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Improvement of Knowledge, Self-Efficacy and Self-Care Behaviors among Diabetic Patients participated in the Education Program of Sejong Center for Hypertension and Diabetes Management.

Jin Gyu JUNG ; Eun Young CHUNG ; Yun Jung KIM ; Hyun Jin PARK ; A Ryeon KIM ; Young Hwa BAN ; Jong Sung KIM ; Seok Joon YOON ; Soon Young KIM ; Soon Ki AHN ; Hae Sung NAM

Journal of Agricultural Medicine & Community Health.2017;42(4):234-243. doi:10.5393/JAMCH.2017.42.4.234

OBJECTIVE: This study was aimed to evaluate the effectiveness of the diabetes education program implemented in a community hypertension and diabetes education center. METHODS: Participants were thirty nine diabetic patients who received the education program in the center from May 2014 through May 2015. The education program consisted of two sessions for 2 days (45 minutes per session) regarding clinical information, nutrition and exercise for type 2 diabetes patients. Initially, they were assessed for general characteristics, knowledge on diabetes, self-efficacy and self-care behaviors. Reassessment was performed on their knowledge and self-efficacy directly after the program, and on self-care behaviors at 12 weeks after the program. RESULTS: The mean score of diabetes knowledge was significantly increased from 5.27±2.10 to 8.21±1.20 (p < 0.001) between before and after the program. The self-efficacy score was also significantly increased from 6.88±1.72 to 8.16±1.47 (p < 0.001). The self-care behavior score was significantly increased from 3.59±1.89 before the program to 4.35±1.29 (p < 0.001) at 12 weeks after the program. CONCLUSION: The diabetes education program may be effective on the improvement of knowledge, self-efficacy and self-care behaviors in type 2 diabetic patients.
Diabetes Mellitus ; Education* ; Health Education ; Humans ; Hypertension* ; Self Care* ; Self Efficacy

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Self-care Status of the Aged Diabetic Patients with Noncompliance.

So Mi KIM ; Tae Yoon HWANG ; Min Ah NAH ; Kyeong Soo LEE ; Seog Heon YEOM

Journal of Agricultural Medicine & Community Health.2017;42(4):226-233. doi:10.5393/JAMCH.2017.42.4.226

OBJECTIVE: The purpose of this study was to describe and understand self-care status of the aged diabetic patients with noncompliance after hospital discharge. METHODS: A qualitative research method was used for the study design. The participants were 15 diabetic patients aged 65 or older who had been admitted more than two times for hyperglycemia in the past 1 year in a general hospital in Daegu. Data were collected from November 1 2015 to March 1 2016 through in-depth personal interview. RESULTS: Patients' knowledge level on causes and symptoms of diabetes was low. Most participants rarely and irregularly checked blood sugar at home. They were under a lot of stress from their family. Due to old age and illness they did not have sufficient physical activity and they have had rarely regular meals. They considered the self-care education program unnecessary and there was limitations of accessibility for education. CONCLUSIONS: The aged diabetic patients who had the repeat admission did not perform self-care activities properly and had problems especially in blood glucose check, support from their family, and health education after returning home. More personalized and community-based self-management education programs will be necessary.
Blood Glucose ; Daegu ; Education ; Health Education ; Hospitals, General ; Humans ; Hyperglycemia ; Meals ; Methods ; Motor Activity ; Qualitative Research ; Self Care*

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Current Status and Suggestions for the Improvement of Health and Medical Services of Hospital Ship in Ongiin County.

Hun Jae LEE ; Sukyung JEONG ; Gye Ae KIM ; Han Kook CHO ; Jeong Jin HWANG

Journal of Agricultural Medicine & Community Health.2017;42(4):215-225.

No abstract available.
Ships*

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The Clinical Characteristics of Residents in Primary Health Care Posts of Islands Operated by Hospital Ship in Jeollanam-do Province.

Miyoung SONG ; Eunji AHN ; Ju Hyung LEE ; Keun Sang KWON

Journal of Agricultural Medicine & Community Health.2017;42(4):209-214.

No abstract available.
Islands* ; Jeollanam-do* ; Primary Health Care* ; Ships*

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Current Status and Suggestions for the Improvement of Health and Medical Services of Hospital Ship in Jeollanam-do Province.

Suk Kyeong PARK ; Jun Ho SHIN

Journal of Agricultural Medicine & Community Health.2017;42(4):196-208.

No abstract available.
Jeollanam-do* ; Ships*

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Current Status and Suggestions for the Improvement of Health and Medical Services of Hospital Ship in Chungcheongnam-do Province.

Jong Myeong OH ; Moo Sik LEE

Journal of Agricultural Medicine & Community Health.2017;42(4):189-195.

No abstract available.
Chungcheongnam-do* ; Ships*

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Performances and Limitations of the Health Community Organization Project in 148 Village, Gangbuk-gu.

Jong won HONG ; Woong Sub PARK ; Sang A KIM ; Nam Jun KIM

Journal of Agricultural Medicine & Community Health.2017;42(3):155-167. doi:10.5393/JAMCH.2017.42.3.155

OBJECTIVES: The purpose of this study was to examine the performances and limitations of health community building project of 148 village in Gangbuk-gu, Seoul on community health organization perspective. METHODS: We conducted a qualitative study using both a systematic review of this project and in-depth interviews with the operators who had worked for the project from January 2012 to December 2012. RESULTS: In this project, activists worked by gathering the opinions of the residents and focusing on their growth. The residents themselves established a community health care plan. Based on social determinants of health, they continued projects to solve residents' needs. A variety of programs were activated by providing a health cafe, which was an alternative public participation health promotion space that was not a clinic or a public health center. As the various entities gathered, there were difficulties related to interests and role sharing, and there were limitations such as the fact that the performance and limit of the pilot project could not be clearly predicted beforehand. CONCLUSIONS: This case suggested that new possibility of health and medical movement, approaching health issues by the way of community organization principle. Through the health community building project as community health organization perspective is expanded, health promotion effect will be created in the whole society.
Community Health Services ; Consumer Participation ; Health Promotion ; Pilot Projects ; Public Health ; Residence Characteristics ; Seoul ; Social Capital ; Social Determinants of Health

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Suicidal Ideation of Elderly Living Alone in Urban and Rural Areas, its Related Factors.

Ho Jin NAM ; Sok Goo LEE

Journal of Agricultural Medicine & Community Health.2017;42(3):145-154. doi:10.5393/JAMCH.2017.42.3.145

OBJECTIVES: This study used data of urban and rural elderly living alone to compare the general characteristics of the elderly who have had suicidal ideation, and to investigate the suicidal ideation of urban-rural elderly with varying degrees of emotional support status, health status, and health behavior. METHODS AND MATERIALS: The research participants included 2,750 elderly aged 65 or above, of which 1,487 were from dong unit and 1,263 were from eup·myeon units according to the raw data of 2011 Survey on Elderly Status. All collected data were analyzed using cross tabulation of SPSSWIN(ver 21.0) program and multivariate logistic regression. RESULTS: The results were as follows. First, the factors that influenced the suicidal ideation of urban and rural elderly living alone included degree of depression, experience of abuse, and nutritional management status. Second, the suicidal ideation of urban elderly living alone was affected by the emotional support of their children who live apart and their grandchildren. Third, the suicidal ideation of rural elderly living alone was affected by the emotional support of their kin (including siblings).
Aged* ; Child ; Depression ; Health Behavior ; Humans ; Logistic Models ; Suicidal Ideation*

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Association between Satisfaction with Assistive Technology Devices and Psychosocial Impact among Some Mentally or Physically Disabled Children.

Kyoung Lae JANG ; So Yeon RYU ; Jong PARK ; Mi Ah HAN

Journal of Agricultural Medicine & Community Health.2017;42(3):132-144. doi:10.5393/JAMCH.2017.42.3.132

OBJECTIVES: The purpose of this study was to identify the association between satisfaction with assistive technology devices and psychosocial impact among some mentally or physically disabled children. METHODS: The study subjects were 120 disabled children and their primary caregivers who were using rental assistive technology devices in Gwangju and Jeollanam-Do. Data were collected by structured questionnaire composed of general characteristics of subjects, characteristics related with using assistive devices. Quebec User Evaluation of Satisfaction with assistive Technology 2.0 (QUEST 2.0) and Psychosocial Impact of Assistive Device Scale (PIADS). The statistical analysis were performed by descriptive statistics, t-test, ANOVA and Pearson's correlational analysis. RESULTS: The total mean score for QUEST 2.0 was 4.08±0.66 (satisfaction with devices, 4.01±0.70; satisfaction with the assistive devices service, 4.14±0.90) and the mean of PIADS was 1.00±0.75 (ability, 0.99±0.78; adaptability, 1.04±0.86; self-respect, 0.99±0.74). The scores of PIADS was statistically significant difference according to usage time of assistive devices. The PIADS was significantly positive correlated with QUEST 2.0 CONCLUSIONS: The mentally or physically disabled children reported that the higher level of satisfaction and the more positive impact of psychosocial aspect with assistive technology devices. It would be necessary to perform further studies for addressing the effects of assistive technology devices.
Caregivers ; Child* ; Disabled Children ; Disabled Persons* ; Gwangju ; Humans ; Jeollanam-do ; Quebec ; Self-Help Devices*

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The Level of Diabetes Management of Agriculture, Forestry, and Fishery Workers.

Gyung Jae OH ; Young Hoon LEE

Journal of Agricultural Medicine & Community Health.2017;42(3):119-131. doi:10.5393/JAMCH.2017.42.3.119

OBJECTIVES: The purpose of this study was to compare the diabetic management indicators between agriculture, forestry, and fishery workers (AFF) and other occupational adults (non-AFF) in community-dwelling diabetes. METHODS: The study population consisted of 22,127 diabetic population ≥19 years who participated in the 2015 Community Health Survey. Chi-square test and logistic regression analysis was used to compare the diabetic management indicators between AFF and non-AFF. Socioeconomic characteristics such as age, gender, education level, monthly household income, National Basic Livelihood Security status, and marital status was sequentially adjusted. RESULTS: Among total diabetic population, 3,712 people (16.8%) was AFF and 18,415 people (83.2%) was non-AFF. The fully-adjusted odds ratio [OR] (95% confidence interval [CI]) of current non-medical treatment (0.72, 0.66–0.79), measurement of hemoglobin A1c (0.61, 0.55–0.67), screening for diabetic retinopathy (0.76, 0.70–0.83), screening for diabetic nephropathy (0.75, 0.70–0.81), non-alcoholic or moderate drinking (0.70, 0.64–0.78), nutrition label reading (0.83, 0.71–0.98), low salt preference (0.85, 0.78–0.93), dental examination (0.60, 0.54–0.66), scaling experience (0.84, 0.77–0.93), regular toothbrushing (0.66, 0.58–0.76), and diabetes management education (0.84, 0.77–0.92) was significantly lower in AFF compared to non-AFF. In contrast, the fully-adjusted OR (95% CI) of AFF's low stress level (1.39, 1.26–1.52) and adequate sleep duration (1.22, 1.13–1.32) was significantly higher than non-AFF, which are better indicators of diabetic management in AFF. CONCLUSIONS: Overall, the level of diabetes management of AFF was not as good as that of non-AFF. In order to improve the level of diabetes management of AFF, a delicate diabetes intervention strategy considering the occupational characteristics of AFF will be needed.
Adult ; Agriculture* ; Diabetes Mellitus ; Diabetic Nephropathies ; Diabetic Retinopathy ; Disease Management ; Drinking ; Education ; Family Characteristics ; Farmers ; Fisheries* ; Forestry* ; Health Surveys ; Humans ; Logistic Models ; Marital Status ; Mass Screening ; Odds Ratio ; Toothbrushing

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