• Title/Summary/Keyword: Rural health problem

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The Level of Experienced Problem and Related Variables Among Rural Women in Korea (한국 농촌여성의 문제경험도와 관련변인 연구)

  • 최규련
    • Journal of Families and Better Life
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    • v.19 no.1
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    • pp.1-16
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    • 2001
  • This study examined the level of experienced problem and related variables of farming women as a part of study on problem diagnosis and status enhancement of rural women. The subjects were 980 married farming women living in rural area. Data were analyzed by frequencies, percentages, mean, standard deviation, factor analysis, t-test, ANOVA, Duncan-test, and multiple regression. The major findings were as follows : 1) Rural women experienced five categorized problems(farming work & health problem, institution & facilities problem, personality differences & communication problem with husband, child & in-law relatives problem, and husbands violence & sexual problem. 2) The significant variables that influenced on experienced problems were conflict coping behaviors, husbands housework participation, farming work time, age, the level of health, and income etc. Additionally socio-demographic factors, their vocational consciousness, housework sharing, and couples difference of sex-role attitude as related variables of the level of experienced problem of farming women were exmained and discussed the implication.

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The Effects of a Tailored Health Promotion Program on Self Efficacy, Health Problems and Quality of Life of Rural Residents (맞춤형 건강증진프로그램이 농촌 주민의 자기효능감, 건강문제 및 삶의 질에 미치는 효과분석)

  • Park, Jeong-Sook;Oh, Yun-Jung;Kwon, Sang-Min
    • Research in Community and Public Health Nursing
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    • v.18 no.4
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    • pp.523-534
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    • 2007
  • Purpose: The purpose of this study is to identity the effects of a tailored health promotion program on rural residents' self efficacy, health problems and quality of life. Method: Data were collected from May 13th, 2006 to July 29th, 2006. The subjects were selected at Gajo-myeon, Geochang-gun, Gyeonsangbuk-do, Korea. Forty three residents were included in the experimental group and 39 in the control group. The 12-week health promotion program was given to the experimental group. Data were analyzed by descriptive statistics, $\chi^2$-test, t-test and ANCOVA test with the SPSS/win 12.0 program. Result: The experimental group showed higher scores of self efficacy and quality of life than the control group, and a tower score of health problem than the control group. Conclusion: From the above results, it can be concluded that the tailored health promotion program for rural residents is an effective intervention for improving their self efficacy and quality of life and reducing their health problems. Therefore, it is necessary to spread the tailored health promotion program for residents in other rural areas in Korea.

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A study Health problem and Perceived health status of the rural elderly (농촌노인의 건강문제와 지각된 건강상태에 관한 연구)

  • Park, Jeong-Sook;Oh, Yun-Jung
    • Research in Community and Public Health Nursing
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    • v.14 no.2
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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.

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A Study on Problem Drinking and Spending Leisure by CAGE and AUDIT in a Rural Area (일부 농촌지역에서의 CAGE와 AUDIT를 이용한 문제음주 및 여가활용에 관한 연구)

  • Kim, Yeal;Yu, Ji-Young;Jung, Sun-Im;Han, Ji-Yun;Pak, Jong-Hyuk;Kim, Han-Suk;Choi, Young-Sun;Kim, Min-Jung;Cho, Byung-Hee;Jung, Mun-Ho
    • Journal of agricultural medicine and community health
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    • v.29 no.1
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    • pp.147-161
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    • 2004
  • Objectives: There are many habitual drinking in rural area. So it is the key point of drinking control policy in rural community to understand the drinking behavior in leisure time and to have an appropriate screening method for problem drinking. CAGE and AUDIT are famous screening tools for problem drinking and alcoholics. Even though there are some studies to validate CAGE and AUDIT which translated in Korean, they were not studied with community based population but with hospital based patients. In this study we assessed the usefulness of CAGE and AUDIT for selecting problem drinking in a rural population, and compared problem drinkers with normal group about spending leisure, Methods: The study subjects were 120 residents over 20 years old who lived in 3 districts in Dong-San Myun near Chun-chon city. We made up questionnaire by interview from Feb. 13 to 19, 2004. Results: The mean age of study population was 66.01 .26 years old. Defining the problem drinking as more than 12 score in AUDIT and more than 2 score in CAGE, the proportion of problem drinker was 30.600 and 28.9% respectively. This proportions were higher than those of other national wide studies. There were significant difference in drinking frequency per week and amount per one episode between problem drinker and normal group. Experience about driving, accident, injury, disturbance in working and quarrel after drinking were also significantly different. Problem drinker were more tolerable to the bad social culture about drinking (eg. force to drink, bad drunken habit. overdrinking, drinking relay etc.) than normal group. Watching TV and playing with neighborhood were most frequent method of spending leisure in this study population, normal male group exercised more frequently in leisure time than problem drinker. Conclusions: It may be useful to use CAGE and AUDIT score for screening problem drinking in rural community. Appropriate utilization of leisure time may he important for control of problem drinking in rural area.

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Beginnings of the Community Health Practitioner (CHP) System in Republic of Korea (한국 보건진료원 제도의 시작)

  • Yi, Ggod-Me
    • Journal of Korean Academy of Rural Health Nursing
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    • v.4 no.1
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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.

Differences in Factors Associated with Depressive Symptoms between Urban and Rural Female Adolescents in Korea

  • Lee, Gyuyoung;Ham, Ok Kyung;Lee, Bo Gyeong;Kim, Abuan Micah
    • Journal of Korean Academy of Nursing
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    • v.48 no.4
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    • pp.475-484
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    • 2018
  • Purpose: To examine the prevalence of depressive symptoms and differentiate factors associated with them in urban and rural areas by applying the Ecological Models of Health Behavior. Methods: We employed a cross-sectional design and convenience sample of 460 female adolescents. The instruments included the Adolescent Mental-Health Problem-Behavior Questionnaire (AMPQ-II) and the Beck Depression Inventory (BDI). Results: Depressive symptoms were confirmed in 15.7% of urban adolescents and 22.9% of rural adolescents (p<.05). In the urban group, perception of health and stress associated with school performance were significantly associated with depressive symptoms. In the rural group, academic/internet related problems and rule violations were significantly associated with depressive symptoms (p<.05). General life happiness, worry/anxiety, and mood/suicidal ideation were common factors in both urban and rural areas (p<.05). Conclusion: Multiple factors were associated with depressive symptoms, and those significant factors differed between urban and rural female youths. Accordingly, tailored approaches are required considering urban and rural differences. The approaches should include intrapersonal, interpersonal, and organizational levels of interventions.

Rural Elderly Women′s Health and Health Care Practices (농촌여성노인의 건강 및 의료서비스 이용실태 - 경기도 노인시범마을을 중심으로 -)

  • 노자경;한경혜;최은숙
    • Korean Journal of Rural Living Science
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    • v.5 no.2
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    • pp.171-184
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    • 1994
  • This study intends to provide basic informations on the rural elderly women's health status and health care practices which can be utilized for the welfare policies. Participants in this study are 133 elderly women over 60 who are lived in rural area. For the data analysis, Frequency, Correlation, Crosstabs, Oneway-Anova and LSD test are used. Physical health status is slightly lower than psychological health status and they are related to respondent's age, coresidence type, subjective economic status, subjective health status, participation in farming and health care type. Eighty-two percent of (he respondents perceived their health condition as poor and Neuralgia is the most frequent health problem. Women's health care practices are passive and somewhat restricted by age, educational status, coresidence type, necessary time to medical institution, and health status.

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A Study on Relations between Health Status and Physical Therapy in Rural Area Elderly Women (일부 농촌지역 여성노인들의 건강특성과 물리치료와의 상관관계)

  • Ro, Hyo-Lyun;Kim, Sung-Joung;Gong, Won-Tae
    • The Journal of Korean Physical Therapy
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    • v.21 no.4
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    • pp.81-88
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    • 2009
  • Purpose: This study examined the health status and physical therapy in elderly women in rural areas to provide basic data on the promotion of health and physical therapy management of elderly women in rural areas. Methods: The subjects were 110 elderly women. The data was collected through individual interviews, and the tool developed for this study was a structured questionnaire based on the literature. The reliability coefficient was 0.57 ~ 0.79(Chronbach' $\alpha$). Results: Village 1 made the most of an oriental medicine clinic and a neighborhood clinic, whereas village 2 mainly used a public health center. Arthritis/ neuralgia and high blood pressure/low blood pressure were the most common complaints in the two villages; a medical institution was used once a month by more than 50% of subjects. Most rural elderly women used physical therapy, and the prevalence of arthritis/neuralgia was high. The most common problem in the two villages was poor health. The improvement in mobility was higher in the more healthy women, who also had less need for treatment at a medical institution. Conclusion: Most rural elderly women were concerned about poor health and used physical therapy. Therefore, rural medical institutions need to pay attention to the medical service and preventive activity to reduce the incidence and severity of neuromuscular syndrome in rural elderly women.

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Prevalence and Related Factors of Hwabyung for the Aged Woman in Rural Community (농촌 여성노인들의 화병 유병율과 관련요인)

  • Kim Hye-kyoung;Park Jae-Yong
    • Journal of Korean Public Health Nursing
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    • v.18 no.2
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    • pp.234-242
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    • 2004
  • The purpose of this study was study to prevalence and related factors of Hwabyung for the aged woman in rural community. A self-administered questionnaire survey was carried out for 616 Aged Woman Living in Uiseong County from March 1 to April 20, 2004. Collected data was analyzed by the $x^2-test$. The result of this study was as follows: Prevalence rate of Hwabyung was $13.3\%$ in Aged Woman Living in Rural Community. The factors of agricultural village feminine Hwabyung were personality, husbands. Prevalence rate this Hwabyung was high if a husband had angry work wife's personality was blunt and a wife had angry her husband. The reason to have got angry at a husband was liquor, a whoring. personality problem. It is necessary that community supports the aged woman and she develops own personality for development of own personality and solution of husband's problem in oder to low prevalence rate of Hwabyung for the aged woman in rural community.

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An Analysis on the Korean Rural Health Care Delivery System (농촌의료(農村醫療)의 문제점(問題點)과 대책(對策) - 의료제도(醫療制度)를 중심(中心)으로-)

  • Song, Oh-Dal
    • Journal of agricultural medicine and community health
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    • v.2 no.1
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    • pp.30-35
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    • 1977
  • Health care conditions in Korea are gradually improving along with the economic and social development. However, the volume of disease is still great, especially in rural areas. This study attempts, therefore, to initiate a comprehensive proposal of rural health care delivery system. The proposal is constructed three parts, problem of health care system, medical cost, medical education system. The proposal consist of the following components: I. The health care system 1. health sub-center is required to be locate in "Myun" the basis administrative unit of local government for delivering primary health care. But, in the viewpoint of medical economics, the primary health care is operated cautiously. 2. Health center is desirable to provide health services in coordinating the health sub-center and other private health institution. 3. The secondary health care is performed in regional combination hospitals, and the attitude that doctors accomodate this system is required. II. The medical cost, Insurance In the expenditure of medical care, the method of a third person's payment is required absolutely. III. The medical education system. 1. The medical education system (process) is changed from the medical education to regional doctor education. 2 In the nurse education system. nursing technical high school is resurrected.

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