• 제목/요약/키워드: National health programs

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서울시 1개 구 구립 보육시설의 영유아 건강관리 실태 (Health Problems and Health Services in Child Day Care Centers)

  • 김지수;한경자
    • Child Health Nursing Research
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    • 제12권1호
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    • pp.25-33
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    • 2006
  • Purpose: To investigate the health problems and health services in child day care centers. Methods: Data were collected from 115 teachers at 16 child day care centers in Seoul city. A questionnaire was used to collect data, which were analyzed with the SPSS 12.0 program. Results: Most teachers had experienced various child health problems such as colds, hand․foot․mouth diseases, chicken pox, skin injuries, nasal bleeding, vomiting and diarrhea. Furthermore, they even experienced some serious ones including dysentery, measles, asthma and seizures, which demand professional skill. However, there were no registered nurses and most teachers requested that parents take a child home when these health problems happened. Only 31.3% of the child care centers had a teacher with CPR training. Approximately half of the centers kept child health records which included reports on allergic substances, and medical history but only 18.7% of the child care centers offered regular immunizations for the children. Conclusion: Various health problems were found in child day care centers. To maintain the children's health, there is a need to develop and make provisions for health services and programs in child day care centers.

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국내외 기준에 따른 소아청소년의 저체중, 과체중, 비만 유병률 분석 (Identifying the Prevalence of Thinness, Overweight, Obesity among Adolescents: A Comparison of National and International Growth References)

  • 한창숙;김수희;김효경
    • 한국보건간호학회지
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    • 제33권3호
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    • pp.364-378
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    • 2019
  • Purpose: This study examined the distribution of the body mass index (BMI) according to gender and age among Korean children and adolescents to compare the distributions of being underweight, normal, overweight, and obese using both Korean and international criteria. Methods: This secondary data analysis utilized the data of the 2016 Korean National Health Examination for School Students Height, weight, and BMI distributions among children and adolescents were analyzed using descriptive statistics, and the differences in BMI distribution according to gender and age were analyzed using chi-square tests. Differences in the mean BMI according to the Korean Centers for Disease Control (KCDC), the World Health Organization (WHO), and the International Obesity Task Force (IOTF) criteria were analyzed using ANOVA. Results: Using the IOTF criteria, the prevalence of underweight, overweight, and obesity among grades 1-12 students was 6.7%, 20.8%, and 7.1%, respectively; 1.6%, 21.3%, and 11.8%, respectively, according to the WHO criteria; and 5.8%, 10.1%, and 13.0%, respectively, according to the KCDC criteria. Conclusion: It is recommended to use the IOTF criteria for health promotion programs to target underweight children and adolescents while the WHO and KCDC criteria should be used for health programs for treating obese people.

금연프로그램 효과분석 논문의 현황 및 방향 (A Study on Papers of Smoking Cessation Program)

  • 현혜진;정혜선
    • 한국직업건강간호학회지
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    • 제11권2호
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    • pp.150-157
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    • 2002
  • The purpose of this study is to analyze papers of smoking cessation program into method and effect 13 papers that purblished from January, 1980 to Oct., 2001 in the country and 30 papers that purblished from Jan., 1980 to Jun., 1999 in other countries were analized. The result of this study can be summarized as follows 1) The most of subjects were students(46.5%) and residents(30.2%). 2) There were a few of papers based on the Theory(9.3%). 3) Programs included education(58.3%), reward (13.9%) and support(12.5%). 4) There were experimental design(46.5%), non-experimental design(29.5%) and experimental design(25.0%). The most of papers of non-experimental desigs were significant. 5) Behavior(48.7%), knowledge(15.4%) and attitude(12.8%) were evaluated as a effect of program. Knowledge had higher significant rate than other evaluation items. 6) Programs that was from a year to two years had the highest significant rate.

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국가 암 비용 감소를 위한 환자중심 진료의 적정성 확보 전략 (Strategies for Appropriate Patient-centered Care to Decrease the Nationwide Cost of Cancers in Korea)

  • 배종면
    • Journal of Preventive Medicine and Public Health
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    • 제50권4호
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    • pp.217-227
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    • 2017
  • In terms of years of life lost to premature mortality, cancer imposes the highest burden in Korea. In order to reduce the burden of cancer, the Korean government has implemented cancer control programs aiming to reduce cancer incidence, to increase survival rates, and to decrease cancer mortality. However, these programs may paradoxically increase the cost burden. For examples, a cancer screening program for early detection could bring about over-diagnosis and over-treatment, and supplying medical services in a paternalistic manner could lead to defensive medicine or futile care. As a practical measure to reduce the cost burden of cancer, appropriate cancer care should be established. Ensuring appropriateness requires patient-doctor communication to ensure that utility values are shared and that autonomous decisions are made regarding medical services. Thus, strategies for reducing the cost burden of cancer through ensuring appropriate patient-centered care include introducing value-based medicine, conducting cost-utility studies, and developing patient decision aids.

요양병원의 여가활동 만족도에 대한 전·후기 고령자간의 차이 분석 (An Analysis of the Difference between Early and Older elderly in Leisure Activities Satisfaction in Geriatric Hospitals)

  • 조덕영
    • 보건의료산업학회지
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    • 제12권4호
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    • pp.43-57
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    • 2018
  • Objectives: This study analyzes whether the leisure activities satisfaction of elderly and older elderly patients differs with population sociology characteristics for the leisure activities services provided by geriatric hospitals, and to provide basic information to make reasonable decisions. Methods: Difference Analysis of the difference (T-test, ANOVA) in leisure activities satisfaction was conducted for the elderly and older elderly patients hospitalized in nine hospitals. Results: First, In the planning stage of leisure activity program, it is necessary to consider the tendency of men and women to prefer gender-based leisure activity service. Second, It was found that old elderly patients were more in number than elderly patients. Third, managers of geriatric hospitals in Busan and Kyungnam area should consider the needs of the patients in the planning and implementation of leisure activities and improve their leisure activity programs or develop more programs for better customer satisfaction.

간호대학생의 국가고시 관련 시험불안, 자아존중감과 정신건강에 대한 연구 (Impact of Self-Esteem and Test Anxiety on Mental Health among Nursing Students Taking the National Examination for Registered Nurses)

  • 이선혜;김진경
    • 한국간호교육학회지
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    • 제16권2호
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    • pp.177-185
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    • 2010
  • Purpose: The purpose of this study was to examine the relationship between test anxiety, self-esteem and mental health. Method: Data were collected by structured questionnaires from 306 nursing students in a dormitory for the national examination for registered nurses. Collected data were analyzed by t-test, ANOVA, scheffe's test and Pearson's correlation coefficient and hierarchial multiple regression through the SPSS WIN program. Result: The results of the analysis showed that the mean for test anxiety was $79.70{\pm}18.74$ points, the degree of self-esteem was $28.26{\pm}5.02$, and mental health was $24.31{\pm}13.07$. In the correlation analysis, mental health positively correlated with test anxiety (r=.559, p=.000) and negatively correlated with self-esteem (r=-.141, p=.013). Test anxiety and subjective health status explained 36.4% of mental health. Conclusion: This finding of this study recommends that test anxiety control and self-esteem enhancement programs should be development for mental health promotion in nursing students taking the national examination for registered nurses.

초등학생 비만아동의 자기효능감이 건강증진행위에 미치는 영향 (The Effects of Self-efficacy on Health Promotion Behavior in Obese Elementary School Children)

  • 정남옥;전미숙
    • Child Health Nursing Research
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    • 제15권2호
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    • pp.228-235
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    • 2009
  • Purpose: The purpose of this study was to investigate the effects of self-efficacy and health promotion behavior in obese elementary school children. Methods: The participants for this study were 280 students from seven elementary schools, located in Chonbuk Province. For data analysis, descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and simple linear regression were used with SPSS WIN ver 15.0 Program. Results: The mean scores for self-efficacy and health promotion behavior were $2.95{\pm}0.60$ and $2.99{\pm}0.39$ respectively. There were significant positive correlations between health promotion behavior and self-efficacy (r= .614, p<.001). The main predictor of health promoting behavior in obese elementary school children was self-efficacy, which explained 37.7%. Conclusion: The findings from this study indicate a need to develop nursing intervention programs to health promotion behavior in obese elementary school children including the promotion of self-efficacy.

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보건소 비만예방관리 사업 현황 및 요구도 분석 (Current Status and Needs Assessment for Obesity Prevention and Management Project at Public Health Centers)

  • 박지영;임미해;백설향;박종원;황가희;김완수;오유미;조아라;조지은
    • 지역사회간호학회지
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    • 제32권3호
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    • pp.368-381
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    • 2021
  • Purpose: The obesity prevention and management program led by public health centers are important in the community. This study aims to identify the current status of obesity prevention and management programs at public health centers and perceptions regarding facilitators and barriers when implementing programs. Methods: This study used a concurrent mixed methods design. A survey was conducted to investigate the current status and infrastructure of the obesity prevention and management program at eighty-three public health centers nationwide. Nine program managers and six local residents with experience in the program were interviewed by using a semi-structured questionnaires. Results: Most of the infrastructure facilities for the program were inadequate, and insufficient budgets and lack of professional staff were identified as barriers. Facilitators included diversification of program delivery methods, operator competence, and visible outcomes and rewards. For the effectiveness of the program, it is vital to have adequate assistants, a sufficient budget, various promotional methods, and connections with various institutions in the community. On this basis, it is acknowledged that the public health center serves as a platform for preventing and managing obesity in the community. Conclusion: It is expected that infrastructure improvements in public health centers and the link with community resources are needed. In addition, there is an urgent need to set standards for obesity prevention and management programs implemented in public health centers to 'resolve regional disparities'.

초.중.고등학생의 아침결식 관련 변인: 2001년 국민건강.영양조사 자료 분석 (Factors Associated with Skipping Breakfast in Korean Children: Analysis of Data from the 2001 National Health and Nutrition Survey)

  • 여윤재;윤지현;심재은;정상진
    • 대한지역사회영양학회지
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    • 제13권1호
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    • pp.62-68
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    • 2008
  • The purpose of this study was to identify the factors associated with skipping breakfast of Korean children by analyzing the 24-hour recall intake data from the 2001 National Health and Nutrition Survey. The sample of this study consisted of 1,600 children aged 7 to 18 years. About 17% of the children skipped breakfast, consuming no food or beverage at all. About 30% of children reporting breakfast skipping in a self-administered survey were shown to have eaten some foods as a result of analysis of the 24-hour recall data. Students having eaten breakfast consumed 21% of Estimated Energy Requirement at breakfast. The multivariate logistic regression analyses showed that age was associated with skipping breakfast both in elementary and middle/high school students; older students were more likely to skip breakfast. Elementary school students from low-income families were more likely to skip breakfast than those from upper-high income families. Intervention programs are needed to prevent children from skipping breakfast by targeting older students. For elementary school students, such programs should be first developed for those from low-income families.

노인의 삶의 질 향상을 위한 주관적 구강건강에 영향을 미치는 요인 (Influencing factors for perceived oral health for the improvement of quality of life in Korean elderly)

  • 오한나;김지현
    • 한국치위생학회지
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    • 제16권3호
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    • pp.491-498
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    • 2016
  • Objectives: The purpose of the study was to investigate the influencing factors of the perceived oral health for improvement of quality of life in Korean elderly. Methods: The subjects were 1,289 elderly over 65 years old from the sixth National Health and Nutrition Examination Survey 2013. The dependent variable was subjective oral health status. The independent variable was sociodemographic characteristics. Results: The perceived oral health of the unemployed elderly and those having chewing problems were 1.65-fold(95% CI=1.12=2.44) and 3.45-fold(95% CI=2.37-5.02), respectively than employed and chewable elderly. The perceived oral health of the former was 2.49-fold worse(95% CI=1.73-3.60) than the latter. Conclusions: The influencing factors of perceived oral health status included occupation, perceived health status and chewing problems. To improve the oral health-related quality of life in the elderly, continuous education and hands-on programs should be provided for the elderly in the long term care.