• Title/Summary/Keyword: 지역사회 중재

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A Field Case Report on Oral Health Education Applying Intervention Activities in Some Areas of Hongcheon-gun (홍천군 일부 지역의 중재 활동을 적용한 구강보건교육 사례보고)

  • Min-A Kim
    • Journal of agricultural medicine and community health
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    • v.49 no.2
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    • pp.121-131
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    • 2024
  • Objective: This study is to design an intervention model for local residents to manage their oral health on their own. By establishing an autonomous participatory network without the intervention of external experts, it is possible to actively practice toothbrushing and use preventive services. Method: This is a case report study, and oral health education was conducted after interviews with 8 members of the Health Plus Village Committee in the N region of Hongcheon-gun and 156 residents of the senior center. Result: To foster oral health guardians in the community and to change behavior by actively sharing information and communicating with residents. It was confirmed that the Health Plus Village Committee was influential in spreading information, means, and interest about toothbrushing practices and preventive dental services to neighbors. Conclusion: In order to implement continuous resident-led oral health projects, resident-led village projects led by the Health Plus Village Committee should be activated through repeated empowerment education.

Effect of Nutrition Support Program for the Elderly in a Rural Community (일 농촌지역에서 수행된 노인 영양공급 프로그램의 효과)

  • Kim, Shin-Weol;Shin, Jun-Ho;Sohn, Seok-Joon;Heo, Young-Ran;Kang, Myung-Geun
    • Journal of agricultural medicine and community health
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    • v.34 no.1
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    • pp.113-123
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    • 2009
  • Objectives: This study was performed to assess the effects of nutrition support for the elderly in rural communities. Methods: The data for this study were obtained from 148 aged over 65 years in G district(70 intervention group and 78 control group). General characteristics, physical health status, food intake, dietary habits, knowledge of nutrition and nutrition risk factors of the subjects were examined by individual interview. The participants were divided into two groups through the first questionnaire of nutrition: nutritional intervention group(nutritional intervention and education of nutrition) and control group(education of nutrition alone). Results: Nutritional intervention group showed significant increase of energy intake to 87.4% from 71.0% and of most nutrients except vitamin A and niacin after intervention. After nutritional intervention program, depression index was significantly decreased and changes of food habits, self-efficacy and conviction indices were significantly increased. Conclusions: This study showed that the nutritional intervention serving foods for short-term intervention period was very effective in improving the nutritional status. In addition, it suggested that it was not enough for nutritional improvement of the elderly to provide public health education or counseling alone, therefore, for achieving its goals, it should be needed proper nutritional supply to them.

Factors Affecting Preventive Behavior of Dementia of the elderly living alone in the Community (지역사회 거주 독거노인의 치매예방행위에 미치는 영향요인)

  • Han, Eun-Kyoung;Suh, Yujin
    • Journal of the Korean Applied Science and Technology
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    • v.39 no.3
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    • pp.377-385
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    • 2022
  • The purpose of this study was to investigate the effects of knowledge of dementia and attitude of dementia on preventive behavior of dementia in the elderly living alone. The subjects of this study were 101 elderly living alone in the community and data collection was from January 2 to 16, 2020. Data was analyzed using the SPSS/WIN 24.0 program by descriptive statistics, Pearson's correlation, multiple regression analysis. There was a positive correlation between preventive behavior of dementia(r=.42, p<.001). Exercise(β=-.26, p=003), subjective health status(β=.26, p=.003) and knowledge of dementia(β=.37, p<.001) were found to be factors influencing preventive behavior of dementia among the elderly living alone in the community. The results of this study suggest that it is necessary to develop some programs that include factors such as exercise, subjective health status and knowledge of dementia for preventive behavior of dementia.

The effect of rearing, health and nutrition intervention services on grandparents-grandchildren families in a rural Korean area (농촌 조손가정의 양육, 건강 및 영양중재서비스의 효과)

  • Cho, Young-Hyang;Park, Yoon-Chang
    • Journal of agricultural medicine and community health
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    • v.35 no.3
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    • pp.274-286
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    • 2010
  • Objectives: The purpose of this study was to examine the effects of the rearing, health and nutrition services through intervention in GP-GC (grandparents-grandchildren) families. Methods: A structured questionnaire was administered in January 2008 and January 2009 to 55(70) grandparents of GP-GC families who received intervention services also GP-GC families that did not receive services. The study area was the city of Chunnam Province, South Korea. The intervention services were provided by electronic voucher one day per week. The questionnaire assessed the general characteristics of the grandparents, childcare stress and burden, health status (ADL, IADL, depression, subjective health status and fall index) and mini nutritional assessment(MNA). The data were analyzed using SPSS software and an F-test, Chi-squared test and t-test. Results: The stress of grandparents resulting from childcare was high, but depression in grandparents perceived by grandchildren was significantly lower in served GP-GC families than in non-served GP-GC families. Differences in scores of affection (t=2.12, df=116, p<.05), automatics (t=2.92, df=116, p<.01), realistic(t=2.24, df=116, p<.05), and level of depression(t=2.90, df=116, p<.01) were significant. Incidences of acute disease, IADL cognitive fuction and depression of grandparents were slightly higher. Intervention services for GP-GC families had an impact on the childcare attitude and health status of grandparents. The intervention services of nutrition for grandparents were not promoted, but the scoring for subjective nutrition status were statistically higher for the served group (t=18.230, p<.0001). Conclusions: This study found that intervention programs of childcare services and health and nutrition management are effective for grandparents of GP-GC families. Intervention services for GP-GC family should establish the political issue.

Effects of Physical Activity Programs on Sleep among Community-dwelling Elders in Korea: A Systematic Review and Meta-analysis (한국 지역사회 노인의 신체활동 프로그램이 수면에 미치는 효과: 체계적 문헌고찰 및 메타분석)

  • Kim, Ahrin;Chae, Myung-Ock;Jeon, Hae Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.3
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    • pp.186-197
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    • 2018
  • This study was a systematic review and meta-analysis designed to investigate the effects of physical activity programs on sleep among community-dwelling elders in Korea. Based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines, research articles published until November 20, 2016 were systematically analyzed and a total of seven papers were finally selected. Meta-analysis of the studies was conducted using Comprehensive Meta-Analysis 3.0. The results showed that the total effect of the physical activity program for elderly people, such as healing yoga, aerobic dance, aquarobics, Korean dance, BeHas exercise, exercise programs and Tai Chi exercise on sleep was Hedges' g=0.577 (95% CI: 0.337-0.817) The BeHas exercise program had the largest effect size on elderly's sleep, with a Hedges' g=0.758 (95% CI: 0.248-1.267). This was followed by the Tai Chi exercise program (Hedges' g=0.697; 95% CI: 0.071-1.324) and the exercise program (Hedges' g=0.650; 95% CI: 0.141-1.159). Therefore, when applying nursing interventions to improve quality of sleep of elderly people living in the community, it would be helpful to apply the BeHas exercise and the Tai Chi exercise, which have a positive effect on sleep of the elderly.

An Analysis of the Research on Effect of Smoking Cessation Intervention (국내학술지에 발표된 금연중재논문(1980-2007) 분석)

  • Hyun, Hye-Jin;Ahn, Hye-Young
    • Research in Community and Public Health Nursing
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    • v.19 no.3
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    • pp.469-479
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    • 2008
  • Purpose: We reviewed all the articles on effect of smoking cessation intervention to find out the way of improvement of it. Method: 48 researches were published in Korean journals from 1980 to 2007. The research were analyzed according to: major of first author, subjects, application of theoretical framework, contents of intervention, a term of intervention, the time of evaluation on effect of interventions, research design, dependant variables, and effect of interventions. Results: Research on effect of smoking cessation intervention increased rapidly in the 2000's. At this time. 72.9% of research was published. Most of research subject were students. Theoretical framework were applied in 20.8% of articles. The most common intervention was education(39.4%). The effect of combined program on outcome variable was found to be stronger than only education program. Experimental design was used in 29.2% and quasi-experimental design was adapted in 43.8% of articles. 1- 6months intervention was in 35.4%. The long term intervention more than 1month was found to be effective. Health behavior related index was measured as a dependant variable in 62.3%. conclusion: Accordingly, long term program to apply to various subject is needed.

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A Review of the Trends of Journal Research on Dementia and Nursing Interventions for Demented Elders (치매와 치매노인 간호중재에 대한 연구 분석)

  • Roh, Kook-Hee
    • Research in Community and Public Health Nursing
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    • v.19 no.2
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    • pp.300-309
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    • 2008
  • Purpose: The purpose of this study was to review research trends and show the developmental direction of studies on dementia and nursing interventions for demented elders. Methods: This study analyzed 104 articles on dementia and 23 on nursing interventions for demented elders published until 2007. Results: These dementia studies increased in quantity after 1996, mainly in studies on demented elders and their families and in quantitative studies, Nursing intervention methods were music, light, horticultural therapy, reminiscence and complex therapeutic program, etc. There were experimental studies after 1996, but non-equivalent control group pretest-posttest design was 8(34.8%) of 23(100,0%). The medium sample size was 16.6 for experimental groups, 13 for control groups. The experimental time range was 10-120 minutes a day, frequency was 1-18 a week, and the total frequency was 4-72. The result variables were cognitive function, dementia behavior, emotion, depression, ADL, social behavior, etc. Conclusion: The findings of this review suggest that studies on dementia have been improved in quantity since 1996, but various and effective research methods should be developed as a way to further improve the quality of studies.

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Effects of a Cognition Activation Program for the Institutionalized Old-Old in Korea (장기요양서비스 수급 후기노인의 인지향상 프로그램 중재 효과)

  • Lee, Hung Sa;Lee, Dohyun
    • Research in Community and Public Health Nursing
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    • v.24 no.4
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    • pp.427-437
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    • 2013
  • Purpose: This study was conducted to test effects of a cognition activation program on ADL, cognitive functions, depression, and QOL in the institutionalized elderly. Methods: The subjects were 40 elders who were admitted to a nursing home, with 20 of them in the experimental group and the other 20 in the control group. Data were collected from September 1 to December 17, 2012. The experimental group participated in a 12 week intervention program. ADL, cognitive functions, depression, and QOL were measured before and after the intervention. Data were analyzed by t-test and regression analysis of the SPSS and AMOS programs. Results: ADL (t=2.468, p=.017), depression (t=-2.625, p=012), and QOL (t=2.428, p=.020) were more significantly improved in the experimental group than in the control group, but there were no statistical differences in cognitive function between the two groups. Cognitive functions had positive effects on ADL (CR=-2.263, p=.024) and depression affected QOL (CR=-7.248, p<.001). Conclusion: The intervention program had positive effects on ADL, depression, and QOL except cognition. Cognitive functions of elders dramatically decrease after age 85, and it takes too much time to improve it. Therefore the program for the improvement of cognitive functions should be provided as early as possible.

The Scenario Approach Method for Family Nursing Intervention Based on the Movie 'Mabin's Room' (영화 '마빈스룸' 가족간호중재 -시나리오 접근법-)

  • Park, Kyung-Min;Kim, Chung-Nam
    • Research in Community and Public Health Nursing
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    • v.12 no.3
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    • pp.627-638
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    • 2001
  • Caring is an essential element of nursing. In a family with a patient. a critical situation may happen not only for the patient but also for the members of the family. Therefore, a caring service from the healthcare providers can also be requested for the family members. The movie 'Mabin's Room' deals with family problems. In this study, the assessment, problem, diagnosis and planning for the family nursing situation for family problems were made focusing on the role of characters in the movie 'Mabin's Room'. Regarding family nursing intervention, the framework of the story 'Mabin's Room' was reorganized to solve the problems based on the role of community health nurse. In this scenario approach method, the situation in the movie is used without change but the scenario related to the roles (or communication) of community health nurse for solving the family problems is added. It is a problem solving oriented method by reorganizing the scenario in a movie story situation. The reorganized scenario in this study is just an example of scenario approach method. Community Health Nurses can cultivate their creativity by solving various problems in the community by adopting or modifying this simple scenario in practice.

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Development of an Intervention List for Family Nursing Care (가족간호를 위한 중재목록 개발)

  • Kim, Young-Im;Kim, Hee-Gerl;Jung, Hye-Sun
    • Research in Community and Public Health Nursing
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    • v.20 no.2
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    • pp.123-133
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    • 2009
  • Purpose: This study aimed to classify nursing interventions by developing a list of interventions for family nursing care. Methods: A new intervention list was confirmed after the researchers' discussion and professional consult. All possible interventions were re-organized. Results: Five grand categories were identified, which include health education, providing direct nursing care, utilization and referral of community resources, reinforcing family resources, and stress management. The category of health education consists of anticipatory guidance, training and education, providing information, and consult and motivation. The category of providing direct nursing care consists of identifying problem, providing technical nursing, providing family tailored nursing care, family contract, monitoring or evaluation, and collaboration with experts. The utilization and referral of community services includes utilization of health care facilities, utilization of social welfare facilities, use of neighbors, friends, and relatives, connecting to professionals or supporting groups, and utilization of other sources. Reinforcing family resources includes reinforcing economic resources, reinforcing physical resources, and reinforcing human resources. Stress management includes reorganization of perception, resolving conflicts, division of role, preparing communication strategies, time management, creating familiarity, supporting spirituality, and developing sense of humor. Conclusion: This study provides useful resources to promote nursing activities by identifying possible family nursing interventions.

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