• Title/Summary/Keyword: National health programs

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The Effects of Community based Self-help Management Program on the Activity of Daily Life, Muscle Strength, Depression and Life Satisfaction of Post-stroke Patients (재가 뇌졸중 환자를 위한 자조관리프로그램이 일상활동, 근육 강도, 우울 및 삶의 만족도에 미치는 효과)

  • Kim, Keum-Sun;Seo, Hyun-Mi;Kang, Ji-Yean
    • The Korean Journal of Rehabilitation Nursing
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    • v.3 no.1
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    • pp.108-117
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    • 2000
  • Stroke is one of the leading causes of death in Korea. Because of their sequelae, strokes are categorized as a sudden-onset, constant course chronic illness which needs continuous efforts for rehabilitation. Unfortunately, there are few community based rehabilitation program for post-stroke patients who stay at home. The authors developed a community based selp-help management program for post-stroke patients to enhance their rehabilitation process. The program consists of five sessions and each session contains health education. ROM exercise, ADL training, and stress management like foot reflexology. A professor and two graduate students of nursing college coordinated the program. To test the effects of the program we conducted a 5 week program to the 10 conveniently selected post-stroke patients who were living in Kang-buk district of Seoul. The Questionnaires about ADLs, IADLs, depression and life satisfaction were asked to the all subjects before and after program. The hand grisp power and muscle strength of four limbs were measured at the end of each sessions. The analysis of data revealed that the program was effective to increase the ADLs, IADLs, and muscle strength and to decrease the depression levels of subjects. However, there was no significant difference between pre and post hand grisp power and life satisfaction. Because the program was effective to Improve the physical and psycholocial function of subjects, we suggest continual development and Implementation of community based self-help management programs.

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An Integrative Review of Home Care Service for Pregnant Women, Mothers, Infants, and Toddlers in Vulnerable Group (취약계층 임산부·어머니·영유아 대상 방문건강관리서비스에 대한 통합적 문헌고찰)

  • Kim, Dasom;Lee, Insook
    • Journal of Korean Academy of Nursing
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    • v.47 no.5
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    • pp.577-588
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    • 2017
  • Purpose: This study was intended to integrate the evidence of home care service intervention for mothers and children in vulnerable groups through an integrative literature review. Methods: We searched the MEDLINE (PubMED), EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, DBpia databases. The quality of the articles was assessed by one doctoral researcher and verified by one professor of community health nursing who had participated in the systematic review of literature. A framework was developed to identify the intervention patterns in the selected papers and categorize various elements. The extracted intervention elements were grouped into potential themes, which were verified by assessors on whether they clearly reflected the interventions in the papers. Results: Among 878 searched papers, we selected 16 papers after excluding literature that does not satisfy the selection criteria and quality evaluation. The intervention elements of 16 selected papers were categorized into six themes. The extracted intervention elements were divided into the themes of Patient-specific/Situation-specific care planning and intervention, Emphasis on self care competency, Intense home visit by developmental milestone, Reinforcing and modeling mother-child attachment, Communication and interaction across the intervention, Linkage with community resource and multidisciplinary approach. Conclusion: As a result of the analysis of proper interventions of home care services for mothers and children in vulnerable groups, it was found that it is necessary to consider indispensable intervention elements that can standardize the quality of home care services, and conduct studies on developing intervention programs based on the elements.

Milk Consumption and Perception of School Milk Program among Elementary, Middle, and High School Students in Korea (우리나라 초·중·고 학생들의 학교우유급식 참여 실태 및 인식 조사)

  • Lee, Young-Eun;Hwang, Dong-Hee;Jeon, Min-Sun
    • Journal of the Korean Dietetic Association
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    • v.22 no.3
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    • pp.163-178
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    • 2016
  • This study was designed to examine the level of milk consumption and perception of the school milk programs among elementary, middle and high school students, which provides the information to improve the school milk program. Using a self-administered questionnaire survey, the data collected from 1,725 students nationwide were analyzed. The results showed that whole milk was the type of milk most frequently drunk by the students, although flavored milk and yogurt products were also highly preferred. When asked whether they wanted the school milk program or not, approximately 30% of the students in the schools presently participating in the school milk program and 50% of the students in the schools not participating the school milk program answered "yes". However, all of the respondents preferred to have a choice for the school milk program. The elementary school students showed a higher level of satisfaction with the school milk program than the middle and high school students. Especially, the level of satisfaction with the taste and flavor of the milk was the lowest among the various satisfaction items. However, the students were reported to believe that milk is highly nutritious and good for their health in the present study. Our results suggest that providing a choice of dairy products would improve the students' satisfaction with the school milk program, and that continuous education about the benefits of drinking milk would also encourage them to participate in the school milk program.

An analysis on the Structural relationship between Parents-Child Communication and Child's problematic behavior Depending on the Elementary School Student's Participation in a Sport activity after School class (초등학생의 방과 후 스포츠 활동 참여에 따른 부모자녀 간 의사소통과 문제행동의 구조적 분석)

  • Chang, Bong-Woo;Kim, Jae-Yeon
    • Journal of Digital Convergence
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    • v.14 no.7
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    • pp.347-353
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    • 2016
  • This study aims to analyze how parents and their children participating in sports after school hours positively affects their communication and behavior based on the stratified sampling of 189 students (fifth and sixth graders) in Cheongju city C-province. The result from the exploratory factor and the structural analysis using SPSS18.0 showed that participating in sports improved parent-child communication including increasing their motivation, self-confidence, and self-esteem, and reducing children's problematic behavior such as anxiety, feeling insecure, insubordination, and aggressiveness. In order to improve the children's mental health, it would be essential to set various programs of after school sports and more importantly validate its quality.

Lifestyle, Dietary Behavior and Snack Preference of Upper-grade Elementary School Students in Cheongju according to the Usage Time of Smartphones (청주지역 일부 초등학교 고학년 학생의 스마트폰 사용시간에 따른 간식 선호도, 식행동 및 생활습관)

  • Kim, Hayeon;Pae, Munkyong
    • Korean Journal of Community Nutrition
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    • v.22 no.1
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    • pp.40-52
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    • 2017
  • Objectives: This study was conducted to examine the length of exposure to smartphone and its association with dietary behavior toward snacks, lifestyle, and nutrition knowledge in elementary school students. Methods: Subjects were 372 5th and 6th grade schoolchildren in Cheongju, Korea, and data was collected by a self-administered questionnaire. They were divided into two groups by the time spent using smartphone: moderate (< 2 hours/day) and overexposure (${\geq}2$ hours/day). Data was analyzed using frequency analysis, ${\chi}^2$-test, and independent t-test as well as analysis of covariance when necessary. Results: Approximately half of subjects (41.4%) reported spending ${\geq}2$ hours/day using smartphone. That habit was more frequent among students in the 6th grade, those who received more monthly allowance, and who has a working mother. 63.4% of the subjects reported that they consumed snacks while watching television, using a computer and/or a smartphone and 48.1% said that they consumed snacks while they use a smartphone. Both situations were most prevalent among those with overexposure to smartphone (${\geq}2$ hours/day). We also observed that a higher percentage of subjects from the overexposure group spent more money on snack foods with the preference for ice cream, fast food, and carbonated drinks. Further, those in the overexposure group consumed more ice cream, cookies, and carbonated drinks. In addition, they had less desirable dietary behavior and health-related lifestyle (sleep duration and frequency of regular exercise) compared to those with moderate smartphone usage (< 2 hours/day). However, there was no statistical difference in nutrition knowledge among children with different degrees of smartphone usage. Conclusions: Our results showed that longer smartphone use was associated with less desirable snack preference/consumption and other dietary behavior in elementary school students. Thus interest and positive attitudes towards healthy snacks and diet should be reinforced in nutrition education programs, especially for those who are prone to use smartphones.

Structural Equation Modeling of Self-Care Behaviors in Kidney Transplant Patients Based on Self-Determination Theory (자기결정성이론에 근거한 신장이식환자의 자가간호행위 구조모형)

  • Jeong, Hye Won;So, Hyang Sook
    • Journal of Korean Academy of Nursing
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    • v.48 no.6
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    • pp.731-742
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    • 2018
  • Purpose: The purpose of this study was to test a hypothesis explaining direct and indirect relationships among the factors affecting self-care behaviors of kidney transplant patients, based on self-determination theory. Methods: Data were collected from 222 outpatients with kidney transplantation. The endogenous and exogenous variables of the hypothetical model consisted of healthcare provider's autonomy support, duration after kidney transplantation, basic psychological need satisfaction, autonomous and controlled motivation, depression, and self-care behaviors. Collected data were analyzed using SPSS/WIN 24.0 and AMOS 24.0. Results: The hypothetical model demonstrated a good fit: RMSEA=.06, SRMR=.04, TLI=.94, CFI=.97. Statistically significant explanatory variables for the self-care behaviors of kidney transplant patients were duration after transplantation and basic psychological need satisfaction. Healthcare provider's autonomy support was indirectly significant, while autonomous motivation, controlled motivation and depression were not statistically significant for self-care behaviors. The variables accounted for 59.5% of the self-care behaviors of kidney transplant patients. Conclusion: It is necessary to develop an autonomy support program for healthcare providers to enhance the self-care behaviors of kidney transplant patients. Preventing the deterioration of self-care behaviors will be possible by conducting this program at one year and six years post-transplantation. In addition, the results suggest the need to developing personalized autonomy support programs for healthcare providers that can meet the basic psychological need satisfaction of kidney transplant patients.

The longitudinal effects of children's temperament on maternal depression: A hierarchical linear modeling approach

  • Kim, Chul-Gyu;Choi, Mi-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.1
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    • pp.91-100
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    • 2022
  • Purpose: This study aimed to identify the longitudinal effects of children's temperament on maternal depression. Methods: Data from a longitudinal cohort of the Panel Study of Korean Children (PSKC) from 2010 to 2012 were analyzed using hierarchical linear modeling. The survey included 1,721 mother-child dyads. The mothers reported on their children's temperament and on maternal depression. The children's temperament was measured by the Emotionality, Activity and Sociability-Temperament Survey for Children-Parental Ratings, while maternal depression was measured by the Kessler 6 Psychological Distress Scale. Results: The results showed that both children's temperament and maternal depression were relatively stable when the children were between the ages of 2 to 4. The mean maternal depression scores were 11.83 in 2010, 11.88 in 2011, and 11.75 in 2012. There were significant negative correlations between the maternal depression scores and children's ages, and sociability and activity subdomain scores ranged from r=-.05 to -.11 (p<.05). There was a significant positive correlation between children's emotionality subdomain scores and maternal depression scores (r=.35, p<.001). Children's temperament rament (emotionality: β=0.26, activity: β=-0.07, and sociability: β=-0.03) were significant factors in maternal depression. Conclusion: These findings indicate the need for the early assessment of and intervention for children's temperament and maternal depression. The results of this study will provide basic data for the development of nursing education programs related to early assessment and intervention to improve the health and quality of life of young children and mothers.

The experience of Long term Care Hospital Workers on Sexual Behaviors of the Elderly (노인 요양병원 종사자들의 노인 성행동 경험)

  • Cho, Han A;Sung, Kyung Mi
    • Journal of Digital Convergence
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    • v.20 no.1
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    • pp.317-326
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    • 2022
  • This study is an explorer study to investigate the experience of long term care hospital workers on the sexual behaviors of the elderly. The data were collected from August to October in 2019. The depth interview was implemented with using the semi structured questionnaires. The interview data collected from the participants were analyzed with using qualitative thematic analysis methods. The experience of long term care hospital workers regarding the elderly's sexual behaviors consisted of ten sub-categorized themes from the significant statements and was categorized into following four themes; 'Negative feelings related with elderlys' sexual behaviors', 'Difficulty of maintaining caring roles', 'Recognizing the absence of care for elderlys' sexual behavior', 'Accepting the therapeutic roles for elderlys' sexual behavior'. The findings could be the basic data for developing educational programs that help the long term care hospital workers understand the sexual behavior of the elderly.

Effects of Academic Stress and Resilience on Quality of Life for Life Care in School-age Children (학령기 아동의 학업스트레스, 회복탄력성이 라이프케어를 위한 삶의 질에 미치는 영향)

  • Yang, Mi-Ran;Yu, Mi
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.563-572
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    • 2019
  • This study was conducted to investigate the effects of school stress and resilience on school children's quality of life. The participants for this study were 266 children of 4, 5, and 6 grades at two elementary schools in G Metropolitan City. Data were collected from September to October, 2019. The participants were assessed for academic stress, resilience, quality of life, and analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation coefficient, and multiple regression analysis. As a result, factors affecting the quality of life of school-age children were academic stress (β= -.29, p<.001), extracurricular academic stress (β= -.19, p= .004), and resilience (β= .19, p<.001), this variable explained 31.2% of the quality of life of school-age children. The lower the academic stress and the higher the resilience, the higher the quality of life. Therefore, in order to improve the quality of life of school-age children, providers need to develop intervention programs that take these factors into account.

Food Habits and Dietary Quality by the Presence of Perceived Major Chronic Disease among Male Manufacturing Company Workers in Their 40s (40대 남자 생산직 근로자의 주요 만성질환 유병 인지 상태에 따른 식습관 및 식사의 질)

  • Eun Jeong Han;Mi-Hyun Kim
    • Journal of the Korean Dietetic Association
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    • v.29 no.4
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    • pp.230-247
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    • 2023
  • This study aimed to investigate the association between awareness of having a chronic disease with food habits and dietary quality among 320 male manufacturing workers in their 40s. Participants were categorized into groups. The first group comprised workers who were aware of having chronic diseases (ACD, n=160) and had been diagnosed with any one or more of the following major chronic diseases: Metabolic syndrome, hyperlipidemia, hypertension, obesity, and cardiovascular disease. The second group comprised those who had experienced none of the above diseases were classified as a group of people who were a ware of not having chronic diseases (ANCD, n=160). The mean age of the subjects was 44.2 years. The mean weight (P<0.001) and body mass index (BMI; P<0.01) were significantly higher in the ACD than in the ANCD group. The frequency of alcohol consumption and the number of current smokers were not significantly different between the two groups. Dietary attitudes were not significantly different between the two groups. The frequency of egg consumption was significantly higher in the ACD group (P<0.05). Picky eating, vegetable intake, checking nutrition labels, and healthy eating behavior were not significantly different between the two groups. The frequency of exercise was significantly lower in the ACD group compared to the ANCD group (P<0.05). The mean nutrition quotient (NQ) score was 51.9, with no significant difference between the two groups. Based on these results, the awareness of suffering from chronic diseases was not significantly related to dietary attitudes, food habits, and overall dietary quality among production workers. Therefore, there is a need to develop and implement nutrition education programs to inculcate an awareness of health status that can lead to dietary changes.