• Title/Summary/Keyword: community health problem

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A Study on Problem Drinking and Spending Leisure by CAGE and AUDIT in a Rural Area (일부 농촌지역에서의 CAGE와 AUDIT를 이용한 문제음주 및 여가활용에 관한 연구)

  • Kim, Yeal;Yu, Ji-Young;Jung, Sun-Im;Han, Ji-Yun;Pak, Jong-Hyuk;Kim, Han-Suk;Choi, Young-Sun;Kim, Min-Jung;Cho, Byung-Hee;Jung, Mun-Ho
    • Journal of agricultural medicine and community health
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    • v.29 no.1
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    • pp.147-161
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    • 2004
  • Objectives: There are many habitual drinking in rural area. So it is the key point of drinking control policy in rural community to understand the drinking behavior in leisure time and to have an appropriate screening method for problem drinking. CAGE and AUDIT are famous screening tools for problem drinking and alcoholics. Even though there are some studies to validate CAGE and AUDIT which translated in Korean, they were not studied with community based population but with hospital based patients. In this study we assessed the usefulness of CAGE and AUDIT for selecting problem drinking in a rural population, and compared problem drinkers with normal group about spending leisure, Methods: The study subjects were 120 residents over 20 years old who lived in 3 districts in Dong-San Myun near Chun-chon city. We made up questionnaire by interview from Feb. 13 to 19, 2004. Results: The mean age of study population was 66.01 .26 years old. Defining the problem drinking as more than 12 score in AUDIT and more than 2 score in CAGE, the proportion of problem drinker was 30.600 and 28.9% respectively. This proportions were higher than those of other national wide studies. There were significant difference in drinking frequency per week and amount per one episode between problem drinker and normal group. Experience about driving, accident, injury, disturbance in working and quarrel after drinking were also significantly different. Problem drinker were more tolerable to the bad social culture about drinking (eg. force to drink, bad drunken habit. overdrinking, drinking relay etc.) than normal group. Watching TV and playing with neighborhood were most frequent method of spending leisure in this study population, normal male group exercised more frequently in leisure time than problem drinker. Conclusions: It may be useful to use CAGE and AUDIT score for screening problem drinking in rural community. Appropriate utilization of leisure time may he important for control of problem drinking in rural area.

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The Relation between the Problem Solving Ability and Clinical Practice Satisfaction of Dental Hygiene Students (일부 치위생과 학생의 문제해결능력과 임상실습만족도와의 관계)

  • So, Mi-Hyun;Lee, Myung-Sun
    • The Journal of Korean Society for School & Community Health Education
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    • v.17 no.1
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    • pp.49-58
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    • 2016
  • Objectives: This study was carried out to provide basic materials to draw up measures for courses operation and effective clinical practice operation for the cultivation of future effective problem solving ability by identifying the relationship between problem solving ability and clinical practice satisfaction of dental hygiene students. Methods: This study targeted 215 dental hygiene students from 3 universities located in Gyeonggi-do from November 30 to December 4, 2015. We analyzed the data with frequency analysis, descriptive statistics, t-test. One-way ANOVA, Pearson correlation coefficient, Regression analysis by using SPSS. Results: Clinical practice satisfaction between grades according to the general characteristics of the study subjects was analyzed and as a result, clinical practice satisfaction showed a significant difference depending on grade (t=-2.355, p=.019), major satisfaction(F=9.548, p=.000), health status(F=4.909, p=.008). The problem solving ability according to the general characteristics of the study subjects was compared and as a result, the problem solving ability score of students 'living apart from their family or living in lodgings' was found to be higher than that of students 'living with their family' (p=.023) and the problem solving ability of students who answered 'satisfied' with their major was higher than that of students who answered 'moderate' (p=.000). As the problem solving ability and major satisfaction are higher and health status is better, clinical practice satisfaction showed higher results (p<.01). Conclusions: The above results showed a correlation between the problem solving ability and clinical practice satisfaction of dental hygiene students and clinical practice satisfaction showed higher scores as the problem solving ability level was higher. Therefore, efforts to enhance dental hygiene students' clinical practice satisfaction are considered necessary by developing and providing a program to strengthen students' problem solving ability.

The Effects of an Integrated Health Care Program on the Physical, Psychosocial, and Spiritual Health of People with Mental Disorder in Community (통합건강관리 프로그램이 지역사회 정신장애인의 신체적, 정신사회적, 영적 건강에 미치는 효과)

  • Jung, Gwang Ha;Chin, Young Ran
    • Research in Community and Public Health Nursing
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    • v.26 no.2
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    • pp.69-78
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    • 2015
  • Purpose: This study was conducted in order to investigate changes in the physical, psychosocial and spiritual health of people with mental disorder in community participating in the Integrated Health Care Program (IHCP). Methods: This study applied the non-equivalent control group pretest-posttest quasi-experimental design. The participants were 37 chronic psychiatric patients who had been clinically diagnosed with mental disorder and visiting a mental rehabilitation center located in S City (17 in the experimental group, and 20 in the control group). The experimental group participated in the IHCP consisting of 24 sessions for eight weeks. Results: After the intervention, only the participants in the experimental group reported significant improvement in physical (body mass, triglyceride), psychosocial (mental symptoms, depression, self-esteem, ability of problem solving), and spiritual wellbeing when compared with those in the control group. Conclusion: These results indicate that IHCP is effective in improving the physical, psychosocial, and spiritual wellbeing of people with mental disorder. Therefore, IHCP developed in this study is considered a useful nursing intervention for raising the comprehensive health level of people with mental disorder in community.

Development of a public health care linkage model within the community care system in Daejeon City (대전광역시 지역사회 통합돌봄 체계내에서 공공보건의료 연계 모델 개발)

  • Lim, Ji-Yeon;Ahn, Na-Na;Lee, Seok-Goo;Ahn, Soon-Ki
    • Journal of agricultural medicine and community health
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    • v.47 no.1
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    • pp.1-13
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    • 2022
  • Objectives: This study aimed to establish a linkage model involving regional responsible medical institutions after analyzing the existing conditions and deriving problems through qualitative analysis within the community care system. Methods: A total of 14 participants of this study were selected through the snowball sampling method, including 7 community care service providers and 7 service users. As for the research data, primary data were collected through interviews, and as a result of analyzing according to Aday&Anderson' model, a total of 5 catergories, 8 topics, and 22 sub theme were derived. Results: The problem derived from the interview is that division services are provided for each institution due to the absence of a key central institution of community care system, and users' commercial institutions is unclear. The second is the inconsistency between the needs and supply for community care, resulting in a possibility of delay in returning to the community after discharge. Based on these problems, it is necessary to unify it as an community care window of the Dong-community center. In addition, there is a need for public health centers to play an active role, and to establish a public-private joint system with the Health and Living Support Center to establish a model that can play a certain role. Conclusions: Therefore, based on the results of this study, it can be used as basic data when constructing community care model and applying it as an expanded model in the future.

Correlation between Social Support & Psychosocial Stress and Problem Behavior after Consuming Alcohol among College Students (대학생의 사회적지지 및 사회심리적 스트레스와 음주 후 문제행동과의 관련성)

  • Yun, Mi-Eun;Oh, Hyun-Kyung;Kim, Hyung-Tae;Jin, Kyoung;Hyun, Bo-Ram;Chun, Sung-Soo
    • The Journal of Korean Society for School & Community Health Education
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    • v.17 no.3
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    • pp.1-10
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    • 2016
  • Objectives: The purpose of this study was to verify correlation between social support & psychosocial stress and drinking behavior after consuming alcohol among college students. Methods: This study surveyed by questionnaire 440 students who consumed alcohol regularly from 36 colleges around the country in 2014. Data were analyzed using the program SPSS 21. Results: The effects of social support on problem behavior after drinking and psychosocial stress had significant influence with each path coefficient -0.178(CR= -3.408, p<0.001) and -0.294(CR= -6.195, p<0.001). Also, the effects of psychosocial stress on problem behavior after drinking had significant influence with path coefficient -0.141(CR= -2.858, p<0.05). Social support had significant influence(p<0.001) on problem behavior after drinking through psychosocial stress, serving as a mediator variable, and social support had significant influence on problem behavior after drinking through psychosocial stress. Conclusions: Problem behavior after consuming alcohol held strong relevance in social support and psychosocial stress.

Problem behaviors, Cultural Identity and Acculturation of North Korean Refugee Youth (북한이탈 청소년의 문제행동과 문화변용정체성에 관한 연구)

  • Park, Youngsuk
    • Research in Community and Public Health Nursing
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    • v.23 no.2
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    • pp.144-154
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    • 2012
  • Purpose: The purpose of this study was to investigate the characteristics of problem behaviors, cultural identity and acculturation of North Korean (NK) refugee youth and to suggest an appropriate approach for helping them to adjust to our society based on these findings. Methods: The subjects were 117 NK adolescent refugees in Hanawon. Data were collected by a demographic questionnaire, Youth Self Report (YSR), the South-North Korean cultural identity. Results: Problem behaviors of NK refugee youth were the highest in anxiety/depression and withdrawal behavior and were followed by internalized behavior, aggressiveness, overall problem behavior, externalized behavior, delinquency and positive behavior in that order. Acculturation was the highest in 'separation' followed by 'integration', 'assimilation' and 'marginalization' in that order. No significant relationship was found between acculturation types and problem behaviors except positive behavior. Conclusion: This study provides some important information that we have to develop specific strategies and interventions primarily focused on withdrawal, anxiety/depression, and internalization for the adjustment and mental health of NK refugee youth. It is necessary to explore further research related to cultural identity, acculturation processes, and the correlation between acculturation types and problem behaviors.

Married Immigrant Women's Utilization of Health Care and Needs of Health Services (여성결혼이민자의 보건의료이용실태와 보건의료요구도 조사)

  • Kim, Chun-Mi;Park, Myung-Sook;Kim, Eun-Man
    • Research in Community and Public Health Nursing
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    • v.22 no.3
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    • pp.333-341
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    • 2011
  • Purpose: The purpose of this study was to analyze married immigrant women's utilization of health care and their demand for public health care services. Methods: This study was conducted through descriptive survey with 102 married immigrant women in 2 cities, and survey was done from November, 2010 to May, 2011. Results: The results were as follows. Of respondents, 70% were using medical services in Korea and only 38.2% of them were satisfied with services. Major difficulties in using health care services were 'access problem' (35.7%), 'communication problem' (27.7%), and 'medical cost' (19.8%). The respondents' main sources of health information were family (56%), health care center (15%). The types of health information and education demanded by respondents were children's health care (22.1%), pregnancy and delivery (21.1%), and common disease care (20.0%). The most wanted services from public health care institutions were vaccination (24.5%), health promotion (21.5%), and leisure activity programs (20.6%). There was a statistically significant difference in period of immigration and public health care demands. Conclusion: For married female immigrants, it is recommended to provide tailored public health care services such as outreach service and visiting nursing care service, and to set up different language signs for common disease patients.

Research on Community Knowledge Modeling of Readers Based on Interest Labels

  • Kai, Wang;Wei, Pan;Xingzhi, Chen
    • Journal of Information Processing Systems
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    • v.19 no.1
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    • pp.55-66
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    • 2023
  • Community portraits can deeply explore the characteristics of community structures and describe the personalized knowledge needs of community users, which is of great practical significance for improving community recommendation services, as well as the accuracy of resource push. The current community portraits generally have the problems of weak perception of interest characteristics and low degree of integration of topic information. To resolve this problem, the reader community portrait method based on the thematic and timeliness characteristics of interest labels (UIT) is proposed. First, community opinion leaders are identified based on multi-feature calculations, and then the topic features of their texts are identified based on the LDA topic model. On this basis, a semantic mapping including "reader community-opinion leader-text content" was established. Second, the readers' interest similarity of the labels was dynamically updated, and two kinds of tag parameters were integrated, namely, the intensity of interest labels and the stability of interest labels. Finally, the similarity distance between the opinion leader and the topic of interest was calculated to obtain the dynamic interest set of the opinion leaders. Experimental analysis was conducted on real data from the Douban reading community. The experimental results show that the UIT has the highest average F value (0.551) compared to the state-of-the-art approaches, which indicates that the UIT has better performance in the smooth time dimension.

Community diagnosis of health life style in the maternal community -A project for maternal & child health at Ban Nong Loob division in Thailand- (지역사회 진단을 통한 모자보건사업 계획)

  • So, Ae-Young
    • Research in Community and Public Health Nursing
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    • v.5 no.2
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    • pp.227-235
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    • 1994
  • 본 프로젝트는 1993년 6월부터 9월까지 태국의 International Community Maternal and Child Health Nursing Training Program에서 이루어진 것으로 17개국 참석자 중 8개국 참가자들이 태국의 권케지역(태국 북동부)중 한 농촌지역을 택해 1개월간의 가정방문과 Group Work을 통해 지역사회 진단후 진단내용을 근거로 사업계획을 시행한 것이다. 조사지역 -Ban Nang Loob Village-은 우리나라의 일차보건의료를 수행하는 가장 말단지역인 이(里)에 해당하며, 이 중 5세 미만의 영유아가 있는 어머니들을 조사대상으로 하였다. 조사가구는 75가구였으며, 자료수집도구는 일반적인 특성, 환경상태, 지역사회 조직, 모자보건에 대한 지식, 태도, 실천과 관련된 내용으로 총 52개 문항이었다. 자료수집은 면접과 관찰을 통해 이루어졌으며 면접은 통역을 위해 태국 권켄대학의 간호대학 교수들과 함께 시행하였다. 본인이 참석한 그룹에서는 모자보건사업 중 모성건강에 관한 조사만 이루어졌으므로 이 지면에 소개된 프로젝트는 모성건강문제에 국한된다. 본 조사에서는 3가지 모성 건강과 관련된 문제가 나타났는데 이를 문제의 정도, 심각성, 예방가능성, 지역사회의 관심정도로 점수화하여 총계를 낸 후, 가장 커다란 문제점으로 '모성의 임신과 산욕기 동안의 합병증에 대한 지식부족'이 제기되어 이를 기초로 Master Plan, Operational Plan, Time Frame, Budget이 제시되었다. 본 프로젝트에서 제시된 사업계획은 담당지역의 Health Center, 권켄 간호대학, 지역사회 주민조직의 협조로 지역주민의 모자보건사업 활성화를 위해 실제로 시행될 계획이다.

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The Effects of a Tailored Health Promotion Program on Self Efficacy, Health Problems and Quality of Life of Rural Residents (맞춤형 건강증진프로그램이 농촌 주민의 자기효능감, 건강문제 및 삶의 질에 미치는 효과분석)

  • Park, Jeong-Sook;Oh, Yun-Jung;Kwon, Sang-Min
    • 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.

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