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Job Analysis of Visiting Nurses in the Process of Change Using FGI and DACUM
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Ji Eun Kim, In Sook Lee, Jin A Choo, Song Whi Noh, Han Na Park, So Hyeon Gweon, Kyung Hee Lee, Kyoung Ok Kim
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J Korean Acad Community Health Nurs. 2022;33(1):13-31. Published online March 31, 2022
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DOI: https://doi.org/10.12799/jkachn.2022.33.1.13
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899
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- Purpose
This study conducted a job analysis of visiting nurses in the process of change.
Methods
Participants were the visiting nurses working for the Seoul Metropolitan city. On the basis of the Public Health Intervention Wheel model, two times of the focus group interview (FGI) with seven visiting nurses and one time of the Developing a Curriculum (DACUM) with 34 visiting nurses were performed. A questionnaire survey of 380 visiting nurses was conducted to examine the frequency, importance and difficulty levels of the tasks created by using the FGI and DACUM.
Results
Visiting nurses’ job was derived as the theme of present versus transitional roles. The present role was categorized as ‘providing individual- and group-focused services’ and ‘conducting organization management’, while the transitional role was categorized as ‘providing district-focused services’ and ‘responding to new health issues’. The job generated 13 duties, 28 tasks, and 73task elements. The tasks showed the levels of frequency (3.65 scores), importance (4.27 scores), and difficulty (3.81 scores). All the tasks were determined as important, exceeding the average 4.00 scores. The group- and district-focused services of the tasks were recognized as more difficult but less frequent tasks.
Conclusion
The visiting nurses exert both present and transitional roles. The transitional roles identified in the present study should be recognized as an extended role of visiting nurses in accordance with the current changing healthcare needs in South Korea. Finally, the educational curriculum for visiting nurses that reflects the transitional roles from the present study is needed.
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Citations
Citations to this article as recorded by  - Community Health Nursing During the COVID-19 Pandemic in Korea: Consequences, Challenges, and Directions
Eunjoo Kim, Ju Young Yoon, Hyori Kim
Journal of Community Health Nursing.2023; 40(2): 79. CrossRef
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The Related Factors to Urgent Disease in Triaging Patients with Acute Abdominal Pain in Emergency Department
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Sang Rim Lee, In Sook Lee, Eun Hee Jung, Ju Won Kim, Young Ran Chin, Hyun Sook Hong, Daewon Yu
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J Korean Acad Community Health Nurs. 2019;30(4):581-587. Published online December 31, 2019
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DOI: https://doi.org/10.12799/jkachn.2019.30.4.581
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- PURPOSE
Abdominal pain is the most common symptom of patients visiting the emergency department (ED). Abdominal pain is caused by a variety of causes, so it is difficult for a triage nurse to determine the urgency of a patient, but it is still a must. The purpose of this study was to identify the related factors to the urgent diseases of patients with abdominal pain visiting ED.
METHODS
This study was a retrospective descriptive study. The study setting was an ED in a tertiary hospital in Korea. Data were collected from September 1, 2017 to October 15, 2017. During the study period, of a total of 6,181 patients visiting the ED, 731 complained of abdominal pain. Patients with obvious cause of pain and patients who could not express detailed symptoms were excluded. The 573 patients were included in the final analysis. We collected demographics, clinical characteristics, and final diagnosis. We divided final diagnoses into urgent diseases which were more likely to be life-threatening without treatment and non-urgent diseases. We identified the related factors to the urgent diseases of patients with abdominal pain using the logistic regression.
RESULTS
173 (30.2%) patients had urgent diseases. Age (OR=1.02, 95% CI=1.00~1.03), referral from other clinics (OR=2.92, 95% CI=1.86~4.60), ambulance utilization (OR=2.00, 95% CI=1.27~3.15), diarrhea (OR=0.44, 95% CI=0.25~0.76), and tachycardia (OR=2.27, 95% CI=1.44~3.58) were related to urgent diseases.
CONCLUSION
Triage nurse should take into account the patient's age, mode of visiting, and route of visiting ED; and check the symptom of tachycardia or diarrhea.
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Multilevel Analysis of Factors associated with Subjective Weight Perception among Normal Body Weight Adolescents based on the 2017 Korean Youth's Risk Behavior Survey (KYRBS)
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Eun Ha Joeng, In Sook Lee
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J Korean Acad Community Health Nurs. 2018;29(4):476-487. Published online December 31, 2018
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DOI: https://doi.org/10.12799/jkachn.2018.29.4.476
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1,320
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- PURPOSE
The present study is focused on understanding weight perception related with individual- and school-level multifactorial origins, underestimated and overestimated respectively, in normal body weight adolescents.
METHODS
Using the 2017 Korea Youth Risk Behavior Web-based Survey data of 45,902 students from 799 secondary schools, a multilevel multinomial logistic regression analysis was performed where adolescents (level1) were nested within schools (level 2).
RESULTS
At the school level, the average school body mass index (BMI, kg/m²) and physical education were associated with weight perception among both boys and girls. In boys, geographic areas were associated with weight underestimation. At the individual level, perceived economic status, weekly allowance, BMI (kg/m²), smartphone usage time (hrs/day) and perceived stress were associated with weight perception among both boys and girls. Age, paternal education, academic achievement and alcohol use were associated with weight perception among girls, while part-time job and physical activity were associated with weight perception among boys.
CONCLUSION
Our findings underscore the importance of individual- and school-level environments in developing correct weight perception and have implications for school health education to establish healthy lifestyle behaviors for all adolescents.
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Citations
Citations to this article as recorded by - Body Image Perception in High School Students: The Relationship with Gender, Weight Status, and Physical Activity
Stefania Toselli, Luciana Zaccagni, Natascia Rinaldo, Mario Mauro, Alessia Grigoletto, Pasqualino Maietta Latessa, Sofia Marini
Children.2023; 10(1): 137. CrossRef - Factors associated with the adoption of extreme weight control behavior by non-obese adolescents: a secondary analysis
Eunha Jeong
BMC Pediatrics.2023;[Epub] CrossRef - Association between body shape misperception and unhealthy eating behaviors among Korean adolescents
Yejin Kim, Bomgyeol Kim, Vasuki Rajaguru, Sang Gyu Lee, Tae Hyun Kim
Nutrition Research and Practice.2023; 17(6): 1143. CrossRef - Analysis of Factors Related to Adolescents’ Physical Activity Behavior Based on Multichannel LSTM Model
Guiling Chang, Jinfeng Liu, Dong Chen
Computational Intelligence and Neuroscience.2022; 2022: 1. CrossRef - Factors associated with body image perception of adolescents
Hyunju Chae
Acta Psychologica.2022; 227: 103620. CrossRef - Factors Associated with the Weight Bias Internalization of the Girls in Early Adolescence
Jin Suk Ra, Soon Ok Kim
Journal of Korean Academy of Community Health Nursing.2021; 32(2): 140. CrossRef - Effect of Body Image Distortion on Health Behaviors Practice in High School Students
Hyun Jung Yun
Stress.2020; 28(2): 98. CrossRef
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Adherence to the Clean Intermittent Catheterization Following a Customized Intensive Education Program for Patients with Emptying Failure
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Sang Rim Lee, In Sook Lee, Seung June Oh, Sung Hwa Kim, Young Ran Chin
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J Korean Acad Community Health Nurs. 2018;29(4):467-475. Published online December 31, 2018
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DOI: https://doi.org/10.12799/jkachn.2018.29.4.467
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- PURPOSE
The purpose of this study is to investigate adherence to the clean intermittent catheterization (CIC) and influencing factors on the adherence following a customized intensive education program (CIEP).
METHODS
This work is a retrospective descriptive study. The subjects were 226 emptying failure patients who learned in a CIEP from January 2012 to July 2014. The program developed in 2011 and consisted of 1) customized theoretical education; based on the results of urologic tests, underlying disease, or surgery of the patients, 2) hands-on practice until the trainees were able to master the techniques, 3) questions about the process of catheterization and what he/she needs to know. 4) at follow-up, the survey about adherence and barrier to CIC. Clinical characteristics; the level of satisfaction, understanding, and self-confidence; the barrier in medical records were reviewed.
RESULTS
The short-term adherence rate (median 22 days) is 87.6% and the long-term adherence rate (median 112 days) is 50.4%. The biggest obstacle is time management. The levels of satisfaction, understanding, and self-confidence are very high. The variable of Income is the only factor that has influence on adherence.
CONCLUSION
Despite the CIEP, the adherence rate is relatively low. In addition to the education, emotional and psychological supports and regular follow-up are needed to improve long-term adherence.
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Factors Affecting Unmet Healthcare Needs of Working Married Immigrant Women in South Korea
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Jin Seon Yi, In Sook Lee
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J Korean Acad Community Health Nurs. 2018;29(1):41-53. Published online March 31, 2018
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DOI: https://doi.org/10.12799/jkachn.2018.29.1.41
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940
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4
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Abstract
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- PURPOSE
This study was conducted to identify the factors affecting on unmet healthcare needs of married immigrant women, especially who are working in South Korea.
METHODS
It is designed as a cross-sectional descriptive study. We analyzed data from 8,142 working married immigrant women to the ‘National Survey of Multicultural Families 2015.’ Based on Andersen's health behavior model, logistic regression was conducted to determine the predictors of unmet healthcare need.
RESULTS
The prevalence of unmet healthcare needs among the subjects was 11.6%. In multivariate analysis, significant predictors of unmet needs included existence of preschooler, country of origin, period of residence in predisposing factors, monthly household income, helpful social relationship, social discrimination, Korean proficiency, working hour per week in enabling factors, and self-rated health, experience of grief or desperation in need factors.
CONCLUSION
The association between labor-related factors and unmet healthcare needs of marriage immigrant women currently working was found from nationally representative sample. Support policies for immigrant women working more than legally defined hours and having preschooler should be supplemented to reduce unmet healthcare needs. In addition, eradicating discrimination in workplace, enlarging social relationship, and developing culturally competent nursing services tailored to health problems caused by labor are needed.
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Citations
Citations to this article as recorded by - Unmet Healthcare Needs and Related Factors Among Immigrants: A Cross-Sectional Secondary Analysis of 2019 Korea Community Health Survey Data
SookKyoung Park, Hye Young Kim, Young-Me Lee
INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2023; 60: 004695802211468. CrossRef - Factors associated with self-rated health among immigrant workers in South Korea: Analyzing the results of the 2020 survey on immigrants' living conditions and labor force
Soo Jin Kang, Jinseub Hwang, Dohyang Kim, Bongjeong Kim
Frontiers in Public Health.2022;[Epub] CrossRef - Acceptance of the COVID-19 Vaccine by Foreigners in South Korea
Chiara Achangwa, Tae-Jun Lee, Moo-Sik Lee
International Journal of Environmental Research and Public Health.2021; 18(22): 12035. CrossRef - Too long to wait: South Asian migrants’ experiences of accessing health care in Australia
Manju Adhikari, Sabitra Kaphle, Yamuna Dhakal, Sabina Duwadi, Rajan Subedi, Sonu Shakya, Sunil Tamang, Mukesh Khadka
BMC Public Health.2021;[Epub] CrossRef
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The Relationships among Social Discrimination, Subjective Health, and Personal Satisfaction of Immigrants
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Ji Young Chun, In Sook Lee
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J Korean Acad Community Health Nurs. 2017;28(4):375-385. Published online December 31, 2017
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DOI: https://doi.org/10.12799/jkachn.2017.28.4.375
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1,219
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0
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1
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Abstract
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- PURPOSE
This study aims to examine the relationships among social discrimination, subjective health, and personal satisfaction based on the country of origin.
METHODS
The analysis was based on 16,958 immigrants who participated in the National Survey of Multicultural Family 2015 in Korea. This study conducted stratified cross-analysis of social discrimination for the differences in subjective health and personal satisfaction. Multivariate-adjusted odds ratios and 95% confidence intervals for the relationships among social discrimination, subjective health, and personal satisfaction were examined with multivariable logistic regression.
RESULTS
There were differences in experience of social discrimination, subjective health status, and personal satisfaction according to the country of origin. Groups without the experience of social discrimination had better subjective health and personal satisfaction than the other groups.
CONCLUSION
This study demonstrates that a discrimination prevention program needs to be developed based on a cultural approach.
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Citations
Citations to this article as recorded by - Factors associated with the self-rated health of migrant workers in Korea
Duckhee Chae, Jaseon Kim, Keiko Asami, Jongdae Kim
Korean Journal of Health Education and Promotion.2019; 36(3): 37. CrossRef
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The Emergency Care Experience and Demand for Support of School Nurse
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Jae Hee Yoon, In Sook Lee
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J Korean Acad Community Health Nurs. 2017;28(2):182-195. Published online June 30, 2017
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DOI: https://doi.org/10.12799/jkachn.2017.28.2.182
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940
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14
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7
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Abstract
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- PURPOSE
This study explores school nurses' emergency care experiences and their needs for systemic institutional support.
METHODS
Data were collected in 2016 from the interviews with five focus groups comprising thirty school nurses. Qualitative content analysis was then performed using the collected data.
RESULTS
The study found that school nurses were vulnerable to over-reaction in uncertain situations as the school's sole health service provider. The study's findings are divided into ten categories. 1) Major obstacles to overcome as the sole health service provider, 2) Assessing an uncertain situation and making appropriate decisions, 3) Providing limited first aid while maintaining control over the situation, 4) Referring or transferring a student to a hospital that creates tensions and raises cost, 5) Becoming an advocate for information disclosure and treatment, 6) Ensuring follow-up actions and proper transfer of responsibility, 7) Making preparations for future emergency, 8) Responding to conflicts arising from over-reaction as a safeguard and professional expertise, 9) Need for the development of standardized manual for school emergency care, 10) Need for practical case-based training.
CONCLUSION
The findings of this study should contribute to the development of the programs aimed at improving school emergency care and the professional competence of school nurse.
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Citations
Citations to this article as recorded by - Health teachers’ ethical conflict experiences in the COVID-19 situation: a qualitative content analysis
Kyoung Mi Lim, Sohyune Sok
Frontiers in Public Health.2024;[Epub] CrossRef - Expert school nurses' experiences of reopening schools during the COVID-19 pandemic: A qualitative study
Ji Eun Kim, Hyun-Ju Seo, Jaehee Yoon
Journal of Pediatric Nursing.2024; 76: 16. CrossRef - School Nurses’ Perception of Job Performance Difficulties, Job Stress, Job Identity and Job Satisfaction
Eun Kyo Cho, Hyun Jung Moon
Research in Community and Public Health Nursing.2023; 34: 43. CrossRef - Development of emergency nursing care competency scale for school nurses
Jaehee Yoon
BMC Nursing.2021;[Epub] CrossRef - Factors Associated with School Nurses’ Triage Competency in South Korea
Jaehee Yoon, Heesook Son
International Journal of Environmental Research and Public Health.2021; 18(16): 8279. CrossRef - Experience of Senior Center Nurses' Emergency Management
Soo Jin Lee, Xianglan Jin
Journal of Korean Gerontological Nursing.2020; 22(2): 153. CrossRef - Importance-Performance Analysis (IPA) to Improve Emergency Care for Novice Nurses
Hayoung Park, Yoojin Kim, Sang Hui Chu
Journal of Korean Academy of Fundamentals of Nursing.2019; 26(3): 155. CrossRef
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Factors Influencing Health-related Quality of Life of Young Adults and Elderly with Multimorbiditiy: A Secondary Analysis of the 2013 Korea Health Panel Data
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Seun Young Joe, In Sook Lee, Bo Hyun Park
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J Korean Acad Community Health Nurs. 2016;27(4):358-369. Published online December 31, 2016
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DOI: https://doi.org/10.12799/jkachn.2016.27.4.358
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780
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6
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12
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Abstract
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- PURPOSE
This study was to identify health-related quality of life of Korean young adults and elderly with multimorbidity and to examine factors influencing their health-related quality of life.
METHODS
Health-related quality of life was measured by the Korean version of the EQ-5D. Using a descriptive study, the study incorporated a secondary analysis of the Korean version of the EQ-5D data from the 8th wave of the Korea Health Panel Survey in 2013. Selected demographic data and the Korean version of the EQ-5D were analyzed using χ²-test, t-test, ANOVA and multiple regression analysis.
RESULTS
Education, drinking, type of health insurance, and number of chronic disease significantly affected the health-related quality of life in the young adults with multimorbidity. Educational level, occupational type, drinking, physical activity, number of chronic disease, unmet healthcare need and the type of multimorbidity significantly affected the health-related quality of life in the elderly with multimorbidity.
CONCLUSION
The factors influencing health-related quality of life were different for young adults versus elderly with multimorbidity. Therefore, there is a need for age-specific health care programs that may improve health-related quality of life of adults with multimorbidity.
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Citations
Citations to this article as recorded by - Factors associated with quality of life in patients with benign prostatic hyperplasia, 2009–2016
Sewon Park, Kyu-Sung Lee, Mankyu Choi, Munjae Lee
Medicine.2022; 101(36): e30091. CrossRef - Analysis of multiple chronic disease characteristics in South Koreans by age groups using association rules analysis
Eul Hee Roh
Health Informatics Journal.2022; 28(1): 146045822110702. CrossRef - Experience and response to a randomised controlled trial of extended-release injectable buprenorphine versus sublingual tablet buprenorphine and oral liquid methadone for opioid use disorder: protocol for a mixed-methods evaluation
Natalie Lowry, Fiona Cowden, Edward Day, Eilish Gilvarry, Stacey Johnstone, Robbie Murray, Mike Kelleher, Luke Mitcheson, John Marsden
BMJ Open.2022; 12(10): e067194. CrossRef - Factors Affecting Health-Related Quality of Life in Multimorbidity
Eunmi Lee, Sunkyung Cha, Geun Myun Kim
Healthcare.2021; 9(3): 334. CrossRef - Effects of Living Alone and Sedentary Behavior on Quality of Life in Patients With Multimorbidities: A Secondary Analysis of Cross-Sectional Survey Data Obtained From the National Community Database
Young Eun AHN, Chin Kang KOH
Journal of Nursing Research.2021; 29(5): e173. CrossRef - Effects of healthcare interventions on psychosocial factors of patients with multimorbidity: A systematic review and meta-analysis
Hyun-Ju Lee, Misoon Lee, Jae-Hyun Ha, Yeongsuk Lee, Jungmi Yun
Archives of Gerontology and Geriatrics.2020; 91: 104241. CrossRef - Analysis of the Types and Affecting Factors of Older People's Health-related Quality of Life, Using Latent Class Analysis
Sun-Hee Jang, Dong-Moon Yeum
Journal of Korean Academy of Community Health Nursing.2020; 31(2): 212. CrossRef - Quality of Life in Older Adults with Benign Prostatic Hyperplasia
Sewon Park, Jeong-min Ryu, Munjae Lee
Healthcare.2020; 8(2): 158. CrossRef - Health-related quality of life in South Korean community-dwelling older adults with multimorbidity: a convergent parallel mixed-methods approach
Hyun-Ju Lee, Jungmi Yun
Quality of Life Research.2020; 29(3): 721. CrossRef - Latent Class Analysis for Health-Related Quality of Life in the Middle-Aged Male in South Korea
Youngsuk Cho, Dong Moon Yeum
Journal of Korean Academy of Nursing.2019; 49(1): 104. CrossRef - Femoral Intertrochanteric Fractures of the Patients in the Emergency Department due to Minor Falls: Special Consideration in the Middle-old to Oldest-old Patients
Jung Min Jang, Han Sung Choi, Jong Seok Lee, Ki Young Jeong, Hoon Pyo Hong, Seok Hoon Ko
Annals of Geriatric Medicine and Research.2019; 23(3): 125. CrossRef - Quality of Life of Patients with Post-Stroke Speech-Language Disorders
Yun Kyung Hwang, Yunji Hwang, Soo Ryon Kim
Audiology and Speech Research.2018; 14(4): 292. CrossRef
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The Association of Food Label Use with Objective and Subjective Obesity among a Korean Population
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In Sook Lee, Ko Woon Lee
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J Korean Acad Community Health Nurs. 2016;27(3):262-271. Published online September 30, 2016
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DOI: https://doi.org/10.12799/jkachn.2016.27.3.262
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741
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2
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1
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Abstract
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- PURPOSE
Using food labels has been related to healthy eating habits and positive health outcomes. The purpose of this study is to describe the prevalence of food labels utilization and the association between food label use and obesity related factors.
METHODS
We conducted a self-reported population-based survey including health behaviors, 24-hour recalls, measurements of body mass indices with 6,266 Koreans aged 10 or older. χ2-test and ANOVA examined differences in demographic factors, health behavioral factors, and nutrition factors in tandem with food label use categories. Multivariates logistic regression was used to estimate association between food label use and obesity factors.
RESULTS
The percentages of food label users and non-users who perceive food labels were 21.8% and 48.5% respectively. In the multivariate logistic regression, food label use had significant positive associations with women, age, income, education attainment, and subjective obesity. After adjusting for socioeconomic factors and dietetic treatments, the positive associations between food label use and subjective obesity, weight control, and subjective obesity with objective normal weight remained.
CONCLUSION
In order to improve eating habits and weight management, the obesity population that does not use food labels needs to receive proper nutrition education including food choice and body image correction.
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Citations
Citations to this article as recorded by - Evaluation of Food Labeling Policy in Korea: Analyzing the Community Health Survey 2014–2017
Heui Sug Jo, Su Mi Jung
Journal of Korean Medical Science.2019;[Epub] CrossRef
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A Comparison of Characteristics between Success Group and Failure Group of 1-year Continuous Smoking Abstinence in Young Adult and Middle-aged Male Workers: with Focus on the First-year Analysis of Korean Cross-sectional Survey
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Juna Lee, In Sook Lee
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J Korean Acad Community Health Nurs. 2016;27(2):95-105. Published online June 30, 2016
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DOI: https://doi.org/10.12799/jkachn.2016.27.2.95
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1,236
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5
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1
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- PURPOSE
This study examined the characteristics differences associated with 1-year continuous smoking abstinence in Korean young adult and middle-aged male workers.
METHODS
'Korea National Health and Nutrition Examination Survey (KNHANES)' is an ongoing surveillance system that assesses the health and nutritional status of Koreans. For a secondary analysis of cross-sectional data from KNHANES VI-1, this study selected 683 Korean male workers as a subpopulation, who were young adult or middle-aged. The subpopulation was composed of success or failure group of 1-year continuous smoking abstinence. Binomial logistic regression analysis was performed.
RESULTS
Success group was more likely to be older, live in urban areas, rate their health status as excellent or good, and have ever been diagnosed with hypertension than failure group. Additionally, Success group was less likely to have used electronic cigarettes (e-cigarettes), drink more than once a month, and have been exposed to secondhand smoking in workplace within a week.
CONCLUSION
Developing smoking cessation programs requires consideration of resources in rural areas, promoting self-efficacy, restricting e-cigarettes and drinking, and promoting a smoke-free workplace.
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Citations
Citations to this article as recorded by - Association of Satisfactory Smoking Cessation Support Services and Treatment Administered with Successful Quitting of Smoking in Korea
Chanmin Lee, Ja-Mi Cho, Kyoung-Jin Kim, Eun-Jung Oh, Jinyoung Shin, Jae-Kyung Choi, Hyuk-Jung Kweon, Min-woo Jo, Yu-Jin Paek
Journal of the Korean Society for Research on Nicotine and Tobacco.2019; 10(2): 62. CrossRef
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The Effect of a Comprehensive Intervention Program on the Functional Status and Bone Density of the Socially-Vulnerable and Frail Elderly
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In Sook Lee, Kwang Ok Lee
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J Korean Acad Community Health Nurs. 2016;27(1):51-59. Published online March 31, 2016
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DOI: https://doi.org/10.12799/jkachn.2016.27.1.51
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580
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7
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1
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Abstract
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- PURPOSE
The purpose of this study is to provide a disease management, nutrition education, and group exercise program for three months to the moderately frail elderly whose physical functions have deteriorated, and to investigate its effects in order to develop an intervention program.
METHODS
As a quasi-experiment, this study was conducted based on non-equivalence studies designed as a similar experiment. The milk intake group and calcium intake group participated in the disease education, individual nutrition education, and group exercise program for three months, and the control group was visited once in the three months by a nurse who provided disease education, nutrition education, and oral instruction of exercise, and asked them to exercise on their own every day. For the data analysis, χ2-test, ANOVA and Scheffé test were used.
RESULTS
After three months of intervention, there was a significant difference in the frailty level (p=.029) and bone density (p=.001) between the groups.
CONCLUSION
The comprehensive intervention program had an effect on the bone density and the frailty level of the socially-vulnerable and moderately frail elderly, suggesting that the program can be used as a nursing intervention to prevent functional deterioration and damage of the moderately frail elderly.
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Citations
Citations to this article as recorded by - Effects of Calcium/Vitamin D Intake and Taekkyeon Exercise on the Elderly's Frailty
Kwang Ok Lee
Journal of Korean Biological Nursing Science.2016; 18(3): 185. CrossRef
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The Effects of Visiting Nursing Services in Long-term Care Insurance: A Difference-in-Difference Analysis
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Ji Eun Kim, In Sook Lee
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J Korean Acad Community Health Nurs. 2015;26(2):89-99. Published online June 30, 2015
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DOI: https://doi.org/10.12799/jkachn.2015.26.2.89
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814
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3
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6
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Abstract
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- PURPOSE
The purpose of this study was to demonstrate the effects of visiting nursing services in long-term care (LTC) insurance on changes in health status and physical functions among the elderly.
METHODS
We analyzed survey data on the living status and welfare needs of the elderly from 2008 and 2011 using the difference-in-difference method with propensity score matching.
RESULTS
The subjects were 76 elders including 38 visiting nursing service users(intervention group) and 38 home-based LTC service users (control group). Results from DID analysis confirmed that the subjective health status level of the intervention group was 2.2 points higher (p=.044) and the depression level was 0.3 point lower (p=.039) than the control group. In addition, the intervention group's ADL score was 1.9 (p=.027) and IADL 3.9 (p=.030), showing that their health was deteriorated less.
CONCLUSION
Visiting nursing service in LTC insurance was associated with delayed deterioration of subjective health status, depression, ADL and IADL. These findings suggest the need of rebuilding visiting nursing service programs focusing on prevention services, which will be more contributive to elderly health care and the reduction of social costs.
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Citations
Citations to this article as recorded by - Comparison between the Aged Care Facilities Provided by the Long-Term Care Insurance (LTCI) and the Nursing Hospitals of the National Health Insurance (NHI) for Elderly Care in South Korea
Hyeri Shin
Healthcare.2022; 10(5): 779. CrossRef - Examination of the Educational Needs of Home Visit Nurses: A Cross-Sectional Descriptive Study
Kyuri Lee, Dukyoo Jung
International Journal of Environmental Research and Public Health.2021; 18(5): 2319. CrossRef - Development and Application of Cost Management Program for Visiting Nursing Centers Using Time-Driven Activity-Based Costing
Juhang Kim, Ji Young Lim
Journal of Korean Academy of Nursing.2019; 49(5): 586. CrossRef - Demand and willing to pay for oral hygiene service in long-term care insurance of elderly
Han-Nah Kim, Gi-Yon Kim, Hie-Jin Noh, Nam-Hee Kim
Journal of Korean Academy of Oral Health.2018; 42(4): 204. CrossRef - Association between home-visit nursing utilization and all-cause hospitalization among long-term care insurance beneficiaries: A retrospective cohort study
Yeong Jun Ju, Hyo Jung Lee, Woorim Kim, Sang Ah Lee, Kyu-Tae Han, Eun-Cheol Park
International Journal of Nursing Studies.2017; 75: 93. CrossRef - Regional Comparison of Home Visiting Care Service Satisfaction among Elder Beneficiaries of the Long Term Care Insurance
Chanyeong Kwak
Journal of Korean Academy of Community Health Nursing.2016; 27(2): 114. CrossRef
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Effectiveness of Community-based Case Management for Patients with Hypertension
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Soon Nyoung Yun, In Sook Lee, Jin Hyun Kim, Young Ko
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J Korean Acad Community Health Nurs. 2014;25(3):159-169. Published online September 30, 2014
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DOI: https://doi.org/10.12799/jkachn.2014.25.3.159
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Abstract
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- PURPOSE
The purpose of this study was to evaluate the effectiveness of case management for patients with hypertension on their health status and medical service utilization.
METHODS
This study was a secondary analysis of data collected for a larger study of chronic disease management in 2008 using the National Health Insurance Corporation database. A total of 12,944 patients who received case management for hypertension were included in this analysis. The subjects of case management were classified into subgroups, namely, over-use, under-use, and non-use groups according to the amount of medical service utilization. To compare the medical service utilization, a control group was selected randomly. The data were analyzed through descriptive statistics, McNemar test, and ANOVA.
RESULTS
All the subgroups displayed significant differences in blood pressure, self-management, social support, and their characteristics of medical service utilization. The total medical expense of the under-use and non-use groups increased after case management. However, there was no decrease in the medical expense of the over-use group.
CONCLUSION
This finding suggests that there is a need to re-examine why patients overuse medical services and to supplement specific strategies for encouraging appropriate medical service utilization, and enhancing case management efforts for the over-use group.
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The Attitude, Use and Adverse Effects of Complementary and Alternative Medicine (CAM) Therapies among Vulnerable, Community Dwelling Old Adults
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Young Im Park, Mi Sook Song, Ok Hee Ahn, Soon Ok Yang, In Sook Lee, Hye Sun Hyun
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J Korean Acad Community Health Nurs. 2014;25(1):1-11. Published online March 31, 2014
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DOI: https://doi.org/10.12799/jkachn.2014.25.1.1
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790
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- PURPOSE
The purpose of this study is to obtain information of use of complementary and alternative medicines (CAMs) and any reported adverse effects of them on vulnerable elders in a community.
METHODS
1,837 elderly subjects aged 65 or higher with health problems were selected from those who were enrolled in a public health care center and received visiting health management services. A proportional stratified sampling method was used. Data collection was completed by face to face interviews using a structured questionnaire. The descriptive statistics and chi2-test were used to analyze the data.
RESULTS
The prevalence of CAM use last year was 57.5%, and 10.4% of the subjects reported adverse effects of the therapies. The mean score of the subjects' attitudes towards CAM was 4.1+/-3.44 (range 1~10). The major sources of advice and exposure to CAM therapies were most likely to be from family and friends (72.5%). The primary reason for choosing CAM was to manage symptoms and relieve pain (86.6%).
CONCLUSION
These findings suggest the need to develop nursing strategies for reducing and preventing adverse effects of CAM use by promoting awareness of using safe and appropriate CAM therapies.
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Citations
Citations to this article as recorded by - The Effect of Hand Press Pellet Therapy on Arthralgia, Ankylosis, and Depression in Elderly Women with Knee Osteoarthritis
Hyojung Park, Hyeri Yang
The Korean Journal of Rehabilitation Nursing.2020; 23(1): 27. CrossRef - Illness uncertainty and complementary and alternative medicine use in patients undergoing hemodialysis
Hae Ok Jeon, Bo Hye Kim, Oksoo Kim
Nursing & Health Sciences.2019; 21(3): 375. CrossRef - The Perception and Utilization patterns of Complementary and Alternative Medicines in Patients with Fibromyalgia Syndrome
Kyoung Ran Kong, Eun Nam Lee, Won Tae Jeong
Journal of muscle and joint health.2016; 23(3): 187. CrossRef - Health Status and the Use of Complementary and Alternative Therapies in the Community Dwelling Pre-elderly and Elderly
Myung-Sill Chung, Kyung-Choon Lim
The Korean Journal of Rehabilitation Nursing.2015; 18(1): 46. CrossRef
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Clusters of Health-Promoting Schools in Middle and High Schools Based on the WHO Guidelines
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Young Ko, In Sook Lee
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J Korean Acad Community Health Nurs. 2013;24(3):282-291. Published online September 30, 2013
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DOI: https://doi.org/10.12799/jkachn.2013.24.3.282
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667
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3
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Abstract
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- PURPOSE
The purpose of this study was to identify the Clusters of health promoting schools in middle and high schools for the Korean Youth Risk Behaviors Web-based Survey.
METHODS
The tool of health promoting school was developed based on a framework for action for health promoting schools in World Health Organization and Schools Health Index for middle and high schools in the United States by 2 professionals and 2 health teachers and revised as a result of the preliminary study. Data were collected with a questionnaire from teachers who attended the conference run by Korean Centers for Communicable Disease Control and Prevention in 2009. The data of 363 schools were analyzed using descriptive analysis, t-test, and ANOVA.
RESULTS
As a result of comparing the scores of health promoting schools, three Clusters were identified. The Clusters differed significantly in presence of health teacher, location, and type of schools (p<.05).
CONCLUSION
These results are a good reference in developing tailored strategies for health promoting schools, which will help improve health-promoting schools.
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Citations
Citations to this article as recorded by - The Educational Effect of Human Body Exploration Camp on Health Promotion of Elementary Students
Hee Kyoung Im, Jeonghyun Park
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(8): 5111. CrossRef - The Relationship between School Health Education Experience and Health Risk Behaviors in Adolescents: Results of the 2013 Korea Youth Risk Behavior Web-based Survey
Gyu Young Lee
Journal of Korean Public Health Nursing.2015; 29(2): 257. CrossRef - DACUM Job Analysis on Elementary Health Teachers' Roles
Chung Ran Yi, Hae-Deok Song
Journal of Korean Academy of Community Health Nursing.2014; 25(3): 187. CrossRef
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Body Mass Index (BMI)-Related Factors of Community-Dwelling Elders: Comparison between Early and Late Elderly People
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Hye Sun Hyun, In Sook Lee
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J Korean Acad Community Health Nurs. 2013;24(1):62-73. Published online March 31, 2013
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DOI: https://doi.org/10.12799/jkachn.2013.24.1.62
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694
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14
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Abstract
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- PURPOSE
The purpose of the study is to identify differences in BMI between early and late elderly people, and factors having influence of them.
METHODS
This study is an analysis of secondary data that used the raw materials from the KNHANES from 2008 to 2010. The subjects involved in the final analysis were 4,772 elders aged 65 or higher. Descriptive statistics, chi2-test and F-test, and CSGLM from the complex sample design were used for the data analysis with SPSS/WIN 19.0.
RESULTS
Significant differences were observed in the socio-demographic characteristics, health behaviors and diet habits between early and late elderly people. Adjusted for gender, location of residence, and living alone, the factors that affected BMI of the early elderly people included current smoking status, number of disease, difficulty in chewing, and number of meals per day while those that affected BMI of the late elderly people were current smoking status, number of disease, self-rated health, and difficulty in chewing.
CONCLUSION
The study concludes that we should consider age-specific traits for monitoring the weight status of the elderly and providing appropriate weight management programs for the elderly.
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Citations
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Hye-Ryeon Park, Na-Geong Kim
Belitung Nursing Journal.2023; 9(6): 571. CrossRef - Factors Affecting the Deterioration of the Physical Health Status of Taxi Drivers by Age Group
Jongsun Ok, Kyonghwa Kang, Hyeongsu Kim
International Journal of Environmental Research and Public Health.2022; 19(6): 3429. CrossRef - Factors Influencing the Practice of Healthy Living as an Integrated Indicator of the Elderly’s Drinking, Smoking, and Walking Patterns: Using Korea Community Health Surveys
Eunha Kim, Inhee Choo, Yunhwan Noh
International Journal of Environmental Research and Public Health.2022; 19(4): 1936. CrossRef - Comparison of the Nutrient Intake and Health Status of Elderly Koreans According to their BMI Status: Focus on the Underweight Elderly Population
You-Sin Lee, Yoonna Lee
Korean Journal of Community Nutrition.2022; 27(5): 422. CrossRef - Association of Dietary Quality with Subjective Health-Related Perception and Chronic Diseases According to Age Segmentation of Korean Elderly
Sojeong Lee, Seungmin Lee
Korean Journal of Community Nutrition.2021; 26(5): 363. CrossRef - The associations between body mass index (BMI) and life satisfaction among older adults: Focusing on mediating effects of depressive symptoms
Hae Sook Jeon
Korean Journal of Health Education and Promotion.2019; 36(3): 83. CrossRef - Factors Related to Frailty among the Elderly in South Korea: A 3‐year Longitudinal Study
Jin‐Kyoung Park, Jong‐Eun Lee
International Journal of Nursing Knowledge.2019; 30(1): 55. CrossRef - The Mediating Effects of Food Craving on the Relationship between Stress and Obesity in Elderly
Ju Yeun Kim
Stress.2018; 26(3): 215. CrossRef - Relationships among Muscle Mass and Obesity, Metabolic Syndrome, Physical Activity, and Nutrient Intake in Elderly Women: Based on the 4th-5th (2008-2011) Korean National Health and Nutrition Examination Survey (KNHANES)
Doo-Hwan Jung, Jung-Hyun Kim
The Korean Journal of Community Living Science.2018; 29(4): 469. CrossRef - Factors associated with frailty among community-dwelling older adults by age group: A multi-dimensional approach
Lee Seyune, Kim Hongsoo, Jung Young-il, Hong Yun-chul
Korean Journal of Health Education and Promotion.2018; 35(2): 89. CrossRef - Influence of the Food Intake Ability and the Number of Remaining Teeth on Oral Health Related Quality of Life in Some Elderly People
Da-Hye Kim, Soo-Jeong Hwang
Journal of dental hygiene science.2016; 16(1): 53. CrossRef - Diet Pattern According to Socio-Economic status - Using the Fifth (2010-2012) Korea National Health and Nutrition Examination Survey
Han Na Kim, Hyo Eun Park
The International Journal of Advanced Culture Technology.2016; 4(3): 24. CrossRef - A Comparison of Characteristics between Success Group and Failure Group of 1-year Continuous Smoking Abstinence in Young Adult and Middle-aged Male Workers: with Focus on the First-year Analysis of Korean Cross-sectional Survey
Juna Lee, Insook Lee
Journal of Korean Academy of Community Health Nursing.2016; 27(2): 95. CrossRef - The relations of the elderly's eating habits with their obesity
Hye-Young Song, Hyo-Eun Park
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(8): 5404. CrossRef
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Evaluation of KDSQ-C's Reliability and Validity between the Subject Elderly and Caregiver
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In Sook Lee, Kwang Ok Lee, Young Ko
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J Korean Acad Community Health Nurs. 2012;23(4):446-450. Published online December 31, 2012
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DOI: https://doi.org/10.12799/jkachn.2012.23.4.446
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766
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3
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- PURPOSE
This study is exploratory research to check the survey instrument KDSQ-C used to measure cognition for agreement between the elderly and their caregivers.
METHODS
Elderly persons from 170 families, who are aged over 65, have never been diagnosed with dementia, and who have caregivers in S City and K City were randomly selected by their nurses. A survey was conducted in the time from September to November, 2009 through personal interviews using a questionnaire.
RESULTS
In terms of consistency among items, there was high consistency (0.813) in the responses regarding complex task competence for the statement 'it is hard to reach a destination alone with public transportation'. There was relatively low consistency (0.63) in the responses regard memory for the statement 'they forget an appointment'. When the subject elderly and caregiver live together, as when their children or spouses responded, consistency was greater than when the caregiver lived in a different home.
CONCLUSION
KDSQ-C showed high agreement in measurement between the subject elderly and their caregivers, demonstrating that it can be used as a measurement scale for cognition which can be directly applied to the subject elderly.
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Citations
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Seon Young Ryu, Ahro Kim, SangYun Kim, Kyung Won Park, Kee Hyung Park, Young Chul Youn, Dong Woo Lee, Jun‐Young Lee, Jun Hong Lee, Jee Hyang Jeong, Seong Hye Choi, Hyun Jeong Han, Semi Kim, Seunghee Na, Misun Park, Hyeon Woo Yim, Dong Won Yang
International Journal of Geriatric Psychiatry.2020; 35(1): 91. CrossRef - Screening for Normal Cognition, Mild Cognitive Impairment, and Dementia with the Korean Dementia Screening Questionnaire
Sun-Ju Lee, Jung-Hoon Han, Jung-Won Hwang, Jong-Woo Paik, Changsu Han, Moon Ho Park
Psychiatry Investigation.2018; 15(4): 384. CrossRef - Correlation between Subjective and Objective Cognitive-Linguistic Tests in Older Adults
Mi-Sook Lee
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(5): 548. CrossRef
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Evaluation of the Effects of a Frailty Preventing Multi-factorial Program Concentrated on Local Communities for High-risk Younger and Older Elderly People
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In Sook Lee, Young Ko, Kwang Ok Lee, Eun Shil Yim
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J Korean Acad Community Health Nurs. 2012;23(2):201-211. Published online June 30, 2012
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DOI: https://doi.org/10.0000/jkachn.2012.23.2.201
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- PURPOSE
The purpose of this study is to evaluate the effects of a local community based multi-factorial program for high-risk younger and older elderly people.
METHODS
The quasi-experimental research design (pretest-post test) was employed. Participants were recruited in Seoul and a total of 98 elders completed an 8-week multi-factorial program for preventing frailty. Descriptive statistics, chi2-test and GLM were used in the data analysis with SPSS/WIN 15.0.
RESULTS
The high-risk elderly people in the younger and older stages showed differences in IADL, TUG and BMI, and after being provided with the multi-factorial program for preventing frailty, some effects were shown on improving the total score of frailty, a physical function, TUG, BMI, depression, subjective feeling of health, and social interaction.
CONCLUSION
The 8-week multi-factorial program for preventing frailty had positive effects on improving physical, emotional and social functions of the high-risk elderly people. It is necessary to evaluate the effects after individual intervention as well as group intervention and to evaluate the effects of the program by setting a control group in the future.
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Cost-benefit Analysis of Home Visiting Care for Vulnerable Populations with Hypertension
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Young Ko, In Sook Lee
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J Korean Acad Community Health Nurs. 2011;22(4):438-450. Published online December 31, 2011
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DOI: https://doi.org/10.12799/jkachn.2011.22.4.438
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894
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10
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Abstract
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- PURPOSE
This study was to investigate the effect of home visiting care service and to evaluate the effect from the cost-benefit perspective.
METHODS
Target participants were enrolled in 2007~2008 for home visiting care and provided with a home visiting nursing service for more than 18 months in J Ward of S City. Of 391 participants, 244 who satisfied the inclusion criteria were used in the final analysis. Cost-benefit analysis was done using the net benefit and benefit/cost ratio.
RESULTS
After providing the home care nursing service, the blood pressure control rate increased from 50.8% to 75.4%. Of the subjects, 39.8% maintained their blood pressure level within the target range. As a whole, the net benefit of home visiting care per person ranged from 434,964.86 to 447,112.43 won and the benefit/cost ratio ranged from 2.82 to 2.84.
CONCLUSION
Home visiting care for vulnerable populations with hypertension was effective in both maintaining blood pressure and reducing blood pressure to the target range. Therefore these results are especially useful for establishing the value of home visiting services for policy makers as well as for prioritizing vulnerable populations.
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Citations
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Hyun-Kyung Park, Ae Jung Yoo, Ju Young Yoon, Jae Woo Choi
Research in Community and Public Health Nursing.2023; 34: 127. CrossRef - Types of Perception of Home Visiting Oral Health Care Services for Korean Older Persons: A Q Methodology Study
Sue-Hyang Lee, Soo-Myoung Bae, Bo-Mi Shin, Sun-Jung Shin
International Journal of Environmental Research and Public Health.2020; 18(1): 214. CrossRef - Nursing Students' Practice Experience on Community Visiting Nursing
Jae-Hyun Ha, Jeong-Hee Park
Journal of Korean Academy of Community Health Nursing.2020; 31(1): 43. CrossRef - Cost-Benefit Analysis of Occupational Therapy in Center for Dementia Based on Public Data
Seung-Hyun Cho, Kyung-Yoon Kam, Sung-Yoon Bae, Nam-Hoon Cho, Hye-Won Oh, Young-Ae Yang
Journal of Korean Society of Occupational Therapy.2018; 26(2): 99. CrossRef - Comparison of Working Conditions among Non-regular Visiting Nurses in Public Health Centers based on Their Employment Types
Hee Girl Kim, Ryoun-Sook Lee, Soong-Nang Jang, Kwang Byung Kim, Young Ran Chin
Journal of Korean Academy of Community Health Nursing.2018; 29(3): 267. CrossRef - The Study for Improvement of Frailty and Depression in the Health Vulnerable Elderly of Home Visiting Health Care Service
Youngji Kim, Song-Nang Jang
Journal of the Korean Geriatrics Society.2016; 20(2): 85. CrossRef - The Cost-Benefit Analysis of the NutriPlus Program in Daejeon Dong-gu Health Center
Hyun Ju Kim, Sung Han Kim
The Korean Journal of Food And Nutrition.2015; 28(4): 717. 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 - Development of the evaluation tool for the food safety and nutrition management education projects targeting the middle class elderly: Application of the balanced score card and the structure-process-outcome concept
Hyeja Chang, Hyoi Yoo, Harim Chung, Hyesang Lee, Minjune Lee, Kyungeun Lee, Changhee Yoo, Junghwa Choi, Nayoung Lee, Tongkyung Kwak
Journal of Nutrition and Health.2015; 48(6): 542. CrossRef - Effectiveness of Telemedicine: Videoconferencing for Low-Income Elderly with Hypertension
Hanna Choi, Jeongeun Kim
Telemedicine and e-Health.2014; 20(12): 1156. CrossRef
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Validation of Instruments to Classify the Frailty of the Elderly in Community
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In Sook Lee, Young Im Park, Eun Ok Park, Soon Hee Lee, Ihn Sook Jeong
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J Korean Acad Community Health Nurs. 2011;22(3):302-314. Published online September 30, 2011
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DOI: https://doi.org/10.12799/jkachn.2011.22.3.302
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744
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16
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Abstract
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- PURPOSE
This study aimed to validate instruments to classify the frailty of Korean elderly people in community.
METHODS
For this study, 632 elders were selected from community-based elderly houses and home visiting registries, and data on frailty were collected using three instruments during November, 2008. The Korean Frail Scale (KFS) was composed of 10 domains with the maximum score of 20. The Edmonton Frail Scale (EFS) had 10 domains with the maximum score of 17. The 25_Japan Frail Scale (25_JFS) was composed of 6 domains with the maximum score of 25. Internal consistency was measured with Cronbach's alpha. Sensitivity, specificity and area under the curve (AUC) of ROC were measured to see validity with long-term care insurance grade as a gold standard.
RESULTS
The Cronbach's alpha was .72 for KFS, .55 for EFS, and .80 for 25_JFS. Sensitivity, specificity, and AUC were 70.0%, 83.2%, and .83, respectively, at cutting point 10.5 for the KFS, 50.0%, 80.9%, and .66, respectively, at 8.5 for EFS, and 80.0%, 85.9%, and .86, respectively, at 12.5 for 25_JFS.
CONCLUSION
KFS and three JFS showed favorable internal consistency and predictive validity. Further longitudinal studies are recommended to confirm predictive validity.
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Citations
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You-Ri Kim, Hye-Sun Jung
International Journal of Environmental Research and Public Health.2022; 19(6): 3608. CrossRef - Risk Factors for Frailty in Critical Care Survivors: A secondary analysis
Jiyeon Kang, Yeon Jin Jeong, Jun Hee Jang, Minju Lee
Intensive and Critical Care Nursing.2021; 64: 102981. CrossRef - Development and validation of a questionnaire to measure post-intensive care syndrome
Yeon Jin Jeong, Jiyeon Kang
Intensive and Critical Care Nursing.2019; 55: 102756. CrossRef - Factors associated with frailty among community-dwelling older adults by age group: A multi-dimensional approach
Lee Seyune, Kim Hongsoo, Jung Young-il, Hong Yun-chul
Korean Journal of Health Education and Promotion.2018; 35(2): 89. CrossRef - Co-occurrence Network Analysis of Keywords in Geriatric Frailty
Youngji Kim, Soong-nang Jang, Jung Lim Lee
Journal of Korean Academy of Community Health Nursing.2018; 29(4): 429. CrossRef - The Evaluation of Feasibility and Predictive Validity of Comprehensive Korean Frailty Instrument: Using the 2008 and 2011 Living Profiles of Older People Survey in Korea
Eunmi Oh, Gwi-Ryung Son Hong
Journal of Korean Academy of Community Health Nursing.2017; 28(2): 206. CrossRef - Korean version of the Fatigue, Resistance, Ambulation, Illnesses and Loss of weight questionnaire versus the Modified Kihon Checklist for Frailty Screening in Community‐Dwelling Older Adults: The Aging Study of PyeongChang Rural Area
Il‐Young Jang, Hee‐Won Jung, Chang Ki Lee, Kwang Ho Jang, Eun‐Il Cho, Ju Jin Jung, Euna Park, Juyoung Kim, Young Soo Lee, Eunju Lee, Dae Hyun Kim
Geriatrics & Gerontology International.2017; 17(11): 2046. CrossRef - The Effect of a Comprehensive Intervention Program on the Functional Status and Bone Density of the Socially-Vulnerable and Frail Elderly
In Sook Lee, Kwang Ok Lee
Journal of Korean Academy of Community Health Nursing.2016; 27(1): 51. CrossRef - Effects of Calcium/Vitamin D Intake and Taekkyeon Exercise on the Elderly's Frailty
Kwang Ok Lee
Journal of Korean Biological Nursing Science.2016; 18(3): 185. CrossRef - Predictors and Frailty Level in the Frail Elderly Receiving Home Visiting Health Care Services
Jeong Sook Park, Yun Jung Oh
Journal of agricultural medicine and community health.2016; 41(3): 129. CrossRef - Frailty and its related Factors in Vulnerable Elderly Population by Age Groups
Eunok Park, Mi Yu
Journal of Korean Academy of Nursing.2016; 46(6): 848. CrossRef - Self-rated Health of Frail Elders
Jihyun Kim, Hwa-Mi Yang, Purum Kang, Jung Eun Choi
Journal of Korean Gerontological Nursing.2015; 17(2): 98. CrossRef - Evidence-based Prevention of Frailty in Older Adults
Yunhwan Lee
Journal of the Korean Geriatrics Society.2015; 19(3): 121. CrossRef - Validity of Instrument Development Research in Korean Nursing Research
Kyunghee Lee, Sujin Shin
Journal of Korean Academy of Nursing.2013; 43(6): 697. CrossRef - Effects of Health Characteristics on Depression of Elderly Beneficiaries of the National Basic Livelihood Scheme
Jungyi Hur, Yunjeong Yi, Keum-Jae Lee, Hee Gerl Kim
Journal of Korean Public Health Nursing.2013; 27(2): 327. CrossRef - Frailty Level and Health-related Characteristics among Participants of a Tailored Home Visiting Service
Insook Lee Ph.D., Ihn Sook Jeong Ph.D.
Journal of the Korean Geriatrics Society.2012; 16(2): 74. CrossRef
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A Survey on the Characteristics of Vulnerable Families in a City
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Kyung Won Choi, In Sook Lee
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J Korean Acad Community Health Nurs. 2009;20(3):371-380. Published online September 30, 2009
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- PURPOSE
This study aimed at describing the characteristics and nursing needs of vulnerable families in a City.
METHODS
A total of 427 vulnerable families enrolled in the Visiting Health Care Center in K-gu of S city were investigated in this study. Data were collected using questionnaires for one year from Jan to Dec, 2003, and analysed using mean, standard deviation and chi2.
RESULTS
Most of the vulnerable families investigated here showed many deficits, especially incomplete family structure (62.8%), financial problem (84.0%), lack of support (55.8%) were prevalent. The score of level of economic status in Family Capability for Self management (1.95 +/- 0.65) was lowest, and the score of perception of family problem and health of family members (2.62 +/- 0.78) was highest. The four family groups divided according to the total score of family management capability showed significant differences in family interaction, support, and coping domain. The total score of family management capability increased as family functioning-related problems decreased in the vulnerable families.
CONCLUSION
In order to find vulnerable families, and improve their family function, it is required to develop the systematic assesment tools, community supportive systems and nursing interventions for family strength.
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A Study on the Satisfaction of Web-Based Health Education Programs
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Soon Nyoung Yun, Jeong Eun Kim, In Sook Lee, Bok Im Lee, Eun Jun Park, Soo Yeon Park
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J Korean Acad Community Health Nurs. 2009;20(2):134-142. Published online June 30, 2009
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This study was to present the process of web-based educational program (WEP) development and to identify factors affecting satisfaction with WEP for the certificate of healthcare managers working at the National Health Insurance Corporation (NHIC).
METHODS
Subjects were healthcare managers and voluntary participants of WEP. A total of 1,449 respondents were surveyed through an online questionnaire about their satisfaction with the educational contents and system.
RESULTS
The mean contents satisfaction was 3.75 (SD 0.54), and system satisfaction 4.68 (SD 0.54). According to statistical analysis, the type of certification, experience and professional career of health care management affected contents satisfaction. And factors affecting system satisfaction were the type of certification and gender.
CONCLUSION
WEP was utilized as a pre-requisite course for the certificate program of healthcare managers. However, the development of advanced WEP is suggested to meet the educational needs of healthcare managers who have certificate or license and their job related to healthcare management.
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Factors Affecting the Self-Rated Health of Vulnerable Elderly
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Young Ko, In Sook Lee
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J Korean Acad Community Health Nurs. 2009;20(1):31-40. Published online March 31, 2009
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- PURPOSE
This study was to investigate the factors affecting the self-rated health of vulnerable elderly in community.
METHODS
The subjects were 2,328 elderly over 65 years who were enrolled in the Visiting Health Care Center in J-gu of S-city from Apr. 2007 to Sep. 2008. Data were collected using questionnaires including general characteristics, health related behavior and health status by nurse at the time of enrollment. The collected data were analyzed by descriptive statistics, test and multivariate logistic regression.
RESULTS
47.2% of the male subjects and 57.2% of the female subjects rated their health "poor". Gender differences were observed in the factors affecting on Self-Rated Health. ADL, depression and the number of diseases played a major role for men, whereas depression, IADL, the number of diseases, ADL, regular exercise and education played a major role for women. These factors explained 17~29% of variance in Self-Rated Health.
CONCLUSION
Gender-specific programs for vulnerable elderly may be developed based on this study. Both physical and psychological functions need to be integrated into the programs to improve self-rated health of vulnerable elderly.
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An Evaluative Study of Health Education Programs for Community-based Hypertension Control in Public Health Centers
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In Sook Lee
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J Korean Acad Community Health Nurs. 2004;15(4):517-527. Published online December 31, 2004
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This research is to find a solution for educational work on high blood pressure control in public health centers by analyzing their current status.
METHOD
It analyzed data from 133 public health centers that had been doing educational work on high blood pressure, through a questionnaire. Also, it developed recommendations by converging opinions from an expert group made of 25 people with nominal group technique.
RESULT
The educational methods of public health centers did not make any approach to get to the goal of the work. The mass media education and campaign activities for the general public had just temporary and passive propensities. In education for patients, it did not use appropriate methods to present management techniques for diagnosis process of patients, medication management, self monitoring BP, and risk factors. Pocket book for monitoring high blood pressure was not focused on self- recording for self-management. The expert group recommended that educational materials for adults should be developed focusing on treatments and observance of risk factors through daily living, and those for children should be focused on basic understanding about diseases, and life style.
CONCLUSION
Presenting direction and strategy of fundamental education work is needed for public health centers by giving them standard educational guidelines of managing high blood pressure nationally, and it is desirable that fundamental frameworks of educational materials should be developed and distributed by professional groups nationally.
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Analysis of the Current Hypertension Control Program in Public Health Centers
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In Sook Lee, Young Ran Chin
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J Korean Acad Community Health Nurs. 2004;15(3):385-396. Published online September 30, 2004
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- PURPOSE
Hypertension has been a major cause of death in Korea since the 1970s, and has resulted in being a significant economic burden to the finances of national health care. The Ministry of Health and Welfare made several efforts, but hypertension control programs in Korea are still non-standardized and ineffective. We wanted to investigate the current hypertension control program in public health centers systematically and suggest the direction for future programs.
METHOD
The design of this study is a cross-sectional investigation. From September to October in 2002, we sent a set of questionnaires to all PHCs, and 179 centers responded (response rate= 74.0 %). The instrument was developed based on components of National health systems.
RESULTS
1) Resources: The department responsible for hypertension control programs is the Department of Health Promotion, Health Education Center, Community Health Center, Citizen's Health Center, etc. The chief personnel of those departments are nurses, but 27.4% of PHCs have no full time nurse for hypertension management programs. PHCs had a lot of teaching materials (nine types per a PHC) and most of the recommended contents were included. But, periodical evaluation and revision were not being made. 2) Management: Nurses' (13.03 9.46 in 23 score) actions for hypertension control were not qualitative, but regular training and evaluation were seldom carried out. Need assessment (25.9%) and evaluation (about 10-20%) for the hypertension control program were indicated as low. 3) Programs: Programs focused on individuals rather than community or public, and 2nd prevention rather than 1st, 3rd prevention.
CONCLUSION
The Ministry of Health and Welfare has to construct the infrastructure for hypertension control programs. Related scholars and committees should develop and declare standardized manuals for hypertension control and the management system, as well.
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Analysis of the Effects and Nursing Intervention of Home Health Care in Public Health Centers
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Young Ran Chin, In Sook Lee, Hyun Sook Chang
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J Korean Acad Community Health Nurs. 2004;15(3):353-364. Published online September 30, 2004
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- PURPOSE
The purpose of this study was to investigate the types and frequencies of nursing intervention of home health care in Public Health Centers and its effects.
METHOD
The data collection period for this study lasted from March 1 to December 31, 2003. The clients were sampled by a stratified randomized method among those who had been cared for at least 3 months. The data was analyzed by SPSS for description, ANOVA, paired t-test, etc.
RESULT
The types and frequencies of nursing intervention in major chronic health problems were significantly different. The main types of nursing intervention in hypertension and DM patients included education on disease management, regular exercise, stress management, diets, etc. CVA patients were intervened in pain control (ice or hot pack, massage), position changes, and ROM exercise. Cancer patients received imaginary or relaxation therapy, pain control (ice or hot pack, massage), hospice, etc. After the intervention, the drug compliance of hypertension (8.2 days per month) and DM patients (6.2 days per month) improved. Blood sugar levels (FBS 7.6, post-partum 2hrs 21.4 (mg/dl) and blood pressure(systolic 9.8, diastolic 4.3 mmHg) lowered significantly. All aspects of QOL also improved (total 3.68).
CONCLUSION
The types and frequencies of nursing intervention were determined by characteristics of the health problems, and home health care nursing intervention in Public Health Centers was effective to the elderly of the community in many aspects.
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Effect of Rhythmic Exercise Program to Elderly on Risk Factors of Fall Injury
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In Sook Lee, Young Ran Chin, Dong Ok Lee, Yun A Kim, Kyeng Ae Baek
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J Korean Acad Community Health Nurs. 2001;12(3):600-608. Published online December 31, 2001
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Abstract
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- Accidents are the fourth-leading causal factor of death among the elderly, and fall is a major type of accident (53.17%). Many cases of falls in the elderly result in delayed discovery and loss of quality of life. As the number of the elderly grows, falls will be a more important health problem.
Most previous research on falls investigated prevalence, mortality, and the related factors. There are many studies proving the effect of rhythmic movements. But few researches considered linking risk factors of fall with rhythmic movements.
PURPOSE: We want to show the changes after performing rhythmic movement program, in risk factors of falls and mobility such as flexibility, balance, muscle power and persistency in the elderly, in order to provide basic information needed for the development of fall injury prevention program for the elderly.
METHOD
The design of this study is quasi-experimental, the equivalent control group, pretest-posttest. The subjects consist of 124 people who lived in Do-Bong-Gu, Seoul, agreed to participate in this study, and were able to follow this rhythmic movement program. About 93% of them are from 65 to 84 years (Mean+/-sd: 73.7+/-5.7); 64% are female. The rhythmic movement program was designed, and performed by two community health nurses working in the Do-Bong-Gu Public Health Center, regularly twice a week from May, 4 to December, 17, in 10 senior citizens' community centers. Risk factors of fall were measured with RAFS-II (Risk Assessment for Falls Scale II) by asking about each item; mobility was measured by observing their specific movements asked by investigators.
RESULTS
1. After performing the program during 7 months, risk factors score of falls were decreased significantly (paired-t = 4.77, p>0.01). 2. After performing the program during 7 months, flexibility (paired-t = 2.26, p=0.03) and mobility were improved (paired-t = 4.98, p>0.01), but muscle power and persistency did not change (paired-t = 0.33, p=0.74). Overall, mobility affecting the occurrence of falls was improved significantly (paired-t = 5.15, p>0.01).
CONCLUSIONS
A regular rhythmic movement program can be helpful in preventing falls in the elderly. Further, we can develop a fall injury prevention program using rhythmic movement.
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An Evaluative Study of Community based Health Promotion Project
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Sung Ae Park, Jung Ho Park, Soon Nyung Yun, In Sook Lee
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J Korean Acad Community Health Nurs. 2001;12(2):532-546. Published online September 30, 2001
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Abstract
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- This report is the result of interim evaluation of a health promotion project which was operated by a public health center of K Gu in the year of 2000. It evaluated the aspects of the aim of a project, a target group, and adequacy and appropriateness of a approaching strategy by considering data of public health center's self-evaluation, and guidelines of a group assigned to evaluate the project.
The way of evaluation was dividing the project into a colligated evaluation and a evaluation by projects in the aspects of the structure, the procedure, and the result of a result. Through this, a device to improve the health improvement project was derived. The target data for evaluation was the second data and data of self-evaluation, reported data, membership register data of a health management, and interview materials with the people in charge by projects that are all collected as a project management documents.
The result of evaluation is stated below.
1. Main purpose of a health promotion project is building a environment of healthy life practicing and providing information through various ways to increase the rate of practicing healthy life. Through overall project, the ultimate purpose and definite purpose were same, however, it was not quite satisfied to offer planning of a time, and a target amount in detailed strategy. As the purpose was to build environment of healthy life practicing, most of the projects had the whole community citizen as a target group. That made difficult to operate detailed projects, so the result was hard to estimate as much as the effort put into it. Also, there were too many kinds of projects and target groups to be equal to by the human source of a health promotion project team, so we were just bent on operating a project, and could not prepare for the evaluation.
As the most of former evaluation of public health service was just counting number of the objects, the new way of evaluating a project wasn't familiar to us, so the evaluation of a detailed project cannot be done well. Techniques and advices needed for all of these things weren't offered appropriately. For the forward direction of unfolding project, it is desirable to operate project by selecting focused target and considering a strategy of evaluation as a strategy of reasonable spread. The evaluation of the project became difficult as participation of citizen for it was poor. So, approach strategy that can lead the motivation of community citizen should be derived.
2. For the continuation of a health promotion project, technical assistance system, description of a field in charge, and arrangement of the amount of task should be developed as a central level. Furthermore, as the health promotion project focus on behavioral modification program whose purpose is to lessen dangerous factors, the public health service model which is incorporated with former project should be developed and spread out in the field for the object-centered project plan.
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The Behavior Analysis of Home Injury Prevention based on the Model of Family Health Protection
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In Sook Lee
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J Korean Acad Community Health Nurs. 2001;12(2):406-416. Published online September 30, 2001
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Abstract
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- This study is performed to confirm the influencing factors of family health protection behaviors using the variables included in Pender's Family Promotion Model.
1. The subjects are 110 families in preschooler family developmental stage, respondents are children's mother or father. These families are almost all nuclear types(95%), function of families is healthy as much as 8.0 the mean FAPGAR score.
The prevalence rate of family members' illness was 14.7% these last 3 months, and 21.1% of families responded suffered from injury for last 2 years.
2. The practice rate of injury prevention behavior is below a half in supervision and modifying of their home and residential environments, especially controlling through collaborative community power.
The more familiar function score is the better practicing rates of injury prevention behaviors.
3. The injury prevention behaviors correlate to family size, health status of family member, and children's congenital defects with statistical significance.
Families' economic condition correlates also significantly to family health status, cognition of benefits of injury prevention, cognition of the importance of community collecting power.
And the recognition of the benefits of injury prevention correlates the adaptive health concept, family norms about injury prevention, economic status.
4. Considering family health promotion model, the general influencing factor is only affected to family protective behavior, and other paths don't affect to family's behaviors.
In simple regression, the family protective behavior model explains 27.8%(P=0.05), significant factors are family function status, family size, chronic illness of family members', mother's education level, father's age.
5. To define of familiar preventive behavior as a unit is very important, but it has the limitation to solve the difficulties of family studies going with the operationalized difficulties of health promotion concept.
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A Trend of Research in Community Health Nursing
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In Sook Lee, Yu Na Kim, Key Won Choi, Young Ran Chin
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J Korean Acad Community Health Nurs. 2001;12(1):288-298. Published online March 31, 2001
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Abstract
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- This article makes an attempt to evaluate the extent of developing community health nursing knowledge and to suggest the direction of developing a body of knowledge henceforth through the results of analysis for contents and outcomes of all literatures, which have been published in the Journal related to community health nursing. Refer to the following for the result of this article.
1. The total number of literatures analyzed amounted to 100 pieces in Journal of community health nursing society, 78 in Journal of industrial nursing society, 134 in Journal of school health society, 40 in Journal of home care nursing society.
2. Journal of community health nursing society Health needs and educational-behavioral diagnoses, which are more concrete nursing assessments and diagnoses, formed the main current(54%) of articles published in Journal of community health nursing society since 1992. There was a quantitative growth as well as a qualitative advance.
Through a classification by the type of a body of knowledge, It was found that the knowledge providing nursing practice with bases, commanded an overwhelming majority(71.8%). Also, Researches on systemic supports for nursing practice are showing a tendency to increase.
3. Journal of industrial nursing society 52.6% of research papers presented in Journal of industrial nursing society dealt with health problem of workers, assessment of risk factors, diagnosis of health behaviors. Because of the beginning of an industrial nursing, the domain of nursing management to establish the role and task, work condition, training, documentary system made up 23 percent of research subjects. A knowledge providing nursing practice with bases have a majority, 69.2%. In addition, the subject concerning a systemic support and quality assurance was scarce but continuously presented.
4. Journal of school health society The major point of this journal is the identification of health problems and risk factors which belong to assessment and diagnosis domain(56.8%) regardless of year. Because of the interdisciplinary characteristic, The knowledge on quality assurance of nursing practice is relatively rare. But, articles related to a systemic support is plentiful.
5. Journal of home care nursing society In its infancy, there was a large number of papers concerning need assessment and diagnosis. Comparing others, this journal has introduced a good many of articles related to program management, delivery system, service fee, etc that belong to domain of systemic support for nursing practice.
6. It is showing definitely that quantity and extent of research have grown for a short period.
See the analysis in terms of nursing process, studies related to the domain of assessment and diagnosis command an absolute majority regardless of kinds of journal. Although articles referring to program management and implementation is increasing in number, it is scarce to evaluate a nursing program and grope for an improvement. Also, program development based on a theoretical framework is little. Therefore much more scientific effort to ensure profession should be executed.
7. In the methodological aspect, longitudinal study needs to be carried out so that we could show the evidence based nursing theory. To develop a more general theory, we have to conduct a study of various subjects and improve a validity of tools through a repeat test. In addition, the effort for interdisciplinary cooperation is needed.
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A study for quality assurance of visiting nurses service of a public health center
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Soon Nyoung Yun, In Sook Lee, Hye Jin Hyun, In Ja You, Jai Nam Kim, Jung Hee Bae
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J Korean Acad Community Health Nurs. 1995;6(2):275-285. Published online December 31, 1995
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Abstract
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- The purpose of the study is to evaluate the visiting nurses service of a public health center. Data were collectd from the 36 clients who received services from a public health center. In terms of the process evaluation, the tool is composed 4 parts, 27 items such as assessment planning, implementation, and evaluation. It was measured through the health records by 2 peer review. In terms of the outcome evaluation, the level of client satisfaction was measured by self report or interview by 2 supervisor. The result were as follows: 1. 30% of 36 health records showed narsing process was not and out of them, nursing care plann including spectific activities were rarely established or unclear.
2. The lack of systematic data collection showed and nursing diagnosis was not adressed in health records review.
3. Client satisfaction score was 32, 97, out of maximum score 36.
4. The lack of sufficent objective data, care plan, record of client's health status change, and evaluation was founded therefore quality assurance for visiting nurses service and in-service education are required and the development of standardized record system need.
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