• Title/Summary/Keyword: Community control

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Knowledge, Attitude, and Practice towards Infection Control among Community-visiting Nurses (방문간호사의 감염관리에 대한 지식, 태도 및 수행)

  • Park, Han Nah;Lee, Insook;Kim, Jieun;Gweon, Sohyeon;Choo, Jina
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.29 no.1
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    • pp.18-30
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    • 2022
  • Purpose: Purpose: This study aimed to identify whether infection control practice would correlate significantly with the knowledge and attitude of infection control in the pre-, mid-, and postvisiting rounds among community-visiting nurses. Methods: A descriptive study was conducted based on the knowledge, attitude, and practice (KAP) model by administrating questionnaires during September-October 2020. A total of 65 nurses working for 15 community health centers in Seoul, South Korea were included. The questionnaires were developed based on the epidemiologic triangle model and comprised of 28 items on practice, 18 items on knowledge, and 10 items on attitude. Results: The infection control practice showed a mean of 88.9 (range, 0-100). The infection control knowledge had 89.2% on the host domain, 80.0% on the environment domain, and 74.8% on the agent domain (range, 0-100). The infection control attitude showed a mean of 39.5 (range, 0-50). Higher scores on the infection control practice are significantly correlated with the higher scores on the infection control knowledge about the host domain (p= .004) at the pre-, mid-, and post-visiting rounds. Higher scores on the infection control practice are significantly correlated with the higher scores on the infection control attitude at the mid- (p= .018) and postvisiting rounds (p= .028). Conclusions: The infection control practice by community-visiting nurses may be enhanced with increased knowledge and attitude levels of infection control at the mid- and post-visiting rounds. The enhancement should be included in the on-the-job education for community-visiting nurses.

Community-based Hypertension Control Program in Hwachon : Problems and Possibilities (보건소조직을 통한 고혈압관리사업)

  • 이인숙;배상숙
    • Health Policy and Management
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    • v.3 no.2
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    • pp.25-56
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    • 1993
  • Hypertension has already become a serious health problem in many countries. Treatment is effective, however, and the detection and long-term management of those at risk pose sustained challenges. Community programs can be an important strategy for primary prevention of hypertention and for monitoring the progress and promoting compliance of hypertensive patients. Hwachon Health Demonstrain Project has designed community hypertention control program, especially emphasizing role of public health sector, and operate that model from 1990 at Hwachon county, Kwangwon province. This paper appraise the effectiveness of curent activities. Many paper appraise the effectiveness of curent activities. Many hypertensive persons who have not recognized his disease were identified and began hypertension treatment. However about two thirds of patients have not complied continuously with medical advice. Consequently, the project team redirects its efforts. Less emphasis is being placed screening and identification of patients, while more emphasis is being placed on increasing compliance with treatment recommendations. Some approches to improve hypertension control program are also discussed in the context of the field experience and literature on this suvjest.

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Analysis of the Current Hypertension Control Program in Public Health Centers (지역사회 고혈압 관리 사업의 방향 재설정)

  • Chin, Young-Ran;Lee, In-Sook
    • Research in Community and Public Health Nursing
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    • v.15 no.3
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    • pp.385-396
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    • 2004
  • Purpose: Hypertension has been a major cause of death in Korea since the 1970s, and has resulted in being a significant economic burden to the finances of national health care. The Ministry of Health and Welfare made several efforts. but hypertension control programs in Korea are still non standardized and ineffective. We wanted to investigate the current hypertension control program in public health centers systematically and suggest the direction for future programs. Method: The design of this study is a cross sectional investigation. From September to October in 2002, we sent a set of questionnaires to all PHCs, and 179 centers responded (response rate = 74.0%). The instrument was developed based on components of National health systems. Results: 1) Resources: The department responsible for hypertension control programs is the Department of Health Promotion. Health Education Center, Community Health Center, Citizen's Health Center, etc. The chief personnel of those departments are nurses. but 27.4% of PHCs have no full time nurse for hypertension management programs. PHCs had a lot of teaching materials (nine types per a PHC) and most of the recommended contents were included. But, periodical evaluation and revision were not being made, 2) Management: Nurses' (13.03 9.46 in 23 score) actions for hypertension control were not qualitative, but regular training and evaluation were seldom carried out. Need assessment (25.9%) and evaluation (about 10-20%) for the hypertension control program were indicated as low. 3) Programs: Programs focused on individuals rather than community or public, and 2nd prevention rather than 1st, 3rd prevention. Conclusion: The Ministry of Health and Welfare has to construct the infrastructure for hypertension control programs. Related scholars and committees should develop and declare standardized manuals for hypertension control and the management system, as well.

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Effects of a Discharge Education Program Using On-line Community for Parents of Premature Infants (온라인 커뮤니티를 이용한 미숙아 퇴원교육 프로그램의 효과)

  • Kim, Jeong-Soon;Shin, Hee-Sun
    • Child Health Nursing Research
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    • v.16 no.4
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    • pp.344-351
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    • 2010
  • Purpose: This study was done to examine effects of a discharge education program using on-line community on parenting stress, baby care confidence for mothers of premature infants and health problem of premature infants. Methods: Using a non-equivalent control group pretest-posttest quasi-experimental design, 32 participants were assigned to an experimental (17) or a control group (15). Mothers in the experimental group were introduced to the discharge education program 2 weeks before the baby was discharged. They participated in the on-line community for 4 weeks after discharge. Parenting Stress Index and Baby Care Confidence Scale were utilized for data collection. Data were analyzed using descriptive statistics, $X^2$-test, Fisher's exact test, and Mann-Whitney U test with the SPSS program 16.0 version. Results: In the experimental group, mean scores for parenting stress were lower than for the control group (Z=-3.176, p=.001), while scores for confidence in baby care were higher than for the control group (Z=-3.195, p=.001). Conclusion: Findings indicate that discharge education programs using on-line community have the positive effect of decreasing parenting stress and increasing baby care confidence for mothers and decreasing health problems for infants. Therefore utilization of the internet and online community to educate parents of premature infants is recommended.

Development of a Community-Based Approach to Opisthorchiasis Control

  • Duangsong, Rujira;Promthet, Supannee;Thaewnongiew, Kesorn
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.7039-7043
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    • 2013
  • A liver fluke, Opisthorchis viverrrini (OV), is the major cause of the high incidence of cholangiocarcinoma in North-eastern Thailand. The prevalence of OV infection remains high in various parts of the country, especially in wetland rural areas where a large proportion of the community work in agriculture and continue the traditional practice of eating raw or uncooked cyprinoid fish products. The national control program seems to have had little impact in many of these areas, and it has been difficult to make precise assessments of the overall effectiveness of the program. Therefore there is a need for a community-based approach to prevent infection with the parasite, ideally involving as many players as possible. Here we document an attempt to assess the best means to prevention on the basis of a community intervention in three villages in north-east Thailand, with participation of representatives of Health Promotion Hospitals of the Ministry of Public Health with dedicated staff, but also school teachers, independent government sponsored village health volunteers, and housewives responsible for cooking and diet selection. An action plan was followed, allowing detailed discussions of practical proposals, their introduction and then repeated reflection and further proposals at the individual village level.

Dynamics of Bacterial Communities by Apple Tissue: Implications for Apple Health

  • Hwa-Jung Lee;Su-Hyeon Kim;Da-Ran Kim;Gyeongjun Cho;Youn-Sig Kwak
    • Journal of Microbiology and Biotechnology
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    • v.33 no.9
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    • pp.1141-1148
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    • 2023
  • Herein, we explored the potential of the apple's core microbiota for biological control of Erwinia amylovora, which causes fire blight disease, and analyzed the structure of the apple's bacterial community across different tissues and seasons. Network analysis results showed distinct differences in bacterial community composition between the endosphere and rhizosphere of healthy apples, and eight taxa were identified as negatively correlated with E. amylovora, indicating their potential key role in a new control strategy against the pathogen. This study highlights the critical role of the apple's bacterial community in disease control and provides a new direction for future research in apple production. In addition, the findings suggest that using the composition of the apple's core taxa as a biological control strategy could be an effective alternative to traditional chemical control methods, which have been proven futile and environmentally harmful.

Effects of Community Health Promotion Project for Garlic Cultivating Farmers Based on Self-efficacy Theory and Community Capacity Building Framework (마늘재배 농업인을 위한 지역사회 건강증진사업 개발 및 효과 검증 - 자기효능 이론과 지역사회역량 이론의 적용 -)

  • Kim, Hyang-Sook;Gu, Mee-Ock
    • Journal of Korean Academy of Nursing
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    • v.41 no.1
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    • pp.80-91
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    • 2011
  • Purpose: This study was conducted to test the effects of a community health promotion project for farmers cultivating garlic. Bandura's self-efficacy theory (1986) and Chaskin's community capacity framework (2001) were used as the theoretical framework. Methods: A nonequivalent control group pretest-posttest design was used. Study participants were 72 garlic farmers (intervention: 36, control: 36). The community health promotion project consisted of health promotion program and community capacity building strategies and was provided for 12 weeks (8 during farming off-season and 4 during farming season). Data were collected between February 23 and May 31, 2009 and were analyzed using chi-square test, Fisher's exact test, t-test, and repeated measure ANOVA using SPSS/WIN 12.0. Results: For the experimental group, significant improvement was found for self-efficacy, farming related health behavior, physical fitness (muscle strength, muscle endurance, upper body flexibility, lower body flexibility, cardiovascular endurance, balance, agility), farmer's syndrome, and health related quality of life as compared to the control group. Conclusion: The findings of the study indicate that the community health promotion project for garlic farmers is effective and can be recommended as a nursing intervention for health promotion of garlic cultivating farmers.

Changes in Body Composition, Health Status, and Dietary Behavior for Middle-Aged Obese Women in a Weight Control Program at a Community Health Center (보건소 중년 여성 비만관리 프로그램의 운영에 따른 체성분, 건강 상태 및 식행동 변화에 관한 연구)

  • Lee, Byung-Soon
    • The Korean Journal of Food And Nutrition
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    • v.20 no.4
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    • pp.433-439
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    • 2007
  • The purpose of this study was to evaluate the body composition, health status, and dietary behaviors of middle-aged women in a weight control program at a community health center. The study subjects were 66 middle-aged women who lived in Ansan city, and they participated in the program for 24 weeks. Anthropometries, blood pressure, and serum biochemical indices were measured. These measurements were taken both before and after the weight control program, and the data were analyzed using the SPSS 12.0 program. Weight, fat mass, body fat %, and the waist-hip ratio all decreased. According to the decreases in body fat %, blood pressure, serum biochemical indices and dietary behaviors were improved after the weight control program. Thus, this study demonstrated the desirable changes of a weight control program offered at a community health center, for health conditions and physical fitness.

A Study on the Use of Rural Community Tourism Information Services via Smartphones -Focused on The Theory of Planned Behavior-

  • Ko, Eun Kyo;Lee, Seung Hyun
    • International Journal of Contents
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    • v.10 no.2
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    • pp.28-36
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    • 2014
  • This study attempted to suggest a strategy for providing rural community tourism information services using smartphones. Study subjects were men and women among 300 who currently use smartphones. Empirical analysis was done on 249 of the 300 subjects. Upon verification of the effect factors of adults' smartphone usage and rural community tourism information services usage, they were both statistically significant based on Ajzen's(1991) Theory of planned behavior. Hence, behavior, subjective norms, perceived behavioral control should be augmented in order to increase smartphone usage behavior to access rural community tourism information services. Especially, behavioral intent and usage behavior was increased proportionately to behavioral control. We suggested that plans to provide applications free of charge and building a social consensus on utilizing rural community tourism information are important in achieving such status.

The Effects of an Integrated Health Care Program on the Physical, Psychosocial, and Spiritual Health of People with Mental Disorder in Community (통합건강관리 프로그램이 지역사회 정신장애인의 신체적, 정신사회적, 영적 건강에 미치는 효과)

  • Jung, Gwang Ha;Chin, Young Ran
    • Research in Community and Public Health Nursing
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    • v.26 no.2
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    • pp.69-78
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    • 2015
  • Purpose: This study was conducted in order to investigate changes in the physical, psychosocial and spiritual health of people with mental disorder in community participating in the Integrated Health Care Program (IHCP). Methods: This study applied the non-equivalent control group pretest-posttest quasi-experimental design. The participants were 37 chronic psychiatric patients who had been clinically diagnosed with mental disorder and visiting a mental rehabilitation center located in S City (17 in the experimental group, and 20 in the control group). The experimental group participated in the IHCP consisting of 24 sessions for eight weeks. Results: After the intervention, only the participants in the experimental group reported significant improvement in physical (body mass, triglyceride), psychosocial (mental symptoms, depression, self-esteem, ability of problem solving), and spiritual wellbeing when compared with those in the control group. Conclusion: These results indicate that IHCP is effective in improving the physical, psychosocial, and spiritual wellbeing of people with mental disorder. Therefore, IHCP developed in this study is considered a useful nursing intervention for raising the comprehensive health level of people with mental disorder in community.