• 제목/요약/키워드: Community Promotion

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고혈압환자를 위한 자조관리 프로그램의 효과 (The Effect of Self-help Programs for Hypertensives in Community Areas)

  • 박남희
    • 보건교육건강증진학회지
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    • 제20권3호
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    • pp.207-219
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    • 2003
  • This study was conducted to identify the effects of the comprehensive nursing aided self-help program for hypertensives. The program educates hypertensives in community areas about blood pressure, self-care, health promoting behaviors, and life satisfaction. For this purpose a one group time series design was used. Sixteen subjects were evaluated from S Community Health center of B city. Self-help programs developed by the author were given to the subjects. The program consisted of group education on hypertension and self-care including blood pressure self-monitoring, recording of self-care activities, and encouraging and reinforcing self-help. The whole program was carried out from October to December in 2002. Data was analyzed by repeated measure ANOVA, and post-hoc Turkey. The results were as follows: There were significant relationships between changes in systolic pressure(F=10.638. P=.000), diastolic pressure(F=6.783. p=.013), self-care(F=13.506. p=.000), and health promoting behavior(F=9.067. p=.001) at the 6th week and the 9th week. There were no significant relationships between changes in life satisfaction at the 6th week or 9th week. From these results, it can be concluded that the self-help program is an effective nursing strategy to promote self-care of hypertensives in community areas.

보건진료원의 금연지도활동에 영향을 주는 요인 - 광주$\cdot$전남지역을 중심으로 - (Predictors of Smoking Cessation Counselling Activities among Community Health Practitioners)

  • 김진선
    • 보건교육건강증진학회지
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    • 제20권3호
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    • pp.239-254
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    • 2003
  • Purposes: The purposes of this study were to investigate the smoking cessation counselling activities among community health practitioners(CHP) and to identify the predictors of their smoking cessation counselling activities. Method: A descriptive-correlation study using self-administered questionnaires was conducted. Questionnaires were mailed to all the CHP in a community. A total of 330 CHPs participated in this survey. Results: Of the CHPs surveyed, 245(74.2%) returned completed questionnaires. Most CHPs(90.7%) believed that if a health professional advises their patient to quit, the patient's chances of quitting smoking are increased. While the majority of CHPs “asked, advised, and assessed” their clients, a minority of CHPs “assisted, arranged, and recorded”. In the final stepwise multiple regression model, attitude about smoking cessation policies and counselling activities, self-efficacy of smoking cessation counselling knowledge and skills, and perceived barriers of smoking cessation counselling activities were identified as significant predictors of smoking cessation counselling activities among CHPs. Conclusion: Smoking cessation counselling activities are not a routine part of CHP practice. Efforts should be made to increase the self-efficacy of smoking cessation counselling knowledge and skills among CHPs. Helping CHPs to overcome their barriers to smoking counselling may open up new channels for smoking intervention.

고혈압 및 당뇨병 관리를 위한 지역사회중심의 접근전략과 발전방향 (Community based strategies and directions for the management of hypertension and diabetes)

  • 이순영
    • 보건교육건강증진학회지
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    • 제33권4호
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    • pp.67-77
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    • 2016
  • Objectives: The study was to propose strategies and directions how to manage the hypertension and diabetes in communities. Methods: The survey data from 606 patients with hypertension or diabetes based on Community Health Survey, 2013 were analyzed and the hypertension and diabetes projects in communities for last 10 years were reviewed. Results: The patients visiting the primary clinics had statistically significant lower rates than those of teaching hospitals in physician's recommendation experience, perception level of attention from doctors, self-efficacy and health habit practice level. Since the Hypertension and diabetes registration and management system in 2007, there have been several trials for management of hypertension and diabetes such as Chronic diseases management system on the primary clinics, Community based primary medical care pilot projects, Post-national health screening management, and Pilot project on reimbursement for chronic diseases care services. Conclusions: The upmost urgent task might be to have a support system for patients' self care affiliated with primary clinics. To achieve it, it is necessary to expand the current Hypertension and diabetes registration and management system into nation and to find a way to attract the active participation from primary clinics.

노인의 대사증후군 인지 및 신체활동 실천 요인 (Metabolic Syndrome Perception and Exercise Behaviors in the Elderly)

  • 이정아;이진석;박종헌
    • 보건교육건강증진학회지
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    • 제29권5호
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    • pp.61-75
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    • 2012
  • Objectives: A great number of the elderly are not aware of having metabolic syndrome, and this pattern differs among regions of the nation. This issue is particularly important for the elderly people with chronic diseases. This study was conducted in order to identify the prevalence, predicting factors of perception and exercise behaviors of among the elderly population. Methods: Using data from the 2009 Korean Community Health Survey, we employed two-level logistic regression models to determine whether individual and community factors are associated with perception and exercise behaviors among the elderly population. Results: Results from weighted two-level logistic regression analyses indicated the individual-level factors of smoking, education level, health center education, community exercise program participation and unmet needs in men, and marital status (being separated), health center education women predicted the elders' perception. As for the community-level predictors, higher smoking and living in regions with high suicide rates significantly predicted the elders' perception and exercise behaviors of metabolic syndrome. Conclusions: These findings demonstrate that education according to stage would increase the perception and motivation toward healthier behavior particularly for the elderly with lower perception levels of metabolic syndrome.

보건진료원의 원격관리 경험 (Experience on Telemedicine Use of Community Health Practitioners)

  • 권명순;박동진;최정화
    • 보건교육건강증진학회지
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    • 제30권2호
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    • pp.23-39
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    • 2013
  • Objectives: This study was conducted to investigate practical experiences of telemedicine of community health practitioners(CHPs). Methods: Qualitative data were collected by in-depth interviews from 10 CHPs who have experiences in managing telemedicine system. All interviews were recorded and transcribed according to qualitative conventional content analysis processes. Results: As a result, 32 themes were deduced and 11 theme clusters and 3 categories were formed and each coding categories were derived directly from the text data. 11 theme clusters derived from the 32 meaningful themes were as follows: Human resources, equipments and systems, computer program (Input resources), human resource management, patient registration and management, medication, laboratory test (Progress), benefits in telemedicine system managing, difficulties in telemedicine system managing, complains in telemedicine system managing, client responses to telemedicine system (Outcome evaluation). 3 categories derived 11 theme clusters were 'input', 'progress', and 'outcome evaluation'. Conclusions: This study has contributed to the understanding of operation of telemedicine by CHPs in community health posts. For more systematic and comprehensive management, further study should be conducted to reflect experience and positions of public health center physicians, collaborative hospital physician and patients.

캡스톤 디자인 지역사회치위생학 수업이 치과위생사 역량 및 자기 주도력 증가에 미치는 효과 (Increase in dental hygienists' competency and self-directed capacity after capstone design course on community dental hygiene)

  • Seon-Ju Sim;Sun-Mi Lee
    • 한국치위생학회지
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    • 제24권2호
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    • pp.99-108
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    • 2024
  • 연구목적: 본 연구는 캡스톤 디자인 설계 지역사회 치위생학 수업 후 학생들의 역량과 자기주도력 증가에 미치는 효과를 검증하고자 하였다. 연구방법: 연구 참여자는 C시에 소재한 4년제 대학에서 지역사회 치위생학 수업을 이수한는 치위생 전공 34명이었다. 설문도구는 치과위생사 역량 52문항과 자기주도력 20문항으로 구성되었다. 연구결과: 캡스톤 디자인 수업 후 전반적인 치과위생사의 역량이 증가하였고(p<0.05), 임상치위생 및 지역사회 건강증진 역량도 높은 증가를 보였다(p<0.001). 자기주도력에 따른 치과위생사의 역량 증가를 분석한 결과, 자기주도력이 낮은 집단일수록 임상 치위생 역량과 지역사회 건강증진 역량이 높은 향상을 보였다. 결론: 본 연구를 통해 캡스톤 디자인 설계지역사회 치위생학 수업이 학생들의 치과위생사 역량과 자기주도력을 향상시켰음을 확인하였고, 캡스톤 디자인 수업법은 미래사회에서 요구되는 역량을 배양하는데 탁월한 교수법임을 시사하였다.

지역박람회 참여 노인의 지각된 건강상태, 건강증진행위 및 치매발병 불안이 건강관련 삶의 질에 미치는 융합적 영향요인 (Convergence Factors Influencing Perceived Health Status, Health Promotion Behavior and Anxiety of Dementia Development in the Elderly Participation in Local Expos on Health-related Quality of Life)

  • 송환;김혜숙
    • 한국융합학회논문지
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    • 제11권7호
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    • pp.41-49
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    • 2020
  • 본 연구는 지역사회의 박람회에 참여한 노인을 대상으로 지각된 건강상태와 건강증진행위 및 치매발병 불안이 건강관련 삶의 질에 미치는 융합적 영향 요인을 규명하기 위한 서술적 조사연구이다. 연구대상자는 2019년 지역박람회 참여자 중 65세 이상 노인 435명을 대상으로 설문 조사를 실시하였으며, SPSS 21.0 프로그램을 이용하여 기술통계, ANOVA, Pearson's 상관관계 및 다중회귀분석을 이용하여 분석하였다. 연구결과, 건강관련 삶의 질은 지각된 건강상태, 건강증진행위, 월수입, 경제적 상태 등 융합적 요인이 53.0% 정도 영향을 주는 것으로 나타났다. 치매발병 불안감소와 건강증진행위의 향상을 유도할 수 있는 다양한 지역사회 행사나 프로그램을 개발하여, 노인들이 지역사회 행사나 프로그램에 참여할 수 있도록 동기를 부여하거나 홍보 노력을 기울려야 할 것이며, 노인들은 지역사회의 다양한 프로그램 참여로 사회 관계망을 맺을 수 있고, 이를 통해 건강증진행위 향상과 치매발병 불안이 감소되어 노인의 삶의 질이 향상 될 것으로 사료된다.

Participation by Community Volunteers and Strategies for the Efficient Use of Human Resources

  • Cho, Woo-Hong
    • 한국컴퓨터정보학회논문지
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    • 제22권2호
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    • pp.127-132
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    • 2017
  • Volunteer services in communities work to provide human and material resources needed in social welfare centers and help the centers efficiently and effectively respond to diverse needs in society as well as provide quality services to clients. With this in mind, this study presents a few political suggestions on their utilization. First, potential volunteer development should be done in communities. Second, users of diverse volunteering services should be developed. Third, centers should pay attention to promotion of volunteers and the volunteers should be completely educated before services are rendered.

우리나라 학교보건교육의 현황과 과제 (Future Directions of School Health Education Policy and Practice in Korea)

  • 김혜경;고승덕
    • 보건교육건강증진학회지
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    • 제24권4호
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    • pp.219-230
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    • 2007
  • The purpose of this study was to identify the current problems of school health education policies and practices in Korea, and to establish the strategies to improve the effectiveness and efficiency of school health education program. The severity of adolescents's health problems including obesity, smoking, drug abuse, teen pregnancy, etc has been increased recently and coping strategies to deal with these problems became urgent. The role of school as a key setting for health education should be empathized. However, there were limitations for the effectiveness of school health education in Korea because of the lack of recognition about the importance, guiding principles of the school health education by the school health related law, life skill-focused curriculum, capacity of teachers for health education, and linkage between school and community. In order to improve the effectiveness of school health education, establishment of infrastructure, national and local health education standard, and operating principles for the school health education program should be provided. Life skill-focused health education curriculum should be developed for the effective health education. Teacher training and education also should be the essential component of school health education program. For the improvement of efficiency in school health education practices, cooperation with family and community support system would be necessary.

지역사회 노인의 건강정보이해능력과 미충족 의료가 건강증진행위에 미치는 영향 (Effects of Health Literacy and Unmet Health care Needs on Health Promotion Behavior among Elderly in the Community)

  • 이승주;심문숙
    • 한국보건간호학회지
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    • 제34권2호
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    • pp.238-250
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    • 2020
  • Purpose: The purpose of this study was to investigate the effect of health literacy and unmet health care needs on health promotion behaviors among elderly people receiving visiting health care services at community health centers. Methods: The subjects of this study were 180 elderly people over 65 years old who were receiving health care services at public health center The subjects fully understood the purpose of this study and voluntarily agreed to participate. The collected data were analyzed by frequency, percentage, mean, standard deviation, independent t-test, one-way ANOVA, Scheffé test and Hierarchical Regression Analysis using the SPSS 23.0 program. Results: Hierarchical regression analysis was used to identify factors influencing health promotion behaviors of the subjects. The results were as follows: presence of occupation (β=.26, p<.001), social activity status (β=.26, p=.001), and health literacy (β=.16, p=.023). Conclusion: Therefore, in order to improve health promotion behaviors, it is necessary for visiting nurses to administer health education and programs by considering the level of health care understanding.