• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.3
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• pp.147-155
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• 2020

The purpose of this study was to compare the risk factors of pressure sores and preventive intervention strategies and to provide basic data for the management of pressure sores prevention for long-term care facilities. It was a mixed method study using a systematic literature review and focus group interviews for analysis. A PRISMA flow diagram was prepared in accordance with the research selection process for the systemic literature review. The studies were retrieved from domestic and international studies from 2010 to June, 2019. A total of 8 studies were selected according to the selection criteria. The studies were searched electronically using a search engine with the key words of 'pressure ulcers', 'bedsore', 'decubitus ulcers', 'intervention', 'prevention', 'elderly', and 'long term'. Focus group interviews were conducted through a semi-structured questionnaire for nurses who had worked for more than three years in long-care facilities. The study results suggest that position change and pressure reduction device reduced the incidence of pressure sores and were important for prevention. The use of standardized care protocols is necessary. Multidisciplinary cooperation was an important issue.

• Journal of Preventive Medicine and Public Health
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• v.36 no.3
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• pp.271-278
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• 2003

Objectives : The purposes of this study were to assess the smoking status, knowledge and attitude related to smoking and smoking cessation activity of the physicians in a community, and to identify their predictors of smoking cessation activity. Method : All physicians employed by various health facilities in a community were surveyed using a structured questionnaire. Of the physicians surveyed,523 (69.6%) returned completed questionnaires. Results : The smoking rate of physicians was 29.3% (34.2% in males, 3.6% in females) and the knowledge and attitude scores to smoking were $22.5{\pm}2.4\;and\;65.4{\pm}0.9$, respectively. The self-efficacy score was $3.4{\pm}1.0$ and the smoking cessation activity score was $65.4{\pm}6.9$. The smoking cessation activity was statistically significant with working place, specialty, knowledge and attitude to smoking and self-efficacy. In stepwise multiple regression, smoking cessation activity was predicted by doctors' working place, specialty, attitudes related to smoking issues, and self-efficacy of counseling knowledge and stills. Conclusion : Physicians need to participate routinely and actively in smoking cessation activity. For doctors to effectively counsel and intervene in patients regarding smoking cessation, it is essential to integrate education un smoking cessation intervention into curricula in formal education and to offer continuing education including smoking cessation intervention.

• Journal of Preventive Medicine and Public Health
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• v.5 no.1
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• pp.37-42
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• 1972

Mountain Wells are very important water source for the most of the climbers in Seoul area. But the facilities around the wells are not modernized to prevent from contamination of microorganism and the other pollutants. We focussed our intention on the detection of some harmful chemical ingredients and contaminants. A total of 58 wells were examined according to the Standard Methods(APHA) and the following results were obtained: 1) Among the examined 58 wells, only 10 wells were adequate to the drinking water standard, 2) 7.9mg of liberated $CO_2$ was found in the Tchun-Ho-Dong Mineral Well, 3) Chemically harmful ingredients were not found, 4) The Mountain Wells were contaminated by Coliform groups as many as 18 times than rural wells.

• Journal of Preventive Medicine and Public Health
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• v.42 no.4
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• pp.215-222
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• 2009

Objectives : Vigorous physical activity is a well-known method to promote people s health. This research aims to investigate whether perceived neighborhood characteristics affect vigorous physical activity among adult Seoul residents (aged 19 to 64). Methods : Utilizing the 2005 Seoul Citizens Health Indicators Survey data, this study estimates the probability of vigorous physical activity. Particular attention is given to the effects of three perceived neighborhood characteristics satisfaction with relationship to the neighborhood, satisfaction with park and recreational facilities, and satisfaction with public security). Logistic regression models are analyzed separately by gender for the parameter estimation. Results : Vigorous physical activity is positively associated with three perceived neighborhood characteristics for women, while neither significant nor substantive association is found for men. Conclusions : As vigorous physical activity among Seoul citizens is differentially affected by perceived neighborhood characteristics and by gender, a different approach will be needed to increase vigorous physical activity of men and women in Seoul.

• Proceedings of the Korea Information Processing Society Conference
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• 2011.04a
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• pp.1505-1506
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• 2011

미국, 영국, 호주, 뉴질랜드 등 나라들은 최소의 비용으로 도로시설의 기능을 유지하기 위해 사회기반 시설의 유지관리에 자산관리체계를 도입하고 있다. 자산관리체계를 도입하기 위해서는 기존의 사후 대응적 (fix-on-failure) 유지관리 방식에서 사전 예방적(preventive) 방식으로 전환이 필요하다. 본 연구는 해외에서 활용되고 있는 자산관리용 소프트웨어의 특성을 분석하여 사전 예방적의 유지 관리하기 위해 필요한 자산관리시스템 개발 방안을 제시하였다.

• Journal of agricultural medicine and community health
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• v.45 no.1
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• pp.13-40
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• 2020

Objectives: The purpose of this manuscript was to propose the policy and perspectives of prevention and management for hypertension and diabetes in Korea. Methods: Authors reviewed the chronic disease prevention and management projects and models were executed in Korea until now, and analyzed and evaluated their performances. Results: In the circumstances of Korea, the following several requisites should be improved ; Specific Korean strategy for development and pursuing of national level policy agenda for chronic disease management must be established. There are a need to establish several means of supplementing the weaknesses of the current chronic disease management policies and programs. Firstly, development and distribution of contents of guidelines on the systematic project execution regime (regarding systematization of local community, subjects and contents of the projects) with guarantee for the quality of chronic disease prevention and management are necessary. Secondly, there is a need for development of information system that can lead the chronic disease management programs currently being implemented. Thirdly, there is urgent need to develop resources such as cultivation of manpower and facilities for provision of education and consultation for the patients and holders of risk factors of chronic disease. Fourthly, there is a need for means of securing management system and financial resources for operation of policies and programs. Conclusions: The results can be able to use as a road map, models, and direction and strategies of policies for chronic disease prevention and management of Korea.

• Journal of The Korea Institute of Healthcare Architecture
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• v.16 no.2
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• pp.55-64
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• 2010

The Japanese elderly welfare policy has focused on facility policy for the aged and preventive care service for healthy elderly people. This paper has conducted a comparative analysis on Geriatric Gealth Services Facility and Special Nursing Home for the Elderly. For this, each service function has been divided into six categories; daily life / nursing and caring / medical service / management / supply / miscellaneous. Then the change in real structure by category has been analyzed through a plan analysis on case facilities. In the Geriatric Health Services Facility, the biggest change was observed in 'livelihood' among six categories. In the Special Nursing Home for the Elderly, 'the nursing and care parts' and 'medical service part' are decreased since 1999. At that time, the facilities started to be individualized and divided into a unit. To pursue home-like care instead of unit care, there was a change in construction planning to help the aged with dementia live a self-sufficient life.

• Journal of Chest Surgery
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• v.49 no.sup1
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• pp.28-36
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• 2016

Background: This study aimed to develop the models for regional cardiac surgery centers, which take regional characteristics into consideration, as a policy measure that could alleviate the concentration of cardiac surgery in the metropolitan area and enhance the accessibility for patients who reside in the regions. Methods: To develop the models and set standards for the necessary personnel and facilities for the initial management plan, we held workshops, debates, and conference meetings with various experts. Results: After partitioning the plan into two parts (the operational autonomy and the functional comprehensiveness), three models were developed: the 'independent regional cardiac surgery center' model, the 'satellite cardiac surgery center within hospitals' model, and the 'extended cardiac surgery department within hospitals' model. Proposals on personnel and facility management for each of the models were also presented. A regional cardiac surgery center model that could be applied to each treatment area was proposed, which was developed based on the anticipated demand for cardiac surgery. The independent model or the satellite model was proposed for Chungcheong, Jeolla, North Gyeongsang, and South Gyeongsang area, where more than 500 cardiac surgeries are performed annually. The extended model was proposed as most effective for the Gangwon and Jeju area, where more than 200 cardiac surgeries are performed annually. Conclusion: The operation of regional cardiac surgery centers with high caliber professionals and quality resources such as optimal equipment and facility size, should enhance regional healthcare accessibility and the quality of cardiac surgery in South Korea.

• Journal of agricultural medicine and community health
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• v.21 no.1
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• pp.47-60
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• 1996

Home health care is one of the important components of health care services. Today, the need and demand for the home health care is increasing. To assess the effects of home visit health services by public health nurses in health center on the stat of health, use of medical services and quality of life by elderly people living at home, a randomized controlled trial was implemented for 65 years or more old people randomly allocated to intervention(93) and control(118) group. Intervention group received 2 visits a month over 6 months. Control group received no home visits. The data was collected in a one-year follow-up survey conducted at Kyongju before and after the intervention which composed of health risk assessment, risk factor education and health related behavior counseling. The prevalence rate of chronic illness was more decreased in intervention group than control group after intervention. The intervention group visited medical facilities less frequently than control group. And the home visit health services encouraged the elderly to practice regular exercise. After the intervention, the score of ADL(activities of daily living), LSI(life satisfaction index) and SSI(social support index) in intervention group were more increased than control group. And the increase of scores was more prominent in 70 years or more old people, female, non-smoker and non-chronic illed elderly rather than others. In conclusion, the regular home visit health services provided by public health nurses were beneficial for the elderly in terms of health promotion and quality of life.

• Journal of Preventive Medicine and Public Health
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• v.57 no.1
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• pp.83-90
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• 2024

Objectives: Professional firefighters face various health hazards and are required to maintain both physical and mental fitness to effectively mitigate crises and respond to emergencies. Moreover, the long working hours and shift work of this profession impact sleep quality. This study investigated the quality of sleep and its associated factors among firefighters in Bangkok, Thailand. Methods: This was a cross-sectional study of firefighters affiliated with the Bangkok Fire and Rescue Department, Bangkok Metropolitan Administration, Thailand between January 2023 and March 2023. A cluster random sampling technique was utilized to distribute 600 questionnaires to firefighters in 15 fire stations. The questionnaire addressed demographic, work-related, and environmental factors. Sleep quality was assessed using the Thai version of the Pittsburgh Sleep Quality Index (PSQI). Data analysis involved both descriptive and inferential statistics. Bivariate and multiple logistic regressions were performed. Results: The response rate was 78.7% (n=472), and 44.1% of the firefighters reported poor sleep quality (PSQI score >5). Sleep quality was statistically associated with conflicting family relationships (odds ratio [OR], 1.8; 95% confidence interval [CI], 1.1 to 2.9), additional part-time jobs (daytime, OR, 2.4; 95% CI, 1.3 to 4.4; or nighttime, OR, 4.3; 95% CI, 1.1 to 16.7), noisy sleeping areas (OR, 1.7; 95% CI, 1.1 to 2.8), and the availability of adequate bedding (OR, 3.0; 95% CI, 1.8 to 4.9). Conclusions: Poor sleep quality among firefighters was associated with various personal, work-related, and environmental factors. Organizations should promote policies that improve sleep quality through good sleep hygiene practices and facilities.