• The Journal of Korean Society for School & Community Health Education
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• v.15 no.1
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• pp.1-13
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• 2014

Objectives: The purpose of this study was to provide substantial foundation to establish effective sex education plan for university students, and to inquire into sexual knowledge, consciousness and values of university students and into whether there are difference between health related major subjects and non-health related major subjects. Methods: This study was conducted on students in 227 health related major subjects and 226 non-health related major subjects in chungbuk C city. The Questionnaire, used in this study, was re-made on basis of reviews and previous studies, and total of 453 questionnaires were used. Results: Sexual knowledge scores were not significantly difference between health related major subjects and non-health related major subjects. but health related major subjects were more educated contraception, pregnancy artificial abortion, sexually transmitted disease than non-health related major subjects. Sexual knowledge was correlated with attitude in sex, times of sex education and usefulness of sex education. Conclusion: The university authorities make a curriculum for systematic sex educations and need to assertive support students and they can have right sexual consciousness and have mature and responsible attitude to sex through right education of knowledge in sex.

• PNF and Movement
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• v.20 no.3
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• pp.307-319
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• 2022

Purpose: This study aimed to investigate the perceptions of tele-physical therapy of health and non-health majors. It can provide basic research data for the provision of medical services in the future by identifying the level of awareness of the need for tele-physical therapy and the factors that affect it. Methods: The subjects were adults aged 20 to 29 in Korea, with 199 participants consisting of 83 health majors and 116 non-health majors. The survey was conducted over a period of 14 days. The survey comprised 19 questions, including 10 questions about general characteristics and 9 questions about tele-physical therapy recognition. The results were statistically analyzed using a statistical package program. Results: There was a significant difference between the two groups regarding the recognition of tele-physical therapy, with an average of 2.64 points in health majors and an average of 1.71 points in non-health majors, showing a low overall score. There was no significant difference in perception of the necessity of tele-physical therapy, with an average of 3.71 points in health majors and an average of 3.49 points in non-health majors, showing a high score, which was defined as a score of 3 or higher. Conclusion: Health and non-health majors showed low awareness of tele-physical therapy. A high level of perceived necessity for tele-physical therapy was shown. In the perception of tele-physical therapy in health majors, 'awareness', 'health improvement', and 'convenience' affect the perception of the necessity of tele-physical therapy. In non-health majors, 'knowledge and skills', 'health improvement', 'expected treatment satisfaction', and 'resolving restrictions on hospital visits' affect the perception of the necessity of tele-physical therapy.

• Health Policy and Management
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• v.21 no.1
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• pp.44-60
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• 2011

Background : Surgical site infection(SSI) is one of the important nosocomial infections with pneumonia, urinary tract infection. SSI increases mortality, morbidity, length of stay, and costs for postoperative patients. The purpose of this study was to estimate length of stay(LOS) and health care costs from SSI using the large observational data. The ultimate objective was to show the effect of prevention of SSI. Method : This study used antibiotic prophylaxis evaluation data and claims data of the HIRA(Health Insurance Review and Assessment Service). The study population included 18,361 patients who underwent gastric surgery, endoscopic cholecystectomy, colon surgery, hysterectomy, cesarean section in nationwide hospitals from August to October 2007. SSI group and non-SSI group were matched according to propensity score resulted from logistic regression. The paired t-test was used to compare the difference of the LOS and health care costs between SSI group and non-SSI group. Results : The 598 cases of SSI were detected of total subjects, and the crude SSI rate was 3.3%. For each surgery, SSI rates were 5.5% for gastric surgery, 4.7% for cholecystectomy, 6.6% for colon surgery, 2.6% for hysterectomy, and 1.6% for cesarean section. The 596 cases of SSI and the 596 cases of non-SSI were matched by propensity score. The LOS of SSI group was longer than that of non-SSI group, and the difference was statistically significant. Health care costs of SSI group was more than that of non-SSI group which was significant. Conclusions : SSI increased apparently the LOS and healthcare costs. The economic loss might affect the cost of national healthcare as well as patients and hospitals. This study provided the evidence that the healthcare expenditure could be reduced by preventing SSI.

• Korean Journal of Clinical Pharmacy
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• v.23 no.3
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• pp.232-238
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• 2013

Background: Although thromboembolism is common and one of the major causes of mortality in cancer patients, maintaining therapeutic anticoagulation effect with warfarin is challenging. This study aimed to determine the prevalence and the causes of non-therapeutic INR (International Normalized Ratio) in cancer patients. Methods: Medical and pharmacy records for cancer patients managed by the pharmacist-run anticoagulation service (ACS) between May, 2010 and April, 2011 at Seoul National University Hospital were retrospectively reviewed. The causes of non-therapeutic INR were identified and compared with the results from a former study with mechanical heart valve patients. Results: A total of 335 cancer patients and 6,737 patient-visits were analyzed producing 68% (n=4,590) of non-therapeutic INR readings. Eighty-five percent of the non-therapeutic INR readings were categorized as sub-therapeutic. Frequent causes linked to non-therapeutic INR included inadequate dosage adjustment (21.8%), changes in health status (11.8%), dietary changes (8.1%), and drug interactions (4.2%). More than half of the non-therapeutic INR values had no known etiology. As causes for non-therapeutic INR, changes in health status (p<0.0001), adverse reactions (p<0.0001), and dietary changes (p=0.017) were statistically more frequent in cancer patients than in patients with mechanical heart valves. Furthermore, exposure to sub-therapeutic INR were more prevalent in cancer patients than in patients with mechanical heart valve (p<0.0001). Conclusions: This study shows that there is a tendency to keep the level of INR low and that health status change, dietary change, and drug interactions are found to be frequent causes for non-therapeutic INR in cancer patients.

• Research in Community and Public Health Nursing
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• v.16 no.2
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• pp.115-126
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• 2005

Purpose: The aims of this study were to describe general characteristics and needs of home health care, and to find the differences between home health care needers and non-needers. Method: In this study, 642 subjects participated who lived in Muan, Jollanam-do. Data were collected in August 2001 using a self-reported questionnaire. The questionnaire was a revised and simplified form of the Organization of Community Health System Program at the Seoul National University. Collected data were analyzed through Kruskal-Wallis test. t-test. and Chi-squire for cross-sectional analysis. Result: The average age of the subjects was 52.6 years and 33.3% of them aged over 65 years. Twenty six percent of them had chronic degenerative diseases. The percentages of hypertension patients and D.M. patients were 6.4% and 2.5%, respectively. The number of family members was 2.95 on the average, 2.19 in cases of families with the elderly and 3.33 in cases of families without the elderly. The rate of disability of the elderly was 10.5%. Marital status (p=.000), the number of family members (p=.000), education (p=.000), job (p=.000) and health insurance (p=.027) were significantly different between home care needers and non-needers. Home care needers had less living expenses (p=.001), more frequent hospital admissions (p=.004), higher chronic disease rate (p=.000) and more frequent visits to public health center (p=.027) than non-needers. Home care needers who wanted free service were twice as many as non-needers. Conclusion: Home care need was very high in rural areas and the needers had worse characteristics (low educational level. low income, no job and no family). Therefore, it is necessary to develop cheaper and more accessible services for home care needers in rural areas.

• Journal of dental hygiene science
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• v.17 no.1
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• pp.30-37
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• 2017

The purpose of this study was to reveal analyze the relationship between status of participation in an oral health care program and oral health outcomes among patients in Korea, and to evaluate the results to provide evidence regarding the feasibility of widespread implementation of the program. Patients were designated as either cooperative or non-cooperative with the oral health care program and were assigned to each group accordingly. Modified dental hygiene process (M-DHP) of the oral healthcare program was modified to form the dental hygiene process. The study included 48 patients at a dental clinic in Busan, Korea. Questionnaires were used to collect information on oral health behavior (OHB), clinical examination was used to record bleeding on probing (BOP) and O'Leary index, and phase microscopy was used to identify microorganisms. Differences between groups were evaluated using repeated measures ANOVA. Our results showed that the group cooperative with the oral health care program showed greater improvement in OHB, BOP, and O'Leary index than the non-cooperative group. Second, patient satisfaction with the M-DHP was very high, particularly for content and the friendly nature of the staff. The cooperative group showed greater improvement in oral health than the non-cooperative group for all metrics. Our results suggest that this low-coste program, if implemented, would be actively accepted and utilized in dental clinics.

• Korean Journal of Health Education and Promotion
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• v.5 no.2
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• pp.90-109
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• 1988

This study was carried out to find the influencing factors on the acceptance of vaccination of viral hepatitis type B. Two groups of students, 362 undergraduates of Korea University were surveyed for research. The compliant group was 156 students who were inoculated with viral hepatitis type B shot more than one time. The non-compliant group was 206 students who were not inoculated. The measures used for this study were Multidimensional Health Locus of Control Scales and the one developed by the researcher on the basis of literature review about Health Belief Model. The results of this stuby were as follows. The awareness on health of the compliant group was higher than that of the non-compliant group(t=0.39, P<0.05), And perceived barrier of the compliant group was lower than that of the non-compliant group(t=0.35, P<0.05). But the knowledge about the viral hepatitis type B of the compliant group was lower than that of the non-compliant group(t=2.49, P<0.05). There were no differences between two groups in the perceived susceptibility of the hepatitis and the perceived benifit of the hepatitis vaccination. There was no difference between two groups in terms of the Inner Health Locus of Control (HLOC) and Chance HLOC. On the other hand Powerful-Others HLOC of the compliant group was higher than that of the non-compliant group(t=3.67, P<0.05). 'Parent's advice' was found to be the major answer to the motive of being vaccinated in the compliant group. This explains that the most influencial factor in determining one's health behavior is the parent's opinion. Answers to the question of the reason of not being vaccinated were, 'did not want to bother' and 'did not care yet' in order. As a whole, except for the awareness on health and the perceived barrier of the hepatitis vaccination, this study result shows disagreement with the past investigations on the inter-relationship between one's health belief or Health Locus of Control and the health behavior. The author of this study believes this was due to the limitation in the survey group's particular homogenity.

• Korean Journal of Occupational Health Nursing
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• v.11 no.1
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• pp.31-43
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• 2002

This study was conducted on the basis of the Theory of Planned Behavior to analyze factors affecting intentions for health behaviors defined as non smoking, moderate drinking and exercise in male office workers. The participants of this study consisted of 230 male office workers of 10 workplaces located in Seoul. The results of this study can be summarized as follows: 1. Non smoking For smokers. perceived behavioral control, subjective norm and attitude were factors affecting on intention for non smoking, and these factors explained 29% of the total variance of non smoking intention. 2. Moderate drinking For drinkers, subjective norm, perceived behavioral control and attitude were factors affecting on intention for moderate drinking. and these factors explained 5% of the total variance of moderate drinking intention. 3. Exercise For those who exercise irregularly or don't exercise, perceived behavioral control, subjective norm and attitude were factors affecting on intention for exercise, and these factors explained 26% of the total variance of exercise intention. 4. Health Behaviors For all participants, perceived behavioral control, subjective norm and attitude were factors affecting on intention for health behaviors, and these factors explained 34% of the total variance of intention for overall health behaviors. And health behavior intention affected practice of health behaviors, but perceived behavioral control didn't.

• Health Policy and Management
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• v.20 no.2
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• pp.104-127
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• 2010

To vitalize the link program of Korean long-term care insurance system to community-based services for non-eligible people, we analysed the claim data from the Korean National Health Insurance Corporation (NHIC), and conducted a questionnaire survey to charging employees of elderly service department at local governments. The subjects were all 81,377 people, 57,454 of them were arranged to community-based services. The link program was more necessary among the missed subjects rather than the arranged people due to the need for physical or psychological assistance. By the result of the survey to the local government employees, 59.5% of subjects responded their proportion of link service was over 10% and under 20%, and 54.3% of them responded their job boundary are not clear. Major type of linking was notification the subject list to local government, 91.4%; proportion of periodical notification on the status of their service link were 57.1%, only 7.1% were followed to manage after the link. Difficult factors at the link process were pointed out the overload by other side work, deficiency of resources, rigidity of priority of link, and so on. Considering these results, to vitalize the community-based services to the non-eligible people, it may be essential the active participation of the subjects, construction of parts working in coordination among the institutions including NHIC, local governments, and service providers; development of various services for maintenance or promotion of the non-eligible peoples' health and functional status; and active participation of institutions from the third sector, and so on.

• Journal of Korean society of Dental Hygiene
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• v.4 no.1
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• pp.93-103
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• 2004

This study was conducted to evaluated the effects of improvement on dental health behavior and dental health knowledge of adult group through dental health education program, the study subjects were 75, education group being 37(male 19, female 18) and non-education group being 38(male 19, female 19). who being in 2 office. The results of this study were as follow: 1. In the primary survey, the education group and non-education group showed no differences in sex, age, job year, income, smoking, self-rated dental health statues, DMFT index, a number of cervical abrasion tooth, dental health behavior, dental health knowledge. 2. before education program the use of tooth brushing method of horizontal+vertical was 40.6%, after education program the use of tooth brushing method of rolling was 89.2% in education group. 3. after education program the tooth brushing times was increased after-meal brushing, especially increased from 40.5% to 93.8% at after midday meal brushing. 4. the difference of mean change of dental health knowledge score after oral health education program had been studied. dental health knowledge score increased in 9.8 in the education group and non-education group in 1.6(pE0.001). 5. the difference of mean change of oral health promotion behavior after oral health education program had been studied, the frequence of tooth brushing(pE0.05), flossing(pE0.001), tongue brushing(pE0.001) was significantly increased in education group compare to non-education group. Above findings suggest that dental health education program was effective in improving the dental health behavior, dental health knowledge of the adult group.