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Analysis of Educational Needs of Home Care Nurses: Utilizing Borich’s Needs Assessment and the Locus for Focus Model
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Dasom Kim, Hyeongsu Kim, Young Ko
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Res Community Public Health Nurs. 2024;35(3):240-253. Published online September 30, 2024
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DOI: https://doi.org/10.12799/rcphn.2024.00605
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This study analyzed educational needs of home care nurses to improve the quality of home care service and identify priority educational subjects.
Methods This study analyzed the training priorities of 54 home care nurses working at community service centers or public health centers in Seoul, Korea, using the Borich Needs Assessment and the Locus of Focus model. The home care nurses’ tasks were categorized into 21 tasks and 85 task elements.
Results Six priority educational subjects were identified: 1) health assessment and monitoring, 2) nursing records and information management, 3) health education and counseling techniques, 4) home care supplies management, 5) recipient identification and communication skills, and 6) care recipient classification and management. Activities related to one-on-one health management, such as health screening, measurements, and disease management counseling, were found to be high priorities. In contrast, small group program planning and operation were rated as a low priority.
Conclusion This study underscores the importance of incorporating identified educational needs into training curricula for home care nurses. Regular assessment and integration of these needs into educational programs are crucial for enhancing nursing competence and service quality.
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Relationships of Self-leadership, Working Environment, and Professionalism among School Health Teachers
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Joohee Kim, Young Ko
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Res Community Public Health Nurs. 2023;34(4):294-306. Published online December 29, 2023
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DOI: https://doi.org/10.12799/rcphn.2023.00297
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This study was conducted to examine the relationships of self-leadership, working environment, and professionalism, and to identify the factors that influence professionalism among school health teachers.
Methods This study was a descriptive research study to identify the relationships of self-leadership, work environment, and professionalism among school health teachers. Data were collected from 198 people via an online survey using a structured questionnaire. The data were collected from February 7 to 24, 2023. The relationships of self-leadership, working environment, and professionalism were analyzed using multiple regression analysis.
Results The score of self-leadership of school health teachers was 3.97 points out of 5, working environment was 3.28 points out of 5, and professionalism was 4.12 points out of 5. Professional accountability and competency development were influenced by behavioral strategies of self-leadership, cognitive strategies of self-leadership, and working environment. These variables explained 35.0% and 29.5% of professional accountability, respectively. Autonomy was influenced by age, cognitive strategy of self-leadership, and working environment, and these variables explained 19.2% of the variance of autonomy. Social recognition was influenced by behavioral strategy of self-leadership, and working environment, and these variables explained 28.0% of social recognition.
Conclusion To enhance the professionalism of school health teachers, it is necessary to cultivate self-leadership that can overcome difficulties in work and properly self-criticize. Improving the working environment would help enhance the professionalism of school health teachers.
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Perceived Discrimination and Workplace Violence among School Health Teachers: Relationship with School Organizational Climate
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Joohee Kim, Young Ko
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J Korean Acad Community Health Nurs. 2022;33(4):432-445. Published online December 31, 2022
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DOI: https://doi.org/10.12799/jkachn.2022.33.4.432
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The purpose of this study was to identify the relationship of the school organizational climate with perceived discrimination and the workplace violence among school health teachers.
Methods: The research design was a cross-sectional study. The subjects of the study were 350 school health teachers with more than one year of teaching experience. Data were collected online using a questionnaire. Research variables are general characteristics, organizational climate, perceived discrimination, and workplace violence. The relationship between organizational climate and perceived discrimination and the relationship between organizational climate and workplace violence were analyzed using regression analysis.
Results: The score for organizational climate of health teachers was 3.10 out of 5 points, the score for perceived discrimination was 2.85 out of 5 points, and the experience rate of workplace violence was 16.9%. School organizational climate was related to both workplace violence and perceived discrimination. The subcomponents of organizational climate affecting perceived discrimination of health teachers were interrelationship and the level of compensation. The subcomponents of organizational climate affecting workplace violence of health teachers were interrelationship and autonomy.
Conclusion: The improvement of the school's organizational climate can reduce the level of workplace violence and discrimination against health teachers. It is important to establish an appropriate evaluation system for health teachers and to recognize the role and expertise of health teachers. In addition, it is necessary for school administraters to actively support health teahcers and to create an organizational climate where they can be friendly and communicative.
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Effects of the Subjective Family Class on the Suicide Ideation of Adolescents: Double Mediating Effect of Social Support and Sense of Coherence
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Ji Youn Kim, Young Ko
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J Korean Acad Community Health Nurs. 2020;31(3):269-278. Published online September 30, 2020
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DOI: https://doi.org/10.12799/jkachn.2020.31.3.269
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The study was conducted to identify the relationship between subjective family class and suicidal ideation and to determine the double mediating effect of social support and sense of coherence on their relationship. Methods Secondary analysis of data from 2015 Korean Psycho-social Anxiety which was a population-based representative was performed. Double mediating effects of social support and sense of coherence on suicidal ideation were analyzed using the PROCESS macro (model 6) with bootstrapping methods. Results Subjective family class directly influenced social support (β=.20, p<.001) and sense of coherence (β=.10, p<.001). Subjective family class directly influenced suicide ideation (β=-.08, p<.001). Sense of coherence was directly influenced by social support (β=.28, p<.001). Suicide ideation was indirectly influenced by subjective family class through social support (β=-.22, p<.001) and sense of coherence (β=-.36, p=.001). The size of direct effect of subjective family class on suicide ideation was 0.24 and the total size of indirect effect was 0.12. Conclusion Intervention to improve social support and sense of coherence is needed to prevent the suicide among adolescents.
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- Perceived Social Status and Suicidal Ideation in Maltreated Children and Adolescents
Kelli L. Dickerson, Helen M. Milojevich, Jodi A. Quas Research on Child and Adolescent Psychopathology.2022; 50(3): 349. CrossRef - Influence of Experiencing Bullying Victimization on Suicidal Ideation and Behaviors in Korean Adolescents
Jiyoun Kim, Young Ko International Journal of Environmental Research and Public Health.2021; 18(20): 10853. CrossRef
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Factors Influencing Participation in National Health Screening Program among Korean Older Adults by Cognitive Function Level
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Song Yi Han, Young Ko
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J Korean Acad Community Health Nurs. 2019;30(4):508-517. Published online December 31, 2019
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DOI: https://doi.org/10.12799/jkachn.2019.30.4.508
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The aim of this study was to identify the participation rate of the National Health Screening Program (NHSP) and its influencing factors by cognitive function level in Korean older adults. METHODS This study was a secondary analysis using data from the survey of the Korean Longitudinal Study of Aging in 2016. The data were analyzed using χ² test and multiple logistic regression. RESULTS The participation rates of the NHSP in the mild cognitive impairment group (79.6%) and the suspected dementia group (58.0%) were lower than the normal cognitive function group (88.1%). The factors influencing NHSP varied by cognitive function level. Especially, in the suspected dementia group, higher participation rates of the NHSP were associated with living in rural areas, enrollment in private health insurance, no depressive symptoms, participation in social activities, and no living with children. Depression and participation in social activities influenced participation in NHSP in all groups. CONCLUSION This study suggests that interventions differentiated by cognitive function level are important for increasing the participation in the health screening.
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Effects of Multifactorial and Follow-up Programs Applying a Capacity Building Strategy: Focusing on Older Adults Living in a Urban-rural Complex Area
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Song Yi Han, Young Ko, Hee Ryang Kim, Ji Youn Kim
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J Korean Acad Community Health Nurs. 2019;30(2):243-255. Published online June 30, 2019
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DOI: https://doi.org/10.12799/jkachn.2019.30.2.243
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The purpose of this study is to examine effects of a multifactorial program for preventing the frailty of older adults and effects of a follow-up program applying a capacity building strategy. METHODS A quasi-experimental pretest-posttest design was used for the nonequivalent control group. The follow-up group (n=75) and non-follow-up group (n=68) received the same multifactorial program comprising muscle strength exercise, cognitive training, and psychosocial programs for 12 weeks. After completion of multifactorial program, the follow-up group took follow-up programs applying the capacity building strategy for following 12 weeks. The data of physical function, cognitive function, and psychological function, and self-rated health were collected from both groups three times: before intervention, after intervention, and 12 weeks after intervention. The data were analyzed using χ2 test and t-test. RESULTS In comparison with the non-follow-up group, the scores of Timed Up & Go Test, and physical activities energy expenditure were significantly improved in the follow-up group. CONCLUSION These results indicate that a multifactorial program with follow-up adapting the strategies of capacity building for the older adults group is feasible to prevent the physical frailty in community.
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Factors Influencing Activities-specific Balance Confidence in Community-dwelling Old Adults
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Hee Ryang Kim, Young Ko
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J Korean Acad Community Health Nurs. 2018;29(4):520-529. Published online December 31, 2018
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DOI: https://doi.org/10.12799/jkachn.2018.29.4.520
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1,412
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The purpose of this study is to identify factors influencing activities-specific balance confidence in community-dwelling older adults. METHODS This is secondary analysis of data from an intervention study for improving cognitive function. The data were collected from March 2 to September 30, 2017 at a senior center. Data of 131 older adults were included for this secondary analysis, and were analyzed by using t-test, ANOVA, and multiple regression. RESULTS The mean score of activities-specific balance confidence is 65.08 out of a possible range of 0–100. The significant factors affecting activities-specific balance confidence among old adults include ‘more than 85 years old’, ‘waist circumference’, ‘depressive symptoms’, ‘activity restriction due to fear of falling’, and ‘self-rated health’ which explained 52.8% of the variance. CONCLUSION The study results indicate that psychologic factors as well as physical condition should be considered for interventions to increase activities-specific balance confidence.
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Yi-Rang Yim, Myung-Haeng Hur Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 155. CrossRef - Effects of a Physical Exercise Program on Physiological, Psychological, and Physical Function of Older Adults in Rural Areas
Sunmi Kim, Eun-Jee Lee, Hyeon-Ok Kim International Journal of Environmental Research and Public Health.2021; 18(16): 8487. CrossRef
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The Death Anxiety and Depressive Symptoms among Poor Older Women in Rural Areas: The Moderating Effect of Social Support
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Seung Joo Lim, Young Ko, Chun Mi Kim, Hung Sa Lee
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J Korean Acad Community Health Nurs. 2017;28(4):440-449. Published online December 31, 2017
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DOI: https://doi.org/10.12799/jkachn.2017.28.4.440
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This study was conducted to identify the moderate effect of social support on the relationship between death anxiety and depressive symptoms among poor older women in rural areas. METHODS This was a secondary analysis of the data from 209 women who were participated in the intervention study to evaluate the effectiveness of depression prevention program. Data were collected between April and September 2012. The data were analyzed using moderate multiple regressions. RESULTS Among these poor older women, depressive symptoms were associated with death anxiety and social support. Self-esteem support had a moderating effect on the relationship between death anxiety and depressive symptoms. CONCLUSION The results indicate that the self-esteem support was effective in decreasing depressive symptoms and death anxiety in poor older women. In order to reduce their depression and make positive changes in their lives, self-esteem improvement programs are needed.
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Jiali Zhou, Baoyuan Wu, Lining Su, Xiujie Ma Frontiers in Psychology.2024;[Epub] CrossRef - Death anxiety, self‐esteem, and health‐related quality of life among geriatric caregivers during the COVID‐19 pandemic
Xia Zhao, Weihua Zhang, Yonggang Su, Yanping Song, Huaxin Si, Lifeng Zhu Psychogeriatrics.2022; 22(2): 236. CrossRef - Death Depression Among Older Adults: A Concept Analysis Utilizing An Evolutionary Approach
Ameneh Yaghoobzadeh, Rebecca H. Lehto, Leila Mardanian Dehkordi, Mohammad Ali Cheraghi, Shahzad Pashaeipour Research and Theory for Nursing Practice.2022; 36(3): 265. CrossRef - Cohort profile: Korean Urban Rural Elderly (KURE) study, a prospective cohort on ageing and health in Korea
Namki Hong, Kwang-Joon Kim, Su Jin Lee, Chang Oh Kim, Hyeon Chang Kim, Yumie Rhee, Yoosik Youm, Jin-Young Choi, Hyun-Young Park BMJ Open.2019; 9(10): e031018. CrossRef
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Activities of Daily Living, Depression, and Self-rated Health and Related Factors in Korean Elderly: Focused on Socioeconomic Status and Family Support
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Sei Eun Oh, Young Ko
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J Korean Acad Community Health Nurs. 2015;26(2):140-149. Published online June 30, 2015
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DOI: https://doi.org/10.12799/jkachn.2015.26.2.140
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1,196
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This study was conducted to identify activities of daily living, depression and self-rated health and related factors for Korean Elderly. METHODS Data from the survey for the Korean Longitudinal Study of Aging in 2010 were used. The data were analyzed using frequencies, weighted proportions, and hierarchical multiple logistic regression. RESULTS Significant difference was observed in health status induced by socioeconomic status between men and women, but not among age groups. Socioeconomic status was strongly associated with self-rated health among male and female elders. Being unschooled and low net family asset were significantly related with dependency in activities of daily living and depressive symptoms among men. Only low net family asset was significantly related with depressive symptoms among women. Family support provides a slight decrease to the negative relationship between socioeconomic status and health status, especially depressive symptoms. CONCLUSION This study suggests that interventions to reduce health inequalities should target elderly with lower socioeconomic status and with poor family support, using a gender-specific approach.
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- Factors affecting the health status of patients with type 2 diabetes mellitus receiving insulin treatments: A multi‐mediation path analysis
Kang Sun Lee, Hye Young Kim, Heung Young Jin Journal of Clinical Nursing.2022; 31(9-10): 1285. CrossRef - Factors Influencing Participation in National Health Screening Program among Korean Older Adults by Cognitive Function Level
Song Yi Han, Young Ko Journal of Korean Academy of Community Health Nursing.2019; 30(4): 508. CrossRef - The Death Anxiety and Depressive Symptoms among Poor Older Women in Rural Areas: The Moderating Effect of Social Support
Seung Joo Lim, Young Ko, Chunmi Kim, Hung Sa Lee Journal of Korean Academy of Community Health Nursing.2017; 28(4): 440. CrossRef - Analysis of Convergent Factors on Subjective Health Status of Patients with Depression
Myoung-Jin Kwon, Young-Ju Kim Journal of Digital Convergence.2016; 14(6): 309. CrossRef - Successful Aging and the Influencing Factors in the Korean Elderly: Focused on Family Support
SongYi Han, Soon-Nyung Yun Journal of Korean Academy of Community Health Nursing.2015; 26(4): 372. CrossRef - The Effects of Socio-demographic Factors, Acculturation Stress and Resilience on Depression among Mothers-in-law in Multicultural Families
Dong-Hee Kim, Sang-Hwa Lee, Young-Sil Bae, Yi-Kyung Ha Journal of Korean Academy of Community Health Nursing.2015; 26(3): 221. 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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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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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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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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- 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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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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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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- Self‐ and informant‐reported cognitive functioning and awareness in subjective cognitive decline, mild cognitive impairment, and very mild Alzheimer disease
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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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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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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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
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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
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Family Functioning Perceived by Caregiver Who Support the Elderly
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Young Ko
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J Korean Acad Community Health Nurs. 2009;20(3):361-370. Published online September 30, 2009
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This study attempted to identify family functioning recognized by caregiver who support the elderly. METHODS Data was collected from 264 caregivers who live with elderly using questionnaires. The performance, satisfaction and importance of family functioning was assessed using the modified FFFS by Kang (1987) consisted of three dimension-'Relationship between Individual Family Members', 'Relationship between family and subsystem' and 'Relationship between family and broader social units'. The data was analyzed using SPSS/WIN by descriptive statistics, ANOVA and pearson's correlation. RESULTS The subjected Families showed a median level of performance (mean 4.06 +/- 0.65) and a high level of satisfaction (mean 1.04 +/- 0.71) in family functioning. Families recognized importance of family functioning above median level (mean 4.65 +/- 0.99). There was statistically significant difference in family functioning according to and duration of illness, illness and ADL of the elderly. In dimension of the relationship between individual family members and relationship between family and subsystem, there are significantly positive correlation among all aspect of family functioning. In relationship between family and social units, there are negative correlations between performance and importance (r = -.215) and between satisfaction and importance (r = -.194) while there are positive relationship between performance and satisfaction. CONCLUSION Considering the results of this study, family-focused nursing interventions for families with the elderly need to be developed.
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Analysis of the Factors Affecting to Youth Smoking Based on the Stage of Change
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Yun Jeong Yi, Soon Nyoung Yun, Young Ko, Mi Kyoung Chang, Bo Ra Nam
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J Korean Acad Community Health Nurs. 2009;20(2):225-233. Published online June 30, 2009
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This study was to analyse the factors affecting youth smoking, especially self-efficacy and perceived social norm, based on the stage of change. METHODS A self-reported survey was conducted during the period from the 21st of April to the 17th of May, 2008. Data were collected from 10,707 students of 12 middle schools in Seoul, Gyeonggi-do, and Incheon. The data were analysed with SPSS/WIN 15.0. RESULT The smoking possibility was 2.18 times higher in the male students than in female students, and 1.76 times higher in 8th-grade students and 2.48 times higher in 9th-grade students than in 7th-grade ones. Smoking possibility increased when students had more experience in alcohol, more friends who smoke, or worse relationship with their parents. Also this study showed that high-level self-efficacy and perceived social norm were acting as inhibiting factors of smoking. CONCLUSION To reduce the youth's smoking rate, smoking prevention programs should provide educational chances to learn knowledge and skills on how to reject smoking temptation. Also, someone significant like parents should make it clear to the youth that they do not want their children to smoke.
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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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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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The Processes of Habituating to Smoking among Teenagers
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Soon Nyoung Yun, Yun Jeong Yi, Eun Young Suh, Chun Mi Kim, Young Ko, Mi Gyeong Jang, Jeong Hee Hyeon
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J Korean Acad Community Health Nurs. 2008;19(4):636-648. Published online December 31, 2008
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Abstract
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- PURPOSE
The smoking rates among teenagers in Korea grow gradually since 1980s despite of the numerous programs for youth smoking prevention and cessation have been developed and implemented. The purpose of this study was to explore and describe the processes of habituating to smoking among teenagers using the grounded theory methodology. METHOD Qualitative data was collected via six focus group interviews. A total of 38 people, twelve teachers and 24 middle school students participated in this study. All focus group interviews were tape-recorded, transcribed, and analyzed according to the grounded theory methodology. RESULTS The overriding theme of the elicited grounded theory was "stepping into a quagmire by a merest chance". The student participants began smoking by a simple chance. The contingent factors to starting smoking were "discord within the family", "family member's smoking", "schoolwork stresses", or "a rebellious spirit". The conditions of smoking included accessibility, going around in group, and the lack of discipline. "Stigmatizing", "involved in mob violence", and "making a poor academic record" coexisted as the covariance of the smoking habituation. CONCLUSION The findings of this study illustrated the comprehensive and insightful picture of the phenomena under investigation. Nursing implications and further directions for research were discussed.
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