• Physical Therapy Rehabilitation Science
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• 제11권1호
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• pp.49-57
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• 2022

Objective: This study aims to conduct a comprehensive review of monitoring systems to monitor and manage physical function of community-dwelling elderly living alone and suggest future directions of unobtrusive monitoring. Design: Literature review Methods: The importance of health-related monitoring has been emphasized due to the aging population and novel corona virus (COVID-19) outbreak.As the population gets old and because of changes in culture, the number of single-person households among the elderly is expected to continue to increase. Elders are staying home longer and their physical function may decline rapidly,which can be a disturbing factorto successful aging.Therefore, systematic elderly management must be considered. Results: Frequently used technologies to monitor elders at home included red, green, blue (RGB) camera, accelerometer, passive infrared (PIR) sensor, wearable devices, and depth camera. Of them all, considering privacy concerns and easy-to-use features for elders, depth camera possibly can be a technology to be adapted at homes to unobtrusively monitor physical function of elderly living alone.The depth camera has been used to evaluate physical functions during rehabilitation and proven its efficiency. Conclusions: Therefore, physical monitoring system that is unobtrusive should be studied and developed in the future to monitor physical function of community-dwelling elderly living alone for the aging population.

• 가정간호학회지
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• 제29권2호
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• pp.194-203
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• 2022

Purpose: This study investigated the factors influencing the risk of relapse in community-dwelling adults with alcohol use disorder. Methods: This study included 122 community-dwelling individuals with alcohol use disorder who were receiving outpatient treatment at a mental health treatment hospital or were enrolled in a treatment program at the Community Addition Management Center in Gyeonggi Province. Data were collected using self-administered questionnaires from July to August 2020. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis using SPSS 25.0. Results: Abstinence self-efficacy (𝛽=-.56, p<.001), social support (𝛽=-.35, p=.009), female sex (𝛽=11.29, p=.015), and a family history of alcoholism (𝛽=9.41, p=.026) were significant predictors of relapse risk, accounting for 56% of the variance (F=12.68, p<.001). Conclusion: The findings of this study suggest that abstinence self-efficacy and social support are pivotal in reducing risk of relapse in individuals with alcohol use disorder. Therefore, relevant and effective interventions focusing on enhancing abstinence self-efficacy and social support are required.

• 보건행정학회지
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• 제14권1호
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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.

• 대한통합의학회지
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• 제9권4호
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• pp.225-235
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• 2021

Purpose: Since coronavirus disease 2019 (COVID-19) spread around the world, non-face-to-face services have emerged as the new normal. The functioning of children with developmental disabilities and cerebral palsy improves when parents, therapists, and institutions cooperate. We aimed to investigate the difficult environment of pediatric physical therapy caused by COVID-19, and grasp parents' perceptions of home exercise programs. We intend to design home exercise programs for pediatric treatment in the future and create a non-face-to-face pediatric rehabilitation service system based on our findings. Methods: The first survey was conducted on 30 parents who had children with cerebral palsy and developmental disabilities. It was produced after consultation with relevant experts and discussion with the research team, based on a survey conducted in a previous study. The second survey was produced by revising and supplementing the opinions of parents who completed the first survey and consulting experts. Thereafter, an online survey was conducted on 118 parents who had children with cerebral palsy and developmental disabilities. Results: 61.01 % of the parents reported that they were anxious or afraid for their children to be treated for infectious diseases. 83.90 % of the parents reported that the role of parents had increased. 50.00 % of the parents complained of a lack of skill. 85.59 % of the parents reported that they needed a home exercise program provided by the organization. As a non-face-to-face exercise management method, 35.59 % of the parents wanted a real-time video recording electronically mailed to them, and 34.75 % wanted real-time education using video conferencing programs such as zoom. Conclusion: The threat of COVID-19 has further emphasized the importance of social cooperation and management, leading organizations to enter a new era of non-face-to-face rehabilitation services. It is necessary to collect and systematize related studies to reflect more diverse opinions and improve the perceptions of therapists and parents.

• 한국병원경영학회지
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• 제6권1호
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• pp.107-119
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• 2001

There has been pointed out that a great portion of hospitalized patients stay in hospitals longer than necessary, often even after the completion of necessary care. This causes that hospital resources are not used efficiently. In order to identify underlying forces in postponing inpatients' discharge, this study aimed to investigate reasons for long-term stay of patients admitted in general hospitals. A total of 135 patients, who were staying at 7 general hospitals in Inchon and Kyonggi-Do for more than 60 days, were surveyed with a self-administered questionnaire between April 3 and April 10, 2000. Medical reasons including incompleteness of necessary care, difficulty in receiving outpatient-based care, and being under physical therapy were the most significant factors associated with long-term stay, followed by the lack of familial resources to take care of patients after discharge. Financial problems such as inability to pay for hospital bills were not significant factors influencing long-term stay. Regression analyses were conducted for medical reasons, familial resources, and financial problems, respectively. It was shown that receiving physical therapy and the number of admission in the past were significant predictors for medical reasons. The lack of familial resources as a reason for long-term stay had a positive relationship with the degree of need for aid in daily living. It may be recommended for the hospitals to cope with administrative problems due to the patients' long-term stay, considering the reasons of it, and their characteristics. And also, institutional efforts like vitalizing the home care service systems by hospitals as the continuing care after discharge should be needed.

• 지역사회간호학회지
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• 제16권4호
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• pp.381-391
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• 2005

Purpose: The purpose of this research is to develop and classify district visiting nursing standards and to standardize visiting nursing service pathways. Method: This research was conducted as a focus group study and analyzed visiting nursing records. We surveyed 201 recipients at urban health centers, who were selected through convenient sampling, from April 2003 to November 2003. Result: First, visiting nursing service recipients were classified into four groups according to household and financial characteristics, existence of disease, ability of self-care, and existence of home care service needs. Standardized pathways of the selected items were assessment. nursing care plan, disease management and promotion of self-care ability for Level I (mean=12.2 visits). For Level II (7.3 visits) were offered assessment. disease management. health education. and health promotion services. For Level III (5.2 visits) were offered assessment. disease management. health education and health promotion services, and for Level IV (2.7 visits) were offered thorough assessment, education for self-care and health promotion. Conclusion: The visiting nursing service pathways identified in this research need to be developed further as basic materials applicable to quality assurance and agency evaluation. For this, we suggest repeated research and test to apply the derived standardized visiting nursing services pathways in visiting nursing programs.

• 한국학교보건학회지
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• 제18권2호
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• pp.15-26
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• 2005

Purposes： This review is designed to assess the current status of health education in Korea, to identify problems within the curriculum, and to suggest ways to improve health education in Korea. Results： Korean schools currently lack a regular standardized health education curriculum. Subjects related to health education are presently taught in other disciplines, such as physical education, home management, biology, and other related subjects. The Korean health education curriculum suffers from many significant problems, including a lack of educational goals for health education, absence of designated time for health education, a lack of continuity between contents, knowledge-oriented health education, and an overall disconnect with the needs of the students. Other problems include an exclusion of health education experts in the development of the curriculum, no designated times for health education within the regular curriculum, and a lack of health teachers in schools. Conclusion： To improve health education in schools, standard health education curriculum should be developed. Health education curriculum needs to be sequential, comprehensive, and skill-based. Health education needsto be a essential subject, health teachers need to be trained, and provided with technical support.

• 가정간호학회지
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• 제14권1호
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• pp.18-22
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• 2007

Purpose: The rapid change to an aging society generates an increase in the incidence of chronic diseases. Many chronic patients have been facing their illnesses without enough preparation. In order to solve these problems, we designed and tested a public healthcare service based on ubiquitous technology. Method: Telemedicine has emerged as new medical care system of chronic disease. However, public potential of its technology is difficult to know under current traditional health care system. In this work, we developed a Personal Digital Access (PDA) phone based healthcare system by trained visiting nurses for elderly patients. A field test was performed by SeongBuk Public Health Center in Seoul, Republic of Korea (ROK). Result: Surveys were generated to assess the effects of this system compared to conventional public health system. Findings of trials demonstrate that healthcare coordination enhanced by PDA phone technology is satisfactory to the patients and nurses compared to previous one because prompt responses arouse their recognition of health. Conclusion: Ubiquitous healthcare system applied to public health service proved to be efficient and time-saving to monitor and control the chronic illnesses of large population.

• 대한가정학회지
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• 제46권1호
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• pp.63-72
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• 2008

The purpose of this study was to investigate the appearance management behaviors and motives differentiated by the body image of college men. A questionnaire was designed for the survey and the subjects were 228 college in Pusan and the Kyongnam province, Korea. The statistical analyses were carried out in the forms of frequency, factor analysis, cluster analysis, ANOVA and Duncan's multiple range test. The findings throughout the research are as follows; First, according to the multidimensional body image of the subjects, the college men were classified into three groups, i.e. the appearance concerning and satisfied group, the weight concerning group, and the appearance indifferent group. The appearance management behaviors of the college men consist of innovative appearance management, weight reduction, appearance management through apparel and fashion products, body shape care, skin care, hair care and health care. Second, the weight concerning group showed a higher BMI than those of the other groups. The means of the monthly income and the expenses for the appearance management of the appearance indifferent group were lower than those of the other groups. Third, the college men were generally shown to pursue the motive improving sociality. The appearance concerning and satisfied group and the weight concerning group indicated higher pursuing motives than the appearance indifferent group in the appearance management motives. Finally, there were significant differences in the appearance management behaviors among the three groups. While the weight concerning group showed the more concerning appearance management behaviors, the appearance indifferent group had the least appearance concerning tendency.

• 보건교육건강증진학회지
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• 제28권2호
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• pp.27-40
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• 2011

Objectives: This study was conducted to identify health-promoting behaviors and related factors by type of residence between two groups of college students: those who live in dormitories and those who commute from home. Methods: We used the data from 2,287 students (870 male, 1417 female) from 14 colleges in Daegu and Kyungpook areas and compared health-promoting practice scores, general characteristics, health environment, and parental support. Multiple regression analysis was performed with health-promoting practice scores as a dependent variable. Results: Dormitory residents presented significantly lower health-promoting practice scores than commuters in both gender. Multiple regression analysis showed that the factors associated with health-promoting behaviors were health environment (p<0.05) and parental influence/support (p<0.01) for male dormitory residents. For female dormitory residents interest in health(p<0.05), stress(p<0.05), and parental influence/support(p<0.01) were associated. Conclusions: Systematic development of health education programs would be needed for the practice of health promotion behavior of college dormitory students with the help of environmental and institutional support. We suggest a program for stress management, smoking, health behavior, and alcohol and a parental program to increase contact with their children for a positive parental influence and support.