• Title/Summary/Keyword: Community-Based

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Health Management Experience of Residents through Participation in the Community Based Hypertension and Diabetes Registry Program (지역사회 고혈압·당뇨병등록관리사업 참여를 통한 주민의 건강관리경험)

  • Park, Mi Kyoung;Park, Hyeung Keun;Kim, Hyun Ju;Kim, Ok Jin;Gong, Moon Yeon
    • Research in Community and Public Health Nursing
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    • v.32 no.4
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    • pp.518-528
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    • 2021
  • Purpose: This study was conducted to explore the healthcare experience of residents participating in the Community-Based Hypertension and Diabetes Registry Program. Methods: This study used qualitative content analysis. Data were collected from in depth interviews of fifteen participants, who either participated in the program hosted by the Training Center for Hypertension and Diabetes for more than two years or participated in an intensive one-on-one education program. Results: The results showed that the core theme in healthcare of participants was 'Proactive healthcare with attention and systematic guidance of experts'. The positive reinforcement of staffs and the improvement of self-efficacy through effective close management were found to be positive influencing factors of participation. The theme consisted of the following categories: 'Participation in the program with positive expectations on healthcare', 'Interest in body and health', 'Vitality in life', 'Confidence in dealing with disease', 'Thankfulness for close care and attention', and 'Desire for continuous care'. Conclusion: When establishing policies on managing chronic diseases, a strategy that reflects the results of the study is required. It is necessary to build up emotional relationship among stakeholders, and expand opportunities for close healthcare such as one-on-one customized training, and mutual cooperation with various organizations in the local community.

The Effects of ICT Enhanced Home-visit Nursing in Long-Term Care Insurance on Health-related Quality of Life among Community-Dwelling Older Adults (ICT 활용 방문간호서비스가 재가노인의 건강관련 삶의 질에 미치는 효과)

  • Yoo, Keunjoo;Shin, Jinhee;Cho, Eunhee;Hong, Seokwon
    • Research in Community and Public Health Nursing
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    • v.33 no.1
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    • pp.1-12
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    • 2022
  • Purpose: This secondary data analysis study evaluated the effects of ICT enhanced home-visit nursing in long-term care insurance on health-related quality of life among community-dwelling older adults. Methods: This study included data of 131 older adults who had experienced a pilot service for ICT enhanced home-visit nursing. ICT enhanced home-visit nursing refers to a method of sharing health records and teleconference between a visiting nurse and a doctor during the home-visit nursing services to community-dwelling older adults. Health-related quality of life and influencing factors were analyzed by t-tests, logistic regression analysis using the Stata 17/SE program. Results: After a pilot service for ICT enhanced home-visit nursing, their health-related quality of life increased. The teleconferencing method had a significant effect on the increase in health-related quality of life. Conclusion: The findings indicate a pilot service for ICT enhanced home-visit nursing can be applied to the domestic community-based healthcare service model in terms of health management. In the future, the advanced service model of a pilot service for ICT enhanced home-visit nursing in which subjects conduct detailed for each health problem, and a well-designed evaluation system should be developed.

Interpretation of Cultural Landscape based on Community Spaces of Korean Traditional Villages (전통마을 공동체 공간의 문화경관 해석)

  • Kim, Soo-Jin;Park, Jung-Lim;Sim, Woo-Kyung
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.28 no.4
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    • pp.14-27
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    • 2010
  • This study is aimed at understanding the wisdom of our ancestors in Korean traditional villages and finding out cues to designate and utilize community space in planning residential area in villages by examining community space in Korean traditional villages from cultural landscape point of view. This study designated 18 Korean traditional villages which have been preserving Korean traditional culture up to now, so deserve conservation from historical, cultural and artistic viewpoint. This study divided community spaces in each village into social area and ritual area depending on their uses and functions based on the results of pilot study and main study. In addition, ritual areas were also divided into Confucian ritual area and ethnic ritual area. Specifically, this study examined characteristics of space location and users by understanding the location of community space factors in the 18 villages. As for the factor analysis of community spaces, community factors established after the modern age were examined from modern viewpoint, and factors which had been destroyed or lost their original functions were examined from retrospective viewpoint. In conclusion, this study found out that cultural landscape in Korean traditional villages were affected by social relationship among villagers. The community spaces of villagers were multiple-function space rather than a space which was exclusively used by a specific class. Though the occupation of these spaces was separated and differentiated depending on sexes and ages, villagers tried to understand and respect each other through tacit communication.

A Study on the Learning Community Participation According to Learner Characteristics (학습자 특성에 따른 학습공동체 참여 차이에 관한 연구)

  • KIM KYUNG HEE;CHOI JOO YOUNG
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.2
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    • pp.199-206
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    • 2023
  • This study attempted to examine the relationship between college students' participation in the learning community according to the characteristics of learners. To this end, the learning community divided the subject-linked learning community into a foundation learning community and an advanced learning community. Learner characteristics were classified by gender, grade, and major. A cross-analysis was conducted to examine the difference between participation in the foundation learning community and the advanced learning community according to the learner characteristics. The results are as follows. First, the participation of female students in the foundation learning community and the advanced learning community was higher than that of male students, but it was not statistically significant. Second, it was found that there was a significant difference in participation in the learning community according to the grade. In the case of the foundation learning community, the participation rate of the first and second year students was relatively high, and in the case of the advanced learning community, the ratio of the third and fourth year students was relatively high. Third, as a result of examining the differences by major, it was found that the participation rate of health and welfare universities was high in both the foundation learning community and the advanced learning community. Based on these results, discussions and suggestions are presented.

A Study on Organizational Strategy and Operational Elements of Community-based Agricultural Management Bodies (마을단위 농업경영체 조직전략 및 운영요소 도출 연구)

  • Kim, Jong An;Kil, Cheong Soon;Kim, Gi Tae;Kim, Won Gyeong
    • Journal of Agricultural Extension & Community Development
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    • v.20 no.3
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    • pp.777-822
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    • 2013
  • This study attempts to elicit the organizational strategy and operational elements of community-based agricultural management bodies as new main farm management. We analyzed the newest discussion trend, cooperated community management, between Republic of Korea and Japan based on theory of organizing regional agriculture, and also researched on the organization management and business management about cooperated management of community. In this study, the main conclusion of the organizational strategy and operational elements of community-based agricultural management bodies are as following. i) The community-based agricultural management bodies is the cooperation managed individual agriculture resources as joint stock for purposing compound goal, an expansion agricultural income, maintenance farm productivity and rural societies. ii) The domain of cooperative management focus on secondary and tertiary industry like food process, farm produce distribution, rural experience more than farm produce production. The study suggest business promotion system of village unit farmers groups, element of organization management as executive decision organization, business management, operating factor for each steps and management element of cooperation farm working. iii) The policy direction for invigoration community-based agricultural management bodies is to make facilitation for each steps instead of standardized support.

Evaluating Health-Promoting Schools Based on WHO Standards in Yangpyung-Gun, Korea (WHO 건강증진학교 평가개념을 적용한 사정 및 평가 - 앙평군 초.중.고등학교별 차이 분석 -)

  • Sohn, Ae-Ree;Kim, Bo-Ram;Kim, Seok-Hyeon;Shin, Young-Jeon;Ahn, Dong-Hyun;Choi, Bo-Youl
    • The Journal of Korean Society for School & Community Health Education
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    • v.9 no.1
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    • pp.1-15
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    • 2008
  • Objectives: The concept of the WHO's 'Health Promoting School (HPS)' has been advocated as an approach enhancing national health promotion through school. Health-promoting schools have existed internationally about 20 years. Yet there are few comprehensive evaluation results. Methods: This study is a cross-sectional survey, aiming to explore the HPS status. A total of 31 elementary, middle and high schools were included, and 260 teachers participated in the study. The schools were assessed based on tools of HPS. Results: 'School health promotion and protection services' and 'school's physical environment' had the highest scores, 80.7 score and 77.4 score, respectively. Community links and action competencies for healthy living were two areas with the lowest scores. Conclusions: These results are a good source of reference for assessment and evaluation of Health Promoting Schools programs. For the improvement of efficiency of Health Promoting Schools programs, cooperation with family and community link and support system would be necessary.

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Individual-Based Models Applied to Species Abundance Patterns in Benthic Macroinvertebrate Communities in Streams in Response to Pollution

  • Cho, Woon-Seok;Nguyen, Tuyen Van;Chon, Tae-Soo
    • Korean Journal of Ecology and Environment
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    • v.45 no.4
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    • pp.420-443
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    • 2012
  • An Individual-Based Model (IBM) was developed by employing natural and toxic survival rates of individuals to elucidate the community responses of benthic macroin-vertebrates to anthropogenic disturbance in the streams. Experimental models (dose-response and relative sensitivity) and mathematical models (power law and negative exponential distribution) were applied to determinate the individual survival rates due to acute toxicity in stressful conditions. A power law was additionally used to present the natural survival rate. Life events, covering movement, exposure to contaminants, death and reproduction, were simulated in the IBM at the individual level in small (1 m) and short (1 week) scales to produce species abundance distributions (SADs) at the community level in large (5 km) and long (1~2 years) scales. Consequently, the SADs, such as geometric series, log-series, and log-normal distribution, were accordingly observed at severely (Biological Monitoring Working Party (BMWP<10), intermediately (BMWP<40) and weakly (BMWP${\geq}50$) polluted sites. The results from a power law and negative exponential distribution were suitably fitted to the field data across the different levels of pollution, according to the Kolmogorov-Smirnov test. The IBMs incorporating natural and toxic survival rates in individuals were useful for presenting community responses to disturbances and could be utilized as an integrative tool to elucidate community establishment processes in benthic macroin-vertebrates in the streams.

The Evaluation of the Community based Opthalmologic Health Services for Elderly in Chuncheon City, Kangwon Province (지역사회 중심의 노인 안보건사업 평가 - 강원도 춘천시를 중심으로 -)

  • Rhee Seonja;Jang Soongnang
    • Journal of Korean Public Health Nursing
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    • v.14 no.1
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    • pp.114-121
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    • 2000
  • This study is designed to evaluation of the Community based Opthalmologic Health Services(CBOHS) for elderly carried out for last three years from 1994. The subjects were total 236 aged over 57 in Chuncheon city. Kangwon province. and the period of data collection was from Feb. 24th. 1996 to Feb. 27th. 1996. For evaluation of CBOHS. the questionnaire was consisted of participation rate. and perception about the service. the level of satisfaction and things to improve. Result were obtained as follows: 1. The number of participants was $95(40.3\%)$ among total subjects. The places provided services were the health service center of Seoul National University in Chuncheon city and community health center. The participants were known from announcements of community staff$(66.3\%)$. 2. Non participants were $59.7\%$ among total subjects. mam causes of missing wasn't known'. 3. The services that participants screening test$(41.2\%)$. provided provided operation$(45.5\%)$. 4. The question about things to improve were continuous follow up and more many glasses provision These fingings may indicate that the CBOHS need more announcement. continuous follow up and provide more many glasses. As proved the satisfaction of CBOHS for elderly. the next study can be performed about the relevant factor of the services.

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Factors Associated with Health Promotion of Caregivers Based on a Socio-ecological Model (사회생태모형에 기초한 요양보호사 건강증진행위의 관련요인)

  • Kim, Young-Ae;Yoon, Hee-Sang
    • Journal of Korean Public Health Nursing
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    • v.25 no.1
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    • pp.61-72
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    • 2011
  • Purpose: To investigate the behavioural factors of the health promotion for caregivers based on a socio-ecological model. Methods: This study was a cross-sectional descriptive study using a self administered questionnaire. The survey was conducted in 219 people chosen through convenient sampling between September and December 2008. The collected information included general characteristics, individual, interpersonal, community, policy level. Results: For the statistical analysis, the t-test was used for the health promotion according to the general characteristics and to each level of the socio-ecological model, by assessing the high and low values and dividing them into mean points. The influence elicited by different health promotion factors was determined using the hierarchical multiple regression. At the individual level, the factors influencing health promotion in caregivers included perceived seriousness, perceived benefits, and self efficacy. Social support was important at interpersonal level, and the use of community resource was relevant for the community level. We found no statistically significant factors relating to the policy level. Conclusions: In conclusion, the socio-ecological models seems appropriate for explaining health promotion and its associated factors in caregivers. We suggest that, for caregivers, strategies should be developed for their social support and to offer information about how to use community resources in relation with factors relating to the individual level.

Virtual Reality Community Gait Training Using a 360° Image Improves Gait Ability in Chronic Stroke Patients

  • Kim, Myung-Joon
    • The Journal of Korean Physical Therapy
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    • v.32 no.3
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    • pp.185-190
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    • 2020
  • Purpose: Gait and cognitive impairment in stroke patients exacerbate fall risk and mobility difficulties during multi-task walking. Virtual reality can provide interesting and challenging training in a community setting. This study evaluated the effect of community-based virtual reality gait training (VRGT) using a 360-degree image on the gait ability of chronic stroke patients. Methods: Forty-five chronic stroke patients who were admitted to a rehabilitation hospital participated in this study. Patients meeting the selection criteria were randomly divided into a VRGT group (n=23) and a control group (n=22). Both these groups received general rehabilitation. The VRGT group was evaluated using a 360-degree image that was recorded for 50 minutes a day, 5 days per week for a total of 6 weeks after their training. The control group received general treadmill training for the same amount of time as that of the VRGT group. The improvement in the spatiotemporal parameters of gait was evaluated using a gait analyzer system before and after training. Results: The spatiotemporal gait parameters showed significant improvements in both groups compare with the baseline measurements (p<0.05), and the VRGT group showed more improvement than the control group (p<0.05). Conclusion: Community-based VRGT has been shown to improve the walking ability of chronic stroke patients and is expected to be used in rehabilitation of stroke patients in the future.