• Journal of Korean Academy of Fundamentals of Nursing
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• v.23 no.1
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• pp.61-72
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• 2016

Purpose: Purpose of this retrospective study was to investigate cognitive function, physical function, and problematic behaviors of elders who attended dementia daycare centers, and to identify reasons why they stopped using the center. Methods: Participants were 176 elders, 60 years or over, attending one of four dementia daycare centers in Incheon. Data were collected from center documents. Results: Mean age was 80.5 years. When admitted to the centers mean scores for the mini-mental status examination, activity of daily living, and instrumental activity of daily living (IADL) were 12.31, 9.53, and 25.09 respectively. Participants received day care service for an average of 17.98 months. The reasons for leaving the center were worsening dementia and health (40.2%), and problematic behaviors (20.1%). Conclusion: Results show that elders began to use day care services when their cognitive function and IADL had declined considerably. As the ultimate goal of dementia daycare service is to delay the worsening of cognitive capability and decreases in activities daily living, the effect of the service can be maximized when the service is provided as early as possible in the course of progressively severe dementia. Active promotion should be exerted in the community to encourage early use of this service.

• Journal of agricultural medicine and community health
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• v.43 no.2
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• pp.63-73
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• 2018

Objectives: The purpose of this study was to review the disaster preparation and response programs and the status of disaster preparation in public health center. Methods: In depth interview was performed in September 2017 using 5 open questions to the persons who are in charge of disaster response services in 5 public health centers of different levels in Korea. The questions included general characteristics of public health center, disaster programs and future issues. The research hired a quality method. Results: In general, the persons in charge recognized the cooperative agency of local government in disaster management. There were no disaster preparation programs developed by the public health centers. Most of the preparation were passive activities such as emergency support, crisis management on communicable disease and quarantine, participation in biological disaster response training, and education etc. The persons in charge emphasized necessity of disaster preparation programs. Conclusions: Disaster preparation and responsiveness is an evolving issue in public health centers in Korea. Medical support system and communicable disease management system are being set up in the national level. A comprehensive system covering health management, nutritional support, mental health, environment management of shelter, and volunteers supports on public health center level needs to be developed along with a easy-to-follow manual.

• Korean Journal of Social Welfare Studies
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• v.49 no.2
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• pp.181-209
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• 2018

This study aims to examine the relationship between physical environment and depression symptoms of middle-aged and older adults in metro city. To verify correlates of community environment and depression, mediating effect model structured by social capital and sense of coherence(SOC) were used. For the purpose, a survey was conducted aged 48 - 70 from the local community centers and senior welfare centers in Seoul, and the total collected cases were 331. After data cleaning, total 309 cases were used. The structured equation modeling applied to analyse the direct and indirect effects. The findings were followed : First, the community environment did not directly affect level of depression. Second, in the indirect effect analysis, social capital was not statistically significant, thus indirect effect was confirmed only through the SOC. To be specific, the higher the satisfaction of the physical environment increased SOC, and decreased the level of depression. The results of this study shed lights on practical interventions to promote mental health of the middle-aged and older adults those who are exposed to poor community environment.

• Journal of the Korean Society of School Health
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• v.30 no.3
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• pp.181-193
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• 2017

Purpose: This is a qualitative descriptive study with the purpose of identifyng the health problems and related factors of socially vulnerable school-age children in Seoul, South Korea. Methods: Two focus group interviews and two individual interviews were conducted with eleven participants. They were two class teachers, three school nurses and two daycare teachers working at elementary schools and three social workers and a welfare worker working at community childcare centers. Data were analyzed using qualitative content analysis. Results: The identified psychosocial problems were 'distracting and excessive behavior', 'depression and helplessness,' 'aggression and violent behaviors', and 'internet overdependence'. The revealed physical health problems were 'poor hygiene', 'obesity', and 'gastrointestinal problems'. In addition, the fact that physical and psychosocial problems are closely inter-linked was reaffirmed through practical examples. Meanwhile, socioeconomic, family environmental, social experiential and individual factors were found to affect children's health. Relationships within a family or a peer group and healthy lifestyle were considered critical issues to deal with in order to improve the childrens' health status. Conclusion: It was proved that socially vulnerable school-age children have various physical and mental health problems due to multiple factors. Therefore, it is required to design nursing approaches that help them achieve optimal health status.

• 재활복지
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• v.22 no.2
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• pp.83-102
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• 2018

The purpose of the this study was to investigate the association of self-stigma, quality of life, and self-esteem and analyze the mediating role of self-esteem in the relationship between self-stigma and quality of life among people with mental disabilities. For this purpose, the data were collected from 254 people with mental disabilities who utilize the community mental health centers located in D and K regions. Findings of the study indicated that there were statistically significant relationships among self-stigma, quality of life and self-esteem. In addition, self-esteem had partial mediating effects on the relationships between self-stigma and the quality of life domains such as physical, psychological, and environmental areas, while self-esteem was a full mediator in the relationships between self-stigma and social relationship in the quality of life. Based on the findings of, possible practice implications for improving the quality of life among people with mental disabilities by reducing self-stigma along with empowering their self-esteem and recommendation for further study were provided.

• 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.

• Perspectives in Nursing Science
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• v.13 no.2
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• pp.96-109
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• 2016

Purpose: The purposes of this study were to develop a nursing assessment tool for senior center nurses, and to test its feasibility and content validity. Methods: The study utilized a psychometric test design. Preliminary items were developed based on geriatric health needs and Gordon's 11 domains of functioning health. Initially, the tool was evaluated for content validity and feasibility. Then, it was administered among 195 older adults in a senior center by a gerontological nurse practitioner. Data were analyzed to describe the nursing problems of the senior center older adults. Results: The final version of the nursing assessment tool consisted of 27 items. The internal consistency, measured with the Cronbach's ${\alpha}$, was .74. The result of the assessment showed that senior center older adults had high nursing needs in the area of management of chronic diseases (hypertension, diabetes, and lipids), dental care, community relations, safety, elder abuse, health behaviors (such as drinking), mental health (depression, suicide, and cognitive function), and health consultations. Conclusion: The new tool was feasible for use with senior center participants, and it was evaluated as having high content validity by senior center nurses.

• Korean Journal of Social Welfare
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• v.67 no.4
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• pp.127-152
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• 2015

This study aimed to implement the enhancement program for the social work practice competency for children of community child center workers and to evaluate the program's effects. For this purpose, the program was implemented for ten community child center workers five times for five weeks(once a week, 120 minutes per session). For the quantitative evaluation, a non-equivalent control group design among quasi-experimental designs was used, and for the qualitative evaluation, the written materials related with the program were collected and analyzed. The results of the quantitative evaluation revealed that the social work practice skills and worker-client relationship empowerment of the community child center workers who participated in the competency enhancement program were significantly improved. In the qualitative evaluation, the subjective experiences were presented, including the improvement of the worker's practice competency and the worker's awareness of the changes in the child, the recognition of the strong points and the points to be improved in the program. This study is expected to raise the expertise and effectiveness of community child center workers, and ultimately, to contribute to the healthy development and the improvement of the mental health of children by improving the social work practice competency of the workers in community child centers, which comprise the representative service delivery system for children in South Korea.

• Korean Journal of Social Welfare
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• v.56 no.2
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• pp.261-283
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• 2004

This study verified the effectiveness of brief family education programs for schizophrenic outpatients and their families in a community social welfare center, using a pre - post test control group design. The results of this study verified that the program was effective to improve knowledge about schizophrenia, reduce feelings of rejection and anxiety about patients, and help the patients to recognize their family emotional support. Therefore, it was found in this study that the brief family education program in the community social welfare center had a positive impact on schizophrenic outpatients and their families' treatment and rehabilitation. From the results of this study, it can be seen that this program positively effects the treatment and rehabilitation of schizophrenic patients and the stability of their families. The program can also be easily utilized as a community resource. Furthermore, the results of this study can be utilized as fundamental support to suggest the need for mental health programs in community social welfare centers. This study suggested the importance of increasing the number of mental health professionals working in this arena. There is also a need to create additional supportive programs for schizophrenic outpatients and their families. Follow up care also needs to be provided to families after completing family education programs. Continuous study is needed in these areas.

• The Journal of Korean Academic Society of Nursing Education
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• v.27 no.1
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• pp.68-79
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• 2021

Purpose: This study aimed to identify the educational needs of nurses and nursing students for the development of a simulation module of home visiting care for frail, elderly people. Methods: Focus group interviews were conducted with 15 home visiting nurses working in public health centers and 14 nursing students who experienced home visiting from September 10 to October 10, 2018. Results: Bloom's taxonomy of learning objectives, namely, cognitive, affective, and psychomotor domains was used as a framework for data analysis. The defined educational needs for each domain were as follows: "understanding frail, elderly people" for the cognitive domain; "intervention for mental health" and "building a therapeutic relationship" for the affective domain; and "nursing skills", "health education for healthy lifestyles", "referral to the community resource connection", "protection for visiting nurses" for the psychomotor domain. Conclusion: Based on the findings of this study, a simulation module of home visiting care for frail, elderly people can be developed and used for nursing students and nurses to strengthen the capacity for home visiting care.