160 research outputs found
Development and Application of the Korean Prototype of Wellness Index
Purpose: This study aimed to develop the Korean Prototype of Wellness Index (KP-WI) and identify the relationship between Koreans health characteristics and wellness. Methods: The Wellness Index (WI) was translated into the primitive version of the KP-WI, considering the Koreans culture and health behavior. It was administered to 223 service industrial employees at one workplace along with the Positive Affect and Negative Affect Schedule (PANAS) and Stress Questionnaire-Short Form. Data analyses included item-total correlation, Pearsons correlation coefficient, independent t-test, and one-way ANOVA. Results: The primitive version was modified to KP-WI based on the item-total correlation. The items considered to lower the reliability of the KP-WI were eliminated.
Cronbachs โบ for each subscale ranged from .857 to .939. Perceived stress and negative emotions correlated significantly with wellness measured by KP-WI (r=-.29, p<.001; r=-.27, p<.001). Positive emotions correlated significantly with wellness (r=.60, p<.001). Conclusion: This study contributes to the development of Korean-style wellness indexes by developing a prototype and exploring the factors related to wellness
An Exploratory Study of Diffusion of Health Promotion Programs using Forests
Purpose: In recent years, many attempts have been made to examine the effects of forest therapy on health and to develop related policies. This study aimed to explore the current status of health promotion programs using forests provided by public health centers and to identify program diffusion strategies employed within different communities. Methods: For this descriptive study, we analyzed the 5th regional public health care program plans and explored the perceptions of health care workers attached with the programs using open-ended questionnaires and a focus group interview. Results: This study confirmed the necessity for health promotion programs using forests, as well as administrative and educational demands for such programs. The target population of the programs ranged from individuals with specific diseases to healthy local residents. In addition, the programs covered a wide range of topics, including disease management and health promotion strategies. However, the number of well-structured regional specialized programs remained limited. Collaboration among local governments, schools, and public health centers was found to be ineffective. Conclusion: To further disseminate health promotion programs using forests, the central government will need to develop well-structured programs, provide funding and resources to support local governments, and focus on raising public awareness of the health benefits of forest therapy.๋ณธ์ฐ๊ตฌ๋์ฐ๋ฆผ์ฒญ์ฐ๋ฆผ์ฐ๊ตฌ์ฌ์
๋จ์์ 4์ธ๋ถ๊ณผ์ ์ธ๋ณด๊ฑดํ์ ๊ด์ ์์์ฐ๋ฆผ์์ํ์ฉ์๊ฑด๊ฐ์ฆ์ง์ ์ฑ
๊ฐ๋ฐ ์ฐ๊ตฌ๊ณผ์ ๋ก์ฐ๋ฆผ์ฒญ์์ฌ์ ๋ณด์กฐ๋ฅผ๋ฐ
A study on the satisfaction of web-based health education program
Purpose: This study was to present the process of web-based educational program (WEP) development and to identify
factors affecting satisfaction with WEP for the certificate of healthcare managers working at the National Health
Insurance Corporation (NHIC). Methods: Subjects were healthcare managers and voluntary participants of WEP. A
total of 1,449 respondents were surveyed through an online questionnaire about their satisfaction with the educational
contents and system. Results: The mean contents satisfaction was 3.75 (SD 0.54), and system satisfaction 4.68 (SD
0.54). According to statistical analysis, the type of certification, experience and professional career of health care management
affected contents satisfaction. And factors affecting system satisfaction were the type of certification and
gender. Conclusion: WEP was utilized as a pre-requisite course for the certificate program of healthcare managers.
However, the development of advanced WEP is suggested to meet the educational needs of healthcare managers
who have certificate or license and their job related to healthcare managementOAIID:oai:osos.snu.ac.kr:snu2009-01/102/0000028528/4SEQ:4PERF_CD:SNU2009-01EVAL_ITEM_CD:102USER_ID:0000028528ADJUST_YN:NEMP_ID:A076124DEPT_CD:811CITE_RATE:0FILENAME:26 ์น๊ธฐ๋ฐ ๊ฑด๊ฐ๊ต์ก ํ๋ก๊ทธ๋จ์ ๋ํ ๋ง์กฑ๋ ์ฐ๊ตฌ.pdfDEPT_NM:๊ฐํธํ๊ณผEMAIL:[email protected]_YN:NCONFIRM:
Data Mapping of the Terms for Developing an Integrated Information System in Home and Visiting Healthcare Documents
Purpose: This study sought to determine the possibility of developing the data-sharing infrastructure of an
integrated information system to improve the quality of home and visit-based healthcare services. Methods: The
articles of study here were the forms used by a visiting healthcare agency, a home healthcare system of a home
healthcare agency, and those used in long-term care insurance for elderly. We visited a visit-based healthcare
agency and a home healthcare agency to survey their forms and interviewed relevant practitioners, and we
searched for forms associated with long-term care insurance for the elderly on the Internet. We then organized
the terms in each form and mapped them among the form after analyzing the concepts as a whole to inquiry into
the possibility of integration. Results: The mapping procedure divided the terms into those related to personal
information, problems and interventions. Mapping between the standard system (Omaha system) and the type
of form was also done. Conclusion: In this study, we found that programs were configured differently depending
on the objectives of the service. It is necessary to develop the program with an integrated information system by
comparing the three services in terms of their distinct advantages, after which such a service should be utilized.
The results of this study can serve as a database for the creation of a new integrated system.OAIID:oai:osos.snu.ac.kr:snu2011-01/102/0000028528/5SEQ:5PERF_CD:SNU2011-01EVAL_ITEM_CD:102USER_ID:0000028528ADJUST_YN:NEMP_ID:A076124DEPT_CD:811CITE_RATE:0FILENAME:์ฌ๊ฐยท๋ฐฉ๋ฌธ ๊ฑด๊ฐ๊ด๋ฆฌ ํตํฉ์ ๋ณด์์คํ
๊ตฌ์ถ์ ์ํ.pdfDEPT_NM:๊ฐํธํ๊ณผEMAIL:[email protected]_YN:NCONFIRM:
An Analysis of Health Promotion Programs Utilizing Forests based on Koreas Regional Healthcare Program Plans
Purpose: The aim of this study was to analyze health promotion programs utilizing forests by reviewing regional healthcare program plans in Korea. Methods: We analyzed 227 regional healthcare program plans from 2011 to 2014; seven health promotion programs of the 16 major healthcare programs were prescribed by public health law. Results: Our analysis revealed that only 35 health promotion programs from 29 sites were utilizing forests.
Furthermore, of 21 known categories of health promotion programs, only nine incorporated the use of forests. Atopy-asthma healthcare programs were the most common forest health promotion programs, which also included specialized disease management programs (e.g., for atopy prevention and healing, patients with metabolic syndrome or cancer) and specialized mental health management programs (e.g., for addiction or dementia prevention). Others included programs on the development of forest roads or industrial development using forest products. Conclusion: Health programs using forests in Korea are still very limited and primarily comprise atopy-asthma prevention/management, health behavioral change, and mental health programs. This study provided useful information for developing health policies and forest health promotion programs further in Korea.๋ณธ ์ฐ๊ตฌ๋ ์ฐ๋ฆผ์ฒญ์ ์ฐ๋ฆผ๊ณผํ๊ธฐ์ด์ฐ๊ตฌ์ง์์ฌ์
์ ์ฐ๋ฆผ์น์ ์ฐ๊ตฌ์ฌ์
๋จ-์ 4์ธ๋ถ ๋ณด๊ฑดํ์ ๊ด์ ์์ ์ฐ๋ฆผ์์ ํ์ฉ์ ๊ฑด๊ฐ์ฆ์ง์ ์ฑ
๊ฐ๋ฐ๊ณผ์ ์์ ์ฐ๊ตฌ๋น๋ฅผ ์ํ ๋ฐ์ ์งํ๋ ์ฐ๊ตฌ์
Global Health Project for Maternal Child Health in a Developing Country: Case Study in Tigray, Ethiopia
Purpose: The purpose of this study was to demonstrate a two-year global health project to improve maternal and child health (MCH) in Ethiopia. Methods: This is a descriptive case study. The target area is Kilte Awlaelo Woreda in Tigray Regional State, Ethiopia. A baseline survey was conducted to identify the needs of community residents and health care professionals. A MCH program was developed according to a project design matrix that included: infrastructure renovation of health centers; continuing education for midwives, nurses, and health extension workers (HEWs); and improvement of residents' MCH awareness. Project evaluation will examine the structure, process, and outcomes of the program. Results: The baseline survey showed low rates of family planning (31%) and antenatal and postnatal care use (36.1% and 69%, respectively). The institutional birth rate was 13.5%. Midwives and nurses received 2~4 educational programs about family planning and perinatal care. HEWs were also given practical education. Water and electrical infrastructure of all five health centers in the Kilte Awlaelo Woreda were
renovated. Additionally, medical supplies and equipment were provided. Community health education on perinatal care, family planning, and personal hygiene was presented. Conclusion: This study highlights the role of nursing in global health and provides basic information on the development and outcomes of the global health project.๋ณธ ์ฐ๊ตฌ๋ ํ๊ตญ๊ตญ์ ํ๋ ฅ๋จ(KOICA)์ ์ํฐ์คํผ์ ์์กฐ์ฌ์
์ ์ํ ๋ฐ์ ์ํ๋์
Elementary School Teachers' Awareness of Forest Welfare Services and Promotion of Strategies for School-based Health Promotion Programs Using the Forest
Purpose: This study was conducted to identify the perceptions toward school forest programs related to forest welfare services in elementary schools and suggest strategies to activate new programs. Methods: A mixed method research was performed. Four teachers and one forest therapist participated in a focus group interview162 teachers answered a survey. Results: The teachers were aware of the effects of the forest program, but there were some barriers, including the question of whether there was an accessible forest, school forest management problems, the risk of teachers work overload, and the lack of program diversification for elementary students. Solutions included the expansion of school forests and forest facilities available to students, development of a variety of programs, provision of appropriate information on available facilities, and cooperation with educational institutions for institutionalization and increased effectiveness of school-based forest utilization programs. In addition, a scientific basis for data accumulation is needed. Conclusion: The Ministry of Forestry is cooperating with the Ministry of Education and local education offices to activate a forest-use health promotion program for elementary school students. Additionally, to utilize the forests in regular education courses, teachers should strive to spread positive awareness of forests.๋ณธ ๋
ผ๋ฌธ์ 2016๋
์ฐ๋ฆผ์ฒญ์ ์ง์์ ๋ฐ์ ์ํ๋์์
Uncertainty, appraisal and quality of life in patients with breast cancer across treatment phases
๊ฐํธํ๊ณผ/์์ฌ[ํ๊ธ]
๋ณธ ์ฐ๊ตฌ๋ ์ ๋ฐฉ์ ํ์์ ์น๋ฃ ๋จ๊ณ์ ๋ฐ๋ฅธ ๋ถํ์ค์ฑ ์ ๋์ ๋ถํ์ค์ฑ ํ๊ฐ, ์ด์ ๋ํ ์ถ์ ์ง์ ์ ๋๋ฅผ ํ์ธํ์ฌ ์น๋ฃ ๋จ๊ณ์ ๋ฐ๋ฅธ ๋ถํ์ค์ฑ์ ๋ํ ๊ฐํธ ์ค์ฌ๋ฅผ ํตํด ํ์๋ค์ ์ถ์ ์ง์ ์ฆ์ง์ํค๊ธฐ ์ํ ๊ฐํธ ์ค์ฌ ํ๋ก๊ทธ๋จ ๊ฐ๋ฐ์ ์ํ ๊ธฐ์ด ์๋ฃ๋ฅผ ์ ๊ณตํ๊ธฐ ์ํ ๋ชฉ์ ์ผ๋ก ์ํ๋ ์์ ์ ์๊ด๊ด๊ณ ์ฐ๊ตฌ์ด๋ค.
์ฐ๊ตฌ ๋์์๋ 2004๋
10์ 18์ผ๋ถํฐ 2004๋
11์ 30์ผ๊น์ง์ 44์ผ๊ฐ ์ผ ๋ํ๊ต ๋ณ์์์ ์ ๋ฐฉ์ ์ง๋จ์ ๋ฐ๊ณ ์์ ์ ์ํด ์
์ํ ๋์์์ ์์ ํ ๋ณด์กฐ์๋ฒ์ ๋ฐ๋ ๋์์, ์ ๋ฐฉ์๊ณผ ๊ด๋ จ๋ ์น๋ฃ๊ฐ ์ข
๊ฒฐ๋๊ณ ์ถํ ์ผ ๋ํ๊ต ๋ณ์ ์ ๋ฐฉ์ผํฐ ์ธ๋๋ฅผ ๋ฐฉ๋ฌธ์ค์ธ ์ ๋ฐฉ์ ์ฌ์ฑ๋ค์ ๋์์ผ๋ก ์ฐ๊ตฌ๋ฅผ ์ํํ์๋ค. ๋์์๋ ์ ๋ฐฉ์์ ์ง๋จ ์๊ธฐ 54๋ช
, ๋ณด์กฐ์๋ฒ ์๊ธฐ 54๋ช
, ํ๋ณต ๋ฐ ์ถํ ๊ด๋ฆฌ์๊ธฐ 53๋ช
์ผ๋ก ์ด 161๋ช
์ด์์ผ๋ฉฐ, ๋ถํ์ค์ฑ ์ ๋๋ฅผ ์ธก์ ํ๊ธฐ ์ํด MUIS (Mishel''s Uncertainty Illness Scale), ๋ถํ์ค์ฑ ํ๊ฐ์์์ ์ธก์ ํ๊ธฐ ์ํด ๋ถํ์ค์ฑ ํ๊ฐ๋๊ตฌ์ธ ์ํํ๊ฐ๋๊ตฌ (Danger Appraisal scale)์ ๊ธฐํํ๊ฐ๋๊ตฌ (Opportunity Appraisal scale), ์ถ์ ์ง์ ์ธก์ ํ๊ธฐ ์ํด Ferrell (1989)์ QOL-CS (Quality of Life-Cancer Survivors)๋ฅผ ์ด์ฉํ์๋ค.
์ฐ๊ตฌ ๊ฒฐ๊ณผ, ์น๋ฃ ๋จ๊ณ์ ๋ฐ๋ฅธ ๋ถํ์ค์ฑ ์ ๋๋ ์ธ ๊ทธ๋ฃน ๊ฐ์ ํต๊ณ์ ์ผ๋ก ์ ์ํ ์ฐจ์ด๊ฐ ์์๊ณ , ๋ถํ์ค์ฑ์ ๋ํ ์ํ ํ๊ฐ๋ ๋ณด์กฐ์๋ฒ ์๊ธฐ์ ๊ฐ์ฅ ๋์์ผ๋ฉฐ, ์น๋ฃ ๋จ๊ณ์ ๋ฐ๋ฅธ ์ธ ๊ทธ๋ฃน ๊ฐ์ ์ ์ํ ์ฐจ์ด๊ฐ ์์๋ค. ๋ํ ๋ถํ์ค์ฑ ์ ๋์ ๋ถํ์ค์ฑ์ ๋ํด ์ํ ํ๊ฐ๋ ๊ธ์ ์ ์ธ ์๊ด๊ด๊ณ๊ฐ, ๊ธฐํํ๊ฐ์๋ ๋ถ์ ์ ์ธ ์๊ด๊ด๊ณ๊ฐ ์์๋ค.
๋์์๋ค์ ์น๋ฃ ๋จ๊ณ์ ๋ฐ๋ฅธ ์ธ ๊ทธ๋ฃน๊ฐ์ ์ถ์ ์ง์ ํต๊ณ์ ์ผ๋ก ์ ์ํ ์ฐจ์ด๊ฐ ์์์ผ๋ฉฐ, ๋ถํ์ค์ฑ ์ ๋์ ์ํํ๊ฐ์ ๋ถ์ ์ ์ธ ์๊ด๊ด๊ณ๊ฐ ์์์ผ๋ฉฐ, ๊ธฐํํ๊ฐ์๋ ๊ธ์ ์ ์ธ ์๊ด๊ด๊ณ๊ฐ ์์๋ค. ์ถ์ ์ง์ ์ ์ํ๊ฒ ์ค๋ช
ํ๋ ๋ณ์๋ ๋์ด, ์ข
๊ต, ๋ณ๊ธฐ, ๋ถํ์ค์ฑ ์ ๋, ๋ถํ์ค์ฑ์ ๋ํ ์ํํ๊ฐ์ ๊ธฐํํ๊ฐ๋ก ๋ํ๋ฌ์ผ๋ฉฐ, ๋ถํ์ค์ฑ ์ ๋์ ์ํด ์ฝ 32%, ๋ถํ์ค์ฑ์ ๋ํ ํ๊ฐ์ธ ์ํํ๊ฐ์ ๊ธฐํํ๊ฐ์ ์ํด ์ฝ 59%๋ก ์ถ์ ์ง์ ์ค๋ช
์ด ๊ฐ๋ฅํ์๋ค.
์น๋ฃ ๋จ๊ณ์ ๋ฐ๋ผ ๋์์๋ค์ ์ง๋ณ์ ๋ํ ๋ถํ์ค์ฑ ์ ๋๋ ์ ์ํ ์ฐจ์ด ์์ด, ์ ๋ฐฉ์ ํ์๋ค์์ ํด๊ฒฐํด ์ฃผ์ด์ผ ํ ์ค๋ํ ๋ฌธ์ ์ธ ๊ฒ์ ํ์ธํ์๊ณ , ๋ถํ์ค์ฑ์ด ๋์์๋ก ๋ถํ์ค์ฑ์ ๋ํด ์ํ์ผ๋ก, ๋ถํ์ค์ฑ์ด ๋ฎ์์๋ก ๋ถํ์ค์ฑ์ ๋ํด ๊ธฐํ๋ก ํ๊ฐํ์์ผ๋ฉฐ, ๋ถํ์ค์ฑ์ด ๋์์๋ก ์ถ์ ์ง์ ์ ์ํ๊ฒ ๋ฎ์๋ค. ๋ํ, ๋ถํ์ค์ฑ์ ๋ํด ์ํ์ผ๋ก ํ๊ฐํ ์๋ก ์ถ์ ์ง์ ๋ฎ๊ณ , ๋ถํ์ค์ฑ์ ๋ํด ๊ธฐํ๋ก ํ๊ฐํ ์๋ก ์ถ์ ์ง์ ๋์์ง๋ ๊ฒ์ ์ ์ ์์๋ค.
์ด์, ์ ๋ฐฉ์ ํ์๋ค์ ๊ฐ ์น๋ฃ ๋จ๊ณ์์ ๋ถํ์ค์ฑ์ ์ค์ํ ๋ฌธ์ ๋ก ์ธ์๋์์ผ๋ฏ๋ก, ๋ถํ์ค์ฑ์ ์ค์ด๊ธฐ ์ํ ์ค์ฌํ๋ก ๊ทธ๋จ ๊ฐ๋ฐ๊ณผ ์ ์ฉ, ํ๊ฐ์ ๊ดํ ์ฐ๊ตฌ์ ์งํ์ด ํ์ํ๋ฉฐ, ๋ถํ์ค์ฑ ์ ๋์ ๋ถํ์ค์ฑ์ ํ๊ฐ ์์์ธ ์ํํ๊ฐ์ ๊ธฐํํ๊ฐ๊ฐ ์ถ์ ์ง๊ณผ ์ ์ํ ๊ด๊ณ๊ฐ ์์์ผ๋ฏ๋ก ๊ฐํธ ์ค๋ฌด์์ ๋ถํ์ค์ฑ์ ๋ฎ์ถ๊ณ ๋ถํ์ค์ฑ ํ๊ฐ ์ค ๊ธฐํํ๊ฐ๋ฅผ ๋์ฌ์ฃผ๊ธฐ ์ํ ๊ฐํธ์ค์ฌ ํ๋ก๊ทธ๋จ์ ๊ฐ๋ฐํ๊ณ ์ค๋ฌด์ ์ ์ฉ, ํ๊ฐํ๋ ์ฐ๊ตฌ๋ฅผ ์ ์ธํ๋ค.
[์๋ฌธ]Breast cancer patients are faced with uncertain situations throughout their cancer treatments. They sometimes adjust well, but other times they may experience despair due to new and different situations. Therefore, this study tries to examine the relationship among uncertainty, appraisal and quality of life in patients with breast cancer across treatment phases.
This study employed a descriptive correlational and cross-sectional survey design using a face-to-face interview method. The survey was conducted from Oct 18, 2004 to Nov 30, 2004. The subject of this study was total 161 patients who were recruited from one university hospital, by convenient sampling, under informed consent. 54 were in a diagnostic phase, 54 were in an adjuvant treatment phase, and 53 were in a follow-up phase. All these patients were interviewed with Mishelโs Uncertainty in Illness Scale, Appraisal Scale and Ferrell Quality of Life Scale-Cancer Survivor in order to evaluate their level of uncertainty, appraisal type of uncertainty, and quality of life. Data were analyzed using ฯ2 test, ANOVA, Scheffe test, Pearson''s correlation coefficient, and Hierarchical multiple regression.
As the results of this study, no difference was found in uncertainty across treatment phases. Appraisal of danger was significantly different across treatment phases; however, appraisal of opportunity was not significantly different in three groups. Significant positive correlation was found between uncertainty and an appraisal of danger, and significant negative correlation was found between uncertainty and an appraisal of opportunity.
Quality of life of the three groups was significantly different. Quality of life had a negative correlation with uncertainty and an appraisal of danger, a positive correlation with an appraisal of opportunity. Variables which explain quality of life significantly were verified as age, religion, a stage of cancer, uncertainty, and an appraisal of danger and opportunity.
The study results demonstrated that uncertainty and an appraisal of danger and opportunity accounted for a significant amount of variance of quality of life. Also, the study results underscore the importance of uncertainty and an appraisal of uncertainty in improving quality of life for patients with breast cancer.
Therefore, nurses need to identify, monitor, and assist women who are at risk for uncertainty and an appraisal of danger across treatment phases, and further research is needed to evaluate and apply intervention to women with breast cancer.ope
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