This study was conducted to show one case model for a community nutrition program as a part of the public health systems. The purpose of this study is to evaluate the effect of the nutrition education through the Knowledge(K), Attitude(A), and Practice of the nutrition that is the Behavior-Diagnosis(Be-D). The Nutrition Education was done for 33 housewives whom live in Sudong-Myeun, Namyangju-Kun, Kyungki-Do. It had been performed eight times during April 3rd through May 30th, 1991. We investigated actual conditions of objects about K, A, Be-D in the nutrition, and the Food Environment(En) separately before and after the nutrition education by questionnaire and interview. The results of the research turned out as follows ; 1. The comparison of the scores before and after nutrition education showed significant increase in the knowledge and attitude. 2. The scores of the Be-D were also significantly higher after education, especially in the number of foods taken per day, the balanced diet, the general food habits for adult, and amounts of intake of nutrients showed significant increase of lipid, calcium, Vit. A, $Vit B_2$, Vit. C after nutrition education. 3. Multiple regression analysis showed that the scores of the Knowledge and En were significantly associated with the number of food taken per day for condition of adjusting socio-demografic factor and A effect. Also, En was important variable in explanation of the balanced diet and A, En were important in the general food habits for adult.
Purpose : The purpose of the study were to describe outcomes of CHP activities, and to evaluate the economic validity of CHP through a cost-benefit analysis. Method : The sample size was 272. Data were collected using a researcher developed questionnaire from November 1999 to March, 2000. Result : The mean age of CHPs was 39.6 (SD-36). In regard to marital status, 90.8% of the respondents were married. 72% of the CHPs had associate degree. Among CHP activities, providing medical services was 50%, followed by home care visits 20% and health promotion services 20%, preventive services 10%. Total costs per month incurred to CHP activities was \3,053,437($2,442.7). Total benefits per month was \6,711,525($5,369.2). Hence, net benefit was calculated as \3,658,089($2,926). Conclusion : Cost-benefit ratio was 2.20, which provides the evidence of the economic viability of CHP program. The result of cost-benefit analysis, however, would more strongly support the economic value of CHP if intangible benefits of CHP activities such as decreases in pain and suffering and increased quality of life, could be counted.
Purpose: In Korea, as the number of hypertensive worker grows, identifying the level of health promoting life style practice and related factors in hypertensive workers is becoming more and more important. Method: The subjects of this study were 195 hypertensive male workers in Korea. The data was collected during 3 months ranging from August 2003 to October 2003. The data was analyzed by descriptive statistics. t-test, ANOVA. Pearson's correlation coefficient and stepwise multiple regression by SAS 8.1 program. Results: It was found that there were significant differences between age, religion, medication, perceived health status, perceived benefits, internal health locus of control, powerful other health locus of control and health promoting life style practice. The most significant factor affecting the health promoting life style practice was internal health locus of control. The combination of internal health locus of control, specific self-efficacy, powerful other health locus of control, general self-efficacy accounted for 51.0% of the health promoting life style practice. Conclusion: The level of health promoting life style practice was very low, so it is urgent to manage and care for hypertensive male workers continuously and systemically with occupational health nurses. Based on the above results, cognitive perceptual characteristics should be considered when developing health education programs for hypertensive workers.
Objectives : This study was conducted to purpose the fundamental data for further developments of the school dental clinic program(SDCP) through comparing results of oral health promotion program for 4 years relating to compare oral health status of children who had experienced and had not experienced the program. Methods : The subjects were 66 children of elementary school in Busan Metropolitan City who had benefited school dental clinic program(SDCP) from 2004 to 2007 and control group was 98 children of elementary school who had not benefited school dental clinic program(SDCP). Data analysis were done with SPSS program (ver 13.0) through basic statistical data, t-test. Results : The DMF rate of elementary school students who had benefited program was 41.5% and it was lower than that of control group(52.5%), however it was not significant statistically. The DMT index of elementary school students who had benefited program was 1.81 and it was lower than that of control group(2.44)(p<0.05). The DMFT rate of elementary school students who had benefited program was 4.44% and it was lower than that of control group(7.45%)(p<0.05). Conclusions : In oder to promote oral health of children, school dental clinic in elementary school should be extended to more elementary schools as possible and the operating system should be changed to improve the efficiency. Oral health educational materials should be developed and utilized to improve educational effect.
In this study, the effects of a 12-month multidisciplinary education program on the health status, dietary quality, and eating habits of children and adolescents attending community childcare centers were investigated. A total of 88 participants aged 7 to 17 years from 7 community childcare centers in Gyeonggi-do were enrolled. The intervention consisted of 12 multidisciplinary education sessions covering topics such as nutrition, exercise, and psychological education. All participants received the same education, and the effectiveness of the program was evaluated by categorizing them into a high participation group (HPG) and a low participation group (LPG) based on their participation rates. After intervention, in physical activities, moderate-intensity exercise was significantly reduced in the LPG, and there was no significant difference in psychological parameters. However, notable differences were observed in nutritional data. After intervention, intakes of calorie, carbohydrate, protein, and fat were significantly increased in both groups, and in particular, the change was found to be greater in HPG. Additionally, dietary fiber intake compared to the 2015 Korean Dietary Reference Intakes was increased in both groups. Daily food intake also increased dietary fiber intake in HPG, and meat and fruit intake was increased in LPG. In the nutrition quotient, there was a significant difference in HPG's pre- and post-scores in the diversity category, and in nutrient adequacy ratio (NAR), the NAR of phosphorus was increased in both groups. The findings of this study suggest that multidisciplinary education implemented at community childcare centers primarily enhanced nutrition-related factors rather than physical activity or psychological aspects.
Purpose: The purpose of this study was to examine the effects of psychosocial wellbeing status and self efficacy on health-promoting behavior of nursing students, and to explore the experiences related to health-promoting behavior. Methods: For this study, an explanatory sequential mixed method design approach was used with survey data collected from 148 nursing students. In addition, qualitative data for exploration of health-promoting behavior experience were collected from three focus-group interviews of 17 participants. Quantitative data were analyzed with SPSS/WIN 25.0 and qualitative data were analyzed by making contents analysis with Nvivo 12.0. Results: The results showed that psychosocial wellbeing status, self efficacy, grade, and regularity meal explained 43.0% of the variance in health-promoting behavior. And seven themes from the collected significant statements about experience of health-promoting behavior included the daily life going on without delay; changes in body which is felt; recognizing the necessity of health care; making efforts to increase physical activities; revising eating habit; looking for the way to relieve stress; and attempting to divert my thoughts. Conclusion: Based on the results of this study, it is necessary to develop and verify health program in order to improve nursing students' health-promoting behavior. And university authorities and government should make an effort to improve nursing students' health-promoting behavior.
Purpose: This research was conducted to investigate perceived health status, health promoting behaviors and depression level in Korean and foreign students at women's university. Methods: The sample group of this study consists of 100 Korean students at a women's university and 98 foreign students from China and Vietnam who were enrolled at the same university in G City. The research results were analyzed using the SAS program (Version 8.2) with Chi-square test, Fisher's exact test and t-test. Results: 1) The Korean students showed a significantly higher score in drinking and smoking than foreign students. Also, age, religion, part time job, stress and allowance were significantly different between the two groups. 2) The foreign students showed a significantly higher score in perceived health status and health promoting behavior than the Korean students. 3) The foreign students showed a significantly higher score in depression than the Korean students. Conclusion: In the development of health programs for foreign students, it is necessary to focus on reducing depression and to consider the traditions of their own countries. It is desired to conduct further study about health promoting behavior and factors affecting health with respect to the countries where the foreign students originated.
This study aimed to implement the enhancement program for the social work practice competency for children of community child center workers and to evaluate the program's effects. For this purpose, the program was implemented for ten community child center workers five times for five weeks(once a week, 120 minutes per session). For the quantitative evaluation, a non-equivalent control group design among quasi-experimental designs was used, and for the qualitative evaluation, the written materials related with the program were collected and analyzed. The results of the quantitative evaluation revealed that the social work practice skills and worker-client relationship empowerment of the community child center workers who participated in the competency enhancement program were significantly improved. In the qualitative evaluation, the subjective experiences were presented, including the improvement of the worker's practice competency and the worker's awareness of the changes in the child, the recognition of the strong points and the points to be improved in the program. This study is expected to raise the expertise and effectiveness of community child center workers, and ultimately, to contribute to the healthy development and the improvement of the mental health of children by improving the social work practice competency of the workers in community child centers, which comprise the representative service delivery system for children in South Korea.
The purposesof the study are to analyze the community nursing center in U.S.A and to develop the model of nursing care system based on nurse-midwifery clinic in community for women's health in Korea. 1. In America nursing center is defined as nurse-anchored system of primary care delivery or neighborhood health center. Nursing centers are identified the following four types: (1) community outreach centers, which are similar to traditional public health clinics: (2) institutional-based centers following the mission of a large institution, such as a hospital or university: (3) wellness/health promotion centers, which offer screening, education, counseling, triage, and health maintenance services: and (4) independent practice. Nursing centers are a concept of services provided by nurses in practice arrangements in a community. Nursing centers offer a variety of services, ranging from primary care provided by advanced practice nurses with medical acute management and nursing care to the more traditional education, health promotion, screening wellness and coordination services. Some services, such as the care provided by advanced practice nurses are reimbursed under various insurance plan in some instances and states, where as others, such as preventive and educational services, are not. Thus, lack of reimbursement has threatened the survival of some centers. Licensing of nursing centers varies by state and program and accreditation of nursing centers is also limited. 52% of centers are affiliated with another facility and 48% are freestanding centers. The number of registered nurse at the nursing centers ranges from just one to 115, with a mean of eight RNs peragency and a median of three. Nursing centers avail ability varies: 14% are open 24 hours, 27% have variable short hours, 23% are open 6-7 days per week, and 36% are open Monday- Friday. As the result of my visiting three health centers in Seattle and San Francisco, the women's primary care nurse practitioners focus on a systematic and comprehensive assessment of the health status of women and diagnosis and management of common physical and psychosocial health concerns of women in ambulatory settings. Therapeutic nursing strategies are directed toward self-care, risk reoduction, health surveillance, stress reduction, healthy nutrition, social support, healthy coping, psychological well-being, and pharmacological therapy. They function as primary care providers for the well ness and illness care of women from adolescence through the older adult years and pregnant families. 2. In Korea a nurse-midwife practices independently for pregnant women's health including childbearing family at her own clinic in community. Her services are reimbursed under national health insurance but they are not paid on a fee-for-service schedule covering items. Analyzing the nursing centers in America, I suggest that nurse-midwifery clinics offer primary care for women and home care for chronic ill patients. The health law and health insurance policy should be reovised in order to expand nurse-midwife's and home care nurse's roles at nurse-midwifery clinic.
Television news programs are becoming significant source of health information. This study aims at investigating the current state of health coverage of the prime time news program in Korea. Data were collected from KBS 9 0'clock news in the period of thirteen months. from December 1. 1998. to November 1. 1999. The data were analyzed using content analysis method. and the reliability degree was 99.7% according to the Holsti's inter-coder reliability test. The current research classified 489 health related news items into 49 sub-categories and five health categories through content analysis. Some of the basic results of this study are as follows. 1. The frequency according to health category, health maintenance promotion(57.3%) topped followed by disease prevention(23.2%), disease treatment(14.9%), life ethics(4.0%), and growth development(0.6%). 2. According to human developmental age. for the most part(80.1 %) is applicable to the entire range of human developmental age. 3. Health maintennance promotion category take top of health category by the rate of 57.3% and contain 20 sub-categories. 4. News items in the life ethics category, which had six sub-categories. occupied only four percent of the total health related news. News in the growth development category included two sub categories and occupied 0.6% of the total news items. 5. In disease prevention and disease treatment category, infectious disease(33.2%) showed the highest percentage according to the WHO's international disease classification system. Disease prevention occupied 23.2% and contained eleven sub-categories while disease treatment occupied 14.9% and included ten sub-categories. Television news coverage on health showed a wide variety of selection in terms that they are reporting various issues. This study, however, found that some news items were confusing and failing in presenting scientific evidences. It is suggested that the television coverage on health could be beneficial to most of viewers in receiving important health information and guidelines, only if they are utilizing their own sound discretion in consuming those news.
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