Research in Community and Public Health Nursing

In Hee Choi

7 Articles

Analysis of Current Status of the Community Health Nursing Practice Education: Yoo Hyang Cho, Eun Young Do, Kyung Sook Kang, Young Me Kim, Youn Kyoung Kim, Farrah Rou, Chong Mi Lee, In Hee Choi, Hee Chung Choi; J Korean Acad Community Health Nurs. 2017;28(3):347-356. Published online September 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.3.347

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PURPOSE
The purpose of this study was to provide basic evidence to improve community health nursing practice education by analyzing the current status of actual operation, program outcomes and evaluation methods, and the level of achieving learning goals.
METHODS
Data were collected through an e-mail survey from 155 professors teaching community health nursing in April 2016. Out of 45 responses in total, 42 cases were used for analysis (response rate 29.0%).
RESULTS
Community health nursing practice was a 3-credit course in most of the schools (66.7%) and included a practice at public health centers without exception. The most common diagnosis classification system was OMAHA (81.0%). The core fundamental nursing skills evaluated during the practice were subcutaneous injection, vital signs, oral administration, and intradermal injection. Among the subjects of community health nursing practice, the area with the highest potential for achieving learning goals was primary health care provision (4.4/5) and the area with the lowest potential was disaster management (2.4/5).
CONCLUSION
The results of this study show that there would be active efforts to complement and improve several problems of the community health nursing practice among the community health nursing practice instructors for more effective and qualitative community health nursing practice.

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The Current Status of Nursing Management Practicum during the COVID-19 Pandemic
Eun A Kim, Yoomi Jung, Miyoung Kim, Jeong Hee Kim, Myonghwa Park, Kyung Ryu
Journal of Korean Academy of Nursing Administration.2022; 28(4): 471. CrossRef
A Study on Global Nursing Practice Education Experience
Eun Sil Cho, Myoung Hee Seo, Soo Ok You, Ok Hee Ahn, Myeoung Hi Song
Journal of Korean Academy of Community Health Nursing.2021; 32(4): 485. CrossRef
Geochemical occurrences of arsenic and fluoride in bedrock groundwater: a case study in Geumsan County, Korea
Joo Sung Ahn
Environmental Geochemistry and Health.2012; 34(S1): 43. CrossRef
Geochemical characteristics of fluoride in groundwater of Gimcheon, Korea: lithogenic and agricultural origins
Yeongkyoo Kim, Jong-Yong Kim, Kangjoo Kim
Environmental Earth Sciences.2011; 63(5): 1139. CrossRef

The Effects of an Individual Cognitive Improvement Program on the Elderly with Mild Cognitive Impairments: In Hyae Park, In Hee Choi, Seo Young Kang, Youn Kyoung Kim, Chong Mi Lee; J Korean Acad Community Health Nurs. 2015;26(1):1-10. Published online March 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.1.1

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Abstract PDF

PURPOSE
This study was conducted to investigate changes in cognitive functions, depression and life-satisfaction for elderly participants with mild cognitive impairments participating in an individual cognitive improvement program.
METHODS
A quasi-experimental with non-equivalent control group pretest-posttest design was implemented. The participants were senior citizens over 65 years of age who had been clinically diagnosed with mild cognitive impairments in G City and J Province (experimental group: 29, control group: 27). The experimental group participated in the individual cognitive improvement program based on Korean traditional tales and games for nine weeks.
RESULTS
After the intervention, only the participants in the experimental group reported significant improvement in K-MMSE (t=-2.5, p=.016), MoCA-K (t=-2.6, p=.008), depression (t=3.51, p=.001), and life satisfaction (t=-2.75, p=.008) when compared to those in the control group.
CONCLUSION
These results indicated that the individual cognitive improvement program was effective in improving cognitive functions, depression, and life-satisfaction among the elderly with mild cognitive impairments. Therefore, the application of this individual cognitive improvement program developed in this study by visiting nurses may strengthen the cognitive functions of seniors with mild cognitive impairments.

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The Effect of Cognitive Rehabilitation Program Combined with Physical Exercise on Cognitive Function, Depression, and Sleep in Chronic Stroke Patients
SoHyun Kim, SungHyoun Cho
Physical Therapy Rehabilitation Science.2022; 11(1): 32. CrossRef
Effects of Integrative Cognitive Function Improvement Program on Cognitive Function, Oral Health, and Mental Health in Older People: A Randomized Clinical Trial
Eun-Seo Jung, Yoon-Young Choi, Kyeong-Hee Lee
International Journal of Environmental Research and Public Health.2022; 19(21): 14339. CrossRef
Evaluating the Efficacy of Therapeutic Programs on Improving Cognitive Function and Depression among Older Adults Living with Dementia in Korea
Jaeeon Yoo, Sunhee Lee
International Journal of Environmental Research and Public Health.2020; 17(9): 3218. CrossRef
Effects of a Cognitive Improvement Program on Cognition, Activities of Daily Living (ADL), Depression, Life Satisfaction, and Grasping Power in Small Groups
Seo Young Kang, Chong Mi Lee
Journal of muscle and joint health.2016; 23(3): 169. CrossRef
Effects of a Computerized Cognitive Training on Cognitive Function, Depression, Self-esteem, and Activities of Daily Living among Older Adults with Mild Cognitive Impairment
Myoungsuk Kim, Kyung-Choon Lim
Korean Journal of Adult Nursing.2016; 28(6): 691. CrossRef
A Study on Occupational Reminiscence Therapy(ORT) Program for the Elderly with Mild Cognitive Impairment(MCI) in Local Community
Yu-Jin Cha
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(8): 605. CrossRef
The Effects of a Functional Game (Rejuvenescent Village) for Older Koreans’ Cognitive Function, Instrumental Activities of Daily Living, Depression, and Life Satisfaction
Kyung Choon Lim, Min Ho Chun
Journal of Korean Biological Nursing Science.2016; 18(4): 296. CrossRef

The Effects of Pelvic Floor Muscle Exercise on Urinary Symptoms and Quality of Life in Women with Stress Urinary Incontinence: In Hee Choi; J Korean Acad Community Health Nurs. 2008;19(1):46-56. Published online March 31, 2008

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Abstract PDF: PURPOSE
The purpose of this study was to identify the effects of pelvic floor muscle exercise on reducing the symptoms of stress urinary incontinence and improving attitude toward exercise and quality of life.
METHOD
The research adopted was a nonequivalent control group pretest posttest design. The subjects were 55 persons who were surveyed using a structured questionnaire, and 23 persons in the experimental group among the total sample were measured for the peak pressure and the duration of PMC and trained correct pelvic floor muscle contraction using peritron in the first week. Then, pelvic floor muscle exercise was implemented for 6 weeks. The data was analyzed by chi2-test and t-test with the SPSS 10.0 program.
RESULTS
1) The degree of stress urinary incontinence, frequency of urination, nocturia, urgency, noctural incontinence, the frequency and quantity of incontinence, outer clothing change and incomplete emptying decreased significantly more in the experimental group than in the control group. 2) Attitude toward pelvic floor muscle exercise and the quality of life were improved significantly more in the experimental group than in the control group. 3) The peak pressure and duration of PMC increased significantly more in the posttest.
CONCLUSION
Based on the results above, it is judged that pelvic floor muscle exercise is an effective nursing intervention in order to care for stress urinary incontinence.

The Effects of Taekwon Aerobic Exercise on Obesity Indices and Cardiovascular Risk Factors in Middle-Aged Obese Women: In Hyae Park, In Hee Choi, Hyun Sook Ryu, Ae Ran Joo, Youn Kyoung Kim; J Korean Acad Community Health Nurs. 2007;18(3):382-390. Published online September 30, 2007

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Abstract PDF: PURPOSE
The purpose of this study was to identify the effects of taekwon aerobic on obesity indices and cardiovascular risk factors in middle-aged obese women.
METHOD
Data were collected from 19 middle-aged obese women who participated in taekwon aerobic exercise. This research adopted one-group pretest-posttest design. Taekwon aerobic was applied 3 times in a week for 12 weeks, and the obesity indices and cardiovascular risk factors were checked before and after the program. Body weight, BMI and % body fat for obesity indices were checked, and total cholesterol, triglyceride, HDL-cholesterol and the ratio of total cholesterol/HDL-cholesterol for cardiovascular risk factors were measured. The data was analyzed by paired t-test using SPSS/Win 10.0.
RESULTS
There were significant differences in body weight, BMI and % body fat after the taekwon aerobic exercise. There was a significant difference in total cholesterol. However, there were no significant differences in triglyceride, HDL-cholesterol and the ratio of total cholesterol/HDL-cholesterol after the taekwon aerobic exercise.
CONCLUSION
This study showed that taekwon aerobic exercise decreased obesity indices and lowered total cholesterol in the cardiovascular risk factors. The results of this study show that taekwon aerobic exercise is effective in enhancing the health of middle-aged obese women.

A Study through Individual Interaction on the Achievement Rate of Smoking Cessation Goal and Characteristics Related to Smoking Cessation in College Smokers: In Hee Choi; J Korean Acad Community Health Nurs. 2005;16(4):478-487. Published online December 31, 2005

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Abstract PDF: PURPOSE
This study was to examine the achievement rate of smoking cessation, to identify obstacles to smoking cessation, and to find means to achieve the goal of smoking cessation in college smokers.
METHOD
This study was conducted from April 26th to September 13th 2004 and used a one-shot design. The subjects selected by convenient sampling were 29 college smokers who smoked over one cigarette a day, had a positive level of urine cotinine, participated in smoking cessation education 3 times. Thereafter, individual interaction was processed between the researcher and the subject using an interaction instrument. Data were analyzed based on frequencies.,percentages and means using SPSS/Win 10.0.
RESULTS
The achievement rate of smoking cessation was 20.7% (6 students). The biggest obstacles smoking cessation were smoking stimuli (29 students) and lack of control (25 students). Among detailed obstacles, the biggest one was smoking at regular times, which was followed by withdrawal symptoms, smoking on drinking, and company with other smokers. The most effective means of smoking cessation mentioned by the subjects were in order of avoiding drinking situations, taking deep breaths, and exercising.
CONCLUSION
The results of this study, using King's theory, showed that individual interaction is effective in achieving smoking cessation. Therefore, it is suggested to make further study and broaden smoking cessation education for college smokers.

A Study on Self-Efficacy, Family Support and Health Promoting Behavior of the Aged in a Community: In Hee Choi; J Korean Acad Community Health Nurs. 2003;14(4):657-666. Published online December 31, 2003

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Abstract PDF: PURPOSE
This study was conducted to investigate the relationship between selfefficacy, family support and health promotion behavior of the elderly in a community.
METHOD
The sample consisted of 208 elderly and data was collected from November 18 to December 21, 2002. The instrument of this study was a structured questionnaire including health promoting behaviors, self-efficacy, family support, general characteristics. Analysis of the data was done by use of descriptive statistics, t or F, Pearson Correlation Coefficient, Stepwise multiple regression.
RESULTS
1. The general characteristics related to health promoting behavior were gender, family structure, education level and monthly pocket money. 2. The general characteristics related to self efficacy were gender, age, family structure, education level, religion and monthly pocket money. 3. The general characteristics did not affect family support. 4. Health promoting behavior score was the highest in the interpersonal support (2.72) and in order was nutrition(2.65), stress management(2.31), self actualization(2.30), exercise(2.05), health responsibility(1.86). 5. There was a significantly high correlation between health promoting behavior and self efficacy(r=.605, p=.000), and family support(r=.500, p=.000) and between self-efficacy and family support were correlated relatively high(r=.498, p=.000) 6. Stepwise multiple regression analysis revealed that the most powerful predictor of health promotion behavior in elderly was self-efficacy (39.6%). A combination of self-efficacy, family support, monthly pocket money, education level and present illness status explained 48.5% of the variance for health promoting behavior. In conclusion, the results of this study showed that self-efficacy and family support are very important variables in explaining the health promoting behaviors in elderly. Therefore, these variables should be considered in nursing intervention development and education, especially, self-efficacy improving programs that considered exercise and health responsibility are expected to effect the health promoting behavior in elderly.

Development of a Database System for Efficient Community Health Management : Focus on the Home Visiting Care of Family as a Unit by the Health Centers: In Hee Choi; J Korean Acad Community Health Nurs. 2000;11(1):67-79. Published online June 30, 2000

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Abstract PDF: In recent years, the recipients of the services of the health centers in Korea have been shifted from individual sick persons to families as a unit. As a result, the home visiting care records which are all filled out manually, will be increased. Since there is virtually no increase in the number of community health nurses, the CHNs are required to work more efficiently. One of the ways to make the CHNs' work more efficient is to reduce recording time by using a computer. However, a computer system that can manage the families as a unit has not yet been developed. In response to this need, we developed a database system that can be utilized in home visiting care service. The family assessment data is collected. diagnosed. and evaluated according to the family diagnosis classification. The system for family diagnosis consists of seven areas. Those areas are family structure. maintenance of the family system, interaction and interchange. support. coping and adaptation, health management. and housing environment. The areas of the family diagnosis consists of 99 items in all. We expect the following from this system. First. the CHNs will be able to identify family problems more easily. Second. the community's health level can be confirmed by the statistics the system produces. Thirdly, the CHNs' nursing services will be cost effective via reduced recording time. Finally, the family problems of the sick individuals which have been neglected under the health system oriented on individual persons can be effectively managed.

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