• Title/Summary/Keyword: Community health promotion program

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Effects of Dietary Approaches to Stop Hypertension Program on Blood Pressure among the Pre-hypertension Group in the Community (지역사회 주민의 고혈압 예방 식이프로그램의 효과 평가)

  • Jo, Heui-Sug;Shim, Jeong-Ha;Jeong, Heon-Jae;Hwang, Moon-Sun;Lee, Hye-Jean;Kim, Myung-Hee
    • Journal of agricultural medicine and community health
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    • v.31 no.3
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    • pp.237-244
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    • 2006
  • Objectives: DASH (dietary approaches to stop hypertension) diet are recommended as first-line therapy for prevention of hypertension individuals with high normal blood pressure. We studied the effects of DASH program on blood pressure among the pre-hypertension group. Methods: To determine the impact of dietary patterns on the control of hypertension we studied the subgroup of 141 participants with systolic blood pressure of 120 to 139 mm Hg or diastolic BP of 80 to 89mmHg, body mass index(BMI) ${\geq}25kg/m^3$ or waist to hip ratio(WHR) ${\geq}0.95$(for man). 0.85(for woman) enrolled in DASH program. Participants were received of education and consulting about DASH every week for 8 weeks. Results: The level of diet to prevention of hypertension and compliance of DASH increased after education. Also, The DASH program significantly reduced systolic BP (from $136.03{\pm}12.40mmHg$ to $126.09{\pm}11.25mmHg$, p< .01) and diastolic BP (from $81.80{\pm}6.32mmHg$ to $76.44{\pm}10.61mmHg$, p< .01). Conclusion: The DASH program effectively lowers BP and may be useful in achieving prevention of hypertension.

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Factors associated with early recognition of myocardial infarction in adult smokers: Using data from 2021 Community Health Survey (성인 흡연자에서 심근경색증 조기 증상 인지와 관련된 요인:2021 지역사회 건강조사 자료 활용)

  • Se-Jin Kim;Kang-Sook Lee
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.4
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    • pp.660-673
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    • 2023
  • The purpose of this study was to understand the degree of early recognition of myocardial infarction in adult smokers and to analyze factors related to cognition. In a descriptive survey using raw data from the 2021 Community Health Survey, 210,899 out of 229,942 people who completed the survey, excluding 18,343 subjects with insufficient responses, were selected as study subjects. Age, marital status, education level, smoking cessation plan, health examination_cancer examination, diabetes diagnosis, subjective health level, and social physical environment were significantly related to early symptoms of myocardial infarction. Based on the results of the study, active promotion and education for high-risk groups with a high risk of developing myocardial infarction are needed.

HEALTH PROMOTION IN NEPAL (네팔의 건강증진)

  • Chhetri, M.K.
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 1999.07a
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    • pp.149-163
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    • 1999
  • Department of Health Services, under the Ministry of Health, Nepal has adopted the five year plan and Primary Health Care service as the main strategy to provide basic health service at the rural areas. However, development of the Specialized Services in the Urban areas, Human Resource Development, Management Strengthening and Investment of Private and External Sector are also highly entertained through its Liberalization Policy. But due to, Early Marriage, Superstitious Traditional Beliefs & behavior, Poor Sanitation of living, Poverty, Illiteracy, Lack of Supervision and Monitoring, High Density population in relation to arable land and Lack of Private and External Sector Investment, the Country is still suffering from high Fertility, Malnutrition, Infectious diseases and so high Death Rates. So Primary Health Care Services should be more emphasized than before; Community Financing, Private and External Sector should be highly involved; Manpower Development and Specialized Services should be most taken care; Management Skills be more strengthened and Evaluating the previous work and avoiding the mistake for the future program implementation should be well done. If these are improved, then the health will be definitely promoted to meet the Health Target of Nepal.

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Perceptions of Residents Visiting Local Health Centers on the Collaborating Care of Korean Traditional Medicine and Western Medicines (양.한방협진에 대한 지역주민의 인식 - 일부 보건소 이용자를 중심으로 -)

  • Yoon, Tae-Hyung;Park, Hae-Mo
    • Journal of Society of Preventive Korean Medicine
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    • v.14 no.1
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    • pp.37-48
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    • 2010
  • Objective : The purpose of this research was to provide basic data for developing the collaborating care of Korean traditional medicine and western medicines by analyzing the perceptions of residents visiting local health centers on the collaborating care. Method : To this end, a self-administrated questionnaire was surveyed to 417 participants from March 10 to March 19, 2005. The questionnaires were regarding medical preferences, effectiveness, co-operative treatment types, and the demographic characteristics of the study population. The main statistical methods employed for analysis were frequency chi-square test analysis, using SPSS system 12.0 software for Windows. Result : First, the perceptions of collaborating care, such as preference and effectiveness, were better for residents who had experienced Korean traditional medicine(p < 0.05). Second, the most favorable collaborating care type was the neuromuscular disease and rehabilitation, and in particular, the preference of the patient who had experienced Korean traditional medicine was much higher than those who had not experienced it(p < 0.05). Third, as for recognizing the future of collaborating care, respondents insisted that collaboration care has to be conducted under evidence-based research. The reasons why collaborating care has not been active were reported as "difference in solving disease problems between oriental medicine and western medicine." The most important role of the Korean traditional medicines in the public sector was to provide specialized service for the elderly and low income households. Conclusion : Most respondents expected the positive effects of the collaborating care and wanted it to develop, particularly for neuromuscular diseases. As for the health promotion program in health centers, it was more popular than the home visiting program for the elderly and preventive rehabilitation for stroke. Now we must plan to balance between the need of the community and the medical provider on collaborating care.

Effects of a Health Diary Program on Fall-Related Outcomes in Low-Income Elderly Women with Osteoarthritis (건강다이어리 프로그램이 저소득 관절염 여성노인의 낙상관련 심리적 변수에 미치는 효과)

  • Lee, Myung-Suk
    • Journal of agricultural medicine and community health
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    • v.36 no.3
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    • pp.167-178
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    • 2011
  • Purpose: This study was done to identify the effects of a health diary program on fall related outcomes the low-income elderly women. Methods: The study was carried out with a nonequivalent control group with pretest-posttest design. The study was composed of two groups, each made up of 24 subjects: experimental group and control group. The subjects were low-income women aged over 65 years with osteoarthritis and both the experimental and control groups were made up of subjects with the same age profiles. The independent variable was the health diary program, and the dependent variables were fall related outcomes (fear of falling, fall-efficacy, knowledge of fall) difficulty of performing activity, and mood state. The health diary program was performed for 50 minutes each session and twice a week for 8 weeks. Data were collected before the health diary program 10 weeks after the beginning of the program. Results: The experimental group showed significant differences in knowledge of fall, fear of falling, and mood state compared to the control group. However there was no significant differences in difficulty of performing activity and fall efficacy. Conclusion: The results of this study may be used as part of an education to prevent falls for low-income elderly women with osteoarthritis.

A Study on the Health Promoting Behavior of University Students (대학생의 건강증진행위에 대한 연구)

  • Yeoum, Soon-Gyo;Her, Eunn-Hee;Chung, Yeoun-Kang;Kown, Hye-Jin;Kim, Kyung-Hee;No, Eune-Sun;Han, Kyung-Soon;Han, Seung-Eui
    • Research in Community and Public Health Nursing
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    • v.9 no.2
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    • pp.396-409
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    • 1998
  • The purpose of this study is to inquire into the degree of health promotion activity of university students, and to confirm the general factors of health promotion behavior in order to offer basic data for a nursing strategy to improve health promotion behavior. For this research, data was collected from university men and women through questionnaires from February 18 to March 20 in 1998. The author develop a measuring instrument on the basis of related reviews of health promoting behavior in the prevention of chronic disease, as well as accounting for demographic factors, biological factors, and circumstanctial factors. The content validity of the instrument was authenticated by two professors of the science of nursing,. and the reliability was confirmed by a 'cronbach' ${\alpha}'$ after moditying the content through a pre-test on 30 students. 475 persons were analyzed in terms of an average, percentage, t-test, ANOVA by 'SPSS-PC'. The analyzed data was the following. 1. The acting degree of health promoting behavior was 3.26 point out of 6. Among the sub-levels of health promoting behavior, the order of importance was the following. self-actualization (4.62), interpersonal(4.60), stress management (4.0l), nutrition(3.68), responsibility(3.1l), liquid and cigaretles ues(2.85), and exercise (2.33). 2. The differences in health promoting behavior according to subject's general character were the following. Age(F=6.012, p=.003), major (F=7.243, P=.000), sex(t=7.60, P=.000), religion(F=2.454, p=.045), living status(F= 2.849, p=.024), health concern of parents(F= 7.596, P=.000), taking health programs(F= 2.710, p =.007), case history of the family( t = -1.980, p=.048). Health promoting behavior is affected by a higher age, majoring in the social sciences, having religion, male, living in the relatives' home, having to take health programs and a higher health concern of the parents. Suggestions: 1. The degree of health promoting behavior appears low in this study. It is crucial, therefore, to develop a health program to improve health promoting behavior and to study how to center the daily health life of students.

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A Study on the Demand and Utilization of Volunteers in Health Centers (보건소의 자원봉사자 요구도 및 활용도에 대한 관련요인 분석)

  • Choi, Eun-Sook
    • Research in Community and Public Health Nursing
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    • v.11 no.1
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    • pp.37-66
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    • 2000
  • Volunteers activities in Health Centers are strategically important for the efficient utilization of human resource and local people's health promotion in community. With these backgrounds. this study is conducted to examine significant factors in relation to demand and utilization of volunteers in Health Centers. and the factors are the characteristics of Health Centers. volunteer management factors and external environment factors. Subjects in this study were 245 Health Centers all chosen. Data were collected from April. 12. 1999 to May. 31. 1999. and the data for analyses were ones of 116 respondents. Then. the data coded and submitted to Fisher's exact test. NPAR1WAY ANOVA, Correlation analysis. multiple regression analysis, multiple logistic regression analysis with SAS program. The key results from this study can be epitomized as follows: 1. 43.1% of responding health centers answered that they 'utilize volunteers'. The average number of volunteers who were engaged in responding health centers was 43, out of which 7 were men and 36 were women. As for the adequacy of the number of the volunteers. 55.1% responded 'not enough' and 30.6% responded 'adequate'. The more the number of volunteers needed. the more the number of utilizing volunteers is. When asked about their views concerning the utilization of volunteers in Health Centers. 88.7% of all respondents answered in the affirmative. The accountable factor for the utilization of volunteers was the present utilization of volunteers. 2. Concerning the reasons for using volunteers. 'to induce local people's participation in health services' was the highest comprising 76% of the responding health centers. 3. Most of volunteers were housewives and independent enterprisers. The most type of volunteer activities was 'just simple labor'. 4. As for the action duration of volunteers. 69.4% answered 'under 6 months'. The factor was significant difference with the action duration of volunteers was 'to provide social meeting' in the middle of rewards for volunteers. 5. Asked about the problem in utilizing volunteers. 53.2% answered 'the difficulty of recruitment and education for volunteers'. and 42.6% answered 'lack of budget and manpower needed for the utilization of volunteers.' 6. Concerning the evaluation of the performance by volunteers. 88% answered 'satisfactory'. With regards to the reason for that. 29.3% answered 'volunteers can provide various kinds of services' 7. 88.7% of responding health centers answered that they will continuously or newly utilize volunteers in the future. 8. The main health program services which expect utilization of volunteers were visiting health services(63.2%). old people's health services (25.3%). These were not significant difference with any explanatory variable. 9. The average number of volunteer needed in responding health centers was 38. The more the average number of utilizing volunteers. the more the number of volunteers needed is. The more the degree of financial independence. the more the number of volunteers needed is. In conclusions. Health centers are necessary to promote their role of recruitment. education and training for volunteers. the development of volunteer activities programs.

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A Study on School Health Promotion (학교보건활성화 방안에 관한 연구)

  • Chin, Chung-Hwa;Chang, Chang-Gok
    • The Journal of Korean Society for School & Community Health Education
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    • v.2 no.2
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    • pp.23-38
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    • 2001
  • The purpose of this study was to suggest a stratege of promoting school health. This study examined the historical aspacts of school health and conducted a mail questionnaire survey for 24 school health specialists who work in school and educational administration from November 1 to November 30, 2000 and the reply rate was 79.2%(19 persons). The results were as follows. The most important fields in schools were answered health related field. The most important field of school health were health education(89.5%), the supervisor of school health project should be office of school health ward in Educational administration(42.1%), and problems in conducting health project in school were lack of policy(63.5%), awareness of the importance of school health(63.2%), and budget(63.2%). They answered that the cause of food poisoning in school were negligence of sanitation of cook(42.1%) and prevention methods were thorough inspection of food stuffs(31.6%). 72.2% replied that school health project were not being operated in a proper way. They answered that tasks of promoting school health were development of school health policy, increase of man-power for school health, expansion of school health budget, systematic health education, and development of independent health subject program, connection with local society. 94.7% of those replied answered that school health organization is necessary. Common sense on health and sex education are needs to be handled most importantly in health education. 63.2% of those replied answered that appropriate time of education for health service is more than once a week. The person appropriate for health education were school nurse(63.2%). In conclusion to improve the problems of school health and to activate it, development and support of policy of health project and preparation of various conditions that can establish health courses independently is, above all, immediately required. Many efforts need to be made to make the president of schools and education authorities recognize the importance of health in schools. These efforts need to link to the transformation of awareness, and process of development of concrete method of practicing various school health education and school health is necessary.

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The Impacts of School Life and Home Surroundings on Adolescent's Smoking (학교생활 및 가정환경이 청소년 흡연에 미치는 영향 - 일개 군 지역 중.고등학생에 대한 전수조사 -)

  • Lee, Kyu-Sik;Lee, Dong-Hyun;Kim, Ju-Kyeong
    • Research in Community and Public Health Nursing
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    • v.17 no.2
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    • pp.263-272
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    • 2006
  • Purpose: Smoking has more injurious impacts on teenagers compare to adults in that they are in the growing stage with incomplete cells, tissues, and organs. Usually smoking among adolescent group is closely related to illegal drug uses. Also, smoking in the youth drives them to ill health in adulthood, so that they will pay future national health cost. The purpose of this study was to evaluate the impacts of school life and home surroundings on adolescent's smoking. The result of this study will be utilized to promote antismoking moods in schools and homes. Method: Samples of the study are all middle and high school students in one community. The surveys were conducted from May 13th to October 29th, 2004 using the questionnaire developed by researchers. T-test, ANOVA test, Chi-square test and logistic regression analysis were performed to identify the differences of teenagers' school life and their home surroundings between smoking and non-smoking groups using SPSS 12.0 English version. Results: The findings were that there was a significant difference between smoking groups and non-smoking groups related to school life and home surroundings. Smokers were less satisfied with their school work and had poor school record and poor relationships with their friends. Smokers had more smoking parents and don't set along with and less satisfied with their parents. Conclusion: In conclusion, the teenagers' school lives and home surroundings have impacts on adolescent's smoking. Therefore, it is very important to include the factors related to the teenagers' school lives and home surroundings in the smoking prohibition program in order to promote antismoking.

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Health Promotion Behavior, Health Problems, Perceived Health Status and Farmers' Syndrome of Rural Residents (농촌주민의 건강증진행위, 건강문제, 지각된 건강상태 및 농부증)

  • Park, Jeong-Sook;Kwon, Sang-Min;Oh, Yun-Jung
    • Journal of agricultural medicine and community health
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    • v.34 no.1
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    • pp.47-57
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    • 2009
  • Objectives: The purpose of this study was to identify the health promotion behavior, health problem, perceived health status and farmers' syndrome of rural residents. Methods: The subjects of this study were 637 adults of 19 primary health care post extracted from 1.875 primary health care post in Korea by quota sampling method. The collected data were analyzed by descriptive statistics, Pearson's correlation. Results: The average score of health promotion behavior was 2.23. In the sub-scales, the highest degree of performance was 'nutrition', followed by 'spiritual growth' and the lowest degree of performance was 'physical activity'. The most prevalent health problem was ailments in 'musculoskeletal system', followed by 'fatigue', 'eyes and ears', 'cardiovascular system'. The mean score of perceived health status was 8.54. The prevalence of farmers' syndrome was 98.4%. Health promotion behavior showed a significant positive correlation health status and perceived health status showed a significant negative farmers' syndrome. Conclusions: With the above findings, rural residents' physical activity is less than urban residents', and the rural resident's score of perceived health status, musculoskeletal system and fatigue are lower than urban residents'. The farmers' syndrome of the rural people is high. A tailored health promotion program for rural community is needed to develop in the consideration of these findings.