• Title/Summary/Keyword: Secondary Prevention

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Internal Motivation, Perceived Health Competency, and Health Literacy in Primary and Secondary Cancer Prevention

  • Jung, Su Mi;Jo, Heui Sug;Oh, Hyung Won
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.12
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    • pp.5127-5132
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    • 2016
  • Objective: The aim of this study was to identify associations of internal motivation, perceived health competency, and health literacy with primary and secondary cancer prevention. Methods: A telephone survey was conducted with a sample of 2,700, 30-69 year olds, proportionally extracted from Gangwon Province, South Korea. The dependent variables were actions in primary and secondary prevention and the explanatory variables were 13 questions in three areas: internal motivation (4 items), perceived health competency (4 items), and health literacy (5 items). Result: Multiple linear regression analysis showed that internal motivation, perceived health competency, and health literacy positively impacted primary prevention after controlling for gender and age. As internal motivation, perceived health competency, and perceived literacy increased by 1 point, primary prevention scores increased by 0.11, 0.11, and 0.07 points, respectively. In addition, logistic regression results for secondary prevention showed that health literacy had a positive impact on secondary behavior. As health literacy increased by 1 point, the odds ratio of the practice of secondary prevention was 1.4 times higher. Conclusion: This study suggests that primary and secondary prevention of cancer are significantly related to intrinsic motivation factors, perceived health competency, and actual health literacy. Health literacy concepts that cover the capacity of health management in comprehensive areas need to be applied to education and promotion for improvement of primary and secondary prevention of cancer.

Knowledge and Views of Secondary School Students in Kuala Lumpur on Cervical Cancer and its Prevention

  • Rashwan, Hesham;Ishak, Ismarulyusda;Sawalludin, Nurhidayah
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.4
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    • pp.2545-2549
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    • 2013
  • Cervical cancer is one of the most frequent cancers in women worldwide. Persistent infection with a human papillomavirus (HPV) is the main cause for cervical cancer. Vaccination and Pap smear screening are the best methods for prevention of the disease. The objective of this cross-sectional study was to assess the knowledge and views of upper secondary school female students in Kuala Lumpur, Malaysia, toward prevention of cervical cancer. This study was conducted from April 2009 to September 2009 in 8 schools in Kuala Lumpur area using pre-tested and validated questionnaires. Results indicated that the respondents had low knowledge of cervical cancer and its prevention although the majority of students (80.4%) had heard about the disease. The level of knowledge of cervical cancr and its prevention was significantly higher among students from the science stream (p<0.001) compared to students from the art stream. Most students (69.3%) agreed to take the vaccination if the service was available in schools. A high percentage of students (82.2%) agreed that the vaccination should be compulsory to the students. In conclusion, most students had low knowledge of cervical cancer and its prevention but they had positive attitude toward vaccination and agreed that vaccination should be compulsory. Therefore, suitable educational programmes should be developed to improve the knowledge of secondary school students on the prevention of cervical cancer.

Development and Evaluation of a Web-based Education Program to Prevent Secondary Stroke (뇌졸중 환자와 가족을 위한 웹 기반 뇌졸중 이차예방 교육 프로그램 개발 및 평가)

  • Kim, Chul-Gyu;Park, Hyeoun-Ae
    • Journal of Korean Academy of Nursing
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    • v.41 no.1
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    • pp.47-60
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    • 2011
  • Purpose: This study was conducted to develop an e-Learning program that assists nursing students' clinical Purpose: This study was conducted to develop and evaluate a web-based education program for secondary stroke prevention. Methods: A web-based secondary stroke prevention education program was developed using the system's life cycle methods and evaluated by comparing the effects of education among three groups, a web group, a booklet group and a control group. Results: Knowledge level of both patients and family, as well as some health behavior compliance in the web-based and booklet education groups were significantly higher than those of the control group. Family support in the web-based and booklet education groups was significantly higher than that of the control group after 12 weeks. The urine cotinine level in the web-based education group was significantly lower than that of the control group after 12 weeks. Medication adherence, blood pressure and perceived health status were not statistically different among the three groups at any time. Conclusion: Webbased and booklet education programs were equally effective regarding the level of knowledge of patients and their families, family support, health behavior compliance, and urine cotinine level. These results demonstrate the potential use of a webbased education program for secondary stroke prevention.

The Effect of Resiliency Training Program for Child Protection Agency Counselors to Prevent Secondary Traumatic Stress (아동보호전문기관 상담원을 대상으로 한 이차외상스트레스 예방을 위한 레질리언스 훈련 프로그램의 효과 연구)

  • Hyun, Jinhee;Kim, Heeguk
    • The Journal of the Korea Contents Association
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    • v.19 no.4
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    • pp.532-545
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    • 2019
  • The objective of this study is to find out the effect of the secondary traumatic stress prevention program for counselors at child protection agencies. The quasi-experiment design was used for pre-test, post-test, and for follow-up test, performed 3 months after the program. Experimental group consisted of 9 counselors, while the comparison group consisted of 10 counselors. As a result, it was revealed that secondary traumatic stress prevention program was effective in decreasing the secondary traumatic stress and depression of the counselors, and also effective in increasing stress coping even though it was not statistically significant. Follow-up test did not present statistically significant changes in secondary traumatic stress, depression, and stress coping. It was found that, to achieve continued effect of the program, much longer and sustained program is required. Based on these findings, the necessity and application of the secondary traumatic stress prevention program were suggested.

The Preventive Thoughts of Sasang Constitutional Medicine (사상의학의 예방의학사상)

  • Yu, Jun-Sang
    • Journal of Sasang Constitutional Medicine
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    • v.30 no.1
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    • pp.7-13
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    • 2018
  • Objectives On the point of modern preventive medicine, Sasang Constitutional Meidicine(SCM) has the thoughts of preventive medicine. Modern preventive medicine has the three dimensional prevention; primary, secondary and tertiary prevention. The preventive thoughts of SCM concerning three dimensional prevention have been investigated in this article. Method Materials and references were collected about the prevention of SCM. Lee Jema's books such as Donguisusebowon, Gyeokchigo and Donguisusebowon Chobonguen were included. Result and Conclusions As the primary prevention of SCM, Regimen according to ages, explanation according to health index as Myeongmaeksilsu(命脈實數), moderation of four ruinous causes such as intoxication, seduction, opulence and authority, adequate social life and control of 4 kinds of emotions(sorrow, anger, joy and pleasure) are included. As the secondary prevention of SCM, explanation according to disease index, fragile Organs and frequently acquired diseases according to constitutions are included. As the tertiary prevention of SCM, rehabilitation for the stroke patients according to constitutions is included. In conclusion, SCM has all of 3 dimensional prevention methods although that might be applied with modern considerate modification.

Mortality Analysis of Implantable Cardioverter Defibrillator (ICD) (체내제세동기 이식 시의 사망률분석)

  • Park, Kwang-Il
    • The Journal of the Korean life insurance medical association
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    • v.30 no.2
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    • pp.12-15
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    • 2011
  • Background: The beneficial effects of implantable cardioverter defibrillators (ICDs) in primary and secondary prevention patients are well established. However, data on potential differences between both groups in mortality are scarce. The aim of this study was to assess extra risk differences between primary and secondary prevention ICD recipients. Methods: Comparative mortality figures were calculated from a source article using mortality analysis methods. Results: Mortality ratio (MR) of primary and secondary prevention ICD recipients were 393% and 373%. Excess death rates (EDR) of both groups were 42 and 38 per 1,000. Discussion: MR and EDR were higher in primary prevention group. But, there was no significant difference.

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The Effects of a Secondary Stroke Prevention Program on the Health Risk Indicators and Self-Care Compliance of Stroke Patients (뇌졸중 이차예방교육이 건강위험지표와 자가간호수행에 미치는 효과)

  • Kim, Ji Yeon;Na, Yeon Kyung;Hong, Hae Sook
    • Journal of Korean Biological Nursing Science
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    • v.18 no.2
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    • pp.69-77
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    • 2016
  • Purpose: This study aimed to investigate the effects of a secondary stroke prevention education program on the health risk indicators and self-care compliance of stroke patients. Methods: A non-equivalent control group pretest-posttest design was used to select the participants. Subjects were 54 stroke patients (27 in the experimental group and 27 in the control group) hospitalized in a K university hospital in D city, Korea. Health risk indicators and self-care compliance were measured both for a baseline, as well as after intervention. The data was analyzed using a chi-square test, paired t-test and ANCOVA. Results: There were significant differences in systolic blood pressure, diastolic blood pressure, fasting blood sugar, weight and self-care compliance. Conclusion: The results of the study indicate that an educational secondary stroke prevention program is effective for health risk indicators and self-care compliance of patients. Therefore it can be used as an effective nursing intervention in clinical practice.

An Effect of the Secondary Stroke Prevention Education Program on Self-care of Acute Ischemic Stroke Patients (뇌졸중 이차예방 교육프로그램이 급성기 허혈성 뇌졸중환자의 자가간호수행에 미치는 효과)

  • Kang, Sun Mi;Yeun, Eun Ja
    • Korean Journal of Adult Nursing
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    • v.17 no.4
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    • pp.646-655
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    • 2005
  • Purpose: This study was conducted to examine the effects of the secondary stroke prevention education program to inhibit the recurrence of the acute ischemic stroke patients, and to maintain and promote knowledge about stroke, self-efficacy and self-care. Method: This study was designed to take a quasi-experimental pre- and post-test with the nonequivalent control group. The experimental group consists of 20 patients and control group consists of 20 patients. The experimental group was applied the secondary stroke prevention education program. In order to verify the effects of the secondary stroke prevention education program, knowledge about stroke, self-efficacy and self-care scale were measured before the intervention and 4 weeks, 12 weeks after discharge. The tools for measuring knowledge about stroke, self-efficacy and self-care are developed by the researcher. The data was analyzed by SPSS win 10.0 program using $x^2-test$, Fisher's Exact Test, t-test, Kolmogorov-Smirnov Z, and Repeated Measures ANOVA. Result: There was a statistically significant difference in knowledge about stroke (F=4.021, p=.026), self-efficacy(F=6.096, p=.018), and self-care(F=8.026, p=.007) between the experimental and the control group after intervention. Conclusion: It is considered that the program can be used as an effective nursing intervention in clinical practice.

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A Study on Fire and Disaster prevention for Wooden Architecture Heritage: Focusing on the Wooden Catholic Secondary Station in Dangjin (목조건축유산 화재와 방재에 관한 연구: 당진지역 목조 공소건축을 중심으로)

  • Lee, Sanghee
    • Journal of Internet of Things and Convergence
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    • v.7 no.4
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    • pp.15-21
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    • 2021
  • This study aims to derive the problems of firefighting and safety measures for architectural heritage with a wooden structure in rural areas and present their improvement measures. To identify those problems, this study grasped the features of the cultural heritage through the building structure and environment of a wooden Catholic secondary station in Dangjin, and analyzed fires that may occur and safety factors. As a result, although the mission station is an important cultural property in terms of its history, place and local identity, it had problems with disaster prevention systems such as vulnerable safety including fire and difficulties in fire recognition and initial firefighting. Therefore, this study concluded through its review and analysis that a disaster prevention system such as stronger firefighting is needed; that fire fighting facilities suitable for the characteristics of the secondary station with a wooden structure should be installed and a main player should be arranged in fire prevention activities to improve the fire prevention system of the cultural property; and that as most mission stations are located in rural areas, it is necessary to more thoroughly protect wooden-structure secondary stations from natural disasters such as forest fire and to improve fire response measures.

Development of 10 Self-Help Guidelines for Suicide Prevention : A Delphi Study (자살예방 10가지 자가 수칙의 개발 : 델파이 연구)

  • Lee, Hyochul;Ahn, Jihyun;Lee, Kyungeun;Kim, Haesoo;Hong, Changhyung;Oh, Kangsup;Hong, Jin Pyo
    • Anxiety and mood
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    • v.13 no.2
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    • pp.74-85
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    • 2017
  • Objective : A variety of approaches are needed to solve high suicide rates in Korean society. Although suicide prevention education has been provided for the public and suicide risk groups in Korea, a systematic discussion of simple, effective suicide prevention guidelines for the general public has yet to be made. Self-help guidelines for suicide prevention, which can help prevent suicide in at risk individuals, will be developed through expert questionnaires. Methods : In order to develop the draft guidelines, suicide prevention self-help phrases were gathered and compiled from homepages and publicity materials of domestic and international suicide prevention and related organizations. A panel of 16 suicide prevention experts conducted primary and secondary surveys using the Delphi method, which derives results from consensus among expert groups. The validity and appropriateness of the guidelines was analyzed using content validity ratios (CVR). Results : Of 33 candidate phrases selected for the suicide prevention guidelines, 9 showed high CVR after the secondary Delphi round. The highest level of support with total agreement was given to 'Do not be alone, stay with someone'. However, more than half of the panelists evaluated 14/27 of the primary Delphi round and 12/26 of the secondary Delphi round phrases as invalid. The researchers completed 10 self-help guidelines for suicide prevention, after eliminating 1 redundant phrase and including 2 additional phrases that showed relatively high CVR. Conclusion : We have developed 10 self-help guidelines for suicide prevention through the consensus of experts. Further studies on the effects of the guidleines relative to suicide rates are needed after widespread dissemination.