• 지역사회간호학회지
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• 제14권2호
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• pp.287-298
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• 2003

The purpose of the study was to develop an integrated prevention program to strengthen elders self-care capability and to examine its effectiveness on their psychological condition. This study used one group pre- and post-test design. Subjects were 85 elderly residents (over 65 years of age) who lived alone, and received free basic medical care and social welfare services in a rural community in Korea. Subject eligibility criteria for this study were to an elders who 1) is not currently taking any anti-depressant medication 2) is able to communicate, and 3) agrees to participate in this study. The integrated program was composed of horticulture, reminiscence, and friendship activities. Twelve sessions were provided for 12 weeks in community-based partnerships to achieve better outcomes. The intervention was case-managed by a public health nurse and aided by six volunteers. The main outcome variable was depression, which was assessed by using 15 items selected from the Geriatric Depression Scale-short form Korean version. Socio-demographic characteristics, functional status, and satisfaction with social support were used as covariates. Results showed that there was a significant intervention effect at post-intervention time point compared to pre-intervention time point(E.S. 0.94). Multiple linear regression analysis showed significant interaction effects between intervention and satisfaction with social support. These findings must be interpreted within the context that an effects of an integrated program could be more synergistically increased when social support factor is considered in the program. A community-based integrated prevention program of depression is effective for vulnerable rural elderly. It is suggested that randomized controlled trials within community setting for better methodological strength as well as multi-level outcomes on community need to be conducted in future.

• 한국농촌간호학회지
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• 제10권2호
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• pp.75-92
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• 2015

Purpose: The purpose of this study was to examine the effects of an integrated health promotion program provided by one community health post by comparing this program with more traditional health promotion programs provided by other institutions. Methods: The participants in this study were 110 selected local residents from I city. Of them, 55 residents participated in the integrated health promotion program in the community health post, and the other 55 participated in a program at another institution. SPSS 21.0 was used for descriptive analysis. Result: Scores for program effects, satisfaction level, quality of life related to health and depression were higher for the integrated health promotion program offered by the community health post compared to health promotion programs of the other institution. The differences were statistically significant. Conclusion: The findings of the study indicate that the integrated health promotion program can be helpful for community health posts in being successful in future plans to meet the needs of residents. Use of this program will also contribute to the development of community health posts but sustained research efforts need to be channeled into these programs.

• 한국농촌간호학회지
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• 제17권1호
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• pp.23-33
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• 2022

Purpose: This study was conducted to identify the effects of an integrated health improvement program for the elderly based on primary health care posts during the COVID-19 pandemic. Methods: A single group pretest-posttest design (n=16) was employed to evaluate an integrated health improvement program that took place twice a week for 11 weeks. The program was conducted in a small group of no more than 10 people in compliance with the guidelines to prevent COVID-19 infection. The program consisted of various contents such as making letters using blocks, health education, and talking about one's memories. The data were analyzed using the Wilcoxon signed rank test. Results: Following the program, social support (Z=-3.50, p<.001) and quality of life of the elderly (Z=-3.74, p<.001) were significantly improved among depression, social support and quality of life. Conclusion: The integrated health improvement program based on primary health care posts, considered in this study, was useful to improve the social support and quality of life of the elderly in the community, and needs to be applied to a larger number of elderly people throughout the community.

• 지역사회간호학회지
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• 제32권1호
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• pp.51-63
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• 2021

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 χ2 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.

• 지역사회간호학회지
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• 제27권4호
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• pp.299-308
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• 2016

Purpose: The purpose of this study was to develop a positive psychology-based and character strengths-integrated activity program for elders living alone in rural areas, and then to examine the effectiveness of the program. Methods: A quasi-experimental pre- and post-test design with a nonequivalent control group was used. The participants included 59 elders in total, of whom 30 were assigned to the experimental group and 29 to the control group. positive psychology-based and character strengths-integrated activity program for elders consists of sixty-minute sessions held twice per week during 6 weeks, hence 12 sessions in total. Results: There were significant differences between the experimental and control groups in depression, vitality and life satisfaction (all p<.001). Conclusion: The positive psychology-based and character strengths-integrated activity program for elders living alone in rural areas is effective in that it decreased the degree of depression and increased the vitality and life satisfaction in the participants.

• 한국보건간호학회지
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• 제32권1호
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• pp.19-29
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• 2018

Purpose: This study conducted to identify factors affecting on the job stress among employees of community integrated health promotion programs. Methods: A total of 175 employees of community integrated health promotion programs in public health centers were asked to complete a pack of self-report questionnaires. The data were then analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: Employees' emotional labor was a bit higher than moderate. Employees' job stress was higher than that of general employees in public health centers but similar to police officers. Job stress had a positive relationship with emotional labor and a negative relationship with self-efficacy. Factors affecting on the job stress were emotional labor, self efficacy and working period for integrated health promotion. Conclusion: Based on the results of this study, employees of community integrated health promotion programs in public health centers need to develop effective interventions to help them effectively decrease job stress. This, in turn, will decrease emotional labor and increase self efficacy.

• 유통과학연구
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• 제16권11호
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• pp.29-36
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• 2018

Purpose - Research on community empowerment based on superior commodities to improve the economic resilience of the tourist village of Lumajang Regency is an investigative descriptive study to obtain an overview of the problems of community economic development, especially regarding economic resilience. The output of this research activity is the formation of integrated and comprehensive strategic programs and activities in order to improve economic empowerment and food security of the community around the tourist village. Research design, data, and methodology - This research method applies several methods of analysis such as the Loqation Quotion (LQ) method, SWOT analysis, Trend analysis, and analysis of Community Economic Empowerment in the agricultural sub-sector. Results - This research has strategic values and objectives in addition to providing important information to improve food security of tourism villages in Lumajang district in particular and disadvantaged communities in Indonesia in general. Through this supportive community economic empowerment programs, Lumajang District has an agricultural area and at the same time as a nature-based tourism area that supports it. Conclusion - Village tourism community empowerment activities are taken based on existing superior commodities. The existing tourism village program in Lumajang district can be used as one of the references for the upcoming tourism village program.

• 근관절건강학회지
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• 제25권1호
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• pp.21-29
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• 2018

Purpose: The purpose of this study was to investigate the effects of a community-based empowerment program for resident leaders participating in the Healthy Apartment project. Methods: The design of this study was a single group pre-post test design. This program was consisted of 4-hour sessions. The total participants were 22 leaders. Results: The participants showed significant changes in social support (Z=-2.33, p=.020), collective action (Z=-3.91, p<.001), conflict and homogeneity (Z=-2.03, p=.042), and community perception index (Z=-3.97, p<.001) as sub factors of the individual level of SC-IQ (Integrated Questionnaire for the Measurement of Social Capital). They also showed significant changes in necessity of the resident organization (Z=-4.13, p<.001), resident participation (Z=-3.84, p<.001), convergence of resident opinion (Z=-3.94, p<.001) and the role of community leaders (Z=-3.94, p<.001) as sub factors of the perception and confidence of resident leaders (Z=-3.85, p<.001). Conclusion: Results indicate that the community-based empowerment program is effective in perceptions of social capital on the individual level and improvement of recognition as resident leaders and confidence for resident leaders.

• 한국융합학회논문지
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• 제8권7호
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• pp.131-139
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• 2017

본 연구는 지역주민에게 건강증진서비스를 제공하는 공무원을 대상으로 보건소 중심 통합건강증진사업의 효과성을 알아보기 위해 시행되었다. 조사는 구조화된 설문지를 이용하여 2015년 9월 10일부터 10월 5일까지 시행되었으며, 총 254개 보건소에 각 2부씩 508부를 배부하여 349부를 회수하였고, 이 중 339부를 최종 분석 자료로 활용하였다. 본 연구 결과, 대상자들은 통합건강증진사업의 효율성과 자율성, 책임성, 보건복지부지원. 유관기관지원에 대해서 전반적으로 평균 수준으로 인식하는 것으로 나타났으며, 보건소 내에 통합건강증진 전담부서가 있는 경우와 필수사업의 비중이 높을수록 모든 검정변수에서 평가가 긍정적이었다. 하지만 통합사업 전에 비해 업무량이 증가하였으며, 필수사업 시행이 지역별 건강문제나 지역 여건을 충분히 반영하지 못하는 것들이 문제점으로 조사되었다. 이러한 결과를 통합건강증진사업의 성공적 운영 전략에 반영할 필요성이 있다.

• 대한지역사회영양학회지
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• 제3권1호
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• pp.120-132
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• 1998

A major goal of the Community Plant Food Project is to develop partnerships between the Cornell Community Nutrition Program and Community-based organizations, including Cooperative Extension. A core principle behind this work is integrating research and intervention. Based on our work in Rochester, New York, we have developed a process and principles for effective partnerships. This new paradigm what we call the University-Community Partnership Model is a team effort that builds on the experiential literature in the fields of communication, leadership, community and team development, sociology, and participatory research and action. We have applied this model both to increase our understanding of Family Food Decision-making and to develop programs for families. In this project, we have used a variety of qualitative methods to understand food decisions from the perspectives of families and community stakeholders, including a group method for analyzing our qualitative interview data. For our survey of families, we developed the Enhanced Response Method, an approach for improving the validity and reliability of community surveys with families and, at the same time, building relationships with families and other stakeholders in the community for integrated and sustainable interventions. Because the knowledge we develop through the partnership and the interventions we seek to implement are products of the process, we are constantly seeking to refine this knowledge and to adapt emerging interventions through an ongoing evaluation process we call the Continuous Improvement Method.