• 지역사회간호학회지
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• 제30권4호
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• pp.528-538
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• 2019

Purpose: The purpose of this study was to follow-up the frailty of the old who received home health care by Registered Nurse in Public Health Center over 8 years. Methods: We used the second wave data which was a comprehensive longitudinal data set, Public Health Information System of a public health center located in Seoul from 2010 to 2018. For statistical analysis, a mixed model of repeated measures by R program was used. Results: Frailty (range: 0~31) was getting worse significantly from 5.38 on registration to 6.54 on 4th year, 7.40 on 7th year, 7.69 on 8th year with adjustment for age, sex, economic status, the number of family, and the number diseases. The coefficient of parameters with frailty change was serviced year (β=0.29, p<.001), age (70~79 to 60~69; β=0.98, p=.018) and sex (female to male; β=2.55, p<.001). Conclusion: This study showed that the home visiting health service needs to take attention to aged 70s and over, female. The home health care of public health center need to be extended more practical and effective services in terms of 'community care'and 'ageing in place'.

• 기본간호학회지
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• 제12권2호
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• pp.171-179
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• 2005

Purpose: This study was conducted from March to August, 2003 to evaluate the process and outcomes of a program to promote healthy joints in older adults residing in the community. Method: A quasi experimental research design (one group pretest posttest design) was used in this study. The participants were 26 older adults (but 74 older adults also participated in a program immediately after the study program). Program had 4 sessions (8 hours) once a week. Data were collected before the program, immediately after and 4 weeks after the program was completed and were analyzed with paired t-test. Results: The level of a satisfaction, interest and understanding of the program were high. Significant differences were found in the health state, the flexibility of neck and shoulder joints and joint exercise habits between the scores before the program started and 4 weeks after it finished. Conclusion: This results suggest that the joint health promotion program for older adults in the community developed this study is effective. So this program can be recommended as an effective nursing intervention for joint health promotion in older adults living in the community.

• 한국보건간호학회지
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• 제15권1호
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• pp.56-72
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• 2001

Community mental health management system emphasizing on the rehabilitation and the return to the community has been established and carried out for many years. The study has been demanded to prove that the decreasing rate of the recurrence of the mentally ill resulted to lower their medical costs, to enrich the quality of life, and to reduce the psychological burden of their family. This study tried to prove that the mental health services to the mentally ill which were registered in community mental health center of A city have an influence on the medical cost, the quality of their lives. the family burden. The subject group of this study were 39 home-based mentally ill patients and their 37 family members, totally 76 people registered in mental health center of A city and participated in its program. This research had been measured twice, the first before the intervention and the second after at least a year. The measuring tools in the research were the medical cost measurment tools developed by the researcher, the quality of life index by Yoo ja, Noh(1988) and the family burden by Montgonery(1985). The methods were modified and supplemented in this study. This research made use of SPSS Win 10.0. The results of this study are the same as followings. 1) There were the significant difference in the medical cost before and after the mental health service delivery. 2) The quality of lives of the mentally ill, after the mental health services delivered were significantly higher than before. 3) The family burden were significantly reduced after the delivery of community mental health services. Community mental health services brought out efficient results to the social return and rehabilitation. And these results means that the mentally ill changed highly the quality of life and their burden of family and medical cost were reduced. So the public organization and the private society should help positively the mentally ill and their family through mental health policy and social service agency to live healthy lives and to be valuable member of society.

• 지역사회간호학회지
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• 제12권1호
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• pp.22-31
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• 2001

Purpose of this study is to compare the cost effectiveness of home care services for the cerebrovascular accident patients by the type of institution. The method is the secondary analysis using the patients' charts. 107 subjects and 1.417 visits were sampled from each type of home care institution such as one hospital based home care center. one KNA home care center, one urban health center, one rural health center and one health care post. Result: There were differences in the functional status of patients and the service contents and frequencies provided by the type of home care institution, The cost per visit for one unit of ADL by the hospital based home care was higher than by the community-based home care. Conclusion: It was suggested that the referral system among the home care institutions would be developed to improve the cost-effectiveness.

• 보건교육건강증진학회지
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• 제29권4호
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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.

• 대한간호학회지
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• 제34권5호
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• pp.781-790
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• 2004

Purpose: The purpose of this study was to develop a model of an elderly health promotion center after witnessing the effect of a social support program on dependent variables in older adults at a local community health center. Method: The subjects were 60 female adults over 65 years dwelling in a rural area, and they were divided into experimental and control groups each with 30 people. A social support program was implemented 6 hours a day, 3 times a week, for 4 months in the experimental group. Included was health assessment, health education, counseling, consultation, exercise, physical & occupational therapy, primary care, recreation, lunch & transfer service. Data was collected from May 1stto September 14th, 2002 by questionnaires, and analyzed by $x^2$-test, t-test, Pearson's correlation coefficient and stepwise multiple regression using SAS. Result: The social support program in the elderly was very effective on all dependent variables of physical health (t=4.68, p=.001), health knowledge (t=3.60, p=.001), life satisfaction (t=8.65, p=.001), and health promoting behaviors (t=5.23, p=.001). Conclusion: The Social Support Program at a Community Health Center was effective on health promoting behaviors in the elderly.

• 간호행정학회지
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• 제11권1호
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• pp.67-77
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• 2005

Purpose: Needs of health-welfare-medical service for the elderly is rapidly increasing in Korea. The purpose of this study was to evaluate the needs of health-welfare-medical service for the long-term care elderly in the community and to compare differences by their characteristics. Method: Needs assessment was completed in the homes of 598 persons over 65 years by using the tool of needs assessment, between November and December, 2003. We examined all the health-welfare-medical service of elderly in the community. Data were analyzed using SAS program. Result: The needs of the long-term care elderly in community was largest 'home visiting service of visiting nurse(87.5%)', and then 'religious, psychological and emotional support(73.9%)', 'home visiting therapy of physician(58.5%)', 'social support service(55.7%)', 'health improvement program of public health center and social welfare center(51.8%)', 'health examination(48.8%)' followed. The difference of health-welfare-medical service needs among characteristics(age, medical security, caregiver existence, and regions) was statistically significant by service contents(p<0.05 or p<0.01). Conclusion: We can apply it in the distribution of community resource and the development of service providing programs by figure out the needs assessment for the long-term care elderly in the community, and consequently, through this, realizing the health maintenance and promotion of the long-term care elderly.

• 대한간호학회지
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• 제41권1호
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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.

• 한국치위생학회지
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• 제6권4호
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• pp.263-282
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• 2006

The purpose of study was to offer devices to activate the dental health class of community health center and to evaluate the present programs and to propose adequate guidelines for future public dental health program of dental health care in health center. For this study, the mail quastionnaire survey was carried out from the 116 dental hygienists who are working in community health center. Present condition and direction of public dental health service are as follows: dentist's office was 90% by area and work department. Dental health department was equipped in 91.7% of 'public health center', but 'health branch office' was 57.9%. Dental hygienist education condition of Public health center was the most frequency in 'At large city'. 'Have no entirely' of dental health education number of times was 35.8% in 3 years. That is 44.5% in supplement insturction. Most Dental hygienist's business was most 'teeth-sealant' and 'Old man false teeth prosthetic dentistry business'. Therefor, The Obstacle factors of dental health service activity were 'manpower tribe(average 3.92)', and next 'lack of understanding and support insufficiency of law(average 3.47)'. Curriculum for educational practice should be also designed for brightening the dental health service business. The most important thing for dental health service is 'expanding and improving the facilities Legal system' and next 'Opportunity enlargement and activation that can take dental hygienist's residency'.

• 한국보건간호학회지
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• 제29권2호
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• pp.165-176
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• 2015

Purpose: This study was conducted to examine the relationships of depression symptom, self-esteem, and stress with health-related quality of life(HRQOL) in patients with hypertension registered to a community health center. Methods: This study was a correlational survey using a convenience sampling. A total of 110 patients diagnosed with hypertension were recruited from a health center in Gyeonggi-do. The questionnaires used were the Cardiovascular Disease Specific-HRQOL questionnaire, Center for Epidemiologic Studies Depression, Rosenberg Self-Esteem Scale, and Perceived Stress Scale. The acquired data were analyzed using IBM SPSS version 22.0. Multiple linear regression analysis was performed. Results: Moderate depression symptom(${\beta}=-.368$, p<.001), severe depression symptom (${\beta}=-.450$, p<.001), stress(${\beta}=-.339$, p=.001), and gender(${\beta}=-.148$, p=.049) were significant predictors for the HRQOL. Multiple linear regression showed that 51.8% ($R^2=.518$) of the variance in the HRQOL was explained. Conclusion: Based on these results, development of an intervention or education program, to decrease depression symptoms and stress is recommended. This may improve the HRQOL in patients with hypertension registered to a community health center.