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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Journal of Korean Public Health Nursing
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Journal DOI :
Korean Society of public Health Nursing
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Volume & Issues
Volume 19, Issue 2 - Sep 2005
Volume 19, Issue 1 - Mar 2005
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A Study on the Status of the Visiting Health Care Services at the Public Health Centers in Gangwon Province
Ahn, Yang-Heui ; Kim, Sung-Sil ; Yang, Soon-Ok ; Yi, Sung-Eun ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 177~187
The purpose of this study was to 1) identify the current management status of the Visiting Health Care Services (VHCS) and 2) to analyze the workload of the staff in the VHCS located in the Public Health Centers (PHCs) in the urban and rural areas. Method: A descriptive research design and a prospective, time and motion research design were used. A total of 18 PHCs in Gangwon Province participated in this study. A questionnaire and semi-structured observational sheet were utilized. A total of 650 self report records of the work load from the VHCS personnel were collected for a 10 day period at each of the 18 PHCs. A descriptive analysis was then done. Results: The major results were as follows. 1) The VHCS staff (nurses and nurse aids) was being assigned additional work such as maternal health care, chronic disease care, mental health care and health promotion on top of their VHCS duties. 2) The average number of home visits per client during the past year was 5.8. More specifically, the clients in the severe dependent group received an average of 27.1 visits, those clients in the moderate dependent group received 14.0 visits those clients in the slightly dependent group received 5.0 visits and those clients in the self-care group received 1.6 visits. 3) The time required for the work duties of the VHCS staff totaled 488 minutes per day. The percentage of time for home visits was only 17.4%, and this didn't include travel time. Conclusion: The main problems of VHCS were identified as a lack of personnel and a lack of time for the home visits. Strategies that are directed at the construction of a better infrastructure for VHCS are needed.
Analysis of Health and Social Needs for the Establishment of Coordinated Health and Social Service
So, Ae-Young ; Hong, Myung-Sun ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 188~203
The study was performed to provide basic data for developing a coordinated health and social service model. Method: The subjects consisted of 1000 residents in Wonju city. The sampling process was randomized stratified into 26 geographical areas. The data was collected from Apr. 16nd, to May. 15nd, 2002 by using a structured questionnaire that included general characteristics, the patterns of disease, the family function and the community support systems. The collected data was analyzed by the SPSS. windows program via descriptive statistics, correlation testing and t-tests. Result: 61.7% of the elderly perceived their health status as being poor. There were correlations among age, income and the way clients perceived their health status. The prevalence rate of chronic disease was 70.8% in the elderly. The prevalence rate for arthritis was the highest (33.6%). The average number of diseases in the target populations was 2.31; it was 2.65 in the deprived elderly group and 2.47 in the elderly group. 35.4% of residents did not have any family care giver. 61.2% of the clients needed support by the health and social services. Conclusions; Coordinated health and social services need to be allocated by priority to the elderly and to the socially and economic deprived clients.
A Study on the Development Plan of Education & Training for Public Health Nursing Personnel
Yang, Sook-Ja ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 204~216
Purpose: This study evaluated the education and training for public health nursing personnel and we suggest a development plan for their education and training. Methods: The data was collected from the annual planning reports of the Department of Health and Welfare Training in the Korea National Institute of Health from 1985 to 2004. Results: The summary of problems on the education and training included 1) unspecific educational goals and objectives, 2) a shortage of education and training programs for improving practical skills and knowledge on health promotion and chronic disease management, and 3) ineffective teaching methods based on lecture. In order to overcome these problems, education & training for public health nursing personnel should 1) establish dear and specific goals and objectives, 2) develop educational programs that focus on the trainee's needs and develop a long term educational program for reinforcing practical competency along with elementary courses for novices & advanced courses for experts, 3) utilize effective teaching methods such as case study, e-learning and applied learning programs. Conclusion: The education and training for public health nursing personnel should be improved in order to reinforce their competency and their ability to cope with the changing health care environment of the 21st century.
A Study on Nursing Students' Experience during Clinical Practice at a Public Health Center
Choi, Hye-Jung ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 217~228
Purpose: The purpose of this study is to understand nursing students' experiences during clinical practice at a public health center. Method: This research used narrative inquiry far data collection. From April 2005 to June 2006, data collection was conducted by open-ended interview, questionnaire and close observation. The participants, who were student nurses, were willing to take part in this study. Results: On the basis of these data, the experiences of clinical practice at public health center were: 1) when the student nurses begin clinical practice at public health centers for the first time, most of the students feel fearful, nervous and stressed. They also mentioned having a hard time being polite to clients and the staff. 2) The students had new experiences at the health public center compared with clinical practice. Especially, the student nurses who were determined to be good nurses were doing home visiting care service. Not only did they have the opportunity to confirm their identity as nurses, but also the students change their career course from clinical nursing to public health nursing. 4) They reflected on themselves after home visiting care service. Conclusion: On the basis of these findings, the following recommendations are made. 1) Data collection and analysis are needed, net only through the narrative method, but also through other various qualitative methods. 2) Comparative study is necessary to enhance clinical experiences through the analysis of the interfering factors and the original experiences.
A Survey of the Implication of the Cancer Screening Program in Health District Centers
Hwang, In-Young ; Lee, Won-Chul ; Baek, Hee-Chong ; Kim, Nam-Cho ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 229~240
Purpose: To evaluate every step of the cancer screening program. Method: 146 of 233 health centers participated in this study. Data were collected by mailing questionnaires between December 2002 and January 2003. The response rate was 65.5%. Result: The government cancer screening program was directed by a variety of departments of the health centers. 41.1% of persons in charges were nurses. 41.3% of the health centers received a list of the appropriate person from the National Health Insurance Cooperation within one or two months. 26.1% of health centers received ??? after five month from when the program started. All the health centers advertised their services, and most of them used mail and mass media 56.4%, used other institute's materials, and 72.2% of them used the government's materials. 76.7% of the heath centers recommended secondary health screening to the persons who had positive results at the first screening. 71.6% of the health centers ascertained the patients with cancer who were diagnosed at secondary screenings. 67.9% of the health centers had registered home-based cancer patients at the health center. 137 out of 146 health centers had a local institute for cancer screening; an average of 4.9 institutes had cancer screening. 80.1% of the persons in charge of the programs felt they needed this program, but 80.8% of them thought the program should be modified. Conclusion: Organized and standardized programs are needed to promote the efficiency of National Cancer Screening Program.
The Effects of an AIDS Photo Exhibition on AIDS Knowledge and Attitudes
Kang, Hee-Sun ; Shin, Su-Rin ; Chang, Soon-Bok ; Kang, Kyeong-Hwa ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 241~248
This study examined the effects of a photographic exhibition of HIV/AIDS on people's AIDS knowledge and attitudes. The subjects in this study were 620 people who came to see the AIDS photo exhibition that was held in Seoul, Ansan and Ulsan area. The data were collected before and after seeing the AIDS photo exhibition by using structured questionnaires from July 21, 2003 to July 31, 2004. The result indicated that there were differences in AIDS knowledge and attitudes after viewing the photo exhibition and the differences were statistically significant. The results suggested that the AIDS photo exhibition was effective for increasing knowledge about AIDS and changing the attitude toward people with AIDS. Therefore, it is recommended to utilize the AIDS photos exhibition for AIDS prevention education.
The Prevalence and Associated Factors of the in-home Falls of the Elderly
Mun, Young-Hee ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 249~260
Purpose: The purpose of this study is to analyze the realities related with the in-home falls of the elderly and also the factors that affect on the fails. Method: The data collection was carried out from January 10 to 13, 2005. The subjects of this study were 201 in-home elderly people over age 60 who resided at G city of Jeollabuk-do. Result: The following are the results from the analysis of collected data with using the SPSS program. 1. The number of people who experienced fall injuries was 51.7% within three years. Most cases of falls occurred in winter (52.4%), on roads (52.9%), wearing sports shoes (56.7%), when walking (56.7%), loosing their balance (54.8%), and slipping (54.8%). 2. The factors yielding the difference between the groups of elderly with the experience of fail injury and the group of elderly with no experience of falls showed a statistical significance for gender (p=.000), last academic career (p=.049), and number of people in the family (p=.041). 3. Among the factors related with health, the factors yielding the difference between the group of elderly with the experience of falls and the group of elderly with no experience of fails showed statistical significance for drinking (p=.015), dizziness (p=.000) and level of drug intakes (p=.015). 4. The elderly with the experience of fall injury as compared with the group of aged people with no experience of falls showed a higher degree of depression (p=.009). 5. From the result of logistic regression analysis to explore the factors affecting the experience of fall injury, it was found that there was a significant result for gender (p=.002) and depression (p=.018). Women as compared with men and the elderly with depression showed a higher rate of danger in falls. Conclusion: Based on the above results, it is expected that fall prevention programs are needed with regard to the general characteristics and health related characteristics, that is, the individual danger factors should be focused on such depression and gender as being the most important variables affecting the experience of falls.
Factors Related to Self Management in Middle Aged and Elderly with Diabetes Mellitus
Moon, Mi-Young ; Kim, Myung-Ae ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 261~273
Purpose: The purpose of this study was to explore the self management and related factors that affect the self management of diabetes between the middle aged and elderly groups. Method: This study was based by the conceptual framework of Cox's interaction model of client health behavior. The subjects were two groups; the middle aged group, 80 and the elderly group, 85 who were diabetes mellitus patients. Result: In the middle aged group, gender, education and social support were significantly correlated with self-management of diabetes mellitus. In the elderly group, gender, education, social support and the duration of diagnosis were significantly correlated with self-management of diabetes mellitus. In too middle aged group, the intrinsic motivation of diabetes mellitus patients and their understanding of diabetes were significantly correlated with self-management of diabetes mellitus. Understanding of diabetes and self perception were significantly correlated with self-management in middle aged group. In the elderly group, intrinsic motivation, understanding of diabetes and the attitude of the patients were significantly correlated with self-management Conclusion: In the middle aged group, maintaining a positive attitude of diabetes, reducing stress and continuous social support were important for improving self-management of diabetes mellitus. In the elderly group, enhancing their knowledge of diabetes, and maintaining continuous social support were important to improve self-management of diabetes mellitus.
A Study of Clients with Total Laryngectomy for the Adaptation of Daily Activities - Functional Status, Self-esteem and Depression -
Han, Hye-Jin ; Park, Jin-Hee ; Park, Ho-Ran ; Moon, Young-Im ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 274~283
Purpose: To survey the functional status, self-esteem and depression of a community of indwelling clients with total laryngectomy, and to evaluate the correlation among these three variances. Methods: From May 2002 to October 2002, 76 clients who had undergone total laryngectomy more than three months ago were surveyed with using Baker's functional status in head & neck cancer-self report, Rosenberg's self rating self-esteem scale and Zung's self rating depression scale. Results: 1. The functionaI status score was
. The subjects aged 70 years or older had significantly higher scores than the subjects aged
years. The group of clients who were operated on more than five years ago showed higher scores than the patients operated on within a year. 2. The self-esteem score was
. 3. The depression score was
. The subjects who bad three family members and the subjects who had five family members had significantly higher scores than the subjects who had two family members. 4. A significant correlation found between the functional status and self-esteem. Significant negative correlations were found between the functional status and depression and also between self-esteem and depression. Conclusion: Remarkable correlations were observed among functional status, self-esteem and depression. Nurses should consider the status of layngectomy patients and pay more attention to their pre- and post- operative nursing care and rehabilitation.
The Relationship on Self-Efficacy, Depression and the Perception of Health Status in Patients with Arthritis
Kil, Suk-Yong ; Oh, Won-Oak ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 284~293
Purpose: This study was conducted to examine the relationship among self-efficacy, depression and the perception of health status. Method: The subjects of this study consisted of 93 patients with arthritis. The data was collected from July to September, 2004 and it was analyzed with t-tests, ANOVA, Duncan's tests and Pearson Con-elation Coefficients using SAS. Result: Self-efficacy showed significant differences according to the economic status, pain, the number of previous treatment methods, depression, the perception of health status and the number of affected sites. There was a significant correlation between self-efficacy and depression (r=-.48, p<.000), the perception of health status and self-efficacy (r=-.29, p=.01), and perception of health status and depression (r=.34, p.001. Conclusion: Continuous self-management and a proper program on self-efficacy promotion are required for the management of arthritis patients.
The Analysis of Nursing Research on Music Therapy in Korea
Hong, Myung-Sun ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 294~304
Purpose: The purpose of this study was to review and analyze the trend and issues of nursing research on music therapy. This study was aimed to help direct developing better music therapy programs in the future. Method: We reviewed 57 dissertations and published articles from 1983 to Feb. 2005 that were related to music therapy in nursing. Result: Among the 57 published researches on music therapy, 47 (82.5%) were dissertations and 10 (17.5%) were published articles. Among the 57 researches, 55 (96.5%) were experiential researches and 2 (3.5%) were non-experimental researches. Surgical patients were the most popular subject for researches. The number of subject was a minimum of 7 people and maximum of 143 people. Listening to music 41 (74.5%) was the most popular program for music therapy. Among 55 researches, 33 (60.0%) had a music therapy session of 25-60 minutes and this was the most popular time duration of therapy. Among all the 108 dependent variables, 57 (52.8%) were psychological variables, 40 (37.0%) were physical variables and 11 (10.2%) were social-cognitive variables. Conclusion: There is an urgent need to develop systematic music therapy programs with different nursing interventions, as based on theories and principles while considering the physical, psychological, and social characteristic of the subjects.
Depression, Sleep Patterns and Health Promoting Behavior in Female College Students
Lee, Wha-In ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 305~315
Purpose: The purpose of this study was to investigate the relationships among depression, sleep patterns and health promoting behavior in female college students. Methods: The subjects of this study consisted of 350 college students. The data was collected through self-administered questionnaires from November to December of 2004. The data was analyzed via the SPSS computer program by using descriptive statistics, t-tests, ANOVA and Pearson's correlation coefficients. Results: There are significant differences and impacts on depression according to the amount of coffee consumed, the time spent on computer and the amount of smoke inhaled. Sleep patterns differ depending on one's college major, the time spent on computer, and the amount of smoke inhaled. Health promotion behavior was shown to be significantly different according to the living style, college major and how much TV was watched The mean scores for depression, sleep patterns, health promoting behavior were 1.45 (on a 3 points scale), 2.71 (on a 4 points scale), and 3.03 (on a 5 point scale), respectively. There was a significant positive correlation between sleep patterns and health promoting behavior, and there was negative correlation between depression and health promoting behavior, and between depression and sleep patterns in college students. Conclusion: The findings of this study give useful information to create further studies on intervention programs related to health promoting behavior for college female students.
A Study of the Relationship Between College Student's Attachment, Self-Efficacy and the Adjustment to College Life
Sung, Mi-Hae ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 316~327
Purpose: This study intends to clarify the relative importance and character of the college student's attachment to their parents. We examined the effect that the father and mother attachments have en their self-efficacy and adjustment to their college life. Method: The subjects were 271 students who attendee a university. For this study, we used the inventory of the Parent Attachment-Revised version by Armsden and Greenberg, a self-efficacy test by Sherer et al. and the investigation far adjustment to college life by Barker & Siryk. The data were analyzed by t-test, ANOVA, Duncan test and simple multiple regression analysis on an SPSS WIN 10.0 program. Results: There was a significant differences in the attachment to the father according to their grades and in the attachment to the mother according to their type of residence. There was a significant difference in the adjustment to their college life according to their grades. Regression analysis on attachment and self-efficacy suggested that attachment has an influence on self-efficacy. Regression analysis on attachment and adjustment to college life suggested that attachment has influence on the adjustment to college life. Attachment also has an influence on academic adjustment, social adjustment, personal-emotional adjustment and institutional adjustment on the subscale of adjustment to college life. Regression analysis on self-efficacy and adjustment to college life suggested that self-efficacy has an influence on adjustment to college life. Further, self-efficacy has an influence on academic adjustment, social adjustment, personal-emotional adjustment and institutional adjustment on the subscale of adjustment to college life. Conclusion: This study shows that there are relationships among attachment, self-efficacy and adjustment to college life. Especially, self-efficacy is a very important factor influencing the adjustment to college life. So, a plan designed to increase students' self-efficacy should be created based on the results of this study.
A Study on the Employment Stress in Senior-year University Students
Park, Kyung-Ran ; Park, Ho-Ran ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 329~339
Purpose: We wanted to examine the degree of employment stress that university seniors suffer and to find the factors affecting on this employment stress. Methods: The subjects were 250 university seniors in Seoul and Gyeonggido, and the data were gathered by using questionnaires that were administered from September to October in 2004. The data were analyzed with the SAS program by t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression. Results: The mean score of the respondents' total employment stress was 96.5 point out of 200. Their sub-factors of employment stress was 2.0 out of 4.0 for 'academic', 1.9 for 'personality', 2.1 for 'school environments' and 1.9 for 'home environments'. The degree of the seniors' employment stress from such things as their majors, their available jobs in the future, leaves of absence from school, the employment status, and the number of semesters within the leave was found to have significant differences. The major factors affecting on the employment stress were those related to personality stress and majors of the students, and these were 92.7% of the total stress. Conclusion: This study suggests the necessity of intervention or counseling with consideration being given to seniors' employment stress and the other symptoms like depression for improving the health of university seniors.
The Influence of Internet Expectation and Self-efficacy on Internet Addiction among High School Students
Oh, Won-Oak ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 339~348
Purpose: This study was conducted to understand the degree of Internet addiction, Internet expectation and self-efficacy and we also wanted to elucidate the factors influencing this addiction among the high school students in Korea. Method: A total of 348 high school students in the Gyeoung-gi, Daegu and Gyeoung-buk area were surveyed in this study. Data collection was conducted through the use of questionnaires. Results: Internet addiction among high school students in Korea was relatively low. In the overall ratio distribution, however, the students who were classified as either addicted or at risk of addiction accounted were a high percentage of the subjects, 31%. A positive or negative relationship was found between internet addiction and the research variables. Multiple regression analysis revealed that the most powerful predictor of Internet addiction was Internet expectations. Conclusion: Using the above results, it would be necessary to develop an Internet addiction prevention program for adolescents. There should be a qualitative study in the future for an in-depth understanding of internet addiction of adolescents.
Drinking among Elementary School Students in a Rural Community
Lee, Inn-Sook ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 349~358
Purpose: This study investigated the prevalence of drinking behavior among elementary students, and the results may serve as the basic data for developing a drinking prevention program. Method: For this study, questionnaires were given to 734 fourth, fifth and sixth graders in five elementary schools in U county, North Chungcheong Province. The data was were collected from December 8 to December 20, 2003 and the data was analyzed using SPSS/PC for the descriptive and chi-square statistics. Results: Of these students, 72.8% reported that they had drunk alcohol. They reported that the first drinking started during the third and fourth grade (37.8%), at family gatherings (41.0%), and by mistake (26.0%). They reported that alcohol was tasteless when they first drank (53.1%). The drinking experiences were significantly related to gender. Similarly, environmental characteristics such as the residential area, parental attention, the home atmosphere, and drinking parents were significantly related to drinking behavior. Among the non-drinkers, 70.5% intended not to drink and 6.5% reported they would like to drink in the future. Conclusion: This study suggests the necessity of developing drinking prevention programs with considering the students' demographic and environmental characteristics.
VDT Syndrome according to the Types of Computer Use Among Elementary Students
Kim, So-Won ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 359~370
The purpose of this study is to provide basic data for prevention of VDT syndrome by confirming VDT syndrome according to the type of computer use. The subjects recruited for the research were 518 students who were in the 4, 5, 6 grades from 5 schools in Seoul. The data were collected during the period from October 8 through October 18, 2004. The results were as follows; 1. The mean value of the VDT syndrome was 1.55 (SD=.52) for the 5th graders. 2. The degrees of VDT syndrome according to the characteristics of the subjects shows higher scores for the 5th and 6th graders, boys, students with more than 4 online friends, students with a low degree of school life satisfaction, and for students with parents who had a negative attitude for their children. 3. The degree of VDT syndrome according to the type of computer use showed higher scores when the students used computers for game more than for study, more than 11 hours in a week, more than 2 hours at one time, not having any rest, in dark places, with the monitor less than 40 an distance from the eyes, sitting with their legs crossed and when the keyboard was in a higher position than their elbows. The internet absorbed group showed higher scores than the unabsorbed group. 4. There was positive correlation between the hours of computer use and VDT syndrome. Also, internet addiction and VDT syndrome had positive correlation. Therefore, each home and society needs to pay consistent attention to correct computer use by their students. Especially, schools will have to educate about computer utilization and VDT syndrome.
Development and Testing of Day Care Program for Demented Elders
Lim, Young-Mi ; Jeong, Bok-Hee ;
Journal of Korean Public Health Nursing, volume 19, issue 2, 2005, Pages 371~381
Purpose: The purpose of the study was to develop the day care program for the demented elders and to determine the effects of multiple activity therapies on the physical, emotional, cognitive, social function and physiological indicators of dementia elders in day care center. Method: A total of 13 elders with mild dementia in the data care center were participated. Manual and guideline of data care program was developed. Data care program was composed of movement/exercise, foot massage, music therapy, horticultural therapy, and art therapy. Data care program was performed by trained intervener for 32 weeks. Instruments were physical functioning such as hand grip strength., vital capacity, chiar stand test, sit and reach test, one leg standing, Berg' Balance scale, 6m Walk Velocity, stair climb, ADL, GDS-K, MMSE-K, Integrative Social Functioning Scale, cortisol, Ig A and Ig G. These were measured at the baseline, 16-week, and 32-week post-intervention by the trained nurses. Data were analyzed as Wilcoxon signed rank test. Results: For Hand grip, balance, and vital capacity, there was a significant difference between baseline and 16-week post-intervention(p<.05). For one leg standing, 6m velocity, there was a significant difference between 16-week post-intervention and 32-week post-intervention(p<.05). For Stair climb, there was a significant difference between baseline and 32-week post-intervention(p<.05). For depression and social functioning, there was no significant difference among baseline, 16-week, and 32-week post-intervention. For cognitive functioning, there was a significant difference between baseline and 32-week post intervention(p<.05). There was a significant difference of cortisol, and Ig G between baseline and 32-week post-intervention(p<.05). Conclusion: It would appear that physical fitness, functional performance, ADL, depression, social and cognitive functioning, and physiological indicator of community dwelling elders with dementia can be improved through day care program using multiple stimuli.