• Korean Journal of Health Education and Promotion
• /
• v.33 no.4
• /
• pp.67-77
• /
• 2016

Objectives: The study was to propose strategies and directions how to manage the hypertension and diabetes in communities. Methods: The survey data from 606 patients with hypertension or diabetes based on Community Health Survey, 2013 were analyzed and the hypertension and diabetes projects in communities for last 10 years were reviewed. Results: The patients visiting the primary clinics had statistically significant lower rates than those of teaching hospitals in physician's recommendation experience, perception level of attention from doctors, self-efficacy and health habit practice level. Since the Hypertension and diabetes registration and management system in 2007, there have been several trials for management of hypertension and diabetes such as Chronic diseases management system on the primary clinics, Community based primary medical care pilot projects, Post-national health screening management, and Pilot project on reimbursement for chronic diseases care services. Conclusions: The upmost urgent task might be to have a support system for patients' self care affiliated with primary clinics. To achieve it, it is necessary to expand the current Hypertension and diabetes registration and management system into nation and to find a way to attract the active participation from primary clinics.

• Journal of Korean Academy of Rural Health Nursing
• /
• v.15 no.1
• /
• pp.30-40
• /
• 2020

Purpose: This study was done to describe a community health practitioner's nursing case management for a terminal cancer patient registered in the public health post. Methods: For this purpose, data were collected through the patient and family through home visits, health clinic offices, and phone calls. The nursing process was carried out from August to November 2019. Results: The patient suffered the most from anorexia and lack of energy. Also he expressed psychologically uncertainty about disease and death anxiety caused by long-term treatment. In order to reduce the death anxiety, Community Health Practitioner (CHP) asked him to express his life stories and listened to him. CHP provided information of appropriate medications and alternative foods for symptoms such as gastrointestinal disorders and anorexia to the patient and family. Observing the situation of the patient and family, CHP guided the patient and family to prepare for death and has confirmed to them that the process was not with the patient alone. Conclusion: CHP's this experience has shown the possibility for CHP to help the terminal cancer patient and family to prepare peaceful death in their communities.

• Journal of Korean Academy of Rural Health Nursing
• /
• v.18 no.2
• /
• pp.92-98
• /
• 2023

Purpose: This study describes a case report of wound care performed by a community health practitioner for a rural older adult with diabetic ulcers. Methods: Data were collected from a rural older adult who had a diabetic lower extremity ulcer, and wound dressing was applied over 20 weeks after the skin graft operation. Results: The patient visited a primary healthcare post for regular ulcer care, and a community health practitioner applied appropriate wound dressings and managed the patient's diabetic condition. Conclusion: In rural areas, where healthcare resources are scarce compared with urban areas, rural nurses, such as community health practitioners, are primarily required to manage rural residents' health problems. Advanced nursing practices such as complicated wound care should also be appropriately provided to patients by enhancing rural nurses' competencies in the changing health care environment.

• Quality Improvement in Health Care
• /
• v.25 no.2
• /
• pp.16-25
• /
• 2019

Purpose:The healthcare system of South Korea is at the extreme of the dispersed system. Few regulations limit patients from directly visiting higher-level medical institutions for primary care sensitive conditions. As a result, similar to local clinics, general and tertiary teaching hospitals also provide diverse primary care services. Our study aimed to examine the general public's perceptions of their primary care performance. Methods: Face-to-face surveys were conducted with 1000 adults who were living in South Korea with the aid of a questionnaire that included the Korean Primary Care Assessment Tool (KPCAT). The KPCAT consists of five domains, which are the main indicators of primary care performance: first contact, comprehensiveness, coordination, personalized care, and family/community orientation. One-way analysis of variance and post hoc tests were used to compare the KPCAT scores across the three types of medical institutions. Results: Domain-wise analyses revealed two different patterns. With regard to first contact and its subdomains, the highest and lowest scores emerged for local clinics and tertiary teaching hospitals, respectively. However, the other four domain scores were significantly lower for local clinics than for the other two types of medical institutions. Conclusions: Local clinics were perceived to be medical institutions that are responsible for providing primary care. However, the general public perceived only one domain of their primary care to be superior to that of the other two types of medical institutions: first contact. National efforts should be taken to strengthen their other four domains of primary care by training their workforce and providing appropriate incentives.

• Journal of the Korean Society of School Health
• /
• v.23 no.2
• /
• pp.217-227
• /
• 2010

Purpose: The purpose of this research is to enhance the effect of pictures on sexual education on primary school children which is one of the most crucial topics in health education and to evaluate how utilizing drawings can contribute to the development of school children's appropriate knowledge and attitude toward sexuality. Methods: This research followed the pre-test /post-test experimental and control group design. The selected school children of four classes at sixth grade in the H primary school in Gyeongi-do uijeongbu province had a pre-test about the knowledge and attitude toward sexuality. With the result of homogeneity data, three classes out of the four classes were chosen to be the subject of the post-test and these three groups took the "Sexual Education through Pictures." Results: After analyzing the data, average scores about the knowledge for class participants were higher than the non participants' (p =.000). Average scores about the knowledge of boys and girls who participated in class were higher than the non participants' (boys; p =.00, girls: p =.000). In addition, average scores about the attitude for class participants' were higher than the non participants' (p =.03), but there was not statistically significant among gender. Conclusion: From the results above, "Sexual Education through Pictures" proved to be a systematic and scientific method to develop a positive influence towards the knowledge and attitude of sexuality for primary school children of the sixth graders. These results show that the above teaching materials suggest an effective method to develop appropriate knowledge and attitude towards primary school children's sexual education.

• Health Policy and Management
• /
• v.6 no.1
• /
• pp.29-58
• /
• 1996

This study was conducted to identify the factors that affect the output of health conters. An analystical model employed in this study was developed by modifying 'input-output model' and 'organizational behavior model'. Data were collected form two source; the 1995 report of thealth center which was submitted to the Ministry of Health and Welfare and a mail survey questionary of officers at health center, including 66 directors and 1,768 staffs of the health centers in southern region. The major findings are as follows: That analysis has identified the factors associated with dependent variables: medical services provided by the health center and health program performance(HPP). The number of primary medical facilities was negatively associated with health center performance while the number of staffs, job satisfaction, and professional background of health center directors were positively associated. These independent variables accounted for 40.1% of the variance of dependent variables. The variance of HPP was significantly explained by the number of health subcenter and primary health post, priority level of public health program by hief executive officers(CEOs) and legislator. A significant relationship was found between leadership types of health center directors and the performance of maternal and child health program. Considering these results, the authors suggested that the role in medical care service of health center in the should be rearranged at local level because medical care service of the health center is competing with primary medical facilities in the same region. It is also suggested that educational efforts be made to improve leadership of the health center directors and concern with public health program by the CEOs and legislators of local governments.

• Journal of Korean Public Health Nursing
• /
• v.21 no.2
• /
• pp.158-170
• /
• 2007

Purpose: To measure the sexual life and life satisfaction of the elderly in a rural sea village. Method: Data were collected from November 20, 2006 to January 10, 2007 through a personal. interview with 262 elderly registered at one primary health care post in Gyeongsangnam do using a questionnaire. Results: The mean life satisfaction score was each 20.9. Of the scores related to life satisfaction according to general characteristics, there were statistically significant differences in age(p=.003, p=.026), education level(p=.036), presence of spouse(p=.016), residence(p=.039), economic status(p=.000, p=.013), monthly spending(p=.000, p=.000), economic supporter(p=.001, p=.022), and perceived health condition(p=.005, p=.009). Of the scores related to life satisfaction according to sexual life characteristics, there were statistically significant differences in importance of sexual life(p=.000, p=.047), performance of sexual life(p=.018), frequency of sexual life(p=.006), satisfaction of sexual life(p=.002, p=.005), and sexual life of youth(p=.022, p=.000). Conclusion: We should investigate influencing factors on sexual life and life satisfaction of the elderly and include knowledge about sexual life of the elderly in health promotion programs for the elderly.

• Journal of Korean Academy of Rural Health Nursing
• /
• v.7 no.2
• /
• pp.59-66
• /
• 2012

Purpose: The purpose of this study was to assess the work status of community health practitioners in island areas. Methods: Participants in this study were 59 community health practitioners in primary health care posts located on islands in J Province. Data were collected during December, 2011 and analyzed using SPSS 17.0 program. Results: Characteristics of the majority of community health practitioners in the island areas was that they were over 50 years old, married, and had 10 years job experience, The population under their jurisdiction was less than 200 and they had an average of 6-10 patients/day and worked less than 10 hours/day. Health education and practice were the most common of task, and they had various types of paperwork to complete. They visited senior citizens living alone, managed medications, gathered health data for research, waited for night treatment of emergency patients, carried out health promotion programs, and visited seriously ill patients at home after work hours. Conclusion: Results of the study indicate that in order to improve the role and function of the primary health care posts and to boost morale, the practitioners' opinions should be actively accepted by the community health practitioner association and competent government agencies.

• Journal of Korean Academy of Rural Health Nursing
• /
• v.16 no.1
• /
• pp.18-28
• /
• 2021

Purpose: This study attempted to confirm whether the suicide prevention effect could be achieved by managing the frailty of the elderly in rural areas. Methods: This study is a single-group pre-post study design. The frailty management program was applied twice a week for 12 weeks for the vulnerable elderly in the rural area from 16th April to 31st May in 2020. The program consisted of physical exercise, health education on nutrition management and disease control, cognitive training, and protein drink provision. Results: The average age of the participants was 77.1 years, and they lived alone (88.6%). As a result of providing the program, there were positive results such as increase in body strength (pre 12.27: post 13.27) and weight (pre 58.51: post 59.13), and decrease in depression (pre 4.66: post 1.20), and there was no statistically significant change in quality of life, Time Up & Go, and BMI. Conclusion: Frailty should be managed to prevent suicide in the elderly. It is necessary to expand and apply various programs that combine physical functions and emotional interventions such as health education, and exercise to maintain muscle strength.

• Journal of Korean Public Health Nursing
• /
• v.17 no.1
• /
• pp.26-34
• /
• 2003

The purpose of this study was to analyze the activities of Community Health Nurse Practitionses using the Community Health Post Information System(CHPIS). The information system that have been introduced in 1994 and used by 400 Community Health Posts(CHPs) since 1997, which is about $20\%$ of the total CHPs nationwide. Twenty-five CHPs from two provinces participated in the analysis. Seventy-two percent of the CHPs among the participating CHPs started using the system since 1996. The degree of utilization of the information system was classified into three groups (i. e., high. medium, and low). The results revealed that only $48\%$ utilized the system with high level. The areas of analysis of the information system included characteristics of community residents, environmental attributes, and job analysis of Community Health Nurse Practitioners(CHNPs). The study results indicated that primary health care and drug demand and supply system showed the highest level of satisfaction in utilizing the information system by CHNPs.