• 제목/요약/키워드: Community Health

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지역사회 건강관련 삶의 질에 영향을 미치는 요인: 지역사회 단위 분석 (Impact of Factors on community-level health-related Quality of Life: Community Unit Analysis)

  • 정용래;함명일;민인순;강은정
    • 한국콘텐츠학회논문지
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    • 제15권1호
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    • pp.276-285
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    • 2015
  • 이 연구의 목적은 우리나라의 지역사회 건강관련 삶의 질에 영향을 미치는 지역사회 요인을 확인하기 위함이다. 2012년 단면연구이며, 국가통계포털의 209개의 시군구별 2차 자료를 사용하였다. 기본 틀은 International Council of Science(ICSU)에서 제시한 지역사회 건강결정요인을 바탕으로 구성하였고, 6가지 측면으로 분류하였다. 분석방법은 지역사회 EQ-5D지수와 지역사회 요인들에 다변량 회귀분석을 실시하였다. 분석결과로, 흡연율, "양호한" 주관적 건강수준 인식률, 상수 및 하수도 보급률 그리고 재정자립도가 EQ-5D에 통계적으로 유의하게 긍정적인 연관성이 있었다. 순인구이동률, 비만율, 필요서비스 미치료율 그리고 지역사회 유형이 EQ-5D에 통계적으로 유의하게 부정적인 연관성이 있었다. 이 연구는 지역사회 수준의 건강관련 삶의 질에 영향을 미치는 지역사회 요인들의 연관성을 확인했으며, 이것은 지역사회 건강 정책 개발에 유용한 증거를 제공할 수 있다.

미국 CHAP 인정도구에 의한 지역사회 가정간호 시범사업의 평가 (The Process Evaluation of Community Home Nursing Program)

  • 이성은;김성실;김춘길;안양희;양순옥;박경숙
    • 가정∙방문간호학회지
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    • 제13권1호
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    • pp.46-53
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    • 2006
  • Chunchoen Community Home Nursing Program (CCHNP) sponsored by Chuncheon City and Gangwondo Nurses Association was the first trial of community based home health nursing in Korea. The services have started since 1996. The purpose of the study was the evaluation CCHNP to establish standard of community based nursing program in Korea. The methods of evaluation were quantitative and Qualitative approaches. Evaluation for organization and management were conducted by the American Community Health Accreditation Program Standards With the result. several recommendations were suggested : It is necessary to expand the program to all the Gangwondo cities. And the liaison system is necessary between medical care facilities and community nursing home agency to establish the continuity of health care delivery system in home nursing program. Also it is necessary to set up the supporting system between community home nursing care agency and hospital home nursing department. Finally, the National Health Insurance should cover the cost of community home nursing care.

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Health Behavior after A Multiprofessional Intervention and Training for Ongoing Volunteer-Based Community Health Programme Intervention in the North-East of Thailand: What Changed and What not?

  • Saranrittichai, Kesinee;Senarak, Wiporn;Promthet, Supannee;Wiangnon, Surapon;Vatanasapt, Patravoot;Kamsa-ard, Supot;Wongphuthorn, Prasert;Moore, Malcolm Anthony
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권9호
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    • pp.4801-4805
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    • 2012
  • This qualitative research within the project entitled "Multiprofessional Intervention and training for Ongoing Volunteer-based Community Health Programs in the Northeast of Thailand (MITV-NET)" was aimed at explaining changes of health behavior of community people in the Northeast after the intervention. The participants comprised 15 community volunteers and 27 villagers. Data were collected by indepth interview, focus group discussion, participation and non-participation observation, and note taking. Analyses were conducted in parallel with data collection, through content and comparative analysis. It was found that the health behavior fell into 2 categories: easy-to-change. The former involved fun activities joined by community people that improved their health or made them recover from illnesses after a short period without becoming addicted. These activities could be done by themselves, for example, exercising and cooking. The difficult-to-change health behavior is habitual, for example, chewing betel nuts or eating uncooked food. The following factors were found affecting behavioral changes: 1) underlying disease; 2) enjoyment in doing activities; 3) habitual behaviour; 4) improved health in a short period; 5) ability of community leaders and volunteers; and 6) community health-supporting resources. It is suggested that improving people's health requires cooperation of community people through fun activities and some initial external support. People who persist in bad habits should be encouraged to stop by showing them health deteriorating effects.

A Study on Community Senior Citizen Center as the Senior Health Care Center Vitalization Plan Measures

  • Jung, Yun-kyung
    • 한국임상보건과학회지
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    • 제4권4호
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    • pp.680-688
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    • 2016
  • Purpose. This study aims to explore Situations and Problems of the Community Senior Citizen Center as the senior health care and the Elderly's Leisure status. Then, aims to arrange Activation Vitalization Plan of the senior's leisure in Community Senior Citizen Center. Methods. The literature and data used in this study was based on a questionnaire survey, mostly from Gyeongki-Do Community Senior Citizen Center Branch and statistical research data. Literature review and analysis frequency was by reference to the paperback and academic papers related to the senior health welfare. Results. First, the period of the seniors with the Community Senior Citizen Center as health facilities has appeared in 6-10years(32.8%), followed by the response showing that more than 10years(32.4%). Therefore, it reveals that the senior live in the same region in the long term. Second, the number of days that the senior health care the Community Senior Citizen Center has been used by the senior was over 5days. This result was supported by 608people(61.7%). Both men and women replied that they use the health center more than five days. Third, the number of the senior who responded that they use the Community Senior Citizen Center as health facilities 629people(63.9%). They replied that they use the facilities mostly afternoon. The senior use the facilities all day appeared to 263people(26.7%). Conclusions. It seems like that there needs to be a variety of personalized programs that can be added to increase the life satisfaction of the senior participation in leisure programs for the Community Senior Citizen Center as senior health facilities in the future. Additionally, the government needs to require a wide range of financial support for the Community Senior Citizen Center as senior health care and devise the strategies that will lead the health center for the senior need to be actively utilized.

고혈압 자가관리 이행증진프로그램이 본태성 고혈압 환자의 신체생리지수, 지식 및 자가관리 이행도에 미치는 영향 (Effects of Biophysical Index, Knowledge, and Self Management Compliance of Patients with Primary Hypertension by a Self Management Compliance Promotion Program)

  • 정복선;강희경;곽미열;김은숙;김현영;박은숙;송계용;신향숙;윤복희;이은경;임정순;피순옥;정은영
    • 대한간호학회지
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    • 제36권3호
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    • pp.551-560
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    • 2006
  • Purpose: This study was to develop and prove the effects of aself management compliance promotion program for primary hypertension patients who reside in rural communities. Method: The content of the self management compliance promotion program developed by this study was as follows: A leader trains patients as a group or individually, in walking, education and green tea therapy from the first to twelfth week. From the thirteenth to twenty fourth week, the patients should perform walking and green tea therapy by themselves. One hundred twenty subjects volunteered to participate in the study, who were among those registered as hypertension patients in the 14 community health clinics located in Chungcheongbuk-do. Result: Systolic blood pressure, total cholesterol, low-density lipoprotein cholesterol, triglyceride, step width, and degree of obesity decreased significantly. High-density lipoprotein cholesterol, step length, knowledge of hypertension, and self management compliance significantly increased, Conclusion: A self management compliance promotion program for primary hypertensive patients enhances biophysical index and knowledge on hypertension, thus ultimately suggesting a nursing intervention for promoting self management compliance.

보건진료원의 직무만족에 영향을 미치는 요인 (Job Satisfaction and Related Factors among Community Health Practitioners)

  • 정귀임;윤석옥;신현주;신동수
    • 한국농촌간호학회지
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    • 제4권2호
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    • pp.120-127
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    • 2009
  • Purpose: This study was done to identify factors related to job satisfaction according to socioeconomic status and job related factors among community health practitioners. Method: A total of 91 community health practitioners participated in the survey. The survey was performed in November, 2008. The survey instruments included socioeconomic factors, work related factors and job satisfaction. The statistical analysis included frequencies, percentages, means, standard deviation, t-test, ANOVA, Scheffe test and multiple regression. Results: The mean age was $44.03{\pm}5.21$ years, 35.1% graduated from baccalaureate program. Job satisfactions related to wage level and job description had relatively lower score than other items. Job satisfaction was significantly different by education level, marital status, and motivation for choosing to be a community health practitioner. Conclusion: Characteristics of community health practitioners are changing and the Korean government needs to up-date job descriptions and welfare policies according to the higher quality of public health practitioners.

지역사회 보건사회지표를 이용한 시군구 지역 간 건강수준 비교 및 관련 요인 상관관계 분석 (A Comparison of Community Health Status by Region and an Investigation of related Factors using Community Health Indicators)

  • 박은옥
    • 지역사회간호학회지
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    • 제23권1호
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    • pp.31-39
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    • 2012
  • Purpose: The purpose of this paper was to compare community health status by region and to investigate related factors using community health and social indicators. Methods: Data were collected from statistics of local districts that were provided by KNSO and KCDC. ANOVA and correlation were analyzed using PASW 18.0. Results: The standardized cancer mortality rate was higher in metropolitan areas than in other areas. On the contrary, the mortality of respiratory disease, traffic accident, and suicide were higher in rural areas. Small cities and county districts showed higher prevalence in obesity prevalence than metropolitan areas. Metropolitan areas presented higher prevalence in alcohol drinking during the previous month, perceived stress, and seat belt use. The age-adjusted standardized mortality rate was correlated with higher prevalence of smoking, obesity, percentage of the elderly, number of beds, number of social welfare facilities, number of registered cars, lower percentage of financial independence, number of doctors, and percentage of water supply service & sewage. Conclusion: Since significant differences in mortality rate and prevalence of health risk behaviors exist between regional areas and the mortality rate was correlated with other social indicators and health indicators, health policies and social policies considering these differences should be develop and implemented to the communities.

Effects of Social Capital on Subjective Health in the Community Indwelling Elderly

  • Chu, Hyeon Sik;Tak, Young Ran
    • 지역사회간호학회지
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    • 제29권2호
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    • pp.184-193
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    • 2018
  • Purpose: The aim of this study is to examine a path model on the relationship among social capital, physical activity and subjective health status in the community indwelling elderly. Methods: The study was conducted utilizing the 2014 Seoul Survey, in the method of analyzing cross-sectional design and secondary data. Among 45,497 participants in total, the data of 4578 adults aged 65 or above was analyzed. Social capital was measured by social trust and social participation. Physical activity was measured by regular exercise. Additionally, a numerical rating scale was used to assess subjective health status. The data were analyzed using descriptive statistics, Pearson's correlation coefficients and path analysis. Results: Social participation and physical activity showed a direct effect on subjective health status in community indwelling elderly while social trust and physical activity showed an indirect effect on their subjective health status. The hypothetical path model of community indwelling elderly's subjective health status was proved correct. Conclusion: Findings from this study indicate that health-promoting intervention for community indwelling elderly should consider social trust and participation.

한국과 일본의 지역사회간호 연구 동향 고찰 (A Review of Community Health Nursing Research in Korea and Japan)

  • 유호신;다나까 미카;아리따 쿠미;조정현
    • 지역사회간호학회지
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    • 제21권4호
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    • pp.532-540
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    • 2010
  • Purpose: The purpose of this study was to compare similarities and differences in research trends for community health nursing between Korea and Japan. Methods: Comparison was made in terms of research design, data collection and sampling method, and key concepts from community health nursing research by literature review. We analyzed original articles from representative Journals covering community health nursing research from 2004 to 2008. Results: We found that research design was quite different between the two countries. Quantitative research design was dominant in Korea, while qualitative and qualitative research designs were used equally in Japan. In particular, outcome research was found only in Korean papers. Conclusion: Based on the comparison, the following recommendations are suggested related to the strengths and weaknesses of research concepts and methods observed in each country. It is suggested that future collaboration should be undertaken especially to improve the diversity of research design and method. More diverse research designs should be used in both countries. Particularly in today‘s aged society, evidence-based research and outcome research are needed for community health nursing in both countries.