Research in Community and Public Health Nursing

Hyo Soon Jang

4 Articles

The Comparison of Health Status and Health Behavior among Hypertension Group, DM Group, and Hypertension DM Group for the Aged Provided with Customized Home Care Service by Visiting Nurses: Hee Kyoung Hyoung, Hyo Soon Jang; J Korean Acad Community Health Nurs. 2011;22(1):11-21. Published online March 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.1.11

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PURPOSE
This study aims to compare health status and health behavior among the hypertension group, the DM group, and the hypertension-DM group for aged clients of customized home visiting health care services.
METHODS
This study was conducted as cross-sectional research. The subjects of this study were 2,235 aged people over 65 living in J City. Data were collected using structured questionnaires and measurements. The collected data were analyzed using the SPSS/WIN 12.0 program, and descriptive statistics, chi2 test, t-test and ANOVA were used for the analyses.
RESULTS
BP and glucose control showed a significant difference among the groups. BMI and waist circumference were significantly higher in the hypertension-DM group than in the other groups. Stroke, arthritis, and perceived health status were significantly different among the three groups. Depression was high, but not significantly different among the groups. Smoking and drinking were not significantly different among the groups. Physical activity was very low, especially in the hypertension group. Medication was high, especially in the hypertension-DM group.
CONCLUSION
It is necessary to consider care plans for the hypertension-DM group, and educate the group for care management. Also, depression and physical activity programs are needed for the aged.

Citations

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Benefit analysis of visiting healthcare in public health centers
Sukja Ko, Young-Ho Jung, Jae Yong Lee
Korean Journal of Health Education and Promotion.2018; 35(5): 69. CrossRef
Depression and Cognitive Function of the Community-dwelling Elderly
Seong Ok Seo, Ae Young So
Journal of Korean Academy of Community Health Nursing.2016; 27(1): 1. CrossRef
Estimating need for Home Visiting Nurse from Public Health Centers
Hyun-Ji Bae, Jinhyun Kim
Perspectives in Nursing Science.2015; 12(1): 23. CrossRef
The Comparison of Health Behaviors, Use of Health Services, and Health Expenditures among Diabetic Patients according to the Practice of Exercise
Ji Eun Cha, Soon Nyung Yun
Journal of Korean Academy of Community Health Nursing.2015; 26(1): 31. CrossRef
Effects of an Extreme Heat Adaptation Program in Hypertensive Patients
Seong Hee Jeong, Nam Soon Kim, Sumi Chae, Eun Ju Lee
Journal of Korean Biological Nursing Science.2014; 16(3): 164. CrossRef
Client-Centered Self Management Program for Chronic Disease Patients: Focusing on Hypertension, Diabetes Mellitus
Yeon Yi Song, Kang-Sook Lee, Hyun-Young Cho, Binna Lee
Korean Journal of Health Education and Promotion.2014; 31(4): 93. CrossRef

Comparison of Health-related Characteristics and Self-care Behavior between a Hypertension Controlled Group and a Non-Controlled Group of Hypertension Patients in a Customized Home Visiting Health Service: Hyo Soon Jang, Hee Kyoung Hyoung, Kyoung Huy Kim; J Korean Acad Community Health Nurs. 2009;20(4):483-492. Published online December 31, 2009

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Abstract PDF: PURPOSE
This study was conducted to compare health-related characteristics and self-care behavior between a controlled group and a non-controlled group of hypertension patients in a customized home visiting health service.
METHODS
This study was conducted as cross-sectional research. The subjects were 1,317 hypertension-controlled patients and 555 non-controlled ones. Data were collected using a structured questionnaire and analyzed by descriptive statistics, chi2-test, and t-test using the SPSS WIN 15.0 program.
RESULTS
Socio-demographic characteristics and self-care behavior were not significantly correlated between the groups. According to health-related characteristics, the health status was significantly higher in the hypertension-controlled group than in the non-controlled group. The cholesterol level was significantly lower in the hypertension-controlled group than in the non-controlled group.
CONCLUSION
Attention should be paid to patients who are not in good health status in order to control their hypertension. Also, it is necessary to educate the patients in order for them to manage their hypertension and cholesterol.

A study on the level of ADL in Community Dwelling Elderly Registered in a Public Health Center: Keum Ja Kim, Jin Yoon, Hyo Soon Jang, Sun Hwa Ko, Oon Hee Yee; J Korean Acad Community Health Nurs. 2002;13(2):332-342. Published online June 30, 2002

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Abstract PDF: PURPOSE
The purpose of this study was to assess the level of activities of daily living (ADL) in a group of community dwelling elderly.
METHODS
The subjects were 100 low-income elderly registered in a public health center. the data were analyzed using the SPSS/PC Program.
RESULTS
The results were as follows: 1. The basic ADLs of the subject were scored at 7 levels, and the mean score was 6.24 out of 7 points, The subjects did not necessarily require help from others, but might have needed more times or instrumental assists to perform ADLs. the lowest ADL score was reported on walking up to the stairs (5.05), for which the subjects did not need physical assistance, but needed a certain degree of supervision. the highest score was reported on self eating (6.74), followed by bowel management (6.60) 2. The mean IADL, score of the subjects was 1.77 out of 4 points, indicating that the subjects were very independent in performing IADLs, without help from others. 3. In relation to general characteristics, the level of ADLs of the subjects was significantly different by age (F=6.65, P=000), main activities (F=6.36, P=.001), perceived health status (P=4.66, P=.012), educational background (F=4.64, P=.03), marital status (F=4.62, P=005), and major household income (F=4.15, P=.002). 4. The subjects' level of IADLs in relation to their general characteristics was significantly different by perceived health status (F=3.53, P=.018), religion (F=3.10, P=.019), marital status (F=2.62, P=.055), and major household income(F=2.31, P=.049)

The Development of Health Promotion Programs for Middle Aged Women: Young Nam Cha, Keum Ja Kim, Hye Kyung Lim, Hyo Soon Jang, Hae Sil Han; J Korean Acad Community Health Nurs. 1998;9(1):5-20. Published online June 30, 1998

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Abstract PDF: The purpose of this study was to develop health promotion programs for middle aged women and to identify the adaptability and the effectiveness of the program in order to provide a model for health promotion programs as a basis for nursing intervention. The research design was a quasi-experimental, nonequivalent control-group pretest-posttest design. The data were collected from October 30 to December 11, 1996. The study subjects were middle aged women residing in Chonju city, with ages from 40 to 59. The experimental group consisted of 42 subjects who were recruited through announcements of the local newspaper. The control group consisted of 49 subjects who were mothers of nursing college students. The health promotion program for middle aged women was based on the Bandura's self efficacy theory and Pender's heath promotion behavior theory consisting of exercise and heath diaries as performance accomplishments as well as education and group sessions as verbal persuasion and vicarious experiences. The study program was provided for 6 weeks, 3 hours a day per week. There was a pretest before the program and a posttest after the 6 week program. The instruments used for the study were a Self Efficacy Scale and a Health Promotion Behavior Scale developed by Park(1995). The data analysis was done by the use of a SPSS/PC. The study results were as follows: 1. In the analysis of the homogeneity between the experimental and control groups, there were significant differences in the socio-demographic characteristics, self efficacy and health promotion behavior. There were significant differences between the experimental and control groups in occupation, the number of children, and the status of involvement in social activities. 2. The first hypothesis, "The level of self efficacy of the experimental group will be higher than that of the control group." was supported(F=10.154, p=.002). The second hypothesis, "The degree of health promotive behaviors in the experimental group will be higher than that of the control group." was supported(F=17.349, p=.000). 3. There was a significant positive correlation between the self efficacy and the health promotion behaviors in pretest and posttests (pretest: r=.732, p=.000 ; posttest : r=.754, p=.000). 4. The significant variables for health promotion behaviors were religion(t=-1.97, p=.05), family income(F=4.85, p=.00), education level (F=6.38, p=.00) and involvement in social activities(t=-3.06, p=.00) in socio-demographic characteristics. In summary, a heath promotion program based on self efficacy theory has made an improvement on health promotion behaviors. Also, the results show that the higher the level of self efficacy, the better the health promotion is in middle aged women. The study has proved that nurses can provide nursing intervention for the improvement of health promotion in middle aged women through the adaptation of a program increasing the subject's self efficacy level.

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