• Journal of Korean Academy of Rural Health Nursing
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• v.6 no.1
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• pp.33-43
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• 2011

Purpose: This study was done to verify the effects of a self-regulation program for management of hypertension. Method: Thirty patients with hypertension registered in a community health center were selected as the experiment group, and control group were patients in another community health center, matched for age and gender. The self-regulation program included daily blood pressure checks, periodic counseling, and health education. A self-check digital device with instructions was provided for self-monitoring of blood pressure, and the participants were interviewed before they took part in the program. Results: The first hypothesis was supported: There will be a greater reduction in both systolic and diastolic blood pressure for patients with hypertension who participate in the self-regulation program compared to patients in the control group. The second hypothesis was also supported: Patients with hypertension who participate in the self-regulation program will perform self-care activities better than those in the control group. Conclusion: The findings indicate that a self-regulation program reduces systolic and diastolic blood pressure and improves self-care in patients with hypertension. It is recommended that this self-regulation program be used in community health clinics for management of hypertension and prevention of complications.

• Health Policy and Management
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• v.33 no.1
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• pp.65-74
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• 2023

Background: The government should find ways to improve the effectiveness of the policies to control the incidence and mortality of the infectious disease. The purpose of this study is to find out whether the trust in the government's ability to respond to coronavirus disease 2019 (COVID-19) affects the quarantine and hospitalization rate, incidence and mortality rates of COVID-19 and quarantine rules compliance in each region of Korea. Methods: The subject of this study is 250 regions (si·gun·gu) in Korea, and the 2020 Community Health Survey data from the Korea Disease Control and Prevention Agency (KDCA) was used for the trust in the government's ability to respond to COVID-19, quarantine and hospitalization rate and quarantine rules compliance. For the incidence and mortality of COVID-19 and community factors, data was obtained from KDCA and Korean Statistical Information Service. Path analysis was used to find out the degree of inter-variable influence, and community factors (socio-demographic factors, community health factors, and health behavior factors) were used as control variables. Results: The regional disparity in key variables showed that the late pandemic period cumulative incidence and mortality of COVID-19 were large, while the early pandemic period quarantine and hospitalization rate and quarantine rules compliance were small. Path analysis showed that when community factors were controlled, the trust in government was statistically significant in all of the late pandemic period cumulative incidence (p=0.024) and mortality (p=0.017), and quarantine rules compliance (p=0.011). Conclusion: This study revealed that the higher the trust in the government's ability to respond to COVID-19, the lower the COVID-19 mortality and the higher the quarantine rules compliance at the regional level in Korea. This suggests that when the government implements healthcare policies to control infectious diseases, it is necessary to consider trust to improve policy compliance and control the mortality of the disease and maintain high trust through several effective methods.

• Journal of Hospice and Palliative Care
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• v.25 no.3
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• pp.133-137
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• 2022

A 72-year-old woman with metastatic lung cancer to bone and brain and with left external iliac vein thrombosis was under the care of a community palliative care provider. She experienced an acute pain crisis due to acute limb ischemia of the left lower limb. Goals-of-care discussions were held with the patient and her family; she prioritized symptom control and end-of-life care at home. The family and patient were aware of her short prognosis. Her complex pain was managed by the community palliative team, and her family was empowered to give subcutaneous injections. We illustrate a case showing the importance of community health services with palliative care support in providing symptom management and support to patient and family caregivers throughout the course of a life-limiting illness. It also highlights family caregivers' potential psychological distress in delivering subcutaneous injections in terminal care for a patient at home.

• Korean Journal of Health Education and Promotion
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• v.29 no.4
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• pp.57-66
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• 2012

Objectives: This paper describes the concept, principles, and strategies and directions for community participation in health promotion. Methods: Descriptions of and discussions on community participation in this paper are based on the results of selected peer-reviewed research articles, white papers, and practice manuals which address the issues of community participation and community empowerment, and principles and strategies for practice in community health promotion. Results: In ladder-of-community-participation models, the level of participation ranges from non-participation to the stages where communities have partnerships, delegated power, and control. Enhancement of participation is presented as a continuum of informing - consulting - involving - collaborating - empowering. For community participation to reach its fullest potential, the types and levels of participation desired should be clearly decided at the beginning. Along with community readiness for participation, public health system should also be in place readily to process community participation for health promotion with appropriate procedures, guidelines, methods, resources, and stakeholders' commitment and support. Conclusions: For the promotion of participation in community health, readiness for participation of both community and public health system should be prepared.

• Health Policy and Management
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• v.15 no.2
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• pp.1-15
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• 2005

The aim of this study was to compare medical cost of hospice care and that of conventional care during the last year of life, and identify factors that influenced the cost. From January to August 2003 592 terminal cancer patients receiving care from 5 hospice care units and 2 hospice care teams in general hospitals were enrolled to case group. Two hundreds and seventy two terminal cancer patients receiving conventional care from 7 general hospitals were enrolled to hospital-based control group, and 1,636 terminal cancer patients from 122 general hospitals located in same regions with the 7 hospitals were enrolled to community-based control. We used characteristics and medical cost from data of National Health Insurance Cooperation. Total medical cost per beneficiary in cases was about 10 millions won, 14.5 millions in hospital-based controls and 11.1 millions in community-based controls. The hospice care saved $45\%$ over the last year of life compared with hospital-based controls (p<0.0001). Saving of inpatient cost account for approximately $80\%$ of saving per beneficiary. Hospice care saved $29\%$ of medical cost per hospitalization day compared with hospital­based controls and $17\%$ compared with community-based controls (p<0.0001). Multiple regression analyses showed that hospice care significantly saved the medical cost. This study suggest that hospice care save medical cost compared with hospital-based control and community-based control. Most of saving of inpatient cost account for approximately $80\%$ of saving of medical cost.

• The Korean Journal of Community Living Science
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• v.18 no.2
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• pp.247-263
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• 2007

This study was complied to analyze the professional agricultural techniques level and to suggest a desirable direction for the professional education system for women farmer. The research was conducted by using in-field surveys and interviews. Data was gathered by questionnaire from 147 women farmer in five specialized crop regions: strawberry, cucumber, rose, apple, and oyster mushroom. The results obtained are as follows. First, the technique levels in computer usage and electronic commerce, machinery usage, pesticide and fertilizer utilization, facility automation, and eco-agricultural cultivation were low. Second, the demand for professional education, evaluated through technique level by standard management diagnosis, was recognized. Areas of concern included: cucumber (temperature control, carbonic acid gas control, grading, funds management), strawberry (light control, soil temperature control, irrigation watering, shipping), rose (temperature control, light control, funds management, cooperated management), oyster mushroom (growth cabinet sterilizer), and apple (flower bud pinching, defloration, fruit thinning, funds management). Based on the results of this study, the following are suggestions for the planning of a professional education system for women farmer. First, it needs to address formal education in marketing, machinery usage, facilities automation, and techniques in pesticide and fertilizer utilization. Second, it needs to be a multi- level program with appropriate terminology at every level which is suitable to each age and ability of women farmer. Third, it needs a more comprehensive manual developed by need analysis of women farmer and a larger lecturer pool for professional education.

• Korean Journal of Childcare and Education
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• v.15 no.3
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• pp.135-155
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• 2019

Objective: The purpose of this study was to develop and examine the effects an of educational drama program for promoting a sense of community on young children's community life skills. Methods: The program organized activities to achieve a sense of community. Community life skill, a behavioral skill that is the basis for developing a sense of community, was naturally reflected in the activities. The program was designed to run a total of 15 sessions twice a week for 60 minutes each time. The participants were five-year-olds, 27 in the experimental group and 26 in the control group. In order to examine the effects of the program, a sense of community and community life skills were measured and the data were analyzed with T-test. Results: The results are summarized as follows: first, the program had positive effects on emotional consciousness and mutual public consciousness of sense of community; second, community life skills were improved through this program. Conclusion/Implications: Based on these results, the effectiveness of the educational drama program for promoting young children's sense of community and the ways to promote children's sense of community in early childhood education institutes were discussed.

• Journal of Forest and Environmental Science
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• v.34 no.3
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• pp.258-261
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• 2018

Drought alters soil microorganisms; however, it is still not clear how soil microbes respond to severe drought conditions. In this study, the responses of soil bacterial community to experimental drought in a coniferous stand were examined. Six $6m{\times}6m$ plots with three replicates of control and drought treatments were delimited. PCR amplification and Illumina sequencing were conducted for cluster analysis of soil bacterial community and species richness and species diversity was analyzed. Along the 393 days of simulated drought from July 2016 to October 2017, soil bacterial species diversity slightly increased whereas species richness decreased in both control and roof plots. Moreover, soil bacterial species richness more decreased in roof plots than in controls. Combining these results, soil bacterial activity might have been altered by simulated drought.

• Research in Community and Public Health Nursing
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• v.30 no.3
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• pp.271-280
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• 2019

Purpose: This study evaluates the efficacy of a Self-Care Reinforcement Program (SCRP) based on the Selection Optimization Compensation (SOC) model, in socially vulnerable elderly women with metabolic syndrome. Methods: This study adopts a pretest-posttest nonequivalent control group design. The participants were 64 socially vulnerable elderly Korean women with metabolic syndrome (experimental group: 31, control group: 33). Participants' body composition analysis, nutrient intake, risk factors of metabolic syndrome, depressive symptoms, and social network were measured. Data were analyzed with an independent t-test; statistical significance levels were set at p<.05. The SCRP, including metabolic syndrome education, nutritional education, exercise, and social network, was performed three times a week for 8 weeks. Results: There were statistically significant differences between the experimental and control groups in terms of systolic blood pressure, diastolic pressure, fasting blood sugar, triglycerides, sodium intake, depressive symptoms, and social networks. Conclusion: The SCRP is effective and can be recommended as a community health nursing intervention for socially vulnerable elderly women with metabolic syndrome.

• Research in Community and Public Health Nursing
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• v.4 no.2
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• pp.158-169
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• 1993

Health promotions have been identified as foundamental concepts for nursing practice, especially in community health nursing. Nurses have been regarded as having important role's in health promotion activities. According to a review of literature, the concepts of health promotion consist of prevention services, health protection. Health prevention services have three levels : Primary secondary and tertiary. The objectives of this study are (1) to analyze the health promotion activities in school nursing. (2) to analyze health promotion activities in community health nursing posts. (3) to analyze the health promotion activities in industrial nursing while suggesting future direction for health promotion in community health nursing areas. The major results are first, Prevention services are most actively performed rather than health protection, and health education in three areas: School, industries, and community. Health nursing, secondary prevention services follow emergency care, and ordinary diseases control are especially active. Health promotion can ultimately from changing life be accomplished styles, and health behavior. As a consequence, future directions promoting health in community health nursing are desirable areas. Focusing on health protection, and health education that is not activated presently.