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Prenatal Health Management Knowledge, Practices, and Depression in Vietnam Women of Childbearing Age (Living in Vietnam vs. Living in Korea) (베트남 가임기 여성의 산전건강관리 지식과 실천행위 및 우울 (베트남거주 vs 한국거주))

  • Ahn, Hyunmi
    • Journal of agricultural medicine and community health
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    • v.48 no.2
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    • pp.118-131
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    • 2023
  • Objectives: This study aimed to provide essential data for the development of a prenatal healthcare intervention program tailored to Vietnamese migrant women. This study assessed the knowledge and the practice of prenatal health management, and the levels of depression among Vietnamese women of childbearing age residing in Korea and Vietnam. Methods: Using a descriptive research design, a structured questionnaire was administered to Vietnamese women of childbearing age, with 113 participants residing in Korea and 196 participants residing in Vietnam. Data was collected from Februay to April 2021. Data was analyzed using t-test and chi-square test. Result: The analysis of knowledge regarding prenatal health management revealed significant differences between married women in both locations, with higher knowledge scores. Regarding prenatal health management practices, no significant differences were found based on marital status or place of residence. Particularly in the item "Will receive regular prenatal check-ups at the hospital." married Vietnamese women in Vietnam had lower scores than unmarried women, and rural women had lower scores than urban women. The lowest score was observed among Korean-residing women in the item "Will seek pregnancy and childbirth information." Regarding depression, married women in Vietnam and women living in rural areas demonstrated significantly higher depression scores. Conclusion: When designing perinatal management interventions for Vietnamese immigrant women, special attention should be given to those originating from rural areas in Vietnam. It is recommended to incorporate the importance of perinatal healthcare and factors related to mental well-being into the intervention program.

A Study on the Effects of Pain, Sleep pattern, Life satisfaction on Depression in Elderly Women with Osteoarthritis (골관절염 여성노인의 통증, 수면양상, 생활만족도가 우울에 미치는 영향)

  • Lee, Yun Jeong
    • 한국노년학
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    • v.31 no.2
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    • pp.211-222
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    • 2011
  • The purpose of this study was to assess pain, life satisfaction, sleep pattern, and depression and the relations between these in elderly women with ostearthritis. Methods: The subjects were 124 elderly women with osteoarthritis at senior center in C city. Data were analyzed by descriptive statistics, Pearson's correlation coefficients, and multiple regression with SPSS/WIN 14.0. Results: The major findings of this study were as follows. 1) The mean score of variables were pain 2.58, life satisfaction 65.4, sleep pattern 37.6 and depression 13.58. 2) 43.5% of the subjects belonged to depression group. 3) There were significant relationships between depression and pain, life satisfaction, sleep pattern. 4) Significant factors influencing depression were life satisfaction, pain and sleep pattern. These factors explained 48% of depression in elderly women with ostearthritis. Among them, life satisfaction was the most significant factor. Conclusion: These finding give useful information for constructing an intervention and preventive program depression in the elderly women with osteoarthrtitis.

Effects of Death Education on Attitude toward Death and Depression in Older Adults (죽음준비교육이 노인의 죽음에 대한 태도와 우울에 미치는 효과)

  • Oh, Chin-Tak;Kim, Chun-Gill
    • 한국노년학
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    • v.29 no.1
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    • pp.51-69
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    • 2009
  • The purpose of this study was to identify the effects of death education on attitudes toward death and depression for older adults. A death education program consisted of needs of death education, alternatives for dignity on death, not ending death(I, II), hospice(I, II), and 9 patterns of death(I, II, III). Participants in this study were 38 older adults aged 60 years or older. Attitudes toward death and depression scales for Korean elders were employed. The data collection and intervention were performed from January to June, 2008. The subjects participated in a death education program for 1 time per week during 10 weeks. The data were analyzed with t-test, and Pearson correlation coefficients with SPSS/Window 14.0. After the intervention, the subjects showed significant difference in attitudes toward death compared to that of pre-intervention. The subjects after the intervention showed no statistical differences in change of depression compared to that of pre-intervention. Also, attitudes toward death were negatively related with depression both before and after interventions, but the change of relation was not significant. The findings of this study contributed to extend the base of program developments on death education enhancing attitudes toward death among Korean older adults.

A Study on the Major Factors Affecting Health-Related Quality of Life of Elderly Stroke Survivors (뇌졸중 생존 노인들의 건강관련 삶의 질 영향 요인)

  • Yang, Jung-Bin
    • 한국노년학
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    • v.30 no.4
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    • pp.1239-1261
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    • 2010
  • The main purposes of the study were to identify factors affecting health-related quality of life of elderly stroke survivors, and to suggest social work interventions for improving their quality of life. The participants were 328 elderly stroke survivors over 55 years old recruited from 18 long-term care hospitals and 13 nursing care facilities in Chung-Nam Province, Korea. The data was collected through a direct survey method from Dec. 16, 2008 to Jan. 17, 2009. Statistical analysis revealed that the overall health-related quality of life among participants was relatively low, especially in the social relationships domain. As a result of hierarchical multiple regression analysis, depression emerged as the most significant predictor of elderly stroke survivors' health-related quality of life, followed by financial burden in future, activities of daily living, acceptance of disability, comorbidity, and major financial supporter(spouse). Health-related quality of life of elderly stroke survivors in long-term care facilities was affected by a variety of variables from disease-related factors to environmental ones. Particularly psychosocial variables were the most powerful factors to predict HRQOL of elderly stroke survivors. Based on the results, social work implications were discussed in the context of developing clinical strategies to alleviate elderly stroke survivors' health-related quality of life in long-term care facilities. Living with chronic illness and disability is a great challenge to the elderly. Most of all long-term residence in care facilities can cause deterioration of quality of life in old age. From now on, studies on health-related quality of life of elderly with chronic illness and disability should be activated in social work field.

Development and Validation of the Classification of Home-based Long-term Care Activities (노인장기요양보험 재가서비스 분류 틀 개발 및 타당도 검증)

  • Song, MI Sook;Song, Hyun Jong
    • 한국노년학
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    • v.34 no.2
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    • pp.369-386
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    • 2014
  • The purpose of this study was to develop the classification of home-based long-term care activities and to test its validity. In this study, the taxonomy of long-term care activities was structured according to the service domain and process. Two expert groups participated in making a draft of the taxonomy that was composed of 7 service domains, 22 care needs, 22 service objectives, and 114 activities. Reliability and validity of the taxonomy was tested in a sample of 152 elderly subjects who used the home-based long-term care services. Based on the factor analysis of 114 activities, 21 factors were extracted from 114 activities. Internal consistency of the factors was high. Content validity was confirmed by the CVI. Long-term care insurance grade was used to assess the criterion validity. Among 21 care needs, 12 cares needs were significantly different from their grade. The classification of home-based long-term care activities demonstrated reliability and validity. In conclusion, the use of this classification is recommended while communicating with the elderly subjects, service providers, and the 3rd party payers.

An Analysis of Factors Affecting Financial and Operating Efficiency at Regional Public Hospital (지방의료원의 재정 및 운영효율성에 영향을 미치는 요인)

  • Jin Won Noh;Hui Won Jeon;Jung Hoe Kim;Jeong Ha Kim;Hyo Jung Bang;Hae Jong Lee
    • Health Policy and Management
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    • v.33 no.3
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    • pp.355-362
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    • 2023
  • Background: Financial efficiency in monetary units and operational efficiency in non-monetary units are separately classified and evaluated. This is done to prevent the duplication of monetary units and non-monetary units in inputs and outputs. In addition, analyses are conducted to determine the factors that affect each aspect of efficiency. To prevent duplication of monetary and non-monetary units in inputs and outputs, financial efficiency, consisting of monetary units, and operational efficiency, comprising non-monetary units, are separately classified and evaluated. Furthermore, an analysis is conducted to identify the factors that affect each aspect of efficiency. Methods: This study conducted a panel analysis of 34 regional public hospitals and influencing factors on efficiency for 5 years from 2015 to 2019. Financial efficiency and operational efficiency were calculated through data envelopment analysis. Moreover, multiple regression analysis was conducted to identify the factors that influence both financial efficiency and operational efficiency. Results: The factors that affect financial efficiency include the number of medical institutions within the treatment area and the ratio of patients receiving medical care. Additionally, operational efficiency is influenced by the type of medical institution, the number of medical institutions within the treatment area, and the number of nursing positions per 100 beds. Conclusion: In order for regional public hospitals to faithfully fulfill their functions and roles as regional base public hospitals, several measures are necessary. Firstly, continuous monitoring and reasonable support are required to ensure efficient operation and performance. Secondly, a financial support plan tailored to the characteristics of local medical centers is needed. Additionally, local medical centers should strive to enhance their own efficiency.

Factors Influencing the Respiratory Infection Preventive Behavior among College Students (대학생의 호흡기감염 예방행위에 영향을 미치는 요인)

  • Sunhee Lee;Hana Yoo
    • Journal of Practical Engineering Education
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    • v.15 no.2
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    • pp.449-457
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    • 2023
  • The purpose of this descriptive research study was to investigate health beliefs and self-efficacy in respiratory infection management as factors that affect the respiratory infection prevention behavior of college students. The subjects were 178 students attending a university in K city of Gyeongsangbuk-do. Data were collected with a structured questionnaire from September 1st to October 16th of 2020. The results of this study are as follows; Health belief was significantly different from participant's gender (t=-2.86, p=.005), major classification (F=2.95, p=.034), and taking any medications (t=2.18, p=.030). Self-efficacy in respiratory infection management was significantly different from university students' gender (t=-3.56, p=<.001) and major classification (F=4.59, p=.004). Health belief (r=.276, p<.001) and self-efficacy in respiratory infection management (r=.660, p<.001) had a positive correlation with respiratory infection preventive behavior. Multiple regression analysis results show that self-efficacy in respiratory infection management (β=.66, p<.001) significantly affected respiratory infection preventive behavior. The model had an explanatory power of 43%. The findings demonstrate that the major factor influencing the respiratory infection preventive behavior of university students is self-efficacy in respiratory infection management. Therefore, in order to promote behavior to prevent respiratory infection in college students, a program that can strengthen self-efficacy in respiratory infection management should be developed.

Effects of a Program to Improve Self-Directed Learning Skills on College Students' Self-Directed Learning Skills (자기주도학습능력 향상을 위한 프로그램이 대학생의 자기주도학습 능력에 미치는 효과)

  • Eun Joo Lee;Inhee Park
    • Journal of Practical Engineering Education
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    • v.15 no.3
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    • pp.721-728
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    • 2023
  • In this study, we analyzed the effects of program participation aimed at enhancing self-directed learning abilities in university students on the motivational, cognitive, and behavioral aspects of self-directed learning. The study included 2,302 students enrolled in a university located in Region D, and data collection took place from March 2 to December 31, 2022. Comparing the experimental group(751 students) who participated in the program for self-directed learning improvement with the control group(1551 students), the experimental group exhibited a 0.24-point increase, whereas the control group showed a 0.08-point increase, demonstrating a significant difference between the two groups(t=34.89, p<.001). Furthermore, in the post-hoc analysis of self-directed learning ability scores based on the frequency of program participation, the mean difference between those who participated in 1 to 3 programs and those engaged in 4 to 6 programs was 0.067 points(p<.001). The mean difference between participants in 4 to 6 programs and those in 7 or more programs was -0.135 points(p<.001), and the mean difference between those involved in 1 to 3 programs and those in 7 or more programs was 0.067 points(p<.001). These results underscore the importance of recognizing self-directed learning abilities as a crucial competency in higher education and emphasize the significance of efforts to promote program participation and increase participation frequency.

Factors Influencing the Health Care Utilization of Disabled Workers Who Returned to Their Original Workplace after Occupational Accident (원직복귀 산업재해 근로자의 의료이용에 영향을 미치는 요인)

  • Hyun-Joo Lee
    • Journal of Industrial Convergence
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    • v.21 no.10
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    • pp.167-180
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    • 2023
  • The aim of this study is to explore the factors that influence the health care utilization of disabled workers who returned to their original workplace after an occupational accident. The study sample consisted of 457 workers who suffered from occupational accidents and were rated as disabled based on the data from the PSWCI in 2021. Data analysis was performed using a hierarchical multiple regression analysis with SPSS WIN 26.0. The study findings revealed that the number of outpatient visits was affected by factors such as daily wage payment, economic status, physical activity limitations, subjective health status, and chronic diseases. Moreover, health care expenditures were determined by factors such as having a caregiver for daily living, burn injuries, and physical activity limitations. Therefore, to increase the accessibility of health care utilization for disabled workers, the role of nurses in the workplace should be expanded, employers should include a health care utilization plan when developing a return-to-work plan, and research on the introduction of a paid sick leave system that allows workers to rest when they are sick is needed. It is also necessary to alleviate the economic burden by increasing the coverage of benefits for burn and rehabilitation treatments.

A Study on the Relationship between Health Equity and Subjective Health Status of Adolescents (청소년의 건강 형평성과 주관적 건강상태와의 관계 연구)

  • Kyung-Shin Paek
    • Journal of the Korean Applied Science and Technology
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    • v.39 no.6
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    • pp.864-873
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    • 2022
  • The subjective health status of adolescence reflects one's overall socio-emotional function and is an important factor in determining the health-related quality of life during this period. This study was to identify the correlation between subjective health status and health equity of adolescents. Data from the 16th online survey of youth health behavior (2020) was used to analyze 39,987 adolescents. Health equity was used as indicator for residential areas, economic conditions perceived by students, household abundance, family type, and parental education. Subjective health status was classified as a healthy group("very healthy", "healthy") and unhealthy group("normal", "unhealthy", and "very unhealthy") in response to the question "how do you think your health is usually?" The data were analyzed using complex sample analysis by using SPSS/Win 22.0. Significant factors related to the subjective health status of subjects were the area of residence (OR=0.86, p=.031), economic level (OR=1.33-2.09, p<.001), and family type (OR=1.24, p=.033). The economic level perceived by adolescents was the most important variable related to the subjective health status of adolescents, and adolescents from multicultural families often perceived their health as unhealthy compared to adolescents from general families. Therefore, there is a need for continuous interest in adolescents with low economic levels and adolescents from multicultural families and specific strategies to improve their health status.