• Journal of the Korean Society of School Health
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• v.36 no.2
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• pp.62-70
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• 2023

Purpose: The purpose of the study is to identify workload measurement indicators for school nurses in order to provide high-quality health care and deploy school nurses effectively. Methods: A second Delphi survey was conducted on 21 experts with more than 5 years of school nurses experience. To develop indicators related to the workload of school nurses, the importance and measurability of a total of 21 workload indicators were investigated, including school nurses characteristics, school characteristics, health needs of students, and socioeconomic determinants. Results: As a result of the Delphi survey, it was found that 6 indicators were suitable in terms of importance and 8 indicators in terms of measurability. The important indicators the panel agreed on include the size of the city where the school is located, the total number of students, the number of classes, the percentage of students with chronic illness, the percentage of students visiting the health office per day, and the percentage of wound care in the health office per day. Conclusion: The percentage of students with chronic illness and the percentage of wound care per day need to be reflected in school nurse workload indicators and follow-up studies are required to shed more light on the socioeconomic determinants of schools.

• The Journal of Korean Society for School & Community Health Education
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• v.22 no.4
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• pp.11-24
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• 2021

Purpose: This study aims to explore the mediating effect of the health self-efficacy and activity confidence in the relationship between body image and health promoting behavior in middle school girls. Methods: A descriptive correlational design was used. Participants were 142 in middle school girls. The questionnaire consisted of measuring tools for body image, health promoting behavior, health self-efficacy and activity confidence. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient and the PROCESS Macro for SPSS 23.0 to verify the multiple mediated effect with a parallel structure. Results: Body image showed a significant positive correlation with health self-efficacy (r=.28, p=.001), activity confidence (r=.45, p<.001) and health promoting behavior (r=.37, p<.001). Health self-efficacy was also significantly correlated with activity confidence (r=.51, p<.001) and health promoting behavior (r=.63, p<.001). Activity confidence was significantly health promoting behavior (r=.67, p<.001). Furthermore, health self-efficacy (B=.35, p<.001) and activity confidence (B=.38, p<.001) showed a mediation effect on the relationship between body image and health promoting behavior. Conclusion: The impact of body image on health promoting behavior in middle school girls was mediated by health self-efficacy and activity confidence. Result suggest that strategies for improving health self-efficacy and activity confidence in middle school girls should be considered when developing an educational program for enhancing their health promoting behavior.

• Journal of Preventive Medicine and Public Health
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• v.32 no.3
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• pp.276-288
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• 1999

Objectives: This study was performed to determine the relationships among health concern, health practice and health status of the disabled. Methods: A self-administered questionnaire survey was carried out for 1,662 disabled persons in Taegu city from April to July, 1997. Results: Health concern had a significant and positive relationship with health practice(p<0.05) and health practice also had a significant and positive relationship with self-rated health status(p<0.05) in men and women. To determine the structural model of the Health concern, health practice, health status and sociodemographic variables, the covariance structural analysis was used. In men, age, economic status, medical security type, educational level and type of disability had significant direct effects on Health concern(T>2.0). Educational level and type of disability had significant direct effects on health practice(T>2.0). And Economic status, medical security type and job status had significant direct effects on health status(T>2.0). In women, economic status and educational level had significant direct effects on Health concern(T>2.0). However there was no variable which had a significant direct effect on health practice. Job status had a significant direct effect or health status(T>2.0). In men and women, health practice was significantly increased with increasing health concern and the more health practice, the higher health status(T>2.0). Conclusions: It is recommended that the institutional approach which improve the economic status of the disabled with understanding their behavior and attitude should be established to increase health status, in addition, the health policy for encouraging the disabled, such as health education, consulting and health promotion program, should be done.

• Research in Community and Public Health Nursing
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• v.10 no.2
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• pp.320-329
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• 1999

This study has been done for the purpose of testing the effect of Health promotion Education on the Health perception and Health behavior performance of Elementary school student's. The collection data has conducted from June 19, 1999 to August 24, 1999. The subjects for this study were sixth grade of 'ㅅ' elementary school. which is located in 'ㄱ' city a chosen one class experimental group(38) and as a control group(38). The study were designed as nonequivalent control group pretest. posttest. follow test design. In pretest, the general characteristics of two groups, health perception and Health performance were measured, the Experimental group was given health promotion Education for a one week after the posttest, and follow test was done Health performance. for eight week's summer vocation. The instrument used for this study were Health perception scale developed by Ware(l979) were modified by Lee(l984) and Health promoting behavior scale developed by Kim(l997) were modified by No Tae Su(l999). The data analysis was done using t-test, $x^2$ -test, ANOVA. and pearson correlation coefficient using SAS/PC program. The result of this study are summarized as follows: l) There is on difference between experimental group and control group 2) The hypothesis is factor's are supported 'The experimental group which was given health promotion education will shows higher health perception and health behavior performance than control group which given that' (meal habit F=6.40 P<.05. mental health F=8.02 P<.01) 3) In health behavior performance, scale the highest domain was mental health, personal hygiene, meal habit Exercise. The following suggestions are made based on the above results: 1) Replication of the research is needed to confirm effects of health perception and Health promotion education including the elementary school students. 2) Elementary school teachers should make an effort to develop of Health perception progress and carry about continue Health promotion education program for profit stage of growth and development for elementary school students.

• Korean Journal of Health Education and Promotion
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• v.1 no.1
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• pp.12-20
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• 1983

Primary responsibility for the health of the school-age child rests with the parents, but the school should assist the parents in establishing and maintaining the highest possible level of health in each child. The important part of school health program is health education. All kinds of testbooks for elementary school were newly developed from 1982 for the 1st to 3rd grader and from 1983 for the 4th to 6th grader. The purposes of this study were to analyse the newly developed health curriculum in elementary school and to point out the errors in contents or terminology. Data were collected from all kinds of textbooks for elementary school which have been using in 1983. On the bases of these data, the following findings were observed: 1) 22.4 percents of total pages which related to health were from athletic subject. 2) Almost 29 percents of learning experiences suggested from textbooks were explanation and teach-centered. 3) The main subjects of health related contents were preventional management and environmental health. 4) 22 errors were found out, they were 12 for contents itself correction, 6 for terminology correction, 3 for lack of explanation and 1 for expurgation.

• Korean Journal of Occupational Health Nursing
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• v.32 no.3
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• pp.111-120
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• 2023

Purpose: The gradual increase in the number of children with disabilities in Korea highlights the necessity for further research on the role of school health teachers in their care. This study explored the specific experiences of school health teachers in special schools through individual in-depth interviews. Methods: In this study, 11 school health teachers participated, and data were collected through individual in-depth interviews. Thematic analysis was employed to analyze the collected data. Results: The experiences of health teachers at special schools were classified into 5 themes and 13 subthemes. These included "concerns about working in special schools and attachment after working," "management of diverse diseases and ongoing, careful observation," "ambivalence regarding students with disabilities," "competences needed to care for students with disabilities," and "enhancing care education for students with disabilities: demanding institutional support." Conclusion: Effective student health management depends on open communication channels and the establishment of strong connections among health teachers, school personnel, and parents of impaired students. To enhance the quality of care for children with disabilities, specialized education programs to improve teachers' healthcare competency should be developed. Additionally, specific guidelines for the range of medical treatments provided by health instructors, should be devised.

• Research in Community and Public Health Nursing
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• v.13 no.4
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• pp.743-756
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• 2002

Purpose: This study is a descriptive and comparative study that compares health state and school adaptation between children in divorced family and in normal family. Study results will provide a basic data for the development of an intervention program designed to help children in divorced family adjust to their crisis. Method: The study subjects consisted of 700 children in 4th. 5th or 6th elementary school grade, residing Seoul and Kyunggi regions. Among these subjects, 123 were children with divorced family and 577 were children with normal family. The health status of the subjects was measured by Health Symptom Questionnaire developed by Shin and revised by the investigators. The instrument consisted of 30 items measuring physical and emotional health symptoms. The level of school adaptation of the subjects was measured by School Adaptation Scale developed by Lee, which consisted of 4 dimensions with 20 items what measures relationship with peer students, learning activity, observance of regulation, and participation of school activity. The investigators visited the schools and collected data in the classes using the questionnaire after explaining the purpose and procedures of the study to the children. The data were analyzed by descriptive statistics, $\yen\"{o}2$-test, t-test, ANOVA using the SPSS PC + statistical program. Result: First, the mean health state score in children with normal family (M=11.99) was higher than that in children with divorced family (M=19.15), showing a significant difference (t=-6.51, p=.000) between the two groups, which suggests that children with normal family have better health state than children with divorced family. Second, the mean school adaptation score in children with normal family (M=38.99) was higher than that in children with divorced family (M=26.97), showing a significant difference between the two groups (t=104.07, p=.000), which suggests that the school adaptation of children with normal family is better than that of children with divorced family. Third, in comparison of health state between the two groups by general characteristics. there were significant differences between the two groups in sex. the most contributing factor to health status of the children, school year. birth order, religion, school achievement, amount of monthly pocket money, parents level of formal education, occupation of parents, economic status (p<.05). Forth, in comparison of the level of school adaptation between the two groups by general characteristics, there were significant differences between the two groups in most variables (p<.05), suggesting that children with normal family had better capacity of school adaptation than children with divorced family. Conclusion: As a result. this study showed that the parent's divorce had great influence on children's health status and school adaptation capacity. The implication for nursing is that there is a need to develop supportive interventions for the high-risk children who have decreased health states and school adaptation capacity due to the divorce of their parents. In addition, it is recommended that further studies should be conducted to explore protective factors for the prevention of health and adaptation problems in children.

• Research in Community and Public Health Nursing
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• v.29 no.1
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• pp.65-75
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• 2018

Purpose: This study aims to examine how elementary, middle and high school health teachers in Gyeonggi province react to infectious disease like MERS. Methods: This is a descriptive study using a convenience sample of 1,267 school health teachers. Results: When MERS was an epidemic, school health teachers who took the 'leading' role were 92.4%. A school heath teacher's countermeasures against infectious diseases showed a high score during MERS outbreak (3.81) compared to regular days (3.59). Conclusion: Based on such results, it has been determined that schools need to keep two types of procedures manual, such as 'countermeasures on a regular basis' and 'countermeasures in the event of a pandemic disease outbreak' manual in the staff offices so that anyone can view them at any time. It is necessary to prepare regulations to strengthen their authority so that school health teachers can take the role of control tower, in a professional capacity, when communicable disease is spreading. In order to prevent any confusion and chaos, there should be a unitary reporting system at each school when dealing with an epidemic. School health teachers need to get continuous training to reinforce their abilities to react to communicable diseases.

• Korean Journal of Health Education and Promotion
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• v.12 no.1
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• pp.47-71
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• 1995

This research has been attempted to measure health acknowledgement and needs of 1158 respondents, the parents of elementary, middle, and high school students, residing in Seoul and In-chon. 1. The majority of parents had high interests in health and their children's health education. In addition, more than half of parents showed positive responses in their willingness to participate in organizational activities. 2. 41.7% of parents thought that their children were receiving health education regularly. For their recognitions of the course title, 'Physical Education' was the most highly recognized by the parents of elementary and middle school students, and 'Military Drill' for the parents of high school students. 3. A high number of parents perceived the problems of school health education. 4. There was a high number of parents, who thought that health education teachers' knowledge was deficient, and 86.3% of them agreed that additional education for 33the teachers should be desired. 5. 95.5% of parents acknowledged the necessity of health education; 78.8% of them recognized the reinforcement of health education; and 60.0% of them percepted the necessity of establishing the independent health education courses. 6. For the matter of instruction period, the majority of parents responded that health education should be taught from "kindergarten" and "elementary school". For the appropriate instruction hour per a week, the majority answered 1 hour. Most respondents answered that those, who majored in health education, should be the appropriate teachers. 7. The survey result indicated that there was a close correlation between the cognition of the importance of health education and the correspondents' health educational background, their interest and willingness to participate in health education. 8. The most desired areas of health education were Safety Education and Health-Habit. The followings were Environmental Health, Prevention of Disease, Mental Health, Growth and Nutrition, and Drug-Abuse in a sequent order. The parents of elementary school students showed a high acknowledgement on Health-Habit, Growth and Nutrition, and Prevention of disease, Safety Education. On the other hand, as the children entered into the advanced schools, the parents' recognition of the health education needs shifted into Sex education, Drug Abuse, and Mental Health. 9. Those respondents, who recognized the necessity of health education and advocated the establishment of independent health education courses, had a strong demand for the implementation of the health education.

• Journal of Korean Public Health Nursing
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• v.20 no.2
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• pp.151-162
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• 2006

Purpose: The purpose of this study was to investigate the factors influencing health promoting lifestyle in high school students. Method: The study subjects were 477 high school students. The data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe test, Pearson correlation and Stepwise Multiple Regression with SPSS statistical program. Results: The average item score for health promoting lifestyle was 2.44. The highest subscale score was self actualization (2.85), while the lowest subscale scores were interpersonal relationship (2.82), nutrition (2.57), exercise (2.56) and health responsibility (1.77). There was a significant difference between gender, sleeping hours, perceived health state, economic state, school performance, father's education, mother's education, living together and health promoting lifestyle. The most powerful predictor of health promoting lifestyle was self-efficacy (29.9%). The combination of self-efficacy, family function, activity-related effect, commitment to a plan of action, situational influences and social support accounted for 55% of the variance in the health promoting lifestyle. Conclusion: Self-efficacy was the most powerful variance of health promoting lifestyle. Therefore, health promoting programs that increase self-efficacy should be developed to promote a healthier lifestyle among high school students.