• Title/Summary/Keyword: Community health workers

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A Structural Model Development on the Cardiovascular Disease Risk Factors among Male Manufacturing Workers (제조업 남자 근로자의 심혈관질환 위험요인에 대한 모형 구축)

  • Choi, Eun-Sook
    • Research in Community and Public Health Nursing
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    • v.17 no.2
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    • pp.153-165
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    • 2006
  • Purpose: The purpose of this study was to develop and test a structural model on cardiovascular disease risk factors among male manufacturing workers. Methods: Data were collected through questionnaires and health exams from 201 workers in a local electronic company during September 2004. Data analysis was done with SAS 9.1 for descriptive statistics and PC-LISREL 8.54 for covariance structural analysis Results: The overall fit of the hypothetical model to the data was moderate, it was modified by deleting five paths. The modified model had a better fit to the data($x^2=504.23$(p<001, df: 180), $x^2/df=2.80$, GFI=.95, RMR=.07, NFI=.90, PGFI=.64). Health behaviors and psychosocial distress were found to have significant direct effects on the cardiovascular disease risk factors. Self-concept had direct effect on psychosocial distress or health behaviors. Self-concept, work environment, and work condition had direct effect on social support. Work environment had indirect effect on psychosocial distress. Social support had indirect effect on health behaviors. But work environment and work condition were found to have little direct effect on health behaviors, psychosocial distress or cardiovascular disease risk factors. Conclusion: A cardiovascular health promotion program should therefore include psycho-social factors as well as health behavioral determinants in worksites.

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A Study on the Knowledge, and Attitude of Health Examination of Industrial Workers -In Kangwon Province- (산업장 근로자들의 건강진단에 대한 지식 및 태도 조사연구 -강원도 영서지역을 중심으로-)

  • So, Ae-Young
    • Research in Community and Public Health Nursing
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    • v.4 no.2
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    • pp.117-130
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    • 1993
  • There has been a rapid growth in Korea since 1962 because of the success of the 5-year Economic Plan. The number of industrial work and workers has also made had a rapid increase. Consequently, the management of occupational health for the purpose of promoting health in industrial workers is needed especially in the health examination program. The purpose of this study was to analyze the Knowledge, and Attitude among industrial workers of health examination programs. The target population was 402 industrial workers from 4 factories in Kangwon province. A survey was conducted to collect data by a self administered questionnaire from October 29 to November 5. A sixty four item questionnaire was designed to collect data concerning Knowledge, and Attitude of health examination of industrial workers. The data was analyzed by means of percentage, mean, T-test, ANOVA, Pearson's correlation coefficient. The major findings were as follows : 1. The respondents presented the following picture : The male population was 88%. 57% of respondents were age 25-34 years old. 69.4% of respondents were married. 73.4% of respondents were high school graduates. 80.8% of the respondents were working over 48 hours per week. The respondents with over 10 years on the job were 31.9% of the respondents. Health examination were given to the respondents as: pre-employment health examination 90.5%, general health examination 91.5%, and special health examination 31.5%. 2. The Knowledge level was different in health examination items. 80.5% of respondents had knowledge about hearing test, body weight, visually, chest X-ray like simple things. Below 50% of respondents had knowledge of urine test, liver function test, and career history. 3. Attitude status about health examination showed an average score 36.5(median 33) of satisfaction, 26.93(median 21) of importance, 13.84 (median 21) of content, 10.46(median 12 of reliability on health examination results. 4. The level of Attitude on health examination was significantly different than the Knowledge level. 5. The relationship among stated variables such as satisfaction, the perceptions of importance on health, health examination, the result and follow up after health examination were shown to reflect neither positively nor negatively on each other.

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Health Risk Evaluation of the Vinylhouse Workers with Exposure to Pesticide (비닐하우스 재배농민의 농약에 의한 인체 위해성 연구)

  • Yang, Jae-Ho;Park, Jung-Han
    • Journal of agricultural medicine and community health
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    • v.19 no.2
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    • pp.107-118
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    • 1994
  • Health effects of pesticide among vinylhouse workers in Sangjoo County, Kyungpook Province were assessed by measuring cholinesterase, glutathion reductase, and methemoglobin. Activities of cholinesterases among vinylhouse workers and general farmers were 3.89U and 3.98U in serum and 5.29U and 5.50U in red blood cells, respectively. While levels of methemoglobin between vinylhouse workers(0.16%) and general farmers(0.17%) were very similar, glutathione reductase among vinylhouse workers were 8% lower than that of general farmers. Inhibition of RBC cholinesterase among vinylhouse workers was two times greater than general farmers, suggesting a greater exposure of vinylhouse workers to the organophosphate pesticides. Methemoglobin level among vinylhouse workers with more than or equal to 10 vinylhouse units was 13% higher than that of the workers with less than 10 units. Vinylhouse workers using protective gears during pesticide spray showed higher level of reduced glutathione and lower level of methemoglobin, as compared to the non-users. This indicates that protective gears play an important role against pesticide exposure. Vinylhouse workers practicing good personal hygiene showed a higher level of reduced glutathione, as compared to those with poor personal hygiene, indicating that personal hygiene is also an important factor in reducing pesticide exposure. The present study represents a first attempt to analyze cholinesterase, methemoglobin and glutathione reductase activities among the vinylhouse workers. While neither vinylhouse workers nor general farmers showed abnormal findings among biochemical parameters used in the present study, increased level of methemoglobin and decrease of glutathione reductase activity among vinylhouse workers suggest that these workers have been subject to a higher exposure of pesticide than general farmers.

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Influential Factors of Psychological Well-Being of Migrant Workers (외국인 근로자의 심리적 행복감 영향요인)

  • Jung, Hanna;Kim, Youngsuk
    • Research in Community and Public Health Nursing
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    • v.31 no.1
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    • pp.54-64
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    • 2020
  • Purpose: This study aims to identify related factors of psychological well-being of migrant workers in Korea. Methods: The subjects were 138 migrant workers residing legally in K or B Cities. Data were collected from July 1 to August 31, 2018, using self-report structured questionnaires that were translated into English, Chinese, Vietnamese, and Korean, and were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and multiple regression. Results: The most important influencing factors on the psychological well-being of migrant workers were social support (β=.36, p<.001), followed by perceived health status (β=.25, p=.001), education (β=-.18, p=.015), and spouse support (β=.16, p=.032). The overall explanatory power was 28.9%. Conclusion: In order to improve the psychological well-being of migrant workers, it is required to develop a nursing approach that may promote the social support, health status, and spouse support, and consider the educational level of migrant workers.

Factors Influencing Care workers' Intention of Implementing Hand Hygiene in Long-term Care Hospitals (요양병원 간병 인력의 손 위생 이행의도에 영향을 미치는 요인)

  • Han, Mi-Hee;Choi, So-Eun
    • Research in Community and Public Health Nursing
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    • v.31 no.3
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    • pp.375-383
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    • 2020
  • Purpose: The purpose of this study was to investigate factors influencing care workers' intention of hand hygiene implementation in long-term care hospitals. Methods: A total of 180 care workers working at long-term care hospitals were recruited. Data collection was done from July 22 to September 7, 2018. Results: The significant TPB variables influencing the intention of hand hygiene implementation were perceived behavior control (β=.41, p<.001), normative belief (β=.28, p<.001) and attitude toward behavior (β=.15, p=.014). These factors explain 39% of care workers' intension of implementing hand hygiene in long-term care hospitals. Conclusion: In order to strengthen the commitment of hand hygiene, it is necessary to have a positive attitude toward hand hygiene by eliminating the obstacles to hand hygiene.

Definition and Strategy of Community Involvement in Health (보건의료 주민참여의 정의와 전략에 대한 연구)

  • 김용익
    • Health Policy and Management
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    • v.2 no.2
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    • pp.90-111
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    • 1992
  • Community involvement is to be the keystone of primary health care, Unfortunately, efforts to promote it failed in many countries. Author inquired into the reasons why such efforts fail, and the alternative strategies for effectively promoting it in Korean situation today. In doing so, the concept of community involvement is clarified as an amalgamation of two different concepts; one is that of the community development, and the other is that of approaches for overcoming the alienation of the people from the health care process. Stategies of community involvement in Korea so far followed the line of the community development, e.g. village health worker. It loses, however, the feasibility as Korea has experinced so cial and economic developpment. The strategies of the second line of thought is now more feasible; empowering the people by providing more information and enhancing comitment to health, improving acceptabilty of community involvemt on the part of the health professionals and the bureaucrats, and building the mechanism of community involvement into the health policy-making process.

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Radiological Operating Technicians's Protective Behaviors on Radio-medical Measures in Hospitals (의료기관 방사선종사자들의 방사선안전관리에 대한 행위)

  • Han, Eun-Ok;Moon, In-Ok
    • The Journal of Korean Society for School & Community Health Education
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    • v.8 no.1
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    • pp.69-77
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    • 2007
  • Background & Objectives: International radiation protection committee recognized the importance of radiation protection from medical practices because the exposure to the radiation in medical practice is higher than any other exposure. The factors on knowledge, attitude and practice of radiation safety of the medical workers engaged in radiation were analyzed in order to improve radiation safety technology. Method: Questionnaires were used for 1200 radiation workers in medical institution from July 23 through September 4 and collected for analysis. Results: Different level of safety measures were practiced by age, marital status, career, and medical facility. The difference was statistically significant. Higher levels of safety measures were practiced in the age group of 50s and married persons. The workers who have more than 20 years experience have higher level of safety measures. The workers of health centers have higher level of safety measures to compare with other workers. The factors which give more concerns on safety practice were self efficacy, practice and knowledge in order. Conclusion: Safety conscious operators should get additional education program to maintain higher level of safety. The operators who do not have much safety concern should be intensive training program for self efficacy and safety.

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Attitude and Management Contents of Health Workers Engaged in Visiting Health Service (보건기관(保健機關)의 방문보건사업(訪問保健事業) 담당인력(擔當人力)들의 사업(事業)에 대한 태도(態度) 견해(見解)와 환자관리(患者管理) 양상(樣相))

  • Park, Mi-Young;Park, Jae-Yong
    • Journal of agricultural medicine and community health
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    • v.23 no.1
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    • pp.91-108
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    • 1998
  • This study was conducted to use the feedback of health personnel to improve the Visiting Health Service. The data was collected from 471 Home Health Workers serving 24 local health organizations in the Kyung-Pook province. 62.5% of the respondents were men under thirty-nine years of age. 92.8% of the respondents are married. 47.1% had degrees from junior colleges. It was ascertained 52.7% of the workers visited their patients six to twelve times within a six month period. And one to three patients were visited per day by one worker. Workers of older age, higher job position, and more experience were more positive in their feedback about the program. In addition, local health center employees, including nurses, were more positive about the program. Younger workers with a higher level of education, less experience, and lower job position had more insight into the problems of the program. Deeper insight into these problems led to a more negative conception of the program. Older workers with higher ranking jobs were found to be most competent. in their jobs. Workers at the main health center were assessed higher than the workers at the health sub-center or the primary health post. In addison nurses at all centers were found to be slightly more competent than the nurses' aide. The primary health post established the highest degree of patient satisfaction. It was discovered that the more positive the workers felt about the program, the higher their patient satisfaction feedback. There was a positive correlation between management assessment and patient satisfaction. This means that better program management was found to produce higher patient satisfaction. Workers feel being more educated about patient management would lead to better service. However, they take no action to produce these results. Where the problems of the system are most commented upon, the need for further education is greatest. Through multiple regression analyses it is apparent that the assessment of patient management is the greatest variable affecting patient satisfaction of patients is dependent on the management by the visiting health worker. Therefore, the development of the visiting health program is highly dependant on the feedback of those workers with a negative conception of the program. So the development of programs, motivation, education and training must be established. These works would lead to active participation by visiting health workers in the improvement of the Visiting health program.

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Health Status, Health Behavior, and Health Promotion Program Needs of Industrial Male Workers according to Shift Work at an Workplace (일개 산업장 남성 근로자의 근무형태별 건강상태와 건강행위 및 건강증진 프로그램 요구도)

  • Hwang, Seung-Sook
    • Research in Community and Public Health Nursing
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    • v.17 no.2
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    • pp.210-222
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    • 2006
  • Purpose: This study was performed to identify the health status, healthy behavior, and health promotion program needs of day time and shift time industrial male workers at an workplace. Method: Relevant data were collected from June 20 to August 18, 2005. Questionaries were distributed to all subjects along with their medical records of 2005 and 151 sets of responses were used for the analysis. Collected data were analyzed using SPSS WIN 10.0. Result: 1. Health Status - day time and shift-time workers had significant differences in obesity ($x^2=8.38$, p<.01) and blood pressure ($x^2=-2.17$, p<.05). 2. Healthy Habits - Full-time and part-time workers had significant differences in regular meals (63.83, p<.01), preferred foods ($x^2=7.10$, p<.05), and sleep time (t=-3.55, p<.01). They also had significant differences in exercising ($x^2=13.11$, p<.01), exercising time (minutes) (t=-2.25, p<.01), and use of fitness centers ($x^2=7.02$, p<.05). 3. They also had significant differences in their needs of health programs ($x^2=8.66$, p<.01). Conclusion: This study revealed that day time and shift-time workers had differences in obesity and blood pressure, as well as differences in eating sleeping, and exercising patterns. Both groups needed 'fitness programs' more than any other types of health programs and picked 'weight loss' and 'stress control' programs for other options. Industrial nurses should be able to create appropriate health programs for each group based on the above results and induce the workers' active participation.

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Factors affecting the collaboration between nurses in community health department and social workers in welfare services department (지역사회 보건복지서비스의 통합적 제공을 위한 간호사와 사회복지사간 협력에 영향을 미치는 요인)

  • Kim, Mi-Ju
    • Health Policy and Management
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    • v.18 no.4
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    • pp.125-147
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    • 2008
  • The purpose of this study is to propose the factors affecting collaboration between community nurses and social workers in Korea. Data that is used in this study, were collected from 295 provider respondents by questionnaire, additionally from telephone survey and secondary data review. This study focuses on the working relationship between professionals in the field of health and social care. Based on the literature review, this study proposes a conceptual framework for collaboration between nurses and social workers in community health and social care. The dependent variable in this study is collaboration. It reveals whether or not the inter-professional works and shows the level of collaboration. The independent variables are categorized in: the client characteristics (frailty of client, client-provider relationship); the provider characteristics (specialization, perception of interdependence, perception of the other professional); the organization characteristics (closeness of the other professional, autonomy, on-the-job training, evaluation-reward); and the community characteristics (urbanization, capacity of resources). Major findings are as follows: First, the factors that appear to have the strongest impact on whether or not inter-professional working of respondent sampled are: the perception of other professional; the perception of interdependence; closeness of, the, other professional; and the frailty of client. Secondly, the factors that found to have the most significant effect on level of cooperation are: the perception of, the other professional; on-the-job training; evaluation-reward; and the closeness of the other professional.