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A Study on the Prevalence of Clonorchis Sinensis and the Effects of Educational Program among Residents in the Basin of the Youngsan River, Korea.

Chunmi KIM ; Aeyoung SO ; Kyung Ja JUNE ; Hee Young JUNG

Journal of Korean Academy of Community Health Nursing.2011;22(1):56-65. doi:10.12799/jkachn.2011.22.1.56

PURPOSE: The goal of this study was to analyze the prevalence of Clonorchis sinensis infection in people living within 5 km of the Youngsan River basin, to develop an educational program to prevent the infection, and to examine the effects of the educational program. METHODS: This study employed a one group pretest-posttest design, the subjects were 384. This study was conducted from November 20, 2008 to June 16, 2009. The results were analyzed with the SPSS/WIN 18.0 program. RESULTS: Of the residents, 5.7% were infected with Clonorchis sinensis and the knowledge level about the prevention of Clonorchis sinensis was improved significantly from 9.75+/-5.12 points before the education to 15.05+/-2.43 points after the education. One of the important effects was that the willingness to eat raw fresh-water fish was reduced after the education. CONCLUSION: Based on the results of this study, a continuous research needs to be conducted on how education and knowledge level-up change people's living attitudes for the prevention of Clonorchis sinensis infection and the reduction of the infection rate in the future.
Clonorchis sinensis* ; Education ; Intention ; Korea* ; Prevalence* ; Rivers*

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The Correlates of Influenza Vaccination among Korean Elderly Men and Women.

Hee Sun KANG ; Hanju LEE ; Mi Won KIM

Journal of Korean Academy of Community Health Nursing.2011;22(1):45-55. doi:10.12799/jkachn.2011.22.1.45

PURPOSE: This study aimed to investigate the rate of and factors associated with influenza vaccination in Korean elderly people. METHODS: For this retrospective cross-sectional study, we used data from the Korean National Health and Nutrition Examination Survey (KNHANES) 2008. A total of 1,516 men and women aged 65 or above were included. The data were analyzed using descriptive statistics and logistic regression. RESULTS: The overall rate of influenza vaccination in 2008 was 73.6%. The vaccination rate was lower in women (73.2%) than in men (74.2%; p<.001). It was lower in the elderly aged 80 and above, those living in metropolitan areas, smokers, those who did not receive regular health screening, those who had no history of hospitalization within one year, and those who had liver diseases than in the other groups. The rate of vaccination was higher in those with cancer. Logistic regression analysis revealed that for both men and women, the significant correlates associated with vaccination were demographic factors, chronic disease and health behavior. CONCLUSION: The influenza vaccination coverage needs to be improved. Efforts should be made to reach the elderly population with relatively low influenza vaccination rates and to increase awareness about the importance of vaccination at a personal and community level.
Aged* ; Chronic Disease ; Cross-Sectional Studies ; Demography ; Female ; Health Behavior ; Hospitalization ; Humans ; Influenza, Human* ; Liver Diseases ; Logistic Models ; Male ; Mass Screening ; Nutrition Surveys ; Retrospective Studies ; Vaccination*

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The Characteristics and Service Utilization of Home Nursing Care Beneficiaries Under the Korean Long Term Care Insurance.

Jung Suk LEE ; Eun Jeong HAN ; Im Ok KANG

Journal of Korean Academy of Community Health Nursing.2011;22(1):33-44. doi:10.12799/jkachn.2011.22.1.33

PURPOSE: This study examined the characteristics and service utilization of home nursing care beneficiaries under the Korean Long-Term Care Insurance (LTCI). METHODS: We used assessment data and claim data of National Health Insurance Corporation from July to August 2008. Data were composed of subjects who were the beneficiaries of home nursing care. RESULTS: A total of 634 subjects were analyzed. Of the subjects, 57.1% were 75 years and over. The average score of nursing care need was only 0.71 and the percentage of those whose nursing care need score was zero was 58.0%. More than half of the subjects had partially dependent musculoskeletal conditions, and 75.5% had two or more comorbidities. A third of them usedonly home nursing care, and another third used both home nursing care and general home care at the same time. Those who needed sore care used the largest home nursing care benefits. CONCLUSION: Home nursing care of LTCI performs community-based healthcare services under LTCI. Throughout the past two years, however, it has not been active. Understanding the characteristics of its users is important in order to develop effective strategies for activating home nursing care.
Comorbidity ; Delivery of Health Care ; Home Care Services ; Home Nursing* ; Insurance, Long-Term Care* ; Long-Term Care* ; National Health Programs ; Nursing Care

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The Predictors of Anger Expression of the Homeless in the Shelters.

Rah Il HWANG ; Ji Won YOON

Journal of Korean Academy of Community Health Nursing.2011;22(1):22-32. doi:10.12799/jkachn.2011.22.1.22

PURPOSE: The purposes of this study were to examine the level of anger, anger expression, depression, psychosomatic symptom and perceived health status, and to identify the influencing factors of anger expression in shelter residents. METHODS: This study employed a descriptive correlational design. Data were collected from 407 homeless people residing at 27 shelters using structured instruments. RESULTS: The level of anger expression was different by age, educational level, existence of children, and duration of shelter residency. Anger expression was significantly correlated with depression, psychosomatic symptoms and perceived health status. The predictors of high-level anger expression was younger age, low educational level, duration of shelter residency in Model 1 (F=6.884, p<.001, Adj. R2=.065), and depression and psychosomatic symptoms in Model 2 (F=7.197, p<.001, Adj. R2=.113). CONCLUSION: This study suggested that the homeless in the shelters had various psychological vulnerabilities, and therefore more individualized programs based on their needs and psychological health status should be provided for the homeless.
Anger* ; Child ; Depression ; Homeless Persons ; Humans ; Internship and Residency

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The Comparison of Health Status and Health Behavior among Hypertension Group, DM Group, and Hypertension DM Group for the Aged Provided with Customized Home Care Service by Visiting Nurses.

Hee Kyoung HYOUNG ; Hyo Soon JANG

Journal of Korean Academy of Community Health Nursing.2011;22(1):11-21. doi:10.12799/jkachn.2011.22.1.11

PURPOSE: This study aims to compare health status and health behavior among the hypertension group, the DM group, and the hypertension-DM group for aged clients of customized home visiting health care services. METHODS: This study was conducted as cross-sectional research. The subjects of this study were 2,235 aged people over 65 living in J City. Data were collected using structured questionnaires and measurements. The collected data were analyzed using the SPSS/WIN 12.0 program, and descriptive statistics, chi2 test, t-test and ANOVA were used for the analyses. RESULTS: BP and glucose control showed a significant difference among the groups. BMI and waist circumference were significantly higher in the hypertension-DM group than in the other groups. Stroke, arthritis, and perceived health status were significantly different among the three groups. Depression was high, but not significantly different among the groups. Smoking and drinking were not significantly different among the groups. Physical activity was very low, especially in the hypertension group. Medication was high, especially in the hypertension-DM group. CONCLUSION: It is necessary to consider care plans for the hypertension-DM group, and educate the group for care management. Also, depression and physical activity programs are needed for the aged.
Arthritis ; Delivery of Health Care ; Depression ; Diabetes Mellitus ; Drinking ; Glucose ; Health Behavior* ; Home Care Services* ; House Calls ; Hypertension* ; Motor Activity ; Nurses, Community Health* ; Smoke ; Smoking ; Stroke ; Waist Circumference ; Surveys and Questionnaires

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Application of the ASE Model to the Assertive Behavior of Non-smoking College Students Under Secondhand Smoke Exposure.

Jina CHOO ; Eun Kyung KIM

Journal of Korean Academy of Community Health Nursing.2011;22(1):1-10. doi:10.12799/jkachn.2011.22.1.1

PURPOSE: The present study was to apply the Attitudes-Social influence-Efficacy (ASE) model in order to identify factors associated with the assertive behavior of non-smoking college students when they are exposed to secondhand smokes in Korea. METHODS: Data were collected from non-smoking college students (N=1,656, 76.6% female) at two universities in Seoul and Gyeonggi-do. The main outcome measure was the assertive behavior. ASE factors such as attitudes toward being assertive, social influences, and self-efficacy as well as socio-demographic, health- related, and smoking-related factors were self-administrated. RESULTS: The mean of the assertive behavior (range 1~5 points) was 2.23; 37.6% was not at all assertive, while 4.3% was always assertive. Higher assertiveness was significantly correlated with a higher level of positive attitude, social influence and self-efficacy (p<.05 for all). Stepwise multiple regression analyses showed that the social influence was the strongest factor associated with the assertive behavior (beta=0.430, p<.001, R2=.246), followed by self-efficacy, motive to assertiveness, having any family member who had diseases, and male gender. These factors explained the assertive behavior by 39.7%. CONCLUSION: The ASE model may explain the assertive behavior of non-smoking college students under secondhand smoke exposure. Social influence and self-efficacy were significant factors associated with their assertive behavior.
Assertiveness ; Gyeonggi-do ; Humans ; Korea ; Male ; Outcome Assessment (Health Care) ; Seoul ; Social Behavior ; Tobacco Smoke Pollution*

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Forty Years' Development of the Korean Academy of Community Health Nursing.

Ggodme YI

Journal of Korean Academy of Community Health Nursing.2012;23(1):102-115. doi:10.12799/jkachn.2012.23.1.102

PURPOSE: This study was conducted in commemoration of the 40th Anniversary of the Korean Academy of Community Health Nursing [KACHN]. METHODS: Primary and secondary sources were collected and analyzed to show changes that KACHN has experienced. RESULTS: In the 1970s it made the annual meeting regular and began research presentation. In the1980s regular symposiums were activated and as a result the academy could publish its own journal from 1989. In the 1990s the boards were selected from locals by turns and lots of papers and teaching materials were produced from collaborate researches of the members. In the 2000s, the journal was selected by the National Research Foundation in Korea and the academy began regular Korea-Japan Community Health Nursing Conference and hosted the 5th ICCHNR. CONCLUSION: In spite of great development, KACHN has new challenges. The number of members has increased so much that there are a few academies specialized in some fields of community health nursing. They have made the members' interest and loyalty weaker than during the pioneer days. KACHN should take the new role as a leader of international community health nursing research as well as the old role as a leader of Korean community health nursing research.
Academies and Institutes ; Anniversaries and Special Events ; Community Health Nursing ; Korea ; Teaching Materials

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The Effects of Exercise in the Frail Elderly.

Young Im PARK ; Kang Yi LEE ; Tae Im KIM ; Moung Hee JEON ; Dong Oak KIM ; Ji Hyun KIM

Journal of Korean Academy of Community Health Nursing.2012;23(1):91-101. doi:10.12799/jkachn.2012.23.1.91

PURPOSE: This study was conducted to examine the effects of exercise on physiological, physical and psychological functions of the frail elderly. METHODS: The research design was a nonequivalent control group pretest-posttest design. Data were collected from September 9 to October 10, 2009. The subjects were 56 frail elders who agreed to participate in this study and each subject was randomly assigned to either the experimental group (n=28) or the control group (n=28). The exercise program was provided to each subject in the experimental group twice in a week for 6 weeks. Data were analyzed with frequency, chi2-test, Kolmogorov-Smirnor test and independent t-test using SPSS/WIN 12.0. RESULTS: There was a significant improvement in psychological functions in the experimental group compared to the control group (t=1.726, p=.045). CONCLUSION: The exercise program showed the effects to improve the psychological functions of the frail elderly with chronic disease. In recommendation, this exercise program could be utilized as a health promoting program for the frail elderly.
Aged ; Chronic Disease ; Depression ; Frail Elderly ; Humans ; Quality of Life ; Research Design

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The Effects of individual Characteristics and Health Beliefs on North Korean Refugees' Health Behavior.

Jeung Hee JEON ; Youngsuk PARK

Journal of Korean Academy of Community Health Nursing.2012;23(1):82-90. doi:10.12799/jkachn.2012.23.1.82

PURPOSE: The purpose of this study is to provide base data for preparing plans that North Korean (NK) Refugees can adjust themselves to our society with a healthy mind after they get over their health problems using the Health Belief Model, knowing the relationship between individual characteristics and health beliefs, and health behavior. METHODS: The subjects were 304 NK adult refugees in Hanawon. Data were collected by demographic questionnaire, health behavior scale, self-efficacy scale, perceived benefit scale, perceived barrier scale, perceived seriousness, perceived sensibility, and individual characteristics. RESULTS: The factors influencing the health behavior of NK refugees were perceived benefits, self-efficacy, the period in the third country and experience in being expelled to NK, and these variables were describing 31.4% of the health behaviors of refugees. CONCLUSION: The perceived benefits and self-efficacy of health belief and specific experiences related to refugee affected NK refugees' health behavior.
Adult ; Democratic People's Republic of Korea ; Health Behavior ; Humans ; Refugees ; Surveys and Questionnaires

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The Effects of a Mobile Computerized System for Individual Tailored Home Care Services in a City.

Nam Hee PARK ; Rang JANG ; Jung Young KIM ; Myoung Soo KIM

Journal of Korean Academy of Community Health Nursing.2012;23(1):71-81. doi:10.12799/jkachn.2012.23.1.71

PURPOSE: The aim of this study was to evaluate the process and outcome of a mobile computerized system for individual home visiting healthcare. METHODS: A nonequivalent control group non-synchronized design was employed for this study. The newly constructed system was administered to 80 healthcare providers in the experimental group for 8 weeks. Data were analyzed using descriptive analysis, t-test, and ANCOVA with the SPSS 18.0 program. RESULTS: In the process stage, the difference in the frequency of computerized information usage between the experimental and control groups was significant as 8.88+/-3.20 and 7.08+/-2.92, respectively (t=3.90, p<.001). In the outcome evaluation stage, all kinds of healthy lifestyle such as alcohol use, nutrition, weight management and mental health were not improved. CONCLUSION: The findings of this study showed that the revised mobile computerized system was an effective device for individual visiting healthcare providers. Further advanced strategies for using this system should be developed and applied in a broad range of community healthcare.
Community Health Services ; Health Personnel ; Home Care Services ; House Calls ; Humans ; Life Style ; Mental Health ; Mobile Health Units ; Program Evaluation

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