• Journal of Korean Academy of Fundamentals of Nursing
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• v.17 no.2
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• pp.200-208
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• 2010

Purpose: The purpose of this study was to examine the effects of an education program for AIDS prevention on knowledge about AIDS and attitudes towards AIDS/people with AIDS among male-high school students. Methods: A research design used in this study was a randomized and non-synchronized control group pre-and-post test. The participants were 560 male students from five high schools in Seoul and Gyeonggi province. In each school two classes were randomly assigned to each the experimental or control group. The contents of the education program for AIDS prevention consisted of six parts with a total of 50 minutes. The data were analyzed using t-test and chi-square test with SPSS WIN program version 13.0. Results: There were significant differences in knowledge and attitudes between experimental and control groups. The experimental group showed higher scores in knowledge and more positive attitudes than the control group. Conclusion: The education program was effective in increasing positive attitudes towards AIDS/people with AIDS among male high school students. Further application of the program with female students is needed before the results of the study can be generalized.

• Journal of Korean Academy of Nursing
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• v.30 no.6
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• pp.1455-1466
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• 2000

The purpose of this study was to develop the framework of community-based home care nursing delivery system, and to demonstrate and evaluate the efficiency of it. The study was carned out over a period of 3years from September 1996 to August 1999. The researchers developed Standards for operations, this was all aimed toward a home care recording system, and an assessment intervention algorithm for various diseases quality control and standardization. In the center, 185 patients enrolled, and of the enrollments cerebrovascular disorder and cancer were the most prevailment diseases. Also, a home care nursing activity classification was developed in six domains. Those domains were assessment, medication, treatment, education and consultation, emotional care, and referral or follow-up care. Ten sub-domains were divided according to the systematic needs. Among these nursing activities, treatment, assessment, and education and consultation were frequently performed. In sub-domain classification, skin integrity, respiration, circulation, and immobility related care were provided most frequently. The cost of home care nursing per visit was also suggested. The cost include direct and indirect nursing care, management, and transportation cost. Also, the researchers tried to overcome the limitations of hospital-based home care to provide more accessible, efficient, safe, and stable home care nursing. Therefore, clients were referred from other patients, families, public health care centers, industries, and even hospitals. As a result of this study, several limitations of operation were found. First, it was difficult to manage and communicate with doctor in the emergency situations. Second, there was too much time spent for transportation. This was because they are only five nurses, who cover all of the areas of Seoul and nearby cities. Third, preparation for special care of home care nurses was lacking. Fourth, criteria for the termination of care and the frequency of home visits were ambiguous. Finally, interconnection with home care machinery company was so yely needed. New paragraphs' strategies for solving these problems were suggested. This study will be the basis of community-based home care nursing, and the computerized information delivery system for home care nursing in Korea.

• Journal of Preventive Medicine and Public Health
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• v.47 no.4
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• pp.236-243
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• 2014

Objectives: Despite the recent emphasis on a patient-centered chronic care model, few studies have investigated its use in older adults in South Korea. We explored how older Korean adults perceive and cope with their chronic illness. Methods: We conducted focus group interviews in Seoul, Korea in January 2010. Focus groups were formed by disease type (hypertension and type 2 diabetes) and gender using purposive sampling. Inclusion criteria were patients aged 60 and over who had been diagnosed with diabetes or hypertension and received care at a community health center for at least six months prior to participation. Interview data were analyzed through descriptive content analysis. Results: Among personal factors, most participants felt overwhelmed when they received their diagnosis. However, with time and control of their acute symptoms using medication, their worry diminished and participants tended to denying being identified as a patient or sick person. Among socio-familial factors, participants reported experiencing stigma with their chronic illness and feeling it was a symbol of weakness. Instead of modifying their lifestyles, which might interfere with their social relationships, they resorted to only following their medicine regime prescribed by their doctor. Participants also reported feeling that their doctor only prescribed medications and acted in an authoritative and threatening manner to induce and reinforce participants' compliance with treatment. Conclusions: For successful patient-centered management of chronic illnesses, supportive environments that include family, friends, and healthcare providers should be established.

• Korea Journal of Hospital Management
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• v.25 no.3
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• pp.29-37
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• 2020

Purposes: The purpose of this study was to identify the factors related to the long-stay hospitalization of dementia patients aged 65 years or older who had received inpatient care at geriatric hospitals according to the minute facility characteristics and patient features. Methodology: This study was conducted on 317,353 cases of 1,512 geriatric hospitals using the Health Insurance Review and Assessment Service dataset. The data collected were processed using the SAS Enterprise Guide 4.3 for descriptive statistics, the chi-square test, and the binary logistic regression analysis. Findings: As a result of the study, in the facility characteristics of geriatric hospitals, the long-stay hospitalization of the aged with dementia were found to be related to the type of facility establishment, the number of hospital beds, the number of medical specialists, the number of nursing personnel, and the number of geriatric hospitals by region and province. In the personal features of patients, the long-stay hospitalization was found to be associated with the gender, age, insurance, and the patient classification groups. Practical Implication: Considering the results of this study, it seems that securing the sufficient medical personnel in a geriatric facility, providing the good quality medical services, and preparing the appropriate discharge plan can reduce the unnecessary long-stay hospitalization and spend the medical expenses for the older patients.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.4
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• pp.1525-1531
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• 2012

Cigarette smoking is one of the most important public health concerns in Korea and worldwide. A number of studies have been conducted to measure the health and economic burden of smoking, but these did not reflect recent changes such as the decrease in smoking rate and the increase in the incidence of cancer. The purpose of this study was to provide up-to-date estimates of the health and economic burden of cancer caused by smoking and to compare the results with those of previous studies. Cancer-related burden was assessed with nationally representative data such as claims data from the National Health Insurance Corporation, and cause of death records from the National Statistical Office and the Korea Health Panel. We determined the smoking-attributable burden by multiplying the smoking-attributable fraction by the total burden. As a result, the burden of major cancers due to smoking was found to be substantial despite a recent sharp decrease in smoking by the Korean population. The total economic cost reaches $2,234.0 million in males and $870.0 million in females. Also, the health burden of cancers due to smoking is 2,038.9 disability adjusted life years (DALYs) per 100,000 individuals in men and 732.2 DALYs per 100,000 individuals in women. Among all cancers, cancers of the trachea, lungs and bronchus are the leading causes of health and economic burden. The huge burden caused by cancers linked to smoking makes it imperative that adequate policies to decrease the prevalence of smoking be developed, particularly considering the recent increase in smoking rate among women.

• Journal of Korean Public Health Nursing
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• v.5 no.2
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• pp.45-51
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• 1991

The purpose of this study is to investigate the stress and coping level as a result of dysmenorrhea which was experienced by girls. For the collection of data, the girls from the 1st to the 3rd grade in middle school in Seoul were selected through a random sampling technique. The survey was conducted from the 1st. to the 14th of June, 1991 by the use of questionnaires made after a pilot study. The final subjects for analysis were restricted to only those who had experienced me~arche, the number of which totaled 1,131. The stress, coping level, and other variables, were tested and analysed by descriptive statistics (eg, frequency, percentage, mean and standard deviation), t-test, ANOVA and Pearson's correlation coefficients. The obtained results are summarized as follows. 1. The chronological start for menarche was at a mean age of 13.1 The respondents who had experienced menarche numbered $70.9\%$ of the 1st grades and $96.2\%$ of the 2nd grades in middle school, otherwise the starting age for menarche was in the 4th grade in primary school. 2. Their menstrual cycle and period were longer than adult's one. The number of students studied who had experienced dysmenorrhea during their menstrual cycle were 860, and 650 of those revealed that their mothers or sisters had experienced similar problems. 3. The subjects who were late or head left early rather than being absent from school every menstruation cycle were more stressful. The results are thought to show that the girl's perception of dysmenorrhea seems to be more sensitive than adult's one. 4, A significant negative correlation was found between the perception of menstrual flow and strees level. It means that an increase in the stress of dysmenorrhea was associated with decreased menstrual bleeding. The degree of hypochondrical concern assessed by the girls was significantly correlated to stress and coping level. When the girls perceived high stress as a result of dysmenorrhea, they worried about their physical health more. The above results lead us to the suggestion that the starting point of early education with a school program is appropriate for the 4th grade in primary school. Especially if the girls in middle school should be required to give the information about correct knowledge and sufficient self -care management of menstruation monthly, if this could be implemented the loss in school days among the students due to dysmenorrhea would be minimized with more ease.

• Journal of Korean Public Health Nursing
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• v.12 no.2
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• pp.236-251
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• 1998

This study aimed at comprehending the meaning of sexual life for aged people, their strength of sexual desire and causes of change in their sexual life. It was another purpose to understand the extent of aged people's acknowledging the necessity of sexual consultation. This study adopted descriptive method using open-ended questionaires. The data for study was collected from 26 people over 65 years who reside in communities. It was gathered from April to June of 1998 through interview. The interviewee includes 16 males, 9 females and their average age was 73.3. 19 people among them have spouses. The conclusion of this study can be summarized as follows. 1) Attitude to sexual life: The meaning of sexual life for aged people is categorized as 'sense of duty', 'feeling of intimacy', 'basic desire', 'decrease of meaning' and 'meaningless'. 2) Sexual desire: Sexual desire of aged people is categorized as 'extinction', 'decrease', 'continuation' and 'restraint'. Restraint of sexual desire is due to social convention or the difficulty in fulfilling desire. 3) Causes of troubles in sexual life Causes which lead to troubles in sexual life of aged people can be categorized as 'physical', 'psychological' and 'social'. 'Physical' elements include 'incompetence of erection', 'decrease in duration of erection', 'increase in time needed to re-erection', 'declining of physical strength', 'decrease in vagina secretion' and 'worsening of health'. Among 'psychological' elements 'decrease of self-confidence', 'diminished concern of female aged people' are. 'Social elements' are 'absence of sexual parter', 'circumstances of living' and 'recognition of neighbor'. 4) Response to change of sexual life The reaction of aged people to change of sexual activities is classified as 'positive' and 'negative'. 5) Attitude to the consultation of sexual life of aged people The attitude to the consultation of sexual life in old age is classified as 'negative', 'doubtful' and 'positive'. This study explored the meaning which aged people in community attach to sexual life, the extent of their sexual desire, the causes of troubles in their sexual life, their emotional response to changes in sexual life, their recognition of necessity in sexual consultation. Considering the frequency of the statement, most of aged people who were interviewed thought much of sexual life and put emphasis on it. Those who said that sexual life has decreased meaning or is not important to them are few, Though aged people still maintain sexual desire, most of them have some trouble in sexual life. These trouble changes the sexual life, and results in negative feeling such as depression, renunciation and difficulty in relations. So they acknowledged that sexual consultation is necessary to them.

• Journal of Korean Public Health Nursing
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• v.16 no.2
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• pp.388-399
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• 2002

This study would tend to clarify effects on knowledge and attitudes of smoking by preventive education for the fifth grade student in elementary school. It would also hope to contribute to activate smoking preventive education, improvement of health quality for the young and reduce school children's misdeeds. One hundred and sixty-eight school children, the fifth grade student in K city's elementary school have been gathered as testees and divided into two groups : 84 in an experimental group and other 84 in a group for comparison.. Data has been collected between 27th November, 2001 and 8th February, 2002 and methods, which were based on literature study, have been developed by myself and used after reliability test. The process has been formed in this order - pre-survey, experiment (smoking preventive education), the first post-survey and the second post-survey. The pre-survey was to fill the questionnaire and the post survey has done with the same way in 2 and 9 weeks later. The smoking preventive education has been carried out 4 times and the time for each experiment was 40 minutes. The collected data has been analysed by the purpose into $\chi^2-test$, t-test,. F-test, Duncan multiple range test with SPSS. The results of study would be as follows 1. The rate of smoking experience is $17.3\%$ and the biggest motive $(75\%)$ is curiosity. Also $5.4\%$ of respondents reply to have friends smoking a little. 2. The first hypothesis - the group with smoking preventive education would have much knowledge about smoking than comparison group - would be supported with statistical data (t=-3.329, p=.000). 3. The second hypothesis - the group with smoking preventive education would show higher attitude than the other group - would also be backed by statistically meaningful difference (t=-3.856, p=.000). 4. The variables of extent for smoking knowledge would be school record and the variables of extent for smoking attitude is friends' smoking, parents' reaction, experience until now and plan from now on.

• Journal of Korean Public Health Nursing
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• v.10 no.1
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• pp.12-22
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• 1996

Currently. exchanges of industrial workers between countries are more active than ever. and the problem of AIDS in connection with the operation of preventive educational programs has reached a point where the issue cannot be limited to native people alone any more. Based on such judgement. this research has been carried out to provide basic study materials by grasping the latent factors representing the difference between countries in the levels of right knowledge. attitude and behavior with respect to AIDS maintained by workers who have grown in different social and cultural living background. During the period from Apr. 1. 1995 to Jun. 30. questionnaires. written both in Korean and English, were distributed to Korean and Malaysian employees working at certain Korean video manufacturers. and the results of replies. given by 80 workers who were analyzed through matched sampling· method where ages and sex matched by country. were used as the research materials. The gathered materials were analyzed through the SPSS package t-test. ANOVA. factor analysis and multiple stepwise regression methods. and the following results were obtained. 1. The 2 extracted latent factors could be named 'common. social' knowledge factor and 'in-depth. psychological' knowledge factor respectively. 2. The percentile points of 'external. social' knowledge factor. in the case of Korean workers. howed 90.0 at average. a figure 13.75 points higher than those of Malaysian workers. 76.25. On the other hand. the percentile points of the 'in-depth. psychological'knowledge factor showed 70.80 at average in the case of Korean workers. a figure 7.47 points lower than those of Malaysian workers. 78.33. Meanwhile. the difference in percentile points between the 2 latent factors was 8.54 at average. indicating that the points of 'in-depth. psychological' knowledge factor was lower than those of the 'external. social' knowledge factor. 3. As for Korean workers. the percentile points of the 'in-depth. psychological' knowledge factor showed higher points in office workers than in non-office workers. and such variables exhibited in the position of workers can explain the $7\%$ of the latent factor. The percentile points of the 'in-depth. psychological' knowledge factors. in the case of Malaysian workers. showed higher points in groups who had religion than in groups who did not. and higher points in groups who obtained information from newspapers than in groups who obtained from televisions or other sources; and with these 2 variables. $26\%$ of this latent factor can be explained. The results. of analysis described so far suggest that while Korean workers possessed general level of knowledge on AIDS. they had low level of practical knowledge as far as its depth is concerned. and that they had social prejudice on patients as well as on the AIDS infection route. In addition. because the overall knowledge level of Malaysian workers. is lower than that of Korean workers. it suggests that separate programs intended for Malaysian workers are required prior to executing integrated programs.

• Journal of Korean Public Health Nursing
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• v.10 no.1
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• pp.39-57
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• 1996

미국은 이제까지 서구 백인문화 중심적으로 간호학을 발전시켜왔다. 그러나 국제적인 세계화 흐름과 함께 이제까지 경시되어 왔던 소수 민족들에게 차츰 관심을 모으고 있다. 이러한 간호학의 추세와 함께 재미 한인들의 증가는 간호학 내의 한인들에 대한 문화적 지식의 확대를 필요로 하게 하였다. 이민이라는 과정을 통해서 이민자들은 새로운 가치관. 태도. 사회적 규범을 획득하게 되는데. 이러한 변화는 신체적. 정신적 건강에 부정적으로 영향을 미치는 것으로 보고되고 있다. 또한 이러한 이민 적응과정에서 오는 어려움 들은 이민자 들이 건강관리를 효과적으로 하지 못하게 하는 주원인으로 보고되고 있다. 이 연구에서는 재미 한인들의 건강관리실천을 그들의 초기 이민 과정에서 겪게 되는 여러 경험에 초점을 맞추면서 면담조사와 사례 연구를 통하여 살펴보았다. 임의 표본 추출된 미국 캘리포니아주 오클랜드에 있는 한 한인 교회의 20명의 교민들을 대상으로 그들의 초기 이민경험과 건강관리 실천에 관한 면담 조사가 이루어졌으며 대상자 중 3인을 대상으로 하여 사례 연구가 이루어졌다. 연구 결과, 재미 한인들은 타이민자들에 비해 소규모 사업에 종사하는 경우가 많고 높은 취업 율에 비해 낮은 수인을 가지는 것으로 나타났다. 한인들은 타이민자들에 비해 좀 더 보수적이며 그들의 문화와 관습을 가능한 한 고수하는 것으로 나타났다. 또한 한인들은 사회 참여와 대인 관계에 있어서 한인 사회에만 한정되게 활동하는 것으로 나타났다. 재미 한인들은 한인 사회 내에서 강력한 사회적 유대관계를 유지하는 것으로 나타났으며, 가족의 영향력이 타민족들에 비하여 강한 것으로 나타났다 언어 장벽이 가장 큰 문제로 보고되고 있으며 비록 성공적으로 미국 사회에 적응을 하더라도 계속적인 경제적인 생존 노력과 사회적으로 소외된 그들의 위치는 그들의 삶을 계속해서 어렵게 하는 것으로 나타났다. 이러한 초기 이민 적응과정에서 오는 어려움 들은 그들의 건강을 비효과적으로 관리하게 만드는 것으로 나타났다. 첫째, 적절한 통역자를 사전에 선정, 이용함으로써 적절한 간호를 제공할 수 있도록 하여야겠다. 둘째. 한인을 대하는 간호 제공자들은 한인에 대한 문화적 지식을 겸비하고 그 지식에 근거를 둔 문화적으로 적절한 간호를 제공하여야 할 것이다. 셋째, 간호 제공자들은 한인들의 치료법 혼용을 이해하고 동시에 여러 치료법을 사용하는 경우. 잘 살펴서 적절한 조치를 취해야 할 것이다. 넷째, 가족관계를 사정하고 적절히 가족 구성원을 간소 목적을 위하여 사용할 수 있어야 하겠다 마지막으로 이들 내의 위험 집단을 우선적으로 파악. 접근하여야 할 것이다. 위험 집단으로는 경제적 문제로 적절한 의료 이용을 할 수 없는 저소득층, 문화적으로 열등한 위치에 있는 여성층과 초기 이민 적응에 가장 문제를 일으킬 소지가 있는 노년층을 들 수 있겠다. 이 연구는 몇 가지 제한점을 가진다. 첫째. 연구 대상자 선정이 어려워서 자원자를 대상으로 연구가 행해졌다. 둘째. 적은 수의 연구 대상자를 대상으로 연구가 행해졌다. 셋째. 연구기간이 짧았던 까닭에 좀더 상세한 사례 연구가 이루어질 수 없었다 좀 더 신뢰할 수 있는 표본 추출 방법을 통하여 선정된, 많은 연구 대상자를 가지고, 심도 있는 연구가 추후 반복적으로 이루어져야 할 것이다.