• Title/Summary/Keyword: Need assessment of health promotion program

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Management Strategy by Evaluation on Comprehensive Health Problem in the Community-dwelling Elderly of Korea (재가노인의 포괄적 건강문제 평가와 관리방안)

  • Lee, Jae-Chang;Kim, Eun-Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.3
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    • pp.464-472
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    • 2006
  • Purpose: The aim of this study was to define the health problem in the community-dwelling elderly of Korea and to compare differences of CAPs(Client Assessment Protocols) by characteristics. Method: Data was collected by visiting nurse from 556 elderly over 65 years in selected metropolitan areas. To evaluate the functional state of elderly in the community, I used "RAI-MDS HC; Residental Assessment Instrument Minimum Data Set-Home Care(2.0 version)" and established information exchange system among resources, by developing the data into a computer program. Results: The health problem of 'preventive health measures' was the largest(99.6%), and then 'health promotion(85.3%)', 'visual function(75.5%)', 'psychologic drug(68.9%)', 'pain(68.5%)', ‘social function(59.2%)', 'communication disorders(56.2%)', 'environmental assessment(53.2%)', 'depression & anxiety(46.9%)', 'oral health(43.4%)' followed. The number of health problems was average 10.16 in the community-dwelling elderly. Conclusion: The results suggest the need to emphasize the importance of assessment of the health problem of the elderly. We can apply it in the distribution of community resources and the development of service providing programs by figure out the health problem and resource in need for the elderly in the community.

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

  • Park, Jiyoung;Im, Mihae;Baek, Seolhyang;Park, Chongwon;Hwang, Gahui;Kim, Wansoo;Oh, Yumi;Cho, A Ra;Jo, Jieun
    • Research in Community and Public Health Nursing
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    • v.32 no.3
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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'.

A Study on Health Promotion Needs Assessment of the Rural Elderly in Korea (한국농촌노인의 건강증진관리요구에 관한 연구)

  • Cho So Young;Kim Jum Ja
    • Journal of Korean Public Health Nursing
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    • v.10 no.2
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    • pp.146-161
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    • 1996
  • This study was purposed to find health promotion and care needs of the elderly in rural area of Korea. As the rural elderly are limited in accessibility to health care resources and could not immediately solve their health care needs when they need. health promotion and care services are expected to bring better and more practical solutions of their health care needs. Thus, the type of health care services to be developed in Korea rural area is discussed to have emphasis on health care service component in addition to health promoting components. Methods of this study was based on survey data analysis : total 322 persons aged older than 55 living at one 'Kun' in Korea administrative unit were interviewed by health workers working at the region and also get trained for this study data collection. The data collection interview was continued from February till May in 1996. The interview questions were modified with adjustment to Korea situation. with basis of the WHO's health promotion program components. The collected data were analyzed using SAS program for frequency, correlation, regressions. The major findings were as follows : (1) $74.8\%$ of the surveyed were sick at the survey time point. and $95.9\%$ known the diagnosis name of the disease. The most frequently complained diseases were Muscular-Skeletal diseases $(43.7\%)$. $34\%$ of those sick had never treated or discontinued therapeutic procedures. so that shown the necessity of systematic and usual health care services with health promotion program development for the elderly. (2) The percent of those who make social participation was $95.3\%$. and the activities were visiting neighbors $(70.4\%)$ and lack of qualified social activity programs. (3) $78.1\%$ of the surveyed had health counseling and education from professional health workers. Those ceased smoking and drinking were $59.6\%,\; 60.3\%$. respectively. Those had no application of therapeutic drugs or nutrion supplements was $40.7\%\;and\;94.1\%$ had regular meals. Those practiced exercises was low remarking $17.7\%$. (4) Positive health behaviors were better carried out by sick groups than by the healthier. except smoking. regular meals. and exercise. $17.5\%$ of sick group smoke more than one case of cigarettes. in contrast to $9.5\%$ of the healthier. (5) Mental health status was heathier among positive health behavior earners. Health counseling and education shown better score of mental health than those never counseled. (6) Positive health behavior practice frequency did not show significant differences when crossed by social activity participation status. (7) Health behaviors of the rural elderly people were carried out better when they had positive 'continuency in therapeutic procedure' 'health status'. 'familial relationship'. 'Health Status' of the rural olderly were explained by 'exercise'. 'drinking'. 'familial relationship'. 'activities of daily living'. Thus, health behaviors practice mutually interact with health status. In conclusion. the health promotion and care program component are recommended to include ation on the necessity of positive health promotion active social acitivities. pleasant life style, adaption into changes on the elderly, safety in residential area. community acitivity and resource utilization. etc .. in addition to the elderly's disability and sickness caring services.

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Development of Health Information Program for the Middle Aged Women (중년여성을 위한 건강정보 프로그램 개발과 건강교육 활용에 관한 연구)

  • Park, Hyeoun-Ae;Park, Young-Sook;Oh, Hyo-Sook;Kim, Hoo-Jung
    • Women's Health Nursing
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    • v.8 no.2
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    • pp.165-176
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    • 2002
  • The purpose of the study was to develop a Web site for the middle-aged women and test the usability of the site. Users' need for information were identified via online survey of 189 middle-aged women. It was found that they had various health problems but very few did any health prevention or health promotion activities. A web site for the middle-aged women was developed based on the result of needs assessment. The site includes content on exercise, diet including weight control, osteoporosis, climacteric, aging, breast and cervical cancer. Besides this health information, FAQ on women's health, my health knowledge test, statistics, link to related institutes and web sites, newspaper articles/mass media clips, journal articles, conferences, papers and other educational information were added. The site was developed as a subsystem of the Healthguide(http://healthguide.kihasa.re.kr). As a way of utilizing the homepage, twenty two women aged 40-50 were recruited at a community-based gathering and health promotion education program was conducted. To test the effectiveness of the education, knowledge, attitude and behavior changes of before and after education were compared. There were significant differences of knowledge and behavior in breast cancer, cervical cancer, osteoporosis, menopause and sexual life. It is expected that Web-based women's health information will contribute to women's health promotion and provide an effective learning media for health education.

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Determinants of women's contraceptive use in rural Ethiopia using Andersen's model (앤더슨 모형을 이용한 에티오피아 농촌지역 거주 여성의 피임실천 영향요인)

  • Sim, Boram;Nam, Eun Woo;Jin, Ki Nam
    • Korean Journal of Health Education and Promotion
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    • v.33 no.2
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    • pp.77-87
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    • 2016
  • Objectives: This study was conducted to provide data in order to develop effective family planning programs by analyzing the factors which affect contraceptive use among women in Ethiopia. Methods: The community health survey was conducted on women of childbearing age. The research model was developed based on Andersen's Model. A total of 320 respondents were analyzed through Chi-square analysis, t-tests and logistic regression analysis. Results: Contraceptive prevalence rate was 43.1% and most of them were using modern and short-term methods. Among three factor categories, the need factor(unwanted pregnancy experience) was revealed as the most important factor, following enabling factor which was knowing the FP services in health center. Conclusions: These results lead to several conclusions. First, the results imply that programs should focus on women who are in the over 30yr. as well as the poorer economic group and urban residents. Second, to improve the effectiveness of the program, it is important to help them to be motivated themselves and to promote knowledge on various methods. Third, in terms of service delivery, community health workers are expected to take a crucial role. To improve the availability of services, they should provide practical services as those in health center.

The Relationships among Experiences of Traumatic Events, Post-traumatic Stress and the Needs for Health Promotion Programs of 119 Paramedics (119구급대원의 외상사건 경험, 외상후 스트레스와 건강증진 프로그램 요구도와의 관계)

  • Kang, Mi Suk;Kim, Young Im;Geun, Hyo Geun
    • Research in Community and Public Health Nursing
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    • v.28 no.4
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    • pp.524-536
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    • 2017
  • Purpose: This study aims to examine the relationships among experiences of traumatic events, post-traumatic stress (PTS), and the needs for health promotion programs of 119 paramedics. Methods: Experiences of traumatic events, PTS, and needs for health promotion programs were measured using a structured questionnaire. The subjects were 193 paramedics in Jeju Island. Data were analyzed using descriptive statistics, t-test and $x^2$ test. Results: The most experienced event out of the 16 different traumatic events was 'retrieve a suicide's body.' A high-risk classification of PTS was observed in 36.2% of the subjects. The rates of experiences were higher than those of the actual needs for all 26 health promotion programs. The programs reported as highly needed by respondents were stress management (75.5%) followed by exercise (74.6%) and PTS management (72.5%). Subjects with longer career periods, a fire sergeant, perceived obesity, numerous experiences of traumatic events, and in the PTS risk group had a higher need for a stress management program. Conclusion: These findings indicate that a significant number of 119 paramedics experienced PTS. They also show that onsite strategic management is strongly required. In addition, implementation of health promotion programs based on the needs of 119 paramedics is highly needed.

Development of a Theory Based Nutrition Education Program for Childbearing Aged Women in Korea (행동이론에 근거한 가임여성 대상 영양교육 프로그램 개발)

  • Oh Se-Young;Kim Kyung-A;You Hye-Eun;Chung Hae-Rang
    • Korean Journal of Community Nutrition
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    • v.9 no.6
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    • pp.725-733
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    • 2004
  • It was well received that well grounded behavioral theories were important in the development of effective nutrition education programs, but there are only a few programs available for Korean women. The objective of this study was to develop nutrition education programs for childbearing-aged women in Korea. Based on the findings of the needs assessment for the program and theoretical backgrounds, we developed behaviorally oriented tailored nutrition education program including motivation (MT), modifying (MD) and maintenance (MA) stages. The key concepts of the stages were motivation promotion for MT, increasing behavioral capabilities for MD, and strengthening self-management and building favorable environmental condition for MA. The education program was intended to be need in individual nutrition counseling, but it could be well used for group education by developing materials using the relevant contents. The primary users of the program were nutrition educators, however it could be also used by clients as needed. The introductory chapter provided dietary assessment tools and nutrition education tips. MT chapter included subjects such as nutritional status screening, costs of inappropriate nutrition and weight management, benefits of eating right, and activities for motivation promotion. MD stage chapter dealt with topics of healthy weight, knowledges and skills for better eating habits and physical activity status, and activities related to setting tailored behavioral objectives. MA stage focused on facilitating self management skills and building helping relationships. Each stage underlined activities using various educational tools in order to promote active participation of the client (s). For better use of this program, it was recommended to conduct program validation study.

A Study on the impact of rural older adults residence type and social activity participation on health-promoting behaviors : a gender perspective

  • Hyoun-Woo Choi;Joo-Lee Son;Yoon-Ji Choi;Jung-Shin Choi
    • Journal of the Korea Society of Computer and Information
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    • v.29 no.5
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    • pp.131-142
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    • 2024
  • In this paper, we propose antecedent factors that influence health promotion behaviors among rural older adults by gender. The study analyzed data from the 'Need Assessment Survey for the Development of Customized Care Programs for Rural Older Adults' conducted by the Rural Development Administration. The analysis utilized data from 502 individuals aged 65 and older residing in rural areas. The analysis method used SPSS 25.0 program to conduct descriptive statistics, chi-square analysis, correlation analysis, and hierarchical regression analysis. The analysis results showed differences between men and women in practicing health promotion behaviors. For men, lower age, lower education level, living with a spouse, and participating in social activities were associated with higher levels of health promotion behaviors. For women, older age, better self-rated health status, and participating in social activities were associated with higher levels of health promotion behaviors. This study provides baseline data to promote health promotion behaviors among rural older adults according to gender and suggests policy and practical implications based on the findings.

An Analysis on Factors Related to Health Management & Disease Awareness of Industrial Workers (산업장 근로자들의 건강관리 및 질병에 대한 인식과 관련요인)

  • 전봉천;남철현
    • Korean Journal of Health Education and Promotion
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    • v.13 no.2
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    • pp.1-23
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    • 1996
  • This study was conducted to investigate health management and health awareness of industrial workers and use the information for the development of health education program and the guidline of health management for industrial workers. The survey was carried out on 1,200 workers who were selected from Incheon, Ulsan, Pohang, Masan, Changwon city from Oct. 2 to Oct. 31. 1995. The main results are summarized as follows. 1. With regard to health behavior after regular physical examination, 48.3% of subjests answered "consulting with medical doctors or health workers" and 7.9% answered "non action anything", 2. As for need of environmental control of work, of the total subjects, 96.1% answered "need". 3. As for participation of health education, 61.2% of the subjects were positive, which was higher in male, in higher age groups, in middle school graduates, in healthy group by self assessment than other groups respectively. 4. As for knowledge level of the disease, the average score was $4,97{\pm}1.41$ point to 7 point full mark (71 point to 100 point full mark), the score level was higher in male higher economic, in office workers, in higher education groups, in working period longer groups, in healthier groups, in higher age groups than other groups respectively. 5. As for attitude level of the disease, the average score was $4,70{\pm}1.25$ point to 7 point full mark (67.1 point to 100 point full mark), which was lower, in higher age group, in longer education level, in healthier groups in longer working period than other groups respectively, while the score was higher in male, in day-time workers, in urban residence than other groups respectively.han other groups respectively.

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Analysis of the Current Hypertension Control Program in Public Health Centers (지역사회 고혈압 관리 사업의 방향 재설정)

  • Chin, Young-Ran;Lee, In-Sook
    • Research in Community and Public Health Nursing
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    • v.15 no.3
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    • pp.385-396
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    • 2004
  • Purpose: Hypertension has been a major cause of death in Korea since the 1970s, and has resulted in being a significant economic burden to the finances of national health care. The Ministry of Health and Welfare made several efforts. but hypertension control programs in Korea are still non standardized and ineffective. We wanted to investigate the current hypertension control program in public health centers systematically and suggest the direction for future programs. Method: The design of this study is a cross sectional investigation. From September to October in 2002, we sent a set of questionnaires to all PHCs, and 179 centers responded (response rate = 74.0%). The instrument was developed based on components of National health systems. Results: 1) Resources: The department responsible for hypertension control programs is the Department of Health Promotion. Health Education Center, Community Health Center, Citizen's Health Center, etc. The chief personnel of those departments are nurses. but 27.4% of PHCs have no full time nurse for hypertension management programs. PHCs had a lot of teaching materials (nine types per a PHC) and most of the recommended contents were included. But, periodical evaluation and revision were not being made, 2) Management: Nurses' (13.03 9.46 in 23 score) actions for hypertension control were not qualitative, but regular training and evaluation were seldom carried out. Need assessment (25.9%) and evaluation (about 10-20%) for the hypertension control program were indicated as low. 3) Programs: Programs focused on individuals rather than community or public, and 2nd prevention rather than 1st, 3rd prevention. Conclusion: The Ministry of Health and Welfare has to construct the infrastructure for hypertension control programs. Related scholars and committees should develop and declare standardized manuals for hypertension control and the management system, as well.

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