• Journal of muscle and joint health
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• v.19 no.2
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• pp.197-209
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• 2012

Purpose: This study was aimed to revise Personal Power of Health Care (PPHC) scale which was developed to measure the personal power and competence for health care. Methods: Research phases designed for this study were literature review, scale development, and discussion with experts and pre-test for content validity, and survey for construct validity and reliability. The scale was composed of 25 items with 7 dimensions and tested to 592 adults ranged from 20 to 59 aged living in S and W city. Results: From factor analysis, 7 dimensions were identified and named as follows: Health-perception, Health problem identifying and solving, Socio-economical involvement, Sociocultural relationship, Self-regulation, Spiritual wellbeing, and Health policy participation. The total explained variance was 54.69%. The reliability was .817 of Cronbach's alpha. The PCHC scale was significantly different from gender, religion, education level, monthly income, and presence of family disease, but not different from age and job. Also, there were significant correlations among Health Promotion Lifestyles Profile II, WHO QOL-BREF and self-efficacy. Conclusion: This PCHC scale is reliable and valid to measure personal competence of health care.

• The Journal of Korean Academic Society of Nursing Education
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• v.5 no.2
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• pp.191-205
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• 1999

The purpose of this study is to identify the influence of family support on hope of the patients with stroke. Subjects were 53 in-patients with stroke in two general hospitals and one oriental medicine hospital located in Seoul and Kwang-Ju. The instruments used for this study : The family support scale developed by Kang Hyun Suk(1985). The hope scale developed by Nowotny(1989). The Data were analyzed with descriptive statistics, t-test, ANOVA. Pearson's correlation and simple regression. Data had been collected from December 24, 1998 to January 31, 1999. The results of this study were as follows The mean score of family support was 43.94 and the mean score of the hope was 80.89. The relationship between family support and the hope of the patients with stroke revealed a significant correlation (r= .560, p= .0001). The variables influencing family support and the hope of the patients with stroke were as follows : There was significant difference between family support and general characteristic factor, which was family chief caregiver (p= .002). There was no significant difference between hope and general characteristic factors. but There were significant differences between one of the subscales of hope, 'confidence in the outcome' and general characteristic factors, which were age(p= .021), perceived disability effect(p= .027). There were significant differences between one of the subscales of hope 'possibility of future', and general characteristic factors, which were age(p= .016), education(p= .018). There was significant difference between one of the subscales of hope. 'spiritual belief', and general characteristic factors, which was religion(p= .002). There was significant difference between one of the subscales of hope, 'active involvement', and general characteristic factors, which was family chief caregiver (p= .012). It was found that the higher the degree of perceived family support, the higher the degree of hope. Clearly, the perceived family support can contribute significantly and positively to hope of the patients with stroke. Therefore, nurses should plan interventions to inspire hope level of patients with stroke by family support. The above results may be used as the basic data to seek more efficient way of elevating nursing practice and qualify for the patients with stroke.

• Korean Journal of Adult Nursing
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• v.12 no.4
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• pp.641-653
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• 2000

A quantitative descriptive survey was conducted to assess the needs of elderly people in relation to accessibility of medical care. Identifying their functional status was done and accessibility of medical care was ascertained. Using a convenient sampling method, 856 elderly aged 65 and over in Taejon-city participated. A multi-dimensional questionnaire containing sections on health status, Activities of Daily Living(ADLs) and accessibility of medical care in terms of use, time, distance, transport, cost and feeling at ease was developed by the researchers of this study to collect data. Data were collected between October and December, 1999. In general, the result of the self-reports from this study found that approximately 40% of participants had difficulties with their health status and ADLs while about 45% of the population did not access medical care. The majority of respondents stated that they had no difficulties with time distance and transport to access medical care. About two-thirds of the respondents felt that they had many or some difficulties with expenses and strategies for emergency to access medical care. Even though these findings need to be generalized, several recommendations for appropriate medical care delivery for the elderly still can be outlined from the study findings. Recommendations suggested are: To identify impediments to access medical care in emergency in elderly people and to remove those factors preventively are required. Responsible governmental involvement for solving problems of the medical care cost and additional costs in relation to separation of dispensary from medical practice for the elderly is required. More constructive and practical uses of public health community centers are recommended.

• Research in Community and Public Health Nursing
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• v.16 no.1
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• pp.13-22
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• 2005

Purpose: The purpose of this study is to compare health promotion behavior and influencing factors between aged women of rural areas and urban areas, to investigate factors affecting their behavior, and to provide the primary data for developing heath enhancing program that is appropriate for the population. Method: A survey was conducted on 221 aged women 100 from urban areas and 121 from rural area. The data were collected through a questionnaire and interview. Descriptive statistics, ANOVA and multiple stepwise regression were found by using SPSS PC Win. Package. Result: There were significant difference of factors relating health promotion behavior in Pender model between the aged women in urban areas and rural areas, urban women showed higher scores in factors such as previous heath relating behavior, perceived confidence, self-efficacy, social support, satisfaction with marriage, situational influence, and behavioral plan involvement, while rural women showed higher scores in the factors of fixed idea regarding gender role, perceived disabled feeling, and activity related emotions. At the subscale of HPLP, interpersonal relation, nutrition, health responsibility, stress management, spiritual growth of rural group was lower than urban group. With the multiple stepwise regression analysis, commitment to a plan of action, social support, activity related affect, self efficacy were proved to be significant to urban group, while commitment to a plan of action. activity related affect, social support, sex-role stereotype were proved to be significant to rural group statistically. Conclusion: There were differences of health promotion behavior and influencing factors between aged women in urban areas and rural areas and women in rural areas were found to have more weakness than women in urban areas. With the results, it is concluded that health promotion programs for aged woman should be designed differently between urban and rural area regarding the factors affecting health promotion behaviors.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.2
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• pp.5-18
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• 1995

While the socioeonomic status of Koreas has been dramatically increasing in recent years, chronic and geriatric diseases have also been on the rise, bringing about many changes in our health care system. The basic goals of the home health care are to reduce health care costs, to increase the attrition rate in general hospitals, and to care for patients effectively and conveniontly at home. The purpose of this paper is to review and examine the current status of the home health care in Korea throughout the reports, surveys, other informations and education system of home health nurse. We identified the various types of home health care services programs, such as hospital-based home health care operated in public sector(demonstration project) and community-based home health care in health centers or in private sector, that is, Korean Nurse Association. Hospital based home heatlh care model was established as an alternative to traditional in-patiet services. Quality assurance and client satisfaction is an important measure of care received and establishment of payment and reimbursement for home health care services is important in promotng the home health care. We found out a fee-per-visit system composed of three kinds of fees : a basic service fee(16,000 Won), a travel fee(5,000 Won), and per-service fees (variables). Like fees paid for in-patient care, insureds pay 20% and insurers pay 80% of the basic and per-service fee. The travel fee is borne totally by the insured. Home health care continues to be viewed as not only the most preferred way to provide care to clients, but also the most cost effective. Home health care is that component of a continuum of comprehensive health care whereby health services are provided to individuals and families in their places of residence for the purpose of promoting, maintaining, or restoring health, or of maximizing the level of independence, while minimizing illness. Services appropriate to the needs of the individual patient and family should be planned and provided, nursing is to be a force for positive change and enhanced the nursing professionalism. Whatever type of involvement of home health care, it is essential to remember that home health care is highly service-oriented and highly touch health car deilvery system.

• Journal of Korean Academy of Nursing
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• v.33 no.2
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• pp.293-300
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• 2003

Purpose: The purpose of this study was to describe health problems and psychosocial adaptation in children with cancer and to determine the relationship between these two variables. Method: The data were collected from parents of 61 children with cancer, aged 4-11 years at one university hospital in Seoul. The instruments for this study were the Korea Child Behavior Check List (KCBCL) and a physical symptom checklist developed by the researchers. Result: The major health problems were coughing, sleeping disturbances, fatigue and weakness. The total behavior problem score for children in the cancer group was higher than the score for those in the norm group. The scores on the scales for withdrawal, somatic complaints, social immaturity, and internalizing problems were higher in the children with cancer compared to normative findings. Scores on social and school competence in the cancer group were lower than the norms for healthy children. The relationship between health problems and psychosocial adaptation was significant in the subscales of withdrawal, anxiety/depression, internalizing problems and social involvement in the off therapy group. Conclusions: This study shows the various areas that need further study in caring for children with cancer.

• Quality Improvement in Health Care
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• v.25 no.1
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• pp.2-10
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• 2019

Purpose: The purpose of this study was to share program and/or resource on patient safety education for patients and families conducted overseas agency. This study will help the patient safety officer establish and implement an educational plan for patients and families. Methods: We searched the Internet for patient safety related organizations. We chose an institution that provided education for patients and families. Results: Most of the program and/or resource was about patient and family involvement; Taking Care of Myself, My Questions for This Visit, Patient Prep Card, 20 Tips to Help Prevent Medical Errors, Ask Me 3(R), Health and Safety Passport, My Medication log etc. Conclusions: It is necessary to distribute educational materials for patients and families in the country through the results of this study. For patient safety, education and publicity are needed so that developed educational materials can be actively used.

• The Journal of Korean Society for School & Community Health Education
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• v.16 no.3
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• pp.31-40
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• 2015

Objectives: The study investigated constipation in male and female high school students and in order to provide data base for development of education and intervention programs aimed at preventing and managing constipation in high school students. Methods: The study used a technique of convenience sampling to mobilize the entire students in an academic high school in D region. Of the combined 360 copies of questionnaire distributed, 340 copies were collected and used for the final analysis. The gathered data were analyzed using frequency, percentage, and ${\chi}^2-test$ in SPSS 21. Results: The ratio of female students with constipation is significantly higher than that of male students with the condition(${\chi}^2=5.73$, p=0.017), and there were significant differences in exercise habits(${\chi}^2=26.75$, p<0.001), eating habits(${\chi}^2=43.19$, p<0.001), and bowel habits(${\chi}^2=22.96$, p<0.001) between female students and male students. Also there was significant difference in water intake between the normal group and the constipation group(${\chi}^2=10.01$, p=0.040). Significant differences between the two groups were also discovered in the level of perception of constipation(${\chi}^2=98.76$, p<0.001), bowel movement time(${\chi}^2=15.74$, p=0.008), and use of laxatives(${\chi}^2=17.68$, p<0.001) and enema(${\chi}^2=16.97$, p<0.001) for constipation relief. Conclusions: To prevent and manage constipation in high school students, education about healthy dietary, and bowel habits is required. Also there is an urgent need to improve the school toilet environment in order to respect the rights of students to void or defecate when necessary, a process which will require involvement of students, teachers, and other school staff.

• The Journal of the Korea Contents Association
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• v.16 no.10
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• pp.563-572
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• 2016

The purpose of this study was to examine the knowledge, attitude and educational needs of radiation protection among nursing students and nurses, because it is needed to raise awareness of the importance of radiation protection. The participants in this study were 274 including 135 registered nurses on bachelor's degree course who had experience of the operating room practice and 139 nursing students. The questionnaire consisted of 45 items including knowledge, attitude, and educational needs of radiation protection. The findings of the study suggest that safe management education was insufficient for protection of radiation. Though, educational needs and intention of involvement were high, the respondents who were more knowledgeable about radiation protection took a better attitude of radiation protection. A radiation protection course development is needed according to educational needs. Nurses have to get a chance to receive education outside the hospital or be provided with a radiation protection program as internal education. Also, radiation educational experts and various visual and auditory materials are needed to promote effectiveness of education.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.26 no.3
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• pp.341-348
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• 2019

Purpose: Severe burn injuries require long periods of hospitalization and treatment, which results in various physical and psychological issues. The main purpose of this study was to identify burn characteristics and psychological problems that influence Health Related Quality of Life (HRQoL) after discharge. Methods: A cross-sectional descriptive study using mobile/web or paper-based survey methods was conducted from a major burn center. A total of 145 patients completed the scar assessment, quality of life, sleep disorders, and depression scales. Results: The overall mean HRQoL and scar status scores were 2.28 out of 5 and 34.45 out of 60 points, respectively. Participants with higher burn degree, joint involvement, and emotional distress reported significantly lower HRQoL and scar status. Participants with depression and sleep problems also had lower HRQoL. Significant predictors of HRQoL included burn range, scar status, depression, and sleep issues. Conclusion: The results show that patients with severe burn injury experience high levels of physical and psychological problems. Patients with severe burn injury and psychological problems such as depression and sleep are likely to experience a reduced HRQoL. Psychological management and intervention in home care setting may improve HRQoL of burn patients.