• Title/Summary/Keyword: Community Health Nursing

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Factors affecting Diabetic Eye disease and Kidney disease Screening in Diabetic Patients (당뇨병 환자의 당뇨성 안질환 및 신장질환 합병증 검사 수검 여부에 영향을 주는 요인)

  • Kang, Jeong-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.4
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    • pp.226-235
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    • 2020
  • This study was undertaken to investigate factors that affect the assessment of complications in diabetic eye and kidney diseases. Data was obtained from the National Community Health Survey, 2017. The subjects included were 25,829 respondents who had been diagnosed with diabetes. Logistic regression analysis was applied to determine the factors affecting associated diabetic eye disease (fundus examination) and kidney disease (microalbuminuria examination) complications. The diabetic eye disease complication rate was 35.6%, and diabetic kidney disease complication rate was 39.8%. Complications arising due to diabetes were determined to be 35.6% for eye diseases and 39.8% for kidney related diseases. Ed. Notes: The original sentence is not very lucid. I have suggested an alternate edit. I leave it to the author's discretion to accept or reject the same. Please delete whichever sentence is not suitable. Walking activity (OR=1.03, OR=1.02), hemoglobin A1c (HbA1c) recognition (OR=2.33, OR=2.33), blood glucose level recognition (OR=1.61, OR=1.71), diabetes drug therapy (OR=2.67, OR=3.05), and diabetic management education (OR=1.45, OR=1.47) were more likely to be evaluated for eye and kidney disease complications. Our results indicate that to increase the rate of screening for diabetic complications, it is necessary to develop a diabetes management system that includes the type and timing of diabetic complications, as well as different promotional methods that recognize HbA1C and blood glucose levels. Ed. Notes: Do you mean 'screening' methods? Please revise appropriately, if required. In addition, it is essential to develop a guideline for the management of diabetes mellitus, and to incorporate a screening test for diabetic complications in the national screening system.

Analysis on the effects of the Korean language ability level, social support and acculturative stress of migrant laborers on life satisfaction: Focus on the mediating effects of hope (이주노동자의 한국어 능력, 사회적 지지, 문화적응 스트레스가 생활 만족도에 미치는 효과 분석: 희망의 매개효과를 중심으로)

  • Kim, Dae-Myung
    • Journal of Digital Convergence
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    • v.14 no.4
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    • pp.89-100
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    • 2016
  • The present study aims at investigating the effects of the Korean language ability, social support and acculturative stress of migrant laborers on hope and life satisfaction. The results of structural equation model showed that the social support and acculturative stress of migrant laborers influences life satisfaction through hope. The Korean ability of these laborers was intermediate level where they performed well in reading while they showed low performance in speaking and listening. The results of the study are as follows. First, hope mediates the effects of Korean ability on life satisfaction and does the effects of social support and acculturative stress on life satisfaction. Second the results that the better they hope the bigger life satisfaction gets implied that hope is the immediate cause of life satisfaction. Third, for their hope, we should provide not only language education but also opportunities for the perception that the role of family and neighbors is important. It is also necessary to facilitate active movements with the local community so that the migrant laborers take part in roles as members of society. Further we need to operate lifelong education programs for helping the migrant labores to adapt their lives in Korea.

Gender Difference of the Influencing Factors on Successful Aging among Rural Community-dwelling Korean Elders (남성노인과 여성노인의 성공적 노화 영향요인)

  • Kim, Hee Kyung
    • 한국노년학
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    • v.32 no.3
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    • pp.819-834
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    • 2012
  • The purpose of this study was to examine the degree of successful aging and to investigate influencing factors of it in elderly to types of gender. Subjects were 73 male elderly and 77 female elderly, total 150 elderly living at K city in C province, from May to June, 2012. The data were analyzed using the SPSS Win 18.0 program for $X^2$ test, t-test, Pearson's correlation coefficients and multiple regression analysis. The correlated factors of successful aging among male elders included life satisfaction(r=.525, p<.001), family support(r=.355, p=.004), depression(r=-.555, p<.001) and loneliness(r=-.437, p<.001). Those of successful aging among female elders included life satisfaction(r=.607, p<.001), leisure satisfaction(r=.679, p<.001), family support(r=.784, p<.001), depression(r=-.516, p<.001), loneliness(r=-.644, p<.001) and self-transcendence(r=.576, p<.001). Life satisfaction and depression were statistically significant influencing factors of successful aging in male elders. Especially in the cases of female elders, life satisfaction, depression, family support and self-transcendence affected to successful aging. Life satisfaction, depression, family support, and self-transcendence were explained 52.9% in perception of successful aging among elders. This study suggests that life satisfaction, depression, family support, and self-transcendence will be considered in enhancing the successful aging promoting care and welfare designed for types of gender.

Factors Associated with Unawareness of Early Symptoms of Stroke and Myocardial Infarction in Adults with Hypertension and Diabetes: Focused on Management related to Disease (고혈압, 당뇨병 성인의 뇌졸중 및 심근경색증 조기 증상 비인지 관련 요인: 질병 관리 관련 특성을 중심으로)

  • Kwon, Young-Sook
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.1
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    • pp.60-74
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    • 2021
  • The purpose of this research was to determine the degree of awareness of early symptoms of stroke and myocardial infarction in adults diagnosed with hypertension and diabetes, and to analyze factors related to unawareness. Raw data from the 2017 Community Health Survey were utilized. A total 12,277 adults older than 40 years were included in analysis finally. The early symptom awareness rates of stroke and myocardial infarction were 53.6% and 46.8%, respectively. Logistic analysis was performed to assess factors associated with unawareness of early symptom of stroke and myocardial infarction. After correcting for socio-demographic variables, education for the management of hypertension, recognition of blood pressure level and HbA1c level were significantly related to stroke early symptom unawareness on multivariate analysis. (Education for the management of hypertension, recognition of blood pressure level and HbA1c level were significantly related to the unawareness of early stroke symptoms even after socio-demographic variables were corrected in multivariate analysis.) Recognition of blood pressure level and HbA1c level were also significantly associated with unawareness of early symptoms of myocardial infarction. Therefore, it is required to interventions and strategies to improve the level of awareness of early symptoms of cardio-cerebrovascular disease, such as accelerating promotion and strengthening education for high-risk groups who must manage both hypertension and diabetes.

Factors Influencing Adult Dementia Knowledge, Fear of Dementia, and Intention of Dementia Prevention Behavior on the Demand for Dementia Prevention Education (성인의 치매 지식, 치매 두려움 및 치매 예방행위 의도가 치매 예방교육 요구에 미치는 영향요인)

  • Eun-Hee Shin;Hyea-Kyung Lee
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.4
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    • pp.67-75
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    • 2023
  • The object of this study was to analyze factors influencing adult dementia knowledge, fear of dementia, and intention of dementia prevention behavior on the demand for dementia prevention education. The subjects of the study were 265 adults aged 19 to 64 living in Chungnam and Chungbuk, who understood the purpose of the study and agreed to participate in the study. The collected research data were analyzed using frequency, percentage, mean, standard deviation, t-test, ANOVA, and multiple regression analysis. As a result of the study, adult dementia knowledge (p=.055) and dementia fear (p=.302) were found that they did not significantly affect the demand for dementia prevention education, and the intention of dementia prevention behavior (β=.329, p<.001) was found to have a significant effect on the demand for dementia prevention education. Based on these research results, understanding of dementia and dementia management projects, early screening for dementia and health guidelines for dementia prevention, chronic disease management for dementia prevention, exercise for dementia prevention, healthy eating for dementia prevention, and cognitive enhancement for dementia prevention In addition to the national dementia prevention publicity and national response efforts such as programs, it is necessary to actively participate in the dementia prevention program centered on the community to practice the correct dementia prevention behavior and provide sufficient opportunities to prevent it.

Effects of Nutritional Status, Activities Daily Living, Instruments Activities Daily Living, and Social Network on the Life Satisfaction of the Elderly in Home (재가노인의 영양상태, 일상생활 수행능력, 도구적 일상생활 수행능력 및 사회적 연결망이 삶의 만족도에 미치는 영향)

  • Yang, Kyoung Mi
    • Journal of the Korean Applied Science and Technology
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    • v.36 no.4
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    • pp.1472-1484
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    • 2019
  • This study aimed to verify the effects of nutritional status, K-ADL, K-IADL, and social network on the life satisfaction of the elderly in home. Total 213 research subjects participated in this study, and their average age was 71.38±5.59. As the methods of analysis, using the SPSS 21.0, this study examined the differences between variables in accordance with the general characteristics, and then verified the correlations between independent variables of nutritional status, K-ADL, K-IADL, social network(family networks, friends networks), and life satisfaction. In order to verify the factors having effects on the life satisfaction of the elderly in home, the stepwise multiple regression analysis was conducted. In the results of this study, in the general characteristics, the life satisfaction showed statistically significant differences in accordance with education(F=5.280, p=.002), economic condition(F=22.407, p<.001), monthly income(F=3.181, p=.015), and subjective health status(F=14.933, p<.001). In the results of verifying the correlation between independent variables, the life satisfaction showed positive correlations with family networks(r=268, p<.001) and friends networks(r=.286, p<.001) while the nutritional status(r=-.222, p=.001), K-IADL(r=-.235, p=.001), and interdependent social support(r=-.283, p<.001) showed negative correlations. The predictive factors on the life satisfaction of the elderly in home included the economic condition(β=.358, p<.001), subjective health status(β=.245, p<.001), interdependent social support(β=-.158, p=.009), and K-IADL(β=-.153, p=.012), and the explanatory power was 30.1%. The regression model was statistically significant(F=23.778, p<.001). Based on such results of this study, it would be necessary to develop programs that could maintain and improve the health of the elderly, and also provide financial support to the elderly suffering from economic hardship, in order to improve the life satisfaction of the elderly in home. Moreover, there should be the concrete measures for vitalizing the community-connected activities for interdependent social support.

Assessment of the Effect of a Public Health Clinics' Home-Based Terminal Cancer Patient Management in Collaboration with a Regional Cancer Center (경남 지역 암센터와 보건소 재가암환자 관리 서비스와의 연계 사업)

  • Song, Haa-Na;Kang, Myoung Hee;Lee, Gyeong Won;Kim, Hoon Gu;Lee, Won Sup;Kang, Jung Hun;Kang, Yoon Sik;Eun, Young
    • Journal of Hospice and Palliative Care
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    • v.16 no.1
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    • pp.10-19
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    • 2013
  • Purpose: Home-based care providers were surveyed to assess the effect of collaborative service between Gyeongnam Regional Cancer Center (GRCC) and public health centers (PHCs) in Gyeongnam province. Methods: Twenty home-based care providers who had previously participated in the GRCC-PHC care project were recruited from nine PHCs and were surveyed using a questionnaire developed by specialists. Questions were rated using the 5-point Likert scale ranging from "strongly disagree (-2)" to "strongly agree (+2)" and each score was multiplied by the corresponding number of respondents (n=20) with the maximum score of 40. Results: Between January 2008 and December 2011, 73 patients were registered to the collaborative service: 72 by GRCC and one by PHC. Home-based care providers marked the highest score (23 points) to "The collaborative service contributed to patients and their family's psychological stability" and the lowest score (11 points) to "The collaborative service was generally helpful for home-based cancer management." For possible suggestions to improve the service, the highest score (35 points) was given to "Simplification of the hospitalization process" followed by "Substantial benefits for patients at their visit to the hospital" (34 points). Conclusion: The results revealed several limitations of the GRCC-PHC collaborative care service for terminal cancer patients. The service could be further improved by developing measures to address the limitations and a service model tailored to region-specific needs.

Needs and Satisfaction of Cancer Patients on the Medical Services in Jeju Special Self-Governing Province (제주지역 암환자의 의료서비스 요구도 및 만족도 분석)

  • Kim, Woo-Jeong;Kim, Min-Young;Chang, Weon-Young;Choi, Jae-Hyuck
    • Journal of Hospice and Palliative Care
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    • v.13 no.3
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    • pp.153-160
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    • 2010
  • Purpose: The purpose of the present study was to investigate needs and satisfaction on the medical services of cancer patients in Jeju Special Self-Governing Province. Methods: Total 174 cancer patients, who visited at the clinic of Jeju National University Hospital, submitted informed consent and participated in this study from July 13 to July 30, 2009. Self questionnaire was used and data were analyzed with Kolmogorov-Smirnov test, Mann-Whitney U test, ANOVA, and Kruskal-Wallis test. Results: Participants expressed the needs of most economical support (3.38 out of 4), followed by counseling of treatment plan (3.22), information of disease (3.07), and disease management except cancer (2.97). Participants were satisfied most with religious counseling (3.41), followed by nursing service support (3.39), employment counseling (3.26), and counseling for family or interpersonal relationships (3.26). The satisfaction of economical support was the lowest (1.98). Satisfaction of men was higher than women, and needs in patients who were living with children was the highest. Patients who were living alone or with children showed the lowest satisfaction about the medical services. There were no significant differences in the general characteristics, however, participants who were older than 60 years of age or had higher income showed lower needs and higher satisfaction. There were no significant differences in the medical characteristics, however, thyroid cancer patients and patients who were treated with radiation therapy or transarterial embolization showed low satisfaction. Conclusion: Cancer patients seemed to need more economical support, information of treatment or disease, and symptom management. Furthermore, there were various needs about the services, depending on family formation or economical support of patients. Therefore, it is certain that patients who were suffering from other cancers, except the 5 major cancers, needed more services. In conclusion, continuous and systemic policy to consider patient's characteristics and needs are needed in community as well as health care system.