• Title/Summary/Keyword: families' health level

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A Study on Stress in Poor Families with School Children (학령기 자녀를 둔 빈곤가족의 스트레스 -일 지역 빈곤가족의 실태와 경험을 중심으로-)

  • Kang Hee Kyeung
    • Child Health Nursing Research
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    • v.5 no.2
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    • pp.185-197
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    • 1999
  • In the family life cycle, the most important task the families with school children should perform is ‘child education’ and ‘socialization’ However, economic stress on poor families with school children presents multiple problems through the shortage of resources necessary for child education and socialization, inappropriateness of family appraisal, and the insufficiency of the control channels for the efficient management of these confined resources and appropriate appraisal. The objectives of this article are : First, to report research on the actual conditions of the poor families in one area of Cheju and on the relevant health welfare policy, and to examine the appropriateness of the direction and the substance of this policy in terms of the intervention in economic stress on the poor families under the categories of resource management and control of appraisal. Second, to analyze qualitative data extracted from the memoirs of single-parent families living in several areas of Korea under the conceptual framework constructed by literature review in order to get a better understanding of the stress which poor families with school children have experienced. And third, to confirm the factors that can be risk factor but, at the same time, strength to these poor families from presented data and to use them as the basic data from which an intervention model can be developed, based on resource management and control of appraisal. The findings of this article are : First, while the number of absolute poor families in one area of Cheju is increasing and, as a result, the danger of the possibility that multiple problems will occur is also growing, the supporting level of the current policy is no more than a direct resource offer and there is no evidence that resource management is being professionally carried out. When it comes to control of appraisal, due to absence of the professional human resources in this matter, policy performances such as technical education training can have a negative impact. Second, a conceptual framework introduced in this article, ; Economic Pressure → Helplessness → Poor self-esteem → Marital Conflict → Parent-Child financial conflict → Inappropriate socialization → Poor child social competence : is partly verified. And third, judging from the results of the qualitative data, it is confirmed that the healing families, having overcome poverty, show several positive characteristics including : hope, strength, and social support. These findings are identified with the factors of resiliency considered above. According to these results, this article suggests the following. The anti -poverty policy in the future should focus not only on a direct resource offer but also on resource management and the control of appraisal that can magnify its effects. In particular, close attention should be paid to school children since they are in the most crucial period for socialization. Moreover, an emotional labor is such an essential resource for intervention that skilled nurses should play pivotal roles.

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Development of Performance Indicators in Public Health Center Based Home Healthcare (방문보건사업 평가지표 개발)

  • Chang, Hyun-Sook;Lee, Tae-Bum;Nam, So-Young;Chin, Young-Ran
    • Health Policy and Management
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    • v.16 no.4
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    • pp.112-127
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    • 2006
  • The purpose of this study is to develop performance indicators for quality of public health center based home healthcare through the study the major factors of registrated weaken poorly residents in the community based home healthcare. Various literature review was conducted to study the performance indicators for quality of public health center based home healthcare of advanced countries and Korea. Mail survey was conducted from national wide PHC(public health centers), sub health centers and primary health care posts. of the surveys mailed, 2,293 centers(67%) were returned within the allotted and we included in the analysis these who completed the questionnaire. Data was analysed by SPSS for windows 12.0. The major results of the research were as follows; Firstly, major factors of registrated weaken poorly residents in the community based home healthcare in the multivariate analysis were jurisdictional families per manpower(OR:0.78, 95%CI:0.64-0.94, P=0.011), weaken poorly families per manpower(OR:0.42, 95%CI:0.35-0.50, P<0.001), business vehicles per manpower(OR:1.13, 95%CI:1.04-1.24, P=0.007) type of public health center(OR:4.42, 95%CI:3.32-5.90, P<0.001), region of public health center(OR:0.53, 95%CI:0.32-0.89, P=0.017). Secondly, performance indicators for quality of public health center based home healthcare were developed as basic investigation, registration, intervention and discharge level. Preparing for Activation of public health center based home healthcare in Korea, the result application as follows is possible. Firstly, we can conclude that the major factors of registrated weaken poorly residents in the community based home healthcare are jurisdictional families per manpower, weaken poorly families per manpower, type of public health center, region of public health center, business vehicles per manpower. Secondly, the new developed performance indicators which are divided into basic investigation, registration, intervention, discharge for public health center based home healthcare could be applied it for improving quality of home healthcare services.

Factors influencing oral health status of immigrant women in multi-cultural families (다문화 이주여성의 구강건강상태에 영향을 미치는 요인)

  • Lee, Jong-Hwa;Choi, Mi-Sook;Jang, Young-Ho
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.1
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    • pp.145-153
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    • 2017
  • Objectives: This paper aimed to contribute to better oral disease prevention and practice of health behavior for immigrant women in multi-cultural families, to define missing and filled permanent teeth index of immigrant women, data from the 6th Korea National Health and Nutrition Examination Survey from the Korea Centers for Disease Control and Prevention was used. Methods: For the immigrant women to be subjects, they needed to be born overseas, had acquired Korean citizenship as a married immigrant women, and the estimate of the number of subjects was 133,093 women. For analyzing data, SPSS 21statistical program was used. We used covariance analysis (ANCOVA) andgeneral linear models for finding the relation with the missing and filled permanent teeth index. The significance level was 0.05. Results: DMFT-index of immigrant women was 7.33 points. $R^2$ was 0.416; and increased with age, and $R^2$ was 0.126 points higher (p<0.01). In household income, 'lower' was 5.933 points lower than 'upper' (p<0.05), and in toothbrushing after lunch, 'yes' was 3.598 points lower than 'no' (p<0.01). In preventive treatment, 'yes' was 4.301 points lower than 'no' (p<0.05). Conclusions: The result of this paper is as follows: for maintaining oral health of immigrant women, we think that the government needs to develop an oral health policy and a customized education system suited to immigrant women for preventive management of dental disease in immigrant women. In addition, basic data will be provided for public dental health programs based on the result of the study.

A Study on Knowledge, Educational Needs and Educational Experience for Indwelling Catheter Management in the Families of Home Care Clients (유치도뇨관 삽입 가정간호대상자 가족의 유치도뇨관 관리에 관한 지식, 교육요구 및 교육경험)

  • Kim, Jung-Soon;Lee, Sang-Ju;Kang, In-Soon
    • Journal of Home Health Care Nursing
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    • v.12 no.1
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    • pp.92-116
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    • 2005
  • Purpose: This study was a predicative survey to provide home care clients with indwelling urinary catheters for furnishing basic educational material to their families by analyzing the family members' knowledge, educational needs and educational experience about indwelling catheter management. Method : The subjects consisted of 108 family members who cared for home care clients with indwelling catheters. Data were collected by home care nurses in nine hospitals in Pusan, who directly interviewed with them through questionnaires from Sep. 6th to 30th in 2004. The questionnaires for data collection were developed through pre-survey and reference review. The collected data was analyzed by using frequency, percentile, mean, variation, t-test, ANOVA on SPSS 10.1 package. Results : There were characters of home care clients with indwelling catheters: women(67.6%) were more than men; the average age of them was $69.60{\pm}14.99$ years old; neurogenic and cerebrovascular diseases(80.0%) were the most common disease group; 81.5% of them were totally dependent on others in terms of level of activity. Home care clients' families had these characters: women(76.9%) were more than men; the average age was $54.5{\pm}13.70$ years old; 46.3% of them were parents or sons or daughters in terms of relation with patient; tl1e average care period was $39.8{pm}34.20$ months. Level of knowledge about indwelling catheter management of the family members were 69.8% and its mean were $20.24{\pm}4.53$. Educational needs were 90.9% and its mean were $14.55{\pm}3.56$. Educational experience were 53.3% and its mean were $8.53{\pm}4.30$. 'Complications in using an indwelling catheter', 'Symptoms to call for a home care nurse' and 'Method to attach an indwelling catheter' were high ranked in both educational needs and educational experience. 'Anatomy of urinary tract', 'Functions of urinary tract' and 'Catheter placement' were low ranked in both educational needs and educational experience Level of knowledge about indwelling catheter management of the families showed a significant difference according to their age(F=5.35, p=0.01). Educational needs showed a significant difference according to care period(F=3.06, p=0.04). Conclusion: the family members' level of knowledge and educational experience about indwelling catheter management and their educational were not sufficient while their educational needs were high. In other words although the family members were acknowledged education needs, but the care for the patients with indwelling catheter weren't performed well because of their lack of related knowledge. Therefore systematic educational programs about indwelling catheter management for home care clients and their families should be made on the base of this study.

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Factors Affecting Early Cancer Screening for Lung Cancer: Focusing on Lung Cancer Screening Subjects (폐암의 조기 암검진 여부에 미치는 요인: 폐암 검진 사업대상자를 중심으로)

  • Kim, Seok Hwan
    • The Journal of Korean Society for School & Community Health Education
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    • v.20 no.3
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    • pp.53-65
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    • 2019
  • Objectives: The purpose of this study is to examine the current status of cancer screening among subjects in the lung cancer screening cycle and to analyze the factors affecting the cancer screening of subjects in the lung cancer screening cycle. Methods: This study used the 'National Health and Nutrition Survey 7th Year (2017)' surveyed nationwide as the main data. The subjects are lung cancer screening projects, the dependent variable is early cancer screening, the independent variables are gender, age, marital status, household income level, education level, national health insurance type, private health insurance, The number of chronic diseases, general health examination, smoking status, drinking status, moderate intensity physical activity, stress perception rate, and weight control efforts were determined. Results: The results of this study showed that factors affecting early cancer screening of lung cancer screening subjects were gender, age, marital status, education level, national health insurance, smoking status, drinking status, moderate physical activity, and weight. Irrespective of the control effort, it was found that the private medical insurance, the number of chronic diseases, the medical examination, and the stress perception rate were affected. Conclusion: If the lung cancer screening subjects recognize the importance of early cancer screening themselves and create a social environment to increase their participation rate, lung cancer screening patients and their families will help them to live a healthy life.

A study on Self-esteem and Subjective Evaluations to Work among Elderly Persons (노인의 일에 대한 주관적인 평가와 자아존중감 간의 관계)

  • 이신숙
    • Journal of Families and Better Life
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    • v.17 no.1
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    • pp.45-56
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    • 1999
  • The purpose of this study was to look into correlations between subjective evaluation on the work and self-esteem of the elderly so as to provide information for finding out ways of developing their self-esteem. The subjects of this study were 318 elderly persons in Chonnam and Kwangju city. The statistics used for data analysis were frequency percentage mean standard deviation reliability stepwise and multiple regression analysis through the SAS package program. the major findings of this study can be summarized as follows; 1) The self-esteem of elderly persons was 25,9 which was above the median 24. 2) According to the results related to subjective evaluations on the work among the elderly the positive correlation was by education level family situation economic state social activity level and health state while the negative correlation was by sex, age, and spouse. 3) According to the results related to subjective evaluations on the work among the elderly the positive correl tion was by worker identity job satisfaction quality of work time. 4) In model 1. variable affecting their self-esteem were health sate education level economic state health state age social activity level and sex. In Model 2, variables affecting their self-esteem were worker identity education level economic state age health state social activity level job satisfaction and sex. Especially self-estee of elderly was highly correlated with subjective evaluations on the work among the elderly persons.

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A Comparison of Male and Female Middle-Aged Salaried Workers' Retirement Plans: Economic Preparation and Health Care Plans (중년기 남녀 봉급생활자의 은퇴계획 비교 분석 : 경제적 준비와 건강준비를 중심으로)

  • Hong Sung-Hee;Kwak In-Sook
    • Journal of Families and Better Life
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    • v.24 no.1 s.79
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    • pp.193-207
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    • 2006
  • The purpose of this study was to analyze middle-aged salaried workers' retirement plans and the factors that affect the plans. The main point of this study was to compare male workers with female workers on their economic preparation and health care plans. The major findings were as follows; First, middle-aged salaried workers perceived their level of economic retirement plan to be relatively low. Second, the factors the affected the level of economic preparation for post-retirement were their current subjective economic level, age, household assets and debts, economic and health problems expected in their future elderly life, and savings and assets reserved for their elderly life. Third, the factors that affected whether to put aside savings for elderly life or not were age, current subjective economic level, capital assets, and savings and assets reserved for their elderly life. Fourth, the level of preparation for post-retirement health care depended on health problems expected in their elderly life, current subjective economic level, locus of control, job, and expected retirement age. Overall, the factors that affect male salaried workers' economic and health care plans were different from those of female salaried workers. From the findings, it can be concluded that the middle-aged salaried workers' level of economic retirement plans was different from that of their health care plans. Also, male salaried workers' level of retirement plan were different from that of female workers.

Dietary Problems among Middle-Aged Japanese Men

  • Yoshita, Katsushi;Miura, Katsuyuki;Nishijo, Muneko;Morikawa, Yuko;Yoshiike, Nobuo;Nakagawa, Hideaki
    • Journal of Community Nutrition
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    • v.5 no.2
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    • pp.105-111
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    • 2003
  • Balanced intake of appropriate nutrients is the key to sustaining and promoting health as well as preventing and treating diseases. It is not always easy, however, to take balanced nutrition and various related factors must be taken into consideration. This report provides a summary of studies that have examined the nutrient intakes of Japanese middle-aged men and the relationship of this intake to drinking, job-related separation from families, and health practices. The alcohol consumption of Japanese middle-aged men has more than tripled in the last forty years. When nutrient intake was examined in relation to alcohol consumption, it was discovered that the maximum acceptable alcohol consumption was approximately 23 grams (about two drinks) of pure alcohol, provided the level of nutrient intake for drinkers was equal to that of non-drinkers. The alcohol energy ratio was approximately 5%. It was also discovered that middle-aged men's eating habits deteriorate when they relocate to new posts without their families and live by themselves. Compared to those living with their families, a higher proportion of those living alone have unfavorable eating habits including skipping breakfast or lunch, having a late lunch, and eating and drinking after dinner until bedtime. When Breslow's seven health practices, nutrient intake, and consumption weight by food group were examined, it was discovered that the group that had many beneficial eating and living habits consumed plenty of legume, pulses, fruit, green yellow vegetables and milk products. Their intake of vitamins and minerals was high and the results of a physical examination proved to be excellent. According to nutrition surveys conducted in Japan, China, the United Kingdom and the United States using a 24-hour recall method with common protocols and strict controls to ensure high levels of accuracy and cross-study validity, the Japanese had the highest cholesterol intake and the lowest dietary fiber intake among the four countries. Also, the alcohol energy ratio of the Japanese exceeded 8%, the highest among the four countries, while their intake of magnesium and iron was the lowest These results indicate that it is necessary to enhance nutritional education for middle-aged men and to reinforce the social environments in which they live and work in order to promote proper diet and nutrition in Japan. (J Community Nutrition 5(2) : 105-111, 2003)

The Influence of Family-of-Origin Experiences on Marital Intimacy (기혼남녀가 지각한 원가족 경험이 부부 친밀감에 미치는 영향)

  • Jang, Sun-Woong;Chung, Hye-Jeong;Lee, Ju-Yeon
    • Journal of Families and Better Life
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    • v.29 no.1
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    • pp.71-82
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    • 2011
  • The purpose of this study was to investigate the effects of family-of-origin experiences(family-of-origin health, parents' marital satisfaction, parents' care, and parents' overprotection) on marital intimacy. Data were collected using the self-administered questionnaire method by Internet Survey of 480 married men and women. The results showed that first, there were significant differences between family-of-origin experiences (family-of-origin health, parents' marital satisfaction, parents' care, and parents' overprotection) and marital intimacy according to sex, educational level, income, and the first-rum child's school level. Second, marital intimacy was positively correlated with family-of-origin health, parents' marital satisfaction, and parents' care, but was negatively correlated with parents' overprotection. Third, the results of multiple regression analyses showed that indicated that the marital intimacy of married men and women were influenced by education level, income, the first-born child's school level, and family-of-origin health.

The Qualitative Evaluation of Low-Income Single Mother Families' Poverty Status According to the Capability Approach of Amartya Sen (센(Sen)의 능력 접근을 통한 빈곤 여성가장 가계의 생활실태에 대한 질적 평가)

  • Lee, Seong-Lim;Sohn, Sang-Hee;Chin, Mee-Jung;Sung, Mi-Ai
    • Journal of Families and Better Life
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    • v.27 no.2
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    • pp.77-97
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    • 2009
  • This study evaluates the poverty experiences of low-income single mothers according to the Capability Approach of Amartya Sen. In this approach, the capability to achieve the basic functionings of life, not income itself, is the criterion of poverty. 26 single mothers were interviewed using focus-group interviews and in-depth interviews. 21 functionings on the existence level, 18 on the relatedness level, and 15 on the growth level were found in the areas of work, health, food consumption, clothing, housing, child rearing, and leisure. The results of this study suggest that low-income single mothers can achieve only some of the existence level functionings with significant help from welfare services. They can scarcely achieve higher level functionings in any of these areas.