• Journal of Korean Academy of Rural Health Nursing
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• v.14 no.2
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• pp.30-37
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• 2019

Purpose: This study was done to develop a comprehensive health promotion program based on the primary health care post, and then to examine the effectiveness of the program for rural elders. Methods: A single group pre-test post-test design was used, for 3 months and the 51 participants received the comprehensive health promotion program based on the primary health care post. Effectiveness of the intervention was measured immediately after the comprehensive health promotion program. Results: There were significant differences between pre-test and post-test on cognitive function (p=.001), depression (p=.001), systolic blood pressure (p=.001), blood sugar (p=.013), and cholesterol (p=.018). Conclusion: The comprehensive health promotion program based on the primary health care post was found to be effective for rural elders by improving cognitive function and physiological indicators and decreasing their depression.

• Journal of Korean Academy of Rural Health Nursing
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• v.7 no.1
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• pp.19-27
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• 2012

Purpose: This study was done to examine the relationship of successful aging, depression, and family function in rural elders. Method: A descriptive correlation study design was used and data of the study were collected from 272 people who were overn 65 years of age and lived in a rural community. Result: The mean score for successful aging was $2.28{\pm}0.46$ points of a maximum 3 points. The elders showed a moderate degree of family function ($6.98{\pm}2.83$ points out of 10 points). The mean score for depression was $6.13{\pm}3.75$ points out of 15 points. There was a statistically significant correlation between successful aging and both depression (r=-.659, p<.001) and family function (r=.621, p<.001). Stepwise regression analysis was done to verify factors influencing successful aging. Depression was the dominant factor accounting for 43.2% of the total variance, followed by family function and age in that order. Inclusion of all of the study values resulted in an explanation power of 61.7%. Conclusion: The study results suggest that the provision of individual socio-psychological, and economic measures is important to promote successful aging in rural areas which are different in terms of socio-cultural as well as regional factors compared to urban areas.

• Women's Health Nursing
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• v.26 no.3
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• pp.213-221
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• 2020

Purpose: This study aimed to examine factors affecting suicidal ideation among female late adolescents from a Korean rural province. Methods: A descriptive cross-sectional design involving self-reported questionnaires was used. The data were collected from female adolescents aged 18 to 22 years, from high schools, universities, churches, and local community centers. The sample consisted of 197 female late adolescents from three rural areas in Korea. The Center for Epidemiological Studies-Depression Scale and the Suicidal Ideation Scale were used to measure depression and suicidal ideation, respectively. Results: Suicidal ideation was correlated with having a specific suicide plan (r=.65, p<.001), depression (r=.39, p<.001), subjective well-being (r=-.46, p<.001), ever experienced violence (r=.15, p=.029), and age (r=-.21, p=.003). Factors affecting suicidal ideation among rural female adolescents were having a specific suicide plan (β=.56, p<.001), subjective well-being (β=-.23, p=.001), and suicide of a close person (β=.12, p=.035). These factors explained 48.0% of the variance in suicidal ideation (F=37.62, p<.001). Conclusion: This study demonstrated that affective factors and personal experiences regarding suicide were critical indicators for suicidal ideation among female late adolescents. These factors should be managed and tailored nursing interventions should be offered to prevent suicide and to enhance the psychiatric health status of female late adolescents.

• Women's Health Nursing
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• v.17 no.2
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• pp.99-108
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• 2011

Purpose: The purpose of this study was to compare the levels of stress, social support, and marital satisfaction between married immigrant women living in urban areas and women living in rural areas to identify ways to improve their mental health. Methods: Two hundred married immigrant women were recruited from multicultural familysupport centers located in Daejeon City and Chungcheong Province. From July, 2009 to January, 2010, data were collected using self- administered questionnaire. Study instruments were scales for acculturative stress, housewives life stress, support from spouse, and marital satisfaction. Results: Urban married immigrant women had lower levels of acculturative stress and higher levels of support from spouse and more positive marital satisfaction compared to rural women. Both groups reported similar levels of stress in life as a housewife. Factors influencing marital satisfaction in both group were lower levels of acculturative and housewives life stress, higher levels of support from spouse, and living with parents-in-law. Conclusion: Rural married immigrant women may have more problems in adjusting to Korean culture and marriage compared to urban women. Therefore, to improve the physical and psychological wellbeing and marital adjustment of married immigrant women, development of nursing strategies according to area of residence is needed.

• 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.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.29 no.3
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• pp.288-300
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• 2022

Purpose: This study aimed to investigate the association of social participation and depressive symptoms with health-related quality of life (HRQoL) among older adults living in urban and rural areas. Methods: This secondary, cross-sectional study was conducted with a total of 66,765 adults aged ≥65 years (urban-26,485 and rural-40,280) who participated in the household and individual surveys of the Korea Community Health Survey 2019. Data on the main study variables including social participation, depressive symptoms, and HRQoL were collected from August 16 to October 31, 2019. Multiple linear regression was used to identify the factors affecting HRQoL in urban and rural older adults. Results: The proportion of social participation (χ²=354.69, p<.001) and the level of HRQoL (χ²=12.06, p<.001) were significantly higher in older adults living in urban area than those in rural area. However, there was no significant difference in depressive symptoms between older adults living in urban and rural areas. Multiple linear regression analysis showed that social participation and depressive symptoms were significant predictors of HRQoL in both urban and rural older adults. Conclusion: Our main finding highlights that active participation in social activities and management of depressive symptoms in older adults regardless of living arrangements are crucial to improve HRQoL in later life. Interventions to increase social participation include early assessment of depressive symptoms in the community to promote HRQoL. More longitudinal studies are needed to identify the factors associated with HRQoL between older adults living in urban and rural areas while considering neighborhood environment and living arrangements.

• Research in Community and Public Health Nursing
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• v.18 no.1
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• pp.32-41
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• 2007

Purpose: The purpose of this study was to describe how the rural elderly cope with experiences in multiple chronic diseases. Method: Data were collected through participant observation and in-depth interview using ethnography. The participants were 9 women and 2 men who aged over 65, were living in rural community, and had experienced two or more chronic diseases. Results: According to the results of this study, those who had experienced multiple chronic diseases went through the stages of 'recognizing of revealed symptoms', 'discovering of disease', 'overcoming', 'neglecting', 'discovering another disease', 'being frustrated' and 'living with suffering'. Conclusion: The results of this study are expected to be utilized as basic materials to develop a nursing intervention program for effective management of chronic diseases.

• Journal of Korean Academy of Rural Health Nursing
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• v.18 no.2
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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.

• Journal of East-West Nursing Research
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• v.25 no.2
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• pp.157-165
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• 2019

Purpose: This study aims to provide basic data for the development of measures and promoting home health nursing by examining the current status and trends in home health nursing for long-term care (LTC) insurance beneficiaries. Methods: Secondary data, including annual LTC insurance statistics reports for 2010-2017 and LTC manpower data, were used to compute current status and trends in the provision of home health nursing. Results: Beneficiaries of home health nursing under LTC insurance, insurance-covered costs for home health nursing, home health nursing provider, and home health nursing providing institution only accounted for 3% of all insurance-covered home care services, and were on a consistent decline since 2010. In particular, vulnerable rural regions with high proportion of individuals had poor infrastructure in terms of home health nursing institutions and manpower, but had a higher home health nursing utilization rate compared to urban regions. Conclusion: In addition to measures to support home health nursing service beneficiaries, policy measures are needed to support home health nursing service personnel and institutions. Furthermore, programs to cultivate the expertise of home health nurses and improve quality of home health nursing services should be developed in order to promote home health nursing utilization in vulnerable rural regions.

• Journal of Korean Academy of Nursing
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• v.40 no.1
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• pp.14-23
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• 2010

Purpose: This study was done to compare health risk behavior prevalence for youth living in metropolitan, medium sized and small cities or rural area, in order to enhance understanding regional differences. Methods: For this study, data from the 2006 Youth Health Risk Behavior Online Survey collected by the Korean Center for Disease Control were analyzed using SPSS. Results: In the metropolitan areas, prevalence for disease and perceived obesity were higher than in other areas. Lack of intense or moderate physical activity, obesity, fast food intake, and insufficient sleep showed higher prevalence than in rural areas. Prevalence of lifetime smoking, lifetime alcohol consumption, present alcohol use, fruit intake less than once a day, and not wearing a seat belt were higher in rural areas than in urban areas. Gender, smoking, and alcohol use were correlated. Spearman correlation between living with parent and skipping breakfast were significant. Smoking, alcohol use, and sexual behavior were correlated. Conclusion: As significant differences in prevalence of youth health risk behaviors exist between regional areas, health education and health promotion programs considering these differences have to be developed and implemented for adolescents. Programs for prevention of smoking and alcohol use, programs for improvement of fruit intake and safety are suggested for adolescents in rural areas, whereas programs to enhance physical activity and obesity management are suggested for adolescents in metropolitan areas.