• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.8
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• pp.501-511
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• 2020

This qualitative research examined the experiences and patterns of military life of service maladaptive soldiers. The research site was the place where the soldiers of the A-adaptive soldiers' healing program were conducted, and the study period was conducted from September 2016 to December 2017. Maladaptive soldiers' military life experience pattern was analyzed, and their experience consisted of three domains (early domain after joining the army, middle domain after joining the army, and last domain where they failed to adapt themselves), five cultural themes, 12 categories, and 29 attributes. The cultural themes of maladaptive soldiers in their military life experiences were as follows: facing unfamiliar military culture, hardship, being left alone in a group, pain becoming unbearable, and the last choice of leaving a painful military life. Maladaptive soldiers attempted suicide after they failed to overcome the psychological pain, but they needed help during their early period of adaptation. Moreover, during their middle period of adaptation, they needed guidance for their immature coping strategies, and ultimately they had misperceptions about their death together with a pessimistic view about their life. These results are expected to be used as basic data for the development of mental nursing arbitration programs and suicide prevention projects to help service maladaptive soldiers.

• Journal of agricultural medicine and community health
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• v.35 no.3
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• pp.314-325
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• 2010

Objectives: The purpose of this study was to investigate the effects of pet dog-assisted activities on self-esteem, depression and cognitive function of elderly people Method: The experimental group(pet dog-assisted group) consisted of 22 people over 65 years old out of about 90 elderly people registered with a home for the aged and the control group(non-pet dog assisted group) consisted of 22 people over 65 years old out of about 90 elderly people registered with another home for the aged in Daegu. Both groups had similar general characteristics, state of health, conduct on health and self-esteem, depression and cognitive abilities. Nineteen people who participated in the program at least 10 times out of 12, were chosen for the final analysis from the experimental group. For the control group, 20 people who responded to all three tests, which had been conducted before, 1 week after, and four week after the experiment, were analyzed. Result: Mean(${\pm}SD$) differences between before and 1 week after the experiment for self-esteem, depression, and cognitive function were 5.84(${\pm}3.06$), -3.26(${\pm}1.76$), 1.47(${\pm}1.26$), respectively. Those between before the experiment and 4 weeks after the experiment was 5.68(${\pm}3.64$), -3.94(${\pm}2.32$), 1.63(${\pm}0.96$), respectively. Those for control group between before and after the experiment were -0.40(${\pm}1.27$), 0.00(${\pm}0.92$), 0.15(${\pm}0.93$), respectively. Those for control group between before and 4 weeks after the experiment were -0.45(${\pm}2.24$), 0.25(${\pm}1.68$), 0.15(${\pm}0.93$), respectively. All the differences between experiment and control group in mean differences between before and 1 week after experiment, between before and 4 weeks after experiment were statistically significant(p<0.05). Conclusion: This study suggests that the pet-assisted activities can be useful solution for elderly people who have psychological and emotional problems caused by retrogression of physical, mental and social ability.

• Journal of agricultural medicine and community health
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• v.31 no.1
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• pp.35-46
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• 2006

Objectives: In recently. the management and protection on individual information in patient's medical & nursing records have been very important, and that need a guideline. The purpose of this study was to investigate the status of using the patient's nursing records of nursing students in clinical practice, to find and discuss the patient's informed consent, and status of education and management concerned to patient's nursing records. Methods: This study used a mailing survey. data collected from September 24th to October 31th in 2002. The subject were 333 professors who are major in adult nursing, pediatric nursing, psychological nursing of 111 university of nursing department and nursing college. And then we received the survey mail from 103 professors that respondent rate was 30.9%. Results: The characteristics of study subjects showed 49.0% of university. 51.0% of college of nursing. 50.0% of the subjects practiced point the patient by oral approval in clinical practice. But when the decision of the patient was very difficult, 21.6% of the subjects take to informed consent from his or her families. During the clinical practice, 49.0% of the subjects were explain to patient about clinical practice and contents of the nursing student, only 7.8% of the subjects were explain to patient with nursing records. 52.0% of the subjects were took out records from the hospital, only 17.6% of the subjects had standard of the patient's informed consent and standard of handling practice records. 17.6%-92.2% of the subjects that educate and manage concern to patient's nursing records.

• Journal of agricultural medicine and community health
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• v.27 no.1
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• pp.99-113
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• 2002

For this study a sample of 205 people, 66 males and 139 females, over 65 years of age, residing in C-gu of S-si and utilizing senior centers, were selected, The objective of the study was to provide basic data for health promotion program development provided by health centers. A questionnaire was used to collect date on general characteristics, health status, social health status and utilization rate for health services. The instruments used in this study were the Lawton scale, to measure daily routine function, the MMSE-K developed by Folstein and modified to fit the Korea situation, for mental health status, and the CES-Dtool developed by Radloff, for emotional health status. the SPSS Window program was used to calculate percentages. Tests of significance were done using t-test and ANOVA. Multiple regression analysis was used to identify variables influencing the use of health services. The results are as follows : Of those utilizing senior citizen centers, 40.9% of males and 17.3% of the female thought they were healthy. The average score for IADL was 7.4. The daily routine of female respondents consisted of buying household articles and drugs, and other IADLs such as riding the bus or subway alone. These resulted in a higher score compared to males. For emotional health, 7.6% of the males reported depression compared to 21.6% of the females. For mental health, 48.5% of the males and 28.8% of the females were found to be in the group suspicious for dementia. On social health, 57.6% of the males and 62.6% of the females reported no intimate human relations. Of those older people who had close human relations, 52.5% of the males indicated a friend as the closest person and 53.8% of the females, their children. On use of health services, there was a significantly higher need for mobile medical care services treatment for those with lower education levels and status of window/widower. There was a significantly higher need for health exmination services for those with lower levels of exercise, greater satisfaction with sleep, higher levels of oral health care, and higher social contacts. In conclusion, there is a need to provide varied programs for the promotion of health, along with parallel resolution of social, psychological and economic issues. It is recommended that health services for elderly people provided by the health centers be implemented with full recognition of these characteristics and differences.

• Journal of Korean Public Health Nursing
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• v.11 no.2
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• pp.152-170
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• 1997

The purpose of this study was to identify physical. psychological. sexual and socio-cultural problems that the adolescents have experienced and to assess the demands of counseling about the experienced problems. The design of this study was descriptive-survery study. The sample size was 601 middle and high school students. Data analysis was done by frequencies. Percent. t -test. ANOVA. Pearson correlation coefficiency, stepwise regression and Cronbach's $\alpha$ Score was produced for the reliability of the tool by using the item analysis method. The results was as follows : 1. The distribution of the each item that the adolescents experienced according to the physical, psychalogical. Sexual and Socio-cultural problem Categories was examined. In the physical problem category, the number of items that half and more than half of the adolescents experienced of often or frequently were 10 among all 19 items. In the psychological problem category. 13 item were among all 19 items. In the sexual problem category, 1 item among all 17 items and in the socio-cultural problem category, 10 items were among all 30 items. 2. The distribution of the each items that the adolescents wanted to the counseling according to the physical. psychological. sexual and socio-cultural problem categories was examined. In the physical problem category, the numbers of the items that half and more than half of the adolescents wanted counseling were 1 among all 19 items. In the psychological problem category, the numbers of the items that half and more than half of the adolescents wanted counseling were 2 items among all 19 items. In the sexual problem category, 0 item among all 17 items and in the socio-cultural problem category, 2 items were among all 30 items. 3. In the comparison of the female student and male student about the experienced problems and the demands of counseling according to the physical. psychological. sexual and socio-cultural problem categories. There was a significant difference statistically in all categories between groups(P<.001) 4. In the comparison of high school students and middle school students about the demands of counseling according to the physical. psychological. sexual and socio-cultural problem categories(P<.001). Particulary, grade II of high school students have experienced problems according to the physical. psychological. sexual and socio-cultural problem categories. There was a significant difference statistically in all categories(P<.001). 5. In the correlation between the experienced problem and the demands of counseling according to 4 categories. there was the positive correlation at P<.001 level. 6. The less the satisfaction for family and school life. the more experienced problems according to the physical. psychological. sexual and socio-cultural problem categories. There was a significant difference statistically in all categories(P<.001).

• Journal of agricultural medicine and community health
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• v.29 no.1
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• pp.77-89
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• 2004

Objectives: This study was conducted to investigate the change of health status through the intervention of physical activity arid exercise program for the people living in the area where health promotion program has been executed. Methods: The data was obtained from self--administered questionnaire. The questionnaire consisted of general characteristics, physical activity transition and health status variables using the SF-36(36-Item Short-From Health Survey). Data were analyzed 134 subjects participating in the physical activity arid exercise intervention programs. Results: The 35.1% of adults above 20 years of age are regularly physical activity and exercise before intervention program. but the rate increased to 49.3% after that. Frequency and duration of physical activity were increased, and frequency of participating in physical activity was increased from 0.9 times a week to 2.1 times especially. Scores of health status measured by SF-36 was increased in category (if general health after intervention of program, but those were decreased in category of vitality and mental health. Physical function of four groups classified by change of behavioral pattern were increased after intervention of program, especially in groups starting to physical activity. Conclusions: Physical activity and exercise is associated with health status. This study suggest that effective strategy and policy supporting for the promotion of physical activity and exercise should be needed in all peoples.

• Health Policy and Management
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• v.34 no.2
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• pp.185-195
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• 2024

Background: Disabled people have particularly restricted access to health care. In response to this, the pilot project for the general physician (GP) system for disabled people was implemented in 2018, based on the rights of people with disability to the Health Act in South Korea. However, its participants were 0.2% among the total of those with severe disabilities in 2021. Therefore, this study examined the factors related to registering with a GP and the access level to its services to suggest implications for activating the participation of disabled people. Methods: We analyzed factors affecting the registration with a GP and the number of using the services among the participants of the GP system during May 2018 and December 2021 by conducting hierarchical logistic regression and hierarchical regression. The data were linked with the national health insurance data to examine various predictors, including disability types, socioeconomic status, health status, and GP registration. Results: As a result of analyzing the factors affecting whether or not to register for the pilot project, those with disabilities (physical disabilities, brain lesions, visual, intellectual, mental, and autistic disability) eligible for disability care (odds ratio [OR], 4.157) than other disability, and those living in metropolitan (OR, 4.330) or cities (OR, 3.332) than rural residences were highly likely to enroll the pilot study. Health-related variables also predicted the registration status of the pilot project. The predictors related to GP enrollment types (membership type: general health or disability care, GP's affiliation: clinics or hospitals) significantly influenced levels of access to services. Conclusion: It is necessary to develop the GP project for disabled people by considering the variation in types of disability, residences, and health. Further study will be needed to investigate the impact of GPs on the level of participation among disabled people.

• The Journal of Korean society of community based occupational therapy
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• v.10 no.1
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• pp.17-30
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• 2020

Objective : The purpose of this study is to provide basic data for the development of a instrumental activities of daily living training program called grocery shopping for schizophrenic patients in Delphi. Methods : The final program items and contents were completed through the first and third delphi surveys from August 2018 to March 2019. The expert composition selected 26 occupational therapists related to mental health. Three surveys were conducted and 23 experts participated in the Delphi survey. The second questionnaire, which was created from an open questionnaire, was designed to indicate the degree of importance using the Likert 5-point scale. As a result of the response of the 3rd questionnaire, the level of expert consensus was reconfirmed by analyzing average, standard deviation, and content validity ratio (CVR). Results : Three rounds of Delphi research reveal four categories of questions: grocery shopping views, product purchase strategies, necessary functions, and expert knowledge and experience on how to make purchase decisions. 24 items were selected. Through the 2nd and 3rd Delphi surveys, 4 items that did not meet the criteria of goodness of fit of each item or duplicated the contents were deleted and finally 20 items were extracted. Conclusion : Experts' agreement on grocery shopping technology was drawn from an occupational therapy perspective so that patients with schizophrenia living in the community could recover and participate as a member of society.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.6
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• pp.197-208
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• 2017

The purpose of this study was to construct and test a structural equation model for college student's gambling behavior. A structured questionnaire was completed by 246 college students to analyze the relationships between perspective factors(irrational gambling belief), psychological factors(depression, anxiety), social factors(parental monitoring, parental support, friend support), self-control and gambling behavior. The moderating effects of gender, friends and family's gambling behaviors were examined. The data were analyzed using SPSS 21,0 and AMOS 20.0 programs. Self-control and psychological factors directly affected the college student's gambling behavior, while perspective factors and social factors affected it indirectly. The model fit indices of the modified model were suitable for the recommended levels. The overall study findings suggest the need to develop a gambling prevention program for college students that reinforces self-control, parental monitoring and support, and friend support while reducing irrational gambling belief, depression, and anxiety. An approach that considers gender and a development of a group counseling program for family or friends are also required.

• The Journal of the Korea Contents Association
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• v.22 no.2
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• pp.752-761
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• 2022

The purpose of this study is to present basic data for developing patient-centered care by identifying the current situation and problems of caregivers' protection management for the problem behaviors of the elderly with dementia targeting caregivers working at three nursing hospitals among the facilities for the elderly in the Uiseong area. From January 2021 to July 2021, 1 caregiver with less than 1 year, 5 caregivers with 1 to 3 years of care, and 2 caregivers with 4 years or more, who are directly caring for the elderly with dementia in clinical practice working at a nursing hospital, managing and supervising them A total of 13 patients were included, including 3 nurses and 2 secretary generals. As a qualitative case study, the results of caregivers' protective management for the problem behaviors of the elderly with dementia were listed in mental, physical, and relational aspects. Conflicts in the process and the results of conflicts in the care process with hospital managers are listed based on case studies. More specifically, the efforts and passion of researchers to understand the problem behaviors of the elderly with dementia and to devise and verify practical management methods based on this are urgently needed. It will be necessary to secure data of various case studies in clinical practice through research methods.