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Original Articles
- A Study to Assess the Need of Customized Visiting Health Care Services for Children according to Socioeconomic Status in a Province
- Hee Ja Kim, Kyung Sook Bang, Jae Soon Yoo, Hyun Sook Kim, Yang Ju Tak, Bo Yun Huh
- J Korean Acad Community Health Nurs. 2011;22(2):212-222. Published online June 30, 2011
- DOI: https://doi.org/10.12799/jkachn.2011.22.2.212
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Abstract
PDF - PURPOSE
This study was conducted to survey children's health status and need of customized visiting health care services in one province.
METHODS
The participants in this study were 237 caregivers of infants and preschoolers. Data were collected at the participant's home or public health center.
RESULTS
Many of the children did not receive developmental screening tests or dental examinations. In the beneficiary group, the prenatal checkup rate and children's vaccination rate were lower, and caregivers had more health problems than the other groups. On the assessment of home safety, unsafe conditions were more frequently found in the beneficiary group. The caregivers in the beneficiary group showed lower child rearing confidence than the other groups, and wanted customized visiting health care services most in the areas of developmental screening, regular health check-up and counseling, nutritional supplementation, and oral health care.
CONCLUSION
These results indicate that it is necessary for children and parents in poverty to be provided with professional home visiting interventions for the promotion of child health and prevention of developmental problems and diseases. These findings can be used for developing future customized visiting health care service programs for infants and children in this community area. -
Citations
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- Is a universal nurse home visiting program possible? A cross-sectional survey of nurse home visitation service needs among pregnant women and mothers with young children
Young-Ho Khang, Kyung Ja June, Sae Eun Park, Sung-Hyun Cho, Ji Yun Lee, Yu-Mi Kim, Hong-Jun Cho, Ka Ming Chow
PLOS ONE.2022; 17(8): e0272227. CrossRef - A Research on the Health Care and the Demand for Visiting Health Care Services for Vulnerable Children in Comparison with Non-vulnerable Children in a Region
Hye Kyung Nam
Journal of Korean Public Health Nursing.2016; 30(3): 556. CrossRef - Survey on Health Care and Household Safety Management for Vulnerable Children
Hye Kyung Nam
Journal of muscle and joint health.2014; 21(3): 246. CrossRef - Predicting Factors of Developmental Delay in Infant and Early Children.
Hyeon Ok Ju, Yu Kyung Park, Dong Won Kim
Child Health Nursing Research.2013; 19(1): 12. CrossRef
- Is a universal nurse home visiting program possible? A cross-sectional survey of nurse home visitation service needs among pregnant women and mothers with young children
- Geriatric Health Problems and Directions for Nursing Improvements
- Hee Ja Kim
- J Korean Acad Community Health Nurs. 1998;9(1):89-103. Published online June 30, 1998
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Abstract
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- The elderly population will increase from 5.8% in 1996 to 12.5% in 2020. The related problems of health will also become a very important issue in the future. Therefore it is important to address the problems of geriatric nursing and geriatric health. 87.6% of the aged were ill with chronic degenerative diseases in 1994. In 1995, hospital admission rates (86.8) for those aged 60 or older were higher than that (56.3) of the total age group. Such high medical utilization will increase national health costs. For the development of geriatric nursing, active nursing intervention in various settings combined with education and research should be developed. Considering the health and welfare of the aged and the present status and views in Korea, I suggest the following: First, the health needs of the elderly in the institution, must be met by a plan that fosters geriatric nurses and programmed service development. Second, health service for the residential elderly must be provided in day care centers, short stays, nursing homes and geriatric hospitals. Geriatric nursing services should be provided in home residential areas, public health centers, public health subcenters as well as having, community health practitioners in primary health care posts and home health nurses. Third, geriatric nursing curriculum must be developed adjust to situations and culture of Korea and be included in the nursing curriculum. And gerontological nurse practitioner or geriatric specialist must be fosteraged to provide the professional care for the aged. Geriatric nursing research should be also achived for geriatric nursing improvements.
- A Study of Related Factors in the Bone Mineral Density of the Institutionalized Elderly
- Hee Ja Kim
- J Korean Acad Community Health Nurs. 1997;8(1):31-44. Published online June 30, 1997
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Abstract
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- The purpose of this study was to measure and determine the relationship of femoral neck and lumbar bone mineral density with their and related factors. It were measured and determined the relationships among bone mineral density, bone mineral content in the lumbar and femoral neck, muscle strength (arm, back, leg), muscle endurance, instrumental activity of daily living (IADL), quality of life, cognitive perceptual variables(self efficacy, perceived health status), age, age at menopausal period. The twenty five subjects participating in this study consisted of twelve males and thirteen females at a C-institution in Chung Buk province. The mean age of subjects was 73.64 years. The data was collected from August, 1993 to September, 1993. The data was analyzed with chi2-test, t-test, Correlation, multiple regression using a SPSS pc+ program. 1. The mean femoral neck bone mineral density was $0.636g/cm2, 66.7% of young bone mineral density, the mean lumbar(L2-L4) bone mineral density was 0.807g/cm2, 79.86% of young bone mineral density. The mean fermoral neck bone mineral content was 2.906g and the mean lumbar bone mineral content was 36.898g. 2. The mean muscle strength was 17.14kg(grip strength), 32.05kg(back lift strength), 17.14kg (leg lift strength) and the mean muscle endurance was 9.92times. 3. Men showed a significantly higher score (p<0.01) in muscle strength and muscle endurance than women, as well as a significantly higher score on self efficacy and perceived health status(p<0.05). 4. The femur neck bone mineral density had a significant correlation(p<0.0l) with leg lift strength, back lift strength, and their was a significant correlations (p<0.05) with arm strength and muscle endurance. Lumbar (L2-L2) bone mineral density had a significant correlation(p<0.05) with muscle endurance, grip strength and IADL. 5. With the multiple regression analysis the most significant predictor for lumbar bone mineral density were IADL, the most significant predictor for femoral neck bone mineral density was leg strength. This study concluded: As the mean bone mineral density and bone mineral content were low, the aged showed osteopenia. Bone mineral density, muscle strength and IADL were correlated. The aged could pro mote muscle strength, bone mineral density and IADL through Leg Press exercise which was safe and efficient for the aged. This Leg Press exercise contributed to prevention of osteoporosis and promoted the health of the aged.
- An Effect of Muscle Strength Training Program on Muscle Strength, Muscle Endurance, Instrumental Activities of Daily Living and Quality of Life in the Institutionalized Elderly
- Hee Ja Kim, Yeo Shin Hong
- J Korean Acad Community Health Nurs. 1995;6(1):55-73. Published online June 30, 1995
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Abstract
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- An Effect of Muscle Strength Training Program on Muscle Strength, Muscle Endurance, Instrumental Activities of Daily Living and Quality of Life in the Institutionalized Elderly Recent statistics shows that the aged are the fastest growing segment of our population by increasing life span. The age group of over 60 shows multiple health problems and the most serious handicapping problem of these. are related to the changes in muscular skeletal system. With aging, people lose. their muscle mass and muscle strength resulting from biological changes and physical inactivity. Studies documented a 30-50% loss of muscle mass in an advanced age and thus, ordinary life activities can be seriously affected due to weakened muscle strength. Preservation of muscle strength of lower limb is especially important in the aged. Since it is readily affected from reduced physical activity in old age, sometimes to the detriment of moving or walking. So muscle strength exercise program designed for the elderly to improve leg muscle strength and leg muscle endurance.
The research design used was nonequivalent control group pretest - protest design.
The purposes of this study were to test the effect of muscle strength exercise program utilizing Leg Press on muscle strength, muscle endurance, instrumental activities of daily living(IADL), cognitive perceptual variables and quality of life.
Forty nine subjects participating in this study consisted of twenty four male and twenty five female. Twenty four experimental group subjects were selected from C-institution in Chung Buk province, and twenty five control group subjects were selected from O-institution in Chung Nam province. The mean age of subjects was 72.8 years.
Muscle strength training program utilizing Leg Press for the experimental group was carried out three times a week for 9 weeks.
The data was collected from August, 1993 to October, 1993. Data were analyzed with chi2-test, t-test, ANCOVA test, Kruskal Wallis 1-Way ANOVA test using SPSS PC program.
Results
were obtained as follows : 1) The experimental group showed significantly higher scores on muscle strength (leg lift strength, back lift strength and grip strength) and muscle endurance than control group after the experiment lower right quadrantF=52.35(p=.001), F=54.07(p=.001), F=6.97(p=.011), F=18.17(p=.001)upper left quadrant 2) Experimental group were significantly higher scores on IADL than control group(F=7.51, p=.009). 3) Experimental group showed significantly higher scores on economical state and self esteem aspects of the quality of life scale than control group lower right quadrantF=10.59(p=.002), F=6.97(p=.011)upper left quadrant. But there were no differences in emotional state, physical and functional state and relationship with reatives in the quality of life between groups. 4) Scores on IADL showed a significant difference with the level of muscle strength and muscle endurance lower right quadrantchi2=7.73(p=.025),;chi2=8.86;(p=.011)upper left quadrant 5) Scores on self esteem and physical and functional state aspects of the quality of life scale showed a significant difference with the level of IADL lower right quadrantchi2=11.39(p=.003),;chi2=9.02(p=.011)upper left quadrant. 6) Scores of experimental group after the experiment in cognitive perceptual variables (perceived benefit on exercise, perceived health status, self efficacy, emotion on exercise) were significantly higher than those of control group lower right quadrantF=32.09(p=.001), F=5.07(p=.029), F=20.63 (p=.001), F=30.38(p=.001)upper left quadrant. As a result of this study, the effect of strength training exercise program with Leg. Press had improved muscle strength, muscle endurance, IADL, and the perception of self esteem, physical and funtional state, and economical state. Thus strength training program could be beneficially applied for the prevention of disablity and promotion of health and wellbeing in the aged easily and safely. The subjects in the experimental group have maintained their exercises till six months after the cessation of the experiment. This seem to illustrate that changes in cognitive perceptual variables and the improvement in health status have reinforced motivation for the continuation of voluntary exercises. A further study is necessary to determine the factors affecting maintainance of muscle strength exercise and to assess the effect of weight training program on bone density.
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