• Title/Summary/Keyword: Public Health Program

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The Effects of Integrated Intervention Program for Community Dwelling Cancer Patients' Quality of Life, Depression and Self Care Agency (통합중재프로그램이 지역사회 재가 암환자들의 삶의 질, 우울, 자가간호역량에 미치는 효과)

  • Kang, Young Sil;Kwon, In Soo;Hong, Eunyoung
    • Journal of Korean Public Health Nursing
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    • v.30 no.3
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    • pp.445-455
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    • 2016
  • Purpose: This study was performed to identify the effects of an integrated nursing intervention program on the quality of life, depression and self care agency of community dwelling cancer patients. Methods: The design of this study was a quasi-experimental, one group pre-post test. A total of 25 community dwelling cancer patients in J city were included in this study. An integration intervention was 30 times, 10 weeks program. The data were collected between May and November of 2014. The collected data were analyzed using SPSS 18.0 through paired t-test. Results: There were significant differences in the quality of life (p=.007) and self-care agency (p=.042) after 10 week's intervention. Conclusion: The results indicate that an integrated intervention program including educational, cognitive, emotional and physical intervention is effective for community dwelling cancer patients. Further attention should be paid to the intensity and period of an integrated intervention program.

The Factors Implicated When an Individual Starts to Smoke Again After a 6 Month Cessation (보건소 금연클리닉 6개월 금연성공자의 재흡연과 관련요인)

  • Son, Hyo-Kyung;Jung, Un-Young;Park, Ki-Soo;Kam, Sin;Park, Sun-Kyun;Lee, Won-Kee
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.1
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    • pp.42-48
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    • 2009
  • Objectives : This study was conducted to examine the factors implicated when people start smoking again after a 6 month cessation, and was carried out at the smoking cessation clinic of a public health center. Methods : The study subjects were 191 males who had attended the smoking cessation clinic of a public health center for 6 months in an attempt to quit smoking. Data was collected, by phone interview, regarding individual smoking habits, if any, over the 6 month study period. The factors which may have caused an individual to smoke again were examined. This study employed a health belief model as it theoretical basis. Results : Following a 6 month cessation, 24.1% of the study group began to smoke again during the 6 month test period. In a simple analysis, the factors related to individuals relapsing and smoking again included barriers of stress reduction, body weight gain and induction of smoking by surroundings among perceived barriers factor of our health belief model(p<0.05). In multiple logistic regression analysis for relapsed smoking, significant factors included barriers of stress reduction and induction of smoking by surroundings(p<0.05). The most important reason of for an individual to relapse into smoking was stress(60.9%) and the most likely place for a relapse to occur was a drinking establishment(39.1%). Conclusions : Our results indicate that both regular consultations and a follow-up management program are important considerations in a public health center program geared towards maintaining smoking cessation.

Comparison of Job Stress, Quality of Life Scale and Health Promotion Behaviors in Public Health Officials and General Administration Officials (보건직 공무원과 행정직 공무원의 직무 스트레스, 건강증진행위와 삶의 질 비교)

  • Hyun, Hye Jin;Shin, Mi Jin;Lee, Hyun Jung
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.4
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    • pp.320-328
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    • 2016
  • Purpose: The purpose of this study was to compare the job stress, health promotion behaviors and quality of life between public health officials and general administration officials. Methods: Subjects were 60 public health officials and 71 general administration officials in G-City in Korea. Data were collected from January 25 to February 5, 2016 through self-administered questionnaires and analyzed t-test and Pearson's correlation coefficients. Results: Job stress (t=4.060 p<.001) and quality of life (t=3.963, p=.025) were significantly different between public health officials and general administration ones, while health promotion behaviors were not significantly different between these two official groups (t=0.394, p=.606) Conclusion: Results of this study suggested that it was necessary for public health officials to develop intervention program aimed at reducing job stress. Also, it would be effective to focus on improving health promotion behaviors and quality of life for them.

Effect of Safety Education for Mothers with Infants (영유아 안전관리 부모교육의 효과)

  • Bang, Kyung-Sook
    • Child Health Nursing Research
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    • v.11 no.2
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    • pp.221-228
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    • 2005
  • Purpose: The purpose of this study was to determine the effect of an education program promoting safety knowledge and safety practice for mothers with infants. Method: This education was provided at two public health centers in Kyunggi Province. A non-equivalent control group pretest-post test design was used, and the participants were 95 mothers in the experimental group, and 44 mothers in the control group. Data were collected using a questionnaire, and were analyzed with the SPSS program. Results: After the group education sessions on safety management at the public health centers, the mean scores for knowledge and practice of safety in the experimental group were significantly higher than that of mothers in the control group mothers. Also, after the safety education, mothers in the experimental group perceived a higher priority in safety in child care than they had before the education program. Conclusion: The education for mothers with infants regarding the child safety was effective in promoting knowledge and practice of safety for infants.

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The Effects of a 7000-Step Goal and Weekly Group Walking Program for Overweight and Obese Elderly People in Sarawak, Malaysia: A Quasi-experimental Study

  • Saad, Mohd Fakhree;Cheah, Whye Lian;Hazmi, Helmy
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.3
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    • pp.199-207
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    • 2021
  • Objectives: Physical inactivity is the fourth leading global risk factor for mortality, followed by obesity. The combination of these risk factors is associated with non-communicable diseases, impaired physical function, and declining mental function. The World Health Organization recommends physical activity to reduce the mortality rate. Thus, this study examined the effects on anthropometric measurements of a 12-week walking program for elderly people in Samarahan, Sarawak, Malaysia with a 7000-step goal and weekly group walking activities. Methods: A quasi-experimental study was conducted involving 109 elderly people with a body mass index (BMI) ≥25.0 kg/m2. BMI, body composition, and average daily steps were measured at baseline, 6 weeks, and 12 weeks. Data were analyzed using SPSS version 26.0, and repeated-measures analysis of variance with the paired t-test for post-hoc analysis was conducted. Results: In total, 48 participants in the intervention group and 61 participants in the control group completed the study. A significant interaction was found between time and group. The post-hoc analysis showed a significant difference between pre-intervention and post-intervention (within the intervention group). The post-intervention analysis revealed an increase in the mean number of daily steps by 3571.59, with decreases in body weight (-2.20 kg), BMI (-0.94 kg/m2), body fat percentage (-3.52%), visceral fat percentage (-1.29%) and waist circumference (-2.91 cm). Skeletal muscle percentage also showed a significant increase (1.67%). Conclusions: A 12-week walking program combining a 7000-step goals with weekly group walking activities had a significant effect on the anthropometric measurements of previously inactive and overweight/obese elderly people.

Ethnographic Analysis on Health-related Behavioral Patterns of Male College Students in a Weight-control Program (문화기술지를 이용한 체중조절 성공 남자 대학생의 건강행위 양상)

  • Kim, Jeong Soo
    • Journal of Korean Public Health Nursing
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    • v.27 no.2
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    • pp.241-253
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    • 2013
  • Purpose: We performed an ethnographic analysis on health-related behavioral patterns of male college students enrolled in a weight-control program. Methods: The participants in this study were 12 obese male college students and one member of the health program staff. Data, collected through interviews and participatory observations during fieldwork, were analyzed using text analysis and taxonomic methods. Results: Patterns of health behavior were categorized into one of two types: the type with a willingness and motivation toward improving health (including a positive management of diseases and lifestyle) or the type concerned with social development and competence (including the application of strategic relationships and a self-conscious inclination toward appearance). Conclusion: The concepts of body and health in sociocultural contexts lead to weight-control practices. These results strongly indicate that providers of dieting programs for young adults need to understand the physical and psychological concerns of their students. Moreover, another implication from our results is that health-related interventions should be designed according to specific aspects of its participants.

The Effect of Public Report on Antibiotics Prescribing Rate (급성상기도감염 항생제 처방률 공개 효과 분석)

  • Kim, Su-Kyeong;Kim, Hee-Eun;Back, Mi-Sook;Lee, Suk-Hyang
    • Korean Journal of Clinical Pharmacy
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    • v.20 no.3
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    • pp.242-247
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    • 2010
  • Controlling inappropriate antibiotics prescribing for acute upper respiratory infections(URI) is a very important for prudent use of antibiotics and resistance control. Health Insurance Review and Assessment Service (HIRA) introduced Prescribing Evaluation Program and publicly reported antibiotics prescribing rate for URI of each health institution. We performed segmented regression analysis of interrupted time series to estimate the effect of public report on antibiotics prescribing rate using national health insurance claims data. The results indicate that just before the public report period, clinics' monthly antibiotics prescribing rate for URI was 66.7%. Right after the public report, the estimated antibiotics prescribing rate dropped abruptly by 12.3%p. There was no significant changes in month-to-month trend in the prescribing rate before and after the intervention.

Development of Organization System for Health Management Program of Maternal-child in Public Health Centers (보건소 모성과 어린이 건강관리사업의 효율적 운영을 위한 조직구축 연구)

  • Hwang, Na-Mi;Park, Hyun-Tae
    • Research in Community and Public Health Nursing
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    • v.15 no.2
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    • pp.187-196
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    • 2004
  • Purpose: The purposes of this study are: to evaluate the effectiveness of organizations engaged in MCH programs; and to suggest the executive organizational system of maternal and child health (MCH) services linked to HP services at public health centers. Method: This study analyzes data on the present conditions and evaluates the organizational effectiveness of MCH workers at public health centers nationwide. The organizational effectiveness of MCH organization is assessed by MCH workers. Finally, this study seeks to obtain consensus among experts in the field of MCH. Result: The results are as follows. Of public health centers, 61.9% have a MCH organization for their MCH programs. For the other 38.2%, MCH services are undertaken by HP organization. Executive organizational systems for MCH services at leading MCH health centers are classified into three types: Type I (provides MCH and HP services through MCH organizations); Type II (provides MCH and HP Services through HP organizations) ; and Type III (provides MCH services through MCH organizations and HP services through HP organizations). The evaluation of the organizational effectiveness of MCH organizations shows that Type II is the most effective in terms of teamwork, autonomy, service quality and resource utilization. Conclusion: This study suggests that executive organizations for MCH and HP services for women and children should be established in accordance with lifetime health programs in order for public health centers to utilize the limited MCH and HP resources efficiently.

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The Follow-up Study of Changes in Frailty in Elderly Receiving Home Health Care of the Public Health Center

  • Lee, Dong Ok;Chin, Young Ran
    • Research in Community and Public Health Nursing
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    • v.30 no.4
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    • pp.528-538
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    • 2019
  • Purpose: The purpose of this study was to follow-up the frailty of the old who received home health care by Registered Nurse in Public Health Center over 8 years. Methods: We used the second wave data which was a comprehensive longitudinal data set, Public Health Information System of a public health center located in Seoul from 2010 to 2018. For statistical analysis, a mixed model of repeated measures by R program was used. Results: Frailty (range: 0~31) was getting worse significantly from 5.38 on registration to 6.54 on 4th year, 7.40 on 7th year, 7.69 on 8th year with adjustment for age, sex, economic status, the number of family, and the number diseases. The coefficient of parameters with frailty change was serviced year (β=0.29, p<.001), age (70~79 to 60~69; β=0.98, p=.018) and sex (female to male; β=2.55, p<.001). Conclusion: This study showed that the home visiting health service needs to take attention to aged 70s and over, female. The home health care of public health center need to be extended more practical and effective services in terms of 'community care'and 'ageing in place'.