• Research in Community and Public Health Nursing
• /
• v.19 no.4
• /
• pp.715-723
• /
• 2008

Purpose: The purpose of this study was to investigate the relation between perceived health status and health-promoting behaviors in female college students. Method: Data were collected from December 10 to 31. 2007. In 160 female college students, perceived health status was measured using the Medical Outcomes Short-Form Health Survey (SF-36), and health-promoting behaviors using the Health Promoting Lifestyle Profile (HPLP). Results: The major findings of this study were as follows: 1) The mean scores of the level of health promoting behaviors, physical health status, and mental health status were 2.44 (SD=0.39), 51.9 (SD=8.03), and 42.56 (SD=10.77), respectively. 2) Health-promoting behaviors were correlate with physical health status (r=-.361) and mental health status (r=.498). 3) Health-promoting behaviors were significantly associated with allowance and mental health in capability, which explained 28.9% of variance in health-promoting behaviors. Conclusion: The results suggest that it is necessary to strengthen female college students' practice of exercise and responsibility for health in order to improve their health promotion behaviors. Also, the results of this study give useful information for designing interventions and program development for female college students' appropriate health promoting life.

• Research in Community and Public Health Nursing
• /
• v.18 no.2
• /
• pp.266-275
• /
• 2007

Purpose: The purpose of this study was to evaluate achievements of a community health center for vulnerable population in urban areas and to find out its strength and weakness. Method: This evaluative study employed system theories and analytic techniques. Results: The purpose of improving vulnerable population's health-related self-care abilities adequately met the operation of programs. This center maintained close connection to a nursing college as a information resource. The subjects' satisfaction was high because team members who visited them were faithful and there were face-to-face contact, sufficient time set, closeness and resourcefulness. There were needs for regular meetings to discuss overall matters in organizing the program and to improve management skills. The mean score of health promotion lifestyle was 2.23 on a 4 point scale. This score indicates what in higher than vulnerable people in other communities. Conclusions: Community-based nursing centers for vulnerable population in urban areas should be developed as support organizations and community network.

• Korean journal of medical education
• /
• v.30 no.4
• /
• pp.309-315
• /
• 2018

Purpose: The introduction of community-based medical education would help improve the quality of primary care. This paper suggests learning objectives and an educational program for community-based medical education. Methods: The educational program was developed in a 1-day consensus workshop. Twenty experts, including faculty members from family medicine department of a college of medicine in Seoul and community-based preceptors, participated in the program. A needs-assessment survey was conducted among community-based preceptors before the workshop. Through this workshop, we derived learning objectives and a standardized curriculum for community-based medical education. Results: In the questionnaire before the workshop, community-based preceptors voiced concerns over the program's potential costs and the time required for teaching. The learning objectives and educational programs derived from the workshop's consensus were consistent with the characteristics of the primary care. Based on the results of this workshop, the joint expert team developed a standard educational program on two core topics: clinical teaching and mentoring. Conclusion: From this curriculum development process, participants could construct a more standardized curriculum for community-based medical education. Future studies are needed to evaluate the long-term outcomes of these educational programs, such as the learners' satisfaction and achievement.

• Journal of agricultural medicine and community health
• /
• v.36 no.2
• /
• pp.130-142
• /
• 2011

Objectives: This study was conducted to develop a participatory learning process and apply it to community empowerment for health promotion. Methods: The participatory learning sessions were composed of three stages according to the modified Freirean model of empowerment education. Stage 1 of generating themes (listening stage) was replaced with a community health forum. Stage 2 of problem-posing was executed via a two-session small group brainstorming discussion for selecting priority community health problems and strategies to solve them. Stage 3 of act-reflect-act, the implementation of the chosen strategies, is ongoing. We tested the feasibility of the participatory learning processes in the pilot programs for health education. Then, 14 Myeon (or Dong) Health Committee members used them in Health Plus Happiness Plus projects for community empowerment to achieve health equity in Gyeongsangnam-Do, Korea. Results: In the pilot program for feasibility, more than 80% of the 95 participants gave positive responses to evaluation questionnaires after three or four participatory learning sessions. Health Committee members successfully selected various strategies relevant to their communities with facilitation, but without any teaching from outside professionals. Conclusions: We successfully applied the participatory learning process to health promotion. However, more studies are warranted to evaluate its long-term applicability.

• Journal of agricultural medicine and community health
• /
• v.29 no.1
• /
• pp.15-28
• /
• 2004

Objectives: This study was performed to examined the effectiveness evaluation of peer education program on smoking prevention and cessation for elementary school students. Methods: Data were collected from 60 students in a rural area through self-administrated questionnaires. Child-leaders participated the peer education program to assist their friend, parent, and adult in community to quit the smoking for 4 weeks. Results and Conclusions: Major conclusions were as follows : 1. The peer education program on smoking prevention and cessation for elementary school students was reinforce to increasing the tobacco knowledge and the cessation skill, learning the communication skill, and improving the empowerment. 2. Image of tobacco, intention of smoking in future, recommendation for smoking cessation, pro of smoking. con of smoking, and level of assert in post-test were higher than those in pre-test. 3. There were significant differences in image of tobacco, con of smoking, and level of assert by grade between the pre-test and the post-test of peer education program. But intention of smoking in future, recommendation for smoking cessation, and pro of smoking were not related to effectiveness of peer education program. 4. Child-leaders for smoking prevention and cessation performed the their task to 1.4 persons per student. 5. Participating students were satisfied with the contents of program, the usefulness of educational materials, and preference of parents, but they were not satisfied with the usefulness of task note, learning time, and lecture room.

• Research in Community and Public Health Nursing
• /
• v.32 no.3
• /
• pp.344-355
• /
• 2021

Purpose: With low birth rates and aging population problems in Korea, the number of foreign workers grows rapidly. The purpose of this study was to identify factors influencing physical activity of foreign workers based on a Health Promotion Model by examining relationships between acculturation, perceived benefits, perceived barriers, exercise self-efficacy, activity-related affect, social support, and physical activity. Methods: The participants were foreign workers aged 18 to 60 who were employed at eight shipyards. A questionnaire was distributed to 216 participants. Results: As a result of the multivariate ordinal logistic regression analysis, factors affecting physical activity of foreign workers were perceived benefits (B=.65, 95% CI=0.08~1.22), exercise self-efficacy (B=.16, 95% CI=0.05~0.26), integration (B=.41 95% CI=0.14~0.69), and social support for physical activity (B=.48, 95% CI=0.12~0.83). The total explanatory power was 17.7% (x²=41.95, p<.001). Conclusion: Based on these results, there is a need to develop a customized program to increase physical activities of foreign workers by enhancing integration, perceived benefits, exercise self-efficacy and social support.

• Health Policy and Management
• /
• v.20 no.2
• /
• pp.104-127
• /
• 2010

To vitalize the link program of Korean long-term care insurance system to community-based services for non-eligible people, we analysed the claim data from the Korean National Health Insurance Corporation (NHIC), and conducted a questionnaire survey to charging employees of elderly service department at local governments. The subjects were all 81,377 people, 57,454 of them were arranged to community-based services. The link program was more necessary among the missed subjects rather than the arranged people due to the need for physical or psychological assistance. By the result of the survey to the local government employees, 59.5% of subjects responded their proportion of link service was over 10% and under 20%, and 54.3% of them responded their job boundary are not clear. Major type of linking was notification the subject list to local government, 91.4%; proportion of periodical notification on the status of their service link were 57.1%, only 7.1% were followed to manage after the link. Difficult factors at the link process were pointed out the overload by other side work, deficiency of resources, rigidity of priority of link, and so on. Considering these results, to vitalize the community-based services to the non-eligible people, it may be essential the active participation of the subjects, construction of parts working in coordination among the institutions including NHIC, local governments, and service providers; development of various services for maintenance or promotion of the non-eligible peoples' health and functional status; and active participation of institutions from the third sector, and so on.

• Korean Journal of Health Education and Promotion
• /
• v.3 no.1
• /
• pp.83-98
• /
• 2001

Although periodic health examination has been one of the most common practices of preventive medicine, its effect on modification of risk behavior has been seldom assessed. Thus, this study attempted to demonstrate the influence of a health examination on modification of cardiovascular disease related health risk behaviors such as smoking, physical inactivity, and obesity. Data of 893 adults were derived from two types of a popular and highly acclaimed health examination program. With a conceptual model constructed using Persuasive Communication variables, McNemar tests examined Source-Outcome association, hypothesizing that different health examination programs would yield different levels of behavior change in smoking, physical inactivity, and obesity. No significant behavior change was found in any of the two health examination programs. Instead, previously established Receiver-Outcome relationship was reconfirmed by logistic regression modeling where gender was the most prominent predictor of all three behaviors. Men were more likely to be current smokers (OR=0.029), exercisers (OR=2.629), and obese (OR=0.237). The importance of followups after health examination is highly stressed as well as that of gender-specific health education strategies. This study recommends applying the social-ecological approaches in health examination, which emphasizes the support and collaboration at individual, family, organizations, community, and policy level to improve health. Long term and qualitative evaluation of health examination may provide more foundation for increasing the effectiveness of health education and communication in health examinations.

• Women's Health Nursing
• /
• v.9 no.4
• /
• pp.439-448
• /
• 2003

Purpose: This study was accomplished to apply and to evaluate the 10-week Urinary tract Function Promotion for the Elderly Women (UFPE), and to suggest guideline and to be utilized on the community level. Method: Subjects were 30 persons of 16 healthy elderly and 14 hemiplegic elderly. This UFPE was composed of diagnosis of incontinence & evaluation of physical condition, understanding of urogenital system & urinary incontinence management. UFPE was evaluated by subjective urinary condition, intra-vaginal contraction power, continence self-efficacy (CSE), incontinence stress, geriatric depression. The collected data was analyzed using Wilcoxon Matched Signed-Ranks test by SPSS/WIN program. Result: 5 subjects (31.2%) in healthy group and 2 subjects(14.3%) in hemiplegic group have a daytime frequency, 14 subjects(87.5%) in healthy- group and 14 subjects(100%) have a nocturia. After program, subjective urinary condition was increased just only healthy elderly (Z=-2.545, p<0.05), while intra-vaginal contraction power and CSE were increased significantly only in the hemiplegic elderly (Z=-2.57, P<0.05: Z=-2.29, p<0.05). There were barriers not to comply program guidance such as inadequate perception of pelvic floor muscle, forget to do exercise, fatigue. Conclusion: UFPE was effective in increasing subjective urinary condition for healthy elderly and in increasing intra-vaginal contraction power and continence self-efficacy for the hemiplegic elderly women. I suggest that this UFPE be utilized at the health center and elderly center, and public health nurse counsel and guide the elderly's work through phone service.

• The Journal of Korean Society for School & Community Health Education
• /
• v.5
• /
• pp.43-70
• /
• 2004

This research was conducted to provide basic document on efficient health promotion behavior program that elementary school students can use from elementary school course to enhance health promotion behavior for healthy life by checking out the degree of the most influential factor for health promotion behavior about elementary school students who establish lifelong health habit, and by checking out the relation between the degree of self-efficacy and health promotion behavior. The number of subjects of this research was 598. They were all elementary school students from the sixth grade students of the 5 cities of the Kyeong Nam province. We conducted questionnaires and did statistical analyses by using 592 papers which were suitable for date analyses with SPSS. The conclusions were as follows; A. The degree of self-efficacy The degree of self-efficacy of elementary school students was more than average. The degree of self-efficacy on physical activity was the highest and the degree of self-efficacy on self-fulfillment was the lowest. The degree of self-efficacy of girl students was comparatively higher than that of boy students. When their parents got higher education, made a lot of money and kept harmony with their children, the degree of self-efficacy became high. Furthermore, when their parents or themselves have a lot of interest in health, they feel that they are healthy, and they feel that they are satisfied with their bodies, the degree of self-efficacy was high too. B. The degree of health promotion behavior Although the degree of health promotion behavior of elementary school students was a bit lower than the degree of self-efficacy, it was higher than average. The degree of health promotion behavior on physical activity was the highest. But the degree of health promotion behavior on health of their own was the lowest. The degree of health promotion behavior between girl students and boy students was the same. When their parents got higher education, made a lot of money and kept harmony with their children, the degree of self-efficacy became high. Furthermore, when their parents or themselves have a lot of interest In health, they feel that they are healthy, and they feel that they are satisfied with their bodies, the degree of self-efficacy was high too. C. The relation between self-efficacy and health promotion behavior When the degree of self-efficacy was high, the degree of health promotion behavior was high too. So there was high positive relationship between self-efficacy and health promotion behavior. Physical activity showed the highest relationship. The order of strong relationship run as follows. Relationship with others, self-fulfillment, management of stress. The higher self-efficacy which was a recognizable factor on health behavior, the higher the degree of health promotion behavior. It is being revealed that many modem chronic diseases are cause by accumulated careless attitude on harmful health habit and lack of self-control. The behavior of keeping healthy and enhancing health is more firm when they have high self-efficacy which is believing their own conviction. So, When we teach elementary school students health promotion education at school, we should try to enhance their own self-efficacy rather than just instill simple information about health. By doing so, we can help them change their attitude on health. Then, they could enjoy life-long healthy life.