• Korean Journal of Adult Nursing
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• v.16 no.4
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• pp.608-616
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• 2004

Purpose: The aim of this study was to identify the experience of patients with liver cirrhosis. Method: This study was performed from march 2003 to June 2003. The participators were five men. Data collected through in-depth personal interviews, which were recorded and analysed according to the Colazzi's method. Result: Liver cirrhosis was classified into 20 themes, 70 formulated meaning, and 10 categories. The Result confirmed that the experience of liver cirrhosis patients were classified into 10 categories; unexpected change, limited daily living and role, difficult compliance with therapeutic regimen, unbelief so untreated with apathy, negative emotional change, lack of cause perception, self control, perceived family support, expectations for recovery and healing. Conclusion: We, cooperative researchers, realized that to reduce not only the days of hospital treatment and the economic loss, as well as the expenditure of insurance the importance of managing liver cirrhosis from early diagnosis and the physical, spiritual, social role in studying the patients who experience liver cirrhosis.

• Korean Journal of Clinical Pharmacy
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• v.21 no.2
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• pp.81-89
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• 2011

Medication adherence is an important public health issue. This study is conducted to explore non-adherence of elderly with hypertension and/or diabetes mellitus and to better understand its' influencing factors. To explore non-adherence, 605 elderly patients in community were surveyed with Modified Morisky Scale (MMS), from Aug 18 to Sept 19, 2008. MMS is designed to predict medication-taking behavior and outcomes, and also to explain persistence of the patient's long-term continuation of therapy, which is a significant factor in the long-term management of chronic diseases. Also, MMS is designed to classify patients into a high/low continuum for knowledge and motivation. Patients self reported medication adherence were average 4.66 with MMS (range 0-6), only 78% of patients hold high motivation of medication adherence although 95.5% of patients hold high knowledge of medication adherence. This study explores which factors influence to high motivation of medication adherence and it proved that patients' participation in work, education level, participation in private health insurance, number of medication and medication frequency per day, pharmacists' explanation, experience of non adherence due to cost are important factors to explain high motivation of medication adherence of elderly with hypertension and/or diabetes mellitus.

• The Journal of the Korea Contents Association
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• v.9 no.8
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• pp.433-441
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• 2009

This paper searches for programs for creating increased employment in local society in important occupation sectors such as education and training services, insurance and social welfare services, culture and arts, housing and environmental service fields. As part of an improvement plan, while strengthening investment in education training infrastructure for the suppliers of social services, cooperation and coordination by the public and private sectors is necessary. Also necessary are identifying model social enterprises that are based upon joint efforts for success of social enterprises and publicity efforts necessary.

• Korean Journal of Adult Nursing
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• v.18 no.2
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• pp.261-271
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• 2006

Purpose: The purpose of this study was to investigate factors that have influence on a health examination among the middle aged living in Busan. Method: The survey was conducted with 235 participants who were the parents of students of five nursing schools in Busan, living in Busan, and subjects to a health examination under the National Health Insurance Corporation. The data was collected from September to November 2004 using a structured self-administered questionnaire that contained general characteristics, characteristics related to a health examination, and health belief variables. Collected data were analyzed using SPSS/WIN 10.0. Results: Among the subjects, 122(51.9%) had performed a health examination in the past, and 113(48.1%) had not. Variables that have a significant influence on getting a health examination were: previous disease experience, perceived barrier and perceived seriousness. Those who did not have previous disease experience(2.6 times) and whose perceived seriousness was high(1.1 times) were more likely to have a health examination, and those with perceived barrier high(0.9 times) were less likely. Conclusion: Therefore, to increase the rate of health examinations, it is necessary to advertise the importance of health examinations particularly for the people who had disease experience and the seriousness of target diseases; and furthermore, to remove barriers of a health examination.

• Research in Community and Public Health Nursing
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• v.21 no.1
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• pp.43-52
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• 2010

Purpose: The aim of this study was to compare health promotion behavior in middle-aged rural residents by cancer screening participation. Methods: Data were collected from 508 rural residents during the period from April 6 to June 6, 2009 using structured questionnaires, and analyzed using SPSS/WIN 12.0. Results: The cancer screening rate was 50.2%. The rate was significantly different according to sex, educational level, marital status, private insurance, family cancer history, smoking, drinking, perceived health status, and health concern. Men showed the highest screening rate in gastroscopy for stomach cancer, and women in pap smear test for cervical cancer. Pap smear test for cervical cancer showed the highest regular screening rate (4.3%). The average score of health promotion behavior was $2.65{\pm}0.35$. Health promotion behavior was significantly different according to cancer screening participation, health responsibility, stress management, and self actualization. Conclusions: These results suggested that there may be differences in health promotion behavior among middle-aged rural residents according to their cancer screening participation. A further study is necessary to find effective interventions for the non-cancer screening group.

• Research in Community and Public Health Nursing
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• v.19 no.4
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• pp.673-683
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• 2008

Purpose: This study was aimed to evaluate the performance of a community-based home care services model. Method: The subjects were 138 patients who have been enrolled during a 6 month's period, nursing records and nursing service bills. The data was collected by self report and chart review. The mean cost per visit was compared with those of hospitalization & clinic visit in the data from National Health Insurance Corporation. Result: A significant number of patients were bed ridden(63.8%) and unconscious (27.5%), and most of the patients had complex chronic diseases. Except nursing assessment, bed sore care was the most frequent nursing treatment(25.1%) in home care services. The mean cost per visit of home care services was 34,665 won, which was lower than those of hospitalization & clinic visit for medical aid. The patients were highly satisfied with the services by visiting nurse specialists. Conclusion: Community-based home care services provided cost-effective and satisfied services. Community-based home care services needs systematic supports to expand it's domain for promoting community health.

• Journal of Korean Public Health Nursing
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• v.24 no.1
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• pp.49-60
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• 2010

Purpose: This study investigated the quality of life, mental health and subjective health status of community dwelling cancer patients. Methods: Subjects were 212 out-patients with cancer at Kangwon University Hospital. The study was conducted from July 10 to August 14, 2008. Quality of life as determined by the Euro Quality of life-5 Dimensions (EQ-5D) was measured using Korea Centers for Disease Control and Prevention(KCDC). Mental health and subjective health status were measured using KCDC. Results: EQ-5D determined degrees of difficulty were 25.5%(mobility), 25.2%(anxiety or depression), 23.6%(pain or discomfort), 20.3%(activities of daily living), and 13.7%(self care). An analysis of the association between several factors and mental health showed that the statistically significant factors were age, gender, medical coverage, and private insurance. An analysis of the association between several factors and subjective health status showed that the statistically significant factor was occupation. Conclusion: Cancer patients suffer from significant psychological distress. Programs that address mental and physical health would be beneficial.

• The Korean Journal of Health Service Management
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• v.8 no.4
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• pp.121-130
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• 2014

To devise a plan to efficiently control and cope with musculoskeletal disorders, this study conducted a self-administered survey among dental hygienists working at dental clinics in Daegu. The data were collected from December 1, 2013 to February 28, 2014, and drew the following conclusions. For body posture for medical procedures, at lower levels in their careers, the hygienists' head and back were more bent; at higher levels in their careers, the their shoulders, body and hips were more bent; and at higher levels in their careers, their assistance posture in general was more bent. Hygienists with longer years of experience had more pain in the neck and the arms/elbows. Respondents engaged in medical treatment services were more likely to have pain in their arms/elbows, and those engaged in assisting in medical treatment and consulting and insurance services were more likely to have pain in their necks. It is necessary to recognize the seriousness of musculoskeletal disorders, provide specific education through supplementary training and relevant seminars, and avoid repetitive use of the same muscle or joint through environmental improvement of dental clinics, and personal efforts should be made to maintain good posture.

• Research in Community and Public Health Nursing
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• v.25 no.3
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• pp.159-169
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• 2014

Purpose: The purpose of this study was to evaluate the effectiveness of case management for patients with hypertension on their health status and medical service utilization. Methods: This study was a secondary analysis of data collected for a larger study of chronic disease management in 2008 using the National Health Insurance Corporation database. A total of 12,944 patients who received case management for hypertension were included in this analysis. The subjects of case management were classified into subgroups, namely, over-use, under-use, and non-use groups according to the amount of medical service utilization. To compare the medical service utilization, a control group was selected randomly. The data were analyzed through descriptive statistics, McNemar test, and ANOVA. Results: All the subgroups displayed significant differences in blood pressure, self-management, social support, and their characteristics of medical service utilization. The total medical expense of the under-use and non-use groups increased after case management. However, there was no decrease in the medical expense of the over-use group. Conclusion: This finding suggests that there is a need to re-examine why patients overuse medical services and to supplement specific strategies for encouraging appropriate medical service utilization, and enhancing case management efforts for the over-use group.

• Journal of Technologic Dentistry
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• v.15 no.1
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• pp.43-61
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• 1993

This study was conducted to determine factors influencing dental technicians recognition level of their occupational disease. After self-administered questionnaire were distributed by mail to 540 technicians clustered samplely semplely selected from dental laboratories resistered in seoul and pusan Korean Dental Laboratory Association 395 technicians responded from march 29 through April 27, 1993. The results are as follows. 1. The recognition level of an occupational disease of the total 395 respondents by sex is higher among male than female. The difference was found to be meaningful(p <.05). 2. When the recognition level of an occupational disease being tested with 45 as the highest point possible, the average point 31.41 $\pm$ 6.50 of the total respondents reflected a high level of recognition. The highly recognized items were stress, bronchial disease, hearing loss. 3. With the highest points in Wallston and Wallstons' health locus of control in personality being 54, the average points of the dental technicians in the study was 35.41 $\pm$ 4.93. 4. As for the medical care patterns, the rate was higher among local medical insurance 64.4% than none 16.8%, company medical isurance 9.2%, medical aide 6.7%, others 2.6%. As for the experience of utilization of outpatient servelies, Yes was 40.4% and 59.6%, showing a meaningful difference(t=.80, p<.05).01) accounted total variance of the factors influencing dental technicians recognition level of their occupational disease(p<.0.000), R-squaire is 0.08.