• Title/Summary/Keyword: home health management

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Comparative Analysis of Community Health Practitioner's Activities and Primary Health Post Management Before and After Officialization of Community Health practitioner (보건진료원의 정규직화 전과 후의 보건진료원 활동 및 보건진료소 관리운영체계의 비교 분석)

  • Yun, Suk-Ok;Jung, Moon-Sook
    • Journal of agricultural medicine and community health
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    • v.19 no.2
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    • pp.141-158
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    • 1994
  • To provide better health care services to the rural population, the government has made the Community Health Practitioner(CHP) a regular government official from April 1, 1992. This study was carried out to study the impact of officialization of CHP on the activities and management system of Primary Health Post(PHP). Fifty PHPs were selected by two stage sampling, cluster and simple random, from 595 PHPs in Kyungnam and Kyungpook provinces. Data were collected by a personal interview with CHPs and review of records and reports kept in the PHPs. The study was done for the periods of January 1-March 31, 1992 (before officialization) and January 1-March 31, 1993 (after officialization). Ninety-six percent of the CHPs wanted to become a regular government official in the hope of better job security and higher salary. The proportion of CHPs who were proud of their iob was increased from 24% to 46% after officialization. Those CHPs who felt insecure for their job decreased from 30% to 10%. Monthly salary was increased by 34% from 802,600 Won to 1,076,000 Won and 90% of the CHPs were satisfied with their salary, also more CHPs responded that they have autonomy in their work planning, implementation of plan, management of the post, and evaluation of their activity. There were no appreciable changes in such CHPs' activities as assessment of local health resources, drawing map for the catchment area, utilization of community organization, grasping the current population structure in the catchment area, keeping the family health records, individual and group health education, and school health service. However, the number of home visits was increased from 13.6 times on the average per month per CHP to 27.5 times. More mothers and children were referred to other medical facilities for the immunization and family planning services. Average number of patients of hypertension, cancer, and diabetes in three months period was decreased from 12.7 to 11.6, from 1.5 to 1.2, and 4.3 to 3.4, respectively. Records for the patient care, drug management, and equipment were well kept but not for other records. The level of record keeping was not changed after officialization. The proportion of PHPs which had support from the health center was increased for drug supply from 14.0% to 30.0%, for consumable commodities from 22.0% to 52.0%, for maintenance of PHP from 54.0% to 68.0%, for supply of health education materials from 34.0% to 44.0%, and supply of equipment from 54.0% to 58.0%. Total monthly revenue of a PHP was increased by about 50,000 Won; increased by 22,000 Won in patient care and 34,700 Won in the government subsidy but decreased in the membership due and donation. However, there was no remarkable changes in the expenditure. The proportion of PHPs which had received official notes from the health center for the purpose of guidance and supervision of the CHPs was increased from 20% to 38% during three months period and the average number of telephone call for supervision from the health center per PHP was increased from 1.8 to 2.1 times(p<0.01). However, the proportion of PHPs that had supervisory visit and conference was reduced from 79% to 62%, and from 88% to 74%, respectively. The proportion of CHPs who maintained a cooperative relationship with Myun Health Workers was reduced from 42% to 36%, that with the director of health center from 46% to 24%, that with the chief of public health administration section from 56% to 36%, and that with the chairman of PHP management council from 62% to 38%. Most of the CHPs (92% before and 82% after officialization) stated that the PHP management council is not helpful for the PHP. CHPs who considered the PHP management council unnecessary increased from 4% to 16%(p<0.05). Suggestions made by the CHPs for the improvement of CHP program included emphasis on health education, assurance of autonomy for PHP management, increase of the kind of drugs that can be dispensed by CHPs, and appointment of an experienced CHP in the health center as the supervisor of CHPs. The results of this study revealed that the role and function of CHPs as reflected in their activities have not been changed after officialization. However, satisfaction in job security and salary was improved as well as the autonomy. Support of health center to the PHP was improved but more official notes were sent to the PHPs which required the CHPs more paper works. Number of telephone calls for supervision was increased but there was little administrative and technical guidance for the CHP activities.

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The Effects of Personal Psychological Variables, Family Variables, and Job Satisfaction on the Psychological Well-being of Middle-aged Men (중년기 남성의 개인내적 변인, 가족 변인 및 직무만족이 심리적 안녕감에 미치는 영향)

  • Woo, Seon Hye;Kim, Jung Min;Jo, Han Sol
    • Journal of Families and Better Life
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    • v.34 no.6
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    • pp.15-26
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    • 2016
  • The purpose of this study is to examine the effect of personal psychological variables(cognitive flexibility, emotion dysregulation, subjective health condition), family variables(marital satisfaction, father-adolescent communication) and job satisfaction on the psychological well-being of middle-aged men. For this research, questionnaires were administered to 550 middle-aged men residing in Seoul, Gyeonggi and Incheon. Among 352 questionnaires collected, 327 were selected and statistically analyzed by average, standard deviation, frequency analysis, t-test, one-way ANOVA, and hierarchical regression analysis using SPSS Win 21.0. The main results of the study are as follows: First, according to middle-aged men's social-demographic variables, the level of their psychological well-being differed significantly. Second, cognitive flexibility was the most significant predictor of their psychological well-being. In addition, emotion dysregulation, job satisfaction, father-adolescent communication, and subjective health condition were significant predictors. These results suggest that cognitive reconstruction training or problem-solving intervention could be useful for the psychological well-being of middle-aged men.

A Study on the Variables Influencing Suicidal Ideation in Single Person Households: Targeting One Gu in Gwangju (1인 가구원의 자살생각에 영향을 미치는 관련 변인 연구: 광주지역 1개구를 대상으로)

  • Kim, Hoa-Jean;Kim, Kyeong-Shin
    • Journal of Families and Better Life
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    • v.33 no.6
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    • pp.115-128
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    • 2015
  • This study aims to examine the general tendency of suicidal ideation in single person households and to analyse the differences and effects of related variables(sociodemographic variables, characteristics of single person households, happiness and depression) on suicidal ideation. For achieving these purposes, a survey was conducted using questionnaires, based on quota sampling that considers the distribution of population in each dong of one Gu in Gwangju. Finally, data of 686 single person households were used for analysis. The study findings were as follows. The average score of suicidal ideation in single person households was 6.47 points, it was somewhat higher as compared to prior research that was targeting general households. And the average score of happiness index was 4.17 points, depression was 33.11 points. The level of suicidal ideation in single person households was significantly different according to age, occupation, economic status, health status, period of single life, life satisfaction, and contact with family. In addition, the level of depression(${\beta}=.24$, p<.01) had the biggest effect on suicidal ideation in single person households and it was followed by happiness index(${\beta}=-.19$, p<.05) and family visit(${\beta}=-.15$, p<.05). The total explanatory power was 37%. These findings imply that it is important to find a high mental health risk group and treat it early, because there is a high possibility that single person households might have mental health problems by being isolated or alienated from society. In addition, diverse program and services designed to maintain familial bonds despite family members living separately are needed.

Study on Healthy Food Behavior and Recognition of Healthy Asian Food (건강 관련 식행동과 아시아의 건강음식에 대한 인식 연구)

  • Min, Kye-Hong
    • Korean journal of food and cookery science
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    • v.26 no.5
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    • pp.521-529
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    • 2010
  • The purpose of this study was to research healthy food behavior and food recognition for each Asian country after subjects had visited Asian restaurants. The subjects of the study were university students from Griffith university and Queensland university, Australia. The survey was conducted from June 1 to 28, 2010. The summary of the analysis is as follows. Firstly, for dietary behavior related to healthy food, 'average' was the most common answer at 41.0% (102 respondents). Regarding the standard of selecting healthy food, 'if it is good for health' was the most common answer, regarding the reasons to like healthy food, 'because it is good for health', was the most common, and for information about healthy food, 'obtain from TV or media' was the most common. Regarding eating healthy food at home or dining out, most respondents answered 'once or twice a week', whereas regarding thinking of eating healthy food while dining out, 'average' was the most common answer. Secondly, the recognition of six Asian cuisines were ranked in the order of Chinese, Japanese, Korean, Thai, Indian, and Vietnamese. Representative well-being food by country, Bibimbap of Korea, Sushi of Japan, Shark's Fin of China, Tom Yum Kung of Thailand, Curry of India and Goi Cuon of Vietnam were selected. Thirdly, regarding recognition of well-being food, disease effect factor, health-oriented factor, nutrition factor and vegetarian diet factor were extracted. We found that disease effect factor and nutrition factor had positive (+) effects on visiting Asian restaurants due to recognition of well-being foods. Therefore, it is expected that more local people will eat at Asian restaurants if the public relations for Asian restaurants emphasizes harmony between well-being food and Asian food.

Factors affecting the Self-esteem and Stress of University Students (대학생의 자아존중감과 스트레스에 미치는 영향 요인)

  • Chung, Yeon Ok;Shim, Gyu Beom;Lee, Myung Sun;Nam, Chul Hyun
    • The Journal of Korean Society for School & Community Health Education
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    • v.16 no.3
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    • pp.65-78
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    • 2015
  • Objectives: The purpose of this study was to investigate self esteem and stress of students at their universities for the development of a program related to school life and guidance. Methods: The survey were carried out in 5 universities located in Gyounggi Do, Gyungbuk Do, Busan city and Daegu city from 2014. October 1. to November 30. Out of a total of 500 Questionnaires answered by 500 students, 489 Questionnaires, were analyzed with SPSS version 12.0. Results: The total mean of the self esteem point of college student's school living was $3.41{\pm}0.44$ points. The total mean of the general stress point of college students was $2.67{\pm}0.52$ points. Affecting factors of the self-esteem of subjects(multiple regression analysis) were important things of school living(p<0.05), human and friendship(p<0.05), protector's job(p<0.001), home economic states(p<0.001), and friendship(p<0.001). Based on multiple regression analysis, affecting factors of the stress of subjects were important things of school living(p<0.05), human and friendship(p<0.05), religion(p<0.001), protector's job(p<0.001), friendship(p<0.001), and arbeit job(p<0.05). Conclusions: The results of this study help to provide a basis for development of a strategy to improve the self-esteem and solve problems of stress for university students. Also relevant programs should be developed and provided by related authorities and universities.

Analysis of Keyword Trend for ICT Convergence Services (ICT 융합 서비스의 키워드 트렌드 분석)

  • Jang, HeeSeon
    • Convergence Security Journal
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    • v.14 no.2
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    • pp.35-41
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    • 2014
  • With ubiquitous computing and network, the concern of government, business and academy for IT or ICT convergence has been increased. In this paper, through the analysis of keyword trend for ICT convergence services from 2000's mid, the efficient policy is proposed by estimating the understanding and concern of common people. In addition to, the concept and development step of convergence are analyzed, and the keyword analysis for the ICT convergence services defined in TTA is performed. The services are classified into smart home work transportation, Health ICT, RFID USN, M2M IoT, e-Navigation, intelligent robot, and the keywords for each service are analyzed. The analytic results indicate that the keyword trend varies in the time, and highly indexing keywords and new trend are defined. To provide the efficient ICT services, the new ICT convergence services needed for customer will be proposed with new IT technology development, IT standard, law management, and policy provisioining.

Associations between Use of Single-Parent Facility Programs and Public Support Programs and the Mental Health for Adolescent Single-Parent (청소년 한부모의 입소시설 프로그램 및 한부모가족 정책사업 수혜경험과 정신건강과의 관련성 탐색)

  • Lee, Yoon-Jung
    • Journal of Families and Better Life
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    • v.35 no.2
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    • pp.93-112
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    • 2017
  • The adolescent birth rate has doubled in the recent decade. As a result, the Korean government has implemented support for adolescent single-parent families by expanding the scope of coverage of the Single-parent Family Support Act in 2010. In order to understand whether experiences of facility entry programs and the Single-parent Family Support Act for adolescent single-parents were helpful or not, this study verified the relationship to mental health. This study utilized a part of the National Youth Policy Institute's 'Research on the Actual Condition of the Adolescent Pregnancy, Birth and Rearing Children.' Participants of the study were 218 adolescent single-parents at the age of 24 and younger. This study used the research methods of descriptive statistical analysis, ${\chi}^2$test, t-test, and one-way analysis of variance. The findings and discussion of this study are as below: Firstly, the depression level of adolescent single-parents who had been raised by grandparents was higher than other family types to a meaningful standard and adolescent single-parent's cognition of the original family's economic level was related to self-esteem and parenting efficacy. Secondly, the practical single-parent family support policy for adolescent single-parent's pregnancy, birth and rearing children has shown a higher reception rate, and medical service of facility entry programs has a higher satisfaction level. However, some of the facility entry programs and the Single-parent Family Support Act have a low reception rate and it should be considered whether to maintain them or not.Lastly, parts of facility entry programs and the Single-parent Family Support Act for adolescent single-parents have increased self-esteem and parenting efficacy and reduced parenting stress and depression's levels.

A study on the Design of Recipe Sharing Service for Single-Person Households (1인 가구를 위한 레시피 공유 서비스 디자인 연구 -백주부 요리 레시피를 중심으로-)

  • Kim, Han-Jun;Kim, Seung-In
    • Journal of Digital Convergence
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    • v.18 no.8
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    • pp.419-425
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    • 2020
  • This study proposes functional services within the cooking recipe sharing application. Many single-person households often eat alone, and eating out. their usual eating habits are not considered well. when living alone, the risk of exposure to mental illnesses increases compared than multi-person households, and if nutrition has unbalanced, it can be easily exposed to diseases. in this study, define these problems and emphasize the importance of maintaining physical and mental health of one-person households, and explored user experience and expectations through cano models, focusing on the Baekjubu fooe recipe is often used by 20-30s. and users can feel the cooking process is not a hassle. and they will have a cooking themselves and even manage their mental health through communication with neighbors.

Utilization Status of Internet and Dietary Information of School Children in Gyeonenam and Jeonbuk Areas (경남과 전북지역 초등학교 고학년생의 인터넷 및 식생활정보 이용실태)

  • 허은실;이경혜
    • Korean Journal of Community Nutrition
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    • v.8 no.1
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    • pp.15-25
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    • 2003
  • This study was carried out to investigate the utilization status of internet and dietary information by gender (boys : 442, girls : 461) in school children (total 903). The results were summarized as follows. The most of children used internet regularly (98.1%) and major purpose of using were mentioned as 'game (39.0%)' and 'social intercourse (49.5%)'. The duration of internet use was '< 2hours (80.9%)' They used internet mainly at 'home (88.8%)', and favorite search engines were 'Yahoo (54.2%)' and 'Daum (31.1%)'. The searching experience on dietary information was from only 35.6% of subjects mainly 'for homework (39.6%)' and 'for health (36.9%)'. The satisfaction degree of searched information was 'high (79.5%)'. Dissatisfactory reasons of internet site for dietary information were pointed out to be 'bring little interest (28.9)', 'difficult contents (19.2%)', and 'poor Information (18.2%)'. Only fifteen % of subjects had experience of nutrition counseling using internet, and purpose of counseling was mainly 'for homework (51.4%)' and 'for health problem (24.3%)'. The problems for nutritional counseling site were pointed out to be 'difficult answer content (31.7%)', 'insincere answer (28.6%)'and 'poor answer content (25.4%)'. They acquire information of nutrition and health management mainly through 'internet (43.7%)'. 'Growth and nutrition (28.3%)', 'improvement in studying ability (13.8%)', 'right weight control (13.3%)' and 'cooking (12.8%)'were most frequently asked information, They had a preference for 'game (40.5%)', 'animation (29.9%)' and 'quiz (18.1%)'as loaming method tools. The favorite site color was 'green (51.3%)'The results of this study showed that although the internet use was very high, they used internet to search dietary information very seldom. Therefore, the information donor should find out what is the optimal tool, what kind of dietary information was needed for school children.

Dietary Patterns of University Female Students in Kongju City : Comparisons among Subgroups Devided by Residence Type (거주형태에 따른 공주지역 여대생의 식생활양상 비교)

  • 김선효
    • Journal of Nutrition and Health
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    • v.28 no.7
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    • pp.653-674
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    • 1995
  • This study was aimed at comparing the dietary patterns of university female students according to their residence type. As for subjects, one hundred and twenty students of Kongju national university were chosen as a total. They were devided into three groups ; those who live in family home, or university dormitory, or self-boarding house. In this study, intakes of food and nutrient and dietary behaviors of each group were investigated through two-day food records and questionnaire. The result was that mean daily intakes of calcium and iron were lower than RDAs in all groups. According to residence type, subjects of family home and self-boarding seemed to have more serious problem in the nutrients mentioned above considering the proportions of less than 2/3 of RDAs. Especially, iron status was poorer than any other nutrients in the aspects of this proportion and food source. Iron was taken largely from vegetable foods which were recognized as a source of low bioavailability of iron. The average distribution ratios of breakfast, lunch, dinner and snack to total calorie intake was 22, 29, 30 and 19. Thus, it proved that breakfast tended to be more negligent than any other meals, and that snack was an important means to give nutrients for subjects. This meal pattern might be one of the factor for the decrease of the dietary quality. Processed foods were founded to be an important source for providing nutrients. Percentages of calorie, carbohydrate and fat consumed by processed foods to total nutrients. Percentages of calorie, carbohydrate and fat consumed by processed foods to total nutrients intake were 30.6, 29.5 and 46.2. However, other nutrient intakes from processed foods such as vitamin and mineral were small. And processed foods which give nutrients were mainly cereal products like ra myon, bread, and milk and milk products. Consequently, processed foods seemed to be selected as a combinient substitute food which supply calorie to fill their hunger. According to the living type, dormitory students had them more frequently than any other groups. Food habit score was within the category of poor or fair. Particularly, the score of self-boarding students was the lowest of groups(p<0.05). The major dietary problems were small or overating, missing meal and irregular eating. The degree of these problems was a little different among groups(P<0.01). Nineteen kinds of food were consumed per day, and family home and self-boarding students had foods less variously than dormitory students(P<0.05). Proportions of skipping breakfast, lunch and dinner were 20.8, 12.5 and 8.3%. Accordingly, breakfast was missed more often than any other meals. And self-boarding students missed breakfast more often than any other groups. As a conclusion, subjects should take more calcium and iron, and eat diverse foods to improve their nutritional status. And it is also necessary that breakfast should be regarded more importantly, and that processed foods should be taken considering nutritional balance. In view of residence type, subjects of family home or self-boarding had more dietary problems than dormitory subjects. Thus, these results suggest that university female students might have low ability of meal management, and dietary patterns were different by their residence type. Therefore, nutrition education for them should be carried out with respect to dewelling environment.

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