Objectives: The dengue prevention program known as "One House One Mosquito Larva Inspector" involves health volunteers who play a crucial role in the surveillance of mosquito larvae and reporting their findings to local public health officials. This study aimed to identify factors related to the knowledge, attitudes, and practices (KAP) of dengue prevention behavior among these health volunteers. Methods: A study was conducted in 5 sub-districts in Malang, an urban area in Indonesia. We employed a cross-sectional design and utilized a semi-structured questionnaire to assess the KAP of 400 health volunteers. Data were collected through face-to-face interviews. Results: Multiple logistic regression analysis revealed that individuals with a more positive attitude (odds ratio [OR], 1.69; p<0.05) and those with family sizes greater than five persons (OR, 1.90; p<0.05) were more likely to engage in effective dengue prevention practices. Additionally, possesing good knowledge was significantly assocated with more positive attitude (OR, 2.24; p<0.001). Furthermore, 40% reduction in positive attitude was observed in those over 45 years (OR, 0.60; p<0.05). The best practices most frequently reported by the majority of respondents included always reporting their surveillance activities (75.8%) and cleaning the water container in the bathroom at least once a week (65.2%). However, only 52.2% of respondents regularly checked for mosquito larvae in their neighborhood. Conclusions: Sustainable promotion and training for the "One House One Mosquito Larva Inspector" initiative are necessary, particularly among young health volunteers, to improve dengue prevention behaviors both within their own homes and in the surrounding environment.
Background: Varenicline is an effective smoking cessation aid. However, smokers prescribed with varenicline do not always receive varenicline for 12 weeks, as recommended. This study analyzed the subjects who received varenicline and investigated the effect of varenicline treatment duration on the success rate of 6-month smoking cessation. Methods: This study retrospectively analyzed 78 subjects, who received varenicline, out of the 105 smokers that had visited the smoking cessation clinic after medical examination from September 2007 to December 2009. Results: The subjects were all males. Twenty-two subjects (28.2%) had varenicline treatment for 12 weeks or longer; 18 subjects (23.1%) for 8~12 weeks; 22 subjects (28.2%) for 4~8 weeks; and 16 subjects (20.5%) for less than 4 weeks. The total success rate of the 6-month smoking cessation was 47.4%. The success rate of the 6-month smoking cessation was 63.6% in the group that received varenicline for 12 weeks or longer, which was higher than 41.1% of the group that early terminated the varenicline treatment (p=0.074). The period of varenicline treatment was extended for one more week, the odds ratio of the 6-month smoking cessation success increased to 1.172-folds (p=0.004; 95% confidence interval, 1.052~1.305). Adverse events occurred in 30.8% of the subjects who received varenicline, but no serious adverse events were found. Conclusion: If varenicline treatment period is extended, the odds ratio of the success rate for the 6-month smoking cessation increases. Therefore, an effort to improve drug compliance for varenicline in clinical practices could be helpful for the long-term success of smoking cessation.
Purpose: This study was to identify the correlation between the health-promoting behavior and life satisfaction in elderly of the urban area. Method: The subjects of this study were 202 people aged over 65 who had been living in urban area. Data was collected through questionnaires from April 10th to September 30th, 2002. The collected data was analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient with SPSS statistical program. Result: The health-promoting behavior was given the informations that nutrition practices were most highly ranked, followed by interpersonal relationships, self-actualization, stress management, health responsibility, and exercise. The mean scores of health-promoting behaviors were significant differences in age and educational level. Life satisfaction was significantly related to only living situation. Health-promoting behavior of the subjects was found to be statistically significant and positively correlated with life satisfaction. Conclusion: These results suggested that elderly people in urban areas with high degree of quality of life is likely to be in practice with high degree of health-promoting behaviors. Therefore, it is necessary to develop health promotion programs in order to enhance the quality of life of elderly people in urban areas.
Background & objectives: Life style modification reduces the health risks of young people and improves their health status. Physical activity is known the effective factor to reduce health risks and health problems. This study performed to analyze health promotion behaviors related to physical activity among first-year students of university. Methods: To examine the association with physical activity and health promotion practices, health survey was conducted with 3,806 students who were first-year students in a university by self-reported questionnaire from February 26 to March 10, 2015. Multiple logistic regression analysis was performed to identify the difference of health promotion behaviors by physical activities. Results: 51.4% of the first-year student was regular exercisers who had practiced on regular walking exercise or regular strength exercise or regular aerobic exercise for a week. 87.8% of students exercised one or more times within the last one week. On the other hand, 12.2% of them did not exercise. In multiple logistic regression models, it remained significantly the difference of regular exercise by gender, subjective health status, sleeping time per one day, BMI, drinking behavior, and eating habit (p<0.05, p<0.01, p<0.001). Also it remained significantly the difference by physical activity type, such as walking, strengthen, and aerobic exercise (p<0.05, p<0.01, p<0.001). Conclusion: To help the achievement of academic goal, it should build physical activity policies and comprehensive health promotion programs to reduce health risk factors of university students. Comprehensive university health services and customized program for university students could help to make the best of their health. In future, to enhance physical activity practice, it needs to develop various tailed messages and smart healthcare service using health information technology (IT) on campus.
Purpose: This paper analyzed the historical origins of the Qi concept and assesses its possible contribution to the development of complementary therapy and new nursing practices. Methods: In order to clarify the Qi concept measure its theoretical/clinical potentials, this study analyzed both historical data and experimental research that adopt and apply the concept. These include modern/contemporary research measuring its effects in promoting mental and physical health. Using the method of cross-cultural comparison, this study analyzed diverse approaches to the Qi concept and sought to find common features among the approaches. Results: A historical, cross-cultural analysis revealed several fundamental similarities between Qi theories that have developed in the east and the holistic concepts that have evolved in the western traditions. Especially, the analysis of the more recent research on the Qi concept shows ample possibilities of its future contributions to the development of new diagnostic applications and the promotion of overall human health. Conclusion: The historical study of the Qi concept found some key common factors in the diverse philosophical traditions in the east and the west. Considering the growing popularity of complementary therapy among health professionals and the general public, the Qi concept and its clinical applications are expected to promote human health. In this context, this research contributes to developing new nursing practices based on the concept by clarifying its philosophical origins and theoretical backgrounds.
Objectives : To analyze differences in health behaviors among the social strata in Korea by using the 1995 National Health and Health Behavior Survey Data. Methods : Study Participants numbered 2,352 men and 1,016 women aged between 15-64 years old, with housewives, students and non-waged family workers excluded. Health behaviors in this study were defined according to the recommendations of the Alameda 7 study. The measure of health behaviors was based on the Health Practices Index(HPI; 0-5 range, with the exclusion of snacking between meals and regularly eating breakfast) developed by the Alameda County research. The significance of the relationship between social strata and HPI was assessed by considering the adjusted means from the multi-variate model. Results : For men, incidence rates of never having smoked, no/moderate use of alcohol, regular exercise, and regular 7-8 hours sleep per night were higher in the upper social strate. Meanwhile, for women, incidence rates of never having smoked, no/moderate use of alcohol, appropriate weight, regular exercise, and regular 7-8 hours sleep per night were higher in the upper strata. HPI varied significantly among social strata in both sexes (p<0.001), a result which held true when adjusted for age, education, income, social insurance type, marital status and region. Conclusions : Health behaviors assessed by Health Practices Index(HPI) varied significantly among social strata for both sexes. Therefore, the existing gap in health behaviors among social strata can be corrected more effectively by target oriented health promotional activities.
Purpose: Emergency medical service (EMS) personnel are at high risk of spreading infection. In this study, we used the PRECEDE model to identify the knowledge, status, and barriers to infection control among Korean paramedics to provide basic infection control data. Methods: A total of 164 respondents were analyzed for the study. A questionnaire was administered and collected through an online self-response platform. Descriptive analysis, t-test, ANOVA, multiple regression, and logistic regression analyses were performed to determine infection control practices and associated factors using SAS 9.4. To identify the pathways and direct, indirect, total effects based on the PRECEDE model, we used AMOS 26.0. Results: Highly rated self-efficacy (OR 8.82, 95% CI: 3.23-24.09), awareness (OR 6.05, 95% CI: 2.06-17.72), and enabling factors (OR 3.23, 95% CI: 1.18-8.78) led to superior infection control. As a result of the structural model analysis, the highly rated enabling factors and awareness led to superior practice patterns. Conclusion: Practice is related to self-efficacy, awareness, and enabling factors; however, further research is needed to develop strategies for infection control. In particular, institutional arrangements are needed to improve the enabling factors. Improving infection control performance may lead to better infection control and enhanced protection of EMS personnel and patients against infection risks.
Objectives: This study was designed to confirm the effects of the Korean Medicine health promotion program targeting young children. One important aspect of the Korean Medicine health promotion program for children is to bring awareness of health benefits of introducing Korean Medicine methods to young children and to promote incorporating such methods in children's daily activities to develop healthy habits. Methods: The following experiment was conducted for 6 weeks, and the participants were in the age between 2 to 6 years old from 6 child care centers in Wonju and Chungju. 268 participants were in the intervention group, and 277 in the control group. To measure the outcomes of the Children Korean Medicine health program, the intervention group received Korean Medicine prevention programs (children education, parent education, growth exercises, common cold prevention scarf, and pear herb tea), control group did not. This research collected and compared the following data as the children's health indicators to measure the outcomes before and after the program: medical services usage, the number of absences, early leaves, and tardiness to the child care centers due to the participant's health condition. Results: After applying the children's health promotion programs on children between the age of 2-6, there was a decrease in the overall medical services usage, absences, early leaves, and tardiness to the child care center. This health promotion program was purely based on Korean medical theories and Korean Medicine resources without any conventional medical mediation. Conclusions: It can be concluded that a positive change was noted in raising awareness of Korean Medicine through educating both the parents and children. By learning to incorporate Korean Medicine prevention practices to daily habits, not only was there a reduction in the Medical services usage, but the children also became familiar and comfortable with Korean Medicine and its treatment procedures; the overall satisfaction level of the program was also high.
Objectives: This study was conducted to analyze health behavior and utilization of university health clinics by college and university students. Methods: There are 376 colleges and universities in Korea as of May 2007. Of them 243 (69.6%) run health clinics in their campuses. Twenty of them were selected and 1,754 students were surveyed by using self reporting questionnaires. The data collected were analyzed by SPSS ver. 12.0. Results: Out of 1,754 students 56.5% were in good health. Of the subjects 15.6% were cigarette smokers, 30% were non drinkers, 20.8% exercise regularly, 53.7% sleep for seven to eight hours a day, 48% had proper body weight (BMI) 20-25) and 20% had physical examination in the past two years. The scores of health practices were higher in male students than female students (P 0.05). Perception rates of university clinics were higher in female students than male students. (P 0.01). Many students have intention to use the clinics (P 0.01). On health promotion program 35.2% of the subjects used clinics for emergency service, 32.8% participated in drinking control program, 32.8% in smoking cessation program, 20.4% in immunization program and 19.2% in regular health screening program. Conclusions: Comprehensive data for health behavior and need of health promotion services by the students should be collected regularly in order to meet the needs of students and faculty members in higher education institutes. The university authorities should pay more attention on the activities of health clinics in order to promote health of the students.
Objectives: The purpose of this study was to develop a community-based nursing center model that can provide health promotion for infants and toddlers as well as a research and practice site for nursing faculty and students. Methods: Review of current health care system and health promotion programs, and workshops with brain-storming were carried out to identify needy areas of services to be provided by the nursing center. Finally, the community nursing center model was developed through expert consultation and filed visits. Results: The services and programs were developed for infants and toddlers residing in Seoul area. These services and programs include growth and developmental screening, environment and health problem assessment, infant stimulation and parent education, and self-help group. Full-time and part-time staff nurses and nurse practitioners will provide those services and offer home visiting if needed. Database system, health information system, and trainers' training programs were developed as well. Conclusion: The nursing center model developed in this study will ensure clients direct access to nursing care and increase of autonomy and accountability of nursing practices. The nursing center model focused on disease prevention and health promotion will enhance the quality of life of the infants, toddlers and their families as well as to decrease national health care expenditure.
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