• Title/Summary/Keyword: Preventive Intervention

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The Effects of Tele-care Case Management Services for Medical Aid Beneficiaries (일 시범 지역 의료급여수급권자 대상의 텔레케어 사례관리 효과)

  • Ahn, Yang-Heui;Kim, Eui-Sook;Ko, Il-Sun
    • Research in Community and Public Health Nursing
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    • v.21 no.3
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    • pp.351-361
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    • 2010
  • Purpose: This study was done to analyze the effects of tele-care case management services using secondary data. Methods: A descriptive research design was utilized, and the participants were 134 medical aid beneficiaries who were in either the high-risk group or the preventive group. Casemanagement services were delivered by 8 care managers. Data were analyzed using PAWS Statistics 17 through descriptive statistics and paired t-test. Results: After the case management intervention, the participants' health quality of life, self-care competency, and reasonable medical care utilization increased significantly for the high-risk group. However there were no significant changes in the preventive group. Conclusion: The results showed that the tele-care case management services were effective for high-risk medical aid beneficiaries. Further studies with controls for constitutional variables and a comparison group are required to validate the robustness of the effectiveness of the case management program in the present study.

Development of the Safety Education Program for Children (어린이 안전사고 예방교육 프로그램 개발)

  • Bae Jeong-Yee
    • Child Health Nursing Research
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    • v.9 no.2
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    • pp.162-172
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    • 2003
  • Purpose: The purpose of this study is to develop safety education program to prevent child accident and to improve the health of children by providing a safe environment. This program provide parents and children with information on how to prevent children from accident. Children especially can learn specific methods to avoid accident both at home, school and outside the home through safety education, which is based on problem solving. Method: This program was developed based on literature reviews, surveys and negotiation process. School aged children, parents, and teachers were interviewed to identify their educational needs based on their experiences related to child accident. During the 7th Annual Conference of Educational Courses in 1999, the Korean Educational Ministry examined the feasibility and compatibility of integrating the program into the current educational curriculum. Result: This program includes useful subjects such as safety education, preventive strategies, crisis management, guide for parent and teacher, resource persons, internet site and phone numbers of available hospital. Counseling is provided by researcher if needed. Conclusion: This program could be adequately utilized for prevention of child accident and creation of preventive strategies. It will also suggest an intervention strategy for injured children.

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The Socioeconomic Cost of Diseases in Korea (질병의 사회.경제적 비용 추계)

  • Ko, Suk-Ja;Jung, Young-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.6
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    • pp.499-504
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    • 2006
  • Objectives : The aim of the study was to estimate the annual socioeconomic cost of diseases in Korea. Methods : We estimate both the direct and indirect costs of diseases in Korea during 2003 using a prevalence-based approach. The direct cost estimates included medical expenditures, traffic costs and caregiver's cost, and the indirect costs, representing the loss of production, included lost workdays due to illness and lost earnings due to premature death, which were estimated based on the human capital theory. The cost estimates were reported at three different discount rates (0, 3 and 5%). Results : The cost of diseases in Korea during 2003 was 38.4 trillion won based on 0% discount rate. This estimate represents approximately 5.3% of GDP The direct and indirect costs were estimated to be 22.5 trillion (58.5% of total cost) and 15.9 trillion won (41.5%), respectively. It was also found that the cost for those aged $40\sim49$ accounted for the largest proportion (21.7%) in relation to age groups. The cost of diseases for males was 23.5% higher than that for females. For major diseases, the total socioeconomic costs were 16.0, 13.4, 11.3 and 11.19% for neoplasms, and diseases of the digestive, respiratory and circulatory systems, respectively. Conclusions : This study can be expected to provide valuable information for determining intervention and funding priorities, and for planning health policies.

Association Between Socioeconomic Status and Obesity in Adults: Evidence From the 2001 to 2009 Korea National Health and Nutrition Examination Survey

  • Kim, Jihye;Sharma, Shreela V.;Park, Sung Kyun
    • Journal of Preventive Medicine and Public Health
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    • v.47 no.2
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    • pp.94-103
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    • 2014
  • Objectives: The present study examined relationships between socioeconomic status (SES) and obesity and body mass index (BMI) as well as the effects of health-related behavioral and psychological factors on the relationships. Methods: A cross-sectional population-based study was conducted on Korean adults aged 20 to 79 years using data from the 2001, 2005, and 2007 to 2009 Korea National Health and Nutrition Examination Survey. Multivariate logistic and linear regression models were used to estimate odds ratios of obesity and mean differences in BMI, respectively, across SES levels after controlling for health-related behavioral and psychological factors. Results: We observed significant gender-specific relationships of SES with obesity and BMI after adjusting for all covariates. In men, income, but not education, showed a slightly positive association with BMI (p<0.05 in 2001 and 2005). In women, education, but not income, was inversely associated with both obesity and BMI (p<0.0001 in all datasets). These relationships were attenuated with adjusting for health-related behavioral factors, not for psychological factors. Conclusions: Results confirmed gender-specific disparities in the associations of SES with obesity and BMI among adult Korean population. Focusing on intervention for health-related behaviors may be effective to reduce social inequalities in obesity.

Effects of Tailored Water Drinking on the Orthostatic Hypotension in the Elderly (맞춤식 수분섭취가 노인의 체위성저혈압 발생에 미치는 영향)

  • Lee, Eun-Joo;Kim, Eun Hee
    • Korean Journal of Adult Nursing
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    • v.26 no.3
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    • pp.341-351
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    • 2014
  • Purpose: The purpose of the study was to examine preventive effects of tailored water drinking on orthostatic hypotension and heart rate variability in the elderly. Methods: A non-equivalent control group pre and post time-series design was adapted. Among a total of 64 elderly people admitted to two nursing homes, 35 elderly were assigned to the experimental group and 29 were assigned to the control group. As for the elderly people in the experimental group, tailed water drink was provided according to the scheduled time for six weeks. Blood pressure and heart rate were measured twice before the intervention in both groups. The data were analyzed with SPSS program using t-test, ${\chi}^2$-test, and repeated measure of ANOVA. Results: There were significant differences in blood pressure and heart rate variability between the two groups. Conclusion: Tailored water drinking had preventive effects on decreasing blood pressure fall as well as prevalence of orthostatic hypotension in the elderly people.

Quality of Life in Cancer Patients;Grounded Theory (암 환자 삶의 질에 대한 근거이론적 접근)

  • Lee, Eun-Hyun;Song, Yeoung-Suk;Chun, Mi-Son;Oh, Ka-Sil;Lee, Won-Hee;Lee, Young-Hee
    • Asian Oncology Nursing
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    • v.4 no.1
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    • pp.71-81
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    • 2004
  • The purpose of the study was to understand and explore the quality of life in cancer patients in the context of a Korean culture and society. Grounded theory method guided the data collection and analysis. A total of 10 cancer patients was selected by a theoretical sampling. The data were collected by an open question. All interviews were audio taped and transcribed verbatim. Constant comparison analysis was employed to analyze the data. As the results, eighty-five concepts and twelve categories were emerged, and "keeping well-being status" identified as a core category. Quality of life related categories derived from this study will academically contribute to the understanding and expansion of theoretical bases for quality of life of Korean cancer patients and to the contexts for the development of measurement of quality of life. Furthermore, they will function as the foundation of a intervention development for quality of life.

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Risk and Protective Factors Associated With Intimate Partner Violence in a Nationally Representative Sample of Korean Men

  • Ferraresso, Riccardo
    • Journal of Preventive Medicine and Public Health
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    • v.53 no.2
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    • pp.135-142
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    • 2020
  • Objectives: In recent years, multiple studies have investigated the issue of intimate partner violence (IPV) in Korea. However, most of those studies have focused on IPV against women, while overlooking the problem of men IPV victimization. Considering this, the current study identified risk and protective factors for IPV and examined their influence on IPV victimization among Korean men. Methods: We used a nationally representative sample of 1668 Korean men from the 2013 Korea National Survey on Domestic Violence. The associations between potential IPV risk factors and different types of IPV were investigated using univariate and multivariate logistic regression. Specifically, separate analyses were conducted of 5 types of IPV (neglect, controlling behaviors, emotional violence, economic violence, and physical violence). Results: The prevalence of IPV among Korean men and women showed only marginal gender differences. Controlling behaviors (men, 23.3%; women, 23.9%) and emotional violence (men, 16.5%; women, 18.8%) were the most common types of IPV reported, followed by neglect (men, 11.2%; women, 11.7%). Separate logistic regression analyses for the 5 subtypes of IPV revealed that mutual IPV was a strong predictor of IPV. Men who abused their wives were more likely to experience neglect (odds ratio [OR], 29.24; p<0.01), controlling behaviors (OR, 36.61; p<0.01), emotional violence (OR, 58.07; p<0.01), economic violence (OR, 18.78; p<0.01), and physical violence (OR, 38.09; p<0.01). Conclusions: The findings of this study suggest that IPV intervention strategies should particularly focus on couples whose relationship is characterized by patterns of bidirectional violence.

Effects of Empowerment and Family Function on the Depression of Firefighters (소방공무원의 임파워먼트와 가족기능이 우울에 미치는 영향)

  • Choi, Hee-Chul
    • Fire Science and Engineering
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    • v.32 no.1
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    • pp.116-121
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    • 2018
  • This study aimed to provide help to seeking a preventive method of intervention in firefighter's depression by investigating empowerment and family function level of firefighter's on their depression. For this, the study conducted purposive sampling survey among 351 firefighters at Gyeonggi area. As a result of the research, all of empowerment and family function had a significant effect on depression of firefighters. Based on these findings, the study demonstrated the potential for applying each individual's empowerment as an internal resource for their prevention of mental health. The study suggested that diverse counter measures are needed to boost family bond and family functionality of firefighters, and also proposed positive adoption and assistance for preventive and effective implementation of 'work and life balance' policy to derive the recovery of healthiness of families.

Factors Influencing Burnout in Emergency Room Nurses (응급실 간호사의 소진 영향요인)

  • Jung, Hee-Young;Kim, Sun-Ok;Kim, In-Sook
    • Korean Journal of Occupational Health Nursing
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    • v.23 no.1
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    • pp.1-10
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    • 2014
  • Puspose: The study was done to identify the influences of violence experience and violence response on burnout of emergency room nurses. Methods: The subjects of this study were 185 nurses who worked in emergency rooms of 3 university and 15 general hospitals. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Sheffe test, Pearson correlation coefficient and stepwise multiple regression analysis using SPSS version 12.0. Results: The major findings of this study were as follow: There were significant differences in age, education, emergency room career, position, exercise in general characteristics. There were significant positive correlation between violence experience and burnout, violence response and burnout. The significant factors influencing burnout were job stress, verbal violence, violence preventive program. Shift pattern, which explained 28% of the burnout. Conclusion: It is necessary to develop an intervention program for emergency room nurses to improve job stress, verbal violence, violence preventive program. Shift pattern.

Promoting Mobility in Older People

  • Rantanen, Taina
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.sup1
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    • pp.50-54
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    • 2013
  • Out-of-home mobility is necessary for accessing commodities, making use of neighborhood facilities, and participation in meaningful social, cultural, and physical activities. Mobility also promotes healthy aging as it relates to the basic human need of physical movement. Mobility is typically assessed either with standardized performance-based tests or with self-reports of perceived difficulty in carrying out specific mobility tasks. Mobility declines with increasing age, and the most complex and demanding tasks are affected first. Sometimes people cope with declining functional capacity by making changes in their way or frequency of doing these tasks, thus avoiding facing manifest difficulties. From the physiological point of view, walking is an integrated result of the functioning of the musculoskeletal, cardio-respiratory, sensory and neural systems. Studies have shown that interventions aiming to increase muscle strength will also improve mobility. Physical activity counseling, an educational intervention aiming to increase physical activity, may also prevent mobility decline among older people. Sensory deficits, such as poor vision and hearing may increase the risk of mobility decline. Consequently, rehabilitation of sensory functions may prevent falls and decline in mobility. To promote mobility, it is not enough to target only individuals because environmental barriers to mobility may also accelerate mobility decline among older people. Communities need to promote the accessibility of physical environments while also trying to minimize negative or stereotypic attitudes toward the physical activity of older people.