Research in Community and Public Health Nursing

Volume 32 (1); March 2021

Original Articles

The Difficulty of Case Management or Counseling for Non-suicidal Self-injury in Adolescents: Focused on the Factors in the Community: Yeo Won Jeong, In Hong Kim, Young Hee Park; J Korean Acad Community Health Nurs. 2021;32(1):1-11. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.1

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Abstract PDF: Purpose
This qualitative study is aimed to explore the factors in the aspect of the community that made it difficult for field experts to conduct counseling and case management. Methods: A total of four focus group interviews composed of 15 field experts including nurses were conducted. Results: A theme, six categories and 22 subcategories were derived. As for the theme, it was found that legal, educational, and environmental systems reflecting non-suicidal self-injury of the characteristics in adolescents were insufficient. In the legal aspect, the defect of the parental education legal system, the reality of having to rely on parental consent when supporting adolescents with non-suicidal self-injury; in the educational aspect, the lack of manuals and education for counseling and case management for adolescents with non-suicidal self-injury; in the environmental aspects, the defect of economic burden and support, a lack of information systems for various organizations in the local community, absence of a dedicated support system for adolescent with non-suicidal self-injury and a lack of human and physical resources. Conclusion: Based on the results of this study, there needs to be a responsible institution that can comprehensively manage the non-suicidal self-injury of adolescents, and efforts to develop the competence of community nurses.

An Exploratory Study on How and Why Young and Middle-aged Adults Disclose Depressive Feelings to Others: Focusing on the Influence of Perception of Social Norms: Soon Tae An, Han Na Lee; J Korean Acad Community Health Nurs. 2021;32(1):12-23. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.12

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Purpose
This study explored how and why young and middle-aged adults disclose depressive feelings to others. In particular, we investigated the role of social norms to see whether using mobile instant messaging (MIM) could lower the perceived barriers of emotional disclosure. Furthermore, the motivations of emotional disclosure via MIM were compared between young and middle-aged adults.
Methods
A total of 255 Koreans (128 middle-aged people, 127 young adults) participated in an online survey. Pearson’s correlation coefficients, paired t-tests, SPSS PROCESS macro, and exploratory factor analysis were used to examine the relationships among the key variables.
Results
The perceived social norms were found to be a significant deterrent in disclosing depressive feelings to others. However, there was a significant interaction effect between generations and perceived social norms. Although young adults with low social norm awareness were more likely to disclose depressive feelings via MIM, emotional disclosure among middle-aged adults increased with higher levels of perceived social norms. Also, different motivations were observed.
Conclusion
The results confirmed the significant effect of social norms as well as generational differences when using MIM as a channel of emotional disclosure.

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The necessity of emotion management for the general public: a comparison of diagnostic changes in two anger-related psychiatric disorders
Hyun Yoorim, You Myoungsoon
Archives of Psychiatry and Mental Health.2022; 6(1): 048. CrossRef

Analysis of Trends in Willingness to Pay Research in Healthcare Service of Korea: So Young Seo, Soong Nang Jang; J Korean Acad Community Health Nurs. 2021;32(1):24-39. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.24

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Abstract PDF: Purpose
This study was to review the previous studies on the ‘Willingness to Pay (WTP)' for healthcare services and suggest future implications for nursing research.
Methods
Using the scoping review method, we used RISS, KISS, KMbase, Koreamed, PubMed, EMbase, CINAHL as searching engines. According to the selection and exclusion criteria, 40 appropriate studies were selected and analyzed.
Results
24 studies were categorized into medical service field among medical, public health, and nursing service fields. A total of 16 studies were related to healthcare system (policies), 13 studies were to the healthcare intervention, and 11 studies were categorized into the health management. Most of the methods for eliciting WTP (70%) were about a contingent valuation method (CVM), and the use of double bounded dichotomous choice (DBDC) tended to increase. In the nursing field, five WTP studies were identified: two studies published in the early years of 2000, which were conducted on hospital-based home health visit services. Recent studies were mostly about counseling and education by advanced practice nurses (APNs).
Conclusion
WTP studies on healthcare services were largely published from the medical fields and health policy areas with the CVM method. In the field of nursing, studies have been conducted on the subject of limited service areas. More active exploration of research topics is required, particularly under the current policy setting, where discussion of the public health insurance fee for nursing practice is essential.

Development and Evaluation of the Parenting Support Group Program for Mothers with Infants: Sun Hwa Park, Kyung Ja June; J Korean Acad Community Health Nurs. 2021;32(1):40-50. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.40

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Abstract PDF

Purpose
The purpose of this study is to evaluate the changes in parenting competency, parenting environment, and parenting stress by developing and applying parenting support group program based on the social support intervention model for mothers with infants.
Methods
In this experimental study, mothers with infants of 8~12 weeks old were recruited. 23 mothers were selected for analysis (11 in the experimental group and 12 in the control group). The parenting support group program was provided to the experimental group for seven sessions with 120 minutes per session.
Results
The experimental group showed that the parenting competency and parenting environment were significantly increased and the parenting stress was significantly decreased immediately after intervention. In the case of parenting environment, it was found to have a lasting effect until the point of further investigation.
Conclusion
The results indicate that the program as a social support intervention strategy for mothers rearing up infants is effective intervention in a universal context in the community.

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Motherhood as Experienced by Women in a Prenatal and Early-Childhood Home Visitation Program, and Associated Factors
Ji Yun Lee, Young-Ho Khang, Yu-Mi Kim, Kyung Ja June, Sung-Hyun Cho, Hong-Jun Cho
Journal of The Korean Society of Maternal and Child Health.2024; 28(1): 22. CrossRef
An analysis of the very high level of maternal distress experienced by South Korean women with young children
Ji Yun Lee, Sae Eun Park, Yu-Mi Kim, Hong-Jun Cho, Young-Ho Khang, Dylan A. Mordaunt
PLOS ONE.2022; 17(9): e0274016. CrossRef

Development and Effect of the Integrated Health Promotion Program for Cancer Survivors Living at Home: Hee Sang Yoon, Eun A Hwang; J Korean Acad Community Health Nurs. 2021;32(1):51-63. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.51

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Abstract PDF

Purpose
This study aimed to develop an integrated health promotion program for cancer survivors residing in the community based on the shared care model, and evaluate its effectiveness. Methods: A quasi-experimental trial was conducted. The participants consisted of 35 cancer survivors with completed intensive cancer therapy at the cancer hospital. The intervention group (n=20) and the control group (n=15) were recruited from among a district home cancer patient registrations. The intervention group participated in an integrated health promotion program based on the MAPP (Mobilizing for Action through Planning and Partnership) development process. The program consisted of physical, psycho-social and body image units. The participants were assessed before the program, and immediately after the program. Data were collected between July 1 and September 2, 2018 using FACT-G quality of life (QOL), distress thermometer (DT), and resilience. The data were analyzed by performing a x ² test, Fisher’s exact test, Mann-Whitney test, and ranked ANCOVA using SPSS. Results: The intervention group reported a higher QOL overall and significantly higher social/family well-being than the control group. Distress was significantly lower in intervention group than in the control group. Resilience had no significant difference between the two groups. Conclusion: These findings indicate that the integrated health promotion program base on the shared care model and MAPP development process could be effective intervention for improving social/family well-being and the QOL, and reducing distress of cancer survivors at home. Community health center nurses need to provide intervention to support self-care competency for cancer survivors’ comprehensive care with physical, psycho-social, and body image to help them adjust their life to a moderate risk group in the community.

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Distress among Korean Cancer Survivors: A Latent Profile Analysis
Kwang-Hi Park, Min Kyung Song
International Journal of Environmental Research and Public Health.2022; 19(3): 1613. CrossRef
Introduction to methodology for the development of an integrative medical service model
Moon Joo Cheong, Myeung Su Lee, Min Cheol Joo, Sang-Yeol Lee, Jung-Han Lee, Jong-Min Yun, Yeonseok Kang, Myeong Soo Lee, Hyung Won Kang
Integrative Medicine Research.2022; 11(2): 100840. CrossRef
Community-Based Oncology Nursing: Status and Prospects
Jeong Sook Park
Asian Oncology Nursing.2022; 22(4): 203. CrossRef

Occupational Accident Compensation Insurance Coverage and Occupational Accidents for Special-type Delivery Workers: Min Ji Kim, Eun Suk Choi; J Korean Acad Community Health Nurs. 2021;32(1):64-72. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.64

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Abstract PDF

Purpose
The purpose of this study is to analyze occupational accident compensation insurance coverage and occupational accidents incidence for special-type delivery workers. Methods: The data for occupational accident compensation insurance coverage and occupational accidents from 2012 to 2017 were analyzed through descriptive statistics. Results: Rates of occupational accident compensation insurance coverage of special-type delivery workers decreased gradually from 43.4% in 2012 to 28.5% in 2016, and 29.0% in 2017. Rates of occupational illnesses death per ten thousand workers increased gradually from 2.1‱ in 2013 to 3.1‱ in 2016, and 8.6‱ in 2017. All occupational illness deaths were due to cerebro-cardiovascular diseases. Road traffic accidents and slips accounted for the largest proportion of occupational accidents. Conclusion: Special-type delivery workers have a high risk of industrial accidents, so it is necessary to raise industrial accident insurance coverage and provide professional and systematic occupational safety and health services.

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Approval status and characteristics of work-related musculoskeletal disorders among Korean workers in 2020
Eun-woo Cha, Sae-mi Jung, Il-ho Lee, Dae Hwan Kim, Eui Hyek Choi, In-ah Kim, Yong-kyu Kim, Kyung-joon Lee, Yang Won Kang, Ho-gil Kim, Young-ki Kim
Annals of Occupational and Environmental Medicine.2022;[Epub] CrossRef
Assistive Delivery Robot Application for Real-World Postal Services
Daegyu Lee, Gyuree Kang, Boseong Kim, D. Hyunchul Shim
IEEE Access.2021; 9: 141981. CrossRef

A Grounded Theory Approach on Correctional Officers’ Adaptation Process of Job Stress: Hyun Ok Jung, Hee Sook Kim; J Korean Acad Community Health Nurs. 2021;32(1):73-85. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.73

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Abstract PDF

Purpose
The purpose of this qualitative study is to explore the adaptation process of correctional officers’ job stress.
Methods
Participants collected were fourteen officers who had experienced the adaptation process of job stress. Data were collected through individual in-depth interviews until the point of theoretical saturation from May to August, 2017. Transcribed interview contents were analyzed using Corbin and Strauss’ grounded theory method.
Results
A total of 98 concepts, 27 subcategories, and 10 categories were identified through the open coding. As a result of axial coding based on the paradigm model, the job stress adaptation process centering phenomenon of correctional officers was revealed as ‘repeat-mark hardening’, and the core category was extracted as ‘endurance in hardening’ consisting of a three-step process: enduring, understanding prisoner management procedures, and rebuilding. The rebuilding was considered as the key phase to escape the repeat-mark hardening and the participants utilized various strategies such as finding fun elsewhere, restoring confidence, accepting values of the prison officer in this phase.
Conclusion
The results of this study suggest that the adaptation process of correctional officers’ job stress can be a process that endurance the hardening. Therefore, it is necessary to develop systematic practical education and vocational motivation programs.

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Psychological Experience of Correctional Officers’ Treatment of Mentally Ill Prisoners: Phenomenological Study
Hyun-Ok Jung
Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(4): 450. CrossRef
The Effect of Knowledge, Attitudes, and Practices of Korean Correctional Officers about COVID-19 on Job Stress
Hyun-Ok Jung, Seung-Woo Han
International Journal of Environmental Research and Public Health.2021; 18(15): 7779. CrossRef

The Effects of Self-efficacy and Self-stigma on Self-care in People with Diabetes: Ka Woun Seo; J Korean Acad Community Health Nurs. 2021;32(1):86-94. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.86

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Abstract PDF

Purpose
This descriptive study investigated the effects of self-efficacy and self-stigma on self-care in people with diabetes. Methods: The study included a total of 377 patients with diabetes enrolled in university hospitals in D city and public health centers in S city. Data were collected from 1 July to 31 August, 2017, and were analyzed using descriptive statistics, t-test, analysis of variance, Pearson’s correlation coefficient, and hierarchical multiple regression. Results: Diabetes self-care was positively correlated with diabetes self-efficacy, whereas it was negatively correlated with diabetes self-stigma. Participants’ education level, marital status, perceived health status, type of medication, self-efficacy, and self-stigma explained 42.4% of the variance in diabetes self-care. Conclusion: The findings indicate that diabetes self-efficacy and self-stigma are important factors for improving self-care in patients with diabetes. Therefore, systematic programs for enhancing self-efficacy and reducing self-stigma of these individuals should be developed.

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“Shame on Me”: Exploring the Role of Self-Stigma in Psychological Outcomes Among Type 2 Diabetes Patients in Hong Kong
Nelson C. Y. Yeung, Eric Kam Pui Lee, Alice Pik Shan Kong, Maria Kwan Wa Leung
International Journal of Behavioral Medicine.2024; 31(2): 241. CrossRef
Bringing an end to diabetes stigma and discrimination: an international consensus statement on evidence and recommendations
Jane Speight, Elizabeth Holmes-Truscott, Matthew Garza, Renza Scibilia, Sabina Wagner, Asuka Kato, Victor Pedrero, Sonya Deschênes, Susan J Guzman, Kevin L Joiner, Shengxin Liu, Ingrid Willaing, Katie M Babbott, Bryan Cleal, Jane K Dickinson, Jennifer A H
The Lancet Diabetes & Endocrinology.2024; 12(1): 61. CrossRef
“Diabetes is really simple on paper, but really complicated when you actually have it”: Understanding the daily stressors of adolescents living with Type 1 diabetes
Kaitlyn Rechenberg, Carley Geiss, Rebecca Koerner, Nicole Ríos, Usha Menon
Journal for Specialists in Pediatric Nursing.2024;[Epub] CrossRef
Type 2 diabetes stigma and its association with clinical, psychological, and behavioral outcomes: A systematic review and meta-analysis
Samuel Akyirem, Emmanuel Ekpor, Diana Namumbejja Abwoye, Janene Batten, LaRon E. Nelson
Diabetes Research and Clinical Practice.2023; 202: 110774. CrossRef
Stigma perception and determinants among patients with type 2 diabetes mellitus in Iraq
Taqi M. J. Taher, Hussein A. Ahmed, Ali A. Abutiheen, Shaymaa A. Alfadhul, Hasanain F. Ghazi
Journal of the Egyptian Public Health Association.2023;[Epub] CrossRef
The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea
Hyesun Kim, Kawoun Seo
Journal of Korean Academy of Community Health Nursing.2022; 33(4): 446. CrossRef

The Relationship between Unmet Healthcare Needs Due to Financial Reasons and the Experience of Catastrophic Health Expenditures: Jeong Hee Kang, Chul-Woung Kim; J Korean Acad Community Health Nurs. 2021;32(1):95-106. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.95

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Abstract PDF

Purpose
The purpose of this study is to investigate the association between unmet healthcare needs due to financial reasons and catastrophic health expenditures. Methods: This study used secondary data from the 2014~2015 Korean Health Panel survey. The subjects of this study were 21,495 people aged 20 or older, and of them, there were 16,227 people aged 20 to 64 and 5,268 people aged 65 or older, which were surveyed between 2014 and 2015. The association between unmet healthcare needs due to financial reasons and catastrophic health expenditures was analyzed through logistic regression. Results: In 2015, 1.7% of people aged 20~64 years and 7.9% of those aged 65 or older experienced unmet healthcare needs due to financial reasons. In the 20~64 age group, people who repeatedly experienced catastrophic health expenditures (=10%,=20%) were less likely to experience unmet healthcare needs due to financial reasons than those who did not experience catastrophic health expenditures for two years (OR=0.50, OR=0.41). However, in the 65-or-older group, people who repeatedly experienced catastrophic health expenditures (=20%) were more likely to experience unmet healthcare needs due to financial reasons than those who did not experience catastrophic health expenditures for two years (OR=1.68). Conclusion: A greater percentage of the elderly repeatedly faced both catastrophic health expenditures and unmet healthcare needs due to financial reasons compared to the non-elderly.

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Satisfaction with local healthcare services and medical need among hypertensive patients: a nationwide study
Woorim Kim, Yeong Jun Ju, Soon Young Lee
BMC Public Health.2024;[Epub] CrossRef

Factors Related to Smoking Recurrence within Six-months Smoking Cessation among Employees in Enterprises with Smaller than 300 Workers: Byung Jun Jin, Chul-Woung Kim, Seung Eun Lee, Hyo Bin Im, Tae Yong Lee; J Korean Acad Community Health Nurs. 2021;32(1):107-115. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.107

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Abstract PDF

Purpose
The purpose of this study is to identify factors associated with smoking relapse within six months after quit attempts among workers in small and medium-sized enterprises in South Korea.
Methods
The analysis was conducted for a total of 194 people who attempted to quit smoking by applying for a smoking cessation support service at the Regional Tobacco Control Center. The data used in the study were extracted from the Smoking Cessation Service Integrated Information System. Kaplan-Meier estimator and Cox proportional hazards regression model were used to identify variables associated with smoking relapse within six months’ time period.
Results
Smoking relapse rate within six months was 66.0%, and variables associated with relapse included the cases such as carbon monoxide (CO) at the time of registration (HR: 2.15, 95% CI: 1.10~4.22 for CO ≥20 ppm or more vs.CO ＜10 ppm), the average number of cigarettes smoked per day (HR: 1.04, 95% CI: 1.00~1.07), and the number of counseling(HR: 0.60, 95% CI: 0.54~0.67).
Conclusion
Smoking characteristics and counseling showed one of the strongest correlations with relapse within six months. This implies that it is necessary to understand the smoking characteristics and patterns of workers and to provide continuous smoking cessation counseling tailored to individual characteristics for effective smoking relapse prevention.

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Factors Related to Smoking Relapse Within Six-Months of Smoking Cessation Among Inpatients
Ji Eun Bae, Chul-Woung Kim, Seung Eun Lee, Myungwha Jang
Research in Community and Public Health Nursing.2023; 34: 307. CrossRef
Factors related to the smoking relapse of out-of-school adolescents
Ji Eun Bae, Chul-Woung Kim, Seung Eun Lee, Hyo-Bin Im, In Young Kim, Tae-Yong Lee, Sang-Yi Lee, Myungwha Jang
Korean Journal of Health Education and Promotion.2021; 38(3): 13. CrossRef

Maternal Health Effects of Internet-Based Education Interventions during the Postpartum Period: A Systematic Review: Jung Mi Chae, Hyun Kyoung Kim; J Korean Acad Community Health Nurs. 2021;32(1):116-129. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.116

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Abstract PDF

Purpose
This study aimed to investigate the maternal health effects of internet-based education interventions on parturients during the postpartum period through a systematic review of randomized controlled trials.
Methods
An electronic literature search of the Cochrane Library, CINAHL, EMBASE, Eric, PsycINFO, PubMed, RISS, and KISS databases was performed, using the combination of keywords such as ‘parenthood education’, ‘*natal education’, ‘*birth intervention’, ‘internet-based intervention’, ‘randomized controlled trial’. The inclusion criteria were peerreviewed papers in English regarding randomized controlled trials of internet-based postnatal education interventions. Educational interventions were delivered through any web, mobile, eHealth, mHealth, virtual reality, short message service, or social networking service platform. Quality appraisal was performed using the Risk of Bias 2 (RoB 2) for randomized controlled trials. Nine articles were yielded, and the intervention effects were analyzed.
Results
Internetbased education interventions during the postpartum period affect maternal self-efficacy, postpartum depression, and successive breastfeeding; however, they do not affect maternal satisfaction and parenting confidence.
Conclusion
This study demonstrated that internet-based education interventions affect maternal health status in terms of psychological, emotional, and physical wellness. Therefore, maternal health care professionals can utilize remote education using the internet or mobile-based interventions during the postpartum period.

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Determinants of Access to Health Information on the Internet by Indonesian Women (2017 IDHS Analysis)
Andi Bungawati, Saharudin Saharudin, Hasanudin Hasanudin, Kadar Ramadhan, Taqwin Taqwin, Nasrul Nasrul, Fahmi Hafid
Open Access Macedonian Journal of Medical Sciences.2022; 10(G): 417. CrossRef
The effects of environmental prenatal program on environmental health perception and behavior using internet-based intervention in South Korea: A non-randomized controlled study
Hyun Kyoung Kim, Geum Hee Jeong, Hye Young Min, George Vousden
PLOS ONE.2022; 17(11): e0277501. CrossRef

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