• Asian Pacific Journal of Cancer Prevention
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• 제13권2호
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• pp.671-676
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• 2012

Objectives: Screening for second primary cancer (SPC) is one of the key components of cancer survivorship care. The aim of the present study was to explore oncologists' experience with promoting second primary cancer screening. Methods: Two focus group interviews were conducted with 12 oncologists of diverse backgrounds. Recurrent issues were identified and placed into thematic categories. Results: Most of the oncologists did not consider SPC screening promotion as their responsibility and did not cover it in routine care. All of the study participants had experience with unexpected SPC cases, and they were under emotional tress. There was no systematic manner of providing SPC screening. Oncologists usually prescribe SPC screening in response to patients' requests, and there was no active promotion of SPC screening. Short consultation time, limited knowledge about cancer screening, no established guideline for SPC screening, and disagreement with patients about oncologists' roles were major barriers to its promotion. An institution-based shared care model was suggested as a potential solution for promoting SPC screening given current oncology practices in Korea. Conclusion: Oncologists could not effectively deal with the occurrence of SPC, and they were not actively promoting SPC screening. Lack of knowledge, limited health care resources, and no established guidelines were major barriers for promoting SPC screening to cancer survivors. More active involvement of oncologists and a systematic approach such as shared-care models would be necessary for promoting SPC screening considering increasing number of cancer survivors who are vulnerable.

• 동의생리병리학회지
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• 제23권6호
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• pp.1521-1528
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• 2009

This study aimed to know the association between health practices(Alameda 7) and health state according to Sasang Constitution. We recruited 204 subjects whose age were between 10 and 80, excluding individuals who have physically or psychologically serious diseases, and women in pregnancy among Korean population in Traditional Korea Clinics. They were diagnosed by Sasang constitution specialists and confirmed clinically with Sasang constitution drug response with past medical records. We used the 36-Item Short Form Health Survey(SF-36) to estimate health state related with quality of life. We statistically analyzed association using SPSS 17.0K for window. According to Sasang Constitution, smoking and exercising were associated with health degree in Tae-eumin, smoking, drinking, diet and snacking in So-eumin, and past smoking, drinking, sleeping and exercising in So-yangin. These results suggest that there are different health practices for health promotion according to Sasang constitution. Therefore we have to consider the differences of Sasang constitution in health care plan.

• 한국간호교육학회지
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• 제12권1호
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• pp.78-85
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• 2006

Objectives: College students experiences more stress than when they were in high school. The students in nursing college, experience a variety of stress related to clinical practices, the examination for registered nurse license etc. The purpose of this study was to identify the factors that affect the health promotion behavior among the students in a nursing college based on SAT(Social Action Theory). Methods: The study was a cross-sectional design with a convenience sample of 427 students recruited from April to May in 2005. SAT was utilized for the theoretical framework of the study. The instruments used were Profile of Mood Stress, Life Stress Scale for college student, Social Adaptation Scale, Health Knowledge and Health Promotion Lifestyle Profile. Data were analyzed with SPSS 12.0 program. Results: The study showed that grades, moods, and satisfaction of relationship with friends, satisfaction with pocket money made up 29.0% of significant factors related to health promotion behavior among the college students in nursing. Conclusion: It suggests that the known factors need to be taken into consideration when developing the health promotion program for college students in nursing.

• 보건행정학회지
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• 제10권4호
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• pp.1-19
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• 2000

We have witnessed several kinds of new discourses and practices in health and medicine since the 1970s, such as popular concerns with alternative or complementary medicine, inordinate attention to the promotion of 'healthy' living, rapid resurrection of traditional medicine and ecological management of health. Four structural and situational factors are discussed to underlie these new trends：(i) as 'crisis' in health care of the 1970s was translated into health care reform of the 1980s backed up by neo-liberal political philosophy, the state responsibility for nation's health is being transferred to the individual ；(ii) it resulted from the limits of biomedical paradigm in dealing with chronic diseases；(iii) medico-scientific knowledge of disease is transformed into the subjective discourses and technologies of health in postmodern society ； and (iv) it is deeply associated with the considerable increase in environmental risk perception of health and disease. There are some inherent countervailing forces in these new discourses and practices. First, while they derive from lifestyle-oriented behavioral change, medicalization of life and death is still consolidated in the new trends. Second, inasmuch as new tides are reliant upon science, they. are likely to be remote from techne that means not the practical application of theoretical knowing but a special form of practical knowing. Third, as new discourses and activities accomplished＇in the name of health＇increasingly occupy important strategies in forming the self-identity, they serve as moral apparatus which involves prescriptions about how we should live our lives and conduct our bodies, both individually and collectively. Therefore, two points are suggested to consider seriously whether these streams will succeed in improving the‘healthy’living of all the people. Instead of limiting tile perspective to medicine, healing and health care, a new matrix that interweave welfare, ecology and labor along with them is timely needed for enhancing the health for all. In addition, as the World Health Report fm strongly shows, inequality in health heavily depends upon socio-economic development of a society, and it is not the richest countries that have the best health status, but those that have the smallest income differences between rich and poor.

• 지역사회간호학회지
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• 제20권4호
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• pp.503-512
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• 2009

Purpose: This study was to investigate the factors influencing hotel workers' health practice. Methods: This study was based on the partial PRECEDE model. The subjects of this study were 261 servers sampled at random from a hotel located in Seoul. For the statistical analysis of collected data, descriptive statistics, t-test, ANOVA and logistic regression were performed with the SAS (Version. 8.01) program. Results: There were statistically significant primary factors influencing different parts of health practice. That is, regular exercise was influenced by gender, age and marital status, diet habit was by marital status, and type of working, prohibition of smoking was by gender, age and type of employment, and drinking by gender and job stress. Conclusion: This study has a limitation in generalized application to hotels in this country because it is a cross-sectional examination about the factors affecting health practice in the employees of a hotel. Further study is needed with various and broad variables that promote health practice and contributed to the development of health promotion programs.

• 보건교육건강증진학회지
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• 제15권2호
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• pp.199-215
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• 1998

The health care environment exerts tremendous influence on community health practices. Here the author mention several major factors that will influence the future plan for health service and health education; that is, economic problem, the issues of decrement of infectious disease, increment of chronic degenerative disease due to natural increase of the elderly, increased frequency of traffic and industrial accidents and the issues of medical-technological advances etc. Therefore, special efforts by health personnel should be made to develop health education and health promotion strategies on a community-wide basis. Accordingly, the flexible accessibility, convenient availability, guaranteed medical service, sufficient supply of health information, and rapidly available medicaid service for special population such as the elderly, the handicapped, the disabled and the poor are considered. Also, the financial support from the central government and local self-government and active participation of health consumer to health service are needed in Korea, The role of the health personnel is to elicit, facilitate and maintain health promoting behavior with his and her assurance for health consumers being competent and supported in the voluntary choice of their health promoting activities. The health promoting activities such as the above mentioned will be produce escalation of their life Quality among Koreans.

• 한국학교ㆍ지역보건교육학회지
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• 제16권1호
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• pp.93-105
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• 2015

Objectives: This study is for understanding the perceived job training of the public health promotion program officials and analysis the educational needs in order to serve as the basis for the development of the future educational programs. Methods: To this end, we have developed a survey based on references and consultations with experts. We had explained the purpose and the intent of the survey to nationwide public health directors in advance and an online questionnaire was conducted for health promotion program and service providing personnel; the results from a total of 763 survey respondents were used in the final analysis. Collected data were analyzed through SPSS Win 21.0. Results: The results shows that the tasks of public health promotion personnel are 'business practices,' 'planning and evaluation related work' and so on in order of importance while the duties of service providing personnel are 'counseling,' 'education' and so on. One of the factors affecting field applications of education is 'awareness of the connection between education and career development' which accounts for 33% of explanatory power; the selected six other factors constitute 41.7%. Necessary educational contents for public officials are 'public health service planning,' 'report writing skills' and 'project evaluation methods.' On the other hand, for service providers, the contents are 'counseling methods,' 'development of educational materials,' 'monitoring health status' and so on. Conclusions: In order for trained service personnel to accord with the changed health promotion environment and the demand of local residents, Public Health Promotion officials should increase educational opportunities based on the competencies for each job, provide continuous learning opportunities and information even after the training, and finally, create a system that can link to career development.

• 보건교육건강증진학회지
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• 제10권1호
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• pp.1-8
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• 1993

Along with recent changes in the nature of disease, social and environmental conditions and medical care practices, we are faced with a new set of problems for the field of public health. It represents a corresponding increase in importance of the chronic and degenerative diseases. Therefore, it is realized that socio-cultural factors are much more important for these diseases in treatment and prevention. These trends require a real challenge to traditional forms of public health activities in Korea. This paper emphasizes the role of health education in dealing with all aspects of newly appeared health problems on the present stage. It also discusses a brief summary of some of the major trends in the field of health and medical care that have particular behavioral and sociological relevance.

• 보건교육건강증진학회지
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• 제20권1호
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• pp.61-76
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• 2003

As people get broader access to health information through the internet, there is a greater need for measure to maximize the social advantages of the internet and to minimize negative side-effects. With this concern, this paper classifies internet health information services sites into : on-line supply of health information, on-line consultation, on-line diagnosis, and on-line sales. As well this paper analyzes domestic laws supporting and/or regulating these services. The efficient provision of internet health services requires comprehensive laws on individual privacy protection, prevention and handling of medical accidents, an electronic prescription form for internet diagnosis, electronic signing, payment for medical expenses, qualifications for internet medical practitioners. Additional laws are required to establish internet pharmacies and internet health goods stores. These new laws can be prepared either separately or through revision of existing laws governing medical practice, pharmacies, and public health promotion. However, as the legal control by the government on cyber processes and entities has a fairly minimal effect, consumers should be encouraged to improve their own capacity for wisely using internet health services and health-service providers should be encouraged to promote voluntary supervision and control of their own services and practices.

• 보건교육건강증진학회지
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• 제12권2호
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• pp.48-61
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• 1995

This study attempted to analyze the health habits affecting health status of industrial workers. Data was collected from 57 industries of 900 workers at Inchon. The research has been carried out through self-administered questionnaire and from the analysis of the health examination records and the results were as follows: 1. Among 861 respondents, men were 81.2%, women were 18.8%, 42, 6% were of the 30-40 age group, the married were 65.7%, the single were 32.5%, the high school graduates were 62.4% and 37.3% were of people who worked between 1 and 5 years. 2. As far as the seven health habits, current smokers were 54.9%, people who regularly exercise was 31.7%, 7-8 hour of sleep, on the average were 74.0%, people eating breakfast nearly every day were 8.0%, and people eating between meals almost every day were 54.2%. Heavy drinkers who drink 3-4 times or more per week were 13.2%, 1-2 times per week were 26.8% and the obese were 4.6%, 3. Health status of A and B, estimated by doctors in the health examination were 81.7% and C, D1, D2, the unhealthy were 18.3%. Men were reported more than women in unhealthy groups and the results regarding health status reflect gender, educational level and age, That is to say that, lower educational level group and over 30 years of age group perceive their health to be worse than the higher educational level and under 30 age group, And these differences were statistically significant. 4. The relationship between health habits and health status, expressed in terms of the odds ratio. Current smokers had a consistently worse health status than a nonsmokers with a 1.36 odds ratio. The workers who reported eating breakfast rarely or never were more associated with the unhealthy group than the regular breakfast eating group with a 2.48 odds ratio. One or more drink per week had a worse health status than a never or a little drinker with a 1.42 odds ratio. 5, The Health habits score and duration of work were selected as significant factors influencing health status based on logistic analysis. According to the results of this model, the odds ratio of good health status was 2.06 for good health habit score, 1.55 for population who worked seven years or more duration of work. As we have seen, good practices were found to be associated with better health and the effect of the health habits was cummulative;those who followed 6-7 health habits were in better health, even though they were older than those who failed to do so. Therefore, in order to provide the health promotion of workers it is necessary to establish a health management plan for an effective health education and health service. If we use this type of study as a prospective study design, we can get a precise basic data for health promotion and a management plan for industrial workers.