• Health Policy and Management
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• v.29 no.1
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• pp.1-3
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• 2019

Suicide is a major problem in Korean health care and a serious social problem. In Korea, 12,463 people (24.3 per 100,000) lost their lives due to suicide in 2017. Although the government has established three National Comprehensive Plan of Suicide Prevention (2004, 2009, 2016), and National Action Plan of Suicide Prevention (2018), the suicide rate is still high. The suicide rate of the elderly is especially high. This is due to the economic vulnerability of the elderly in Korea. Therefore, in order to prevent suicide in Korea, mental health care approach and social welfare approach should be integrated. The intervention of preventing suicide of suicide attempters should include social welfare services as well as mental health program and should be based on community. There are many health problems, including prevention of suicide, which can not be solved only by the efforts of health care. Many health problems are social problems and the integrated approach is needed to solve them. In order to solve many health care problems and improve health, integrated approach of health, social science, and humanities is needed.

• Journal of the Korean Institute of Rural Architecture
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• v.15 no.4
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• pp.87-94
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• 2013

This study aims to research the characteristics of space composition and location for the rural community center. The phenomenon of urban areas from rural areas by the dismantlement of the community is being increasingly deepened. The current village welfare center in the rural villages of the dismantlement phenomenon of the community in rural areas can not be solved alone. The location of the Community Center in rural villages for the interaction of existing local inhabitants and should be located where possible near existing villages. This thesis studies and analyzes the characteristics of rural villages in the rural new town project districts. The basic function of the community center space analysis model is the Public service space, the Communication space, the Health space, the Amenity space, the Education space(including the childcare). This study analyze the local characterristics, the location type and the floor plan characteristics about the Community Center in rural villages by the rural new town example project.

• 대한예방의학회:학술대회논문집
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• 1996.10a
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• pp.259-260
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• 1996

• Journal of the Korea Academia-Industrial cooperation Society
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• v.22 no.5
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• pp.151-161
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• 2021

The purpose of this study was to identify citizens' needs and what they perceive the health-related problems are so public opinion can be reflected in the Daegu Community Health Plan. A citizen participation group was organized, and two roundtable discussions were held in June and July 2018. The number of participants in the first and second round was 40 and 44, respectively. Customer itinerary guidance, DVDM (Definition, Value, Difficulty, and Method) Map, and Persona-based scenario method were used for the roundtable discussions. The measures to improve the health status proposed by the citizens included expanding access to health services, establishing health services centered on small-living areas, expanding mental health services, creating health-friendly environments, resolving environmental problems, and improving social health. In addition, enhancing communication and creating harmonized environments, improving access to healthcare, generating pleasant physical environments, and assigning socials roles for vulnerable individuals were brought up as the means to resolve health disparities. The strength of the present study lies in the fact that, unlike survey methods, the citizens' exact needs were identified by sharing their thoughts. Moreover, it was proven that practical measures would be needed to implement citizen participation in planning health-related projects.

• Journal of Preventive Medicine and Public Health
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• v.37 no.1
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• pp.88-98
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• 2004

Objectives : The 3rd community health plan let health centers select and promote core projects considering budget and manpower. This study analyzed the content and selection processes of core projects, using the nationwide 3rd community health plans, to give relevant information on health center policies. Methods : Classification criteria for content analysis of core projects were established and verified through a literature review and by specialist discussions. Fifty plans were selected by stratified proportional random sampling for regional characteristics. And coding criteria standardized through coding repetition and discussion, by 2 persons (k>0.7). Using stratified proportional random sampling for 16 cities and provinces, regional characteristics, 117 plans were selected, and the contents of the core project selection processes and program contents analyzed. Results : The survey was used by 59.8 % of samples as a core project decision-making method. The partici- pants included 98.6, 81.4, 40 and 38.6% of the health staffs, residents, medical institutions, and administrators, respectively. Discussion was used by 15.4% of samples. The participants were health staffs by 100% as a great. The ranking of the frequencies of the selected core projects were, in order; chronic disease control, health promotion, elderly health, maternal-child health, and oral health at 16.4, 14.8, 14.3, 12.7 and 11.9%, respectively. Analyses on the chronic disease control and elderly health contents showed the diversity of object disease, high rates of visitors on patient detection programs, high rates of unclear target populations, and the provision of medical exams and treatments as the main services, with high variations in business per-formance. The national health budgets for health centers in 2003 were about 910 and 240 million won for chronic disease control and elderly health, respectively, which were less than for the other five priority core projects. Conclusions : The chronic disease control and elderly health at the health centers were not standardized for object disease, patient detection program, target population, service provision, and national support budget was insufficient. Thus it is necessary to develop standard guidelines, and increase financial support, for chronic disease control and elderly health

• Health Policy and Management
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• v.9 no.1
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• pp.30-71
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• 1999

There has been a dramatic increase in public awareness regarding dementia during recent years. However, dementia remains a family affair and patients do not receive adequate care in Korea. This study aims to assist patients and their caregivers by establishing Home and Community based Long-Term Care in a city. The data collected for analysis include five main categories: dementia prevalence, limitations of daily activities of patients, burden of caregivers, the services that patient's family want to utilize, the resources that handle dementia in the community. Major findings can be summarized as follows: 1)The prevalence rate of dementia for elderly people is 13.1 per 100 persons. Alzheimer's disease amount to 38.9% of dementia patients and vascular dementia account for 36.7% of them 2)Eight out of ten patients have mild dementia. Almost all patients have normal ADL. IADL, however, shows different picture. In every items of IADL, about 60% of patients reveals some limitations. 3)The proportion of patients who had medical diagnosis is as low as 20%. Families of patients think dementia as normal aging process and medical doctors in the community do not give special concern to dementia patients. 4)Caregivers does not have proper social support. They suffer from long care time, experience large obstacles in respect of health, daily living, and social activity. 5)Health center and Community welfare center have launched some programs-consultation, home-visiting nursing, day care center, voluntary force mobilization and so on-for dementia patients. But they do not perform expected roles and functions because of lack of skilled personnels and inadequate coordination of relevant organizations for dementia care. 6)Families of dementia patients prefer home helper and home-visiting nurse to hospitalization. For the future, however, demand for institution-based long-term services will increase. We develope community dementia care model based on above findings as follows: 1)Health center execute community cardiovascular control program for the prevention of vascular dementia. 2)Refer to epidemiologic characteristics of patients and preference of family, the most urgent task for dementia care in this city is to expand and organize Home and Community based Long-Term Care. 3)For the continuous and comprehensive care, care plan for a patient must be prepared. Case management team should be builded to prepare this plan and coordinate relevant resources. 4)Special long-term care unit for dementia will be needed in a near future. This unit should have multiple functions, such as day-care center, short stay facility, training center for relevant personnels, besides long-term nursing home considering effective care of dementia and efficient operation of the facility. 5)Voluntary workers deserve their due efforts. Incentive mechanisms must be developed to activate voluntary activities.

• Research in Community and Public Health Nursing
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• v.13 no.4
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• pp.699-709
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• 2002

Purpose: This descriptive study was aimed to assess the perceived benefits/barriers of exercise in community-dwelling adults in K city in Korea, and to provide a basic data for developing an exercise program for them as a nursing intervention. Method: The study subjects were 520 adults who lived in the K city. The data were collected from February 2 to March 5, 2002. The perceived benefits/barriers of exercise were measured by the Exercise Benefits/Barriers Scale (EBBS). The EBBS was developed by Sechrist. Walker, & Pender (1987) and revised by Jang & Shin (1999). Results: The adults reported that the exercise benefits were moderately high and the exercise barriers were moderately low. A significant relationship was found between the reported level of exercise and the perceived benefits/barriers of exercise. Age, gender, marital status, education, residence type were significantly correlated with perceived exercise benefits/barriers (p<.05). Conclusion: Community health nurses should plan exercise programs that minimize the perceived barriers to exercise and enhance the perceived benefits of exercise. In addition, those exercise programs should be implemented in the consideration of several demographic characteristics of the clinents.

• Journal of Korean Academy of Nursing
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• v.31 no.6
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• pp.1098-1108
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• 2001

To evaluate the effects of planned visiting nursing services for homebound disabled persons in the community who have had a cerebrovascular accident Methods: One group pre-test and post-test research deign was applied to 61 disabled persons who were undergoing rehabilitation with visiting nursing services to evaluate the effects on the health status (SF-36) and activity daily living (ADL/IADL) from March to August, 2001. Results: The health status score by SF-36 of homebound disabled people was significantly improved; the average score was 28.56$\pm$21.24 before service, 34.29$\pm$22.30 at 3 months after, and 40.84$\pm$=27.41 at 6 months after. The activity daily living score by OASIS II was also significantly increased (z= -6.09, p=.000; z= -6.04, p= .000) at 3 months and 6 months after home visiting nursing services. Conclusion: The strategy plan for developing a visiting nursing service in health centers should be prepared to develop community based rehabilitation (CBR) programs as well as to improve the level of health status and ADL/IADL for homebound disabled people in the community.

• Research in Community and Public Health Nursing
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• v.20 no.1
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• pp.49-58
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• 2009

Purpose: Purpose: The purpose of this study was to explore the yangsaeng level in a health management way of an aged women in rural area, and to offer basic material for the development of community's public health service. Methods: The subjects were 144 aged women who participated voluntarily in the questionnaire. The data were collected from January to February, 2008 with a self-administered questionnaire. Data were analyzed by SPSS 13.0 win program for finding frequency, percentage, mean, standard deviation, ANOVA and Tukey. Results: The average age of workers was 72. Total yangsaeng level was $3.08{\pm}.33$, highest yangsaeng factor was Activity & Rest Yangsaeng of $3.55{\pm}.46$ and lowest yangsaeng factor was Season Yangsaeng of $2.43{\pm}.75$. The total Yangsaeng level was the significant difference in monthly incomes(F=4.046, p=.047). Conclusion: Considering the results above, the yangsaeng level of aged women is affected by the age, education level, a monthly income etc. Therefore, for health promotion plan of aged women, consider that their age, educational level, economic level ect, and systematic education for promotion of health is necessary.

• Korean Journal of Community Nutrition
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• v.22 no.1
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• pp.74-83
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• 2017

Objectives: This study aimed to develop dietary education textbooks for elementary school students by focusing on the three core values of environment, health and gratitude from the National Food Education Plan. Methods: The contents of textbooks and teacher's guidebooks were developed with brainstorming of the authors as well as consultation with experts and by considering not only the three core values of environment, health, and gratitude, but also the performance indicators of the 2nd National Food Education Plan and the key competencies and creative convergence approach of the 2015 revised national curriculum. Results: A total of 12 different dietary education textbooks named 'Good Dietary Life Guide' and the teachers' guidebooks from the first to the sixth grade of elementary school were developed. The textbooks were fundamentally developed connecting the three core values, the outcome indices of the 2nd National Food Education Plan and the key competences of the 2015 revised national curriculum. Various educational activities such as thinking, debate, writing, cooperative learning, experience, practice were included to promote students' participation. These books could be utilized in every field of dietary education targeting elementary students such as creative experiential activity, convergent classes (integrated subjects, Practical arts, Social studies, Science, Moral education and Korean), after school classes, rural experience, general agricultural education, after-school child care services and community child care centers. Conclusions: The continuous and repetitive use of the textbooks from the first to the sixth grade would contribute to the improvement of food habits and the personalities of elementary school students, and consequently make the students grow up as healthy citizens.