• Title/Summary/Keyword: community health problem

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Patterns of Childhood Cancer Incidence in Saudi Arabia (1999-2008)

  • Al-Mutlaq, Hind M.;Bawazir, Amen Ahmed;Jradi, Hoda;Al-Dhalaan, Zeyad Abdulaziz;Al-Shehri, Ali
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권2호
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    • pp.431-435
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    • 2015
  • Background: Although childhood cancer is a rare disease, 100,000 children younger than 15 years of age die from cancer each year, the majority of them in developing countries. More data need to be gathered and published particularly in developing countries to better understand the scale of the problem. Aims: This study aimed to describe the patterns of childhood cancers in Saudi Arabia over a period of ten years (1999-2008). Materials and Methods: This descriptive retrospective study was based on secondary data from the Saudi Cancer Registry from 1999 to 2008. All Saudi cases (both genders), under the age of 15 years, who were diagnosed with cancer during the study period, were included in this study. Results: Childhood cancer in Saudi Arabia, in the period between 1999 and 2008, accounted for about 8% of total cancer cases. The most common encountered cancers were leukemia (34.1%), followed by lymphoma (15.2%), brain (12.4%), and kidney cancers (5.3%). The overall incidence of childhood cancers increased from 8.8 per 100,000 in 1999 to 9.8 per 100,000 in 2008. The incidence rates of cancers per 100,000 in the years 1999 and 2008 were generally higher among males, (9.4 and 11.5 in males vs. 8.3 and 8.1 in females). The highest incidence rate in the surveyed years was apparent in the birth to age 4 years group. Conclusions: Cancer is an important public health problem in Saudi Arabia and a major ascending contributor to mortality and morbidity in children. More studies are required to describe the patterns of childhood cancers and related risk factors in Saudi Arabia.

Life Stress and Coping Style for Stress of Vietnamese Married Immigrant Women

  • Kim, Chunmi;Lee, Hung Sa
    • 지역사회간호학회지
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    • 제27권2호
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    • pp.173-182
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    • 2016
  • Purpose: This study was conducted to survey female Vietnamese marriage immigrants' life stress and to analyze factors influencing their life stress and coping strategies. Methods: As descriptive correlation research, this study conducted a survey with 182 conveniently sampled subjects. Data were collected in June, 2015, and analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. Results: The subjects' life stress levels were above average, and significantly varied according to their health, and economic status. Stress coping strategies used by the subjects included assistance seeking, problem avoidance, wishful thinking, problem solving, and emotional alleviation in the order of frequency. As a result of the stepwise multiple regression, economic level, economic activity, and health status were found to be the most significant factors influencing the subjects' life stress, and these variables explained 45.1% of the variation in life stress. Conclusion: Female marriage immigrants were experiencing above-average life stress, and they were coping with it mainly in terms of assistance seeking or problem avoidance. In order to mitigate their stress, therefore, it is necessary to provide extended employment opportunities and economic activities for them so that they can cultivate their abilities in health management.

노인의 성별 낙상관련 요인 (An analysis of risk factors for falls in the elderly by gender)

  • 김종민;이명선;송현종
    • 보건교육건강증진학회지
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    • 제25권2호
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    • pp.1-18
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    • 2008
  • Objectives: The objective of this study is to identify the gender differences of risk factors for falls among the elderly in community dwellings. Methods: We analyzed the data on 3,278(male 1,255, female 2,023) persons, including 497 persons who have experienced falls, drawn from the 2004 National Elderly Survey. We conducted a cross-tabulation analysis, $X^2$-test and hierarchical regression analysis of the impact of the socio-economical characteristics, environmental characteristics, the number of chronic diseases, usage of supplementary devices, activities of daily living, dementia, and the severity of problem behavior. Results: For the entire sample of the elderly, gender, age, the size of the cities of residence, the number of chronic diseases, and the severity of problem behavior were identified as risk factors for falls. The number of chronic diseases and the severity of problem behavior were found to be significant for the male subsample, while age, the size of cities of residence, dwelling types, and the number of chronic diseases were found to be significant for the female subsample. Conclusion: The number of chronic diseases was identified as a common risk factor for falls in the male and female elderly. Chronic diseases were also found to aggravate the risk for falls when they concur with other diseases.

한국의 자살예방을 위한 지역공동체 접근 (A Call for Community-Based Suicide Prevention in South Korea)

  • 육성필
    • 한국심리학회지 : 문화 및 사회문제
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    • 제16권2호
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    • pp.147-164
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    • 2010
  • 본 논문에서는 자살예방을 위한 지역공동체 기반의 접근과 자살률 감소를 위한 국가전략에 대해 고찰하고 한국에서의 자살감소를 위한 제안을 하였다. 한국의 경우 여전히 자살의 이해와 예방에 대한 노력은 정신과의사, 심리학자, 정신건강관련기관, 개인기관 등과 같은 특수한 목적을 가진 집단에 의해 상호협조 없이 단독으로 이루어지고 있으며, 각 집단이 개별적으로 활동하고 있기 때문에 궁극적으로는 자살예방에 있어서 별다른 효과가 나타나지 않고 있는 상황이다. 한국에서의 자살을 예방하고 감소시키기 위해서, 지역공동체의 구성원들은 자살과 관련된 충분한 지식을 갖고 다른 영역의 전문가나 기관들과 적극적으로 협력해야 한다. 이러한 노력을 통해, 지역공동체는 정신건강을 증진시킬 수 있는 네트워크를 구축할 수 있게 된다. 자살을 예방하고 자살률을 감소시키는 가장 중요한 요소는 자살과 정신건강에 대한 오명을 제거하고, 도움추구 행동을 증가시키는 것이다. 자살은 자살하려는 사람이 해결할 수 있는 개인적인 문제가 아니라 자살의 인식, 관리 및 예방에 있어 지역공동체가 해결해야 되는 지역공동체의 문제다.

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발달장애 아동 어머니가 지각하는 자녀의 문제행동 (Perceptions in Mothers of Problem Behaviors of Children with Developmental Disabilities)

  • 김혜영;이자형
    • 부모자녀건강학회지
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    • 제9권2호
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    • pp.161-169
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    • 2006
  • Purpose: The purpose of this study was to identify the problem behaviors of children with developmental disabilities and to verify the difference of problem behaviors on the family characteristics. Method: The participants were 61 couples who were 3-9 years-old children with developmental disabilities and their mothers. And the data was collected from July to Oct. 2004. To measure the perception of problem behaviors, Eyberg Child Behavior Inventory (ECBI) were used that modified by Song(1992) and Kim(2006). Result: 'Gets angry when doesn't get his or her own way', 'Is easily distracted' were frequent with children with developmental disabilities. As a result of analysing problem behaviors(intensity and number) on the family characteristics, education level of mother was significant statistically. Conclusion: The results of the present study suggest that developing health programs for children with developmental disabilities and their mothers are need which can be applied for various nursing fields like hospital, community health center and so on.

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신규 보건진료원을 위한 비판적 사고 수업설계 및 운영 평가 (A Design for and Evaluation of a Critical Thinking Class for New Community Health Practitioners)

  • 박지연;서민규;김형숙;유경희;전경자
    • 한국간호교육학회지
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    • 제21권1호
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    • pp.141-149
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    • 2015
  • Purpose: This study was carried out to describe the process and evaluation of a critical thinking class for new community health practitioners. Methods: The case study design was used to develop and evaluate a critical thinking class for 46 participants in the community health practitioners training program. The class was held two hours a week for 8 weeks. Critical thinking disposition was tested before and after the class and critical skill was graded according to the final test score. Data analysis was performed using descriptive statistics and paired t-tests using SPSS WIN 20.0. Results: Clinical critical thinking competences were identified through the literature review. The case situations with questions guiding the problem-solving process were developed and used for group discussion. Critical thinking disposition of participants was determined to have increased slightly after having taken the class. 17.4% of the participants had a competency level high enough to solve a problem and half of them stayed at the level of understanding of critical thinking. Compared with the class's satisfaction with the relevance to their jobs, the satisfaction with the learning method and instructor was high. Conclusion: The findings of this research will serve as the basis for developing critical thinking classes for community health nurses in order to improve their critical thinking competence.

일개 도시 취약 가족의 특성에 관한 조사연구 (A Survey on the Characteristics of Vulnerable Families in a City)

  • 최경원;이인숙
    • 지역사회간호학회지
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    • 제20권3호
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    • pp.371-380
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    • 2009
  • Purpose: This study aimed at describing the characteristics and nursing needs of vulnerable families in a City. Methods: A total of 427 vulnerable families enrolled in the Visiting Health Care Center in K-gu of S city were investigated in this study. Data were collected using questionnaires for one year from Jan to Dec, 2003, and analysed using mean, standard deviation and $x^2$. Results: Most of the vulnerable families investigated here showed many deficits, especially incomplete family structure (62.8%), financial problem (84.0%), lack of support (55.8%) were prevalent. The score of level of economic status in Family Capability for Self management ($1.95{\pm}0.65$) was lowest, and the score of perception of family problem and health of family members ($2.62{\pm}0.78$) was highest. The four family groups divided according to the total score of family management capability showed significant differences in family interaction, support, and coping domain. The total score of family management capability increased as family functioning-related problems decreased in the vulnerable families. Conclusion: In order to find vulnerable families, and improve their family function, it is required to develop the systematic assesment tools, community supportive systems and nursing interventions for family strength.

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AHP기법을 활용한 간호사의 NCS직업기초능력 우선순위 분석 (Priorities Analysis of NCS Vocational Key Competence of Nurse using AHP Method)

  • 박지연;이명선
    • 한국학교ㆍ지역보건교육학회지
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    • 제18권3호
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    • pp.83-95
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    • 2017
  • Objectives: The purpose of the research is understand the priorities of national competency standards vocational key competence factors in nurse who is work in Seoul and Incheon. Methods: The design of this study is descriptive investigation research, and the subjects were 144 nurse. we establish the vocational key competency defined in national competency standards as analytic hierarchy analysis model. The vocational key competency has 10 categories and 34 sub-categories. And based on the survey in nurse, the weight representing relative importance of each factor were calculated by using analytic hierarchy process method. Results: The analytic hierarchy process analysis on 10 categories showed that professional ethics(0.149) was higher than any other categories while that of numeracy(0.040) was at the bottom. And the analysis on sub-categories revealed that the most important factors in each categories included the Ethical community(Professional ethics), Conflict management skills(Interpersonal skills), Problem solving capability(Problem-solving skills), Listening skills(Communication skills), Applicable technical skills(Technical skills), Ability to understand business(Ability to understand organizational structures), Information processing capabilities(Information capacity), Self-management skills(Self-development capability), Ability to manage time(Resource management capabilities), Basic math skills(Numeracy). Conclusions: The results in this study can be used as basic data for the development of liberal arts curriculum for Nursing.

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대학생의 문제도박 예방에 대한 설명모형 구축 및 검증 (Testing an Explanatory Model for Preventing College Students' Problem Gambling)

  • 박향진;김석선
    • 지역사회간호학회지
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    • 제29권1호
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    • pp.97-107
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    • 2018
  • Purpose: A mediated model of Korean college students' problem gambling based on Blaszczynski and Nower's pathway model is developed and tested to explore mediating roles of self-control and irrational gambling beliefs in the association between emotionally vulnerable variables and problem gambling. Methods: 273 student participants recruited from 4 universities in Seoul and Gyeonggi, Korea responded. Data were collected with a structured self-report questionnaire comprising measures of problem gambling, depression, anxiety, coping styles, irrational gambling belief, and self-control. Results: The modified research model provides a reasonable fit to the data. Depression, anxiety, reflective coping, irrational beliefs, and self-control turned out to have direct effects on problem gambling, while indirect effects were reported in some suppressive and reactive styles. These predictors account for 38% of the college students' problem gambling. Conclusion: The findings suggest that developing intervention programs for reducing depression, anxiety, irrational gambling beliefs, and increasing reflective coping and self-control are needed to prevent Korean college students'problem gambling.

범이론과 여가모형을 적용한 절주프로그램이 문제음주행위와 인지에 미치는 효과 (The Effects of the Drinking-Reduction Program Adopting Transtheoretical and Leisure Models on Problem Drinking Behavior and Cognition)

  • 도은영
    • 지역사회간호학회지
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    • 제18권3호
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    • pp.363-372
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    • 2007
  • Purpose: This study is to examine the effects of the drinking-reduction program that utilizes transtheoretical model and leisure ability model on the problem drinking behavior, alcohol outcome expectancy, and abstinence self-efficacy of. problem drinkers at workplaces. Method: The subjects consisted of 54 male problem drinkers who scored over 12 points in the AUDIT-K with 23 persons in the experimental group and 31 persons in the control group. The research results were analyzed using the SAS program with Chi-square test, t-test, repeated ANOVA, and post-hoc comparison. Results: 1) The experimental group showed a significantly lower score in problem drinking behavior than the control group. 2) The experimental group showed a significantly lower score in alcohol outcome expectancy than the control group. 3) The experimental group showed a significantly higher score in abstinence self-efficacy than the control group. Conclusion: These results demonstrate that the drinking-reduction program effectively reduces the drinking behavior of problem drinkers at workplaces, reduces alcohol outcome expectancy, and enhances abstinence self-efficacy. Accordingly, it is considered that a drinking-reduction program can be a useful nursing intervention method for problem drinkers at workplaces to reduce drinking and improve the quality of life.

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