• Title/Summary/Keyword: GERL

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The Effect of a Walking Program on Physical Health in Older Adults (규칙적인 걷기운동이 노인의 신체적 건강에 미치는 효과)

  • Kim, Hee-Gerl;Nam, Hye-Kyung;Cho, Kyung-Sook
    • Journal of muscle and joint health
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    • v.15 no.2
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    • pp.183-190
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    • 2008
  • Purpose: The purpose of this study was to examine the effect of a walking program on body mass index (BMI), blood pressure, cholesterol, and blood glucose in community-dwelling older adults. Method: A quasi-experimental research design (one group pretest-posttest) was employed. Participants were recruited in Seoul and a total of 57 community-dwelling older adults completed the 10-week walking program. Descriptive statistics and paired t-tests were used in the data analysis by SPSS WIN 14.0. Result: The participants showed lower BMI, systolic blood pressure, diastolic blood pressure, cholesterol level, and blood glucose level after than before participation in the walking program. Body mass index significantly decreased (t= 2.911, p= .005) after completing the walking program. There were, however, no significant changes in blood pressure, cholesterol, and blood glucose after completing the walking program. Conclusion: Findings of this study indicated that the 10-week walking program had favorable effect on BMI. Future research needs to target various older adult groups during a long-term period.

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The Effects of Case Management for Clients with Clonorchiasis in Riverside Areas (강유역의 간흡충 감염양성자를 위한 사례관리 적용효과)

  • Kim, Chunmi;Kim, Hee-Gerl;June, Kyung-Ja;Kim, Souk-Young
    • Research in Community and Public Health Nursing
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    • v.23 no.4
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    • pp.427-437
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    • 2012
  • Purpose: In order to lower the infection rate and the reinfection rate of Clonorchiasis in high-risk areas, we performed and analyzed a case management on people with chlonorchisis. Methods: The data was collected from April 2010 to March 2011. A community health practitioner was selected as a case manager based on our training program. The intervention group had 58 participants with three months of case management and the control group had 144 participants handled with traditional methods. Results: the pre and post-test in the intervention group and the control group showed us improved knowledge of Clonorchiasis, attitudes and behavior toward eating freshwater fish. The results of post-test between the intervention group and the control group showed statistically significant differences in all categories, except a hand-washing category. However, one year after a case management, there was no significant difference in the failure rate of treatment. Conclusion: The case management was effective for people infected with Clornorchiasis near riverside areas; however, in order to lower the rates of reinfection and treatment failure, it is necessary to perform continuous monitoring and regular evaluations.

A Survey on Housing Environment of Vulnerable Population - Focused on the Recipients of Visiting Health Care Services - (취약계층의 주거환경 실태조사 -보건소 방문보건사업 대상을 중심으로-)

  • Kim, Hee Gerl;Nam, Hye Kyung
    • Journal of Korean Public Health Nursing
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    • v.29 no.3
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    • pp.528-539
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    • 2015
  • Purpose: The aim of this study is to provide baseline data on the housing environment of a vulnerable population. Methods: This study provides a descriptive survey on the housing environment of a vulnerable population of a city in Gyeong-gi province. A total of 9,061 households were selected as research participants. Data were collected through face-to-face interviews by visiting nurses from February 2014 to March 2014. Results: Interviewees answered "poor" on items including cold drafts, illumination, daylight penetration, inflow of polluted air, house odor, stairs safety, noise, mold, pests, and ventilation. The score for housing environment problems showed a significant group difference due to gender, age, economic status, family type, type of housing, and type of ownership. Conclusion: These results indicate that the vulnerable population is exposed to a poor housing environment. Thus, there is an urgent need to improve the housing environment for the vulnerable population. Based on this study, linking a visiting health care service program and housing environment improvement projects from relevant administrative agencies might be recommended in order to effectively improve the housing environment.

Violence Victimization of Visiting Nurses and Prevention Strategies Adopted by Public Institutions in Korea (방문간호사가 경험하는 폭력의 특성과 예방대책)

  • Kim, Hee Gerl;Nam, Hye Kyung
    • Journal of Home Health Care Nursing
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    • v.24 no.3
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    • pp.243-254
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    • 2017
  • Purpose: This study aims to reveal violence victimization of visiting nurses and investigate the coping and prevention strategies adopted by public institutions. Method: The data were collected over three weeks in 2017 using self-report questionnaires from 237 visiting nurses. Data were collected between August 23 and September 15, 2017. Result: Among the respondents, 74.7% had experienced some types of work-related violence during the past year. Verbal abuse (65.4%) was most common, followed by physical threat (46.8%), sexual abuse (43.9%), and physical violence (5.5%). The nurses perceived the most common cause of violation as socio-economic frustration of the offenders vented out on the nurses. Besides, most reported offenders had mental health problems. The two most effective measures to prevent violence faced by the nurses are terminating visiting services for the offenders and implementing the buddy system, which has rarely been used in practice. Conclusion: These findings show that visiting nurses are exposed to a risk of serious abuse in everyday work life, and the nurses themselves or institutions have failed to handle the violence, showing shaky responses at best. Therefore, it is necessary to establish internal regulations and systems at the institutional level that can help prevent violence against visiting nurses.

A Study on Health Behaviors by a Risk Level of Metabolic Syndrome among Petty Merchants in Traditional Markets (재래시장 영세상인의 대사증후군 위험도별 건강행위에 대한 연구)

  • Kim, Hee-Gerl;Nam, Hye-Kyung;Yi, Yun-Jeong
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.3
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    • pp.328-336
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    • 2011
  • Purpose: The purpose of this study was to identify the health behaviors by a risk level of metabolic syndrome (MS) among petty merchants in traditional markets. Methods: The data were collected through questionnaires and physical examination on abdominal circumstance, triglyceride, HDL, blood pressure, and FBS of 177 subjects in S city, Korea. The data were analyzed by descriptive statistics, ${\chi}^2$-test (or fisher's exact test) and ANOVA using SPSS/WIN 18.0 program. Results: The prevalence of MS was 15.8%, and risk group was 72.9%. The abdominal circumstance and triglyceride levels were higher in MS group than those of the risk group and normal group. The HDL and systolic blood pressure levels were also higher in MS group than those of the normal group. Conclusion: The prevalence of MS and risk groups was high among petty merchants in traditional markets. However, these merchants did not practice health behaviors nor take institutional health management benefit. Therefore, governmental level community based health management services are requested for them.

Health Management Experiences of Rural Older Women (농촌 여성 노인의 건강의식 및 건강관리경험)

  • Kim, Souk Young;Kim, Hee-Gerl;June, Kyung-Ja;So, Ae Young;Park, Eunok
    • Journal of Korean Academy of Rural Health Nursing
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    • v.6 no.2
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    • pp.87-94
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    • 2011
  • Purpose: The purpose of this study was to describe health management experience in rural older women. Methods: Qualitative data were collected by focus group interviews with 25 participants from July to September, 2007. All the interviews were tape-recorded, transcribed, and analyzed by the content analysis method. Results: Seven main categories were conceptualized, "health concept", "health status", "disease management", "activity for health management", "dependence on the primary health care post", "relationships with families and others", "hope for the rest of life". Conclusion: The results of the study suggest that for health promotion in older women in rural regions, it is important to consider the usefulness of an incorporated program that combines agricultural work with health activity. In addition, complex programs that combine welfare services with health services are needed.

Development of an Intervention List for Family Nursing Care (가족간호를 위한 중재목록 개발)

  • Kim, Young-Im;Kim, Hee-Gerl;Jung, Hye-Sun
    • Research in Community and Public Health Nursing
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    • v.20 no.2
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    • pp.123-133
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    • 2009
  • Purpose: This study aimed to classify nursing interventions by developing a list of interventions for family nursing care. Methods: A new intervention list was confirmed after the researchers' discussion and professional consult. All possible interventions were re-organized. Results: Five grand categories were identified, which include health education, providing direct nursing care, utilization and referral of community resources, reinforcing family resources, and stress management. The category of health education consists of anticipatory guidance, training and education, providing information, and consult and motivation. The category of providing direct nursing care consists of identifying problem, providing technical nursing, providing family tailored nursing care, family contract, monitoring or evaluation, and collaboration with experts. The utilization and referral of community services includes utilization of health care facilities, utilization of social welfare facilities, use of neighbors, friends, and relatives, connecting to professionals or supporting groups, and utilization of other sources. Reinforcing family resources includes reinforcing economic resources, reinforcing physical resources, and reinforcing human resources. Stress management includes reorganization of perception, resolving conflicts, division of role, preparing communication strategies, time management, creating familiarity, supporting spirituality, and developing sense of humor. Conclusion: This study provides useful resources to promote nursing activities by identifying possible family nursing interventions.

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Factors that Affect Suicidal Ideation among Korean Adolescents by Family Type (가족형태에 따른 청소년의 자살생각에 영향을 미치는 요인)

  • Kim, Hee Gerl;Kim, Hee Jin
    • Journal of the Korean Society of School Health
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    • v.31 no.3
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    • pp.167-177
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    • 2018
  • Purpose: This study examined the factors that affect suicidal ideation among Korean adolescents according to their family type. Methods: The data of the 2017 Korea Youth Risk Behavior Web-based Survey was used in this study. Out of 62,276, a total of 60,077 adolescents (51,367 adolescents from two-parent families and 8,710 adolescents from single-parent families) were included in the analysis. Results: This study demonstrated that the level of suicidal ideation of the adolescents in single-parent families was significantly higher than that of the adolescents in two-parent families. The factors that affect suicidal ideation among the two-parent family adolescents were gender, grade, economic status, academic performance, smoking, drinking, physical activity, subjective health status, subjective body image, subjective happiness, stress, and depression. The factors that affect suicidal ideation among the single-parent family adolescents included gender, grade, smoking, subjective health status, subjective happiness, stress and depression. Conclusion: Single-parent family adolescents are likely to have a higher level of suicidal ideation along with higher levels of depression and stress and lower levels of subjective health and happiness, compared to single-parent family adolescents. For this higher-risk group of suicidal ideation, more thoughtful attentions and proactive policies are needed to manage their mental health and stress in school and family situations.

Core Competency Requirements and Implementation of the Workers Health Center Employees (근로자건강센터 직원의 핵심역량 요구 및 역량수행)

  • Hee Gerl, Kim;Ryoun Sook, Lee
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.32 no.4
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    • pp.414-424
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    • 2022
  • Objectives: This study was established to ascertain the requirements and implementation of core competencies for employees of the a workers' health center. Methods: The study consisted of a four-step process: a literature review, focus group interviews, expert opinions, and a questionnaire. The survey was conducted online among 119 employees of the National Workers' Health Center. Results: As a result of the research, eleven core competencies and 37 sub-competencies were derived in three areas: Competence as a social worker, competence to perform duties, and competence for maintaining expertise. The key demands for core competencies were "health consultation" and "understanding of small businesses.". They responded that they needed to "maintain an ethical attitude" and "consult on workers' health.". The largest score difference between core competency requirements and competency implementation was "collaboration with the community.". Conclusions: It is necessary to increase competencies not only for competencies with high core requirements, but also for relatively low competencies. In addition, efforts should be made to improve the core competencies of the employees of the Workers' Health Center to effectively respond to changes in the industrial structure and crises such as COVID-19.

A Study on Job Characteristics, Job Motivation and Job Performance of Public Health Nurses (보건소 간호사의 직무특성, 직무동기, 업무수행 비교)

  • June, Kyung-Ja;Kim, Hee-Gerl
    • Research in Community and Public Health Nursing
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    • v.8 no.2
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    • pp.250-261
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    • 1997
  • In Korea, visiting nursing services in pubic health centers have been in place since 1991. The purpose of this study is to compare the job characteristics, job motivation and job performance between visiting nurses and other public health nurses. 196 subjects were sent mailed questionnaires from Aug. to Sep., 1997. The response rate was 65.3%. Data were analyzed by a SPSSWIN program with a t-test, $X^2-test$, ANCOVA. The results were as follows : 1. The level of job ability in visiting nurses was higher than that of other public health nurses, but it was an insignificant difference(t=1.5975, p=.2078). Among job characteristics, skill variety was significantly higher in other public health nurses(t=8.2121, p=.0046); autonomy and feedback were significantly higher in visiting nurses(t=8.1877, p=.0047/t=7.7026, p=.0085). 2. There was no significant difference in the level of job motivation(t=.6485, p=.4216) and in job performance between the two groups (t=2.7393, p=.0995). In job performance, general nursing and organizational jobs were significantly higher in other public health nurses (t=4.8486, p=.1288/t=9.4237, p=.0024). 3. It was reconfirmed that there was, a significant difference in the level of skill variety, autonomy and feedback in analyzing age and career as covariates. 4. Significant positive relationship was found in job characteristics and job motivation(r=.5488, p=.0000). No significant relationship was found in job characteristics and job performance(r=.0486, p=.498). Through these results, it was supported that there were differences in some of the job characteristics and job performance between visiting nurses and other public health nurses. Therefore, it is requested to redesign job standards, training programs and management styles focusing on the job characteristics of visiting nurses.

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