Purpose: The purpose of this study was to develop a model of an elderly health promotion center after witnessing the effect of a social support program on dependent variables in older adults at a local community health center. Method: The subjects were 60 female adults over 65 years dwelling in a rural area, and they were divided into experimental and control groups each with 30 people. A social support program was implemented 6 hours a day, 3 times a week, for 4 months in the experimental group. Included was health assessment, health education, counseling, consultation, exercise, physical & occupational therapy, primary care, recreation, lunch & transfer service. Data was collected from May 1stto September 14th, 2002 by questionnaires, and analyzed by $x^2$-test, t-test, Pearson's correlation coefficient and stepwise multiple regression using SAS. Result: The social support program in the elderly was very effective on all dependent variables of physical health (t=4.68, p=.001), health knowledge (t=3.60, p=.001), life satisfaction (t=8.65, p=.001), and health promoting behaviors (t=5.23, p=.001). Conclusion: The Social Support Program at a Community Health Center was effective on health promoting behaviors in the elderly.
Journal of the Korean Institute of Rural Architecture
/
v.17
no.4
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pp.33-40
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2015
This study is aimed at exploring the direction and characteristics of Japanese medical facility improvement in each area, a move to strengthen local medical services. Also, this study is intended to establish implications for Korea, which has similar social conditions as Japan's. Based on the findings, Japanese medical facility improvement has the following characteristics. First, as for medical service supply system, the linkage between facilities was being strengthened. The purpose is to share the functions and roles of limited medical facilities. It allows patients to receive complete medical services in one area. Second, local public health facilities were consolidated to boost their management efficiency and to improvement their original functions. Third, local medical facility roles were divided into different levels. The purpose is to treat patients more efficiently depending on their diseases. In other words, the cooperative medical system was strengthened by dividing the roles of medical facilities. It is aimed at treating each patient more systematically depending on their conditions in line with the treatment stage. The findings suggest the following for Korea. In order to supply and maintain stable medical services regionally in line with social changes, functional issues of medical facilities should be tackled consistently and systematically.
As carcass disposal is increasing widely in Republic of Korea, there is a need to comprehensively analyze the impacts and subsequent damages of carcass disposal. Especially, since environmental policy aims to not only reduce environmental damages, but also enhance overall sustainability, we apply the concept of environmental welfare to assess the comprehensive impact of carcass disposal, especially focusing on the rural area. In specific, assessment criteria were suggested based on the four categories related to environmental welfare, which were 'environmental quality', 'level of environmental service', 'environmental safety', and 'participation, openness to public, and communication'. The results showed negative impacts of carcass disposal in environmental, social and economical elements. Overall decrease in environmental quality negatively impacts the other elements of environmental welfare. Furthermore, there were discrepancies of level of impacts and damages among stakeholder. In the end, we suggest critical elements that need to be applied in relevant policies and regulation to promote effective carcass disposal management.
Journal of the Korean Institute of Landscape Architecture
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v.51
no.1
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pp.72-84
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2023
The Rural Revitalization Strategy (2018-2022), published by the Chinese State Council in 2018, represents a new period of rural development in China. Suburban areas are more convenient than other rural areas in integrated urban-rural development but are under greater pressure from construction and industrial pollution. As a rural area with a high proportion of rural areas, it would be valuable for Henan province to gain a comprehensive grasp of rural human settlementst while identifying problems and proposing solutions. The purpose of this study is to analyze the satisfaction of the evaluation items based on the usage status and life perception of the residents of Tai Nan village, a suburb-type rural village in Henan province. The study proposes improvement programs based on the evaluation results. As a result of the study, 24 evaluation items were derived and divided into five categories: "Living Service Facilities", "Housing Environment, "Road Environment", "Health & Ecology Environment", and "Social & Cultural Environment". The Fuzzy Comprehensive Evaluation Method was used to find the overall satisfaction level of the human living environment in Tai Nan village, which was "average", among which "Living Service Facilities" was the most important "Health & Ecology Environment" was the least satisfied. Based on these results, an improvement plan is proposed in three stages. First, the living service will be improved while strengthening the facility management of the hygiene and the ecological environment. Second, reasonable improvement of housing and the road environment will be applied. Third, programs will be introduced to cultivate residents' ability to build their own and improve the social and cultural environment. This study provides basic data for the future improvement of rural settlements in the suburban areas of Henan province and is of great significance in gradually improving the the residents' quality of life.
Purpose: This study analyzed the retention factors of Korean community health practitioners who sustained over 20 years based on a multi-dimensional framework. This study suggests global implications for nurses working in rural or remote areas, even during a worldwide pandemic. Methods: The participants were 16 Korean community health practitioners who worked in rural or remote locations for over 20 years. This study identified nurses' key retention factors contributing to long service in rural and remote areas. This is a qualitative study based on the narrative method and analysis was conducted using grounded theory. A semi-structured questionnaire was conducted based on the following: the life flow of the participants' first experience, episodes during the work experience, and reflections on the past 20 years. Results: First, personal 'financial needs' and 'callings' were motivation-related causal conditions. The adaptation of environment-work-community was the contextual condition leading to intervening conditions, building coping strategies by encountering a lifetime crisis. The consequences of 'transition' and 'maturation' naturally occurred with chronological changes. The unique factors were related to the 'external changes' in the Korean primary health system, which improved the participants' social status and welfare. Conclusion: Considering multi-dimensional retention factors was critical, including chronological (i.e., historical changes) and external factors (i.e., healthcare systems), to be supportive synchronously for rural nurses. Without this, the individuals working in the rural areas could be victimized by insecurity and self-commitment. Furthermore, considering the global pandemic, the retention of nurses is crucial to prevent the severity of isolation in rural and remote areas.
Purpose: To analyze health programs of the PHCP (Primary Health Care Posts) Method: From August 2006 to July 2007, data on the general quality and health program of the PHCP was requested by official letter and replies were received via E-mail. From December 8 to December 30, 2007, data from 1,268 (66.8%) PHCP out of 1,897 PHCP were analyzed using SPSS 12.0 Win program. Results: The average population covered by each PHCP is 878.3 people. For the health and special programs, Community Health Practitioners report high motivation for programs on health promotion, management of chronic illness, social welfare (40-50%). Demand by the residents was reported at 10% and increases in the health of the residents were attributed to high interest and demand. Volunteer work was 83.3% for bathing, 54.5% for equipment support and 46% for exercise programs. As elders make up 30% of the population in rural areas, there is an increasing demand for volunteer work in bathing programs. Conclusions: As the number of elders in the population increases and there is an increased need for more medical treatment for older people who are sick, the role of PHCP must be strengthened to include visits to homes of community residents. Where financial support for the PHCP is difficult, it is necessary to develop sound data on demographic characteristics of the population in order to develop efficient and effective health promotion programs. The finding that 54.7% of the population need management of chronic illness has difficulty in seeing a physician indicates a need to enhance the health care delivery system by strengthening the role of the Community Health Practitioners and including them in the civil service system to ensure stability of the PHCP.
Background and objective: With the revision of the Act on Urban Parks, Green Areas, Etc. in 2013, the "urban agricultural park" was newly established under the subcategory of "themed park," thereby establishing the institutional basis for the creation of urban agricultural parks. However, urban agricultural parks are still in the early stages of their introduction. There is a lack of research on direction setting and specific operation management that considers urban residents' needs and the city's physical infrastructure. Methods: We utilized the public service design process suggested by the Ministry of the Interior and Safety of the Republic of Korea in 2019 to identify problems and develop directions for urban agricultural parks. The process consisted of the following four steps: Understanding, Discovering people's needs, Defining real problems, and Developing ideas. Results: As four types of ideas for revitalizing urban agricultural parks, 'information users want to know,' 'user participation in design,' 'venue for local communities,' and 'urban agricultural parks as health and rest areas' were derived. This means that urban agricultural parks must provide the information users want; users must plan, decide, and implement such information by directly participating in the creation and efficient management and operation of urban agricultural parks; and urban agricultural parks must be used as a venue for local communities. Urban agricultural parks should also be spaces for health and relaxation. Conclusion: Urban agricultural parks should avoid the unified space and passive participation patterns of existing urban parks, and become real spaces for resident participation that can satisfy all the production, leisure, landscape, ecology, and psycho-social needs of the users of urban agricultural parks. Furthermore, it is necessary to introduce a more systematic and diverse operating system so that it can work to revitalize the local community and connect organically with the function of the city.
The purpose of this study is to examine the effect of the health status on the quality of life of the rural elderly, and to examine the conditional effect of socialsupport for that influence. 'Quality of life' used in this study was defined by unidimensional approach. The data were collected by conducting individual interviews with 296 rural elderly people aged 60 and the above who were living in one township of Kangwondo, between the time period of October and November 1995. The main findings are as follows: 1. Hierarchical regression analyses were carried out to examine the relative contribution of three set of variables on the quality of life. The first step, which included sociodemographic factors showed that the coefficient of determination (R$^{2}$) was 8% and income was a statisically significant variable. The second step, by adding health related factors, revealed that the R$^{2}$ was increased to 34% by 26% point and the degree of health recognition was the statistically significant variable. The third step, by projecting additionall social support related variables revealed that the R$^{2}$ was 42% 2. The conditional effect of social support was analyzed to examine the influence the health status has on the quality of life. The results are as follows: 1) The IADL and the degree of social contact interacted, resulting in that the higher degree of social contact boosted the stronger effect of IADL. 2) The effect of subjective health recognition on the quality of life is depended upon degree of family ontact. 3) The effect of eyesight on the quality of life is depended upon degree of satisfaction in social relation. The lower the degree of social support was, the bigger the influence of health related variables affecting quality of life became. This study explains that health status is a major factor in predicting the quality of life of the aged. Particularly the subjective health recognition was an important factor as the perception of quality of life.
The purpose of this study was to develop the strategy on activation of village by forest healing. Researcher conducted the questionnaire survey for forest healing village development to classify the mountain's characteristics by the three factors(linkage resource, program, facilities). In result, village characteristics were divided into two types: single element outstanding type(resource), complex element outstanding type(resource+program, resource+facilities). The development of forest healing village have to focused on the forest healing service recipient and mountain village characteristics. In conclusion, relationship between forest healing recipient and mountain characteristics was as follows: single type (resource) - public; complex type (resource+program) - chronic disease, social vulnerable people; complex type (resource+facilities) - severe disease. The detailed guideline for forest healing village needs to be established according to the mountain characteristics.
Journal of the Korean Institute of Rural Architecture
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v.11
no.3
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pp.37-44
/
2009
There is a rapid increase of child care centers due to the growth of women's social activities and a nuclear family. Child care center is an important part of community facilities for apartment housing complex. This study aims to collect the basic data required to develop the planning standards for the child care centers. This research limited the child care centers which is situated to permanent rental housing complex. Therefore, this research presents the basic design guidelines for the space composition planning of child care centers by grasping the special quality connected with the space composition of child care centers among the community facilities that is located in the permanent rental apartment housing complex.
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