• Journal of Korean Academy of Rural Health Nursing
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• v.15 no.1
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• pp.9-15
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• 2020

Purpose: The purpose of this study was to examine the effectiveness of smartphone use to enhance self-efficacy and decrease loneliness in elders through communication using the SNS Program Methods: Participants in this study were assigned to the experimental group (25) or control group (25). Data were collected from June 3 to July 12, 2019. For this study, the communication Program through SNS was run once for a total of 12 sessions. All data were analyzed using SPSS version 18.0 program, 𝑥² test, t-test, Repeated Measure ANOVA and Fisher's exact test. Results: It was found that H1 was supported (z=-4.12, p=.005) as "the experimental group participating in the communication Program through SNS had greater self-efficacy than the control group". H2 was supported as "the experimental group participating in the communication Program through SNS had less loneliness than the control group", (z=3.20, p<.001). Conclusion: This basic information may be used as an intervention on communication Program through SNS. Findings suggest the necessity of improving self-efficacy and reduction of loneliness through an intervention communication Program through SNS.

• Research in Community and Public Health Nursing
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• v.21 no.1
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• pp.43-52
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• 2010

Purpose: The aim of this study was to compare health promotion behavior in middle-aged rural residents by cancer screening participation. Methods: Data were collected from 508 rural residents during the period from April 6 to June 6, 2009 using structured questionnaires, and analyzed using SPSS/WIN 12.0. Results: The cancer screening rate was 50.2%. The rate was significantly different according to sex, educational level, marital status, private insurance, family cancer history, smoking, drinking, perceived health status, and health concern. Men showed the highest screening rate in gastroscopy for stomach cancer, and women in pap smear test for cervical cancer. Pap smear test for cervical cancer showed the highest regular screening rate (4.3%). The average score of health promotion behavior was $2.65{\pm}0.35$. Health promotion behavior was significantly different according to cancer screening participation, health responsibility, stress management, and self actualization. Conclusions: These results suggested that there may be differences in health promotion behavior among middle-aged rural residents according to their cancer screening participation. A further study is necessary to find effective interventions for the non-cancer screening group.

• Journal of Korean Academy of Rural Health Nursing
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• v.11 no.1
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• pp.3-14
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• 2016

Purpose: This study aimed to evaluate a urinary incontinence self-management program for middle-aged women in Korean rural communities. Methods: A one-group pretest and posttest design was used to examine changes in severity, knowledge, and attitudes following the intervention. Fifty-six women completed weekly 90-min group sessions for seven weeks. Descriptive statistics and paired t-tests were used to analyze data. Results: The total of International Consultation on Incontinence Questionnaire scores was significantly decreased after the intervention (pre-test: $4.55{\pm}3.88$, post-test: $3.21{\pm}3.00$, p<.001). Significant improvement was also noted on the mean knowledge scores (pre-est: $16.66{\pm}6.24$, post-test: $21.43{\pm}5.15,$ p<.001). Conclusions: This study suggests that the UI self-management program is useful in improving the symptom of UI for middle-aged women living in communities.

• Journal of Korean Academy of Rural Health Nursing
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• v.14 no.1
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• pp.8-16
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• 2019

Purpose: The purpose of this study was to examine the effect of a multifactorial program for urinary incontinence, self-esteem and self-efficacy in older women. Methods: A one-group pretest-posttest with no control group was used. Nineteen women completed weekly 90-min group sessions for eight weeks. The group received a multi-factorial program comprised of Kegel exercise, education and psychosocial programs over 8 weeks. Data on urinary incontinence, self-esteem and self-efficacy were collected twice: before the intervention and 8 weeks after the intervention. Data were analyzed using paired t-test by non-parametric statistics. Results: Total scores for the International Consultation on Incontinence Questionnaire decreased significantly after the intervention (pretest $7.95{\pm}5.48$, posttest $5.15{\pm}4.72$, p<.05). The scores for self-esteem and self-efficacy improved significantly. Conclusion: These results indicate that a multifactorial program for older women is feasible to prevent urinary incontinence in women living in the community.

• Journal of Korean Academy of Rural Health Nursing
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• v.2 no.2
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• pp.127-132
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• 2007

Purpose: The purpose of this study was to provide the basic techniques in utilizing the systematic home-rehabilitation service with a Minimum Data Set for Home Care (MDS-HC) 2.0 navigator system. Methods: The present study was conducted with 50 persons receiving home-care services from a Welfare Center. Respondents were selected from urban and rural areas in and around the Wonju area. Results: The results showed that MDS-HC2.0 was useful to evaluate the functional status of disabled persons in the fields of health and home-care services. Furthermore, this navigator system provided basic information about the functional health problems of respondents and therefore can provide guidance for health and home care services for disabled persons. Conclusions: Through the present study, a comprehensive model for health and home-rehabilitation was developed. The author believes that respondents will have the satisfaction of high quality service if the developed model is used as the standard in planning and providing home-rehabilitation services.

• Journal of Korean Academy of Nursing
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• v.33 no.4
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• pp.503-509
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• 2003

Purpose. The purpose of this study was to survey the prevalence rate of cognitive impairments and to identify the factors influencing cognitive impairment in the elderly in rural communities of Jeju Province. Methods. 590 elderly in 6 rural communities of Jeju Province were interviewed, using a questionnaire consisting of sociodemographic characteristics, health behavior, quality of life, and MMSE-K Results. Prevalence of cognitive impairment was 33.1 % (39.1 % of females, 16.76% of males). Prevalence of dementia was 12.4% (16.3% of females, 2.87% of males). Factors related to cognitive impairment were age, sex, education, standard of living, employment status, and subjective health state. Conclusions. In community health care for the elderly, factors relating to cognitive impairment have to be considered. When planning community health care, priority should be given to the elderly; who need care but live alone; who lack social support; who have a low standard of living; who experience discomfort in the activities of daily living; who believe they are not in a good state of health; or whose life satisfaction is low.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.6
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• pp.3641-3645
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• 2013

Background: Assessment of the nursing staff knowledge, attitude and practices about cervical cancer screening in a tertiary care teaching institute of rural India. Materials and Methods: A cross sectional, descriptive, interview-based survey was conducted with a pretested questionnaire among 262 staff nurses of a tertiary care teaching and research institute. Results: In this study 77% respondents knew that Pap smear is used for detection of cervical cancer, but less than half knew that Pap smear can detect even precancerous lesions of cervix. Only 23.4% knew human papilloma virus infection as a risk factor. Only 26.7% of the respondents were judged as having adequate knowledge based on scores allotted for questions evaluating knowledge about cervical cancer and screening. Only 17 (7%) of the staff nurses had themselves been screened by Pap smear, while 85% had never taken a Pap smear of a patient. Adequate knowledge of cervical cancer and screening, higher parity and age >30 years were significantly associated with self screening for cervical cancer. Most nurese held a view that Pap test is a doctor procedure, and nearly 90% of nurses had never referred a patient for Pap testing. Conclusions: The majority of nursing staff in rural India may have inadequate knowledge about cervical cancer screening, and their attitude and practices towards cervical cancer screening could not be termed positive.

• Research in Community and Public Health Nursing
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• v.19 no.3
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• pp.443-449
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• 2008

Purpose: This study was conducted to identify relations among experience of sexual assaults, recognition of sexual assaults and sex role attitude in urban and rural high school students. Method: The subjects were a 575 volunteer students sampled in Daegu City and Gyungbuk. Data were collected from March 19th to 31st, 2007 using structured questionnaires. Collected data were analyzed with the SPSS program using descriptive statistics. Chi-square test, t-test, Pearson's correlation coefficient, and multiple regression. Results: The mean score of the rural students was significantly higher than that of the urban students in experience of sexual assaults. The mean score of the urban students was significantly higher than that of the rural students in sex role attitude. Gender, experience of sexual education and recognition of sexual assaults accounted for 29.8% of the variance of sex role attitude in the urban students. Conclusion: It is necessary to develop discriminative sexual education programs by regional group in order to prevent sexual assaults among adolescents.

• Korean Journal of Health Education and Promotion
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• v.24 no.4
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• pp.87-98
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• 2007

Background: Health promotion services should be provided based on clients' health promotion needs. To provide health promotion services for elementary students in Korea, health promotion needs by geographical regions should be analyzed. Purpose: To analyze elementary students' health behaviors by regions. Method: Elementary students of 4018 from large cities, 1636 from medium sized cities, 328 from rural areas were included. Data collection was done using items from National Health and Nutrition Survey and was collected by mail from schools. For data analysis, Chi-square test and multiple logistic regression were utilized. Result: From comparison of health behaviors, there were no significant differences between large cities and medium sized cities. However, there were significant differences between urban students and rural students in terms of fast food intake, breakfast, soft drink intake, sleeping hours, tooth brush, and obesity. Conclusion: Health promotion services, especially correcting unhealthy eating behaviors for rural elementary students should be focused.

• Research in Community and Public Health Nursing
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• v.14 no.4
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• pp.646-656
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• 2003

Purpose: The Purpose of this study was to investigate how elders in rural communities maintain their sexual life. Methods: Data were collected through in-depth interviews with 20 participants who were 65 years old or older, and either were married couples or were continuing the sexual relationship though widowed. Data were analyzed based on Strauss and Corbin's (1990) Grounded Theory Methodology. Results: The core category of experiences of the elderly's sexual life was identified with 'changeable sexual life at husband's mercy'. This process could be divided into 3 stages, which were the stage of recognition of sex difference and obstacle in sexual life, the stage of observation of partner's attitude and the stage of husband's lead in sexual life. Conclusions: This study found that sexuality was an important aspect for the elderly although their sexual interests and activities declined along with aging. In addition, the husband's sexual and economic capabilities and sexual difference were very important factors in the elderly's sexual life. It is suggested to consider sexuality as a normal aspect of life for the elderly when nurses plan for their care.