• Title/Summary/Keyword: community health problem

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A Q-Methodological Study on the Community Nursing Practice of Nursing Students (간호 학생의 지역사회간호 실습 경험에 대한 유형 분석 -Q방법론적 접근-)

  • Kim, Lee-Sun
    • Research in Community and Public Health Nursing
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    • v.8 no.1
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    • pp.133-143
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    • 1997
  • This study measures the subjectivity of nursing students' experience in community fields through community nursing practice. The purpose of this study is as follows: 1) to find out typologies based on opinions and attitudes toward community nursing practice. 2) to describe the characteristic of each type. 3) to provide alternative strategies for solving community nursing practice problems. A Q-Methodological method was used for that purpose. As a research method, Q-statements were collected through indepth interviews and review of the current literature. For this study 34 Q-statements were selected. 24 nursing students were subjects for the research. The 24 nursing students sorted 34 Q-statements using the principle of Forced Normal Distribution. The principle of Forced Normal Distribution, which has nine scales to measure individual opinions, was called, a Q- Factor Analysis by using a PC Quanl Program to supply the material. According to the results of this study, there were three categories of opinion concerning community nursing practice. The first type is the realistic problem-oriented approach: the second type is the self-responsibility or pursuit of life meaning approach: the third type is the group approach for problem solving. As a result, we need to develop and revise a more realistic way of community nursing practice for nursing students. Finally, the result of this study will provide to the educational program alternative strategies for community nursing practice for nursing students.

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The Effects of College Students Psychosocial Stress, Expected Drinking Effects and Reason for Reducing Alcohol Consumption on Problem Drinking (대학생의 사회심리적 스트레스, 음주효과기대, 음주자제이유가 문제음주에 미치는 영향)

  • Lee, Jung-Rim;Kim, Hyung-Tae;Kim, Sun-Young;Yun, Mi-Eun;Chun, Sung-Soo
    • The Journal of Korean Society for School & Community Health Education
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    • v.16 no.1
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    • pp.83-92
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    • 2015
  • Objectives: This thesis intends to find out the extent of drinking problem which is caused by students' psychosocial stress, expected alcohol effects and problem drinker drinking as well as the influence of each factor. Methods: This study was conducted from September 1, 2014 to October 31, 2014 with the target of 466 students (66.6%), who are currently drinking, out of 700 students over the age of 16 and enrolled in 36 universities located in the whole country. This data were analyzed using the program SPSS21. Results: Age, gender, and the school district that showed significant differences in drinking problem compared to other general characteristics played the role of control variables. It was found that psychosocial stress does not affect the drinking problem. The self-reward and human-relation factors included in the expected drinking effect were revealed to influence significantly on the problem and the life and health related factors included in the reason of drinking refrain were also turned out to have significant effect on that problem. The degree of F is 15.665 and the degree of explanatory is 23.6%. Conclusions: Problem drinker in college and enhance the culture and health education policy is necessary to reduce college student drinking effects expected.

A Study on The Health Status of Island Community People in Island (도서지역 주민의 건강상태에 관한 연구)

  • Shin, Kyung Rim
    • Korean Journal of Adult Nursing
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    • v.12 no.2
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    • pp.296-310
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    • 2000
  • During the past 10 years, concern for community people's health has increased together with the changes. Public health policies and studies for community people's health, however, have influenced those in childmaternal health care to want more general coverage and studies of health and wellness. Particularly, the study of community people's health in the extent an island area is almost rare as that personal and the material benefits in this area are lacking of community people's work is large, and the basic elements of living, such as diet and elimination, are irregular due to the schedule of the tide. Thus, there are many potential health problems. In this regard, the study attempted to understand the health problems of island community people and to provide a basis for developing health promotion and health education programs. In collecting data for the study, face to face interviews were made through a structured questionnaire from October 1 to December 30, 1996. Collected data were analyzed with the SAS statistics program, descriptive statistics, t-test and ANOVA. Subjects' health status was examined by classifying into such categories as their health perception, complaints of health problem, related lifestyle, psychosocial health staus, the result of examination is as follows; 1. For subjects' health perception, 26.9% of the subject answered not sick, but not so healthy'; 30.9% thought they were healthy, while 22.9% answered that they were not healthy. 2. For the health problem complaints many complained of pains in their muscles and skeletal system, especially knee joint pain. Women's health problems related with breast and the reproductive system included 52.3% of cases doing breast self examination, while 56.55% received the cervical cancer screening test. In men's health problems, 44.2% of subjects answered that they have moderate to severe BPH(Benign Prostatic Hypertrophy) symptom. 3. There were statistically a significant difference in the degree of physical health according to marital status(p=0.0028), occupation(p=0.0442), income(p=0.0357). 4. For stress status, 17.2% was to need the intervention, 50.2% was to need observation. 5. The mean score of self-esteem was 27.7 showing a relatively high score. 6. For the rate of smoking, 37.7% used to smoke, while 28% used to take alcohol. 7. The rate of substance abuse was 45.9% of subjects. 8. Most of subjects' health behaviors included most of the acupuncture (52%). 9. The rate of subjects receiving comprehensive medical testing was 34.36% while 34.78% did after care managing behavior. 10. For the obesity grade, 53% is normal weight, low-weight 32.8%, obesity 33%. 11. For nutrition status, 78.7% illy balanced to need intervention of nutritional education. 12. For 78.7% of subjects, muscle strength and 40.7% of stretching were not good enough to need health education on physical exercises. Therefore, based on the results, appropriate health education programs need to be developed to promote health of community people on an island.

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Factors related to Problem Behaviors in High School Girls (여고생의 문제행동양상과 문제행동 영향요인)

  • Park, Yeon-Hwan;Hyun, Hye-Jin;Yu, Su-Jeong;Byen, Do-Hwa
    • Research in Community and Public Health Nursing
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    • v.22 no.3
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    • pp.315-324
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    • 2011
  • Purpose: The purpose of this study was to investigate the relationships between problem behavior, school stressor and family strength in high-school girls. Methods: Data were collected from 200 high school girls in 2008. Data were analyzed with SPSS/WIN 18.0. Results: There was a positive correlation between problem behavior and school stressor. There was a negative correlation between problem behavior and family strength. The predictors of problem behavior were school stressor, family strength, and monthly family income and these factors explained 43.0% of problem behavior. Conclusion: The findings of this study suggest the necessity of developing nursing intervention programs for enhancing high-school girls' skills in interpersonal relationship and communication to decrease school stressor and increase family strength.

Strategies to Activate Primary Health Care for Low-income Population in Urban Area (도시 저소득층주민을 위한 일차보건의료 활성화 방안)

  • Han Myung Hwa
    • Journal of Korean Public Health Nursing
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    • v.13 no.1
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    • pp.77-87
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    • 1999
  • Poverty directly affects health and well-being, The poor population has a higher rate of chronics illness. higher infant morbidity and motality rates. shorter life expectancy. more complex health problems. and greater physical limitations resulting from chronic disease. In order to activate primary health care for the poverty in urban area the following measures should be taken : 1. Health center must be expended or establish subhealth center. 2. Health center must monitor neighbour's workplace's health management for their working population. 3. Health centers must do active home visiting nursing care for the urban-poor. 4. Health center must carry out flexible problem-centered practice according to the area. 5. For the urban-poor's health care must have organization of the health center & practice according to community's characteristics. 6. Public health care must be closely connected with welfare. 7. For the health care of the urban-poor must demand active community participation. 8. Health center is closely connected with Community hospital. 9. Active management of public health resource system is demanded.

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Presenteeism and Absenteeism According to Health Problems on Nurses (간호사의 건강문제에 따른 프리젠티즘과 결근율의 관계)

  • Lee, Young-Mi;Jung, Moon-Hee
    • Research in Community and Public Health Nursing
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    • v.19 no.3
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    • pp.459-468
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    • 2008
  • Purpose: The purpose of this study was to examine the presenteeism and absenteeism in relation to the health problems of nurses. Method: Informed consent was provided before study. Data was collected from January 7 to March 6, 2008 by Stanford Presenteeism Scale-13. Data was collected from 3 hospitals in Seoul Gyeonggi area. The response rate of the questionnaires was 96.2%. Incomplete data was analyzed using SPSS program. Results: Shoulder, back and neck pain were the highest reported health problems and primary health Problem of nurses. Impaired presenteeism was ranked in this order: depression or anxiety, cold, and uterus or ovary disorder. Absenteeism was ranked in this order: uterus or ovary disorder, cold, and dermatological problem. Impaired presenteeism was significantly increasing according to the number of health problems. But Absenteeism was not. Presenteeism was significantly different by age, educational level, religion, whether or not the worker lived with their family, marital status, whether or not the worker has children, time spent in the workforce, experience of turnover, shift work, night work, and level of satisfaction with salary. But absenteeism was not significantly different given these criteria. Conclusions: Health problems of nurses can negatively effect the quality of nursing service and productivity at hospital. Therefore the hospital administrator should control the presenteeism and absenteeism through the management of health problems of nurses.

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Community-based Hypertension Control Program in Hwachon : Problems and Possibilities (보건소조직을 통한 고혈압관리사업)

  • 이인숙;배상숙
    • Health Policy and Management
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    • v.3 no.2
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    • pp.25-56
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    • 1993
  • Hypertension has already become a serious health problem in many countries. Treatment is effective, however, and the detection and long-term management of those at risk pose sustained challenges. Community programs can be an important strategy for primary prevention of hypertention and for monitoring the progress and promoting compliance of hypertensive patients. Hwachon Health Demonstrain Project has designed community hypertention control program, especially emphasizing role of public health sector, and operate that model from 1990 at Hwachon county, Kwangwon province. This paper appraise the effectiveness of curent activities. Many paper appraise the effectiveness of curent activities. Many hypertensive persons who have not recognized his disease were identified and began hypertension treatment. However about two thirds of patients have not complied continuously with medical advice. Consequently, the project team redirects its efforts. Less emphasis is being placed screening and identification of patients, while more emphasis is being placed on increasing compliance with treatment recommendations. Some approches to improve hypertension control program are also discussed in the context of the field experience and literature on this suvjest.

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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.

Effects of Intervention Using PARO on the Cognition, Emotion, Problem Behavior, and Social Interaction of Elderly People with Dementia

  • Koh, In Soon;Kang, Hee Sun
    • Research in Community and Public Health Nursing
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    • v.29 no.3
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    • pp.300-309
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    • 2018
  • Purpose: This study aims to investigate the effects of intervention using the therapeutic robot, PARO, on the cognition, emotion, problem behavior, and social interaction of elderly people with dementia. Methods: A nonequivalent control group pretest-posttest design was used. A total of 33 elderly people with dementia living in a nursing home facility participated in the study, with 17 in the experimental group and 16 in the control group. The intervention program with PARO was administered twice a week for 6 weeks, for a total of 12 sessions. Data were collected before and after intervention, using a questionnaire, direct observation, and video recording. Results: There were statistically significant differences in positive emotions and problem behaviors between the groups. The experimental group demonstrated a significant improvement in social interaction. Conclusion: PARO intervention can be utilized as an effective nursing intervention to increase positive emotions and social interaction, as well as decrease problem behaviors, in elderly people with dementia living in nursing home facilities.

Validation of a Path Model for Adolescents' Suicidal Ideation (청소년의 자살생각 경로모형 분석)

  • Park, Yeong Sook;Kwon, Yunhee
    • Research in Community and Public Health Nursing
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    • v.24 no.3
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    • pp.255-263
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    • 2013
  • Purpose: This study examined the fitness of a path model for the relationship among daily life stress, problem of life, social support, depression, and suicidal ideation in adolescents. Methods: The subjects consisted of 247 adolescents. Data were collected through self-report questionnaires. The data were analyzed by the SPSS and AMOS programs. Results: Daily life stress, problem of life, social support, and depression showed direct effects on suicidal ideation in adolescents, while daily life stress and problem of life showed indirect effects on suicidal ideation in adolescents. Daily life stress and problem of life showed direct effects on social support and depression in adolescents. The hypothetical path model of adolescents' suicidal ideation was proven correct. Conclusion: Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes the reduction of daily life stress, problem of life, depression and enhancement social support in order to prevention adolescents' suicidal ideation.