Research in Community and Public Health Nursing

Original Articles

Prediction model of health checkup and cancer screening experience of elderly population using 2021 Community Health Survey: Myeunghee Han; Res Community Public Health Nurs. 2024;35(2):140-155. Published online June 28, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00500

995 View
36 Download

Abstract PDF: Purpose
This study was conducted to build a decision tree model composed of factors that predict whether or not the elderly population underwent health or cancer screening using the 2021 community health survey.
Methods
This study included 74,434 and 74,417 subjects who answered for experience of health checkup or cancer screening, respectively. This study used Chi-squared test, independent t-tests, and decision tree analysis to analyze the data.
Results
Regarding the health checkup, 78.1% of women received a health checkup, and among women, those aged 65-74 years who were not recipients of the basic livelihood service showed the highest participation rate of 85.0%. In case of men, those who were married and had no problems in daily activity showed the highest participation rate of 81.4%. In the case of cancer screening, for women, those who were 65-74 years old and were nonrecipients of basic livelihood benefits showed the highest participation rate of 75.3%. For men, the cancer screening rate was the highest at 74.3% in those who had no problems with mobility and were married.
Conclusion
It was found that the general and health characteristics of the elderly had a great influence on the health checkup and cancer screening. In order to develop a more improved screening system, screening rates and effects should be continuously observed and studied.

The Relationship between 5-year Overall Survival Rate, Socioeconomic Status and SEER Stage for Four Target Cancers of the National Cancer Screening Program in Korea: Results from the Gwangju-Jeonnam Cancer Registry: Jeong Hee Kang, Chul-Woung Kim, Sun Seog Kweon; J Korean Acad Community Health Nurs. 2022;33(2):237-246. Published online June 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.2.237

590 View
22 Download
1 Citations

Purpose
The aim of this study was to investigate the relationship between the 5-year survival rate, socioeconomic status, and SEER (Surveillance Epidemiology and End Results) stage of stomach, colorectal, breast and cervical cancer patients. Methods A total of 11,770 cases of four target cancers, which were diagnosed during 2005-2007, were extracted from the database of Gwangju-Jeonnam Regional Cancer Registry. The subjects of the study were 11,770 including stomach (n=5,479), colorectal (n=3,565), breast (n=1,516) and cervical cancers (n=710). Cox’s proportional hazards model was used to obtain the hazards ratio (HR) according to the SEER stage and socioeconomic status. Results Stomach cancer had a significantly higher HR in the medical aid recipients (HR=1.39), and the group below 20% (HR=1.20) compared to the group with the highest income level. Colorectal cancer had a significantly higher HR in the medical aid recipients (HR=1.26) than in the group with the highest income level. In addition, stomach, colorectal, breast and cervical cancers had a significantly higher HR according to the SEER stage in regional direct (stomach=4.10, colorectal=1.76, breast=12.90, cervical=3.10), regional lymph only(stomach=2.58, colorectal=2.33, breast=4.32, cervical= 4.43), regional both (stomach=6.74 colorectal=3.04, breast=15.57 cervical=6.50), and regional NOS (Not Otherwise Specified)/distant (stomach=17.53, colorectal=11.53, breast=25.34, cervical=26.51) than in situ and localized only. Conclusion In order to increase the cancer survival rate, a support system for early detection and early treatment of cancer should be established for groups with low individual income levels, and regular health checkups and management measures should be actively implemented through the National Cancer Screening Program.

Citations

Citations to this article as recorded by

Socioeconomic Disparities in Six Common Cancer Survival Rates in South Korea: Population-Wide Retrospective Cohort Study
JinWook Lee, JuWon Park, Nayeon Kim, Fatima Nari, Seowoo Bae, Hyeon Ji Lee, Mingyu Lee, Jae Kwan Jun, Kui Son Choi, Mina Suh
JMIR Public Health and Surveillance.2024; 10: e55011. 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

1,248 View
57 Download
3 Citations

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.

Citations

Citations to this article as recorded by

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

A Structural Equation Modeling of Prostate Cancer Screening Intention: Ji Hye Jeong, Nam Hee Park; J Korean Acad Community Health Nurs. 2019;30(4):471-483. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.471

883 View
14 Download

Abstract PDF: PURPOSE
The purpose of this study was to identify factors associated with the intention of the prostate cancer screening (PCS). To achieve this purpose, a structural equation model was established based on the health belief model and the theory of planned behavior.
METHODS
The subjects of this study were 260 male participants who were between 40 and 74 years old and had not taken the PCS. Data were collected using a structured self-report questionnaire (i.e., perceived benefits, perceived barriers, attitude, subjective norms, perceived behavior control, and intention of the PCS). Descriptive statistics, reliability analysis, correlation analysis, confirmatory factor analysis, and fitness test were used to test hypotheses.
RESULTS
The intention of the PCS was directly affected by the perceived behavior control and indirectly influenced by the perceived benefits. The structural equation model also showed that the perceived behavior control explained 78% of the intention.
CONCLUSION
To raise the intention to take the PCS, it is necessary to increase the confidence of a subject that may control its difficulties and inform the perceived benefits of the PCS to a subject.

Comparison of Health Promotion Behavior in Middle aged Rural Residents by Cancer Screening Participation: Myung Suk Lee; J Korean Acad Community Health Nurs. 2010;21(1):43-52. Published online March 31, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.1.43

831 View
0 Download
4 Citations

Abstract PDF

PURPOSE
The aim of this study was to compare health promotion behavior in middle-aged rural residents by cancer screening participation.
METHODS
Data were collected from 508 rural residents during the period from April 6 to June 6, 2009 using structured questionnaires, and analyzed using SPSS/WIN 12.0.
RESULTS
The cancer screening rate was 50.2%. The rate was significantly different according to sex, educational level, marital status, private insurance, family cancer history, smoking, drinking, perceived health status, and health concern. Men showed the highest screening rate in gastroscopy for stomach cancer, and women in pap smear test for cervical cancer. Pap smear test for cervical cancer showed the highest regular screening rate (4.3%). The average score of health promotion behavior was 2.65+/-0.35. Health promotion behavior was significantly different according to cancer screening participation, health responsibility, stress management, and self actualization.
CONCLUSION
These results suggested that there may be differences in health promotion behavior among middle-aged rural residents according to their cancer screening participation. A further study is necessary to find effective interventions for the non-cancer screening group.

Citations

Citations to this article as recorded by

Impacts of Colorectal Cancer Knowledge and Health Literacy on Self-management Behaviors among Elderly Women in Rural Areas
Hyenam Hwang
Korean Journal of Adult Nursing.2017; 29(5): 527. CrossRef
Social Disparities in Utilization of Preventive Health Services among Korean Women Aged 40-64
Hyun Hee Park, In Ae Chun, So Yeon Ryu, Jong Park, Mi Ah Han, Sung Woo Chio, Jun Ho Shin
Journal of Health Informatics and Statistics.2016; 41(4): 369. CrossRef
Health Screening among HBV Carriers in the Korean National Health and Nutrition Examination Survey V (KNHANES V)
Hyung Eun Son, Sun Jae Jung, Aesun Shin
Asian Pacific Journal of Cancer Prevention.2015; 16(9): 3653. CrossRef
Factors Affecting Cancer Screening Intention and Behavior of the Korean Elderly
Hee-Jung Kim, Hyun-Woo Yim, Nam-Cho Kim
Asian Pacific Journal of Cancer Prevention.2014; 15(19): 8461. CrossRef

Change in the Sensation of the Arms, the Range of Motion in the Shoulders and Depression in Breast Cancer Patients: Suk Jeong Lee, Si Ja Chon, Young Sook Roh, Young Mi Park; J Korean Acad Community Health Nurs. 2008;19(3):398-407. Published online September 30, 2008

207 View
0 Download

Abstract PDF: PURPOSE
The purpose of this study was to examine the association among change in the sensation of the arms, the range of motion in the shoulders and depression in breast cancer patients.
METHOD
This is a descriptive study on correlation. The participants were 132 patients who had been diagnosed with breast cancer and had mastectomy at a university hospital, and had participated in a breast cancer self-help group. The degree of depression was assessed by SCL-90-R scores. Collected data were analyzed with SPSS 12.0 for Windows.
RESULTS
The participants complained of 'heaviness' as the most frequent and serious symptom of change in the sensation of the arms. 'Completely zip up the dress with a back-fastening zipper' was the most difficult motion of the shoulders. Participants who were in a worse stage of disease were in a worse condition in shoulder functions, and on a higher degree of depression. The degree of change in sensation and shoulder functions showed a positive correlation with each other, and both of them showed a negative correlation with the degree of depression.
CONCLUSION
Sensation and motion change in the arms and the shoulders were common phenomena that affected depression in patients who had mastectomy. Nurses should consider not only depression but also discomfort of the arms and the shoulders for patients with mastectomy.

The Effects of Hope Intervention on the Hope and Quality of Life of Cancer Patients Staying at Home and Cared in Public Health Center: Chung Nam Kim, A Mi Shin, Kyung Min Park, Myong Hwa Park, Yeong Ah Kim; J Korean Acad Community Health Nurs. 2008;19(2):177-187. Published online June 30, 2008

261 View
0 Download

Abstract PDF: PURPOSE
This study was to identify the effects of hope intervention on the hope and quality of life of cancer patients staying at home.
METHOD
The study adopted the randomized control group design. The subjects consisted of randomly selected forty cancer patients who were registered at S-Gu Public Health Center. Hope intervention which was composed of hope assessment, positive self identity formation, hope objective setting, therapeutic relationship and spiritual & transcendental process improving, and hope evaluation was provided from October 22, 2007 to November 30, 2007.
RESULT
Hypothesis 1-1 "The experimental group that received hope intervention will have a higher score of hope than the control group", was supported(t=-3.108, p=.004). Hypothesis 1-2 "The experimental group that received hope intervention will have a higher level of hope index than the control group", was supported (t=-4.219, p=.000). Therefore, Hypothesis 1 "The experimental group that received hope intervention will have a higher level of hope than the control group" was supported. Hypothesis 2 "The experimental group that received hope intervention will have a higher level of quality of life than the control group", was not supported (t=-1.726, p=.092).
CONCLUSION
Hope intervention is an effective nursing intervention to enhance hope for patients with cancer staying at home.

Factors Related to Regular Mammography Screening for Outpatients: Young Im Kim, Chang Hyun Lee; J Korean Acad Community Health Nurs. 2007;18(3):420-430. Published online September 30, 2007

322 View
0 Download

Abstract PDF: PURPOSE
This study was to identify factors affecting regular mammography screening behavior of outpatients. The target subjects were 150 women who had visited the breast clinic at the university hospital, and the study period was around 10 months from March to December 2006. Data were analyzed by using chi2-test, t-test and logistic regression analysis.
RESULTS
Of the subjects, 50% experienced mammography and 31.6% took mammography regularly. In the relational analysis between various factors and regular mammography, there were significant differences among the 41~50 year old group, the employed group, the high income group, the regular exercise group, the non-drinking group, and the previously chi-rayed group. And, in the Logistic Regression analysis, those who preferred bean food were 3.20 times more likely to take mammogram regularly, and those who married were 3.49 times more likely to do than the unmarried. Also, those who had low health belief and who were under age 51 were less likely to take regular mammogram.
CONCLUSION
In order to increase the rate of conducting regular mammography, there must be different intervention strategies according to food habit, marital status and age, and a support system must be devised to increase health belief about breast cancer.

Comparative Analysis of Influencing Factors on Implementation of Mammography for Ordinary Women and Outpatients: Young Im Kim, Chang Hyun Lee, Hye Sun Jung, Ji Yoon Kim; J Korean Acad Community Health Nurs. 2006;17(1):56-64. Published online March 31, 2006

291 View
0 Download

Abstract PDF: PURPOSE
This study is to conduct a comparative analysis of influencing factors on the experience of mammography targeting ordinary women and outpatients.
METHODS
The target subjects were 116 ordinary women and 105 outpatients, and the study period was around 8 months from May to December.
RESULTS
When mammography experience was examined, it was found that mammography experience was conducted in 44.8% of ordinary women and 59.0% of outpatients, but this study showed that there was a statistically significant difference. When the relation between the characteristics of the targeted objects and the experience of mammography was examined, it was found that ordinary women have a lot of experience when they have regular exercises and a high health belief. On the other hand, in case of outpatients. mammography experience was more frequent in the older group. In addition, outpatients had experiences in breast-related diseases or high self-efficacy. It was also found that the influencing factors on the experience of mammography were a high health belief in case of ordinary women, and old ages and high self-efficacy in case of outpatients.
CONCLUSIONS
In order to increase the rate of conducting early detection behavior for mammography, it is needed to conduct an intervention that increases health belief for ordinary women, while it is effective to conduct an intervention that increases self-efficacy for outpatients.

Content Analysis of Difficulties in Families with Terminal Cancer Patients: Kyung Ah Kang, Shin Jeong Kim; J Korean Acad Community Health Nurs. 2005;16(3):270-281. Published online September 30, 2005

158 View
0 Download

Abstract PDF: PURPOSE
The objective of this study was to understand the caring experience of families with terminal cancer patients.
METHOD
This was designed to be an inductive and descriptive study. Forty-seven families with terminal cancer patients were interviewed in depth and collected data were examined through content analysis.
RESULT
The main categories of difficulties found in this study were "suffering of patient", "emotional suffering of family", "bereavement of patient", "difficulties in coping", "problems in treatment", "incurable situation", "family problems", "relationship with other people", "economic problems", "spiritual problems", "problems in the future", "informing patients of their condition", "preparing death", "emotional unstability", "meaninglessness", "unkindness of medical teams", "poor environment for treatment", "difficulties in hospital environment" and "economic burden".
CONCLUSION
The main point found from this result was that families taking care of terminal cancer patients are suffering emotionally from watching the patients' pains and had difficulties in coping with the patients' situation and treatment. In addition, they had negative experiences in medical teams attitude and hospital environment. This result can be used as an important guide for nurses to assess families' needs in the terminal care setting.

First
Prev
Page of 1
Next
Last

Search