• 보건교육건강증진학회지
• /
• 제33권5호
• /
• pp.13-21
• /
• 2016

Objectives: The present study aims to examine associations between job demands and problem drinking, smoking, and practice of regular exercise among middle-aged and older male employees. Methods: Analyses were based on 239 employees aged 50+ and participated the 1st(2006) and the 4th(2012) waves of the Korean Longitudinal Study of Ageing(KLoSA). Panel logit regression analyses were performed to explore longitudinal associations between physical and cognitive job demands and the health behaviors when effects of demographic characteristics and objective job conditions were controlled. Results: Results suggested that first, workers who reported greater cognitive job demands were less likely to engage in problem drinking over the 6-year-period. Second, increased physical demands of the job were associated with greater odds of smoking, while physical demands predicted a reduced likelihood of practicing regular exercise. Conclusions: Results from the present analyses emphasize job demands could lead workers to problem health behaviors and suggest areas for health promotion efforts at the workplace that are sensitive to the needs of aging workers.

• 한국보건간호학회지
• /
• 제18권2호
• /
• pp.234-242
• /
• 2004

The purpose of this study was study to prevalence and related factors of Hwabyung for the aged woman in rural community. A self-administered questionnaire survey was carried out for 616 Aged Woman Living in Uiseong County from March 1 to April 20, 2004. Collected data was analyzed by the $x^2-test$. The result of this study was as follows: Prevalence rate of Hwabyung was $13.3\%$ in Aged Woman Living in Rural Community. The factors of agricultural village feminine Hwabyung were personality, husbands. Prevalence rate this Hwabyung was high if a husband had angry work wife's personality was blunt and a wife had angry her husband. The reason to have got angry at a husband was liquor, a whoring. personality problem. It is necessary that community supports the aged woman and she develops own personality for development of own personality and solution of husband's problem in oder to low prevalence rate of Hwabyung for the aged woman in rural community.

• 보건교육건강증진학회지
• /
• 제32권3호
• /
• pp.43-55
• /
• 2015

Objectives: The aim of this study was to identify the associations with social support, stress coping strategy and depression among some urban middle-aged men and women. Methods: Considering the regional distribution 4 districts of Seoul were conveniently selected for this study and a total of 329 middle-aged men and women participated in the self-administered survey. The survey questionaries included social support, stress coping strategy, depression and general characteristics. Results: Avoidance and problem solving strategies were significant independent variables to the men's depression scores, but social support was not significant. However middle aged female's social support more explained the variance of the depression scores than the problem solving strategy. Conclusions: Significant sociopsychological factors that affected middle-aged depression were different by sex and according to the results, stress coping strategy for men and social support for woman were significant factors on depression control in urban middle-aged population.

• 보건행정학회지
• /
• 제27권4호
• /
• pp.372-374
• /
• 2017

Korea is one of the fastest aging country in the world. The increase in health expenditure is an inevitable problem in an aging country. We examined trend of benefit expenditure in National Health Insurance (NHI) by age group during 2001 to 2016. The benefit expenditure of NHI was 13.0 trillion won (2001) and 48.7 trillion won (2016); that is 3.76 times to 2001. This rapid increase was mostly due to people aged 65 and over. Proportion of beneficiaries aged 65 and over was 6.9% (2001) and 13.7% (2016), benefit expenditure per capita aged 65 and over was 279 thousand won (2001) and 960 thousand won (2016), and utilization days per capita aged 65 and over 21.44 (2001) and 30.23 (2016). This phenomenon was more pronounced in 75 or 85 aged and over. To contain the health costs for older people, the NHI system should be reformed.

• 부모자녀건강학회지
• /
• 제20권1호
• /
• pp.1-9
• /
• 2017

Purpose: This study aimed to investigate problem behavior and its related factors in school-aged children. Methods: A descriptive correlational study was conducted with 221 mothers of children at 1st to 6th grades. Data were collected from March to April, 2015 using self-report structured questionnaires. Questionnaires included characteristics of subjects, Korean Child Behavior Checklist for measuring problem behavior and Children's Sleep Habits Questionnaire for assessing sleeping habits. Collected data were analyzed by independent t-test, $x^2$ test, and multiple logistic regression. Results: In logistic regression analysis, having any maternal job (aOR=2.8, 95% CI=1.1~6.9) and higher daytime sleepiness (aOR=2.9, 95% CI=1.2~7.4) were statistically significant contributors of internal problems. Higher bedtime resistance (aOR=2.2, 95% CI=1.0~4.9) and higher daytime sleepiness (aOR=2.8, 95% CI=1.2~6.3) were statistically significant contributors of external problems. Higher bedtime resistance (aOR=4.3, 95% CI=1.5~12.4) was statistically significant contributors of total problem behavior. Conclusion: School-aged children with sleeping problem are at risk for problem behavior. More attention is need to consider sleeping habits for supporting behavioral improvement in school-aged children.

• 한국보건간호학회지
• /
• 제5권1호
• /
• pp.70-95
• /
• 1991

The ageing problem of the population has been emerging in Korea since 1970's so that it is expecting the elderly 65 years and over among the total population from $4.5\%$ in 1988 to be $6.3\%$ in year 2000. This study was conducted to provide secure policy development in coming years for the aged on medical and health care aspects based on the examining current status of the aged problems and health care policies and systems. The study divided into four parts; The first part examined the medical insurance program and public assistance program of the health services in relation to the aged. The second part emphasized on reduction of medical care cost for the aged. The third part studied the regular health check-up program and health education for the aged. The fourth part examined the chronic disease management programs for the aged and strategies of the health care service quality improvement and specialized programs. The following recommendations made as the results of the study. 1. At present, the medical insurance program and public assistance program for the medically indigent is not appropriate to the elderly because it is a part of general medical insurance program so that Health Security Law for the Aged is proposed. 2. Medical cost will be increased due to the high occupancy rate of hospital beds and long stay of the elderly so that it is recommended to develop an early discharge program, home health care program, Health hospice and an althernative programs. 3. At present, a regular health check-ups for the elderly is not included in medical insurance program so that it is recommended to be included in the insurance program and at the same time health education program thoroughly developed for the aged. 4. To make proper medical and nursing services on chronic diseases for the elderly, it is recommended manpower development, specialized clinics or hospitals, nursing homes and an equivalent long term care facilitices should be established on the community based and a research institutions also to be related to supper the care programs.

• 대한간호학회지
• /
• 제29권2호
• /
• pp.258-270
• /
• 1999

This study was carried out to offer the basic data for more qualitative lives of the middle-aged women through their health maintenance and control. So, the researcher reviewed and analyzed the health problems of the middle-aged women, the differences of main symptoms in each subject, positive ratcs in screening tests, the difference of screening tests with age and the correlation of obesity and blood pressure with screening tests. All subjects were 218 women(40-59years) who had a check-up at a comprehensive health check-up center in K University Hospital in Seoul from July 1, 1998 to August 31. 1998. Questionaires were developed to get subjects, general characteristics. main symptoms, medical examination and diagnosed disease by the researcher referring through the questionaires of comprehensive health check-up center and the medical recorders were used as a tool of study. The researcher analyzed the data with SPSS PC+ ; the distribution of the subjects, general characteristics and main symptoms with percentage : the difference between main symptoms and screening tests with X$^2$-test, ANOVA. The results are as follows. 1) Among the age distribution, most were 40-45 years old and unemployed. 2) The most common complaints were indigestion in digestive system, cough in respiratory system, heart beat in cardiovascular system, general sweat in endocrine system. edema in urinary system, easy bruise in hematologic system, backache in musculoskeletal system, headache in psychoneurologic system, lochia in gynecology, itch in dermatology system, eye ball pain in visual system and tinnitus in auditory system. 3) In main symptoms according to age, the 40-45 age group had a higher rate of complaints in digestive system and gynecology than other age group ; the 46-49 age group in endocrine system. 4) The main symptoms according to diagnosis had no difference statistically. 5) The screening tests which showed high rates of abnormality were mammography(the highest), abdominal ultrasonography, upper gastrointestinal series/gastrofiberscopy, PFT. In all age group the highest rate of abnormality was seen in mammography. 6) In screening tests according to age. the 46-49 age group showed higher positive rates of pap smear, blood sugar test, urine test than any other age group ; the 50-55 age group showerd higher positive rates of obesity, BP, chest X-ray, abdominal ultrasonography, ESR, SGOT, CRP and urine micro. 7) In correlation of obesity with screening test, the obesity group showed higher positive rates of blood pressure, chest X-ray, abdominal ultrasonography, HCT and CRP than the normal weight group. 8) In correlation of blood pressure with screening test, the hypertension group showed higher positive rate of obesity, chest X-ray, abdominal ultrasonography, pap smear and blood sugar than the normal blood pressure group. In conculusion, the middle-aged women have various physical symptoms and affected by age. The obesity and BP have an important effect on the health of the middle aged women. Therefore, this study is considered significant as data for qualitative lives of the middle-aged women playing an important part of family health care by catching of their health problem complaints for prevention of disease and promotion of health.

• 지역사회간호학회지
• /
• 제7권1호
• /
• pp.38-51
• /
• 1996

There is a increasingly growing emphasis on health promotion, disease prevention and optimum functioning for peaple including the chronically ill and disabled. According as the purpose of the nursing is the promotion of health, the value and belief of heal th within the nursing paradigm need to be defined in every culture. The paradigm components must be explored for meaning given by the aged in their traditional thought and philosophy, The problem addressed by this qualitative study was how the aged recognize value and belief of health, which contribute to the development of Korean nursing theory. Theoretical support for the study was from Leininger's cultural care theory and Korean philosophy and traditional oriented thought. Literature review refers to literature on the aged, health of the aged, and definition and meaning of general health concept. Grounded theory methodology guied the research methodology and analysis to build a substantive theory. The informants were 119 from a variety of social levels and family patterns; traditionally the aged are responsible for the health. The concentrated interviewing period was from may to june, 1995 ; the interviews were done by the researcher with two supporter and most were recorded on audio tape. Result from analysis of base datas follows; The value and belief of health that emerged from the categories and properties were the physical stability, the stability of mind, the stability of mind and body, the smoothness (harmony) of body function, the family concord, and the perfection of self. These values and beliefs of health are affected by the cosmic dual forces thought is based on the Great Absolute, family principle of confucian scholar, and Buddism. Among the values and beliefs of health, family concord is found out Korean culture peculiarities. These values and beliefs are all integrated into the idea of health. The study provided implications for nursing theory research, education, and practice change and development.

• 지역사회간호학회지
• /
• 제9권1호
• /
• pp.89-103
• /
• 1998

The elderly population will increase from 5.8% in 1996 to 12.5% in 2020. The related problems of health will also become a very important issue in the future. Therefore it is important to address the problems of geriatric nursing and geriatric health. 87.6% of the aged were ill with chronic degenerative diseases in 1994. In 1995, hospital admission rates (86.8) for those aged 60 or older were higher than that (56.3) of the total age group. Such high medical utilization will increase national health costs. For the development of geriatric nursing, active nursing intervention in various settings combined with education and research should be developed. Considering the health and welfare of the aged and the present status and views in Korea, I suggest the following: First, the health needs of the elderly in the institution, must be met by a plan that fosters geriatric nurses and programmed service development. Second, health service for the residential elderly must be provided in day care centers, short stays, nursing homes and geriatric hospitals. Geriatric nursing services should be provided in home residential areas, public health centers, public health subcenters as well as having, community health practitioners in primary health care posts and home health nurses. Third, geriatric nursing curriculum must be developed adjust to situations and culture of Korea and be included in the nursing curriculum. And gerontological nurse practitioner or geriatric specialist must be fosteraged to provide the professional care for the aged. Geriatric nursing research should be also achived for geriatric nursing improvements.

• 지역사회간호학회지
• /
• 제11권2호
• /
• pp.486-498
• /
• 2000

The purpose of this study is to identify health problems and health behaviors of the middle-aged residing in urban areas and to plan and implement health promotion programs based on their health needs. The subjects' age ranged from 30-64 years in 1.040 middle-aged residing in an area of Kangbook-ku in Seoul. The data were collected from September 1998 to February 1999 with structured questionnaire using face-to-face or telephone interviews. The data were analyzed by SPSS-PC+ and identified by $X^2$ test and ANOVA. The results were as follows: 1. 35.4% of the males and 27.8% of the female responded that they were healthy regarding their perceived health status. In the order of chronic illness prevalence in the case of males was hypertension, diabetes, and digestive disorders and. in the case of females, was digestive disorders, hypertension, arthritis, anemia, and diabetes. 2. Male and female's smoking rates were 7.3% and 3.6% each and marked the highest rate of 30 to 40 years: drinking behavior was 66.9% in males and 32.2% in females. 3. The younger males had the worse dietary habits and had the lowest frequency of regular exercise. The older the females were, the more their weight increased. According to the results, health promotion programs by sex are recommended, especially in the target population of 30 to 40 years. and focused on the strategies for promoting self-care and actual health practice: it is strongly suggested that health promotion programs for adolescent and school-aged children before middle aged health behavior begins.