• Korean Journal of Health Education and Promotion
• /
• v.30 no.4
• /
• pp.111-123
• /
• 2013

Objectives: This study aimed to share with experiences of a demonstration program based on a community for prevention and management of hypertension and diabetes mellitus, and to supply the evidence of accessible strategies within the community through the public-private partnershipin the near future. Methods: This study case was "the program of registration and management of hypertension and diabetes mellitus patients" which was conducted in Hogncheon-gun in Gangwon-province, 2012. Results: The infrastructure of this center was constructed with the public-private sector partnership according to the basic model of demonstration program since November, 2012. So, the total registered rate of hypertension and diabetes mellitus patients were 26.6% in comparison with suspected patients (to the result of 2011 Korea National Health and Nutrition Examination Survey), 37.8% in comparison with the real number of outpatient (to the claims data of 2011 Branch Honcheon-gun, National Health Insurance Corporation), and 107.8% in comparison with the project goal, sequentially. To the patients who were not treated for 30 and 60 days among the registered patients, a recall service was conducted. Through this intervention, it was monitored that this program has enhanced the consecutive treatment rate of the registered patients. Conclusions: To improve the continuous management of hypertension and diabetes mellitus patients, we are gotten to know that the community need the joint participation and mutual cooperation with public-private sector partnership.

• Journal of Korean Academy of Nursing
• /
• v.47 no.4
• /
• pp.514-525
• /
• 2017

Purpose: The purpose of this study was to construct and test a structural equation model for Diabetes self-management (DSM) behavior and Quality of life (QoL) in older adults with diabetes who use Citizen Health Promotion Centers. The theory used this study was a combination of the Information-Motivation-Behavioral Model (IMB) and Self-Determination Theory (SDT) to reflect autonomous characteristics of participants. Methods: Data were collected from April 20 to August 31, 2015 using a self-report questionnaire. The sample was 205 patients with type 2 Diabetes who regularly visited a Citizen Health Promotion Center. SPSS 22.0 and AMOS 22.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factor affecting the participants' DSM behavior and QoL. Results: The supported hypotheses were as follows; 1) The variable that had a direct effect on QoL was health behavior adherence (${\gamma}=.55$, p=.007). 2) The variables that had a direct effect on DSM behavior were DSM information (${\gamma}=.15$, p=.023), DSM confidence (${\gamma}=.25$, p<.001), and autonomous motivation (${\gamma}=.13$, p=.048). 3) The variable that had a direct effect on DSM confidence was autonomy support (${\gamma}=.33$, p<.001). Conclusion: The major findings of this study are that supporting patient's autonomous motivation is an influential predictor for adherence to DSM behavior, and integrative intervention strategies which include knowledge, experience and psychosocial support are essential for older adults with diabetes to continue DSM behavior and improve QoL.

• KDI Journal of Economic Policy
• /
• v.32 no.1
• /
• pp.69-96
• /
• 2010

This paper aims to put forward some policy suggestions regarding the goal and strategies of the regional development policy in Korea. We first survey past regional policies and examine the regional disparity in Korea. It is found using the OECD data that although population and income are highly concentrated, inequalities of income and other living standards do not seem as problematic as to call for strong government intervention. Moreover, recent development in the new economic geography implies that the 'capital vs. non-capital area' framework that has been shaping the Korean regional development policy should be reconsidered. The main message of this paper is that it is not desirable for the central government to disperse agglomeration to enhance regional equity and that local governments should be responsible for regional development. Therefore enhancing the autonomy and accountability of the regional government is essential.

• Journal of the Korea Convergence Society
• /
• v.9 no.1
• /
• pp.75-84
• /
• 2018

The purpose of this study was to investigate the effects of adult attachment, responsibility attribution, and self - esteem of adult women on psychological violence in intimate relationships. For the study, we analyzed the data of 137 women collected using self - report questionnaires. The results of the study showed that the higher the level of Age(over 36 years old), love experience(more than 4 times) and attribution of responsibility, the higher the victim of psychological violence. The higher the age (over 36 years old), the love experience(more than 4 times) and adult attachment, the higher the harms of psychological violence. On the other hand, self-esteem showed no effect. Therefore, efforts should be made to reduce the psychological violence of adult women by developing intervention strategies for secure adult attachment enhancement and hostile attribution reduction.

• Journal of the Korea Convergence Society
• /
• v.11 no.1
• /
• pp.317-325
• /
• 2020

The purpose of this study was to identify the influence of creativity and self-leadership on innovative behavior of college nursing students in the convergence society. The participants were 202 college nursing students, data were analyzed using t-test, ANOVA, Pearson correlation, Multiple regression. It was found that: nursing students showed higher score at creativity, higher self-leadership, and lower grade, higher score for innovative behavior. Significant correlation was found among creativity and self-leadership on innovative behavior. The main factors influencing innovative behavior were creativity, self-leadership, and grade. They explained about 36.0% of innovative behavior. Therefore, in order to improve the innovative behavior of nursing students, a variety of strategies such as education courses and intervention for developing creativity and finding ways to improve self-leadership are needed.

• The Journal of Korean Academic Society of Nursing Education
• /
• v.15 no.2
• /
• pp.194-204
• /
• 2009

Purpose: Level of reflective thinking of students are important factors in the area of nursing studies on web-based PBL. These factors were used as a component of learning strategies. One was to understand general recognition to web-based PBL and reaction to the use of reflective journal. The other was to investigate the level of reflective thinking was related to learning activity. Method: PBL was adopted for an online course titled 'Nursing Assessment and Intervention'. Twenty graduate students were evaluated from questionnaire, reflective journals, and individual assignments. Result: Web-based PBL was strong for self-directed learning, team activity, creative thinking, diversity of thinking, and diverse process of learning while hard time, lack of cooperation, uncertainty of outcome, and lack of time were considered as weakness. Reflective journal gave moderate help to learning activities. The learners' learning activities was the lowest in the middle level of reflective thinking. Conclusion: Generally, graduate students in college of nursing showed slightly positive attitude to PBL experience and slightly positive reaction to the learning effect of reflective journal. PBL was estimated to be valuable and meaningful. There was no relationship between the level of reflective thinking and learning activities.

• Korean Journal of Social Welfare
• /
• v.62 no.4
• /
• pp.223-248
• /
• 2010

This study is to explore the contents and interaction of residents voluntary network and propose the strategies to promote residents voluntary network. The grounded theory was utilized to attain our object. Total of seven social worker and 17 residents participated in the study. Data were collected through in-depth interviews and documents. The data were analyzed by using Strauss and Corbin's method. Results are the followings. In open coding 13 categories, 32 subcategories and 133 concepts were constructed. In axial coding causal conditions were qualitative ascent of needs, emergence of the right welfare consumer. Phenomenon was agitation of praxis ground and grope of exist. Contextual conditions were crisis resources, skepticism of welfare. Intervention conditions were maturation of welfare cognition and proliferation of the sense of community responsibility. Strategy were resocialization of voluntary organization and construction of field related service delivery system. Consequence were grass routing welfare strategic fitting service system. In selective coding we constructed the core category: The praxis revolution from bottom for break social welfare environment.

• The Journal of the Korea Contents Association
• /
• v.14 no.10
• /
• pp.619-627
• /
• 2014

The purpose of this study is to investigate the levels of depression of the college students, and correlation of depression and anxiety, unemployment stress, self-esteem, and finally to explore the moderating effect of resilience between those variables. The participants of the survey were 298 college students. The data were analyzed with t-test, ANOVA test, Pearson correlation coefficient, and moderated multiple regression by SPSS Win 18.0. The major findings were as follow; students appear to have more depression when they are female, in 1st, 2nd, 4th grades than 3rd grade, and in a low economical status. Students' depression had a positive correlation with anxiety and unemployment stress, and had a negative correlation with self-esteem, resilience. In moderated multiple regression analysis, self-esteem and anxiety were influenced by resilience such as self-control ability. Therefore, the intervention strategies for decreasing depression of college students should include development of resilience, especially self-control ability in specific, besides control of the anxiety and unemployment stress.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• v.7 no.1
• /
• pp.92-97
• /
• 2004

Posttranplantations lymphoproliferative disease (PTLD) is a common and life-threatening complication for soid organ transplantation associated with the use of chronic immunosuppression and Epstein-Barr virus. There is no standardized treatment algorithm, but numerous management strategies are vaiable. Partial splenic embolization (PSE) had been demonstrated to be an effetive alternatie to splenectomy for patients hypersplenism and portal hypertension. PSE has the advantages of non-invasive intervention and resolution of the complications of hypersplenism. We report the effect of the PSE in a 6-year old male liver transplantation recepient with PTLD who has undergone persistent hypersplenism post-transplant. We reduced immunosuppression agent, started antiviral agent. We started with interferon and IV globulin one month after admission. Hepatosplenomegaly and cervical lymphadenopathy were improved. But fever was not subside. We selectively embolized the lower pole of the spleen to achieve a 50~60% reduction in flow as determined by angiography. After embolization, fever subside and peripheral blood findings were improved. Follow up abdominal CT revealed reduced volume of spleen due to ischemic change and there was no multiple enlarged mesenteric lymphnode compared to preembolization state. We thick that PSE is a safe an effetive treatment modality of PTLD with persistent hypersplenism in patients twho failed to medical treatment.

• Journal of Preventive Medicine and Public Health
• /
• v.51 no.1
• /
• pp.23-32
• /
• 2018

Objectives: To identify the associations of characteristics of the neighborhood environment with substance abuse among clients receiving treatment for drug abuse in Thailand. Methods: A cross-sectional study was conducted of 1128 drug addicts from 28 neighborhoods who were receiving treatment at all 7 compulsory drug detention centers in Thailand. A trained interviewer conducted structured interviews with the subjects about substance use and the perceived neighborhood environment in their community. A multilevel logistic regression model was applied to estimate the effects of the neighborhood environment on substance use. Results: The majority of participants, 53.8% only used methamphetamine pills, 31.3% used other illicit drugs as well as methamphetamine pills, and 14.9% used an illicit drug other than methamphetamine. Three neighborhood characteristics were associated with substance use. A 1-unit increase in the perceived neighborhood cohesion score was associated with a 15% reduction in methamphetamine pill use and an 11% reduction of the use of both methamphetamine pills and another illicit drug. Conversely, a 1-unit increase in perceived neighborhood crime predicted 19 and 14% increases in the use of methamphetamine pills and the use of both methamphetamine pills and another illicit drug, respectively. In addition, a 1-unit increase in the scores for stigma surrounding addiction corresponded to a 25% increase of the use of methamphetamine pills and a 12% increase in the use of both methamphetamine pills and another illicit drug. Conclusions: Substance use among drug addicts was influenced by characteristics of the neighborhood environment. Therefore, prevention and intervention strategies should be designed based on a consideration of the impact of neighborhood context on substance use behaviors.