• Journal of Korean Public Health Nursing
• /
• v.13 no.2
• /
• pp.12-25
• /
• 1999

This study examines individual determinants of hospital days in community-dwelling elders by estimating a linear structural equation model based upon Andersen's behavioral model. Data were collected through a national survey of elders in Korea in 1994. The subjects for this secondary data analysis were 1687 non-institutionalized elders aged 60 years or older. Except for the effect of age and gender on family help. the predisposing components had direct effects on the enabling components. Of the effects of the enabling components. family help had a direct effect on self-evaluated health; economic status had a direct effect on chronic disease and self-evaluated health; and access had a direct effect on chronic disease. functional health status and self-evaluated health. Of the enabling components. residence and family help directly affected hospital days. Self-evaluated health revealed the greatest direct effect on hospital days followed by functional health. Overall. the effects of the predisposing components and the enabling components on hospital days were not prominent. Since the model explained only $4\%$ of the variance in hospital days. the magnitude of the effect of the need components cannot be judged in terms of equity of distribution of health services. In particular. the effect of family help in the model reveals the importance of family support in health management of elders. The implications of these analyses for improving the proposed model of hospital days were discussed.

• Journal of Korean Academy of Nursing
• /
• v.43 no.4
• /
• pp.478-485
• /
• 2013

Purpose: This study was conducted to develop a health education program for preschoolers who have defected from North Korea with their mothers, and to evaluate the effects on health knowledge and behavior. Methods: A non-equivalent control group pre-post test design was used with 58 preschoolers who were assigned to either the experimental or control group (29 for each group). The program was composed of five sessions in health education and contracts. To test the effectiveness of the intervention, health knowledge and behaviors, and total bacterial colony counts on hands were measured at one pretest and two post tests (1 week and 4 weeks after the intervention ended). Data were analyzed using the SAS program. Results: Health knowledge and behavior in the experimental group increased significantly compared to the control group. The effects of the intervention were evident even at 4 weeks after the intervention ended. Total bacterial colony counts in the experimental group decreased significantly at the 1 and 4 week posttest intervention compared to the control group. Conclusion: Results indicate that this program is effective in improving health knowledge and behavior in these children and therefore can be utilized to ensure efficient management their health care.

• The Korean Journal of Health Service Management
• /
• v.10 no.1
• /
• pp.105-116
• /
• 2016

Objectives : The purpose of this study was to explore diverse factors of patients with periodontal diseases, make comprehensive and pluralistic assessment of relevant factors, construct a hypothetical model, including direct and indirect paths, and test goodness-of-fit of the model. Methods : TRaw data were used from the sixth Korea National Health and Nutrition Examination Survey for the first and second years which was conducted from January 2013 to December 2014. Excluding current patients with cancer which could severely affect the quality of life among patients with periodontal diseases who were between 40 and 64 years of age, a total of 1,555 patients were included and finally analyzed in this study. Results : Among the factors affecting the quality of life, health perception had total effects through direct effects and functions had indirect and total effects through the channel of health perception. Conclusions : In oral health programs for the middle-aged, it is necessary to have preventive interventions in oral health; in particular, it is necessary to provide intervention programs that can improve health perception and relieve functional restrictions.

• The Korean Journal of Health Service Management
• /
• v.8 no.2
• /
• pp.175-185
• /
• 2014

This study analyzed individual happiness exponent according to local residents' perception degree of Health-Cities. The data, which is accumulated by the survey on relationship between happiness and perception degree of Health-Cities targeting 662 of local residents living in Y-gu in Busan, were analyzed using PASW 18.0. The results are as follows. To begin with, the results of Correlation Analysis on the relation between happiness index and cognition degree of Health-Cites indicate that the higher perception of Health-Cities'facilities, administrations, services, education, health environment and transportation the local residents have, the lower individual happiness index they acquired. The cognition degree of transportation has effects on local society and daily life; the cognition degree of facilities and businesses has impact on financial stability. The cognition degree of administrations has influence on psychological relaxation, services have meaningful effects on psychological stability, work and residence, education have statistically meaningful effects on psychological stability, families and marriage, individual human relationships in respect.

• Research in Community and Public Health Nursing
• /
• v.32 no.1
• /
• pp.116-129
• /
• 2021

Purpose: This study aimed to investigate the maternal health effects of internet-based education interventions on parturients during the postpartum period through a systematic review of randomized controlled trials. Methods: An electronic literature search of the Cochrane Library, CINAHL, EMBASE, Eric, PsycINFO, PubMed, RISS, and KISS databases was performed, using the combination of keywords such as 'parenthood education', '*natal education', '*birth intervention', 'internet-based intervention', 'randomized controlled trial'. The inclusion criteria were peer-reviewed papers in English regarding randomized controlled trials of internet-based postnatal education interventions. Educational interventions were delivered through any web, mobile, eHealth, mHealth, virtual reality, short message service, or social networking service platform. Quality appraisal was performed using the Risk of Bias 2 (RoB 2) for randomized controlled trials. Nine articles were yielded, and the intervention effects were analyzed. Results: Internet-based education interventions during the postpartum period affect maternal self-efficacy, postpartum depression, and successive breastfeeding; however, they do not affect maternal satisfaction and parenting confidence. Conclusion: This study demonstrated that internet-based education interventions affect maternal health status in terms of psychological, emotional, and physical wellness. Therefore, maternal health care professionals can utilize remote education using the internet or mobile-based interventions during the postpartum period.

• Safety and Health at Work
• /
• v.14 no.1
• /
• pp.31-42
• /
• 2023

Background: This study analyzes the linear and non-linear effects of the hard and soft dimensions of job quality on the overall health of wage workers. It also examines the congruence or fit between the hard and soft job quality on the overall health of wage workers. Methods: This study measured thirty indicators that constitute job quality and reduced the indicators into twelve sub-dimensions of job quality using reflective factor analysis. In addition, this study derived two dimensions of job quality from the twelve subdimensions, namely the hard and soft job quality using formative factor analysis. This paper applied the response surface analysis to analyze the congruence effect between the two dimensions of job quality. Results: A logarithmic relationship was found between the dimension of hard job quality and the worker's overall health. This study also verified that the congruence effect between the two dimensions of job quality does not exist, and the combined effect of job quality is lower when the two dimensions of job quality are at the same level than the effect when either level of job quality is high or low. Conclusions: Although hard and soft job quality has independent positive effects on the overall health of wage workers, the two dimensions of job quality are not congruent or not in harmony with each other. This incongruence between hard and soft job quality, together with a higher impact of hard job quality, suggests that the role of soft job quality on overall health is relatively limited.

• Journal of Korean Academy of Nursing
• /
• v.54 no.1
• /
• pp.106-117
• /
• 2024

Purpose: This study examined the effects of stress vulnerability and parental burnout on the mental health of women with early school-aged children, with a focus on the mediating role of spirituality. Methods: A survey was conducted among 171 women with early schoolaged children in Gyeonggi Province, Gangwon Province, and Seoul. Data were collected from September to December 2022 using the Korean-Symptom Check List 95, the Parental Burnout Assessment, and the Spirituality Assessment Scale. The data were analyzed using structural equation modeling with SPSS/WIN 22.0 and AMOS 20.0. Results: The study model demonstrated a good fit, explaining 40.5% of the variance in mental health through stress vulnerability, parental burnout, and spirituality. Spirituality had a significant direct impact on mental health. Additionally, participants' spirituality directly influenced their mental health, while stress vulnerability and parental burnout indirectly affected their mental health and were mediated through spirituality. Conclusion: Stress vulnerability and parental burnout are negatively associated with mental health, while spirituality partially mediates these effects. Implementing a program to promote spirituality is suggested to assist mothers in recognizing the value and meaning of parenting activities during nursing interventions for mental health.

• Korean Journal of Social Welfare Studies
• /
• v.49 no.2
• /
• pp.65-92
• /
• 2018

It has been well known that there is a close relationship between health and depression among older adults. Under the purpose to mitigate and prevent the risk of depression caused by poor health, the changes in subjective health status'effects on depression depending on the level of age-friendly public service resources, and age were respectively examined in this study. Moderating effects analysis was conducted using 492 adults aged 55 years and over from '2017 age integration survey' data which had been collected nation-widely. Major findings are as follows. The inadequate subjective health status raises the level of depression. This tendency is weakened when the better age-friendly public service resources are presented. In contrast, age has no statistically significant effects on the relationship between two variables. As a result of reviewing the specific conditions to bring out the interaction effects, frail subjective health status increased depression of all age groups as the level of age-friendly public service resources is low. Particularly, for the participants aged average(age 66.6) and older, the negative effects of subjective health status on depression are likely to be lowered by the improvement in poor age-friendly public service resources. That is, the buffer effects of age-friendly public service resources are proved. Based on theses findings, several suggestions for health promotion and depression prevention of older adults were discussed.

• The Korean Journal of Community Living Science
• /
• v.25 no.4
• /
• pp.461-471
• /
• 2014

This study explores the moderating effects of income on the relationship between geriatric depression and health satisfaction among elderly individuals in Korea. The data were obtained from public data files in the 2011 Elderly Living Condition Survey database. The sample included 9,461 cases. The results show that the factors influencing health satisfaction were geriatric depression (${\beta}$=-.510, p<.001), gender (${\beta}$=.123, p<.001), activities of daily living (${\beta}$=-.116, p<.001), income (${\beta}$=.050, p<.001), living alone (${\beta}$=.044, p<.001), and the area of residence (${\beta}$=.017, p<.05). Income moderated the effect of geriatric depression on health satisfaction. Noteworthy is that an increase in income slightly weakened the negative relationship between geriatric depression and health satisfaction.

• Journal of Preventive Medicine and Public Health
• /
• v.12 no.1
• /
• pp.99-106
• /
• 1979

Accessibility to medical facilities and personnels has been known as one of important determinants of medical care utilization. This study attempted to identify the effects of medical accessibility in terms of geographical distance and occupational opportunity to the medical utilizations. Two-year-experiences of Yonsei University Health Insurance Cooperatives were used as the sources of data. Out patient utilization patterns of 713 members sampled from 4,352 members of Health Insurance Cooperatives were analyzed in order to identify the effects of medical accessibilities. Findings: 1 Average clinic visit rate of Yonsei Health Insurance is 1.66 per person per year. 2. The utilization rates of geographically more accessible group were 33% higher than that of less accessible group. 3. No marked difference in clinic visit rate were observed between medical and non-medical personnel and their family members. 4. Clinic visit rates among occupationally accessible group were slightly higher than those of less accessible. The utilization rate was more sensitively changed by the insurance policy changes in occupationally accessible group.