Objectives: The purpose of this study was to identify basic health needs of adult clients to develop a community nursing center model in Seoul. Methods: Data were collected using a questionnaire survey from 894 adults registered at a public health center who were health management members, and visiting 4 community nursing centers, University of Wisconsin, Milwaukee during the period from July 1999 to January 2000. The data were analyzed using frequency, percentile, t-test, and ANOVA. Results: 1) The University of Wisconsin- Milwaukee School of Nursing has a long tradition of developing 4 community nursing centers with innovative health care programs. CNCs integrate the ability to implement and test effective intervention strategies with education, research, and practices of nursing students and faculty. They were designed to enhance the health status and quality of life for urban communities through the development of productive, outcome focused, collaborative partnerships among UWM-Nursing faculties and staff, other health and human service providers, consumers, and policy makers. It links the financial resources between UWM and 9 voluntary agencies and 12 public funding organizations including federal. state, and local governments. 2) Of the total health management members, 37.4% were reported to have at least one type of chronic disease such as hypertension, diabetes, and arthritis. Ten percent of them reported having obesity, and 44.2% reported lack of exercise. The health status of the subjects was within normal range in laboratory tests. However, female subjects showed more significant differences in obesity and cholesterol levels than male subjects. The subjects, who were in their 50s, showed more significant differences in obesity, SGOT, SGPT, and cholesterol levels than the subjects in other age groups. Conclusion: A community nursing center needs to be developed, that has a link between the nursing college and the public health center, with partnerships and a multidisciplinary approach. Based on the study results, exercise programs for middle aged adults are considered necessary. In particular, specific exercise programs for pre-menopausal women needs to be implemented in the future to prevent them from developing osteoporosis.
The Journal of Korean Society for School & Community Health Education
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v.19
no.1
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pp.85-98
/
2018
The purpose of this study was to examine the levels of the subjective oral health awareness of local residents in the city of Changwon and Haman county in an effort to lay the foundation for the development of customized local oral health education programs. The 2015 community health survey data were used, and the data from 864 residents in Changwon and from 719 dwellers in Haman county were analyzed. The Changwon residents brushed their teeth after lunch more, received more oral checkups over the past year and had more scaling experience. The Haman residents had more experience of not receiving dental treatment. The subjective health awareness, subjective oral health awareness, chewing difficulty and periodontal health of the Haman dwellers were all worse, and all the levels of awareness were lower among the respondents who were older and who were diagnosed with hypertension and/or diabetes. The respondents who made use of dentures and who didn't brush their teeth after lunch had experience of not receiving dental treatment, and all the levels of health-related awareness were lower among the respondents who didn't receive dental checkups nor had scaling experience. To remedy the situation, efforts should be made to prevent and manage chronic diseases, and the establishment of a system that guarantees regular dental checkups and scaling is required. And the kind of environments that everybody can receive dental treatment when they want should be prepared. In order to change negative awareness, necessary measures should be taken to provide oral health education that is not temporary but sustainable and tailored to local characteristics and different life stages.
Purpose: The purpose of this study was to investigate the effects of health education based on the health belief model (HBM) to the prevention of noise-induced hearing loss (NIHL) in middle school students. Methods: A pretest-posttest nonequivalent control group was designed for the purpose of this study. A total of 212 students (134 in the experimental group and 78 in the control group) of two middle schools in Seoul were enrolled for the study. Health education of two 45-minutes sessions over two weeks were provided. The data were analyzed by descriptive statistics, Chi-square test, t-test, ANCOVA and repeated measures ANOVA with Bonferroni post-hoc test, using the SPSS version 21.0. Results: There were significant differences between experimental group and control group with reference to perceived susceptibility (F=7.862, p=.006), perceived severity (F=8.291, p=.004), perceived benefits (F=20.311, p<.001), and perceived barriers (F=5.628, p=.019) after health education were provided. We also observed sustained health education effects of perceived susceptibility, perceived severity, perceived benefits, and perceived barriers in the experimental group for up to 4 weeks after health education were provided. Conclusion: The health education to prevent NIHL based on the HBM improved the health beliefs of the middle school students. Health education on the HBM for the prevention of NIHL should be provided at the level of middle school.
Objectives: The purpose of this study is to analyze relationship between oral health status and subjective oral malodor awareness of public health students. Furthermore, this study aimed to recognize the importance of prevention and treatment of internal and external factors and to contribute to the correct oral health management behavior. Methods: The study subjects were 500 students from 5 health departments of 2 universities located in Jeollanamdo who participated in self-administered survey from September 1 to 15, 2014. For statistical analysis, SPSS 21.0 for Windows was used. Descriptive analysis and a Chi-square test were conducted to investigate the effects of general characteristics, health behavior, oral health behavior, and oral health status on subjective oral malodor awareness. Finally, to investigate the relationship between oral health status and subjective oral malodor awareness logistic regression analysis was performed. Results: Subjective oral malodor awareness was significantly higher in the group requiring dental care with the score of 1.63 (95% CI 1.00-2.65) compared to the group not requiring dental care. Subjective oral malodor awareness was significantly higher in the severe coated tongue group with the score of 5.31 (95% CI 1.45-19.40) and significantly higher in the moderate coated tongue group with the score of 2.56 (95% CI 1.61-4.08). Subjective oral malodor awareness was significantly higher in the often mouth breathing group with the score of 2.13 (95% CI 1.02-4.47) and significantly higher in the sometimes mouth breathing group with the score of 2.66 (95% CI 1.65-4.29). Conclusions: In order to prevent oral malodor, it is emphasized that regular dental checkups, proper brushing after the meal, and brushing of the tongue are necessary to remove the coated tongue. In addition, the use of supplementary oral care products is considered to be a meaningful oral health behavior.
This study was carried out to examine information regarding usage of health improving agents and health status of male workers in the Chonnam Yeosu industrial area. We obtained data by means of a questionnaire from 329 men. Of the subjects 44.7% were in their forties, high school education was 43.0%, married was 83.0% and $1,500{\sim}3,000$ thousand won in monthly income was 35.8%. Average height and weight of the subjects was $171.8{\pm}5.4 cm$ and $70.5{\pm}8.1 kg$. Average BMI was $23.8{\pm}2.2$. Drinking rate of respondents was 85.5%, the drinking rate of daily workers was significantly higher than rotation workers (p < 0.05). Rotation workers exercised more regularly than daily workers (p < 0.001). Subjective symptoms of the subjects always had eye problems (11.7%), shoulder aches (5.8%), ache in one's empty stomach (4.7%) in decreasing order. 21.4% of the subjects had a disease, and liver disease was the highest in the subjects; the second was cardio-vascular disease. Interval of health food intake was highly irregular (62.7% of respondents), and keeping healthy was the main motivation fur the usage of health foods. Health improving agents included oriental medicine, animal protein based restorative foods, nutrition supplements, health supplements, and natural foods. 33.3% of the subjects took health supplements, nutrition supplements (29.1%), oriental medicine (20.6%), natural foods (16.7%) and animal protein based restorative foods (3.9%), in respective order. Health improving agents were consumed higher in liver disease than other diseases. This study suggests that nutritional education and monitoring should be implemented for industrial workers to prevent life-habit diseases and to keep proper self-management of health status under special environments.
Kim, Jeong-Hee;Hyun, Mi-Yeul;Kim, Young-Soon;Kim, Jung-Sil;Nam, Sang-Ok;Song, Man-Sook;Lee, Jung-Wha;Lee, Na-Ju
Journal of Korean Academy of Nursing Administration
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v.16
no.1
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pp.26-36
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2010
Purpose: The purpose of this study was to investigate the relationships among psycho-social well-being, and health perception and behavior in clinical nurses. Methods: The data were collected from 362 nurses employed at five general hospitals. A self-reported questionnaire was used to assess demographics and job characteristics, health perception and behavior, depression, and psycho-social stress. The data were analysed using Cronbach's alpha, descriptive statistics, t-test, and ANOVA. Results: While nurses perceived themselves to be in good health, represented by a high mean for health perceptions, actual health behavior was poor as the mean for health behavior was low. Forty two percents of the subjects were categorized as having major depression and high-stress levels. There were statistically significant differences in psycho-social well-being according to age, marital status, years of employment, and monthly salary. Also, there were significant differences in psycho-social well-being according to health perception, regular meals and exercise, sufficient sleep, job related injury and accident, and absences for ill. Conclusion: In order to prevent depression and improve psycho-social well-being among clinical nurses, organizational support and health management needs to be focused on high-risk nurses. Furthermore, it is essential to consider the health perception and behavior of clinical nurses.
Industrial Safety and Health Law (ISH Law) of Japan requires abnormalities identified in evaluations of worker health and working environments are reported to occupational physicians, and employers are advised of measures to ensure appropriate accommodations in working environments and work procedures. Since the 1980s, notions of a risk assessment and occupational safety and health management system were expected to further prevent industrial accidents. In 2005, ISH Law stipulated workplace risk assessment using the wording "employers shall endeavor." Following the amendment, multiple documents and guidelines for risk assessment for different work procedures were developed. They require ISH Laws to be implemented fully and workplaces to plan and execute measures to reduce risks, ranking them from those addressing potential hazards to those requiring workers to wear protective articles. A governmental survey in 2005 found the performance of risk assessment was 20.4% and common reasons for not implementing risk assessments were lack of adequate personnel or knowledge. ISH Law specifies criminal penalties for both individuals and organizations. Moreover, under the Labor Contract Law promulgated in 2007, employers are obliged to make reasonable efforts to ensure employee health for foreseeable and avoidable risks. Therefore, enterprises neglecting even the non-binding provisions of guidelines are likely to suffer significant business impact if judged to be responsible for industrial accidents or occupational disease. To promote risk assessment, we must strengthen technical, financial, and physical support from public-service organizations, encourage the dissemination of good practices to reduce risks, and consider additional employer incentives, including relaxed mandatory regulations.
Choi, Ji Yun;Ki, Ji Son;Kim, Kyeong Sug;Kim, Soyeon;Choi-kwon, Smi
Journal of Korean Biological Nursing Science
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v.24
no.2
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pp.131-139
/
2022
Purpose: This study aimed to examine the changes in stress, occupational stress, and subjective health problems of novice female nurses within the first 18 months of work. Methods: This was a longitudinal study conducted with a secondary data analysis based on the Shift Work Nurse's Health and Turnover (SWNHT) study. The participants were 178 female novice nurses who participated in all 3 data collection activities (on the first day of orientation before ward placement [T0], 6 months after work [T1], and 18 months after work [T2]). The stress, occupational stress, 8 subjective health problems (upper musculoskeletal pain, leg/foot discomfort, depression, anxiety or emotional disorder, sleep disturbance, headache, gastrointestinal disorder, menstrual disorder, and others), and the greatest health problem during the study period were measured, respectively. Data were analyzed using SPSS 26.0 to obtain descriptive statistics. Results: The subjective health of novice female nurses were found to be poor at T1 compared to T0 on both physical (upper musculoskeletal pain, leg/foot discomfort, and sleep disturbance) and psychological health problems (depression and stress). However, the psychological health problems of the participants were alleviated at T2 whereas; physical health problems persisted until T2. Conclusion: Novice nurses had poor health problems 6 months after work. Sleep disturbance and musculoskeletal pain persisted although other health problems such as depression and stress were alleviated over the period. Strategies to prevent and manage different health problems of novice female nurses at different work duration are urgently needed.
Background: Oral health is an important element of well aging. And oral health also affects overall health, mental health, and quality of life. In this study, we sought to identify oral health influencing factors and research trends for well-aging through text analysis of research on well-aging and oral health over the past 12 years. Methods: The research data was analyzed based on English literature published in PubMed from 2012 to 2023. Aging well and oral health were used as search terms, and 115 final papers were selected. Network text analysis included keyword frequency analysis, centrality analysis, and cohesion structure analysis using the Net-Miner 4.0 program. Results: Excluding general characteristics, the most frequent keywords in 115 articles, 520 keywords (Mesh terms) were psychology, dental prosthesis and Alzheimer's disease, Dental caries, cognition, cognitive dysfunction, and bacteria. Research keywords with high degree centrality were Dental caries (0.864), Quality of life (0.833), Tooth loss (0.818), Health status (0.727), and Life expectancy (0.712). As a result of community analysis, it consisted of 4 groups. Group 1 consisted of chewing and nutrition, Group 2 consisted oral diseases, systemic diseases and management, Group 3 consisted oral health and mental health, Group 4 consisted oral frailty symptoms and quality of life. Conclusion: In an aging society, oral dysfunction affects mental health and quality of life. Preventing oral diseases for well-aging can have a positive impact on mental health and quality of life. Therefore, efforts are needed to prevent oral frailty in a super-aging society by developing and educating systematic oral care programs for each life cycle.
Purpose: This study was to investigate the relationship among the symptom recognition, health behavior compliance, and the hospital arrival time to identify factors influencing the hospital arrival time in patient with acute myocardial infarction (AMI). Methods: The subjects of this study were 200 patients with AMI in C hospital in D city. Data were analyzed using descriptive statistics, independent t-test, One way ANOVA, Pearson's correlation coefficients, and stepwise multiple liner regression tests. Results: Level of symptom recognition and health behavior compliance was low. The median value of hospital arrival time was 4.48 hours (ST-segment Elevation Ml was 2.43 hours and Non ST-segment Elevation MI was 7.83 hours). Among the studied factors, only symptom recognition had a statistically significant positive correlation with health behavior compliance (r=0.38, p<.001). Factors influencing the hospital arrival time were MI classification, diabetes mellitus (DM) and transport vehicle to the 1st hospital, and they accounted for 13% of the variance for hospital arrival time in AMI patients. Conclusion: To prevent the delay of hospital arrival time in MI patients, a more robust nursing strategic intervention according to MI classification and DM is necessary; further education on the importance of transportation utilization is also mandated.
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