Research in Community and Public Health Nursing

Original Articles

A Study on Outcomes of the Utilization of Visiting Nursing Service at the Integrated Visiting Nursing Center in Bucheon-si: Hyun-Kyung Park, Ae Jung Yoo, Ju Young Yoon, Jae Woo Choi; Res Community Public Health Nurs. 2023;34(2):127-134. Published online June 30, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00045

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Abstract PDF: Purpose
The government has implemented a pilot project for community care for older adults and the integrated visiting nursing center in Bucheon-si operated by public fund of government to provide visiting nursing service for older adults. This study aimed to analyze the outcomes of the utilization of visiting nursing service at the integrated visiting nursing center in Bucheon-si.
Methods
This study linked the personal data from the pilot project for community care with the National Health Insurance data. The final subjects comprised 30 participants and 110 of the matched control group. The length of home stay, hospitalization, and the admission for long-term care facilities or convalescent hospitals were measured. Statistical analysis was performed through difference-in-differences analysis using generalized estimating equation and Cox proportional hazards model.
Results
The results indicated an increase of 28.2 days for length of home stay and a reduction of 69% in hospitalization from medical institutions and 81% in admission of long-term care facilities or convalescent hospitals among participants compared to the control group.
Conclusion
The visiting nursing service of the integrated visiting nursing center was effective in extending length of home stay and lowering the hospitalization of medical institutions and admission of long-term care facilities or convalescent hospitals.

Older Adults' Perceptions of Age-friendliness with an Emphasis on Community Supports and Health Services in a City in South Korea: Chi Young Lee, Belong Cho, Young Tae Cho, Yeon Hwan Park; J Korean Acad Community Health Nurs. 2019;30(2):234-242. Published online June 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.2.234

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PURPOSE
This study tries to comprehend older adults' perspectives of community supports and health services in a South Korean city and identify important sociodemographic and health characteristics that affect their perspectives.
METHODS
166 older adults were involved in this cross-sectional study. Questions on background characteristics and community supports and health services criteria (categorized as service accessibility, offer of services, voluntary support, or emergency care planning) based upon the WHO's Age-Friendly Cities Guide were used. The data were analyzed using paired and independent t-tests, one-way ANOVA, and hierarchical multiple regression analyses.
RESULTS
Emergency care planning was rated as the most important by the participants (mean age=76.24 years, 22.9% male), while its current level of performance was lowly appraised (p<.001). The rated importance for each category differed based on individual characteristics. Depression (p=.016), older age (p=.012), and restricted network type (p=.039) were significantly related to ascribing a higher degree of importance to community services.
CONCLUSION
Community initiatives are warranted to optimize emergency care for older adults. This planning must be based on the unique characteristics of older adults in coordination with supportive resources. In addition, comprehensive assessments are warranted before implementing action plans to ensure that the multi-dimensional problems of older adults are incorporated.

Citations

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Systematic Literature Review (SLR) on Community Support Among the Older Adults
Abdul Aziz Marzuki, Nik Norliati Fitri Md Nor, Siti Masayu Rosliah Abdul Rashid
Ageing International.2023; 48(4): 1086. CrossRef
Assessing Age-Friendliness: Individualistic vs. Collectivistic Cultures
Nancy Brossoie, Eunju Hwang, Kimin Song, Jin Wook Jeong, Kim Young-Woo
Journal of Aging & Social Policy.2022; 34(2): 311. CrossRef

Factors Influencing Happiness among Pregnant Women in the Ecological Systems Theory: Gyu Ree Lee, Hyun Kyung Choi; J Korean Acad Community Health Nurs. 2019;30(1):11-24. Published online March 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.1.11

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PURPOSE
This study tries to systematically understand factors that explain levels of happiness among pregnant women in the Ecological systems theory.
METHODS
A descriptive, cross-sectional study was conducted with 169 pregnant women in Korea. Collected data from self-report questionnaires were analyzed by hierarchical regression analysis using the SPSS statistics 23 program.
RESULTS
A total of 5 models were examined according to individual, microsystem, mesosystem, exosystem, and macrosystem in the Ecological systems theory. In the first model including individual factors, extraversion, neuroticism, and physical and psychological change constitute significant factors explaining happiness. In the second model with microsystem factors and in the third one with mesosystem factors, marital intimacy appears to be a significant factor. In the fourth model including exosystem factors, community service is a significant factor. In the final model with social atmosphere, personality (Î²=.15 for extraversion; Î²=âˆ’.30 for neuroticism), physical and psychological change (Î²=âˆ’.15), marital intimacy (Î²=.35), and community service (Î²= .18) turn out to be significant. These factors explain 59% of the variance of happiness in the pregnant women in Korea.
CONCLUSION
Considering the fact that pregnant women's happiness is explained by microsystem and exosystem factors as well as individual factors, developing intervention programs that can promote influencing factors such as marital intimacy and community service is necessary to improve levels of happiness among pregnant women in Korea.

Citations

Citations to this article as recorded by

Trajectories of subjective health status among married postmenopausal women based on the ecological system theory: a longitudinal analysis using a latent growth model
Eun Jin Kim, Ju-Hee Nho
Korean Journal of Women Health Nursing.2022; 28(2): 123. CrossRef
The Mediating Effect of Marital Intimacy on the Relationship between Spouse-Related Stress and Prenatal Depression in Pregnant Couples: An Actor–Partner Interdependent Model Test
Miyoung Lee, Yeon-Suk Kim, Mi-Kyoung Lee
International Journal of Environmental Research and Public Health.2021; 18(2): 487. CrossRef
Effects of Positive Psychology-Based Program for the Depressed Pregnant Women
Hyeon Hee Shin, Yeong Hee Shin
Journal of The Korean Society of Maternal and Child Health.2021; 25(2): 109. CrossRef

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