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3 "Rural health"
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Grounded Theory Approach to Health Care of Older Adults at a Doctorless Farm Village
Young Ran Han, Young Hee Kim
Journal of Korean Academy of Nursing 2004;34(5):771-780.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.5.771
AbstractAbstract PDF
Purpose

The purpose of this study was to explore how older adults kept their health good at a doctorless farm village.

Method

Data was collected through in-depth interviews with 32 participants who were over 65 years old and analyzed in terms of Strauss and Corbin`s (1990) grounded theory methodology.

Result

The Core Category of health care of older adults was identified as “enduring physical changes by themselves”. The process of this could be divided into 4 stages : the stage of bearing, the stage of managing daily living activities, the stage of passively collecting information and the stage of minimally utilizing health care services. Older adults accepted the aging process positively but health sources limitation passively, so they managed daily living activities and used natural food for health. In addition, they collected information related to health care and used health care services minimally.

Conclusion

We found that participants managed their health passively because of negative attitudes toward active health behaviors of older adults by themselves and the difficulty of access to health care services. Therefore, various community health services for older adults need to be developed to empower older adults in the community.

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Influencing Factors on Quality of Life of Middle-aged Women Living in Rural Area
Kyung Rim Shin, Jin Hyang Yang
Journal of Korean Academy of Nursing 2003;33(7):999-1007.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.7.999
AbstractAbstract PDF
Purpose

This study was to investigate the factors influencing quality of life of middle-aged women in rural area, to provide the basic data for health promoting intervention in order to improve quality of life.

Method

The subjects were 469 middle-aged women by 40-64 from 7 rural areas in Gyeonggi-do, Jeolla-do and Gyeongsang-do. Data collection was conducted by using 6 questionnaires.

Result

There were significant differences in the quality of life by age, educational level, marital status, religion, family pattern, and economic level. There were positive relationships between quality of life and health perception, social support, and negative relationships between quality of life and depression and stress. Stepwise Multiple Regression Analysis for quality of life revealed that the most powerful predictor was depression. Depression, health perception, social support, stress and economic level explained 51.5% of the variance.

Conclusion

Depression, health perception, social support, stress and economic level were related with quality of life of middle-aged women in rural area. Therefore, it is necessary to develop the nursing intervention these psycho-social aspects to increase the quality of life.

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A Comparative Study of Youth Health Risk Behaviors by Region: Focused on Metropolitan Areas, Medium Sized and Small City Areas, and Rural Areas
Eunok Park
J Korean Acad Nurs 2010;40(1):14-23.   Published online February 28, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.1.14
AbstractAbstract PDF
Purpose

This study was done to compare health risk behavior prevalence for youth living in metropolitan, medium sized and small cities or rural area, in order to enhance understanding regional differences.

Methods

For this study, data from the 2006 Youth Health Risk Behavior Online Survey collected by the Korean Center for Disease Control were analyzed using SPSS.

Results

In the metropolitan areas, prevalence for disease and perceived obesity were higher than in other areas. Lack of intense or moderate physical activity, obesity, fast food intake, and insufficient sleep showed higher prevalence than in rural areas. Prevalence of lifetime smoking, lifetime alcohol consumption, present alcohol use, fruit intake less than once a day, and not wearing a seat belt were higher in rural areas than in urban areas. Gender, smoking, and alcohol use were correlated. Spearman correlation between living with parent and skipping breakfast were significant. Smoking, alcohol use, and sexual behavior were correlated.

Conclusion

As significant differences in prevalence of youth health risk behaviors exist between regional areas, health education and health promotion programs considering these differences have to be developed and implemented for adolescents. Programs for prevention of smoking and alcohol use, programs for improvement of fruit intake and safety are suggested for adolescents in rural areas, whereas programs to enhance physical activity and obesity management are suggested for adolescents in metropolitan areas.

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