• pp.47-54
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• 2015

Purpose: This study was to investigate the effects of lumbar stabilization exercise and lower extremity strengthening program on pain, lower extremity muscle in patients with chronic low back pain. Method: The subject were randomly divided two groups. 15 people who were conducted lower extremity exercises and lumbar stabilization exercises called the combined exercise group and other(15 people) who were only conducted lower extremity exercise group. The assessment tools were the pain level and the led muscle power. Exercise was conducted for eight weeks. Result: Pain of the combined exercise group showed significant differences in the change in pain level(p<.05). The leg muscle power showed significant differences within group which hip flexor, extensor muscles and abductor muscles. there were significant differences within combined exercise group (p<.05). But the knee joint in each group showed a significant difference within group (p<.05). Conclusion: This study suggest that the lumbar stabilization exercises and lower extremity exercises showed more efficient results in the pain levels and leg muscles power than only the lower extremity exercise for patients with lumbar instability.

• 한국의료질향상학회지
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• 제12권1호
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• pp.40-51
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• 2006

Backgrouds : This study was performed to compare the satisfaction levels for health examination programs provided by between the Korea National Health Insurance Corporation (KNHIC) and private healthcare organizations in Korea. We investigated factors associated with the satisfaction level for the KNHIC health examination. Also, factors explaining for the additional receipt of private healthcare organization's examination were identified. Methods : A self-administered questionnaire survey was conducted in June 2004 with 250 beneficiaries of the KNHIC industrial workers' program and 100 beneficiaries of the KNHIC selfemployed program. A total of 297 completed the questionnaire, including 213 (85.2%) and 84 (84.0%) for each insurance program. Ten questions measuring satisfaction levels for each examination program were rated on a scale ranging from 1 (strongly unsatisfied) to 5 (strongly satisfied). Results : Among the subjects receiving both examinations, the mean satisfaction level for the KNHIC examination (3.07) was significantly lower than that for the private healthcare organization's examination (3.50) (p<0.05). The KNHIC examination showed lower satisfaction for all of the 10 items than the counterpart. In particular, the KNHIC examination had the scores of lower than 3.0 for the items reflecting post-examination management services. According to the multiple regression analysis results, the satisfaction for the KNHIC examination was positively associated with the positive attitude toward health examination(${\bullet}$,=0.38, p<0.00). The logistic regression results showed that the likelihood of receiving the private healthcare organization's examination in addition to the KNHIC examination increases as the respondents were less healthier(OR=0.29, 95% CI = 0.10¢¶0.84), the satisfaction level for the KNHIC examination decreased(OR=0.46, 0.28¢¶0.75) or the attitude toward health examination was more positive (OR=2.56, 1.31¢¶5.12). Conclusion : The relatively low satisfaction level for both examination programs suggests that there's ample room for improvement of health examination services in Korea. The negative association between additional receipt of private healthcare organization's examination and satisfaction level for the KNHIC examination implies that the improvement of the satisfaction for the KNHIC examination would help to reduce the national expenditure spent on the additional examination.

• 대한간호학회지
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• 제38권2호
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• pp.278-286
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• 2008

Purpose: This study was done to compare edema and pain after completing a nurse's daily shift and to examine the effects of self leg massage which was usually used for reducing nurses' lower extremity edema and pain after their shift. Methods: The research design was a nonequivalent control group pretest-posttest design. Study subjects were 81 nurses who took a self leg massage program created by the researcher. Self leg massage was done 15 times during 3 weeks. Data were collected from September 21 to October 31, 2007. The level of lower extremity edema was measured by ankle and calf circumference by a tapeline in cm and the pain score was measured by using a subjective numbering rating scale. Data were analyzed with the SPSS 12.0 program using statistics of repeated measures ANOVA. Results: There was a statistically significant difference in pain according to the department. There was a statistically significant difference in lower extremity edema and pain in nurses after their shift and self leg massage. Conclusion: Self leg massage was effective for relieving nurses' lower extremity edema and pain. Therefore, it is proposed that standardized self leg massage should be applied as a method for nurses' lower extremity edema and pain.

• 한국보건간호학회지
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• 제28권3호
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• pp.419-431
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• 2014

Purpose: The aim of this study was to understand the determinants of health-related quality of life (HRQOL) according to age groups in vulnerable elderly women. Methods: We conducted a cross-sectional study with 1,533 elderly women beneficiaries of the visiting health care program in Seoul. The participants were divided into three age groups: the young-old (n=753, 65-74 years), old-old (n=602, 75-84 years), and oldest-old (n=178, 85 years or older) groups. HRQOL was measured using the SF-8 questionnaire. Results: HRQOL was found to be worse in the oldest-old group (p=.007). Factors associated with HRQOL differ by age groups. In the young-old and old-old groups, higher HRQOL showed significant correlation with a higher level of self-rated health (SRH) and a lower level of depression, instrumental activities of daily living (IADL) dependence, and the number of chronic diseases. In addition, higher HRQOL was observed for elderly living alone than for those living with family. In the oldest group, higher HRQOL showed significant correlation with a lower level of depression, activities of daily living (ADL) dependence, and a higher level of SRH. Conclusions: In age specific groups, lower levels of HRQOL were observed for the oldest-old group than for the other age groups. Age group-specific nursing strategies may be required for improving HRQOL levels of vulnerable elderly women.