• 보건교육건강증진학회지
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• 제22권4호
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• pp.179-202
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• 2005

Purpose: The purpose of this study was to develop the health promotion program for rural elderly through PRECEDE process. Method: The health promotion program was developed based on the preliminary diagnosis. The data collection was performed from March 10th to April 9th, 2003. The subjects were selected at Mari Myun, Geochang Gun, in Korea. The preliminary diagnosis was examined with the 115 elders. Data was analyzed by descriptive statistics and Cronbach's n test with SPSS/Win 10.0 program. Results: The health promotion program was developed based on diagnostic result using PRECEDE model. The developed program was corrected and revised with the advices from 6 experts. The final program included health responsibility(cancer prevention and early detection, hygienic, false teeth management no smoking and moderation in drink, and chronic disease prevention and management), physical activity(6 kinds of exercise), nutrition(low sodium diet calcium intake, and right eating habit), spiritual growth(spiritual demand and death preparation teaching), interpersonal relations(relationship with couple, children, grandchildren, neighborhood), and stress management(sports dance, foot massage, positive thought, and song class). Conclusion: I propose that it is necessary to identity the effect of health promotion program for rural elderly. And strategy development that can spread the health promotion program elderly is needed.

• 한국산학기술학회논문지
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• 제19권7호
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• pp.396-406
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• 2018

본 연구는 PRECEDE 모델을 적용하여, 콜센터 상담사의 삶의 질에 영향을 미치는 요인들 간의 인과관계를 구조방정식 모형으로 규명하고자 시도하였다. 조사대상은 D광역시 4개의 콜센터에서 인바운드 업무에 종사하고 있는 상담사 695명으로 하였다. 자료 수집은 2016년 11월 15일부터 12월 5일까지의 기간 동안에 구조화된 무기명 자기기입식 설문지를 사용하여 설문조사하였다. 연구결과, 조사대상 상담사의 삶의 질은 정신건강(우울증, 불면증, 불안감) 및 감정노동과 유의한 음의 상관 관계를 보인 반면, 직무환경, 자기효능감, 조직의 지지, 조직몰입과는 유의한 양의 상관관계를 보였다. 구조모형 분석결과, 삶의 질에 정신건강은 부정적인 영향을 주고, 직무환경과 자기효능감은 긍정적인 영향을 주는 것으로 나타났다. 또한 감정노동은 정신건강에 부정적인 영향을 주었으며, 조직몰입과 직무환경은 감정노동 수준을 낮추는 효과가 있었다. 아울러 조직의 지지는 근로자의 자기효능감과 조직몰입을 높이는 효과가 있으며, 조직몰입은 감정노동을 완화시키는 효과가 있었다. 따라서 콜센터 상담사의 삶의 질을 높이기 위한 건강증진 프로그램의 실시가 필요한 것으로 생각된다.

• 재활간호학회지
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• 제13권1호
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• pp.32-43
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• 2010

Purpose: The purpose of this study was to determine factors that affect poor quality of life (QOL) of older adults who received home health service. Method: The sample 492 older adults participated in the study. The QOL was measured using the scale of QOL of Ware and other data were collected through face-to-face interviews from September to August, 2009. Results: The level of QOL was moderate (Mean 24.4, SD 7.4). The QOL was poorer in older adults (p<.05) and in those living alone (p<.01) compared to older adults and those living with couple or family respectively. The QOL was positively correlated with a sense of mastery (r=.213, p<.05), connection of health (r=.160, p<.05) and a cognitive function (r=.119, p<.01), and negatively correlated with Activities of Daily Living (r=-.266, p<.01) and Instrumental Activities of Daily Living (r=-.339, p<.01). Sense of mastery, connection of health & welfare, and IADL were significant predictors of QOL. Conclusion: Finding suggest that home health service program should incorporate strategies for increasing sense of mastery and capability of performing IADL, and strengthening connection of health service that may improve QOL of older home health service recipients.

• 지역사회간호학회지
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• 제21권4호
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• pp.419-428
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• 2010

Purpose: The purpose of this study was to measure the effects of a school safety education program based on the PRECEDE-PROCEED model for upper grade elementary students. Methods: One hundred ten 6th-grade students sampled from an elementary school in D City were divided into the education group (n=55) and the non-education group (n=55). School safety education was provided to the education group for 8 weeks and a questionnaire survey about safety knowledge, safety practice and the frequency of safety negligence was carried out before and after the education from March 2 to July 13, 2010. Results: After the application of the safety education program, the education group got a higher safety knowledge score than the non-education group (p<.001). Both the education and non-education groups showed a significantly increased safety practice score (p<.01). In the comparison of safety negligence, the education group showed lower frequency (p<.01). In addition, according to the results of ANCOVA and t-test, the school safety education program influenced safety knowledge significantly (p<.001). Conclusion: This result shows that a school safety education program based on PRECEDE- PROCEED can improve safety knowledge. Further studies will be required to develop continuous and systematic safety education programs.

• 한국직업건강간호학회지
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• 제12권2호
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• pp.110-122
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• 2003

Purpose: The purpose of this study is to make a systemic assessment on the level of self-efficacy, social support, and accessibility to medical services, health status, health promoting behaviors, and the quality of life of workers in small scale enterprises. RECEDE model developed by Green and Kreuter for the purpose of a comprehensive assessment research was used. Method: The number of subjects was 199 workers in small scale enterprises at Youngdeungpo-gu and Sungdonggu, Seoul. Data were collected between October and December, 200 through a self-reported questionnaire. And data were analyzed by descriptive statistics, t-test, and F-test. Result: 1. The level of quality of life was 3.08, and general health status was 2.75. There was no significant difference by sex, age, marital status, job, and perceived health status. 2. The level of health promotion life style was 2.09. There was no significant difference by sex, age, marital status, and job. But there was significant difference by perceived health status. 3. The level of self-efficacy, social support and accessibility to medical services were 3.04, 2.85, and 1.45. Conclusion: The results of this study suggest that it is necessary to develop the systematic health promotion programs that can strengthen self-efficacy and health status, and supplement social support and accessibility to medical services, and to encourage health promoting behavior in order to improve quality of life for workers in small scale enterprise.

• 한국학교보건학회지
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• 제15권1호
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• pp.31-48
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• 2002

The middle school students' health hazard behaviors, health education needs, related to health hazard behaviors and life, were investigated on the basis of the PRECEDE model, for the purpose of a diagnostic research on health education. The data for this study were collected from the sample consisted of the middle school in Chongju for two weeks period in December, 2001. In analyzing the data, t-test, one-way ANOVA and $x^2$-test were done by using SPSS 10.1 for window to compare data between the sexes of the students and grades of the students. A Pearson's correlation analysis was carried out to determine the relationships among the diagnostic variables. The Pearson's correlation between health behavior and life satisfaction was .52, which was significant at the level of P<.01. The Pearson's correlation between drug use behavior and mental health was .40, which was significant at the level of P<.01. The relationships between each diagnosis variable suggested by the PRECEDE model had been experimentally proven to be valid, supporting the conceptual framework of the study as appropriate for assessing the students' health and health education needs. The significance of this research is that it has diagnosed the needs of middle school health education by assessment of factors related to health hazard behaviors and meantal health of the students. The research findings suggest an integrated system of school health education to be contrieved to enhance the effectiveness of the education by strengthening the related factors such as parents' interest to improve the health of middle school students.

• 한국보건간호학회지
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• 제19권1호
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• pp.95-107
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• 2005

With the aim of diagnostic research on health education. the health promoting behaviors related to elementary school students' weight control. life satisfaction. health state. self-efficacy. parent's interest and knowledge about weight control and school health education of weight control were investigated on the basis of the PRECEDE model. The data for this study were collected from a sample at an elementary school in Chongju for 5 days in July. 2004. In analyzing the data. t-test. one-way ANOVA. chi-square test and multiple regression analysis were done by using SPSS 10.1 The results were as follows : 1. The elementary school students' level of life satisfaction was above half of the full point. The score difference of life satisfaction was statistically significant by grade and academic achievement(F=4.646. p=.010. F=16.042. p=.000). 2. The perceived level of health state was moderate for all students. Normal weight students' level was significantly higher than obese students' (t=3.667. p=.000). 3. The perceived level of health promoting behaviors related to weight control was above the moderate. The perceived level of health promoting behaviors related to weight control in the obese students was significantly higher than that in normal weight students(t=-2.225. p=.027). The students used computer for 1.48 hours and watched TV for 2.52 hours a day. 4. The score of health promoting behavior self-efficacy in this subject was 70.61. 5. The parents' level of interest in the obese students' weight control was significantly higher than that in the normal weight students(t=-4.86. p=.000). 6. Sixty-six percent of the students learned about weight control education in school. 7. The health promoting behavior self-efficacy among the educational diagnostic variables was the most influential variable in students' health promoting behaviors related to weight control. This research diagnosed the needs of weight control education in elementary school by assessing various factors related to weight control behaviors. The research findings suggest that we can enhance the prevention of childhood obesity by strengthening the related factors such as parents' knowledge and interest, health promoting behaviors and self-efficacy related to weight control in school health education.

• 근관절건강학회지
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• 제27권3호
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• pp.278-288
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• 2020

Purpose: This study aimed to identify the influencing factors that affect the radiation protection behavior of nurses, by applying the educational diagnostic stage of the PRECEDE Model. Methods: Participants were 167 nurses working in interventional procedure rooms and operating rooms in general hospitals and university hospitals in Korea. Data were collected from August 30 to September 25, 2019, through self-reporting questionnaires and analyzed with t-test, ANOVA, Pearson's correlation coefficients, and hierarchical multiple regression analysis using the SPSS/WIN 25.0 program. Results: The influencing factor that affects nurses' radiation protection behavior was the radiation protection environment (β=.41, p<.001), accounting for 59.6% of the radiation protection behavior (F=17.34, p<.001). Conclusion: Administrative and financial efforts to create a safe organizational atmosphere and establish a safe radiation protection environment are needed. Moreover, it is necessary to develop guidelines for nursing work in radiology to improve radiation protection behavior and reduce nurses' radiation exposure.

• 한국응급구조학회지
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• 제24권1호
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• pp.7-24
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• 2020

Purpose: Emergency medical service (EMS) personnel are at high risk of spreading infection. In this study, we used the PRECEDE model to identify the knowledge, status, and barriers to infection control among Korean paramedics to provide basic infection control data. Methods: A total of 164 respondents were analyzed for the study. A questionnaire was administered and collected through an online self-response platform. Descriptive analysis, t-test, ANOVA, multiple regression, and logistic regression analyses were performed to determine infection control practices and associated factors using SAS 9.4. To identify the pathways and direct, indirect, total effects based on the PRECEDE model, we used AMOS 26.0. Results: Highly rated self-efficacy (OR 8.82, 95% CI: 3.23-24.09), awareness (OR 6.05, 95% CI: 2.06-17.72), and enabling factors (OR 3.23, 95% CI: 1.18-8.78) led to superior infection control. As a result of the structural model analysis, the highly rated enabling factors and awareness led to superior practice patterns. Conclusion: Practice is related to self-efficacy, awareness, and enabling factors; however, further research is needed to develop strategies for infection control. In particular, institutional arrangements are needed to improve the enabling factors. Improving infection control performance may lead to better infection control and enhanced protection of EMS personnel and patients against infection risks.

• 한국학교ㆍ지역보건교육학회지
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• 제18권2호
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• pp.1-25
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• 2017

Objectives: There is higher rates of experience of suicide ideation and suicide attempt of adolescents in the Lima and Callao region compared with the results of the epidemiological study (2013) conducted by Peru National Institute of Mental Health and the Global School-based Student Health Survey (2010) which is was conducted among adolescents across all regions of Peru. Based on the PRECEDE model, this study analyzed the prevalence and the factor associated with the suicide attempt among the adolescent in a poor urban area in Peru. Methods: A stratified random sampling was used for the survey to select study participants from the 6 secondary schools based in Comas or Callao. The survey was conducted November 25th and December 4th in 2015 and a total of 738 individuals included in the analysis. In order to analyze factors influencing suicide attempt, comparison of predisposing factor, reinforcing factor, enabling factor, behavioral factor, environmental factor, psychological factors by suicide attempt and suicide risk group were identified through the chi-square test and hierarchical logistic regression. Results: Results showed that those who reported having less parental understanding, less time spent with parents, and 'almost none/none' for parental affection had more experience of suicide attempt and were more likely to sort into the high suicide risk group. Also, a greater proportion of those with the experience of suicide attempt had more experience of smoking and alcohol consumption, and experience of physical abuse and feeling insulted and depression in comparison to that of those without experience of suicide attempt. Variables that had a significant effect on suicide attempt included depression, subjective happiness, smoking experience, sexual intercourse, involvement in fight, parental affection, and gender (male). Conclusions: The results of the current study can serve as grounds for the necessity of acknowledging that adolescent suicide does not simply depend on a couple of factors, but arises from situations in which individual, home, school, social factors influence one another, and therefore adolescent suicide should be prevented and addressed through a multi-dimensional and integrated approach.