• Title/Summary/Keyword: Community Health Planning

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A Study on Permanency Planning for Adult with the Mental Disability (성인 정신장애인의 평생계획에 관한 연구)

  • Seo, Mi-Kyung
    • Korean Journal of Social Welfare
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    • v.43
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    • pp.106-130
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    • 2000
  • When parents as primary care takers to the mentally disabled adult are no longer taking care of their care-needed offsprings because of their own death or illness, instead themselves. who take care of their offsprings with the mental disability? Therefore, 'permanency planning' is very important for reduction of parents' care burden and social integration of mentally disabled adults. Accordingly, this study aims to find out factors which are related to permanency planning for adults with the mentally disability For the purpose of the study, 192 parents of the adult with the mental illness and mental retardation were conducted a survey regarding type of permanency planning, and its related factors including social functioning level of the mentally disabled, care burden, parents' self-perception of being aged, help from offspring without mental disability, social support, and financial ability. Furthermore, this study examined correlation between these factors and residential planning. Results obtained by the study were as follows: 1) 51% of the parents are having a plan for institution and most parents want other family member to take care for financial planning for their mentally disabled offsprings. 2) As a result of multiple regression for finding out factors which affect parents' permanency planning, social functioning level of the mentally disabled, parents' self-perception of being aged, help from offspring without mental disability, social support, and financial ability were statistically significant influenced factors, which has 23.3% of explanatory power. 3) As a result of step-wise multiple regression, financial ability, parents' self-perception of being aged, and help from offspring without mental disability were the most powerful influenced factors for permanency planning. 4) In case of having a plan for residential types-which are institution and community living-, parents who have a plan for the mentally disabled offsprings' future residence as community living than institution have the offsprings with more social functioning and also have more help from offspring without mental disability. Therefore, this study concluded that welfare policy for mental health and the handicapped which secure various types of community living facilities and income security is strongly needed. At the same time, mental health profession is needed to have more active interest and intervention for permanency planning for their adult clients and parents.

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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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A Study on the Family Planning Practice of Some Urbanites (일부 도시지역 주민의 가족계획 실천에 관한 연구)

  • Kim, Young-Ha;Cha, Hyung-Hun;Yum, Yong-Tae
    • Journal of agricultural medicine and community health
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    • v.9 no.1
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    • pp.27-38
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    • 1984
  • The Family Planning Project as a birthcontrol policy has been enthusiastically carried out by the government since 1962. But gradually it get less enthusiastic. Therefore, it is required to establish a more comprehensive and systematic plan and to carry out it thoroughly. And it is needless to say that people's knowledge about family planning, their attitudes and their practice should be concretly comprehended. Taking these things into consideration, this study surveys the general situation on family planning among 237 married women of less than 34 years in Guro 6-dong, one of target areas for Korea University Health Project from Sep. 17, 1984 to Oct. 13, 1984. The results are as follows; 1) Most of the subjects (62.8%) want 2 children and 13.6% want one child. But son-preference consciousness is remarkably revealed among them, which is thought to cause social inequality between man and woman. Therefore, it needs to change the traditional son-preference convention, for equality of all men regardless of sex. 2) The rate of induced abortion experience by person is 61.6% and the average frequency is 1.4. Almost all the induced abortion are carried out at clinics and hospitals during 2~3 months after conception. To prevent these unnecessary conception and induced abortion in view of maternal health, ethics and economics, proper contraceptive measures should be emphasized. 3) Temporary contraceptives should be sold more widely in the basis of free trade in order to practice the intensive and comprehensive family planning because the degree which Health Center has been utilized for buying temporary contraceptives is low. 4) There are serious problems such as the side effects and the lack of follow up care in permanent contraceptives. Those lower the practice rate of permanent contraception. Therefore it is necessary to improve the quality of permanent contraception practice and strengthen the follow-up care.

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A Survey on Health Service Activities of Public Health Nurses in Pusan, Kyung Nam (부산.경남지역 보건소 간호사의 보건업무 수행활동에 관한 조사)

  • Hwang, Bo-Sun;Bae, Jung-Ha;Kim, Bong-Im
    • Research in Community and Public Health Nursing
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    • v.1 no.1
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    • pp.115-128
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    • 1989
  • The purpose of this survey was to measure the health service activity of the Public health nurses and analyze the related factors influencing to their activities. The subjects of this study were 249 PHN in Health Centers, Pusan and Kyung Nam area and survey was conducted from 5th, January to 28th, February, 1987. The results of this study were as follow; 1. Total performance average of health service activities was 2.52. Among the 1 t health categories, health service planning (3.05) was the most and others health care (2.07) was the least active. 2. In performed degree of activities in department of Health Center. The hightest performed activities were T.B care in T.B clinic (3.79), family planning in family planning clinic (3.94), screening for disease in medical office (3.42), prenatal care in M.C.H. room (3.46) work planning in injection room (3.76), postpartum care in MCH center (3.63). 3. There were significient difference in age, education, religion, section of service, duty between the general characteristics and health service activities.(p<.05).

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Development an Evaluation Tool for Evaluation of Hypertension Prevention and Management Program in Community Health Posts (보건진료소의 고혈압예방 및 관리사업 평가도구 개발)

  • Cho, Won-Jung;Kwon, Myung-Soon
    • Research in Community and Public Health Nursing
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    • v.15 no.2
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    • pp.197-208
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    • 2004
  • Purpose: This study was to develop an effective evaluation tool for evaluation of hypertension prevention and management program(HPMP) in community health posts (CHPs). Method: Evaluation tool composed from the literature review, the field visiting, and the in-depth interviews with the community health practitioners. Result: The evaluation tool had four domains, each with different maximum points:, hypertension prevention (35), hypertension management (40), environment of the CHPs(10), and evaluation system of the HPMP(15). The first domain was hypertension prevention with sub-domains of health education, and early detection of patients with hypertension. The second domain was hypertension management with sub-domains of management of health records of patients, education and counseling, and treatment and follow-up of patients. The third domain was the environment of the CHPs with subdomains of accessibility of CHPs to residents, accessibility of general health data to the public, and availability of health information to the public by multimedia. The fourth domain was the evaluation system of the HPMP with the subdomains of planning of program, formative evaluation, process evaluation, and summative evaluation. Conclusion: The newly developed evaluation tool will contribute not only to plan and set goals for evaluation of HPMP in CHPs.

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Typology of Community Health Vulnerabilities and Their Effects on Health Status by Type-Using Community Health Survey (지역의 건강결정요인 취약성 유형화 및 유형별 건강수준의 차이)

  • Park, Bohyun;Yi, Kyunghee;Choi, Sookja;Seo, Sukyong;Choi, Seonim
    • Research in Community and Public Health Nursing
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    • v.32 no.3
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    • pp.281-291
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    • 2021
  • Purpose: This study examined health determinants at a community level and put forward to a typology of five different forms of community health vulnerabilities. We also investigated the differences in the prevalence of chronic diseases, self-rated health, and quality of life (EQ-5D) among the five types. Methods: Latent class analysis was applied to material, social capital, and health behavior vulnerability variables across 255 regions of South Korea. The data came from 2017 & 2019 Community Health Survey. Results: We found five types of community health vulnerabilities: Type 1 group had the highest material vulnerabilities compared to Type 5. The typology was found to be significant in all the regression analysis on the prevalence of chronic diseases (hypertension and diabetes), self-rated health status, and quality of life. In the regions with high material vulnerabilities, the material vulnerability appeared the most effective to the health status of individual's. In the other regions with less material vulnerabilities, the social capital and health behavior resources were found to be effective. Conclusion: A comprehensive measure of vulnerability can be helpful to understand community health. Policy makers need to consider the level of material vulnerability when planning for a health promotion project.

Analysis of Community-based Health Promotion Program Targeting School-aged Children and Program Using Forest: Based on National Community Health Plan (학령기아동 대상 지역사회 건강증진 프로그램 및 숲을 활용한 프로그램 분석: 전국 지역보건의료계획을 기반으로)

  • Lee, Insook;Bang, Kyung-Sook;Kim, Sung-Jae;Choi, Heeseung;Hwang, Inju;Kim, Jieun
    • Korean Parent-Child Health Journal
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    • v.17 no.1
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    • pp.8-17
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    • 2014
  • Purpose: The purpose of this study is to analyze community-based health promotion program for school-aged children and program using forest. Methods: Seventeen health promotion programs focused on school-aged children from Community Health Plan were selected to analyze after assembling 227 of the 5th National Community Health Plans. The analysis duration was from 2012 July to November. Results: Among 17 programs, the health promotion program targeting school-aged children were included in 16 programs except one program focusing on community- orientated rehabilitation program. Eight health promotion programs using forest in 7 different areas were found. The majority of the community-based health promotion programs were focused mainly on smoking cessation, obesity, physical activity, nutrition, mental health programs. Furthermore, there was a limitation of programs utilizing forest as a health promotion resource and most of the programs using forest were located in Jeollanamdo and focusing mainly on atopy prevention and treatment. Conclusion: The importance of this study is that it analyzed nation-wide community health plan systematically, and analyze community-based health promotion program targeting school-aged and the program using forest. The results of the analysis can be used as baseline data for developing physical and mental health promotion programs using forest targeting school-aged children.

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A Structural Model on the Quality of Life and Natural Family Planning of Married Women (기혼여성의 자연가족계획행위와 삶의 질에 관한 구조모형)

  • Choi, Hee-Jung
    • Research in Community and Public Health Nursing
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    • v.14 no.4
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    • pp.617-628
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    • 2003
  • Purpose: This study was to analyze the quality of life of married women practicing a natural family planning method based on given parameters in order to obtain some specific basic data for developing holistic programs to enhance the quality of life of married women practicing natural family planning. Methods: The subjects of this study were selected from married women who had been practicing natural family planning over two years. Data were collected from May 20 2001 to March 5 2002 using a structured questionnaire and interviews. The total number of subjects was 239. Collected data were analyzed using PC-SAS, which utilized descriptive statistics. In addition, LISREL 8.0 program was used to utilize covariance matrix. Results: The hypothetical model was reasonably fitted to commonly accepted data. Revision was required for the x2 value and RMR, and the model was revised by eliminating 6 paths. The revised model was fit well for commonly accepted data (x2 = 86.26, GFI = 0.97, NFl = 0.98, NNFI = 0.99, AGFI = 0.96, RMR = 0.02, CN= 422). Variables that influence the practice of natural family planning were communication of spouses, knowledge about natural family planning, self-efficacy and perceived benefits. Variables that control the quality of life were self-efficacy, internal health locus of control, attitude toward natural family planning, communication of spouses, perceived benefits and natural family planning behaviors. Conclusions: These findings prove that the quality of life of married women practicing natural family planning can be improved through developing programs that enhances communication of spouses, self-efficacy and perceived benefits.

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보건 간호 실습 계획을 위한 실태 조사

  • 김모임;김의숙;조원정
    • Journal of Korean Academy of Nursing
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    • v.1 no.1
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    • pp.3-26
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    • 1970
  • That's an attempt to study about knowledge, attitudes and practice of the residents with regard to maternal child health, family, planning, and tuberculosis in rural area which was chosen to be a demonstration area for nursing students of College of Nursing, Yonsei University for their public health nursing practice. In addition, it is designed to collect information on population of the area such as age and sex distribution, mobility, and other characteristics also be sought by doing a census. The purpose of study is to obtain data which are needed for planning student learning experiences in the community. The information which was obtainable through this study is as follows; 1. In demographic aspect a. Population structure was a typical rural type in terms of population pyramid. b. Distribution of age and sex of residents showed more female in the older ages. c. Population has not moved much. Majority of them have been living in the area since their births. 2. In sociological aspect a. The level of education of female was comparatively lower than male. b. The residents of the area did not have any special religion. c. The economic status was found low or middle class. 3. In health practice In general health knowledge, attitudes and practice appeared to be poor. As a result of this study, it could be summararized that there are a great public health nursing needs in the community. According to these needs found and to it's nature, severity and massiveness, the nurse instructors with students were able to set up a priority system in services. Meanwhile student case load can be logically figured out in consideration of variety of experiences need for each student. The study helped student not only to find out resident characteristics and their health problems in terms of family and community problem but also to provide a good learning experience by participating in the interviewing. In sum this type of study is necessary for planning of student field experience when no data are available where students are going to have field experiences in public health nursing.

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Community-Based Participatory Approaches and a Social Ecological Model for School-Based Sex Education (학교 성교육을 위한 지역사회 참여형 접근법과 사회생태학 모델)

  • Yoo, Seung-Hyun
    • The Journal of Korean Society for School & Community Health Education
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    • v.7
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    • pp.19-32
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    • 2006
  • Research supports that participatory strategies are central to the success of school-based sex education. Community-based participatory approaches are increasingly recognized as a central strategy for school-based sex education for their orientation towards participant engagement in program planning, content development, implementation, and evaluation. In combination with the community-based participatory approaches, a social ecological model holds values as a tool for facilitation and planning, and potentially as an evaluation aide for school-based sex education programs. This paper describes core concepts and principles of the community-based participatory research; illustrates a social ecological model organized for school-based sex education based on qualitative evaluation results of an abstinence education program in the United States ; and suggests application strategies of the presented approaches in school-based sex education in Korea.

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