• 지역사회간호학회지
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• 제14권2호
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• pp.274-286
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• 2003

Purpose: The purpose of this study is to provide a basic data that may help develop health promotion programs by identifying health problems and perceived health status of the rural elderly. Method: The subjects of the study were 366 elders recruited from 24 villages located in Mari Myun, Geochang Gun, Korea. The sample was selected using a quota sampling method. The instruments used in the study included 117 items for health problems and 4 items for perceived health status. The data were analyzed with descriptive statistics, Pearson correlation coefficient, t-test, ANOVA and scheffe test using SPSS program. Results: 1) The most prevalent health problem was ailments in 'musculoskeletal system', followed by 'fatigue', 'eyes and ears', 'genitourinary system', 'mood & temper patterns', 'cardiovascular system', 'digestive system', 'nervous system', 'respiratory system' and 'skin'. 2) Womens health problems were more prevalent than men's health problems. 3) The mean score of perceived health status was 7.68. 4) Health problems of the rural elderly were significantly correlated with demographic variables such as education (F=9.532, p=0.000), gender (t=-4.246, p=0.000), marital status (t=-3.531, p=0.000), family type (F=5.742, p=0.00l), and occupation (t=3.356, p=0.001). 5) Perceived health status of the rural elderly was significantly correlated with demographic variables such as education (F=6.408, p=0.002), gender (t=2.949, p=0.003), marital status (t=0.802, p=0.034), family type (F=4.844, p=0.003), and occupation (t=-2.485, p=0.011). 6) Health problems of the rural elderly were significantly correlated with life style pattern variables such as drinking (F=5.223, p=0.006), smoking (F=4.087, p=0.007), salty food intake (F=3.424, p=0.034), greenish yellow vegetables intake (F=6.343, p=0.002) and fat food intake (F=5.327, p=0.005). 7) Perceived health status of the rural elderly was significantly correlated with life style pattern variables such as sleeping hours (F=3.966, p=0.020) and drinking (F=7.231. p=0.001). Conclusion: The findings of this study indicate that nurses need to understand health problems and perceived health status of the rural elderly and to develop health promotion programs for them in the future in the consideration of regional and environmental elements.

• 한국농촌간호학회지
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• 제4권1호
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• pp.31-40
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• 2009

Purpose: This research was done do identify and analyze the beginnings of the community health practitioner system in the Republic of Korea (ROK) around 1980. Method: Primary sources were collected and analyzed, mainly newspapers around 1980, the act for health service for rural areas, and other relative publications. Results: The government of the ROK was trying to solve the problem of doctorless villages and regarded the introduction of primary health care (PHC) services using registered nurses (RNs) to be an economic solution to this problem. The Korean Nurses' Association presented 'a plan for community health service' to the government party and medical association in 1976. In this plan, RNs would provide primary care at the sub-county (myun) level, and hospital would provide secondary care. The Korean Public Health Development Research Center was awarded the project 'RNs and nurse aids as CHP for primary care service and their training'. In 1977, 25 RNs began to work as PHC in 3 areas, and interim findings showed that RNs were very capable of doing PHC. The Ministry of Health and Welfare announced long term plans for health and welfare administration including a tertiary health care delivery system. RNs after training were posted to rural areas with no medical services to do medical treatment for mild cases. The Act for health services for rural areas was enacted on December 31, 1980. Enforcement Ordinance and Enforcement Regulations were enacted in 1981. In 1981, 257 CHP were selected, trained, and deployed. In 1983, the president of the ROK announced continuation of the CHP system for residents of medically vulnerable areas. The number of CHP increased from 257 in 1981 to 2038 in 1989.

• Journal of Preventive Medicine and Public Health
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• 제56권3호
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• pp.272-281
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• 2023

Objectives: Young mothers are vulnerable to postpartum depression due to role transition-related stress. Understanding the causes underlying these stressors is essential for developing effective interventions. Methods: This study analyzed the 2018 Indonesian Basic Health Research data. The Mini International Neuropsychiatric Interview was used to assess postpartum depression symptoms in mothers aged 15-24 years with infants aged 0-6 months. In 1285 subjects, the risk factors for postpartum depression were evaluated using multivariate logistic regression. Results: The overall prevalence of depression in the 6 months postpartum was 4.0%, with a higher prevalence in urban areas (5.7%) than in rural areas (2.9%). Urban and rural young mothers showed distinct postpartum depression risk factors. In urban areas, living without a husband (odds ratio [OR], 3.82; 95% confidence interval [CI], 1.24 to 11.76), experiencing preterm birth (OR, 4.67; 95% CI, 1.50 to 14.50), having pregnancy complications (OR, 3.03; 95% CI, 1.20 to 7.66), and having postpartum complications (OR, 5.23; 95% CI, 1.98 to 13.80) were associated with a higher risk of postpartum depression. In rural areas, postpartum depression was significantly associated with a smaller household size (OR, 3.22; 95% CI, 1.00 to 10.38), unwanted pregnancy (OR, 4.40; 95% CI, 1.15 to 16.86), and pregnancy complications (OR, 3.41; 95% CI, 1.31 to 8.88). Conclusions: In both urban and rural contexts, postpartum depression relates to the availability of others to accompany young mothers throughout the postpartum period and offer support with reproductive issues. Support from the family and the healthcare system is essential to young mothers' mental health. The healthcare system needs to involve families to support young mothers' mental health from pregnancy until the postpartum period.

• 보건교육건강증진학회지
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• 제3권1호
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• pp.91-97
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• 1985

This study was attempted to evaluate the mental health of high school students in rural and urban community. For the above purpose the Minesota Multiphasic Personality Inventory(MMPI) was conducted for the total 868 students including 213 high school bodys and 209 high school girls in rural community, and 228 high school boys and 218 high school girls in urban community. The results are summarized as follows: 1. Scores of lie, hypochondriasis and social introversion scale were statiatically higher in rural high school boys than urban high school boys, but the scores of psychopathic deviate and hypomania scale were on the contrary. 2. Rural high school girls showed statistically higher scores in depression, paranoia, psychasthenia and schizophrenia scale than urban high school girls did. 3. Scores of validity, correction, hysteria and masculinity-femininity scale were not different between rural and urban community in both of high school boys and high school girls.

• 한국농촌간호학회지
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• 제18권2호
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• pp.106-112
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• 2023

Purpose: This study developed a shelter for dementia programs based on primary health care posts; and examined its effectiveness in rural older adults. Methods: This study used a case report provided by a primary healthcare post in Jeonnam, Korea, in 2023. A single group pre-test post-test design was used; for three months, and 10 older adults participated in the shelter for dementia programs based on the primary health care post. The effectiveness of the intervention was measured immediately after entering the shelter for dementia programs. Results: There were significant differences between the pre-test and post-test on the cognitive impairment screening test (p=.005). Conclusion: The shelter for dementia programs based on primary health care posts was effective in improving cognitive impairments of rural older adults.

• 지역사회간호학회지
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• 제18권1호
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• pp.23-31
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• 2007

Purpose: This study was to investigate factors influencing the well-being of the aged in rural areas. Method: The subjects consisted of 250 elders living in rural areas of Kyungsangbuk-do. Data were collected by questionnaire surveys using convenience sampling. The instruments used in this study were the Well-being Scale by Chang (1999), the perceived health status developed by Speake, Cowart, and Pellet (1989), and the Social Support Scale developed by Song (1991). Data were analyzed using the SPSS program through descriptive statistics, t-test, ANOVA, Duncan's multiple-range test, Pearson Correlation Coefficient and stepwise multiple regression. Results: The most powerful predictor of well-being was social support, and then religion, health status, living expenses, and habitation accounted for 42.95% of variance in the well-being of the aged in rural areas. Conclusion: These results suggest that perceived health status and social support can be potential risk factors in the well-being of the aged. The findings of this study provide the basis of program development to improve the well-being of the aged in rural areas.

• 지역사회간호학회지
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• 제27권3호
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• pp.254-261
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• 2016

Purpose: This study was conducted to investigate the correlation between degrees of health promotion behaviors and life satisfaction and effects of health promotion behaviors on life satisfaction in rural elderly women living alone. Methods: A descriptive correlation study was conducted with 189 rural elderly women living alone aged 65 or older in four senior counties in Jeollanam-do. Descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation, and multiple regression. Results: The subjects' health promotion behaviors and life satisfaction were significantly positive. Among the factors influencing the subjects' life satisfaction, nutrition and diet showed the greatest positive effects, followed by exercise and activity, and drinking and smoking. Among them, drinking and smoking had significantly negative influence. Conclusion: Among the health promotion behaviors that influenced life satisfaction, nutrition and diet, exercise and activity, and drinking and smoking were most significant factors. Therefore, this study provided basic data for improving the life satisfaction among rural elderly women living alone.

• 보건교육건강증진학회지
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• 제21권2호
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• pp.87-100
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• 2004

Purpose： This study was to identify the degree of health-promoting behavior and quality of life and the factors influencing quality of life of solitary elderly in rural areas. Method： The subjects of this study were 202 solitary elderly, and 65-89, who had been living in four rural areas. Data was collected through 4 questionnaires from July 10th, 2003 to August 30th, 2003. The collected data was analyzed using descriptive statistics, t-test, ANOVA, Duncan's multiple-range test, Pearson correlation coefficient and Stepwise multiple regression with SPSS/PC. Results： The average item score for the health-promoting behavior was 2.43； the highest score on the subscale was self-actualization (M＝2.58) with the lowest being exercise (M＝2.05). 2) The average item score for the quality of life was 2.81； the highest score on the subscale was neighbor relationships (M＝3.27) with the lowest being economic conditions (M＝2.24). There were significant differences in the health-promoting behavior by educational level and leisure-activity, in the quality of life by age and religion. Quality of life scores correlated negatively with depression scores (r＝-.063, p＝.000) and positively with health-promoting behavior (r＝.144, p＝.000), social support scores (r＝.383, p＝.000). Stepwise multiple regression analysis for quality of life revealed that the most powerful predictor was health-promoting behavior. Health-promoting behavior, social support, depression and age explained 51.8％ of the variance. Conclusion： These results suggested that elderly people in rural areas with high degree of quality of life are likely to be high in health-promoting behavior and social support and low in depression. Therefore, it is necessary to develop health promotion programs in due consideration of health-promoting behavior and social support and depression in order to enhance the quality of life of solitary elderly in rural areas.

• 농촌의학ㆍ지역보건
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• 제12권1호
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• pp.124-132
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• 1987

• 농촌의학ㆍ지역보건
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• 제27권1호
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• pp.217-224
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• 2002