• Title/Summary/Keyword: Health Maintenance Program

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Evaluation of the Home-based Rehabilitation Program Based on CBR Model Through In-depth Interviews With Visiting Physical Therapists

  • Lee, Minyoung;Chung, Jinjoo;Hong, Hye Jung;Yoon, Bum Chul
    • The Journal of Korean Physical Therapy
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    • v.27 no.1
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    • pp.68-77
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    • 2015
  • Purpose: This study was conducted in order to explore home visiting therapists' self-perceived role, problems, and supplement points of the home-based rehabilitation (HR) program based on the community-based rehabilitation (CBR) model. Methods: Four home visiting physical therapists, who conducted the HR program, participated in this study. After completion of the HR program, in-depth interviews were conducted using a semi-structured questionnaire for participants to explore their self-perceived role, problems, and supplement points of the HR program. Results: Participants regarded the role of the HR program as for "the linkage between recipient & society", "maintenance & improvement of recipients' physical function", and "education of recipient about the way of self rehabilitation". The problems and supplement points were derived from all phases of the HR program, including "human & material resources", "training program for human resources for HR service", "selection of recipient of HR service", "contents of the intervention for HR service", and "duration of HR service". Conclusion: These findings indicate that participants well recognized the intention of the HR program based on the CBR model, and suggest that high-quality human resources with rich expertise and experiences, a training program for HR service led by experts, and selection of recipients led by experts are necessary for an effective HR program. In addition, strategies and capacities specified to HR service should be identified, and applied to the training program for human resources for HR service. The results of this study could provide useful information when the government decides on the next guideline for home visiting health service.

Effect of a Complex Leg Exercise Program for Hemodialysis Patients with Restless Legs Syndrome (하지불안증후군을 경험하는 혈액투석 환자를 위한 하지복합운동 프로그램 적용 효과)

  • Ko, Seon Il;Kang, Kyung Ja
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.3
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    • pp.385-394
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    • 2020
  • Purpose: This experimental study with nonequivalent control group and pre/post-tests aims to investigate the effects of a complex leg exercise program on severity of restless legs syndrome, sleep quality, depression, and physical performance in patients with maintenance hemodialysis. Methods: Patients in the experimental group were provided with the leg exercise program three times a week for eight weeks, a total of 24times, through watching videos during hemodialysis from August 1, 2017 to October 25. The experimental group and control group consisted of 22 people each. Data were analyzed using descriptive statistics, χ2 test, Fisher's exact test, and independent t-test utilizing SPSS/WIN 22.0. Results: After providing with the leg exercise program, these were level of restless legs syndrome and depression were significantly decreased in the experimental group (t=2.79, p=.032; t=0.53, p=.036, respectively). However, sleep quality and physical performance did not have significant difference between the two groups (t=0.02, p=.947; t=1.74, p=.957, respectively). Conclusion: A complex leg exercise program appears to be beneficial in improving restless legs syndrome and depression in maintenance hemodialysis patients with restless legs syndrome.

Damage assessment of structures - an US air force office of scientific research structural mechanics perspective

  • Giurgiutiu, Victor
    • Smart Structures and Systems
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    • v.6 no.2
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    • pp.135-146
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    • 2010
  • This paper presents the perspective of the Structural Mechanics program of the Air Force Office of Scientific Research (AFOSR) on the damage assessment of structures for the period 2006-2009 when the author was serving as Program Manager at AFOSR. It is found that damage assessment of structures plays a very important role in assuring the safety and operational readiness of US Air Force fleet. The current fleet has many aging aircraft, which poses a considerable challenge for the operators and maintainers. The nondestructive evaluation technology is rather mature and able to detect damage with considerable reliability during the periodic maintenance inspections. The emerging structural health monitoring methodology has great potential, because it will use on-board damage detection sensors and systems, will be able to offer on-demand structural health bulletins. Considerable fundamental and applied research is still needed to enable the development, implementation, and dissemination of structural health monitoring technology.

Program Evaluation using the RE-AIM Framework: A Systematic Review and Application to a Pilot Health Promotion Program for Children (RE-AIM 프레임워크를 이용한 프로그램 평가: 체계적 고찰과 어린이 대상 건강증진 프로그램 평가)

  • Lee, Ji-Eun;Shim, Jae Eun;Kim, Kirang;Kang, Jae-Heon;Hwang, Ji-Yun
    • Korean Journal of Community Nutrition
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    • v.27 no.4
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    • pp.296-308
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    • 2022
  • Objectives: This study aimed to develop evaluation criteria for the elementary-school-based health promotion program using the RE-AIM framework and to examine their feasibility. Methods: Previous evaluation studies on health interventions for elementary-school students using the RE-AIM framework were reviewed systematically to identify appropriate evaluation criteria. A diet and physical activity intervention based on the transtheoretical model was implemented in a pilot study using the "Happy Me" application. The feasibility of using the RE-AIM framework to evaluate it was examined. Results: The review yielded the following evaluation criteria: "reach," the ratio of participants out of the total target population; "efficacy/effectiveness," the difference in outcomes between the intervention and control groups, or between a pre- and post-test; "adoption," the rate of use of the program and participation in the next stage of the program; "implementation," the progress on the program components; "maintenance," the participants' and teachers' intention to continue using the program. The pilot study reached 76.6% of the targeted population. The intake of sugar-sweetened beverages decreased (P < 0.0001), and the duration of walking increased (P < 0.0001). Other indicators could not be evaluated; therefore, potential indicators were suggested. Conclusions: This study produced feasible evaluation criteria for elementary-school-based health promotion using the RE-AIM framework. Nevertheless, the feasibility needs to be validated with a broader range of studies and long-term interventions.

The Factors Influence upon Job Maintenance of the Mentally Disabled with Job Experience (취업한 정신장애인의 직업유지에 영향을 미치는 요인)

  • Byun, Eun-Kyung;Yoon, Suk-Ja;Choi, Song-Sik
    • Korean Journal of Occupational Health Nursing
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    • v.21 no.1
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    • pp.18-26
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    • 2012
  • Purpose: This study tried to explore factors influencing on job maintenance of the mentally disabled who employed before. The subjects of this study were the mentally disabled who participated in community mental health center and social rehabilitation center, there had experienced a job in the past. Methods: The number of community centers were 27 places, there were located in different region. The number of participants were 221 persons agreed to this study. Data was analyzed by Mean, SD and logistic regression analyzation using SPSS/WIN 14.0. Results: General character such as age was significant factor. Monthly pay and working a day in the midst of job related factors were significant. Moreover, job rehabilitation program satisfaction rate and social support revealed significant factors. Conclusion: On the basis of results, Job rehabilitation programs for job maintenance of the mentally disabled should be development and establish mediate strategies to improve social support to them.

The Effect in Oral Health Promotion Program Based on Community Networking for Elementary School Students from Community Child Center (지역사회 협의체 중심의 지역아동센터 구강건강증진 프로그램의 효과)

  • Yum, Jong Hwa;Kim, Hye-Jin;Kwon, Myoung-Hwa;Shin, Sun-Jung
    • Journal of dental hygiene science
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    • v.14 no.2
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    • pp.214-222
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    • 2014
  • This study measures the effect of oral health promotion program based on community networking for elementary school students in community child center. The community networking were constructed of community health center, headquarters for community child center and school of dental hygiene in community. First, we were educated the student and teacher of community child center, separately. Community health center planned and evaluated the program, and school of dental hygiene ran the maintenance program once a month for 3 months and evaluated the program. The teacher of community health center were supported and monitored the children. The comparison was done in independent t-test of awareness, knowledge and behavior of children of community child center in both lower grades and upper grades and paired t-test of patient hygiene performance (PHP) index was conducted before and after oral health promotion program. As a result, PHP index and oral health knowledge increased significantly after oral health program in lower grades and upper grades (p<0.001). The positive attitude for oral health about "Whatever I do, my tooth-will be decayed" increased more in upper grades better than lower grades after oral health promotion program (p<0.05). We suggest that oral health program based on community networking should be constructed for oral health promotion of elementary school students in community child center.

A Study on the Relations between Physical Exercise and Health Status in Middle-aged Women (중년여성의 운동실천과 건강상태에 관한 연구)

  • Park, Chai-Soon
    • Research in Community and Public Health Nursing
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    • v.10 no.2
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    • pp.400-411
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    • 1999
  • The purpose of this study was to identify the physical exercise and the effects of exercise on health. Data were collected from Oct. to Dec. 1998. The subjects were 241 middle aged women living in Seoul and near Seoul. The following instruments were used in the study: The questionniare for physical exercise and health status was combined with simple CMI and climacteric symptom. Analysis of the data was done by chi-test. t-test. and ANOVA with SAS program. The results of this study were as follows: 1. The rate of physical exercise was 59.3% of subjects. The mean number of exercise per week was 3.1. Duration at one time exercise was 25.6 minutes. The period of exercise was 18.6 months. And main objective of exercise was health promotion. 2. The physical exercise had differences according to the age. job. monthly income. period of marriage. type of family. and perceived body image. 3. Musculoskeletal and mental complaints were lower in no-exercise group than exercise group(respectively P=0.04. 0.02). According to the duration of exercise. autonomous nervous symptoms was the lowest in 20 minutes group(P=0.04) and psychologic complaints was the lowest in below 60 minutes group(P=0.03). According to the period of exercise. cardiovascular and fatigue complaints was the lowest in 7-12 months maintenance group and autonomous nervous complaint was the lowest in below 3 months maintenance group(P=0.04). This study is only a preliminary effort. so I recommend that the repeated studies be carried out including detailed. comprehensive exercise practice and developing systematic exercise program.

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The practices of dental implant maintenance care in dental service consumers according to their knowledge and attitude (지식, 태도에 따른 치과의료소비자의 임플란트 유지관리 실태)

  • Han, Su-Jin;Kim, Hyun-Jung;Han, Hwa-Jin;Yoo, Eun-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.3
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    • pp.479-492
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    • 2017
  • Objectives: The purpose of this study is to understand the practices of the dental implant maintenance care according to knowledge and attitude toward dental implant in the dental service consumers. Methods: T-test, ANOVA, and cross tabulation were carried out to understand the knowledge and attitude toward the dental implant, the experiences of the treatments, and the practices of their maintenance care depending on the general characteristics and the oral-health education experience. The collected data were analyzed using by SPSS Windows Program 23.0. Results: The actual state of the implant maintenance care was revealed to be high in the use of oral care products with 83.9% and in the professional maintenance care with 86.0%. In terms of the implant-related experiences, the participation and the participation frequency in the professional maintenance care were resulted to be higher especially in those with more cases of surgical procedures and in those with more failure experiences. Examining the practices of management according to knowledge and attitude toward dental implant, the higher in knowledge and attitude led to the higher uses of oral care products. The periodically professional maintenance care was indicated to be received even if being taken high management cost. Conclusions: Effective education methods and programs are necessary to be developed and executed so that information and knowledge can lead the correct practices in the dental service consumers.

The Effects of 6 Months Lifestyle Coaching Program for Adults with Hypertension (고혈압 성인에게 적용한 6개월의 코칭 건강관리 프로그램의 효과)

  • Kim, Myoung Suk;Song, Misoon
    • Perspectives in Nursing Science
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    • v.10 no.2
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    • pp.111-119
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    • 2013
  • Purpose: The purpose of this study was to determine the effects of 6 months lifestyle coaching program for adults with hypertension. Methods: The study utilized the one-group pretest-posttest design. The subjects were recruited from a corporation group member of a private health maintenance organization. The data of 35 subjects who completed the program out of initial 114 subjects were analyzed for this study. The program included 6 times of monthly face-to-face visits and additional short messages by cellular phone. They were given education for self-management of hypertension and coaching for lifestyle modification. Dependent variables were measured at the beginning and at the end of 6months program and compared by paired t-test. Results: There were significant reductions in systolic and diastolic BP, BMI, total cholesterol, and fasting blood sugar. Among the variables in life style, significant changes were shown in alcohol consumption (frequency and quantity) and exercise (frequency and duration). Conclusion: This study showed that 6 months lifestyle coaching program has potential for positive outcomes on BP control and modifying lifestyle for adults with hypertension. However, additional study is needed to find sustainability of lifestyle and the long-term effect of the program with larger sample.

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The Effects of the Thera Band Exercise Program on Bone Mineral Density and Health Promotion Behaviors in Elderly Women (세라밴드 운동 프로그램이 여성노인의 골밀도와 건강증진행위에 미치는 효과)

  • Kim, Joo Hyun;Hyun, Hye Jin;Ahn, Mi Hyang;Choi, Eun Young;Ko, Ga Yeon;Park, Bock Soon
    • Journal of Korean Biological Nursing Science
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    • v.15 no.3
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    • pp.147-153
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    • 2013
  • Purpose: This study was conducted in order to closely examine the effects on bone mineral density and health promotion behaviors following the intervention of a 20-week Thera band exercise program targeting elderly women. Methods: This study is a pseudo-experimental research with a pre-and-post design in a single group that examined the effects after the intervention of Thera Band Exercise for 20 weeks targeting 31 elderly women over 60 years of age who visit a Senior Welfare Center located in K city. It analyzed subjects' general characteristics using error and percentage, health promotion behavior, and a bone density aspect using the mean and standard deviation, as well as a change in the health promotion behavior and bone density, before and after exercise with Paired t-test by using the SPSS 18.0 program. Results: The effect of the Thera band exercise program on bone mineral density was reduced (t=8.140, p<.001) gradually after 20 weeks of exercise compared to the pre-exercise period. The health promotion behavior before and after exercise showed the significantly increasing outcomes (t=3.26, p=.003). Conclusion: There is a limitation to a direct rise in bone mineral density with the use of Thera band exercise intervention in the elderly. A change in health promotion behavior before and after exercise increased significantly. Thus, it was confirmed that taking exercise leads to a gradual rise in health promotion behavior. Hence, it understood that continuous exercise is useful and brings about a positive change in promoting health maintenance in elderly women.