Go to the main menu
Skip to content
Go to bottom
REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Korean Journal of Health Education and Promotion
Journal Basic Information
Journal DOI :
The Korean Society of Health Promotion
Editor in Chief :
Volume & Issues
Volume 15, Issue 2 - Dec 1998
Volume 15, Issue 1 - Jun 1998
Selecting the target year
The Effect of Industrial Health Education on Workers' Health Status : focusing on Small and Medium Industries
Korean Journal of Health Education and Promotion, volume 15, issue 2, 1998, Pages 1~21
The industrial health education is the most fundamental and active area in the industrial health. It has become increasingly recognized as an important component of preventive occupational health programs and is an essential service for improvement of productivity and employee's health. Evaluating the worker's health status is a part of the occupational health promotion policy and is very important to know the efficiency of the occupational health service. In this point, the purpose of this study was to clarify the effect of the industrial health education on worker's health status. This study included a survey of 625 workers at 28 factories in Puchon area form August Z7 to September 30, 1996. The research was carried out through the analysis of the self-administered questionnaires and health examination records. The results were as follows: 1. For demographic characteristics, 66.5% of the respondents were male. The most prevalent age group was 30 - 39years group(30.4%). Those who graduated from high school were 43.5%. The workers whose monthly income ranged from 600,000 to 100,000 won were 40.3%. As for the marital status, 69.4% of the respondents were married. 2. For occupational characteristics, 37.9% of the workers had worked 2 to 5 years in the factories, 69.4% of the respondents worked at the assembly line and the staffs were 27.0%. T26.4% of the respondents worked at hazardous workplace and 71.8% of the workers worked 9 to 10 hours a day. Those who worked during the night were 56.0%. Those who felt much for them workload were 29.9% and were dissatisfied with their working environment and job were 33.6%, 19.1%. 3. The 39.4% of the respondents received the industrial health education and most of them received on the safety and only few on family health. 70.7% out of those who had industrial health education reported it helped their health management.
Status of Hypertensive Patients' Drug-taking in Health Center and Its related Factors
Korean Journal of Health Education and Promotion, volume 15, issue 2, 1998, Pages 23~42
The purpose of this study is to show that, before registration of chronic degenerative diseases and enforcing management system in health centers, the management of hypertension could achieved comprehensively and continuously by knowing the realities of drug-taking and its related factors those who are being cared for in health centers. For one year, a questionnaire about drug-taking realities of hypertensive patient was distributed at 8 health centers in Taegu from March 24. 1997 to April 24. 1997. The questionnaires were then collected and analysed. The results are as follows: Of 691 patients, 77.4% of patient were taking medicine regularly every day. The reasons why patients weren't taking medicine every day was as follows: the blood pressure became normal(34%, the highest of the group), patients forgot(28.2%), it was difficult to buy the medicine(15.4%), there was no effect even though the patient took medicine continuously. The experience of medical treatment outside of health centers was 28.9%. The types and percentages of alternative medicine are herbs (50.5%), health food(24.5%), folk remedy(13.7%). Among them, 44.6% of patients didn't know if the medicine was effective. Medical treatment places excluding health centers was pharmacies(63.5%-the highest rate). In simple analysis, the older one was the more regularly one took the medicine, but there was no statistical relations. Of health activities, patients eating low-salt diet showed that they took the medicine regularly. Nonsmoking patients and those who experienced drug side-effect and those who doubted doctor's prescriptions and instructions showed that they took alternative, excluding modem medicine. Anti-hypertensive drug medication status according to recognition, attitude, experiences of hypertension showed that patients who thought that they should take anti-hypertensive drug during the whole life time took the medicine regularly(82.3%). The reasons for patients turning to alternatives varied. In case of having subjective symptom(34.1%), those who thought they knew the hypertension well(36.6%), they decided to use alternatives. In multiple logistic regression analysis the key statistics were as follows: The older patients, patients who ate low-salt diet, patients who thought that they should take anti-hypertensive drug during the whole life time, all showed that they took medicines regularly. And also patients who experienced drug side-effect, doubted prescriptions and instructions, and patients who had subjective symptoms, patients who thought that he knew the hypertension very well, all showed higher rate of using alternative medicine. In the future, at the health centers, to register and manage hypertension patients effectively, we must educate patients about regular drug-taking, and alternatives without doctor's prescriptions.
A Study on utilization of constructivist paradigm in Health Promotion and Education
Korean Journal of Health Education and Promotion, volume 15, issue 2, 1998, Pages 43~53
The National Health Promotion Law passed in 1995 was a milestone for initiating a national health promotion program in Korea, and government officers and health professionals are working on how to approach health promotion issues. The purpose of this study was to analyse methods and use of constructivist paradigm in health promotion and education. The health promotion area needs community empowerment, building community partnerships, and community capacity. To meet these health promotion requirements health promotion workforce should be trained through professional preparation programs that contains communication skills, group process skills, and management of programs in advanced countries such as the United States and Australia. Skills and responsibilities of those who are in charge of providing health promotion services have not yet been clearly defined in Korea because the area of health promotion is a multi-academic field, and needs a different approach, constructivist approach. Constructivist paradigm requires relativism, reasoning skills, collaborating, and motivation. These components are needed for community empowerment. Constructivism also has been applied to the field of education. Problem-based education, outcome-based education, performance-based education came from the constructivism. These educational methods are student-centered method. As the modernizing society becomes more complicated, traditional or conventional teacher-centered education cannot meet the needs of students. Students need to learn skills necessary to make healthy decisions with individual value system. So these interactive, self-learning methods can serve much more to the learner. Constructivist educational methods can be applied to educational programs in computers, too. To expand and differentiate the area of health education and health promotion from other health related fields, it is crucial to devote efforts in application and development of constructivist methods.
The Effect of Adhesive Taping Therapy on the Relieve of Chronic Low Back Pain
Korean Journal of Health Education and Promotion, volume 15, issue 2, 1998, Pages 55~66
The purpose of this study was to test whether adhesive taping therapy, one of rehabilitation, helps to relieve chronic low back pain. Sample were selected from 35 outpatients at oriental medicine hospital in the period from April 20 to June 20, 1998. The research design was one-group pretest - posttest design. The pretest included measuring discomfort depending on the scope and types of a range of motion, and their pain by their activity of daily living(ADL). In this research design, a treatment was to expose adhesive taping therapy to samples. The posttest included remeasuring of their discomfort and pain by ADL. The results of this study was as follows: Hypothesis I was that the discomfort score of the post-treatment group had lower than does that of the pre-treatment group. This study accepted the hypothesis (t=2.70, p=.015). Hypothesis II was that the post-treatment group had the pain score by ADL lower than does the pre-treatment group. Empirical results showed statistical significance(t=4.53, p=.000). In summary, the effect measured by the discomfort with a visual analog scale was statistically significant. The degree of pain according to postures in ADL also showed statistical significance. Consequently, these findings showed that the adhesive taping therapy was effective to alleviation of chronic low back pain.
Establishment of Credential on Health Educator for Activation of Health Promotion Program
Korean Journal of Health Education and Promotion, volume 15, issue 2, 1998, Pages 67~79
Health education is essential service of health promotion program, and health promotion is external extension of health education. However, the implementation of health education in community is not well because of lack of budget and health education specialist, deficient cognition for health promotion. Hence, introduction for the credential on health educator is to assist community and school health through the training of the specialist This study was carried out to establish the credential health educator for activation of health promotion program in Korea. In detail, this study aimed at 1) to confirm the law for health education, 2) to understand the credential on health education specialist in U. S. and the certification on other parts in Korea, 3) to establish the proper credential on health educator in Korea. Finding the results were as follows: The law on health education was Regulation on Health Promotion which has defined the health educator and responsibility of health education. In case of U. S., the credential on health education specialist has implemented since 1992, and the sort of credential on health education specialist were community health educator, public health educator, school health educator, and health promotion specialist. Therefore, major opinion to introduce the proper credential on health education in Korea were suggested: the first, establishment of educational processing on the training of specialized health educator, the second, introduction of examination on the evaluation for ability as health educator. the last. planning for application of health educator in community.
An Analysis of Teachers' Self-evaluation on Health Teaching Behaviors in Elementary School
Korean Journal of Health Education and Promotion, volume 15, issue 2, 1998, Pages 81~93
The purpose of this study was to analyze the results of teachers' self-evaluation on their health teaching behaviors, then to furnish the basic data to be able to improve teachers' health teaching activities and the educational issues on the education of teachers. To put above aims into practice, these were required: 1. Are there any differences in the results of self-evaluation on health teaching behaviors factors by teachers? 2. Are there any differences in the results of health teaching self-evaluation whether he/she take P.E as major of study in-serviece training period? 3. Does it have any influence on the results of health teaching self-evaluation whether he or she completed on the job training for the school health? 4. Are there any differences in the results of health teaching self-evaluation by sex and career? To carry out a research for this purpose, the factors of health teaching self-evaluation were divided into the clearness of the procedure, the active interaction, the variety of the ways showing the contents, and the individualization of the procedure. Then a questionnaire form, consisting of 28 specific inquires to evaluate health teaching behaviors, was delivered and conducted by 450 teacher of the elementary school in Kyungki-do. The analysis of data was done by SPSS; producing mean and standard deviation and they were inspected statistically to compare the evaluation levels and find out the differences by teachers' personal variables. The conclusion were as follows: 1. In the self-evaluation level of teachers' health teaching behaviors, teachers showed 68.23 point as are percentile distribution. And it was in order of a school-nurse(71.68), an athletic teacher(67.29), and a class-room teacher (65.66). Score obtained by teacher was statistically significant difference (p〈.001) 2. In the factors affecting to teachers' health instruction, “active interaction” showed the highest score(18.55), “variety of ways showing the contents”(17.38), “clearness of the procedure” (16.70), and “individualization of the procedure” (15.59). In the analysis of the differences by teachers, according to factors, there were significant differences in “active interaction”, “variety of the ways showing contents”, “clearness of the procedure”(p〈.001). 3. Self-evaluation score for graduates from Dept. of P. E in Teachers' collage was not significant difference compared with other majors(p〉.05). 4. Teachers receiving health education was significantly higher self-evaluation score than that of teachers not-receiving health education (P〈.01). 5. Self-evaluation score of female teacher was significant difference compared with that of male teacher (p〈.001). 6. Career (working duration) did not influenced to self-evaluation score on health teaching behaviors (P〉 .05). On the basis of the conclusion of this study, the next are suggested: First, the further studies to make use of the results of health teaching behaviors and to examine the effect are needed. Second, the further studies to examine the relations between academic achievement and teachers' major(a school-nurse, an athletic teacher, and a class-room teacher) are needed. Third, the following studies to improve health teaching by both teachers' self-evaluation on health teaching behaviors and students' evaluation of teachers, and to find out more effective health teaching, are needed. Fourth, Health education for pre-service training course and On-the-Job training program are need the effective factors on the teachers' Health teaching obtained from this study.
A Study of Health educational effect on the AIDS related Knowledge and Attitude among chonbuk area women
Korean Journal of Health Education and Promotion, volume 15, issue 2, 1998, Pages 95~104
The purpose of this study was to investigate the educational effect on AIDS related Knowledge and Attitude among chonbuk area women. This study examed the AIDS related knowledge and attitude of pre, post educational effect. The subjects of this study were consisted of 152 women who participated in health education by video tape after 60 minutes. 59 itemed self-reporting questionaires were collected from the 20th December to the 30th December, 1997. The results were as follows; 1. The level of knowledge about AIDS ; The mean score of pre-test knowledge was 23.2 out of 32.0. The mean score of post-test knowledge was 26.0 out of 32.0. 2. The educational effect on AIDS related knowledge was significantly increased. 3. The educational effect on AIDS related attitude; was desirably increased.
A study on quality of life among college student in Korea
Korean Journal of Health Education and Promotion, volume 15, issue 2, 1998, Pages 105~117
This study was conducted in order to identify quality of life(QL) and it's related factors in college students in Korea. The data were collected at september, 1996, using the instrument of QL. It was measured by a 5-point scale, composed of 20 questions, 4 regions; “the region of task”, “the region of life style”, “the region of mentalㆍemotional health” and “the region of physical health”. The subjects of this study were 413 college students. Data were analyzed with t-test, ANOVA -test using SPSS program. The results were as follows. 1. The lowest mean of QL score was 2.685 in the region of task. And the mean of QL score in the region of life style was 2.772, in the region of mentalㆍemotional health 3.114, in the region of physical health 3.323. 2. There were significant relation between “sex” and “QL” in the regions of task(p〈 .05), mentalㆍemotional health(p〈.01), and physical health(p〈.01), between “resident patterns” and “QL” in the regions of task(p〈.05), life style(p〈.01), and mentalㆍemotional health (p〈.01), between “meal provider” and “QL” in the regions of mentalㆍemotional health(p〈.05), between “monthly pocket money” and “QL” in the regions of mentalㆍemotional health(p〈.05). Mean score of QL on the subjects who exercised regularly was statistically significant higher than others' in the regions of task(p〈 .05) and physical health(p〈 .05). And QL score of working students for money was statistically significant higher than others' in the regions of physical health(p〈.05).
The Influence of Behavioral Modification and Aerobic Exercise Program on Blood Fat of Middle School Students'
Korean Journal of Health Education and Promotion, volume 15, issue 2, 1998, Pages 119~142
The purpose of this article is to provide a method of losing weight and early managing risky factors of geriatric diseases by having male and female obese middle school students' participate in behavioral modification and aerobic exercise, foster their own desirable behavioral habit and confidence in solving obesity and continue their living pattern all their life. In order to do this, 64, subjects over 20% obese degree obtained using the standard weight, belonging within 50% range of weight percentage per height(male:32, female:32) were grouped to 4 categories of aerobic exercise therapy, behavioral modification therapy, both therapies combinedly applied and control ones by 8 male and female students allocated to each group respectively, and they were practiced to each program for 12 weeks, and the findings between group were obtained as follows. 1. The male and female middle school students' cholesterol amount of blood fat reduced most in the combinedly performed group of aerobic exercise and behavioral modification therapy. It indicated a statistically significant difference between groups (F(3,56) =9.50, p=.000) and the measurements according to the application period of program as well (F(3,168)=554.94, p=.000). The cholesterol amount per measurement period reduced most between 8 and 12 weeks. 2. The male and female middle school students' high density fat amount increased most in the combinedly performed group of aerobic exercise therapy and behavioral therapy, its descending order of next highest rate was aerobic exercise therapy, behavioral modification therapy and control group. It indicated a statistically significant difference between the distinction of male and female sexes (F(1.56)=13.82. p=.000) and the measurements according to the application period of program (F(3,168) =55.58, p=.000). The high density fatty Quality per measurement period increased most between 8 and 12 weeks. 3. The male and female middle school students' low density fat amount reduced most in the combinedly performed group of aerobic exercise therapy and behavioral modification therapy. It indicated a statistically significant difference between groups (F(3,56)=17.35, p=.000) and the measurements according to the application period of program (F(3,168)=891.14, p=.000. The low density fat amount reduced most between 8 and 12 weeks. 4. The male and female middle school students' neutral fat amount reduced most in the combinedly performed group of aerobic exercise therapy and behavioral modification therapy. It indicated a statistically significant difference between the distinction of sexes (F(1,56)=9.54, p=.003) and groups (F(3,56) =25.57, p=.000) and the measurements according to the application period of program (F(3,168) =566.03, p=.000). The male students indicated the most reduction between 4 and 8 weeks. while the female students between 8 and 12 weeks.
A Study on the Educational Needs of the Coronary Heart Disease Patients in a Municipal General Hospital
Korean Journal of Health Education and Promotion, volume 15, issue 2, 1998, Pages 143~161
The purpose of this study is to find out the educational needs for the coronary heart disease patients of a general hospital in a municipal general hospital. The study subjects were 90 outpatients who had been diagnosed as myocardial infection or angina at the hospital from January 3, 1998 to January 31, 1998. The questionaire was consisted of risk factors and educational needs for coronary heart disease patients. The qusetions on the education needs of the coronary heart disease were consist of 34 questions in 6 fields. In analyzing the data, the number and the percentage were calculated in patients general characteristics, the average and the standard-deviation were calculated to understand the educational needs, t-test and ANOVA were used to find out inter group difference on educational needs. In ANOVA, the advanced analysis was done by Scheffe-test. The results of this study were as follows: 1. 52(57.8%) of the patients (90%) live in Kangnung-city and 95% of the patients live in the middle-east part of Korea. At the age distribution 39 to 80, 41.1% of the patients were in their sixties and average age was 62.4 years old. 40% of the patients left school in mid-course or graduated from middle school or high school 2. As a result of the study on the risk factors of the coronary heart disease, the patients who have hypertension and diabetes were 41.1% and 20% respectively. In smoking and drinking, smokers were 30% and drinkers were 40% and average of smoking and drinking duration over 30 years old. 47.8% were over 140mgHg systolic - BP and 45.8% were over 90mmHg diastolic - BP 3. The patients' educational needs average 94.88 (maximum 134), and item average 2.79(maximum 4.0), the highest needs field was the characteristic of disease 33.22(maximum 44). Item average 3.02 (maximum 4.0) and the lowest education needs field was the physical activity and exercise 10.21(maximum 16). Item average 2.55(maximum 4.0) 4. General characteristics which were different from the general characteristic educational needs were statistically different by group of educational level, occupation, age and sex. 5. The risk factors which were different from the coronary heart disease patients' risk factors educational needs were statistically different by groups of the heart disease patients in family and the patients who take regular exercise. with a result the nurses need to improve the educational programs while considering the high educational needs field and the characteristics which showed significant concerns statistically.
Effects of Health Education with Printed Media for Smoking Cessation, Pap Smear and Breast Self-examination
Korean Journal of Health Education and Promotion, volume 15, issue 2, 1998, Pages 163~183
To evaluate the impacts of the health education programs including smoking cessation, pap smear and breast self-examination(BSE), a community trial was conducted during one year from December 1996 to December 1997 in Kyongju City. Before health education, a base-line survey was implemented and the target population was allocated randomly to case and control groups. The case and control groups were divided into three categories which were smoking cessation, pap smear and BSE. The series of health education leaflets about anti-smoking, pap smear and BSE were mailed to case group and the evaluation survey was conducted at the end of this trial to compare the change of health related behaviours of case and control groups. Smoking prevalence of case group did not decline significantly after anti-smoking education but the cessation rates of the elderly and low educated were higher than others. The knowledge level of case group on the health risk associated with smoking was higher than that of control group and the willingness of case group to quit smoking was higher than the control group. The case group's compliance with pap smear for cervical cancer was more increased compared to control group after health education. Of the case group, the younger and lower educated women were screened at a higher rate than others. The knowledge level of case group on the risk factors of cervical cancer and how to prevent it was higher than that of control group. Nearly 60 percent of case group reported that the health education leaflet influenced them to have the pap smear. The unscreened cases were highly motivated to get the pap smear test in the future.
A Study on Health Behavior of Nursing Students
Korean Journal of Health Education and Promotion, volume 15, issue 2, 1998, Pages 185~198
This study was designed to investigate the content of health behavior and to examine factors determining health behavior of nursing students(n=159) in relation to sociodemographic and cognitive variables. Cognitive variables were categorized into saliency of health, susceptibility to illness, and health locus of control. Data analysis prodecure included factor analysis and stepwise multivariate regressions using health behavior as dependent variables. Analysis showed; 1. As a whole, nursing students showed a tendency of lack in positive health behavior, especially in diet-related health behavior. 2. Multiple regression analysis revealed that the factors such as grade, saliency of health, and birth place were to be independently and significantly associated with health behavior: Upper grade students, high level of saliency, urban-born students tend to take health behavior positively. 3. The most influential factor among them was grade, but cognitive inspite of stereotype, poorly impact on health behavior with the exception health. We can guess the effect of education indirectively from these findindgs, but longitudinal studies need to consider the direct effect of education. The results also indicate that the respondents should be encouraged to take health behavior positively. The studies including more other cognitive variables would be conducted for the nursing students in relation to health behavior.
Defining Role of Health Personnel to Improve the Quality of Life among Korean
Korean Journal of Health Education and Promotion, volume 15, issue 2, 1998, Pages 199~215
The health care environment exerts tremendous influence on community health practices. Here the author mention several major factors that will influence the future plan for health service and health education; that is, economic problem, the issues of decrement of infectious disease, increment of chronic degenerative disease due to natural increase of the elderly, increased frequency of traffic and industrial accidents and the issues of medical-technological advances etc. Therefore, special efforts by health personnel should be made to develop health education and health promotion strategies on a community-wide basis. Accordingly, the flexible accessibility, convenient availability, guaranteed medical service, sufficient supply of health information, and rapidly available medicaid service for special population such as the elderly, the handicapped, the disabled and the poor are considered. Also, the financial support from the central government and local self-government and active participation of health consumer to health service are needed in Korea, The role of the health personnel is to elicit, facilitate and maintain health promoting behavior with his and her assurance for health consumers being competent and supported in the voluntary choice of their health promoting activities. The health promoting activities such as the above mentioned will be produce escalation of their life Quality among Koreans.
A Critical Analysis of the Perspectives on Health Care Reform in Korea
Korean Journal of Health Education and Promotion, volume 15, issue 2, 1998, Pages 217~233
This paper analyzed four different perspectives on health care reform in Korea in terms of the basic values, formulated problems and reform plans, implementation methods, and supporting groups. The medical security plan was insisted by social security specialists and social activists focusing on the integration of medical insurance coops in order to enhancing equity and right of the people. However, its perspective was limited to promoting security instead of reforming health care system. The government proposed the health care reform plans in 1994 and in 1997, focusing on promoting efficiency by remedying many problems in health care delivery system. However, its implementation was not successful due to the lack of organizational and financial supporters. Recently, two opposite proposals were issued. The market reform plan paid attention to revitalizing the market function to promoting efficiency by allowing hospitals to treat private patients instead of applying the medical insurance regulation. The government reform plan focused on intensifying governmental planning and intervention in the health care sector in order to removing inefficiency and promoting equity with the supports of social activists and labor unions. Finally, this paper proposed an alternative plan to promote harmonious social relationship between actors in the health care system.
The Recent Trends and Policy Issues on Alternative Medicine in the Western Countries: -Focusing on U.S.A.-
Korean Journal of Health Education and Promotion, volume 15, issue 2, 1998, Pages 235~256
Currently, alternative medicine is highly utilized in the western countries. The public as well as health care practitioners have been paying a considerable attention to alternative medicine. This rapid growth in alternative medicine in many western countries suggests a high degree of public dissatisfaction with the limitations of orthodox medicine and concern over the side effects of chemical drugs. There is also a widespread recognition of the growing financial, social and personal cost for orthodox medicine. In addition, there is a growing need for a less fragmented, more participative and humane approach compared with contemporary medicine. Alternative medicine, which is based on holistic approach and lead to less expensive health care, may have the potential to playa significant role in overcoming the limitations of orthodox medicne in the western country. In this context, this study explores the recent trends of research on alternative medicine in western countries, particularly U.S.A. The study can provide us with valuable information on the types, training and education, utilization, insurance coverage, and regulation of alternative medicine in the western countries, thus offer important policy implications for the improvement of the korean health care system.