• Title/Summary/Keyword: Community health practitioner

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The role and responsibility of community health practitioner based on the rural community development and the reform of health care system (농어촌 개발과 의료보장 개혁에 따른 보건진료원의 책임)

  • Kim, Hwa-Joong
    • Research in Community and Public Health Nursing
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    • v.5 no.2
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    • pp.101-108
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    • 1994
  • This study was conducted by community survey of 215 community health practitiner's posts and literature review of official documents. The result was as follows ; 1. The role and responsibility of community health practitioner's post must be studied by the community health practitioner and the community health leader, and on the basement of community health needs, community development plan, and reforom of health care system. 2. Comprehensive health care of community is very important role and responsibility of community health practitioners. However, it was supervised by the senior community health practitioner in provincial government. 3. The community health practitioner must be trained by formal inservice educational program focused on comprehensive health care. 4. The community health practitoner must be the health guider and health leader as the member of community.

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Effects of Biophysical Index, Knowledge, and Self Management Compliance of Patients with Primary Hypertension by a Self Management Compliance Promotion Program (고혈압 자가관리 이행증진프로그램이 본태성 고혈압 환자의 신체생리지수, 지식 및 자가관리 이행도에 미치는 영향)

  • Jeong Bok-Seon;Gang Hui-Gyeong;Gwak Mi-Yeol;Kim Eun-Suk;Kim Hyeon-Yeong;Bak Eun-Suk;Song Gye-Yong;Sin Hyang-Su;Yun Bok-Hui;Lee Eun-Gyeong;Im Jeong-Sun;Pi Sun-Ok;Jeong Eun-Yeong
    • Journal of Korean Academy of Nursing
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    • v.36 no.3
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    • pp.551-560
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    • 2006
  • Purpose: This study was to develop and prove the effects of aself management compliance promotion program for primary hypertension patients who reside in rural communities. Method: The content of the self management compliance promotion program developed by this study was as follows: A leader trains patients as a group or individually, in walking, education and green tea therapy from the first to twelfth week. From the thirteenth to twenty fourth week, the patients should perform walking and green tea therapy by themselves. One hundred twenty subjects volunteered to participate in the study, who were among those registered as hypertension patients in the 14 community health clinics located in Chungcheongbuk-do. Result: Systolic blood pressure, total cholesterol, low-density lipoprotein cholesterol, triglyceride, step width, and degree of obesity decreased significantly. High-density lipoprotein cholesterol, step length, knowledge of hypertension, and self management compliance significantly increased, Conclusion: A self management compliance promotion program for primary hypertensive patients enhances biophysical index and knowledge on hypertension, thus ultimately suggesting a nursing intervention for promoting self management compliance.

Prevalence and associated Factors of Metabolic Syndrome in a Rural Community (일부 농촌지역 주민들의 대사증후군 유병실태 및 관련요인)

  • Jo, Yeon Soon;Kwak, Joung Ok;Kim, Young Sin;Park, Seo Young;Seong, Yeon Hee;Woo, Do Im;Lee, Kyeong Ok;Lee, Mi Suk;Lee, Jung Kyung;Jo, Hyeon Ju;Choi, Jeong Hui;Han, Jung Ae;Kim, Bongjeong
    • Journal of Korean Academy of Rural Health Nursing
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    • v.7 no.1
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    • pp.5-17
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    • 2012
  • Purpose: The objectives of this study were to investigate the prevalence of the metabolic syndrome (MetS) and to identify associated factors with MetS among rural residents. Methods: Data were collected from 1,196 subjects over aged 30 years by a self-administered questionnaire, physical measurement, and blood test in a rural area. The prevalence of MetS was determined by the criteria of the American Heart Association/National Heart, Lung, and Blood Institute (AHA/NHLBI) and 2005 the Korean society for the study of obesity. Results: The prevalence of MetS was 40.5% for men, 49.2% for women. The prevalence of risk factors of MetS was 57.4% for elevated blood pressure, 49.0% for low HDL-cholesterol, and 48.6% for abdominal obesity. Unemployment and higher Body mass index (BMI) were associated factors for MetS regardless of gender. And higher age and physical inactivity in women only increased the odds of the MetS. Especially, BMI was a strong risk factor of MetS in both men and women. Conclusion: The prevalence of metabolic syndrome was higher in a rural area. Therefore, health care providers should develop lifestyle modification program to increase physical activity level and to prevent the obesity among rural residents in order to decrease the prevalence of MetS.

Case Report on a Community Health Practitioner's Health Survey (보건진료소의 관할 지역 건강조사 사례)

  • Choi, Youngmi;Chin, Youngran
    • Journal of Korean Academy of Rural Health Nursing
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    • v.14 no.2
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    • pp.47-53
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    • 2019
  • Purpose: This case study was done to describe the health survey conducted by a community health practitioner. Methods: The community health survey was carried out from April 16 to May 31, 2018 with face to face interviews done by 48 trained senior nursing students. Results: Compared with other regions, rates for chronic disease prevalence, chewing discomfort, falls, and depression were higher than those of the relevant district/the relevant city, and the whole country. It is encouraging that the treatment rate for hypertension, diabetes, and hyperlipidemia, and walking practice rate were higher than those other regions. Those who participated in village events had low stress, and those who participated in health promotion programs had a higher quality of life. Conclusion: The community health practitioner in the public health center post needs to operate health promotion programs continuously. Programs including chronic disease management, fall prevention, depression control, and oral health management should be emphasized, and ways to increase social participation, including participation in village events should be developed.

The Role of Community Health Nurse in Assay Written by a Nurse Practitioner of Primary Health Care Post (일 보건진료소장의 수필에 나타난 지역사회간호사의 역할)

  • Chin, Young Ran;Kim, Hyun
    • Journal of Korean Public Health Nursing
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    • v.30 no.2
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    • pp.300-310
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    • 2016
  • Purpose: The purpose of this study was to understand the role of community health nurse through a nurse practitioner of primary health care post. Methods: An assay, 'Even if we were allowed to look at', written by a nurse practitioner of primary health care post was analyzed with the contents analysis method. Results: In the assay, we checked the following roles: client-oriented, delivery-oriented, and population-oriented roles described and classified by Clark. In particular, direct care such as in-patient care, home visiting nursing care, and drug prescription was frequently performed. Moreover, community health nurse has been listening, counselling, expressing sympathy, and advocating vulnerable elderly people economically and psychologically. Conclusion: The assay gave us a better understanding of the role of community health nurse, and we need more assays delineating the role of community health nurse in others setting as well primary health care post.

Factors Related to the Mental Health of Community Health Practitioners during the COVID-19 Outbreak in Korea (코로나바이러스감염증-19 발생기간 동안 보건진료전담공무원의 정신건강에 영향을 미치는 요인)

  • Yoon, Nabee;Lee, Hyeonkyeong
    • Journal of Korean Public Health Nursing
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    • v.35 no.1
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    • pp.47-59
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    • 2021
  • Purpose: To assess levels of mental health among community health practitioners during the COVID-19 outbreak in Korea and associations between practitioner mental health and personal and psychosocial factors. Methods: Data were collected from a convenient sample of 275 community health practitioners using an online questionnaire, which included items on mental health (K-WEMWBS), psychosocial factors (COVID-19 sensitivity, COVID-19 self-confidence, social support, perceived stress), and personal characteristics. Collected data were analyzed using the t-test, one-way ANOVA, Scheffe's test, Pearson's correlation coefficients, and multiple linear regression in SPSS 25.0. Results: Mean mental health score was 51.27±8.47. Multiple linear regression revealed that time spent as a community health practitioner, COVID-19 self-confidence, social support, and perceived stress were significantly associated with mental health. Conclusion: The findings of this study suggest that comprehensive intervention with emphases on improving COVID-19 self-confidence, social support, and reducing stress is required to improve community health practitioner mental health. The results also indicate a need for educational programs aimed at improving the mental health of young community health practitioners.

Case Report of Hypertension Patient by Community Health Practitioner (보건진료소의 고혈압 환자 간호사례)

  • Park, Do Soon
    • Journal of Korean Academy of Rural Health Nursing
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    • v.14 no.1
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    • pp.17-22
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    • 2019
  • Purpose: This study was done to describe a community health practitioner's nursing case study for a hypertension patient. Methods: For this purpose, data were collected through interviews and nursing records. The nursing process was carried out from January to March in 2019. Results: For this patient, blood pressure was checked 5 times and total cholesterol test was performed 5 times over 41 consultations. Even though the patient was 84 years old, he was very interested in health. When the blood pressure and cholesterol level measured by community health practitioner were high, he was embarrassed by the recommendation to get a hospital checkup. After referral to a medical clinic and hospital, he was satisfied with the results of the tests and medical treatment, and constantly practiced daily walking exercise. Conclusion: It is very important for community health practitioners to assess patient symptoms correctly and refer the patient timely to manage complications.

Roles of Primary Health Practitioner and Activities to Increase the Job Performance (보건진료원 업무현황 및 업무향상활동)

  • Ko, Il-Sun;Lee, Kyung-Ja;Cho, Won-Jung;Kim, Jin-Soon;Song, Eun-Kyung;Lee, Tae-Wha
    • Journal of Korean Academy of Nursing Administration
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    • v.11 no.4
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    • pp.361-369
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    • 2005
  • Purpose: The purpose of the study was to analyze the present status of community health practitioner activities and efforts to improve the job performance. Method: This study employed descriptive exploratory design. The sample consisted of 1,892 community health practitioners which was 90 % of population of community health practitioners. The data was analyzed by using SPSS Windows 10.0. Result: The most popular activities of community health practitioners were women's health, chronic degenerative disease management, elderly health, and outpatient care of primary health care. The activities that community health practitioners want to strengthen were outpatient care, disease prevention, rehabilitation, health promotion, and counseling. The efforts to improve the job performance were consult to other health care professionals, discussion with patient and families to choose effective treatment options. Community health practitioners knew that they were exposed to malpractice and hould try to make many efforts to improve their performance. Conclusion: The roles and activities of community health practitioners should be changed to the shift of health care environment and systems.

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Case Report of Terminal Cancer Patient by Community Health Practitioner (보건진료소에서의 말기 암 환자 간호사례)

  • Jeong, Migyung
    • Journal of Korean Academy of Rural Health Nursing
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    • v.15 no.1
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    • pp.30-40
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    • 2020
  • Purpose: This study was done to describe a community health practitioner's nursing case management for a terminal cancer patient registered in the public health post. Methods: For this purpose, data were collected through the patient and family through home visits, health clinic offices, and phone calls. The nursing process was carried out from August to November 2019. Results: The patient suffered the most from anorexia and lack of energy. Also he expressed psychologically uncertainty about disease and death anxiety caused by long-term treatment. In order to reduce the death anxiety, Community Health Practitioner (CHP) asked him to express his life stories and listened to him. CHP provided information of appropriate medications and alternative foods for symptoms such as gastrointestinal disorders and anorexia to the patient and family. Observing the situation of the patient and family, CHP guided the patient and family to prepare for death and has confirmed to them that the process was not with the patient alone. Conclusion: CHP's this experience has shown the possibility for CHP to help the terminal cancer patient and family to prepare peaceful death in their communities.

Improvement for Work Status of Community Health Practitioners in Island Areas (전남 도서지역 보건진료원 업무환경 개선방안)

  • Kim, Ok
    • Journal of Korean Academy of Rural Health Nursing
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    • v.7 no.2
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    • pp.59-66
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    • 2012
  • Purpose: The purpose of this study was to assess the work status of community health practitioners in island areas. Methods: Participants in this study were 59 community health practitioners in primary health care posts located on islands in J Province. Data were collected during December, 2011 and analyzed using SPSS 17.0 program. Results: Characteristics of the majority of community health practitioners in the island areas was that they were over 50 years old, married, and had 10 years job experience, The population under their jurisdiction was less than 200 and they had an average of 6-10 patients/day and worked less than 10 hours/day. Health education and practice were the most common of task, and they had various types of paperwork to complete. They visited senior citizens living alone, managed medications, gathered health data for research, waited for night treatment of emergency patients, carried out health promotion programs, and visited seriously ill patients at home after work hours. Conclusion: Results of the study indicate that in order to improve the role and function of the primary health care posts and to boost morale, the practitioners' opinions should be actively accepted by the community health practitioner association and competent government agencies.