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Research Paper
Interorganizational Networks for Smoking Prevention and Cessation: A Blockmodeling Approach
Park, Eun-Jun , Kim, Hyeongsu , Lee, Kun Sei , Cho, Junghee , Kim, Jin Hyeong , Jeong, Ho Jin , Lee, Ji An
J Korean Acad Nurs 2022;52(2):202-213.   Published online April 30, 2022
DOI: https://doi.org/10.4040/jkan.21192
AbstractAbstract PDF
Purpose
This study examined characteristics and patterns of interorganizational networks for smoking prevention and cessation in Korea.
Methods
We surveyed two community health centers, ninety-five hospitals or clinics, ninety- two pharmacies, and sixty-five health welfare organizations in two districts of Seoul in 2020. Data on the organizations’ characteristics of smoking cessation and interorganizational activities for information sharing, client referral, and program collaboration were collected and analyzed using network statistics and blockmodeling.
Results
Network size was in the order of information sharing, client referral, and program collaboration networks. Network patterns for interorganizational activities on information sharing, client referral, and program collaboration among four organizations were similar between the two districts. Community health centers provided information and received clients from a majority of the organizations. Their interactions were not unidirectional but mutual with other organizations. Pharmacies were involved in information sharing with health welfare organizations and client referrals to hospitals or clinics. Health welfare organizations were primarily connected with the community health centers for client referrals and program collaboration.
Conclusion
A community health center is the lead agency in interorganizational activities for smoking prevention and cessation. However, hospitals or clinics, pharmacies, and health welfare organizations also participate in interorganizational networks for smoking prevention and cessation with diverse roles. This study would be evidence for developing future interorganizational networks for smoking prevention and cessation.
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Original Articles
Effects of BeHaS Program on Health Behavior, Physiologic Index and Self-Esteem of the Elderly Living Alone with Metabolic Syndrome Based on Community Based Participatory Research
Kim, Jong Im , Kim, Sun Ae , Park, Keumok , Kim, Jiyoung , Lee, Lina , Choi, Si Wan , Ku, Bon Jeong
J Korean Acad Nurs 2020;50(4):571-582.   Published online August 31, 2020
DOI: https://doi.org/10.4040/jkan.19261
AbstractAbstract PDF
Purpose
This study aimed to determine the effects of a 12-week metabolic syndrome BeHaS (Be Happy and Strong) program in elderly people with metabolic syndrome living alone, based on a community-based participatory research (CBPR).
Methods
A nonequivalent control group pre-posttest design was used, and the participants were 43 elderly people living alone (experimental group 24, control group 19). The experimental group received a one-hour program per week and two individual health consultations during 12 weeks. The control group received two sessions about the metabolic syndrome and two individual health consultations. The effects of health behavior, blood pressure, blood sugar levels, abdominal circumference, triglycerides, and self-esteem were evaluated. The data were analyzed using the independent t-test and Mann-Whitney U test.
Results
The health behavior with respect to the metabolic syndrome in the experimental group increased significantly (t = - 3.19, p = .002). Both diastolic blood pressure and abdominal circumference decreased in the experimental group (t = 2.00, p = .028 and t = 3.91, p < .001). No significant differences were observed between the groups in systolic blood pressure, fasting blood sugar levels, triglycerides, and self-esteem.
Conclusion
The 12-week metabolic syndrome BeHaS program using community resources improves the health of elderly people with metabolic syndrome living alone. Based on these findings, further studies on the effectiveness of the metabolic syndrome BeHaS program and the experiences of those who participated in the CBPR are warranted.

Citations

Citations to this article as recorded by  
  • Exploring the Impact of Smart Mobility and ICT Solutions on Older Adults’ Mobility: A Systematic Literature Review
    Chengyuan An
    IEEE Access.2024; 12: 159056.     CrossRef
  • 노인 대사증후군에 효과적인 중재: 체계적 문헌고찰과 메타분석
    서현 이, 슬 구, 유미 서, 선화 반
    Public Health Weekly Report.2023; 16(48): 1633.     CrossRef
  • Comparison of the Effects of Education Only and Exercise Training Combined with Education on Fall Prevention in Adults Aged 70 Years or Older Residing in Elderly Residential Facilities
    Chahwa Hong, Haejung Lee, Misoon Lee
    Journal of Korean Academy of Nursing.2021; 51(2): 173.     CrossRef
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Development and Effects of Social Learning Theory Based Eye-Health Program for Preschoolers
Sunghwa Lee, Haejung Lee, Hyungsik Seo, Jaeho Jung
J Korean Acad Nurs 2018;48(4):407-418.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.4.407
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to develop an eye-health program based on social learning theory (EPST) of preschoolers and evaluate its effectiveness.

Methods

A nonequivalent control group pre-post test design was utilized and 141 six-year-old preschoolers and their parents participated (experimental group=69, control group=72) in the study. The EPST in this study included eye-health education and eye exercises. Attention, memory, replay, motivation, reinforcement, and self-efficacy were used as interventional strategies. To examine the effectiveness of EPST, proficiency in eye-health activities, refractive power, and visual acuity were measured before and after the intervention. Data were analyzed with SPSS WIN 21.0 using the Shapiro-Wilk test, χ 2-test, Mann-Whitney U test and Wilcoxon signed rank test.

Results

Following the intervention, eye-health activities, refractive power, and visual acuity significantly improved in the experimental group compared to the control group.

Conclusion

The results of this study suggest that EPST is effective in improving eye-health activities, refractive power, and visual acuity in preschoolers, and its wider implementation in educational institutions will promise improved eye-health among preschoolers.

Citations

Citations to this article as recorded by  
  • Effectiveness of Social Learning Theory Based Ecological Footprint Awareness Program in 60-72-Month-Old Children: A Randomized Controlled Study
    Ayşe Sezer Balci, Kerime Öğüt Düzen, Vildan Yalçın
    Child Indicators Research.2025; 18(1): 199.     CrossRef
  • A qualitative content analysis based on an extended parallel process model study of daycare center teacher behaviors concerning the eye health of preschool children
    Il Tae Park, Gi Joong Kim
    The Journal of Korean Academic Society of Nursing Education.2024; 30(3): 222.     CrossRef
  • Social cognitive theory-based health promotion in primary care practice: A scoping review
    Kazi Faria Islam, Abdul Awal, Hoimonty Mazumder, Ummi Rukaiya Munni, Koushik Majumder, Kohinoor Afroz, Mustari Nailah Tabassum, M. Mahbub Hossain
    Heliyon.2023; 9(4): e14889.     CrossRef
  • Relationship between decreased visual acuity and physical activity time in school age children
    Hanna Lee, Jeong-Won Han
    Frontiers of Nursing.2021; 8(2): 113.     CrossRef
  • Developing and Evaluating an Educational Program for Respiratory Infection Prevention among Rural Elderly Residents in South Korea
    Jin Soon Kim, Ji Hye Choi, Myung Soon Kwon
    International Journal of Environmental Research and Public Health.2020; 17(9): 3057.     CrossRef
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The Recovery Process of Alcohol Dependent Men Living in a Therapeutic Community
Sungye Kang
J Korean Acad Nurs 2017;47(2):267-276.   Published online April 28, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.2.267
AbstractAbstract PDF
Purpose

The purpose of this study was to explore the recovering process of men who had abused alcohol and has lived in a therapeutic community.

Methods

Individual in-depth interviews were used to collect data from 10 of these men who has lived in the therapeutic community for more than one year. Qualitative data from field notes and transcribed notes were analyzed using the grounded theory methodology developed by Strauss and Corbin.

Results

The core category about the recovering process of the men who had abused alcohol and are now in the therapeutic community was identified as “reconstructing a broken life”. The recovering process of these men in the therapeutic community consisted of four phases; ‘self-awareness stage’, ‘unfreezing stage’, ‘readjustment stage’, and ‘challenging stage’.

Conclusion

In this study “reconstructing a broken life”, as the core category vividly showed joys and sorrows of men who had abused alcohol and has lived in the recovering process of managing the yoke of life-long disease. In this process of recovery from alcoholic dependence the men gradually adjusted themselves to their given condition. Also they gained coping strategies to care for, and protect themselves. Therefore health care providers can establish supportive programs in the clinical field to empower these men by reflecting their proactive coping strategies.

Citations

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  • Life transformation: a meta-synthesis of recovery from alcohol addiction
    Jandi Kim, Youjin Shin, Byunghee Kim, Sungjae Kim
    Addiction Research & Theory.2021; 29(5): 372.     CrossRef
  • Stress and Coping of Recovering Alcoholics in Communities
    Jaewon Joung, KyungIm Kang
    Stress.2019; 27(3): 277.     CrossRef
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Analysis of Factors related to the Utilization of a Community Health Posts Information System
Chung Yul Lee, Suk Myung Bang
Journal of Nurses Academic Society 1997;27(1):7-12.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.1.7
AbstractAbstract PDF

A computerized Community Health Posts information system was developed in 1991 by Yonsei University, College of nursing and disseminated to more than four hundred Community Health Posts. The content of was published in the journal, The Korean nurses in 1995, volume 34, number 4. Successful adoption to the computer program is related to many factors, such as personal factors and environmental factors. For the computer program to succeed it must be significantly related to the users and therefore it is necessary to analyze these related factors. This study describes the status of the utilization of computer programs in Community Health posts and analyzed the factors related to utilization of the computer program. Of the 801 community health practitioners, 656 responded and data were analyzed using SPSS computer programs. Respondents were from six provinces and about 85% had been working as CHPs for more than five years and 84.1% had graduated from a community college. Of these 656, 42.1% had a computer and about 60% had funding aid from the community or government. The percentage using the community health post's computer program was 22.3%. Community health practitioners were most often using the following content of the computer program ; treatment activities (65.5%), medication management (53.5%), counselling and education (46.4%), bookkeeping (39.5%), chronic disease management (28%), and insurance billing (15.9%). The factors which were significantly related to the computer utility were degree of support from province, years of working, and age. The Community health practitioners who had more support from the province, who had fewer working years, and were younger used the computer program more frequently.

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Discussion on Expansion and Establishment of Home Nursing Care
Jeong Ho Park, Soon Young Yun, Mae Ja Kim, Kyoung Ja Han, Kyoung Ja Hong, Seong Ae Park, Na Mi Whang, Jeong Soon Heo
Journal of Korean Academy of Nursing 2002;32(6):855-866.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.6.855
AbstractAbstract PDF

PURPOSE: The purpose of study is to develop a home nursing care project model suitable for Korea's heath care system and policy directions for expansion and establishment of home nursing care. METHOD: The first, status of home nursing care program in medical institution and public health center was evaluated respectively in view of structure, process and performance. And then, issues of the program were analyzed in view of accessibility, safety, and sufficient supply. The second, demand projection of home nursing care according to income level and technical level of service that is needed to the subject was tried. In addition, the level of supply for home nursing care at present was estimated. The third, home nursing care program in advanced countries (Japan and U.S.A.) was examined. RESULT AND CONCLUSION: Community-based home nursing care program is developed into public-operation model and private-operation model from above the sub-subject result. Functional network for referral system among related institutions is built up to meet various needs, regardless of accessibility to distance and economy. And prior settlements and policy directions for expansion and establishment of home nursing care are suggested.

Citations

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  • An analysis on performance of visiting health care services by general characteristics of visiting nurse in public health center
    Jeong Sook Park, Yun Jung Oh
    Journal of Digital Convergence.2014; 12(12): 381.     CrossRef
  • An Economic Evaluation of the Home Nursing Care Services: Public Health Center Versus Private Hospital
    Jinhyun Kim, In Sook Lee, Mee Kyoung Joo
    Journal of Korean Academy of Nursing Administration.2010; 16(4): 409.     CrossRef
  • Developing an Electronic Nursing Record System for Clinical Care and Nursing Effectiveness Research in a Korean Home Healthcare Setting
    EUN JOO LEE, MIKYOUNG LEE, SUE MOORHEAD
    CIN: Computers, Informatics, Nursing.2009; 27(4): 234.     CrossRef
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Cost-Benefit Analysis on Community Health Practitioner
Tae Wha Lee, Il Sun Ko
Journal of Korean Academy of Nursing 2002;32(4):435-446.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.4.435
AbstractAbstract PDF

PURPOSE: The purpose of the study were to describe outcomes of CHP activities, and to evaluate the economic validity of CHP through a cost-benefit analysis. METHOD: The sample size was 272. Data were collected using a researcher developed questionnaire from November 1999 to March, 2000. RESULT: The mean age of CHPs was 39.6 (SD=.36). In regard to marital status, 90.8% of the respondents were married. 72% of the CHPs had associate degree. Among CHP activities, providing medical services was 50%, followed by home care visits 20% and health promotion services 20%, preventive services 10%. Total costs per month incurred to CHP activities was won3,053,437($2,442.7). Total benefits per month was won6,711,525($5,369.2). Hence, net benefit was calculated as won3,658,089($2,926).
CONCLUSION
Cost-benefit ratio was 2.20, which provides the evidence of the economic viability of CHP program. The result of cost-benefit analysis, however, would more strongly support the economic value of CHP if intangible benefits of CHP activities such as decreases in pain and suffering and increased quality of life, could be counted.

Citations

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  • Evaluation of a Community Health Practitioner Self-care Program for Rural Korean Patients with Osteoarthritis
    Chung Yul Lee, Yoon Hee Cho
    Journal of Korean Academy of Nursing.2012; 42(7): 965.     CrossRef
  • Looking Back the Past 30 Years: Activities and Achievements of Community Health Practitioners in Rural and Remote Areas in Korea
    Chunmi Kim, Kyung Ja June
    Journal of Korean Academy of Community Health Nursing.2012; 23(1): 51.     CrossRef
  • Cost-benefit Analysis of Home Visiting Care for Vulnerable Populations with Hypertension
    Young Ko, In Sook Lee
    Journal of Korean Academy of Community Health Nursing.2011; 22(4): 438.     CrossRef
  • An Evaluation of Effects on Hypertension and Diabetes Mellitus Management of a Community-Based Nursing Care Center Using Cost-Benefit Analysis
    Ji Young Lim, Jung Nam Im, In A Kim, Su Kyoung Ko
    Journal of Korean Academy of Nursing Administration.2010; 16(3): 295.     CrossRef
  • A comparative study of patients’ and nurses’ perceptions of the quality of nursing services, satisfaction and intent to revisit the hospital: A questionnaire survey
    Mi Aie Lee, Young-Hee Yom
    International Journal of Nursing Studies.2007; 44(4): 545.     CrossRef
  • Introducing Economic Evaluation as a Policy Tool in Korea: Will Decision Makers get Quality Information?
    Kun-Sei Lee, Werner B F Brouwer, Sang-Il Lee, Hye-Won Koo
    PharmacoEconomics.2005; 23(7): 709.     CrossRef
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A Model for Community Based Mother Infant Care Center: TMIC (transitional mother infant care center) using a Sanhujoriwon
Eun Kwang Yoo, Young Mee Ahn
Journal of Korean Academy of Nursing 2001;31(5):932-947.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.5.932
AbstractAbstract PDF

PURPOSE: The purpose of this study was 1) analyze the current state of Sanhojoriwon; and 2) to suggest the new model for the community based mother infants health care delivery system: strategies of TMIC are related to Public Health policy, cost-effectiveness, mother infant care provision of medical professionalism, and so on.
METHOD
Forty-seven workers from seventeen Sanhojoriwon participated to analyze several aspects of Sanhojoriwon. Using a questionnaire developed at Korean Sanhojori Research Forum (KSARF), such as the traditional and medical concept of the Sanhojori, postpartum care, Korean traditional postpartum care, job description on women and infant care at Sanhojoriwon, professional management, health care policy and the educational need.
RESULTS
Based on the descriptive study results, the TMIC, the community based transitional mother infants care center was suggested as a new model for the cyclic public health care system related on the reproductive health, using an already existing related center, Sanhojoriwon. Also, several strategies were presented on the TMIC.

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  • Mothers’ Experiences of Childbirth and Perspectives on Korean Medicine-Based Postpartum Care in Korea: A Qualitative Study
    Do-Eun Lee, Hyo-Weon Suh, Han-Song Park, Inae Youn, Minjung Park, Joohee Seo
    International Journal of Environmental Research and Public Health.2022; 19(9): 5332.     CrossRef
  • The Review and Future Perspectives of the Postpartum Care Service System for the Improvement of the Private-Postpartum Care Center’s Publicity
    Hee-Sun Kim, Jae Hee Lee, Jeong Rim Lee, Ji-Won Eom, Ja Yeun Koo, Byoung Lok Park, Hyun Soo Park, In Sook Sohn
    Journal of The Korean Society of Maternal and Child Health.2021; 25(3): 153.     CrossRef
  • Efficacy of a footbath for post‐partum fatigue in South Korea: A quasi‐experimental study
    Eunsun Choi, Eunju Song
    Japan Journal of Nursing Science.2017; 14(2): 126.     CrossRef
  • Factors Influencing Health Promoting Behavior in Postpartum Women at Sanhujoriwon
    Hyekyung Choi, Namok Jung
    Korean Journal of Women Health Nursing.2017; 23(2): 135.     CrossRef
  • Patterns and Factors associated with Complementary and Alternative Medicine Use among Korean Postpartum Women
    Ju Hee Kim, Hye Sook Shin, So Young Kim, Hye Kyung Lee, So Hee Lim
    Korean Journal of Women Health Nursing.2016; 22(1): 1.     CrossRef
  • Perceptions and Challenges
    Juyeon Son
    Journal of Transcultural Nursing.2016; 27(3): 241.     CrossRef
  • A qualitative review of immigrant women's experiences of maternal adaptation in South Korea
    Ju-Eun Song, Jeong-Ah Ahn, Tiffany Kim, Eun Ha Roh
    Midwifery.2016; 39: 35.     CrossRef
  • Effects of Laughter Therapy on Immune Responses in Postpartum Women
    Kyung Hee Ryu, Hye Sook Shin, Eun Young Yang
    The Journal of Alternative and Complementary Medicine.2015; 21(12): 781.     CrossRef
  • Effects of a Newborn Care Education Program using infant model
    Hyemin Hwang, Juok Kim
    Journal of the Korea Academia-Industrial cooperation Society.2014; 15(6): 3805.     CrossRef
  • Effect of Intervention Programs for Improving Maternal Adaptation in Korea: Systematic Review
    Ju Eun Song, Jeong Ah Ahn
    Korean Journal of Women Health Nursing.2013; 19(3): 129.     CrossRef
  • A Comparative Study of Postpartum Stress, Postpartum Depression, Postpartum Discomfort and Postpartum Activity, Between Women who Used and those Women did not Used Sanhujori Facilities
    김민아, Choi so young
    JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH.2013; 17(2): 184.     CrossRef
  • The Changing Pattern of Physical and Psychological Health, and Maternal Adjustment Between Primiparas Who Used and Those Who did Not Use Sanhujori Facilities
    Ju-Eun Song, Bo-Lim Park
    Journal of Korean Academy of Nursing.2010; 40(4): 503.     CrossRef
  • Risk Factors for Neonatal Infections in Full-term Babies in South Korea
    Hye Sun Yoon, Youn Jeong Shin, Moran Ki
    Yonsei Medical Journal.2008; 49(4): 530.     CrossRef
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A Preliminary Study for Evaluating on Demonstration Project of Community-based Home Health Care Nursing Services by the Seoul Nurses Association
Ho Sihn Ryu, So Woo Lee, Hee Ja Moon, Na Mee Whang, Sung Ae Park, Jung Sook Park, Hang Jei Choi, Kee Soon Jung, Sang Ae Han, Ji Young Lim
Journal of Korean Academy of Nursing 2000;30(6):1488-1502.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.6.1488
AbstractAbstract PDF

This study, based on current home nursing services, aims at promoting measures for establishing a community-based home nursing system derived from the pilot home nursing demonstration project conducted by the Seoul Nurses Association. The study was based on an analysis of home nursing records from march 1993 to December 1999. The following is a summary analysis, based on individual characteristics of the patients, the organization, which recommended the service for their patients and personnel services. 1. The service has been used by many elderly people 60years of age or older(66.4%). and married people(60.9%). The average number of visits by service personnel for patients of city government was 23.5. This is 2.5 times as many visits by general patients. General patients(20.2%) had only one visit from service personnel, while 65.5% of patients of city government had 10 or more visits. Particularly, for government recommended patients, 72.7% of the patients were recommended by nurses, while only 21.9% where referred to the services by doctors. The main focus of a home nursing service was to maintain present health status (53.4%), and hospice(11.6%). Also to increase hospital-based home nursing services focused on recovery(55.9%) and maintain present health conditions (19.0%). 2. For general patients, 42.0% of patients were suffering from problems related to CVA, 11.3% from high blood pressure, and for patients referred from city, 21.2% from skeletal muscular disease. Results of home nursing services 29.4% of patients were able to recover or maintain their health status, but 48.9% of the patients died. Another main point of community-based home nursing services is medication(6.7%), other basic nursing services(6.1%), special treatment, instructions on how to use medical devices(5.9%), change of physical posture(4.6%), and training on changing physical positions(4.7%). As mentioned above there were some differences between the characteristics of patients who used the pilot home nursing service conducted by the Seoul Nurses Association and those hospital-based service users. The results are believed to be useful to support a community-based home nursing service model. Particularly, patients under medical supervision and patients recommended by government-run health clinics show a higher frequency and longer use of home nursing services compared to general patients or hospital-based home nursing service users. According to the study, nurses accounted for a large number of recommendations for home nursing services. Many patients with CVA, high blood pressure, skeletal muscular disease and bedsores used community-based home nursing services, while others used the service for minor treatments or maintaining their current health status. Based on the study, the researchers make several suggestions to establish a community- based home nursing service system. First, different ways of setting up a community-based home nursing system have to be mapped out based on the evaluation of the pilot home nursing service conducted by the Seoul Nurses Association. Secondly, a new, community-based, home health care nursing service model, and reimbursement payment system have to be developed. This is based on the outcome of the analysis, and implemented policy. Accordingly, efforts are needed to develop a community- based home nursing system with an intermediary role to promote the visiting nursing services of government-run health centers.

Citations

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  • Examining Characteristics and Service Utilization of South Korean Home Health Care Patients: Secondary Analysis of 10-Year Data From a Tertiary Hospital
    Hana Lee, Aeri Kim, Hyunsook Heo, Jisoo Lee, Kyungmi Woo
    Home Health Care Management & Practice.2023; 35(1): 21.     CrossRef
  • A Study on the Operating Status of Community-based Home Health Care Centers
    Eunhee Lee, Sungae Park
    Journal of Korean Academy of Nursing Administration.2011; 17(2): 180.     CrossRef
  • Estimation of Nursing Costs Based on Nurse Visit Time for Long-Term Care Services
    Eun-Kyung Kim, Yun Mi Kim, Myung Ae Kim
    Journal of Korean Academy of Nursing.2010; 40(3): 349.     CrossRef
  • Developing an Electronic Nursing Record System for Clinical Care and Nursing Effectiveness Research in a Korean Home Healthcare Setting
    EUN JOO LEE, MIKYOUNG LEE, SUE MOORHEAD
    CIN: Computers, Informatics, Nursing.2009; 27(4): 234.     CrossRef
  • Home health nursing care agenda based on health policy in Korea
    Hosihn Ryu, Jiyoung An, Mia Koabyashi
    Nursing & Health Sciences.2005; 7(2): 92.     CrossRef
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A student for a Community-based Mental health Model for House Bound Long-term Mentally Disabled : focusing on the community residents of the Taegu-Kyungpuk area
Kyung Hee Lee
Journal of Korean Academy of Nursing 1999;29(5):1155-1166.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.5.1155
AbstractAbstract PDF

The purpose of this study was to investigate the residents' opinions about community mental health in the Taegu-Kyungpuk area for the future development of a community mental health program and model appropriate for Korea, Yhe subjects were 152 residents in the Taegu-Kyungpuk area. In July 1999, the data was collected using a convenience sample technique. Mental health status was significantly different for the level of occupational advantage(x2=15.684, p<.05) and physical health(x2=39.262, p<.000). Factor structure for mental health problems with the percentage of variance was as follows: optimistic view(27.581). dark view(10.758). mastery(6.200), discomfiture(6.101) and life style(5.641). Most of the respondents(92.1%) took the mental health problems seriously. The serious aspects of the mental health problem were found to be epilepsy, mental retardation, neurosis and schizophrenia respectively. Concerning about the view of community mental health, most of the respondents answered that the a C.M.H.C. was 'useful and urgent' concering the need for C.M.H.(77.6%). They answered positively on the utilization of C.M.H.C(75.7%) and preferred the separately new community mental health center. A psychiatrist was preferred as the key person in charge(44.1%). If community mental health centers were established in a community health center, they answered that the expected major problem would be quality control of care(44.7%). They preferred the psychiatrist's office as the recommended agency for the insane(44.7%). Opinions of the asylum system were found very negative in respect to psychiatric therapy and humanitarianism. The results of this study will help establish a relevant model for this community as the primary site for a community-based mental health model.

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Developing a Psychosocial Rehabilitation Model for Persons with Chronic Mental Illness
Hyun Sook Kim
Journal of Korean Academy of Nursing 2007;37(4):490-500.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.4.490
AbstractAbstract PDF
Purpose

The purpose of this study was to identify factors influencing the outcome of psychosocial rehabilitation for persons with chronic mental illness and to suggest a hypothetical model of psychosocial rehabilitation which is based on the relationship between influencing factors and then to test its fitness empirically.

Method

Data was collected from persons with a chronic mental illness using a self-report questionnaire, and from their case managers using an observed rating questionnaire. A total of 220 cases were used in the final analysis, and a hypothetical model was verified through covariance structure analysis using LISREL.

Result

1) The fitness indices of the model were χ2=133.77 (df=48, p=.00), GFI = 0.93, AGFI = 0.87, RMR = 2.32, NNFI = 0.95 and NFI = 0.95. Twelve paths among fifteen proved to be significant. 2) Psychosocial rehabilitation was influenced directly by symptoms, daily living skill and self-concept, and was influenced indirectly by the psychosocial rehabilitation program service. Psychosocial rehabilitation accounted for 32% of variance of these factors.

Conclusion

This study is expected to contribute to understanding the psychosocial rehabilitation phenomena. Besides it will provide basic information for developing strategies of bio-psycho-sociological interventions and evaluations in regard to influential factors of psychosocial rehabilitation.

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A Field Study of Posttraumatic Stress Disorder in a Community after Typhoon Rusa
In Sook Lee, Yang Sook Hah, Ki Jung Kim, Jeong Hee Kim, Yong Hee Kwon, Jin Kyung Park, Na Yun Lee
Journal of Korean Academy of Nursing 2003;33(6):829-838.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.6.829
AbstractAbstract PDF
Purpose

In South Korea, as growing the need of psychological support in disaster situation psychological assessment on stress after disaster is important to find out the factors affecting coping, and to plan intervention in the community.

Method

The volunteers of Korea Redcross who live around K city, and the research team visited all homes at Jirye town, one of the high-impact area, 4 month after the typhoon. One of the family members who is over 18 years old, answered the self-report questionnaire composed of disaster experience, damage, exposure to traumatic event, and posttraumatic stress with IES-K (Impact of Event Scale-korea) He also, described his family members symptom related to re-experiencing, hyper-arousal, and avoidance. Six hundreds households were surveyed.

Result

The prevalence of moderate to severe PTSD symptom was 36% of the subjects. The severity of PTSD was affected by gender, economic status and affected by damaged property, physical injury, worsening existing disease, getting infectious disease, amount of experienced traumatic event before disaster, warning, taking shelter, and subjects revealed differences in somatization as severity of PTSD. According to the description, community members had re-experiencing, hyper-arousal and avoidance.

Conclusion

At a rural area, South Korea, community members have suffered from psychological distress after disaster. So psychological interventions are required as affecting factors and also to plan for warning and shelter in disaster situation is needed for preventing PTSD.

Citations

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  • Mental health impact of the 2023 Kahramanmaraş earthquakes: Prevalence of PTSD, depression, anxiety, and stress among survivors
    Emrah Gökkaya, Ahmet Doğan Kuday, Ismet Çelebi
    Journal of Health Psychology.2025;[Epub]     CrossRef
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    Jiyoung Shin, Juha Baek, Sumi Chae
    Journal of Climate Change Research.2023; 14(6-2): 989.     CrossRef
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    Kyung Su Lee, Tae Hyeong Kim, Jae Kwang Jung, Sang Jin Ahn
    Journal of Korean Society of Hazard Mitigation.2013; 13(6): 167.     CrossRef
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    Eun-Hee Chae, Tong Won Kim, Seon-Ja Rhee, Terrence David Henderson
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Prevalence of Cognitive Impairment and Related Factors Among the Elderly in Rural Communities of Jeju Province
Keumja Ko, Min Jung, Sungchul Hong
Journal of Korean Academy of Nursing 2003;33(4):503-509.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.4.503
AbstractAbstract PDF
Purpose

The purpose of this study was to survey the prevalence rate of cognitive impairments and to identify the factors influencing cognitive impairment in the elderly in rural communities of Jeju Province..

Methods

590 elderly in 6 rural communities of Jeju Province were interviewed, using a questionnaire consisting of sociodemographic characteristics, health behavior, quality of life, and MMSE-K

Results

Prevalence of cognitive impairment was 33.1% (39.1% of females, 16.76% of males). Prevalence of dementia was 12.4% (16.3% of females, 2.87% of males). Factors related to cognitive impairment were age, sex, education, standard of living, employment status, and subjective health state.

Conclusions

In community health care for the elderly, factors relating to cognitive impairment have to be considered. When planning community health care, priority should be given to the elderly; who need care but live alone; who lack social support; who have a low standard of living; who experience discomfort in the activities of daily living; who believe they are not in a good state of health; or whose life satisfaction is low.

Citations

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  • Prevalence of the Major Mental Disorders among the Korean Elderly
    Maeng Je Cho, Jun Young Lee, Byung-Soo Kim, Hae Woo Lee, Jee Hoon Sohn
    Journal of Korean Medical Science.2011; 26(1): 1.     CrossRef
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Structural Equation Modeling for Public Hospital Quality of Care, Image, Role Performance, Satisfaction, Intent to (Re)visit, and Intent to Recommend Hospital as Perceived by Community Residents
Eun Jeong Hwang, In Ok Sim
J Korean Acad Nurs 2016;46(1):118-127.   Published online February 29, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.1.118
AbstractAbstract PDF
Purpose

The study purposes were to construct and test structural equation modeling on the causal relationship of community residents' perceived quality of care, image, and role performance with satisfaction, intention to (re)visit and intention to recommend hospital.

Methods

A cross-sectional survey was conducted with 3,900 community residents from 39 district public hospitals. The questionnaire was designed to collected information on personal characteristics and community awareness of public hospitals. Community awareness consisted of 6 factors and 18 items. The data were collected utilizing call-interview by a survey company. Research data were collected via questionnaires and analyzed using SPSS version 20.0 and AMOS version 20.0.

Results

Model fit indices for the hypothetical model were suitable for the recommended level: χ2=796.40 (df=79, p <.001), GFI=.93, AGFI=.90, RMSR=.08, NFI=.94. Quality of care, image, and role performance explained 68.1% of variance in community awareness. Total effect of quality of care process factors on satisfaction (path coefficients=3.67), intention to (re)visit (path coefficients=2.67) and intention to recommend hospital (coefficients=2.45) were higher than other factors.

Conclusion

Findings show that public hospitals have to make an effort to improve community image through the provision of quality care, and excellent role performance. Support for these activities is available from both Central and Local Governments.

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    Muh. Abdurrouf, Nursalam Nursalam, Ahsan Ahsan, Iwan Ardian, Intan Rismatul Azizah
    Healthcare in Low-resource Settings.2024;[Epub]     CrossRef
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    Md. Noor Un Nabi, Fatema Tuj Zohora, Farzana Akther
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    Selin Woo, Mankyu Choi, M. Mahmud Khan
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    Mahmut AKBOLAT, Ayhan DURMUŞ
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    Asia Pacific Journal of Tourism Research.2021; 26(12): 1364.     CrossRef
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    Hey Jin Ko, Eunji Yun, Boryung Ahn, Won Mo Jang, Jin Yong Lee
    Public Health Affairs.2021; 5(1): e10.     CrossRef
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    Javaneh Mehran, Hossein GT. Olya
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    Salmi Mohd Isa, Grace Sze Sze Lim, Phaik Nie Chin
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The Psychosocial Adaptation Process of Psychiatric Nurses Working in Community Mental Health Centers
So-Young Min
J Korean Acad Nurs 2015;45(6):868-878.   Published online December 31, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.6.868
AbstractAbstract PDF
Purpose

The aim of this study was to verify psychosocial issues faced by psychiatric and community mental health nurse practitioners (PCMHNP) working in community mental health centers, and to identify the adaptation processes used to resolve the issues.

Methods

Data were collected through in-depth interviews between December 2013 and August 2014. Participants were 11 PCMHNP working in community mental health centers. Analysis was done using the grounded theory methodology. The first question was "How did you start working at a community mental health center; what were the difficulties you faced during your employment and how did you resolve them?"

Results

The core category was 'regulating within relationships.' The adaptation process was categorized into three sequential stages: 'nesting,' 'hanging around the nest,' and 'settling into the nest.' Various action/interaction strategies were employed in these stages. The adaptation results from using these strategies were 'psychiatric nursing within life' and 'a long way to go.'

Conclusion

The results of this study are significant as they aid in understanding the psychosocial adaptation processes of PCMHNP working in community mental health centers, and indicate areas to be addressed in the future in order for PCMHNP to fulfill their professional role in the local community.

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  • The Mediating Effect of Professional Values on the Relationship Between Self-Leadership and Compassion Competence of Community Mental Health Nurses
    Hye Young Kim, Won Hee Jun
    Western Journal of Nursing Research.2024; 46(7): 501.     CrossRef
  • The development and effects of an online-based community psychiatric nursing practice program with the ARCS model
    Pan Heui Kim, Hee Sook Kim
    The Journal of Korean Academic Society of Nursing Education.2024; 30(1): 5.     CrossRef
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Application and Developmental Strategies for Community-Based Injury Prevention Programs of the International Safe Communities Movement in Korea
Jeongyee Bae, Joonpil Cho, Seong-il Cho, Minyeong Kwak, Taehyen Lee, Christina Aram Bae
J Korean Acad Nurs 2015;45(6):910-918.   Published online December 15, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.6.910
AbstractAbstract PDF
Abstract Purpose

Safety of humans is an important factor that affects health overall, and injuries are one of the major public-health problems in the world. The purposes of this study were to describe the International safe Community movement which contributes to the injury prevention and safety promotion all over the world, and to identify out the application and developmental strategies for Korea.

Methods

A review was done of previous research, reviews, and reports on the history, concepts, basic principles, and recommendations for actions of the Safe Community.

Results

For this study, the application strategies of the International Safe Community movement in Korea were examined to deduce the strengths of the safe Community program. Community-based injury prevention work according to the International Safe Community model is a successful and cost-effective way of reducing injuries in the community.

Conclusion

Through the International Safe Community program, communities are able to realize a healthy community and achieve improved quality of lives for the people, which is the ultimate objective of the Safe Community model. In addition, it will contribute to the economic vitalization and gain through energy and enhancement of productivity of people.

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  • Classifying strategies for building community health movements: a guide for implementers
    Felicia Jia Hui Chan, Alyssa Yenyi Chan, Wen Xi Zhuang, Priyanka Rajendram, Joseph Jie Hui Quek, Weng Mooi Tan, Yoek Ling Yong, Clarice Liying Song, Zoe Jane-Lara Hildon
    BMC Public Health.2025;[Epub]     CrossRef
  • THE SAFE COMMUNITY CONCEPT – A SUCCESSFUL TOOL FOR INJURY PREVENTION AND SAFETY PROMOTION
    Birutė Strukčinskienė, Sabine Distl, Sigitas Griškonis
    Visuomenės sveikata.2019; 28(7): 41.     CrossRef
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    Jafar Sadegh Tabrizi, Homayoun Sadeghi Bazargani, Reza Mohammadi, Mohammad Saadati
    Trauma Monthly.2017;[Epub]     CrossRef
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Current Status of Home Visit Programs: Activities and Barriers of Home Care Nursing Services
Eui Geum Oh, Hyun Joo Lee, Yukyung Kim, Ji Hyun Sung, Young-Su Park, Jae Yong Yoo, Soohee Woo
J Korean Acad Nurs 2015;45(5):742-751.   Published online October 30, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.5.742
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the current status of home care nursing services provided by community health nurses and to identify barriers to the services.

Methods

A cross-sectional survey was conducted with three types of community health care nurses. Participants were 257 nurses, 46 of whom were hospital based home care nurses, 176 were community based visiting nurses, and 35 were long term care insurance based visiting nurses. A structured questionnaire on 7 domains of home care nursing services with a 4-point Likert scale was used to measure activities and barriers to care. Data were analyzed using SPSS WIN 21.0 program.

Results

Hospital based home care nurses showed a high level of service performance activity in the domain of clinical laboratory tests, medications and injections, therapeutic nursing, and education. Community based visiting nurses had a high level of service performance in the reference domain. Long term care insurance based visiting nurses showed a high level of performance in the service domains of fundamental nursing and counseling.

Conclusion

The results show that although health care service provided by the three types of community health nurse overlapped, the focus of the service is differentiated. Therefore, these results suggest that existing home care services will need to be utilized efficiently in the development of a new nursing care service for patients living in the community after hospital discharge.

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    Lei Cui, Zirong Tong, Rong Wang, Xiaoping Fang, Longxiu Liu
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    Eunjoo Kim, Ju Young Yoon, Kyungmi Woo, Aeri Kim, Hyori Kim, Juna Lee
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    Jiahao Yu, Jianyuan Huang, Chunlei Li, Yongmei Zhuang
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    Zexing Xue, Zhengping Ma, Chi Keung Lau
    Discrete Dynamics in Nature and Society.2022;[Epub]     CrossRef
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    Keunyoung Shin, Sujin Shin
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    Myung Hee Cho, Kye Ha Kim
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Wheel of Wellness Counseling in Community Dwelling, Korean Elders: A Randomized, Controlled Trial
So-Hi Kwon
J Korean Acad Nurs 2015;45(3):459-468.   Published online June 30, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.3.459
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the effects of Wheel of Wellness counseling on wellness lifestyle, depression, and health-related quality of life in community dwelling elderly people.

Methods

A parallel, randomized controlled, open label, trial was conducted. Ninety-three elderly people in a senior welfare center were randomly assigned to two groups: 1) A Wheel of Wellness counseling intervention group (n=49) and 2) a no-treatment control group (n=44). Wheel of Wellness counseling consisted of structured, individual counseling based on the Wheel of Wellness model and provided once a week for four weeks. Wellness lifestyle, depression, and health-related quality of life were assessed pre-and post-test in both groups.

Results

Data from 89 participants were analyzed. For participants in the experimental group, there was a significant improvement on all of the wellness-lifestyle subtasks except realistic beliefs. Perceived wellness and depression significantly improved after the in the experimental group (n=43) compared to the control group (n=46) from pre- to post-test in the areas of sense of control (p=.033), nutrition (p=.017), exercise (p=.039), self-care (p<.001), stress management (p=.017), work (p=.011), perceived wellness (p=.019), and depression (p=.031). One participant in the intervention group discontinued the intervention due to hospitalization and three in the control group discontinued the sessions.

Conclusion

Wheel of Wellness counseling was beneficial in enhancing wellness for the community-dwelling elderly people. Research into long-term effects of the intervention and health outcomes is recommended.

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    Sohrab Amiri, Nailah Mahmood, Sameeha Junaidi, Moien AB Khan
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    Monica Eriksson, Anette Ekström‐Bergström, Susann Arvidsson, Henrika Jormfeldt, Stina Thorstensson, Ulrica Åström, Ingela Lundgren, Åsa Roxberg
    Scandinavian Journal of Caring Sciences.2024; 38(1): 185.     CrossRef
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    Wei Qi Koh, Nutyathun Wora, Natasha Wing Laam Liong, Kristiana Ludlow, Nancy A Pachana, Jacki Liddle, Patricia C. Heyn
    The Gerontologist.2024;[Epub]     CrossRef
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    Sachi O’Hoski, Stephanie Chauvin, Brenda Vrkljan, Marla K Beauchamp, Patricia C Heyn
    The Gerontologist.2022; 62(6): e304.     CrossRef
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    Michael D. Brubaker, Thomas J. Sweeney
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    Hee Sook Kim, Yeonungsuk Song, So-Hi Kwon
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Influence of Self Efficacy, Social Support and Sense of Community on Health-related Quality of Life for Middle-aged and Elderly Residents Living in a Rural Community
Hyeonkyeong Lee, Sung Hye Cho, Jung Hee Kim, Yune Kyong Kim, Hyang Im Choo
J Korean Acad Nurs 2014;44(6):608-616.   Published online December 31, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.6.608
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the relationship between self-efficacy, social support, sense of community and health-related quality of life (HRQoL), including the direct and indirect effects of the variables on HRQoL.

Methods

A cross-sectional survey was conducted with a convenience sample of 249 middle-aged and elderly residents living in a rural community in A-County, K Province. The structured questionnaire included 4 scales from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), and measures of General Self-Efficacy, Social Support, and Sense of Community. Data were analyzed using SPSS WIN 20.0 and AMOS 21.0 program.

Results

The mean HRQoL score for the participants was 0.87±0.13. Self-efficacy (β=.13, p=.039) and age (β= -.38, p<.001) were significantly associated with HRQoL, explaining 21% of the variance. In the path analysis, self-efficacy showed a significant direct effect on HRQoL (β=.14, p=.040) and significantly mediating relationships between both social support (β=.05, p=.030) and sense of community (β=.02, p=.025) and HRQoL.

Conclusion

Although self-efficacy was found to be the main predictor for HRQoL, the findings imply that social environmental factors such as social support and sense of community need to be considered when developing interventions to increase HRQoL in middle-aged and elderly residents in rural communities.

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    Leila Dehghankar, Saman Valinezhad, Mohammad Amerzadeh, Farnoosh Zarabadi Poor, Zahra Hosseinkhani, Seyedeh Ameneh Motalebi
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    Min-Jung Kang, Myoung-Soon Lee
    Korean Journal of Health Education and Promotion.2022; 39(5): 41.     CrossRef
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    Hyunjung Moon, Sunkyung Cha
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    Young Ko, Kyounga Lee
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    Eun‐Sil Jang, Kisook Kim
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    Carlo Lai, Gaia Romana Pellicano, Hilda Méndez, Bartolo Atilio Castellanos, Elpiniki Pomoni, Manuela Tomai, Viviana Langher, Federica La Longa, Massimo Crescimbene
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    Jieming Lu, Zhebin Yu, Xiaocong Zhang, Mengyin Wu, Shujuan Lin, Yao Zhu, Zenghao Xu, Liuqing You, Fang Wei, Mengling Tang, Mingjuan Jin, Jianbing Wang, Kun Chen
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    Yali Wang, Lingzhong Xu, Wenzhe Qin, Jiao Zhang, Yu Xia, Xiang Jing, Lu Lu, An’an Jiao, Yaozu Li
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    Myung Soon Kwon, Soon-Ok Yang, Ji-Hye Jang
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Effects of Community Health Promotion Project for Garlic Cultivating Farmers Based on Self-efficacy Theory and Community Capacity Building Framework
Hyang-Sook Kim, Mee Ock Gu
J Korean Acad Nurs 2011;41(1):80-91.   Published online February 28, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.1.80
AbstractAbstract PDF
Purpose

This study was conducted to test the effects of a community health promotion project for farmers cultivating garlic. Bandura's self-efficacy theory (1986) and Chaskin's community capacity framework (2001) were used as the theoretical framework.

Methods

A nonequivalent control group pretest-posttest design was used. Study participants were 72 garlic farmers (intervention: 36, control: 36). The community health promotion project consisted of health promotion program and community capacity building strategies and was provided for 12 weeks (8 during farming off-season and 4 during farming season). Data were collected between February 23 and May 31, 2009 and were analyzed using chi-square test, Fisher's exact test, t-test, and repeated measure ANOVA using SPSS/WIN 12.0.

Results

For the experimental group, significant improvement was found for self-efficacy, farming related health behavior, physical fitness (muscle strength, muscle endurance, upper body flexibility, lower body flexibility, cardiovascular endurance, balance, agility), farmer's syndrome, and health related quality of life as compared to the control group.

Conclusion

The findings of the study indicate that the community health promotion project for garlic farmers is effective and can be recommended as a nursing intervention for health promotion of garlic cultivating farmers.

Citations

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The Effects of a Cognitive Enhancement Group Training Program for Community-dwelling Elders
Young Ran Han, Mi Sook Song, Ji Young Lim
J Korean Acad Nurs 2010;40(5):724-735.   Published online October 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.5.724
AbstractAbstract PDF
Purpose

In this study a cognitive enhancement group training program of 10 sessions was provided for community-dwelling elders and the effects on cognitive function, depression and quality of life were tested.

Methods

A quasi-experimental study using a nonequivalent control group, pre-post design was used. The participants were 87 elders whose cognitive function was within the normal range. Of these elders, 45 were assigned to the experimental group and 42 to the control group. The intervention was conducted once a week for 10 weeks. Chi-square test, t-test, paired t-test, Wilcoxon rank sum test and Wilcoxon signed rank test were used to analyze the data.

Results

After the program, the cognitive function (t=-2.85, p=.006), depression (z=2.82, p=.005) and quality of life (t=2.79, p=.007) of the experimental group was significantly better than those of the control group. Especially, immediate recall (z=2.45, p=.014) and concentration (z=2.58, p=.010) in the subcategory of cognitive function were significantly better than that of the control group.

Conclusion

The findings indicate that the cognitive enhancement group training program was effective in enhancing the cognitive function, depression and quality of life for elders and could therefore be considered as a positive program for emotional and cognitive support for community-dwelling elders.

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    Seong Ok Seo, Ae Young So
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Effects of Case Management using Resident Assessment Instrument-Home Care (RAI-HC) in Home Health Services for Older People
Kyung Ja June, Ji Yun Lee, Jong Lull Yoon
J Korean Acad Nurs 2009;39(3):366-375.   Published online June 29, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.3.366
AbstractAbstract PDF
Purpose

To evaluate the effects of case management using Resident Assessment Instrument-Home Care (RAI-HC) in home health service for older people.

Methods

All elders were assessed at baseline and 3 months later using RAI-HC. The change of function in the intervention group was compared with that of a conventional intervention group. Function was measured with Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), Cognitive Performance Scale (CPS), Depression Rating Scale (DRS), Pain and the number of Clinical Assessment Protocols (CAP).

Results

Among ninety two elders participated in the program, 59 were allocated to the case management group and 33 to the conventional group. The intervention, home health service by a nurse over a 3 month period, consisted of comprehensive assessment, case conference for care plan, direct care, education and referral, and outcome evaluation. The percent of elders whose function improved in the intervention group was greater than the conventional group for depression (odds ratio [OR]: 10.941, confidence interval [CI]: 2.338-51.206), IADL (OR: 4.423, CI: 1.151-16.999) and the number of CAP (OR: 11.443, CI: 3.805-34.410).

Conclusion

Case management was effective for older people in the community. The effect might have resulted from individual, systematic intervention, however, standards of service including eligibility criteria for case management and collaboration of multi-disciplines is required for more effective home health service programs.

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Case Management Process identified from Experience of Nurse Case Managers
Eun-Jun Park, Chunmi Kim
J Korean Acad Nurs 2008;38(6):789-801.   Published online December 31, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.6.789
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a substantive theory of case management (CM) practice by investigating the experience of nurse case managers caring for Medical Aid enrollees in Korea.

Methods

A total of 12 nurses were interviewed regarding their own experience in CM practice. Data were recorded and analyzed using grounded theory.

Results

Empowerment was the core category of CM for Medical Aid enrollees. The case managers engaged in five phases as follows, phase of inquiring in advance, building a relationship with the client, giving the client critical mind, facilitating positive changes in the client's use of healthcare services, and maintaining relationship bonds. These phases moved gradually and were circular if necessary. Also, they were accelerated or slowed depending on factors including clients' characteristics, case managers' competency level, families' support level, and availability of community resources.

Conclusion

This study helps understand what CM practice is and how nurses are performing this innovative CM role. It is recommended that nurse leaders and policy makers integrate empowerment as a core category and the five critical CM phases into future CM programs.

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    Yunhee Hwang, Gaeon Lee
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    Jeonghyun Cho, Chongwon Park, Jinah Lee, Jiyoung Park
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    J.Y. Joo, M.F. Liu
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    Ju Young Park, Jung Tae Son
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Development and Application of a Multidimensional Suicide Prevention Program for Korean Elders by utilizing a Community Network
Kae-Hwa Jo, Yeong-Kyeong Kim
J Korean Acad Nurs 2008;38(3):372-382.   Published online June 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.3.372
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a multidimensional suicide prevention program for Korean elders by utilizing a community network and to evaluate its effect.

Methods

A non-equivalent control group pretest-posttest design was used. The subjects were recruited from two different elderly institutions located in D city and K province, Korea. Nineteen subjects in the control group received no intervention and 20 subjects in the experimental group received a multidimensional suicide prevention program.

Results

There were more significant decreases in depression, suicide ideation, and increases in life satisfaction in the experimental group compared to the control group.

Conclusion

According to the above results, the multidimensional suicide prevention program for Korean elders decreased stressful events like depression, and suicide ideation and increased life satisfaction through the community network. These findings suggest that this program can be used as an efficient intervention for elders in a critical situation.

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    Misook Hong, Moonhee Gang, Jihye Lee
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    Shin-Young Sohn
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The Impacts of a Community Health Practitioner's Ego State, and Interpersonal Attitude on Depression
Sook Lee
Journal of Korean Academy of Nursing 2006;36(3):457-467.   Published online June 30, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.3.457
AbstractAbstract PDF
Purpose

Community health practitioners (CHP) in Korea have a responsibility for delivering primary health care to remote or isolated communities. The aim of this paper is to analyze CHPs' level of depression and impacts of their Ego state and interpersonal attitude in transactional analysis on depression. This paper gives fundamental data for developing a the program for mental health promotion of CHPs.

Method

The subjects of this study consisted of 459 Korean CHP who were conveniently selected from the target population. The data was collected through interviews using self-administered questionnaires, including the Korean Ego gram and life position inventory and depression scale.

Results

The CHP's Ego gram showed the N type with the top point of NP. The type of interpersonal attitude was I'M OK - YOU'RE OK (I+U++). The level of depression was 35.4, normal range. There was a significant difference in depression according to the duration of the career. There was a significant negative correlation among NP, A, FC ego states, interpersonal OK and depression, and a significant positive correlation between interpersonal Not-OK and depression. The NP, A, FC ego states and interpersonal Not-OK were significant predictors (47.1%) of depression.

Conclusion

This study showed that a program for CHPs to should include increasing the function of ego states and positive interpersonal attitude.

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  • Moderating Effects of the Ego-Energy in Relation to Stress, Drinking Motives, and Depression in Korean Adult Males
    Doohah Yoon, Hyonggin An
    Frontiers in Psychology.2021;[Epub]     CrossRef
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    Seung Joo Lim, Eun A Park
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Predictors of Tobacco-Control Activities of Community Health Practitioners: Report from a National Survey
Kim, Jin Sun , Song, Mee Suk , Oh, Hyun Ei
Journal of Korean Academy of Nursing 2004;34(8):1443-1450.   Published online December 31, 2003
DOI: https://doi.org/10.4040/jkan.2004.34.8.1443
AbstractAbstract PDF
The involvement of health-care professionals in tobacco-control activities is essential to prevent smoking-related morbidity and mortality. The purposes of this predictive correlational study were to examine tobacco-control activities and to identify the predictors of such activities of community health practitioners (CHPs). Of the 1,813 members of the Korean Association of CHP, 1,247 participated in this study. A mailed survey was conducted to collect data. The majority of CHPs supported tobacco-control policies and recognized tobacco-control activities as an important role for them. Only 44.3% of CHPs were confident in their knowledge and skills regarding tobacco-control activities, and only 30.8% had received professional tobacco-control education. While the majority of the CHPs "asked, advised, and assessed"their clients, only a small number "assisted or arranged". The tobacco-control activities of CHPs were predicted by their attitude toward it, age, experience of tobacco-control education, educational level, and general perception of the risk of smoking; these variables accounted 13.5% of variance in the tobacco-control activities of CHPs. These findings provide the basis for developing a continuing education program for CHPs. CHPs should be encouraged to integrate tobacco-control activities into their routine practice, and CHP education programs should be adjusted to increase the time spent on the tobacco-control intervention techniques.
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