Research in Community and Public Health Nursing

Original Articles

[Korean] Factors Influencing Participation in Hypertension Management Education Among Diagnosed Hypertensive Patients in Busan: Utilizing the 2021 Community Health Survey: Hye Jung Jun, Kyoung Mi Kim; Res Community Public Health Nurs. 2024;35(4):424-433. Published online December 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00759

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Abstract PDF: Purpose
This study investigated the completion rate of hypertension management education and its influencing factors among adults in the Busan region, utilizing data from the 2021 Community Health Survey.
Methods
The study included 3,660 adults aged 19 years or older who had been diagnosed with hypertension. Data were analyzed using SAS 9.4, focusing on demographic, socioeconomic, and health status characteristics.
Results
The results indicated that 22.1% of participants had completed hypertension management education. Key influencing factors varied by region: in the Western region, age, income, education level, marital status, and life satisfaction were significant factors associated with participation in hypertension management education. In the Southern region, income and education level were identified as relevant factors. Additionally, in the Central and Eastern regions, education level was a significant determinant.
Conclusion
Therefore, tailored hypertension management education programs that consider age, income, marital status, and life satisfaction are essential for residents in the Western region of Busan. Moreover, it is critical to enhance access to hypertension management education for low-income populations in the Southern region. Educational programs should also be designed to align with the educational levels of Busan residents to ensure effective hypertension management education.

[English] Effects of a School-Based Health Education for Cardiovascular Disease Prevention Among High School Girls: Minah Kang, Jina Choo; Res Community Public Health Nurs. 2024;35(4):363-374. Published online December 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00647

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Abstract PDF: Purpose
We aimed to evaluate effects of a school-based health education for cardiovascular disease (CVD) prevention among high school girls.
Methods
Non-randomized cluster trial was conducted by recruiting two female high schools located in Seoul and allocating one school as a cluster to an experimental group and the other school as the other cluster to a control group. Participants were 169 first-year female high school students in two clusters. Of the participants, 84 were recruited in the experimental group and 85 in the control group. An intervention was an eight-week "School-based Health Education for CVD prevention". The experimental group received the intervention, while the control group received a CVD prevention handout. Measures were knowledge, self-efficacy, and health behaviors for CVD prevention. The pre-test and post-test were conducted.
Results
The experimental group participating in "School-Based Health Education for CVD Prevention" had significantly higher changes in knowledge, self-efficacy scores to prevent CVD, and health behaviors than the control group over eight weeks.
Conclusions
The "School-based Health Education for CVD Prevention" program may improve high school students' knowledge and self-efficacy as determinants of health behaviors as well as health behaviors to prevent cardiovascular disease.

[English] Effects of Diabetic Foot Care Education for the Aged with Low Health Literacy: Hye Min Kim, Ji Min Seo; J Korean Acad Community Health Nurs. 2019;30(4):560-570. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.560

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4 Citations

Abstract PDF

PURPOSE
The purpose of this study was to examine the effects of diabetic foot care education for the older adults with low health literacy.
METHODS
A quasi-experimental design with a non-equivalent control group pretest-posttest was used. The participants who were diagnosed with diabetes, were adults over 65 years old at the welfare center of Y and B city. They were divided into the experimental group (n=32) and the control group (n=31). Inclusion criteria were a score of 5 or under on the Short form of Korean Functional Health Literacy Test and 24 or more on the Korean version of Mini-Mental State Examination. Foot care education was conducted in a small group for 40 minutes, once a week, for three weeks. The education materials are composed of an easy term, picture and photographs to understand easily.
RESULTS
The scores of diabetic foot care knowledge (t=4.57, p < .001), foot care self-efficacy (t=6.07, p < .001), and foot self-care behavior (t=4.18, p < .001) were significantly increased in the experimental group compared to the control group. Foot health status was not significantly improved.
CONCLUSION
The findings indicate that this education program can be used as a nursing intervention improving foot care knowledge, foot care self-efficacy, and foot self-care behavior in order to prevent the diabetic foot problems of elderly diabetic persons with low health literacy.

Citations

Citations to this article as recorded by

Diabetes self‐care activities and its correlates in patients with diabetic neuropathy
Younhee Kang, Inkyung Park
Journal of Clinical Nursing.2025; 34(6): 2163. CrossRef
A Study on the Influencing Factors of Problem Foot Care Consumers’ Intention to Visit Nail Shop: Focusing on Extended Planned Behavior Theory
Kyoung Choi, Hea-Ju Hwang
Journal of the Korean Society of Cosmetology.2024; 30(5): 933. CrossRef
Development and Effectiveness of a Foot Care Program for Patients with Schizophrenia Hospitalized During Psychiatric Care: A Mixed-Methods Study
Min Ji Jeong, Hyo Ja An
Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(4): 393. CrossRef
Promoting foot self‐care in type 2 diabetes mellitus patients receiving hemodialysis based on the information‐motivation‐behavioral skills model
Won Hee Jung, Hye Young Kim
Nursing & Health Sciences.2023; 25(4): 721. CrossRef

[English] Development and Evaluation of Cardiovascular Disease Prevention Education Materials for Middle-aged Korean-Chinese Female Workers: Applying Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P): Hyeon Kyeong Lee, Jung Hee Kim, Ri Yoo, Ja yin Lee; J Korean Acad Community Health Nurs. 2016;27(3):284-298. Published online September 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.3.284

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7 Citations

Abstract PDF

PURPOSE
The purpose of this study was to develop and evaluate the quality (understandability and actionability) of health education materials for Korean-Chinese (KC) female migrant workers, using Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P).
METHODS
Educational needs assessment was conducted with 3 focus groups with 20 KC women and a focus group with 4 community stakeholders. The quality of the educational materials was evaluated by 3 experts and a community stakeholder, followed by a survey with 15 KC women using 17 items for understandability and 7 items for actionability by means of a Korean version PEMAT-P.
RESULTS
The health educational calendar consists of 12 subjects out of 9 topics related to healthy lifestyles for preventing cardiovascular diseases. The overall mean understandability score was 98.8% and the overall mean actionability was 100%.
CONCLUSION
Involvement of KC women and community stakeholders in the development of educational materials was found to be an effective strategy for increasing understandability and actionability of educational materials for KC female migrant workers. This study also demonstrates the PEMAT-P is a useful evaluation tool, emphasizing the actionability of educational materials.

Citations

Citations to this article as recorded by

Arabic version of the patient education materials assessment tool (PEMAT): translation and validation
Marwan A. Alrasheed, Aliyah Almobarak, Hisham M. Alfayyadh, Abdulelah Alkahtani, Bander Balkhi
Saudi Pharmaceutical Journal.2025;[Epub] CrossRef
Effect of a pragmatic lifestyle modification intervention on physical activity levels and body mass index among obese and overweight adolescents in Udupi, India: a cluster randomized trial
prateek srivastav, Vaishali K, H Vinod Bhat, Suzanne Broadbent
F1000Research.2024; 13: 859. CrossRef
The Moderating Effect of Mental Health on the Relationship Between Cardiovascular Disease Awareness and Health Behaviors of Middle-Aged Korean Chinese Workers With Cardiovascular Risk Factors in Korea
Yu Zhu Zhang, Seon Young Hwang
Journal of Transcultural Nursing.2023; 34(2): 131. CrossRef
The Chinese Version of the Patient Education Materials Assessment Tool for Printable Materials: Translation, Adaptation, and Validation Study
Yi Shan, Meng Ji, Zhaogang Dong, Zhaoquan Xing, Ding Wang, Xiangting Cao
Journal of Medical Internet Research.2023; 25: e39808. CrossRef
Translation, Cross-Cultural Adaptation, and Validation of the Japanese Version of the Patient Education Materials Assessment Tool (PEMAT)
Emi Furukawa, Tsuyoshi Okuhara, Hiroko Okada, Ritsuko Shirabe, Rie Yokota, Reina Iye, Takahiro Kiuchi
International Journal of Environmental Research and Public Health.2022; 19(23): 15763. CrossRef
Evaluation of the Heart Failure in Internet Patient Information: Descriptive Survey Study
Kyoung Suk Lee, Yoo Mi Cho, Sung Hee Oh, Mi Sook Jung, Ju Young Yoon
International Journal of Environmental Research and Public Health.2021; 18(3): 1047. CrossRef
Development of a Living Lab for a Mobile-Based Health Program for Korean-Chinese Working Women in South Korea: Mixed Methods Study
Youlim Kim, Hyeonkyeong Lee, Mi Kyung Lee, Hyeyeon Lee, Hyoeun Jang
JMIR mHealth and uHealth.2020; 8(1): e15359. CrossRef

[English] Survey Study of Current Status of and Need for Mental Health Education Enhancing Protective Factors in the Elementary Schools: Ji Hyun Lee, Hyeoun Ae Park; J Korean Acad Community Health Nurs. 2016;27(1):9-20. Published online March 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.1.9

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PURPOSE
The purpose of this study was to survey the current status of mental health education and need for mental health education enhancing protective factors in the elementary schools.
METHODS
We surveyed 10 school health teachers and 328 fifth- and sixth-grade students using 19- and 20-item questionnaires, respectively.
RESULTS
All of the teachers and 65.2% of the students replied that they were either teaching or being taught mental health in school. Topics covered suicide, depression, school violence, and Internet addiction. All of the teachers and 84.1% of the students expressed the need for mental health education enhancing protective factors in school. Both groups replied that two sessions are enough. The teachers preferred role play and discussion as teaching methods, and audiovisual materials and computer as instructional media. The students preferred lecture and role play as teaching methods, and audiovisual materials and smartphone as instructional media. Both groups ranked self-esteem, parent-child relationship, peer relationship, and emotional regulation as the most important topics to be covered in the education.
CONCLUSION
There is a high demand for mental health education enhancing protective factors. Therefore, it is recommended to develop educational programs enhancing protective factors by enabling formal and informal learning using smartphone.

Citations

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School Nurses’ Perception of Job Performance Difficulties, Job Stress, Job Identity and Job Satisfaction
Eun Kyo Cho, Hyun Jung Moon
Research in Community and Public Health Nursing.2023; 34: 43. CrossRef
The educational needs of alcohol media literacy and related factors among high school students in the Republic of Korea
Sunhee Park, Junghee Kim, Jiwon Baik
Korean Journal of Health Education and Promotion.2023; 40(1): 61. CrossRef
The Relations among Attitude, Competency, and Appropriateness of Work on Student Suicide in Health Teachers
Jae Soon Yoo, Dallong Han, Chul-Gyu Kim
The Journal of Korean Academic Society of Nursing Education.2016; 22(4): 473. CrossRef

[English] Effects of a Health Education Program based on Social Cognitive Theory on the Health Promotion of University Students with Metabolic Syndrome: Hee Gerl Kim, Jin Hwa Lee, Ji Yun Kim, Hyun Ju Park, Hyun Sook Oh, Won Jae Lee, Eun Aae Kim, Hye Kyung Jung; J Korean Acad Community Health Nurs. 2013;24(4):451-460. Published online December 31, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.4.451

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PURPOSE
The purpose of this study is to evaluate effects of a health education program based on social cognitive theory on university students with risk factors for metabolic syndrome.
METHODS
A nonequivalent control group pretest-posttest design was used. Participants were 88 students who had at least 2 risk factors for Metabolic Syndrome (47 students for the experimental and 41 for the control group). The health education program consisted of thirteen sessions. Knowledge regarding smoking and alcohol drinking, self-efficacy and self-esteem were evaluated. t-test, chi2-test, Fisher's exact test, and paired t-test were conducted to analyze the data. SPSS/WIN 19.0 Statistics program was used.
RESULTS
There was a statistically significant increase in self-efficacy in the experimental group compared to the control group. No significant changes in knowledge and self-esteem were found.
CONCLUSION
The results suggest that the health education program for university students was partially effective. Further work is required to develop more effective health education programs.

Citations

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Levels of Health and Subjective Life Expectancy among Community-dwelling Elders in Korea
Ji Yeon An
Journal of Korean Gerontological Nursing.2018; 20(1): 22. CrossRef

[English] Development of Health Education Program Components for Early Childhood and the Investigation of Teachers' Awareness and Performance Rate of Health Education: Myung Soon Kwon, Suk Jung Han, Oh Soon Yoon, Myung Sun Song; J Korean Acad Community Health Nurs. 2009;20(4):453-464. Published online December 31, 2009

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Abstract PDF: PURPOSE
This study was conducted to develop health education program components for early childhood and to investigate teachers' awareness of the importance of health education and their performance rate of health education.
METHODS
Early childhood health education program components were developed using two rounds of the Delphi method. The Delphi group consisted of 21 experts in childhood education. After health education program components were developed, they were used in surveying child care teachers' awareness of importance and performance rate and 151 teachers sampled from 30 child care centers participated in the survey.
RESULTS
The early childhood health education program components consisted of 5 areas, 16 subjects and 33 specific contents. Early childhood teachers' awareness of importance was over 4.5 points in all the areas and in 11 out of the 16 subjects. The most frequently educated subjects were 'the importance of hand washing' and the least frequently educated subject was 'obesity prevention'. The teachers' awareness of importance and their performance rate of specific contents were high in 'maintaining order' and 'using children's rides safely,' and low in 'obesity prevention' and 'infectious disease prevention.' CONCLUSION: The components of this health program were developed in consideration of field feasibility and the relationship of health program education in elementary, middle and high school.

[English] A Study on the Satisfaction of Web-Based Health Education Programs: Soon Nyoung Yun, Jeong Eun Kim, In Sook Lee, Bok Im Lee, Eun Jun Park, Soo Yeon Park; J Korean Acad Community Health Nurs. 2009;20(2):134-142. Published online June 30, 2009

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Abstract PDF: PURPOSE
This study was to present the process of web-based educational program (WEP) development and to identify factors affecting satisfaction with WEP for the certificate of healthcare managers working at the National Health Insurance Corporation (NHIC).
METHODS
Subjects were healthcare managers and voluntary participants of WEP. A total of 1,449 respondents were surveyed through an online questionnaire about their satisfaction with the educational contents and system.
RESULTS
The mean contents satisfaction was 3.75 (SD 0.54), and system satisfaction 4.68 (SD 0.54). According to statistical analysis, the type of certification, experience and professional career of health care management affected contents satisfaction. And factors affecting system satisfaction were the type of certification and gender.
CONCLUSION
WEP was utilized as a pre-requisite course for the certificate program of healthcare managers. However, the development of advanced WEP is suggested to meet the educational needs of healthcare managers who have certificate or license and their job related to healthcare management.

[English] Development of a Teacher-Efficacy Scale for Health Education Teachers: Chung Ran Yi, Nak Won Kwon; J Korean Acad Community Health Nurs. 2008;19(2):247-259. Published online June 30, 2008

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Abstract PDF: PURPOSE
This study was conducted to develop a teacher-efficacy scale which is adequate for heath education teachers.
METHOD
A preliminary questionnaire was made based on the hypothetical factors. A total of 364 health education teachers answered to the preliminary test, and the potential factors of teacher-efficacy were checked out by exploratory factor analysis (EFA). In the main test 378 health education teachers answered, the factor structure was drawn by EFA, and confirmatory factor analysis (CFA) was conducted to test and the fitness of the factor model.
RESULTS
Through the preliminary test, 5 potential factors were found, which were instruction, health-service, administrative task, interpersonal relationship, and community connection. Also, 48 items were reduced to 31 items. Through the main test, from the 34 items were extracted 4 factors with 24 items, And then teacher-efficacy scale was developed, which included the subscales of instruction efficacy, health-service efficacy, task-interpersonal efficacy, and community connection efficacy.
CONCLUSION
Different from that for other subject teachers, the factor structure for health teachers had 4 factors with 24 items. The scale developed in this study is consistent with health teachers' work areas, and for this reason, has significance as a adequate and valid scale to measure teacher-efficacy of health education teachers.

[English] A Study on the Health Status and Need of Health Education of the Elderly: Focused on Some Elders Living in Jeju: Young Ju Son, Eun Young Choi, Young A Song; J Korean Acad Community Health Nurs. 2008;19(2):143-156. Published online June 30, 2008

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Abstract PDF: PURPOSE
It is important to identify problems in elders' health through health examination as a part of health service for elders and to execute health education so that elders have appropriate abilities to manage and protect themselves. This study was attempted to assess the need of health education in the elderly and to analyze factors affecting the need of health education.
METHOD
The participants in this study were 354 elderly people living independently in the Jeju Special Self-Governing Province of Korea, and a questionnaire survey was conducted through personal interviews from June 25 to July 26, 2007. The methodology was a descriptive study. Data were collected and analyzed using SPSS Win 12.0.
RESULTS
As for the contents of education, elders preferred most the area of 'prevention and management of elderly diseases.' Detailed education contents preferred by elders were the prevention of accidents, diet habits, exercise and weight management, mental health and stress management, complementary and alternative therapies, management of drinking and smoking, etc.
CONCLUSION
According to elders' concerns and needs, systemic health education for the elderly should provide right health knowledge, health maintenance, health promotion and setting of appropriate health education.

[English] The Effects of a Health Education Program on Health Promoting Behavior and Self-efficacy in University Students: So Young Min, Kyung Shin Paek; J Korean Acad Community Health Nurs. 2007;18(4):562-571. Published online December 31, 2007

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Abstract PDF: PURPOSE
The purpose of this study was to develop a health education program on the health promoting behavior and self-efficacy in university students and evaluate its effects.
METHOD
A nonequivalent control group pretest-posttest design was used. The subjects were 148 students [experimental(N=80) and control(N=68) groups] from a university in J City. The experimental group members participated in thirteen sessions of a health education program for fifteen weeks and the degree of their health promoting behavior and self efficacy was evaluated. The instruments for this study were the health promoting lifestyle profile developed by Walker et al.(1987) and self-efficacy scale developed by Sherer & Maddux(1982). Data were analyzed by descriptive statistics, Chi-square tests, t-tests, and paired t-test using SPSS 10.0.
RESULT
The experimental group had a significantly higher health promoting behavior score(F=10.389, p=.002) than the control group, while no significant difference was found in the self-efficacy score(F=.481, p=.489).
CONCLUSION
The results suggest that the health education program can be utilized as an effective program to promote health promoting behavior in university students.

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