• 한국치위생학회지
• /
• 제19권1호
• /
• pp.105-116
• /
• 2019

Objectives: This study aimed to confirm the relationship between toothbrushing practice after lunch and typical oral health behaviors in children and adolescents according to the subject and type of social support. Methods: The study used data from the 2010 Korean Survey on the Health of Youth and Children and selected 8,704 elementary, middle, and high school students as final targets. Multiple logistic regression was conducted to confirm the link between social support and toothbrushing after lunch. Results: The results showed that in elementary and vocational high school students, statistical significance of all social support variables disappeared after controlling for both demographic and social factors and oral symptom experience. However, in the middle school students, the emotional support of the neighbors and the emotional support of the teachers showed statistically significant effect on brushing daily after lunch (p<0.05). In general high school students, there was a significant association between family emotional support and toothbrushing after lunch (p<0.01). Conclusions: The oral health promotion program for children and adolescents needs to be integrated and coordinated with the overall health promotion program. In particular, it is believed that the school-based program can strengthen the practice of health behaviors by inducing behavioral changes based on the formation of healthy relationships and trust of colleagues and teachers. Therefore, it is necessary to develop social network-based programs including social support such as emotional health and healthy relationships that can be applied among children for oral health promotion.

• 농촌의학ㆍ지역보건
• /
• 제32권1호
• /
• pp.27-39
• /
• 2007

Objectives: The challenge of an increasing elderly population has coupled with everpresent social concerns in Korea. A major problem in health center for the frail older people is that medical, healthcare, and welfare services are often fragmented in terms of providers and settings without appropriate coordination. The purpose of this study was to investigate the need of health center-based integrated healthcare services and its related factors for the elderly. Methods: A total of 110 elderly people who had visited at a county Health Center were interviewed using a self-administered questionnaire from November to December, 2005. The questionnaire consists of five domains according to the Program of All-inclusive Care for the Elderly. Results: Respondents had high need (total mean score with the 5-point Likert-type sacle: 3.67) of health center-based integrated healthcare services including home visiting service (mean: 4.08), chronic disease care service (mean: 4.06), and transportation service (mean 4.05). According to the results of hierarchical multiple regression analysis, among three regression models the magnititude of the variance of full model that is explained by the need of welfare-domain service was significantly larger than two reduced model. Income was a significant variable in increasing the need of health care and welfare services. Conclusions: This study suggests that the health center-based integrated healthcare services for the elderly must be continuously developed and provided for the health promotion and improved the quality of life of the elderly who live in rural area in Korea.

• 보건교육건강증진학회지
• /
• 제20권1호
• /
• pp.203-218
• /
• 2003

In aging Korean society, many elderly people have difficulty in the areas of health, economic insecurity, role-loss(both work & spouse), loneliness, and family conflicts. Above all, retirement from work is one of the most important stressful life events having influences an elderly's persons economic & social activities, mental state, health status, and Lifelong educational programs could help the aged cope with these situations in later life. Health and social welfare are commonly recognized as an important value of life. They also have an effect on each other. Most people agree that the promotion of health and social welfare is to take a short-cut toward achieving well-being. Thus we need to develop a substantially integrated program of lifelong education, before and after retirement, for the promotion of health and welfare. Universities have the advantage of practicing lifelong educational programs because they have more material, intellectual, and human resources than any other educational facilities. As a result, the purposed of this study is to suggest life-long educational programs for promoting both health conditions and the level of social welfare by utilizing an aging center affiliated with a university. Specifically, the developmental courses of pre-retirement, learning in retirement, elder-hostels, and the connection between pre and post-retirement educational programs are proposed in this study.

• 치위생과학회지
• /
• 제16권4호
• /
• pp.293-301
• /
• 2016

본 연구는 강릉시보건소 고혈압 당뇨관리사업과 구강보건사업을 연계한 통합건강증진사업을 기획, 수행하고 단계적 평가지표를 제시하여, 고혈압 당뇨관리교실에 등록한 30세 이상의 성인 중 48명을 대상으로 진료실 개별 구강건강관리 프로그램을 운영하였다. 인력 시설 장비 등의 구조평가와 담당자의 적절성 및 프로그램 운영 충실도 등의 과정평가를 통해 사업의 기획 및 수행상태를 파악할 수 있었으며, 개선방안 모색을 통해 사업의 효율성을 높일 수 있었다. 결과평가 결과로 '구강건강지식'은 8점 만점에 1차 5.52점, 2차 7.42점으로 나타났으며(p<0.001), '구강건강인식'은 20점 만점에 1차 13.31점, 2차는 17.29점으로(p<0.001) 지식과 인식 문항 모두 1차에 비해 2차 점수가 유의한 차이로 높게 나타났다. '치은출혈' 검사 결과 1차 '출혈 있음'이 89.1%, 2차 71.7%로 감소하였으며(p=0.021), 'PHP index' 검사 결과 1차 3.28점, 2차 2.42점으로 유의한 차이가 있었다(p<0.001). 프로그램의 전체적인 만족도는 '매우 만족, 만족'이 98.0%, 재참여 의사 및 권유 의사는 '매우 그렇다, 그렇다'가 각 97.9%, 93.7%로 매우 높게 나타났다. 사업담당자 1:1 면접설문조사를 통한 질적 평가 결과, 프로그램의 '전체적인 구성의 적절성'은 내용이 짜임새있게 구성되어 '매우 적절, 적절'이라고 응답하였으며, '연계 절차의 적절성'은 현황 및 요구도 조사에서 대상자의 위험요인을 적절히 파악하여 연계가 이루어졌으며, 당뇨와 치주질환의 연관성에 따라 사업을 연계하여 운영하는 것이 '적절'하다고 응답하였다. '성과지표의 적절성'으로는 '참여 인원수, 효과성(치은출혈, PHP index, 구강건강지식 및 인식), 만족도 평가'가 성과지표로 '매우 적절, 적절'하다고 응답하였다. 논리적 모형의 사업은 투입-활동-산출-결과에 따라 구조, 과정, 결과 평가지표로 구조화되어 단계적 평가가 이루어지기 때문에 균형적인 평가가 가능하며, 평가지표는 정량적 지표와 정성적 지표로 구성되어 체계적인 사업 평가가 이루어질 것으로 생각된다. 고혈압 당뇨관리교실 내소자의 통합적 건강관리를 위해 본 연구에서 기획된 개별 관리 프로그램과 평가지표의 적용 확대 가능성이 높을 것으로 생각되며, 논리적 모형을 적용한 프로그램의 일반적인 적절성과 평가지표의 타당성을 확인하고, 만성질환 관리 측면에서 공통의 효과를 측정할 수 있도록 지속적인 운영과 모니터링이 필요할 것으로 생각된다.

• 문화기술의 융합
• /
• 제4권1호
• /
• pp.139-151
• /
• 2018

본 연구는 암환자를 돌보는 임상간호사를 위한 통합적 완화 돌봄 역량 강화 프로그램을 개발하고, 이를 적용하고, 그 효과를 검정하기 위해 실시되었다. 연구방법: 대상자는 D시 소재 2개 대학병원에 근무하는 간호사를 대상으로 편의추출 하였으며, 실험군 17명, 대조군 20명으로 총 37명을 대상으로 하였다. 실험군을 대상으로 통합적 완화 돌봄 역량 강화 프로그램을 2016년 10월 5일~11월 16일까지 주 1회, 7주간 시행하였으며, IBM SPSS Statistics version 19.0 for Windows 프로그램을 이용하여 분석하였다. 연구 결과 및 결론: 본 연구 결과 통합적 완화 돌봄 역량 강화 프로그램은 간호사의 통합적 완화 돌봄, 공감 역량, 윤리풍토에 향상에 효과적인 프로그램임이 검증되었다. 본 연구 결과를 토대로 다양한 건강 전문직과의 융합하여 적용 가능한 프로그램 개발이 요구된다.

• International Journal of Advanced Culture Technology
• /
• 제7권4호
• /
• pp.1-13
• /
• 2019

Purpose: Rehabilitation nursing requires an interdisciplinary comprehensive team approach that allows for enough time to promote patients' functional recovery. We identified the effects of a nurse-led rehabilitation intervention program on subacute stroke patients' activities of daily living, anger, and muscle strength, as well as their chief caregivers' satisfaction. Methods: Intervention group participants (n = 20) completed a rehabilitation intervention program, which integrated physical activities with psychological and social approaches. Results: The program did not significantly improve patients' activities of daily living or anger management; however, it significantly affected both anger-in (t = 3.384, p = .002) and anger-out (t = 2.167, p = .037) attitudes. Caregivers' satisfaction among the intervention group (t = 6.935, p < .001) decreased more significantly than that of the comparison group (t = 0.224, p = .825). Conclusion: Rehabilitation intervention program should enlist nurses' participation and promote a team-based approach during the rehabilitation program. Further, patients and their caregivers should be encouraged to express their emotions during counseling.

• The Journal of Korean Physical Therapy
• /
• 제22권4호
• /
• pp.73-81
• /
• 2010

Purpose: The purpose of this study was (1) to examine the effects of a Health Promotion Exercise Program (HPEP) on functional improvement, physical strength (PS) and muscle activation (MA), and the interactive influence with activities of daily living (ADL) and instrumental activities of daily living (IDAL) in the elderly, and (2) to develop and provide a HPEP for the elderly in order to prevent declines and impairments in integrated nerve function and physical capacity. Methods: Our study included relatively healthy elderly people aged 65 years or older. The experimental group, which was composed of 30 people, participated in a HPEP 50~60 minutes a day, 3 times a week, for a total of 12 weeks. Results: Confirmatory factor analysis (CFA) validated the measurement models for MA, physical strength, ADL and IADL with a p<0.01. This confirms (i) the beneficial effects of the ADFP on their MA and PS, and (ii) that their improvement in PS, in turn, can improve their IADL. The results of this study indicates that ADFP can help Korean seniors 65 years or older improve their MA, PS, ADL, and IADL, and do so synergistically. Conclusion: An HPEP, when organized in such a way that the elderly can easily do it, and when exercise items and intensity can be programmed and reorganized accordingly to individual physical and physiological characteristics by presenting 5 categorized health domains of physical strength, may be useful, especially because it can be practiced irrespective of time and place.

• 한국학교ㆍ지역보건교육학회지
• /
• 제15권2호
• /
• pp.115-125
• /
• 2014

Objectives: The purpose of this analysis was to assess the maternal and child health program in Lao PDR, which was implemented to reduce maternal and child mortality in Laos. Target areas for the project included 2 provinces (Xiengkhuang, Houaphan) with all 18 districts within them. The beneficiaries of this project included 121,000 childbearing women and 62,000 children under 5 years old (LSIS, 2012). Methods: In this study, it was done for efficiency evaluation of the assistance projects of the health sector of maternal and child health promotion program in Laos that took place from 2010 to 2013. We conducted a cost-benefit analysis for the evaluation of the effectiveness of that program was being carried out effectively. Results: This evaluation adopted the Cost-Benefit analysis approach. Key findings of the Cost-Benefit analysis are the following: The Benefit-Cost Ratio of 1.012, Net Present Value of 84,250,000 Korean Won, an estimated Internal Rate of Return of 10.12%. These findings suggest that project activities were efficiently implemented. Conclusion: As a result, maternal and child health project in Laos has been analyzed that there was economic efficiency. Therefore, It is considered necessary and continued support expansion of program in the future. The direction of maternal and child health project in Laos, approach and community policy support must be included. Integrated approach between the program approach and overall health should be performed for healthy life habit.

• 대한치과기공학회지
• /
• 제44권1호
• /
• pp.15-23
• /
• 2022

Purpose: The purpose of this study was to identify the experiences of depression, suicidal thoughts, and habitual drug use in middle and high school students and examine their relationship with the oral symptoms experiences. Methods: The participants of this study were 54,948 middle and high school students who took the screening and health survey at the 16th "Youth Health Behavior Survey" (2020). The SPSS statistical software (IBM SPSS 23.0 for Windows; IBM) was used for data analysis. The significance level was set to 0.05. Results: Complex-sample logistic regression analysis was performed to confirm the relationship between the experiences of depression, suicidal thoughts, and habitual drug use and oral symptom experienced. The results indicated that the absence of depression, suicidal thoughts, or habitual drugs had a significant effect on oral symptom experience. Conclusion: A systematic counseling program for early detection of oral symptoms and oral health promotion as well as strategies for practicing correct oral hygiene are required. Additionally, it is necessary to develop a customized education program to promote health education in middle and high school students. It can be used as the basis for an integrated support system that students can use to grow healthy. A differentiated program on the topic of mental health promotion for each grade can be planned and its effects can be monitored.

• 한국임상약학회지
• /
• 제25권3호
• /
• pp.187-199
• /
• 2015

Background: Singapore has the stable healthcare system with utilizing pharmacist manpower in proper positions by demand of populations' health among Asian countries. Objective: This study aims to systematically review (1) the pharmacists' role and (2) the pharmacy education system of Singapore in comparison with Korea. Method: We searched for information about academic, medical and governmental institutions related to professional pharmacists' practice in Singapore by primarily using database such as DBpia, KISS, Google Scholar and ProQuest and the official website of the Singapore Ministry of Health. We contacted and arranged the visit schedules with National University of Singapore, National Health Group's polyclinics, Agency for Integrated Care, National University Hospital, and community chain pharmacies. During onsite visits, we interviewed pharmacists working in each institution and obtained additional documents and materials relevant to this manuscript work. Results: To become a registered pharmacist in Singapore, the pharmacy curriculum requires four full-time academic years and six additional months allotted for pre-registration training. Pharm.D. course is offered for pharmacy graduate students with additional two full-time years of study. Team teaching and inter professional education program seem the most significant method in pharmacy education. Pharmacists working at hospitals, polyclinics, and community pharmacies in Singapore take broader roles and offer more cognitive services such as smoking cessation program and medication reconciliation. Especially, pharmacists in Agency for Integrated Care fill the role of primary care providers for the continuing care of the community through the governmental support toward the patients-centered integrated care. Conclusion: Singaporean pharmacists take significant and active roles in collaboration with other healthcare providers. Efforts such as interprofessional pharmacy education and governmental endorsement of the systematic and interactive care between pharmacists and other medical providers in Singapore are needed to be urgently applied to Korea healthcare system for the promotion of population health.