• Title/Summary/Keyword: Nursing policy

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A Study on the Effects of the Home-Linked Indirect Smoking Prevention Program for Early Childhood (유아기 간접흡연예방 가정연계교육 프로그램의 효과)

  • Kim, Jung-Mi;Kim, Hyeon-Young
    • Journal of Digital Convergence
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    • v.18 no.7
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    • pp.411-419
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    • 2020
  • This study was conducted to prove the effectiveness of home-linked indirect smoking prevention education in early childhood in improving the awareness, skills, attitudes and willingness to protect themselves from smoking. 208 5-year-old children were recruited from three kindergartens located in Seoul and Gyeonggi-do. Children in the experimental group received home-linked indirect smoking prevention education. Children in the comparative group, received indirect smoking prevention education in kindergarten. Children in the control group received general health education. The results revealed that all groups showed significant differences between pretest and posttest in awareness of second-smoke, attitudes and willingness to stop smoking. However, the skills to protect oneself from second-smoke showed a significant difference in the experimental group and the comparative group. The values of changes among the groups showed high increases in the order of experimental, comparative, and control groups. This shows that home-linked education had considerable positive effects on indirect smoking prevention.

Comparison of Dietary Habit, Lifestyle, Health Attitude and Self-efficacy by Upper Gastrointestinal Disease among Group Mental Health Care Facilities with Chronic Schizophrenia (정신요양시설 만성조현병환자의 상부위장관질환 유무에 따른 식습관, 생활습관, 건강태도 및 자기효능감 비교연구)

  • Oh, Eun-Jung;Park, Keun-Young
    • Journal of Digital Convergence
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    • v.18 no.7
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    • pp.317-330
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    • 2020
  • The purpose of this study was to compare lifestyle, dietary habit, health attitude and self-efficacy among chronic schizophrenia with upper gastrointestinal disease and chronic schizophrenia to improve lifestyle, dietary habit and health attitude, in each mental health care facilities field, it was attempted to provide basic data to search for alternatives to increase self-efficacy. This study surveyed them from February 20th to April 30th in 2019 for data collection. Data were analyzed using Chi-square test, Independent t-test and ANCOVA with SPSS/WIN 22.0. The sociodemographic factor of age and education, the lifestyle factors of carbonated drink and physical activity intensity, the dietary habit factors of overeat, snack, late night meals and fatty food, the other factor of self-efficacy show statistically significant differences among groups. The study provides meaningful data in finding distinctive features of Upper Gastrointestinal Disease among Group with Chronic Schizophrenia. The results indicate that need to develope a variety of intervention methods to promote lifestyle and dietary habit and to enhance self-efficacy of chronic schizophrenia.

Effects of Different Suicide Rates and Social Welfare Related Factors by Region (지역 간 자살률 차이와 사회복지요인이 미치는 영향)

  • Lee, Yong-Jae;Kim, Kyung-Mi
    • Journal of Digital Convergence
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    • v.18 no.7
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    • pp.9-19
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    • 2020
  • The purpose of this study is to analyze the difference in suicide rates between regions and to determine the effect of social workers on the regional suicide rate. The main analysis results are as follows. First, the suicide rates in metropolitan cities were lower than was lower than in other regions, and cities and districts were lower than those in the county area. Second, suicide rates were high in areas with many cultural and social welfare facilities per population. Suicide rates were high in low mental health facilities and low social welfare budgets. The suicide rate in rural areas was high. Third, suicide rates were high in areas with low economic requirements, areas with a high proportion of the elderly, divorce rates, and areas with a small number of social security recipients and living alone. In other words, the suicide rate in rural areas was high. Finally, social workers did not affect the difference in local suicide rates. Local social services and budgets have no real impact on suicide rates. In the future, it is necessary to improve the quality and quantity of community welfare practices that can lower community suicide rates.

A Study on Experiences of Total Knee Replacement in Patients with Osteoarthritis (골관절염 환자의 슬관절 전치환술 경험)

  • Park, Hyun-Ok;Park, Kyung-Sook
    • Journal of muscle and joint health
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    • v.3 no.2
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    • pp.135-150
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    • 1996
  • This study was performed to analyze the patient's experience during the progress of disease in the patients with osteoarthritis, who are taken the replacement surgery of knee Joint. The examine was consisted of five patients with osteoarthritis, who are taken the replacement surgery of knee joint from Dec. 4. 1995 to May, 20, 1996 at C university hospital. After hospitalization, the physical and psycho-logical status of the patients during preoperation, postoperation and discharge was examined. The data were examined according to the ethnographic method. The results are as follows. The patients experienced the periods of embarrasment, conflict, before surgery suffering, acceptance period after surgery. In the embarrasment period, the patients take a multiple medication therapy including hospital treatment, oriental medication and folk medication to ameliorate joint pain after first diagnosis on arthritis. The embarrasment period includes compulsive drug medication, oriental medication, folk medication, trouble some, sadness and survey of hospitals. In the conflict period, the patients consider the operation of knee because of working difficulty and severe Joint Pain, while they feel anxiety about the surgery. They condemn their physical situations. They have the conflict and anxiety on surgical operation. they consider the quality of life. They hope the surgery makes patients to improve walking ability. This period includes self-condemned, sorry, tiresomeness, expectation, worrisomeness, anxiety and hesitance. In the suffering period, the patients experience post operation physical discomfort after the total knee replacement. They do physical exercise, including extension and straight leg raising to maintain walking ability, while they endure to wait approximately 6 months for normal walking movements and they are also unstable to environmental people's sight. This period includes postoperative pain, continuous discomfort, inability and communication difficulty to other's people. In the acceptance period, the patients consider longerity of artificial Joint and also endure mild remaining joint pain. Some of them have religions for their wellbeing of life. This period include a self-protesting policy, abandonment, self-consolation, dependence on religions. According to the result from this study I suggested these shown below. 1) After replacement surgery of knee joint, continuous investigation on outcome patient is necessary. 2) It is also necessary to analyze on patient's experiences, who are taken the replacement surgery of hip Joint. 3) Study on disease experiences of patients with rhematoid arthritis, who take drug medication and physical therapy alone without surgery, is necessary. 4) Investigation on patient's favorable folk medication may be helpful to analyze disease experience of patients with osteoarthritis.

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A Study on the Quality Improvement of Test Items through the Results of Military Personnel Health Examination (군 간부 건강검진 결과를 통한 검사항목 품질향상에 관한 연구)

  • Lee, Jee-Choul;Lee, Chong Hyung;Yang, Nam-Young;Kang, Kyung-Hee;Park, Arma;Kim, Kwang-Hwan
    • Journal of the Korea Convergence Society
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    • v.8 no.6
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    • pp.55-64
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    • 2017
  • The research study focuses to analyze the result of the military personnel medical examination and identify the medical conditions of military individuals. The results of this study are as follows. First of all, for the general features of research subjects, there are 60 people who are 39-year-old or less and 60 people in the age of 40-year-old or over of the total 120 research subjects. Secondly, as a result of canonical correlation analysis in between their ages/body mass index(BMI) and the outcomes of medical examination, it derived 3 canonical functions. 2 of the functions out of the 3 demonstrated statistical significance. The research has conjured meaningful results which include that the holistic diagnosis and treatment system for the military officers needs additional enhancement. Also the medical examination is in desperate need of expansion in test items and the associated budget planning should be evaluated in government organizations related to welfare policy.

A Study on the Current Status of Tuberculosis Patients in Korea(2010-2018) (국내 결핵환자 발생 현황 고찰(2010-2018))

  • Kim, Won-Soon;Park, Chang-Su
    • Journal of the Korean Society of Radiology
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    • v.15 no.7
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    • pp.1021-1030
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    • 2021
  • This study analyzed the status of tuberculosis patients in Korea by collecting data from the Statistics Korea and the KDCA's GLOBAL Tuberculosis Report from 2010 to 2018 to find ways to manage tuberculosis patients in Korea and provide basic data on tuberculosis policies. The results are as follows. First, the results of tuberculosis patients in Korea decreased by about 21.3% to 33,796 (65.9%) in 2018 and 26,433 (51.5%) in 2018. Second, the status of tuberculosis patient treatment in Korea was found to be 655 in 2018, an increase of about 160% compared to 2014. Third, the incidence of tuberculosis among adolescents was 1.8% in 2018 for those aged 10 to 14 and 15.0% for those aged 15 to 19, the highest rate of tuberculosis among high school students, Fourth, looking at the incidence of tuberculosis patients by age, subjects in their 60s or older showed a prevalence of tuberculosis by 60% or more, especially elderly tuberculosis patients over 80 years of age. Fifth, the status of the incidence of tuberculosis patients by gender was found to be 1.4 times higher in men than in women in 2018 compared to 2010. Sixth, 1,419 people (75.6%) in Jeollanam-do had the highest prevalence of tuberculosis nationwide, and 99 people (33.4%) in Sejong had the lowest prevalence. Seventh, the number of foreign patients in Korea continued to increase to 1,510 in 2012, increasing to 2,569 in 2016. The results this study indicate the need for rapid and accurate early tuberculosis screening policies and management for tuberculosis relapse patients, high school student, age groups over 60, a group of men such as the military, the elderly over 80, and foreigners.

Perception about Shared Decision Making of Family Caregivers of Early Dementia Patients: A Qualitative Content Analysis Study (초기 치매환자 가족 돌봄제공자의 공유 의사결정에 대한 인식: 질적 내용분석 연구)

  • Kim, Yun-Jae;Song, Jun-Ah
    • 한국노년학
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    • v.38 no.3
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    • pp.501-519
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    • 2018
  • The purpose of this study was to explore perception about shared decision making of family caregivers of patients with early dementia (PWED). This study was conducted with a sample of 12 family caregivers (mean age = $71.4{\pm}10.4$) of PWED from three dementia safety centers in Seoul. In-depth interviews were done for each participant about shared decision making and data were analyzed using qualitative content analysis. Six categories and 17 sub-categories identified for participants' perception about shared decision making: means to facilitate communication with patients with dementia, means to secure autonomy of patients, opportunity to facilitate treatment, cause of increasing family caregivers' burden, cause of worsening relationship with patients, and option for choices depending on priority change. The findings of this study can provide a knowledge basis for health care professionals and policy makers to understand how family caregivers of PWED think about shared decision making. It would be of great value to develop educational programs and practical guidelines about shared decision making for PWED and their family, which may contribute to respecting PWED's self-determination right as well as reducing burden of their family.

Effect of General obesity and Abdominal obesity on Hemoglobin in Korean Adult (한국성인의 비만과 복부비만이 헤모글로빈에 미치는 영향)

  • Lee, Hea Shoon
    • Journal of Digital Convergence
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    • v.17 no.3
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    • pp.323-330
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    • 2019
  • The purpose of this study was to investigate the effect of body mass index(BMI) and waist circumference(WC) on hemoglobin(Hb) in Korean Adult. This study analyzed the data of 2015, The Sixth KNHANES. Data were analyzed using descriptive statistics, t-test, ANOVA and Scheffe's test, Pearson correlation coefficient and multivariate logistic regression analysis(SPSS 25.0). The major findings, The subject's Hb In BMI, obese was the highest(F=97.862, p<0.001). The Hb In WC, $WC{\geq}90cm$ was higher for male(t=4.909, p<0.001), and $WC{\geq}85cm$ was higher for female(t=5.088, p<0.001). Hb has a significant positive correlated with BMI(r=0.188, p<0.001), WC(r=0.298, p<0.001). In male, Hyperhemoglobinemia was 2.30 times(p<0.001) higher in obese and 1.81 times(p<0.001) higher in $WC{\geq}90cm$. In female, Hyperhemoglobinemia was 1.99 times(p=0.002) higher in overweight, 5.66 times(p<0.001) higher in obese, and 4.27 times(p<0.001) higher in $WC{\geq}85cm$. In conclusion, adult obesity prevention and management programs should include exercises, diets, and education, and exercise interventions specifically for eliminating abdominal obesity.

Effects of the Caring burden of Caregivers who manage Dementia patients on the Health perception and Somatic symptoms (치매환자를 돌보는 요양보호사의 케어부담감이 건강지각과 신체증상에 미치는 영향)

  • Kim, Soon-Ok
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.427-440
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    • 2018
  • This study was a descriptive correlation investigation that assessed the caring burden of caregivers who care for dementia and examined the effects of the burden on the somatic symptoms and health perception. The subjects were 174 caregivers and data collection was conducted from April 1 to 30, 2018. The data were analyzed t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis. A Scheffe test was used for post-analysis. The caring burden and somatic symptoms were found to be mid-high and moderate, respectively. The health was perceived to be not good, and the subjective awareness of well-being appeared to be low. The caring burden showed a positive correlation with the somatic symptoms(r=.157, p<.05), and the somatic symptoms showed a positive correlation with the perceived health(r=.220, p<.01). As a result of the study, caregiving burden of caregivers showed the factors influencing their physical and mental health status, it is suggested to carry out research to find out whether there is a difference in burden of care according to the working place of caregiver. In addition, it is necessary to develop a tool to measure the burden of caregivers and to carry out repeated research.

Analysis of Factors Influencing the Utilization Rate of Public Health Centers in Korea (한국의 보건소 이용률에 영향을 미치는 요인 분석)

  • Park, Eun-A;Choi, Sung-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.203-215
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    • 2019
  • This study was conducted to identify the utilization of public health centers, as well as the individual characteristics and regional characteristics that affect their utilization based on data from the 2016 Community Health Survey, National Statistical Portal, and National Institute of Environmental Research. Independent samples t-tests, variance analysis, and multiple logistic regression analysis were used for analysis. Hierarchical multiple regression was used to analyze individual and regional characteristics. The results of hierarchical multiple regressions revealed that aged regions, women, older age individuals, respondents with lower education level and income level, walking practitioners, nutrition label readers, individuals experiencing depression, those who have received health checkups, those who are not covered by essential care, those who have spouses, and basic livelihood beneficiaries have increased use of public health centers. However, the use of public health centers decreased in stressors, and regions in which the population per 1,000, number of health care workers, health and welfare budget, fiscal independence, and unemployment rate were above the national average. As above, the central government and local governments need to analyze not only individual characteristics such as health behavior and psychological factors, but also regional characteristics, when establishing local health care policy.