• Journal of Korean Academy of Nursing
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• 제44권4호
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• pp.361-370
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• 2014

Purpose: The purpose of this study was to examine the mediation of self-efficacy in the relationship between anger and the functional health of homeless men in order to provide a basis for planning nursing interventions to improve the functional health of homeless persons. Methods: The participants were 137 homeless men who lived in homeless shelters or visited one center serving free meals for homeless persons in Seoul. Data were collected using self-report questionnaires and analyzed with the SPSS-WIN 20.0 program. The instruments were the Functional Health Pattern Screening Assessment Tool (FHPAST), Self-efficacy Scale (SES), and State-trait Anger Expression Inventory-Korean version (STAXI-K). Results: The mean score for functional health was 2.41. Overall self-efficacy was 70.82. state anger was 16.53, trait anger was 19.54, and anger expression was 25.31. There were signigicant correlations among the 3 variables, functional health, self-efficacy, and anger. Also, self-efficacy had a complete mediating effect in the relationship between anger and functional health. Conclusion: Based on the findings of this study, health management programs focusing on anger management and self-efficacy improvement are highly recommended to promote functional health in homeless persons.

• Research in Community and Public Health Nursing
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• 제13권3호
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• pp.532-540
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• 2002

Purpose: To examine the effect of the solution-focused group counseling on self-esteem. depression, and hope of unemployed homeless persons, and to develop a nursing intervention program designed to help rehabilitation of the unemployed homeless persons. Method: This study was conducted from July 14 to September 29, 2000, and May 4 to August 17, 2001. The subjects were 30 unemployed homeless persons residing in 1 shelter in Seoul, Korea. This study used a quasi-experimental, one-group pretest-posttest design. The data were analyzed by frequency, percentage, and paired t-test using SPSS WIN program. Results: 1) Self-esteem of the subjects increased significantly after the solution-focused group counseling (t=3.31, p=0.002). 2) Depression of the subjects decreased significantly after the solution-focused group counseling (t=2.05, p=0.046). 3) Hope of the subjects increased significantly after the solution-focused group counseling (t=2.65, p=0.011). Conclusion: The solution-focused group counseling may be considered as an effective nursing intervention program for the unemployed homeless persons by improving their self-esteem and hope as well as reducing their depression. However, the effects of the program should be further addressed through, a review study.

• Journal of East-West Nursing Research
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• 제5권1호
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• pp.50-64
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• 2000

The purpose of this study was to investigate the correlation of family support, self-esteem and life-satisfaction in homeless persons and to provide basic data to help them attain a better quality of life. From Jul. 1 to Oct. 10, 2000, 235 homeless persons, registered at the noninstitutionalized homeless and institutionalized homeless in Seoul, were accepted as subjects for the study. The instruments used for this study were a Family support scale of Park, Jee Won, life-satisfaction scale of Wood, Wylie & Sheafer and Rosenberg's Self-esteem Scale. The reliability of the scales were tested by Cronbach's Alpha. The collected data Were analyzed by the SPSS program using unpaired t-test and Pearson's Correlation Coefficients. The results were as follows : 1. There Was a statistically significant difference in the level of demographic between family support groups : age(t=2.74, P=.001), education background(f=5.48, P=.001), connection of family (t=2.29, P=.05), present illness(t=2.04, P=.05). 2. There Was a statistically significant difference in the level of demographic between self-esteem groups : education background(t=3.24, P=.05), connect of family (t=3.38, P=.001), types of disease(t=2.12, P=.05), job related to income (t=2.12, P=.05). 3. There Was a statistically significant difference in the level of demographic between life-satisfaction groups : education background(t=3.39, P=.05), connect of family(t=2.10, P=.01), smoking(t=2.38, P=.01), disease(t=1.92, P=.05), emotion states(t= 6.12, P=.001). 4. There was a positive correlation between family support and self-esteem for the homeless and it was statistically significant (r=.267, p=.001). 5. There was a positive correlation between family support and life-satisfaction for the homeless and it was statistically significant(r=.299, p=.001). 6. There was a positive correlation between life-satisfaction and self-esteem for the homeless and it was statistically significant(r=.179, p=.01).

• Journal of Preventive Medicine and Public Health
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• 제44권6호
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• pp.267-274
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• 2011

Objectives: We examined health care disparities in Korean urban homeless people and individual characteristics associated with the utilization of health care. Methods: We selected a sample of 203 homeless individuals at streets, shelters, and drop-in centers in Seoul and Daejeon by a quota sampling method. We surveyed demographic information, information related to using health care, and health status with a questionnaire. Logistic regression analysis was adopted to identify factors associated with using health care and to reveal health care disparities within the Korean urban homeless population. Results: Among 203 respondents, 89 reported that they had visited health care providers at least once in the past 6 months. Twenty persons (22.5%) in the group that used health care (n = 89) reported feeling discriminated against. After adjustment for age, sex, marital status, educational level, monthly income, perceived health status, Beck Depression Inventory score, homeless period, and other covariates, three factors were significantly associated with medical utilization: female sex (adjusted odds ratio [aOR, 15.95; 95% CI, 3.97 to 64.04], having three or more diseases (aOR, 24.58; 95% CI, 4.23 to 142.78), and non-street residency (aOR, 11.39; 95% CI, 3.58 to 36.24). Conclusions: Health care disparities in Seoul and Daejeon homeless exist in terms of the main place to stay, physical illnesses, and gender. Under the current homeless support system in South Korea, street homeless have poorer accessibility to health care versus non-street homeless. To provide equitable medical aid for homeless people, strategies to overcome barriers against health care for the street homeless are needed.

• Journal of Korean Neurosurgical Society
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• 제42권3호
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• pp.191-194
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• 2007

Objective : Homeless patients probably have epidemiologic features that are different from those of general population. However, there have been no published articles about clinical characteristics of neurosurgical homeless patients. The authors tried to assess the clinical characteristics and treatment outcome of homeless neurosurgical patients. Methods : We retrospectively reviewed the medical records and radiological films of 76 homeless patients and 72 non-homeless patients following head trauma who were admitted to our neurosurgical department between June 2001 and June 2005. We compared two groups of the patients with the demographics, the clinical and laboratory characteristics. Also, 3D-day mortality was determined according to Glasgow Coma Scale (GCS) score. Results : Age of homeless patients was younger than that of non-homeless patients. Homeless patients had previous craniotomy evidences in skull x-rays more frequently (10.5% vs. 1.4%). Acute subdural hematoma was the most common type of head injury in the two groups. Moderate and severe head injury, based on GCS score on admission was more frequent in homeless patients (64% vs. 39%). Fifty percent of homeless patients underwent operation for traumatic head injury. However, 3D-day mortality according to GCS score was not significantly higher in homeless patients. Conclusion : Most homeless neurological patients were relatively young men. Also, moderate or severe brain injuries were observed more frequently. However, mortality rate of homeless patients in neurosurgical field is not significantly higher in the present study.

• Korean Journal of Social Welfare
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• 제42권
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• pp.199-224
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• 2000

Homelessness became a major social problem in Korea. And the homeless presents many kinds of problems in social functioning. In studies on the homeless, Physical and mental health, alcohol and subtance abuse, the vulnerability of the social support have been frequently described as major characteristics of the homeless. Of the homeless' psychosocial characteristics, this article focused on the lack of the social support, which plays a important role on the exit from homelessness. The lack of social support has been mentioned as cause for homelessness. But a few researchers stressed the perspective that the homelessness causes the lack of social support. This article analyzed empirically the lack of social support among the homeless in terms of "social disaffiliation". This article hypothesized: (a) as longer homeless duration, the extent of the perceived social support would be decreased, (b) as longer homeless duration, the magnitude of the social network would be decreased, (c) as longer homeless duration, the ratio of the homeless in social network would be increased. Survey data collected from 355 homeless persons (sheltered homeless) at 82 shelters in Seoul. The result of analysis supports 'social disaffiliation hypotheses'. The result of this study suggests that the social work intervention to strengthen social support and social network be critically important in homeless shelter.

• Korean Journal of Health Education and Promotion
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• 제31권2호
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• pp.15-26
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• 2014

Objectives: This study investigates the drinking state of the homeless, including the factors that influence this state, and the related services that the homeless require. Methods: A total of 163 adults residing in homeless shelters in Incheon, were recruited from November 15 to December 28, 2013. The Korean version of the Alcohol Use Disorders Identification Test was used. The data collected were analyzed using descriptive statistics, ANOVA, chi-square, and logistic regression. All analyses were conducted using SPSS 18. Results: Among the respondents, 59.5% engaged in normal drinking, 17.2% engaged in problem drinking and 23.3% suffered from high risk drinking. Alcohol Problems of homeless were found to increase along with total drinking periods. And high risk drinker were more likely to have 3.2 times of loneliness, 6.5 times of insomnia, and the reason for homeless is alcohol problem 14.0 times higher. Conclusions: Alcohol problems among the homeless are chronic and difficult to solve through temporary measures and short-term interventions. Therefore, the development of appropriate services and policies for the homeless is important. The results of the study can be used as a basis for the development of management measures tailored to the distinctive needs of the homeless.

• Journal of Korean Public Health Nursing
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• 제27권3호
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• pp.578-591
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• 2013

Purpose: The purpose of this research was to identify the health behaviors, health status, and utilization patterns of health care institutions for homeless shelter residents as well as to compare these research outcomes between younger and older male homeless shelter residents. Methods: The subjects in this study were 357 homeless shelter residents that were recruited by simple random sampling. Data were collected from August to September 2009. Health behaviors, health status, and utilization patterns of health care institutions were measured using structured questionnaires. Data were analyzed using the Chi square test and Fisher's exact test using SPSS 14.0. Results: Both younger and older male subjects showed unhealthy behaviors, and their health status was lower than that of the Health & Nutrition Examination Survey conducted in 2009. Subjects preferred to utilize national or municipal hospitals as well as pharmacies as opposed to general hospitals, clinics, and public health centers. Conclusion: Differentiated comprehensive health care services and monitoring should be provided to homeless shelter residents based on the needs of each group in order to improve their health status as well as to prevent communicable diseases and complications of chronic diseases.

• Journal of Korean Foot and Ankle Society
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• 제21권4호
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• pp.156-164
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• 2017

Purpose: Foot and ankle disease (FAD) is a frequent cause of morbidity among the homeless population. Various conditions, exacerbated by malnutrition, poor lifestyle habits, psychiatric disorders, physical injuries, poor hygiene, and limited access to healthcare, have been described in this population. The purpose of this study was to investigate the cognition and management status of FAD in shelter based homeless people. Materials and Methods: Fifty-two male and twenty-five female volunteer homeless individuals were recruited from two homeless shelters. Each person completed a questionnaire assessing any presence of pain, pain management, as well as foot and ankle care status. A foot and ankle surgeon examined the physical status of the individual's foot and ankle, including tenderness and instability. A radiologic evaluation was done for 18 male and 11 female homeless people who agreed to participate in this test for the existence osteophyte or joint space narrowing representing osteoarthritis and some reference angles for hallux valgus, flatfoot and cavus foot. Results: Homeless people had higher prevalence of body mass index, diabetes, and smoking than the general population. The most prevalent infectious disease was fungal infection (male 78%, female 68%), with a low compliance of management for FAD. Conclusion: Although most of shelter-based homeless people showed an acceptable foot and ankle management status, the potential risk for FAD development and exacerbation of mild FAD was high.

• Research in Community and Public Health Nursing
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• 제22권1호
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• pp.22-32
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• 2011

Purpose: The purposes of this study were to examine the level of anger, anger expression, depression, psychosomatic symptom and perceived health status, and to identify the influencing factors of anger expression in shelter residents. Methods: This study employed a descriptive correlational design. Data were collected from 407 homeless people residing at 27 shelters using structured instrument. Results: The level of anger expression was different by age, educational level, existence of children, and duration of shelter residency. Anger expression was significantly correlated with depression, psychosomatic symptoms and perceived health status. The predictors of high-level anger expression was younger age, low educational level, duration of shelter residency in Model 1 (F=6.884, p<.001, Adj. $R^2=.065$, and depression and psychosomatic symptoms in Model 2 (F=7.197, p<.001, Adj. $R^2=.113$. Conclusion: This study suggested that the homeless in the shelters had various psychological vulnerabilities, and therefore more individualized programs based on their needs and psychological health status should be provided for the homeless.