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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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Korean Society of public Health Nursing
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Volume & Issues
Volume 24, Issue 2 - Sep 2010
Volume 24, Issue 1 - Mar 2010
Selecting the target year
Willingness to Pay for Cognitive Enhancement Program for Elders
Lim, Ji-Young ; Song, Mi-Sook ; Han, Young-Ran ; Kim, Eun-Joo ; Choi, Kyung-Won ; Sung, Young-Mi ;
Journal of Korean Public Health Nursing, volume 24, issue 2, 2010, Pages 173~181
Purpose: The aim of this study was to gauge the social willingness to pay for cognitive enhancement program for elders. Methods: The subjects of this study were 77 subjects >65-years-of-age. The data were collected by direct interviews. The measures of willingness to pay were open-ended question and referendum format. The data were analyzed using descriptive statistics, t-test,
-test, and multiple regression. Results: Respondents were willing to pay 18,573 won for one use of a cognitive enhancement program for elders. The Monthly income was the only factor that statistically significantly affected willingness to pay. Conclusion: The findings will contribute to policy formulation regarding community based nursing program for elders.
Gender-related Difference in the Utilization of Health Care Services by Korean Adults
Jeon, Gyeong-Suk ; Choi, Eun-Suk ; Lee, Hyo-Young ;
Journal of Korean Public Health Nursing, volume 24, issue 2, 2010, Pages 182~196
Purpose: This study examined potential determinants of gender differences in utilization of health care services among Korean adults. Methods: The study population was 21,647 adults
25-years-of-age who had responded to a health interview survey conducted as part of the 2005 National Health and Nutrition Surveys. Relative gender differences in the use of each health service were assessed using chi-square test and sex ratios. The contribution of potential factors of sex differences in the use of health services was evaluated by comparing the odds ratio and sex ratio before and after adjustment for such variables. Results & Conclusions: More females had visited a physician and been admitted to hospital, but hospitalization time was longer for males. Adjustment for poor self-rated health, number of chronic disease and limit of full term for ADL led to a reduction in the odds ratio of females compared to males for health service utilization. However, adjustment for socioeconomic factors (household income, education, occupation, and health insurance) magnified the gender difference concerning length of hospitalization. Factors that explain gender-related differences in utilization of health care services are concluded to be different health needs and socioeconomic status.
Relationships between Perceived Stress, Mental Health, and Social Support in Community Residents
Kim, Pan-Hee ; Kim, Hee-Sook ;
Journal of Korean Public Health Nursing, volume 24, issue 2, 2010, Pages 197~210
Purpose: The study investigated the relationships among perceived stress, mental health, and social support in community residents. Method: A self-reporting questionnaire was completed by 302 community residents aged 19-64-years-of-age from October 7 to November 30, 2008. Assessment tools were an The established perceived stress scale, standardized mental health scale, and established social support scale. The data was analyzed by descriptive statistics, t-test, one-way ANOVA, Scheffe's test, and Pearson's correlation coefficient using the SPSS WIN 12.0 program. Result: Significantly negative correlations were evident between perceived stress and social support, and between social support and mental health. But, there was a significantly positive correlation between perceived stress and mental health. Conclusion: It is necessary to develop a strategy to decrease perceived stress, improve mental health, and increase social support for community residents.
Comparative Study of Home Nursing Care Services under the Long-term Care Insurance System in Four Nations
Sung, Myung-Sook ; Jang, Hee-Jung ; Kim, Chun-Gill ; Kang, Kyeong-Hwa ; Nam, Kyung-A ; Park, Jong-Duk ;
Journal of Korean Public Health Nursing, volume 24, issue 2, 2010, Pages 211~225
Purpose: This comparative study analyzed information systems including manpower, contents of service, clients, and costs among four nations. Methods: A literature review of relevant publications from Korea, United States, Japan, and Germany supported the use of several plans to activate home nursing care services under the long-term care insurance system in Korea. Results: Korean home nursing care services require quality improvements. The results indicated that a rule is necessary that rations simple visiting service and home nursing care services under the long-term care insurance system, that an integrated management system for elderly care is required, and that the revised delivery of services needs to establish and reflect on various factors to estimate the value in a home visiting nursing care cost system. Conclusion: The data should be valuable in establishment of home nursing care services under the long-term insurance system in Korea.
Factors Related to Smoking Behavior among High School Students
Choi, Won-Hee ; Je, Mi-Soon ; Lee, Sam-Soon ;
Journal of Korean Public Health Nursing, volume 24, issue 2, 2010, Pages 226~236
Purpose: The study investigated factors related to the smoking behavior among 639 high school students in Geoje, Korea. Methods: Data collected by self-reported questionnaires was analyzed by the SPSS WIN 14.0 program with Chi-test, t-test, and multiple logistic regression analysis. Results: Smoking behavior differed by gender (p=.002), school type (p=.001), experience with alcohol consumption (p=.005), family harmony (p=.003), father's smoking (p=.001), academic achievement (p=.010), self-esteem (p=.010), stress (p=.004), and attitude to smoking (p=.0001). Smoking behavior was significantly associated with gender (odds ratio (OR)=0.66, 95% confidence interval (CI)=0.46-0.95), school type (OR=1.52, 95% CI=1.03-2.23), experience with alcohol consumption (OR=0.56, 95%CI= 0.39-0.82), academic achievement (OR=1.98, 95-I=1.20-3.29), attitude to smoking (OR= 0.76, 95%CI=0.69-0.84) and father's smoking (OR=1.59, 95%CI=1.11-2.29). Conclusion: Anti-smoking programs for high school students should especially consider those at higher risk (males in vocational high school with no drinking experience of drinking, lower academic achievement, favorable attitude to smoking, and whose fathers smoke). Community efforts to reduce adult smoking would be advantageous.
Effects of an Empowering Program on Health Quality of Life, Decision Making Self-efficacy, Self-care Competency, and Reasonable Medical Care Utilization among Low Income Women Households
Ahn, Yang-Heui ; Kim, Ki-Kyong ; Kim, Gi-Yon ; Song, Hee-Young ;
Journal of Korean Public Health Nursing, volume 24, issue 2, 2010, Pages 237~248
Purpose: The study assessed the effects of a 12-session empowering program to promote health quality of life, decision making self-efficacy, self-care competency, and reasonable medical care utilization among low income women households in one rural area. Methods: A quasi-experimental, one-group pre-posttest design was employed. A total of 28 women enrolled as medicaid recipients in the Public Health Center of W city agreed to participate. The empowering program consisted of 12 sessions addressing health education for self-care of disease, medication management, and counseling for psycho-social support. The intervention was delivered by five nurses and one social worker. Women completed a structured questionnaire measuring the study variables with demographic characteristic before and after the intervention. Data were analyzed by PAWS Statistics 17 utilizing descriptive statistics and paired t-test. Results: After the intervention, significant increases were evident in participant health quality of life (t=-5.83, p<.001), decision making self-efficacy (t=-4.86, p<.001), self-care competency (t=-8.16, p<.001), and reasonable medical care utilization (t=-3.97, p<.001). Conclusion: The 12-session empowering program on health quality of life as well as self-care competency was effective when delivered to low income women households. Further studies with larger numbers of participants and a control group are necessary to validate the results.
Analysis of Rape Myths Acceptance and Gender Role Stereotype among Female and Male University Students
Oh, Suk-Hee ; Kang, Hee-Soon ; Kim, Yun-Hee ;
Journal of Korean Public Health Nursing, volume 24, issue 2, 2010, Pages 249~257
Purpose: This study aimed to clarify the relationship between analysis of rape myths acceptance and gender role stereotype among university students. Method: First-year students at two three-year colleges in Jeonnam and two three-year colleges in Jeonbuk (n=406) were selected by convenience sampling. Of these, responses from 386 (95.8%) were analyzed. Result: Rape myths acceptance in male students was significantly higher than female students (t=5.400, p=.00). In terms of gender role stereotype, male students were significantly higher than female students (t=3.869, p<.001). The relationship between rape myths acceptance and gender role stereotype was in the middle range of correlation: male students' correlation coefficient was r=.520 (=p<.001), and female students' was r=.524 (p=<.001). Conclusion: The results indicate that university students' attitudes toward sex have not been properly established yet. Moreover, they highlight that in our society there still exists a male dominated social structure and inequality of sexes. To prevent sexual violation from occurring at the universities, it is necessary that programs to establish proper attitudes of students toward these two factors, should be developed and the results monitored frequently. In addition, cross sectional studies aimed at understanding rape myths acceptance and gender role stereotypes are needed.
Effects of AIDS Education on Knowledge, Prejudice, Susceptibility, Severity and Intention of Safe Sex Behavior among University Students
Lee, Jong-Kyung ;
Journal of Korean Public Health Nursing, volume 24, issue 2, 2010, Pages 258~269
Purpose: This study investigated the effectiveness of AIDS education on knowledge, prejudice, susceptibility, severity, and intention of safe sex behavior among university students. Methods: This study was conducted from March, 2008 to May, 2008. The research design was a non-equivalent control group pre-post test. Participants 78 university students (control group) and 89 university students (experimental group). For the latter, AIDS education was provided once weekly for 1 h for 4 weeks. The educational program included understanding of sexuality, facts of AIDS, life stories of patients with AIDS, and safe sex behavior. The differences between two groups after education were analyzed by independent t-test. Results: The experimental group had significantly higher scores for knowledge, prejudice, susceptibility, and intention of safe sex behavior compared to the control group. However, no significant difference was found for severity between two groups. Conclusion: AIDS education can be effective in improving knowledge, prejudice, susceptibility, and intention of safe sex behavior, and is recommended as an effective AIDS education for university students.
A Comparative Study of Perceptions and Intention to Report on Elder Abuse between Nurses and Elderlies
Ko, Chung-Mee ;
Journal of Korean Public Health Nursing, volume 24, issue 2, 2010, Pages 270~284
Purpose: This study examined differences in perceptions and intention to report on elder abuse between nurses and elderlies. Methods: A cross-sectional survey design was used. The participants were 301 nurses and 326 elderlies (>60 years) living in Seoul. Data were collected by convenience sampling. The research instrument utilized in this study to measure perceptions and intention to report were 11 of 12 scenarios adapted by Yoo & Kim from Moon and Williams(1993). Data were analyzed with descriptive statistics, t-test, Chi-Square and Pearson's correlation. Results: The mean score of perceptions on elder abuse was 3.11 for nurses and 2.98 for elderlies. The most severely perceived type of abuse was sexual abuse, followed by physical abuse, neglect, financial abuse, and emotional abuse. Statistically significant group differences were evident in perceptions of elder abuse in six of the scenarios and in all scenarios for intention to report. Conclusions: Differences in perceptions and intention to report on elder abuse between nurses and elderlies should be considered in developing effective measures in prevention and intervention of elder abuse.
Development of Home Visiting Nursing Standards Base on a Long-Term Care Insurance for the Elderly Program
Kim, Myung-Hee ;
Journal of Korean Public Health Nursing, volume 24, issue 2, 2010, Pages 285~301
Purpose: The study was aimed at qualitatively enhancing and promoting a home visiting nursing program established in Korea on July 1, 2008, as part of the Long-Term Care Insurance for the Elderly program. Methods: Structural, procedural and consequential aspects of home visiting nursing care wereclassified on the horizontal axis by applying the standard notions for the evaluation of medical care (Donabedian, 1998). At the same time, the home visiting nursing care service support system and the service provision system weredivided on the vertical axis with reference to the accreditation standards for home visiting nursing care organizations suggested by the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO, 2008). The data were collected from June 4, 2008 to October 27, 2008, and were analyzed using SPSS ver. 15.0. Results: Twenty-two (proposed) standards, centered on the standard elements under the conceptual framework of the study, were developed, and comprised structural aspects (n=10), procedural aspects (n=6) and consequential aspects (n=6). Those criteria and indicators underwent two content validity surveys among groups of home visiting nursing care research and training experts. The research produced 22 proposed standards, 50 proposed criteria and 166 proposed indicators. Conclusion: The home visiting nursing care standards developed pursuant to the Long-Term Care Insurance for the Elderly Act and the applicability of these standards need to be verified by home visiting nurses. These proposed standards should prove useful in developing an assessment tool to encourage the qualitative enhancement of visiting nursing care in Korea.
Differences of Prevalence and Associated Factors of Falls in Community-Dwelling Older People with Hypertension
Jang, Gun-Ja ; Jeon, Eun-Young ; Kwon, Byung-Hyun ;
Journal of Korean Public Health Nursing, volume 24, issue 2, 2010, Pages 302~310
Purpose: A comprehensive analysis of demographical, disease, functional status and fall risk related factors identified factors associated with falls in elderly hypertensive. Method: A descriptive research design was used. The participants were 124 persons aged 65 years or older registered at the community center in Daegu city. The data were collected from October, 2008 to February, 2009. Frequency, Fisher's exact test,
-test, t-test, and logistic regression were done using the SPSS V17.0. Results: Ninety (72.6%) subjects had experienced falls. The occurrence differed according to number of medications, activities of daily living and competence of vision. Logistic analysis revealed number of medication and impaired vision as independent risk factors for subsequent falls. Conclusion: Supportive nursing for the elderly needs to focus on dizziness and impaired vision to prevent falls in community-dwelling elderly with hypertension.
Compliance with a Low-Salt Diet, Sodium Intake, and Preferred Salty Taste in the Hypertensive Elderly
Lee, Young-Hee ; Kim, Hyun-Kyung ; Kwon, Gyoung-Hee ;
Journal of Korean Public Health Nursing, volume 24, issue 2, 2010, Pages 311~322
Purpose: This study aimed to examine the compliance to a low-salt diet, sodium intake, and preferred salty taste in elderly patients with hypertension. Methods: A cross-sectional descriptive design was used. Participants were 105 elderly patients with hypertension living in a rural area. The compliance with a low-salt diet, sodium intake, and preferred salty taste, blood pressure, body mass index, and waist circumference were measured, and compared according to the general characteristics and the levels of blood pressure. Descriptive statistics,
-test, t-test, and ANOVA were used for data analysis. Results: compliance with a low-salt diet was marginally elevated. Sodium intake was relatively high and the main sources were seasonings and vegetables. The participants tended to prefer high levels of salt. Sodium intake was significantly higher the hypertensive individuals (stage I and II) compared to prehypertensive subjects on a normal maintenance diet. Sodium intake from vegetables was also significantly different between the two groups. Conclusion: Nursing intervention for hypertensive elderly patients should include strategies to decrease sodium intake.
Health Status, Health Care Utilization and Related Factors among Asian Immigrant Women in Korea
Yang, Sook-Ja ;
Journal of Korean Public Health Nursing, volume 24, issue 2, 2010, Pages 323~335
Purpose: This study identified sociodemographic characteristics, health status, health care utilization and related factors of Asian immigrant women in Korea. Methods: Data were collected from 465 immigrant women from China, Vietnam, the Philippines, and other Asian countries using standardized questionnaires. Descriptive statistics and
-test were performed utilizing SPSS version 17. A p-value <.05 was considered statistically significant. Results: Subjects had relatively good subjective health. The most prevalent conditions were, in order, anemia, gastrointestinal diseases, gynecological diseases, and depression. Subjects utilized mostly hospitals or clinics when sick. There were significant relationships between health care utilization and factors including residence, time since immigration and economic status. The rate of non-treatment in hospitals or clinics was 30.1% during the previous year, with significant relationships between non-treatment and factors including time since immigration and economic status. The major reasons for non-treatment were the burden of hospital expenses followed by communication difficulty. Conclusion: Public health efforts should be targeted to Asian immigrant women to improve their health status and support health care utilization.