• Title/Summary/Keyword: Health Problem

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Factors Influencing Problem and Pathological Gambling in Participants of Horse Race Gambling (경마장 이용객의 도박중독 관련요인)

  • Hyun, Mi-Yeul;Cho, Ok-Hee
    • Journal of Korean Academy of Nursing
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    • v.42 no.4
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    • pp.589-598
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    • 2012
  • Purpose: The purpose of this study was to examine risk factors for pathological gambling of horse race participants. Methods: The participants, 508 horse race gamblers, completed the DSM-IV criteria of pathological gambling, Alcohol Use Disorders Identification Test (AUDIT-K) and Symptom Checklist-47-Revision (SCL-47-R). Data were analyzed using t-test, $x^2$-test, Fisher's exact test, and logistic regression analyses. Behaviors related to horse racing, alcohol abuse, and mental health were analyzed between problem or pathological gamblers compared to recreational gamblers. Results: The prevalence rates of recreational, problem, and pathological gambling were 36.6%, 39.4%, and 24.0%, respectively. Frequency of gambling (${\geq}4/day$), frequency of racetrack visiting (${\geq}3/month$), accompaniment (alone), and mental health (SCL-47-R scores) were all associated with increased risks of problem and pathological gambling. Expenditure on betting (${\geq}200,000$ won/day) and alcohol abuse (AUDIT-K 8-20 scores) group members had higher levels of gambling pathology than recreational gamblers. Conclusion: Problem and pathological gambling are highly associated with alcohol abuse and mental health disorders, suggesting that clinicians should carefully evaluate this population.

Mental Health of Elementary and Middle School Students, and Related Familial-Social Factors in Health Promoting School (건강증진학교에서 초등학교와 중학교 학생들의 정신건강 실태 및 관련된 가정-사회적 요인들)

  • Ahn, Dong-Hyun;Jung, Seung-Ah;Kim, Seok-Hyeon;Song, Wha-Jin;Lee, Mi-Soon
    • Journal of the Korean Society of School Health
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    • v.21 no.2
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    • pp.35-46
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    • 2008
  • Purpose: This study was a part of preliminary survey for establishing Korean HPS(Health Promoting School) model which was originally suggested by WHO. Methods: Three elementary and middle schools were sampled in urban and rural area across three level of social-economic status, and survey was conducted on one class in each grade by random selection. To measure mental health and social and familial factors, self-esteem scale, self-efficacy scale, depression scale, family cohesion scale, parent-child communication scale, adolescent's mental health and problem behavior questionnaire(AMPQ), and other question items about family status and economic level were conducted. Students' mental health level was compared by region, sex, grade, and other familial and economic factors. Results: Familial and social factors such as economical and educational level of parents, number of family members were different between rural and urban area. Also, students of rural area got lower scores at self-esteem, self-efficacy, but higher scores at extroverted problem behavior than their urban counterparts. In pre-school students, high grade students' self-esteem, and family cohesion scores were lower than low grade students. And sexual differences were found across problem behavior domain and region in middle school students. Especially, the students of single-parent family and lower economic family got insistently low scores at various mental health related scales. Conclusion: These results should be considered, when the HPS model is designed and applied in Korea.

Evaluation Research on the Application of Problem-Based Learning Program in Community Health Nursing (지역사회간호학의 문제중심학습(Problem-Based Learning) 평가)

  • Cho, Won-Jung;Seo, Mi-Hye;Kim, Eui-Sook;Lee, Kyung-Hee;Bae, Sun-Hyoung;Kim, Gwang-Suk;Seo, Ku-Min;Ham, Ok-Kyung;Storey, Margaret J.;Lee, Chung-Yul
    • Research in Community and Public Health Nursing
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    • v.14 no.4
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    • pp.579-586
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    • 2003
  • The goal of community health nursing courses is to prepare student nurses so that they become able to perform a variety of nursing roles in community. To achieve this goal, programs for community health nursing must develop students' abilities to function independently as community health nurses. This study evaluated the effectiveness of Problem-based Learning(PBL) as a teaching method in programs for community health nursing at four-year colleges of nursing. The subjects of this study were senior students at Y University. The study was designed as a descriptive & comparative survey. To determine the effectiveness of PBL, the author analyzed the process and results of teaching. The PBL teaching method was found to be significantly effective in building critical thinking abilities and increasing knowledge. The results also showed that the 43 students who were taught by both PBL and lecture teaching methods got a significantly higher' knowledge score than the other 28 students who were taught only by lectures. As for the future direction of community health nursing courses, a teaching strategy involving both PBL and lectures is recommended.

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A Study on the Budget Allocation to Public Health Programs Using Matrix Delphi Technique (매트릭스 구성 델파이법을 이용한 공공보건사업 예산배분 연구)

  • 장원기;정경래
    • Health Policy and Management
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    • v.10 no.4
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    • pp.99-115
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    • 2000
  • This study was conducted to get a resonable set of budget allocation to public health programs. Matrix Delphi technique was used to obtain the logic of study results and eventually to form a human model which could predict opinion of professionals on budget allocation. Thirty-two professionals in academic and governmental area responded to Delphi survey. Questionnaire was developed using matrix formation, and the matrix was formed by 6 decision criteria on budget allocation and 26 public health programs. The decision criteria are as following: size of problem(morbidity), severity of problem, social equity, importance of prevention, technical feasibility and efficiency of programs. Severity of problem dropped out of the model because it had significant correlation with the size of problem. A total score of each program was obtained by weighting the relative importance of each criteria which also were given by survey respondents. These total scores indicate that the most important public health program is vaccination for infants and children in terms of budget allocation. Monitoring communicable diseases, mental health program, and anti-smoking program are the next. In addition, respondents were asked of the desirable budget size of each program. The result was rearranged by multiple regression model using the scores of each decision criteria. In this process, the current budget size of central government was provided to the respondents, and included in the model. h set of desirable budgets modified using tile model was obtained. Considering the current size of budget, tile results of the model is very different from that of the total score. Managing dementia is ranked the first. Health promotion program for the elderly, rehabilitation of the disabled and monitoring communicable diseases are the next. The need to increase the budget of vaccination for the infants and children was not found as so high. The matrix structure in Delphi survey gave us the precise basis to make optimal decision, and made it possible to develop an opinion predicting model. However the plentifulness and diversity of professional opinions were not fully obtained due to the limited number of decision criteria.

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The Effects of the Home Health Nursing Practical Education Program Applying Simulation on Knowledge related Home Health Nursing, Problem-solving Ability, and Clinical Competency (시뮬레이션을 적용한 방문건강관리 실습교육 프로그램이 방문간호 지식, 문제해결 능력, 임상수행 능력에 미치는 효과)

  • Kim, Mi-Han;Ha, Young-Sun;Na, Yoon-Joo
    • Journal of Digital Convergence
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    • v.19 no.12
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    • pp.605-616
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    • 2021
  • This study examined the effect of using home health practical education program applying simulation for nursing college students. The study was carried out according a nonequivalent control group design. The study subjects were 60 nursing college students. The home health practical education program applying simulation program was carried out for 2 weeks. The data collection period was from March 29, 2021 to May 7, 2021. Collected data were analyzed using SPSS PC+ 19.0. The experimental group had significantly different in knowledge related home health nursing, problem-solving ability, and clinical competency in comparison to the control group. This suggests that the home health practical education program applying simulation can be applied as a way to increase nursing students' knowledge related home health nursing, problem-solving ability, and clinical competency.

A Study on the Health Policy Issues of Telemedicine Problem in Korean

  • Jeun, Young-Ju
    • Journal of the Korea Society of Computer and Information
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    • v.20 no.11
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    • pp.151-156
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    • 2015
  • Recently, the government tends to address the health policy as an economic logic. However, health policy must be priority to national health right than economic logic. Thus, in this paper analyzes the problems of telemedicine for telemedicine that are at issue in South Korea, based on this, and presents reasonable health policy directions for telemedicine. To amend the law and legislation the health policy and law, analyze the rationality, feasibility of law and sufficient review should be implemented. Comparing to the foreign which introduced telemedicine earlier, discussion on telemedicine in South Korea remains a long way to go and it is now beginning step. Therefore, it should not forget that the health policy of the government with crass insensitivity can bring great disaster. Above all, to the health care, the sufficient review and social consensus which can reduce the side-effects are priority.

Effect of Simulation-based Practice by applying Problem based Learning on Problem Solving Process, Self-confidence in Clinical Performance and Nursing Competence (문제중심학습을 적용한 시뮬레이션 실습이 간호학생의 문제해결과정, 임상수행자신감과 간호수행능력에 미치는 효과)

  • Song, Young A
    • Women's Health Nursing
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    • v.20 no.4
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    • pp.246-254
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    • 2014
  • Purpose: The purpose of this study was to analyze the effectiveness of simulation-based maternity nursing practice by applying problem based learning (PBL) on the problem solving process, self-confidence in clinical performance and nursing competence of nursing students. Methods: This study was one group pre-posttest design, with 123 third year nursing students. Data were collected from March 19 to May 29, 2013 as the students completed their simulation practice class. Students completed a survey about their problem solving process, self-confidence, and nursing competence at the beginning and the end of the class. Results: Students' problem solving process, self-confidence, and nursing competence showed significant improvements after the simulation-based maternity nursing practice. Conclusion: Therefore, it is recommended that current maternity nursing curriculum should be reviewed and improved, and the students should be provided variety of simulation-based education and maternity nursing skills.

Comparison of Child-rearing Attitudes of Parents and Problem Behavior of Children as Perceived by Parents and Children (부모의 양육태도와 자녀의 문제행동에 대한 부모와 자녀의 지각 비교)

  • Kwon, Mi-Kyung
    • Child Health Nursing Research
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    • v.15 no.2
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    • pp.164-170
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    • 2009
  • Purpose: In this study a comparison was done of child-rearing attitudes of parents and problem behavior of children as perceived by parents and children. Methods: The participants were 205 fifth and sixth graders living in the city of Gangneung and their parents. The child-rearing attitudes and the problem behavior were assessed using a self-reported questionnaire. Results: The perception scores of the parents and children for total parents child-rearing attitudes were significantly different. There were also significant difference in the subcategories, affectionate-hostile, autonomous-controlling, rational-irrational. The scores for total behaviors problem as well as the sub-categories were all significantly different for the parents and children. Conclusion: As there were differences in perception of child-rearing attitudes of parents and problem behavior of children between parents and their children, nurses should help parents to communicate with their children with affection and respect, and to observe their environment to identify problem behavior.

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Factors associated with depressive mood among problem drinkers by gender (성인 문제음주자의 성별에 따른 우울경험과 관련 요인)

  • Lee, Eun-Ju;Lee, Eun-Sook
    • Journal of the Korea Convergence Society
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    • v.11 no.2
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    • pp.375-384
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    • 2020
  • The purpose of this study was to assess the relationship between drinking patterns and depressive mood, and to understand the factors associated with depressive mood among problem drinkers. Data of 19,878 adults over 19 years of age and older from the third Korea National Health and Nutrition Examination Survey were evaluated by multivariate logistic regression analysis. The risk of depressive mood was greater with higher level of problem drinking in both genders. For male problem drinkers, the factors associated with depressive mood include older age, lower education level, unemployment, high perceived stress, bad subjective health status, and non-married status. For female, higher risk was found in groups with the age of 40-49, lower education level, unemployment, high perceived stress, and bad subjective health status. By early screening of the identified risk factors, progression to mental health problem can be avoided. For preventative measures, differential approach depending on gender is suggested.

A Comparison of Drinking Refusal Self-efficacy and Mental Health between Two Groups of Korean Nursing Students (간호대학생의 음주실태, 음주거부 자기효능감과 정신건강: 정상음주군과 문제음주군 비교)

  • Park, Hyoung-Sook;Cho, Myo-Heon;Cho, Gyoo-Yeong;Kim, Dong-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.1
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    • pp.110-119
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    • 2011
  • Purpose: This study was conducted to identify the consumption of alcohol as well as to compare drinking refusal self-efficacy and mental health between an average drinking group and a problem drinking group of Korean nursing students. Methods: A questionnaire using the Alcohol Use Disorders Identification Test (AUDIT) measuring drinking refusal self-efficacy and mental health was given to 938 students of two universities in Gyeongsangnam-do. Results: Among the respondents 381 (40.6%) were problem drinkers. The score of alcohol consumption in the AUDIT were 3.38 for the average group and 12.50 for the problem drinking group. There were significant differences between the average group and problem drinking group in age, living place, smoking, parent's drinking, age of the first drink and reasons for first drink. Participants of the average group had significantly higher drinking refusal self-efficacy than the problem drinking group. Regarding mental health, there were differences between the two groups in attempted suicide. The risk factors significantly associated with problem drinking were living place, smoking and reasons for the initial drink. Conclusion: These results provide guidance for developing strategies, such as an educational program, to promote safe alcohol consumption in nursing students.