Purpose: The aim of this study was to assess the readability and suitability of printed educational materials related to metabolic syndrome in South Korea. Methods: Data were collected on 15 educational materials on metabolic syndrome from public health centers in Seoul. The 9 Graded Korean Vocabulary Classification and Korean version of SAM (Suitability Assessment of Materials) were used for the readability evaluation and the suitability evaluation respectively. Results: Overall average of the readability was 3.0th grade level. The percentage of 1st to 4th grade words was 79.4%. The printed educational materials on metabolic syndrome were written according to recommended reading levels. In suitability assessment, 2 out of 15 materials(13.3%) were scored as superior, 12 materials(80.0%) were scored as adequate and only 1 (6.7%) was scored as inadequate. The total average score of suitability was adequate. However, there are limitations in "summary and review" and "context is given first" due to limited writing pages. Conclusion: Readability and suitability of educational materials for metabolic syndrome were evaluated as adequate level. However, future health educational materials should be evaluated for readability via different factors including length of sentences, numbers of sentences, and structure of sentences. In addition, for easier understanding and motivation of readers, materials should use summary & review, context and proper interaction.
Purpose: The purpose of this study was to identify the effect of a community-based health promotion program for elders. Method: The research design was a nonequivalent control group experimental design. The participants were 415 elders who were above 65 years of age (mean age: 80.7, experimental group: 126, control group: 289). For 4 months, the health promotion project which consisted of health education and activity related to smoking, drinking, nutrition and exercise was given to the experimental group. Data were analyzed using descriptive statistics, ${\chi}^2$-test, and t-test with the SAS V8e program. Result: After the intervention, the experimental group showed a higher level of health promotion behavior compared to the control group in health education experience, exercise, smoking, and drinking. There were no differences between the experimental and control groups for nutrition, or high risk drinking and smoking. Conclusion: The results of this study show that the health promoting program for elders provides useful information in developing effective community-based programs and can be recommended as effective interventions to improve the health promoting behavior of elders.
This study was done to suggest directions for research and interventions of health promoting behaviors in Korean older adults in the future. Thirty seven articles for health promoting behaviors in Korean older adults were reviewed and analyzed. Findings are summarized as follows: 1) The total scores of the HPLP in Korean older adults were 2.30-2.44 out of 4 points. In the subscale, the highest degree of performance is nutrition, following interpersonal support, self actualization, stress management, health responsibility and the lowest degree of performance was exercise. 2) The total scores of the Health Behavior Assessment Tool of the Korean Elders were 2.87-3.2 out of 4 points. 3) Among the characteristics of older adults, monthly pocket money, previous job had consistently significant relationships with health promoting behaviors. Sex, job and presence of disease were consistently insignificant relationships with health promoting behaviors. 4) Perceived health status, self efficacy, self esteem, family support and social support had consistently significant correlations with health promoting behaviors. 5) In regression analysis, self efficacy, family support, depression, self esteem were the most powerful predictors of health promoting behavior in more than two articles. Predictors accounted for 14.2-65.2 % of the variance in health promoting behaviors of Korean older adults. On the basis of above findings, It is necessary to develop the interventions for more regular practice of the health promoting behaviors in Korean older adults. The interventions are recommended to focus increasing the exercise & health responsibility and to use the strategies to increase self esteem, self efficacy, social support including family support.
The purpose of this study was to analyze the trends of family nursing research in Korea. The subjects were 62 articles, 132 master theses and 20 doctoral theses published during the period between 1970-1997.7. The results are as follows. 1. The types of research that were analyzed were factor isolating. 34.1%, factor relating, 54.2%, situation relating. 6.1% and situation producing, 3.7%. 2. Research designs were experimental studies, 6. 1%, non-experimental studies, 89.7% and qualitative research, 4.2%. Survey research was the method used in 82.7% of the papers. 3. On the research subjects, 94 papers dealt with the family member of a patient or a single person, 59 papers dealt with a patient and 7 papers dealt with whole family. 4. On the places of studies, 64.0% of the studies were done in hospital rooms, 12.9% in the communities and community facilities. 12.0% in schools, 10.7% in the home, and 0.4% an occupational setting. 5. The most frequently used family concept in the title of the articles was "family support"(59 papers) followed by family function and family burden. 6. The most frequently used family assessment tool was Family Environment Scale(FES) developed by Moos & Insel. 7, According to family nursing domain described by Murphy' and Meister'study, the subdomain, relationship of the family and disease was found 83.2%. 8. Four papers built conceptual frameworks based on various theories of researchers. Eleven papers applied family theories and five papers applied nursing theories. Based on the above findings the following suggestions are made. 1. The various domains of family nursing research should be used including in the relationship of family and health, health policy and family. transcultural family research, and theoretical approach to family. 2. Qualitative research should be used for family nursing research. 3. Family assessment tools should be developed for the Korean family.
Purpose: This study aimed to investigate the rate of and factors associated with influenza vaccination in Korean elderly people. Methods: For this retrospective cross-sectional study, we used data from the Korean National Health and Nutrition Examination Survey (KNHANES) 2008. A total of 1,516 men and women aged 65 or above were included. The data were analyzed using descriptive statistics and logistic regression. Results: The overall rate of influenza vaccination in 2008 was 73.6%. The vaccination rate was lower in women (73.2%) than in men (74.2%; p<.001). It was lower in the elderly aged 80 and above, those living in metropolitan areas, smokers, those who did not receive regular health screening, those who had no history of hospitalization within one year, and those who had liver diseases than in the other groups. The rate of vaccination was higher in those with cancer. Logistic regression analysis revealed that for both men and women, the significant correlates associated with vaccination were demographic factors, chronic disease and health behavior. Conclusion: The influenza vaccination coverage needs to be improved. Efforts should be made to reach the elderly population with relatively low influenza vaccination rates and to increase awareness about the importance of vaccination at a personal and community level.
Purpose: The purpose of this study was to identify professional competencies of visiting nurses in public health centers. Methods: A methodological study for the development of visiting nurses' professional competency was conducted through the review of literature and construction of a conceptual framework for the development of professional competence. After reviewing the content validity of each question and confirming the items of the preliminary tool, the construct validity of the tool was verified through exploratory factor analysis and internal reliability was confirmed. Results: After constructing 5 factors relating to the visiting nurse's professional competence, 25 items were developed, based on verification of content validity by experts. The results of the exploratory factor analysis showed that the professional competence of the visiting nurse was influenced by factors such as "health assessment and screening," "health teaching and counseling," "interprofessional communication", "program planning and implementation", and "Professional development". These five factors accounted for 76.38% of the professional competencies of the visiting nurse. Conclusion: The professional competence of the visiting nurse is consistent with the aim of the visiting nursing project. Also our results will contribute to baseline data used to evaluate the quality of work of the visiting nurse.
Purpose: To identify the characteristics and health-care needs of high-risk pregnant women in maternal-fetal intensive care units (MFICU). Methods: A mixed-methods design was adopted. Data were collected from 78 high-risk pregnant women admitted to the MFICU. Qualitative data included ten participants' experiences with hospitalization and childbirth, which were analyzed using mixed content analysis. Quantitative data were analyzed using at-test and one-way ANOVA testing. Results: The average score for pregnancy and childbirth health-care needs was 3.54 points. Average score by area was before-admission health care (3.70), health care of baby (3.67), health of childbirth (3.61), postpartum health (3.51), and pregnancy health care during hospitalization (3.48). Qualitative results showed diverse feelings and experiences of high-risk pregnant women and their need for health care, which was expressed in three themes and 11 sub-themes. Conclusion: Nurses should recognize high-risk mothers' feelings and needs for pregnancy and childbirth-focused health care to help patients accept their vulnerability and cope positively.
Purpose: The purpose of this study was to investigate the health education needs of mothers who are nurturing children with disabilities. Method: A descriptive study was done and the participants were 108 mothers of children with disabilities such being mentally challenged, developmentally delayed or having a disability involving brain damage. The questionnaire was a health education need assessment with 11 categories(58 items) developed by Han et al. The data were analyzed using SPSS program. Results: The mean score for health education needs of the mothers of children with disabilities was 3.83 (SD=0.58) out of a maximum 5. The health education need for acquisition of knowledge and information had the highest score (4.40±0.54) followed by health education needs for cognitive development and learning (4.31±0.64), interpersonal relationships (4.04±0.65) and behavior and emotion (4.04±0.79). There were significant differences between the children's sex (t=2.08, p=.04), birth order (t=2.17, p=.03), grade of disability (F=3.32, p=.02) and sex education suitable to the child's in age. Conclusion: The health education needs of mothers of children who are disabled were very high and varied. Therefore, it was important to develop comprehensive education programs which include this content and provide opportunities for mothers of children with disabilities to receive this education.
Background: Few studies have examined the performance of the public long-term care insurance (LTCI) from the perspective of geographic equity. This study investigated regional variations and associated factors in the supply and utilization of nursing home care within and also between Japan and Korea. Methods: A comparative dataset was developed by extracting data from 2013-2015 LTCI statistics yearbooks and Organization for Economic Cooperation and Development regional statistics, as well as other comparable data in Japan and Korea. The unit of analysis was the prefecture in Japan and the province in Korea. We computed variation indices and conducted regression analyses for regional variations within each country and decomposition analyses to examine the variations between the countries. Results: The overall regional supply and use of nursing home care were higher in Japan, but the regional variations in Korea were larger than in Japan. In both countries, the nursing home supply was negatively associated with the proportion of older people with independent living. Nursing home use was also negatively associated with the supply of hospital beds and home care agencies in Korea; the relationship was the opposite in Japan, however. The country-based differences were more likely to be explained by differences in the distributions of the variables included in the analytical model than country-specific characteristics. Conclusion: Regional-level nursing home supply and use were unequal in both countries, and the contributing factors were not the same. Policy efforts are needed to advance regional equality in long-term care (LTC) and collaboration between health and LTC institutions for frail older people, especially in Korea.
Purpose: The purpose of this paper is to describe the development of health educational program for maternity using principle of user centered design. Method: Research process includes five distinct phases: needs assessment, analysis, design, development/testing/revision, and application release. Results: This program includes an introduction, pregnancy test and fetal assessment, maternal and fetal change during pregnancy, self-care methods during pregnancy, complication of postpartum period, process of labor, complication of pregnancy, self care during the postpartum period, information for parenting skill, father page, FAQ, helping resources and institutions. Conclusion: The program will be distributed to health centers for maternal health education. The second phase of this project was evaluation this program for further development of the program. The end result of this program will be pregnant women with a high degree of usability. Author believe this program have true potential in helping maternal health promotion and successful parenting.
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