• Title/Summary/Keyword: community care centers

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Survey on Quality of Life, Mental Health and Subjective Health Status of Community Dwelling Cancer Patients (일 지역에 거주하는 암환자의 삶의 질, 정신건강 및 주관적 건강상태 조사)

  • Lee, Bo-Young;Jo, Heui-Sug;Kwon, Myung-Soon
    • Journal of Korean Public Health Nursing
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    • v.24 no.1
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    • pp.49-60
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    • 2010
  • Purpose: This study investigated the quality of life, mental health and subjective health status of community dwelling cancer patients. Methods: Subjects were 212 out-patients with cancer at Kangwon University Hospital. The study was conducted from July 10 to August 14, 2008. Quality of life as determined by the Euro Quality of life-5 Dimensions (EQ-5D) was measured using Korea Centers for Disease Control and Prevention(KCDC). Mental health and subjective health status were measured using KCDC. Results: EQ-5D determined degrees of difficulty were 25.5%(mobility), 25.2%(anxiety or depression), 23.6%(pain or discomfort), 20.3%(activities of daily living), and 13.7%(self care). An analysis of the association between several factors and mental health showed that the statistically significant factors were age, gender, medical coverage, and private insurance. An analysis of the association between several factors and subjective health status showed that the statistically significant factor was occupation. Conclusion: Cancer patients suffer from significant psychological distress. Programs that address mental and physical health would be beneficial.

The Need for, Satisfaction with, and Availability of Local Healthcare Services for Elderly Individuals Receiving Home-Care Services (재가노인의 지역 보건의료서비스 요구도, 만족도 및 이용도 - G시 보건소를 중심으로 -)

  • Kim, Mi-Ra;Kim, Kyung-Hee;Kwak, Yeun-Hee;Kim, Yoon-Jung
    • The Korean Journal of Community Living Science
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    • v.26 no.1
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    • pp.5-18
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    • 2015
  • This descriptive study investigates the need for, satisfaction with, and availability of local healthcare services for elderly individuals. The subjects included 210 individuals aged 65 years over, and data were analyzed using SPSS. The subjects reported the limited availability of local healthcare services but a high level of satisfaction with and a strong need for these services. The subjects used these services mainly for their vaccination and perceived cost-effectiveness as the most important factor motivating their decision to use these services and a lack of publicity as the most important factor discouraging their use. Spouses, jobs, and health conditions showed significant differences in the level of satisfaction and availability, and diseases showed significant differences only in the need. These results suggest that local healthcare centers should provide services that many elderly patients can use through outreach services, connections to local communities, and active publicity instead of expanding service types.

The Influences of Meditation Program Using Picture Books on Reduction of Young Children's Aggression (그림책을 활용한 명상 프로그램이 유아의 공격성 감소에 미치는 영향)

  • Park, Mi-Jeong;Gwon, Gi-Nam
    • The Korean Journal of Community Living Science
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    • v.21 no.1
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    • pp.125-138
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    • 2010
  • This study examined the effects of a meditation program using picture books as a method of reducing young children's aggression. Data was taken from a sample of 60 four-to five-year-old children in daycare centers. This study employed a pre/post-test controlgroup design. All children of each daycare center were assigned to an experimental group(meditation program using picture books) or control group(general music meditation program). All variables were measured by the mothers and teachers of the observed children and the collected data were analyzed by independent and paired t-test. The main results of this study are as follows. Firstly, the meditation program using picture books and general music meditation program were all effective in reducing young children's aggression (aggression against things, aggression against others, verbal aggressin and total aggression) perceived by their teachers, that is, aggression against things, aggression against others and verbal aggression. Secondly, the meditation program using picture books was more effective than general music meditation program in reducing young children's aggression perceived by teachers. Thirdly, the meditation program using picture books was effective in reducing only young children's verbal aggression perceived by their mothers.

A Study on Food Habits, Nutrient Intakes and Nutritional Quality of Preschool Children in Seoul (서울지역에 사는 유아의 식습관, 영양소 섭취와 영양소 질적 평가에 대한 연구)

  • Kang Keum-Jee
    • Korean Journal of Community Nutrition
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    • v.10 no.4
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    • pp.471-483
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    • 2005
  • The purpose of this study was to investigate food habits, nutrients intakes and nutritional quality of the preschool children living in Seoul. The study was performed by analyzing a questionnaire answered by the mothers of 233 subjects aged 2 to 6 years old. A three-day dietary intakes survey, using a 24 hour recall method was used by both the mothers and teachers of the children in day care centers. Twenty eight, 65.9 and $21.8\%$ of preschool children were underweight, normal and overweight or obese, respectively. It was found that $19.8\%$ of preschool children replied that they skipped breakfast sometimes. The major reasons for skipping breakfast were 'snacks' ($38.3\%$) and 'no appetite' ($32.6\%$). The proportion of subjects having unbalanced meals was $61.6\%$. From the 24-recall survey, it was found that all nutrients intakes were higher than those of the Korean RDA except zinc. The proportions of carbohydrate, protein and fat from total calories were 56,1, 17.2 and $30.7\%$. The P/M/S ratio was 0.62 : 0.86 : 1. Nutrient adquacy (NAR), mean of nu-trient adequacy ratio (MAR) and index of nutritional quality (INQ) were considered adequate. In conclusion, the dietary intakes of children aged 2 to 6 were assumed adequate judging from nutrient intakes, although some attention should be paid to fat intake in this age group.

The Influence of Follow-up Activities after Reading Picture Books on Language and Socio-emotional Development of Infants (그림책읽기 후속활동이 영아의 언어 및 사회.정서발달에 미치는 영향)

  • Lee, Wha-Jin;Seo, Hyun-Ah
    • The Korean Journal of Community Living Science
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    • v.22 no.3
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    • pp.455-469
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    • 2011
  • The purpose of this study was to find out how follow-up activities of reading picture books influenced infants' language and socio-emotional development. Subjects of this study were 27 2-year-old infants at public day care centers in Busan. After implementing follow-up activities of reading picture books for 8 weeks, this study tried to investigate changes in infants' language and socio-emotional development. Results of this study are as follows. First, follow-up activities of reading pictures have brought positive impacts on infants' language ability. Results indicate a positive influence on infants' expressive and acceptive language ability. Second, follow up activities have also enhanced infants' socio-emotional development. Sepcifically, they have been effective in improving infants' low-level socio-emotional development such as 'internal control', 'peer interaction', and 'achievement motivation'. It is expected that the follow-up activities developed by this research would help to enhance infants' language development and socio-emotional development.

Development of the Pregnancy Nutrition Knowledge Scale and Its Relationship with Eating Habits in Pregnant Women visiting Community Health Center (임신영양지식 도구개발 및 식습관과의 관련성: 보건소 방문 임부 대상)

  • Kim, Hae-Won
    • Journal of Korean Academy of Nursing
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    • v.39 no.1
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    • pp.33-43
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    • 2009
  • Purpose: This study was done to develop a pregnancy nutrition knowledge scale and to examine the relationships between pregnancy nutrition knowledge and eating habits in pregnant women. Methods: With convenient sampling, 189 pregnant women who used community health centers for their ante-natal care were recruited. Data were collected using a self administered questionnaire including items on pregnancy nutrition knowledge (18 items) developed by researcher and items on eating habits (14 items). Cronbach's alpha and exploratory factor analysis were examined to test reliability and construct validity of the scale. Pearson's correlation coefficients were used to identify the relationship between pregnancy nutrition knowledge and eating habits. Results: Cronbach's alpha of 18 items was .80. In factor analysis using principal components, 6 factors explained 65% of the total variance. The level of pregnancy nutrition knowledge was not sufficient but correlations between pregnancy nutrition knowledge and some of eating habits were significant. Specifically, pregnancy nutrition knowledge was positively correlated with good eating habits and negatively with bad eating habits. Conclusion: The pregnancy nutrition knowledge scale developed in this study is acceptable for nutrition education led by nurses. Pregnancy nutrition knowledge and eating habits are considered as major variables for ante-natal nutrition education. In future studies, explorations are needed on dietary intake and physiological indices in pregnant women, comparison of women at risk with those not at risk, and development of nutritional education programs for pregnant women.

Burden and Quality of Life in Caregivers of Patients with Rare and Incurable Disease (재가 희귀.난치성질환 돌봄 제공자의 부담감과 삶의 질)

  • Choi, Kyung-Ja;Baek, Hee-Chong
    • Research in Community and Public Health Nursing
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    • v.17 no.3
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    • pp.364-375
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    • 2006
  • Purpose: The purpose of the study was to investigate burden and the qualify of life in caregivers who are taking care of home-based rare and incurable disease patients. Methods: The subjects of this study were 300 caregivers of rare and incurable disease patients registered at five health centers in Seoul. A survey was conducted by mail and visit in person during the period from the 25th of March to the 12th of May 2005. Collected data were analyzed through t-test, ANOVA, Pearson's correlation coefficient. Result: The mean burden of caregivers was 3.42, and the mean qualify of life of caregivers was 2.71. Burden and QoL showed significant differences according to caregivers' characteristics such as sender, age, relation to the patient, academic qualification, religion, occupation, monthly household income and perceived health condition. Caregivers' burden was in an inverse correlation with their quality of life. Conclusions: According to the results of this study, rare and incurable disease caregivers' burden and their quality of life were in a significant correlation with each other. In order to improve caregivers' quality of life by reducing their burden, we need to reestablish comprehensive policies for rare and incurable disease management including nursing intervention strategies for caregivers.

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Health Status and Health-Promoting Lifestyle Profile II of North Korean Immigrants (북한이탈주민의 주관적 건강인식과 건강증진생활양식)

  • Kang, YoungSil;Ha, Yeongmi;Eun, Young
    • Research in Community and Public Health Nursing
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    • v.23 no.3
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    • pp.231-243
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    • 2012
  • Purpose: The purpose of this study was to identify the relationships between health status including objective health status and subjective health perception and Health-Promoting Lifestyle Profile II in North Korean immigrants. Methods: During August 2011 to November 2011, a convenience sample of 96 subjects aged 19 to 65 years were recruited from two centers and one public health center in Gyeongnam. The subjects were interviewed face to face by trained people with a survey questionnaire. Results: Approximately 40% of North Korean immigrants rated their health status as 'poor', and the prevalence of health problems in them was 81.3%. The average level of health-promoting lifestyle profile II was $1.78{\pm}0.35$. Females with normal weight or overweight, and have stayed for over 1 year in South Korea were related to the lower score of health-promoting lifestyle profile II. Conclusion: Considering North Korean immigrants' health background and health behaviors, customized health care program focusing on musculoskeletal disorder and psychological problems are required, and at the same time health behavior change program to achieve lifetime wellness should be developed.

A Comparative Study on Related Variables of Ego-Integrity in Elderly by Age Groups (노인의 연령집단별 자아통합감에 대한 관련요인 비교)

  • Kim, Hee Kyung
    • Korean Journal of Adult Nursing
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    • v.19 no.5
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    • pp.12-26
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    • 2007
  • The purpose of this study was to examine what types of customized nursing intervention for the elderly were most effective by looking at age group difference and other factors related to ego integrity. Methods: A secondary analysis was used with 104 elderly people. The data were analyzed using $\chi^2$-test, Fisher's exact test, ANCOVA, Pearson's correlation analysis and multiple regression. Results: For those 80 and older, powerlessness was higher than for those in their 60s and 70s. The factors influencing ego integrity for those in their 60s were powerlessness, economic condition, source of discretionary money, and health condition; for those in their 70s - life satisfaction, self-esteem, and health condition; and for those 80 and older - life satisfaction and source of discretionary money. Conclusion: In nursing for the elderly, age differences should be taken into consideration. The study suggests that for people in their 60s, the creation of jobs that allow them to earn money is important. For people in their 70s over, offering of health care and self-esteem programs through community health centers are equally important. For people in their 80s over, nursing programs for advocacy, support, and psychological care are needed in order to elevate their life satisfaction.

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The Development of Home-Visiting Nurses' Professional Competencies (보건소 방문간호사의 전문직 간호역량)

  • Baek, Hee Chong;Moon, Ji-Hyun
    • Journal of Home Health Care Nursing
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    • v.23 no.2
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    • pp.233-242
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    • 2016
  • 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.