• Health Policy and Management
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• v.14 no.1
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• pp.1-23
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• 2004

This study was carried out to investigate the activities and job satisfaction of public health doctors in charge of community health programmes. Subjects were 138 public health doctors charged with community health project, registered in the roll of public health doctors, made out by Central Supporting Team for the District Health Work in 2002. Data was obtained from Ninety-six public health doctors. The response rate was 70%. The survey was conducted from March to April in 2003 bye-mail. The items of the questionnaire consisted of general characteristics of participants, understanding of their activities, support system, job satisfaction, and suggestions to improve the system. Collected data was analyzed using PC-SPSS 10.1. Descriptive analysis, t-test, and ANOVA test were used. The results are as follows: Most of the respondents showed a low participation rate in community health services, but they agreed to the importance of their activities and the necessity to modify and improve the system. 70% of the respondents were dissatisfied with their jobs. The participation in health planning and programmes of health center, and the degree of acceptance of their opinion from health center workers were significantly related to their job satisfaction. The participation rate of the public health doctors having specialty, in community health services is higher than that of the others. In terms of the supports for system operation, the reflection of one's intention in job arrangement process, education and public relation of this system, and the administrative and financial supports made significant differences in the job satisfaction and the accomplishment of their duty. The respondents hoped that the administrative and financial supports for public health doctors in charge of community health programmes should be reinforced to motivate them. They also wanted that they could keep from being overloaded with clinical services. They favored to conduct home visit, community diagnosis, health planning, and health promotion programs as their appropriate activities. From these results, we suggest some strategies to motivate and empower the public health doctors in charge of community health programmes.

• Journal of the Korean Home Economics Association
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• v.47 no.9
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• pp.15-26
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• 2009

The main purpose of this study was to speculate how psychological state of adolescent students has changed their school uniform style. For the study, the distinctive characteristics during adolescence stage were theoretically examined. Through the examination, this study found four interests in fashions and school uniforms. For the purpose, this study conducted interviews with grade 2 students in a total of six coeducation secondary schools in Seoul, Gyeongki and Gwangju using a questionnaire. The survey period ranged from December 15 2008 to December 24 2008 and a total of 1196 were used for a final analysis. This study extracted factors as Principal Components Analysis and used Varimax for orthogonal rotation analysis. To measure confidence, it used Cronbach's a test to item internal consistency. For data analysis, it used SPSS WIN 12.0 and for hypothesis analysis, frequency analysis, cross analysis, independent t-test, and one-way ANOVA were conducted. For posterior analysis, it used Sheffe test. The results are as follows: First, the interests in fashion and school uniforms differed depending on their own tastes, but these interests were more influenced by environment around school. Secondly, the boy subjects were more aggressive towards repairs their uniforms than the girls, which suggested that boys had stronger desire to show themselves to others and more satisfaction from repairs their uniforms than the girls. Based on the results, this study concluded as follows: We should pay attention to preventing deformation in original design of school uniforms while expanding options to have variable designs or to change detailed part of design. So, there will be no additional uniform mending expense and financial loss to parents, and students will be more satisfied with their school uniforms.

• The Korean Journal of Rehabilitation Nursing
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• v.5 no.1
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• pp.27-37
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• 2002

During acute stages of hospitalized stroke patients, family caregivers face many challenges. They often experience emotional distress, social isolation, and financial constraints. However, the burden of caregiving of stroke patients in acute stages has never been studied properly. The purpose of this study was to investigate the factors related to the caregivers' burden with acute stroke. The subjects were 123 acute stroke patients and their caregivers who were admitted to neurology and neurosurgery units at Dan Kook University Hospital in Chung-Nam area. An interview was performed with the use of standardized questionnaire which included data pertaining to the patients/caregivers characteristics, caregiver burden (Modified Zarit's Burden Scale), and social support (Personal Resource Questionnaire). Our results showed that the mean burden score was 3.11, indicating high level of burden. Among the sub-domain scores, financial burden was the highest. In univariate analysis, the factors related to caregiver burdens were: inability to communicate between patients and caregiver(p<.001); low cognitive function of the patients(p<.001); low level of ADL(p<.001); the gender of caregiver(p<.001); the current employment status of caregivers(p<.01); the presence of social support for caregiver(p<.001); and the availability of alternative caregivers(p<.001). In multiple regression analysis, social support for family caregivers (87%), low level of patient's cognition (2%), availability of 2nd caregiver (1%), and gender of caregiver (female, 0.4%) were significant explanatory factors of overall burden. The caregivers' burden in acute stages during hospitalization following stroke was high. Recognition of high levels of caregivers' burden and those relating factors affecting caregiver burden may allow us to develop different nursing strategies to unload the level of burden for caregivers in acute stages of stroke.

• Nutrition Research and Practice
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• v.10 no.5
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• pp.530-536
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• 2016

BACKGROUND/OBJECTIVES: The concept of "food deserts" has been widely used in Western countries as a framework to identify areas with constrained access to fresh and nutritious foods, providing guidelines for targeted nutrition and public health programs. Unlike the vast amount of literature on food deserts in a Western context, only a few studies have addressed the concept in an East Asian context, and none of them have investigated spatial patterns of unhealthy food consumption from a South Korean perspective. SUBJECTS/METHODS: We first evaluated the applicability of food deserts in a Korean setting and identified four Korean-specific unhealthy food consumption indicators, including insufficient food consumption due to financial difficulty, limited consumption of fruits and vegetables, excessive consumption of junk food, and excessive consumption of instant noodles. The KNHANES 2008-2012 data in Seoul were analyzed with stratified sampling weights to understand the trends and basic characteristics of these eating patterns in each category. GIS analyses were then conducted for the data spatially aggregated at the sub-district level in order to create maps identifying areas of concern regarding each of these indicators and their combinations. RESULTS: Despite significant reduction in the rate of food insufficiency due to financial difficulty, the rates of excessive consumption of unhealthy foods (junk food and instant noodles) as well as limited consumption of fruits and vegetables have increased or remained high. These patterns tend to be found among relatively younger and more educated groups, regardless of income status. CONCLUSIONS: A GIS-based analysis demonstrated several hotspots as potential "food deserts" tailored to the Korean context based on the observed spatial patterns of undesirable food consumption. These findings could be used as a guide to prioritize areas for targeted intervention programs to facilitate healthy food consumption behaviors and thus improve nutrition and food-related health outcomes.

• Journal of the Korean Home Economics Association
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• v.26 no.1
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• pp.163-177
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• 1988

The purpose of this study was to investigate the supporting-attitude type of the eldest son and his wife living seperately from his parents. This research focused on the various degree of intergenerational solidarity between the eldest son and his wife and his parents. For this study, the supporting-attitude types were classified into 4 types: these combine 2 types of residence (living together with the parents or living seperately from the parents) with 2 types of financial support (with with-out financial support0. The concept of intergenerational solidarity, comprises three elements: objective solidarity, subjective solidarity (attachment and conflict), and consensual solidarity (filial obligation). The subjects of this study were 166 couples living seperately from son's parents in Seoul city. The data were analyzed by multiple discriminant analyses, one way ANOVA's, and the paired t-test. The results of this study are as follows; 1. Although the majority of the eldest sons live now away from the parents home, they expect to eventually live together with and support their parents financially. The majority of the wives, however, do not want to live together with their husbands' parents even though expecting to support them financially. 2. According to the discriminant analyses, the supporting-attitude types of the eldest sons were discriminated by attachment and conflict, and those of their wives by conflict and obligation. 3. There were significant difference between supporting-attitude types in terms of intergenerational solidarity. In general, the couples expecting to live together with the parents reported a higher degree of attachment, a stronger sense of obligation, and a lower degree of conflict than the couples expecting to live seperately from the parents. 4. Significant differences between the husbands and the wives were found in attachment, obligation, and conflict. While the husbands showed higher attachment and obligation than their wives, the wives showed higher conflict than the husbands. No significant difference, however, was found between the couples in objective solidarity.

• The Korean Journal of Community Living Science
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• v.21 no.1
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• pp.81-90
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• 2010

This study aimed to identify the contributors of extra-curricular activities of preschool children focusing on home environmental factors(financial capital, human capital, and social capital) and maternal belief about factors on academic achievement(child's effort, child's ability, teacher's instruction, and maternal teaching). One hundred and seventy three mothers whose preschool children were attending child-care centers in Seoul and Kyunggi-Do participated in the survey. Kinlaw et al.(2001)'s Importance of Effort/Ability Scale was used to assess the mother's belief about the factors on academic achievement. Stipek et al.(1992)'s Activities Sub-scales was revised to measure a social capital, that is the mother's formal and informal activities providing to their preschool child. Educational level was utilized as human capital and monthly income was considered as financial capital. Also, using open ended questions, the subjects were asked to respond to the numbers of extra-curricula activities their child was presently attending, and when he or she began to attend the extra-curricular activity. The main results are as follows. In general, the mothers provided informal activities to their preschool child more than formal activities. Also, they believed the teacher's instruction is the most important and the child's ability the least important in their child's academic achievement. The number of extra-curricular activities was predicted by mothers' formal activities and their belief on their child's ability. The age of starting extra-curricular activities were explained by mothers' formal activities and their educational level.

• Research in Community and Public Health Nursing
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• v.15 no.1
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• pp.56-66
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• 2004

Objectives: The purpose of this study was to verify a change for family nursing phenomena and satisfaction of clients of vulnerable families in an urban community. Methods: The study subjects were 711 families, randomly selected, who had chronic diseases(arthritis diabetes, stroke, hypertension, mental disease, cancer, dementia) with basic social welfare services from the nation and had disabled persons in an urban community, South Korea. The instruments used were the family nursing phenomena in Korea by ICNP and client satisfaction. Client satisfaction consisted of client satisfaction on home visiting nurses(4 Likert scales) and home visiting services(3 Likert scales). Results: The average visiting number is 3.82. The service number of education and counseling is 3.16, patient and symptom management 3.08, assessment and diagnosis 3.08, test 2.02, medication service 1.71회, dressing 1.01, referral to social welfare institute 1.00회, referral to medical service institute 0.21. In both, pre home visiting and post home visiting, the highest rated phenomenon was the 'lack of social support system' and following that 'deficit of financial management skill and support'. 'lack of family interaction in community', and 'social isolation' 'unhealthy life style' and 'inadequate care management of sick member', in that order. The percentages of phenomena besides 'deficit of financial management skill and support' decreased. The satisfaction level of clients towards the nurses was 3.27 points on a scale of 4, and the nursing services was 2.70 points on a scale of 3. Conclusion: Home visiting nursing services should continue to provide comprehensive healthcare services and support for vulnerable families, in urban communities.

• Korean Journal of Adult Nursing
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• v.12 no.3
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• pp.384-395
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• 2000

This study examined burdens of primary family caregivers, and family functioning of patients with cancer. In addition, the relationship between two concepts was assessed to develop nursing intervention to reduce the burdens of caregiving, and to improve family functioning. Ninety-two primary family caregivers of patients with cancer at a general hospital in Seoul participated in this study. The patients with cancer aged from 19 to 84 years with a mean age of 51 years, and sixty-one percent were male. About 30 percent of the patients suffered liver and billiary tract cancer. Fifty-six percent of the primary family caregivers were spouses of the patients and 70.7 percent were women. Primary family caregivers' burdens were assessed by the Burden Scale originally developed by Zarit (1980) and Novak & Guest(1989) and modified by Jang (1995) for use in Korea. The instrument consists of six subscales: time-dependent burden, developmental burden, physical burden, emotional burden, social burden, and financial burden. Family functioning was assessed by the Family APGAR developed by Smilkstein(1978). The results were as follows: 1. The average burden score was 86.1, indicating a moderate level of burden. The time-dependent burden scored highest followed by developmental, physical, social, financial, and emotional burdens. The mean score of family APGAR was 9.71; among subjects 82.6% were included in dysfunctional families. 2. Of the characteristics of patients, age, gender, number of admissions, and job were found to be associated with the level of burden. There was no significant difference between patient characteristics and family functioning. Of the characteristics of primary family caregivers, caregiver's perception of patient prognosis was significantly related to the level of burden, and family functioning. Caregiver's sex and age were also related to family functioning. The quality of relationship between a patient and a caregiver was significant situational factors affecting the level of burden, and family functioning. In addition, the income of family, and help from other family members were related to the level of burden. Given the results, it is essential to develop nursing intervention to reduce burden and to improve family functioning, such as support groups.

• Journal of The Korean Society of Integrative Medicine
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• v.7 no.4
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• pp.223-230
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• 2019

Purpose : Wellness tourism is defined as travel for the purpose of promoting health and well-being through physical, psychological, or spiritual activities. The development and verification of a comprehensive wellness program for health care for workers is needed. The purpose of this study is to investigate the wellness and skin health effects of skin health programs in order to develop high-value health care services. Methods : The subjects were 15 middle-aged women who understood the research and volunteered and participated in the two-day skin health wellness program. Participants were measured to determine their wellness index and skin health twice: before and after participating in the program. Wellness index measures include comprehensive wellness, physical wellness, mental wellness, emotional wellness, social/cultural wellness, financial wellness, and environmental wellness. Skin health measurement items consisted of skin oil, skin water, skin pore, skin elasticity, skin wrinkle, and skin pigment. The skin wellness program included aerobic exercise, endurance exercise, functional food, cosmetics, herbal tea, massages, spa treatments, meditation, and marine leisure sports. The t-test analysis was used to compare the difference between wellness index and skin health measurement items before and after the program. Results : Among the wellness index items, the comprehensive wellness index (p<.05), mental wellness index (p<.05) and environmental wellness index (p<.05) showed statistically significant differences. Among skin health items, skin oil (p<.05), skin elasticity (p<.01) and skin wrinkle (p<.01) all showed statistically significant differences. There was no statistically significant difference in physical wellness, emotional wellness, social/cultural wellness, financial wellness, skin water, skin pore and skin pigment. Conclusion : This study confirmed that the two-day complex wellness program is an effective program for some items of wellness index and skin health.

• Journal of Korean Home Economics Education Association
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• v.10 no.2
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• pp.163-183
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• 1998

The purpose of this study is to perceive the importance of Club Activities in Home Economics Subject, to analyze the actual condition of management in them, and to develop the model for Home Economics Club Activities. The subjects of this investigation are 252 teachers, who teach Home Economics Subject at middle school located in ChungNam, ChungBuk, TaeJoen, and KyungKi. The results of this study are as follows : 1. Club Activity is one of the educational programs to enhance the desirable development of individuals. And Club Activity is the curricular activity to meet the individual's interest and need as a whole man. 2. In schools which were located in large cities, or large schools, of girls'school, it was investigated that students'opinions was well reflected with sub-plan and master plan for club activities. But as a whole the facilities and spaces, and financial conditions for club activities were not good. In addition, there was the test for club activities at most every year taken. The Club Activities was managed formally, not desirably. On the other hand there were some school which was trying to manage the good program. 3. The model for Club Activities was developed on the basis of the result of the investigation. On the basis of these results, it can be suggested : 1. There should be the right understanding about the whole man education. 2. It is necessary to have an emphasis on self-directed activities and chances in Home Economics Club Activities. 3. It is suggested that Home Economics Subject should be emphasized through the desirable Home Economics Club Activity. 4. In order to develop the model for the desirable Home Economics Club Activity, there should be the post study considering financial support, students'need, number of students continued.