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 ⍺ 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.본연구는산림청산림연구사업단의제4세부과제인보건학적관점에서산림자원활용의건강증진정책개발 연구과제로산림청의재정보조를받

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 웹기반 건강교육 프로그램에 대한 만족도 연구.pdfDEPT_NM:간호학과EMAIL:[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:재가·방문 건강관리 통합정보시스템 구축을 위한.pdfDEPT_NM:간호학과EMAIL:[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.본 연구는 산림청의 산림과학기초연구지원사업의 산림치유연구사업단-제4세부 보건학적 관점에서 산림자원 활용의 건강증진정책 개발과제에서 연구비를 수혜 받아 진행된 연구임

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.본 연구는 한국국제협력단(KOICA)의 에티오피아 원조사업을 위탁 받아 수행되었

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.본 논문은 2016년 산림청의 지원을 받아 수행되었음

Uncertainty, appraisal and quality of life in patients with breast cancer across treatment phases

간호학과/석사[한글] 본 연구는 유방암 환자의 치료 단계에 따른 불확실성 정도와 불확실성 평가, 이에 대한 삶의 질의 정도를 확인하여 치료 단계에 따른 불확실성에 대한 간호 중재를 통해 환자들의 삶의 질을 증진시키기 위한 간호 중재 프로그램 개발을 위한 기초 자료를 제공하기 위한 목적으로 시행된 서술적 상관관계 연구이다. 연구 대상자는 2004년 10월 18일부터 2004년 11월 30일까지의 44일간 일 대학교 병원에서 유방암 진단을 받고 수술을 위해 입원한 대상자와 수술 후 보조요법을 받는 대상자, 유방암과 관련된 치료가 종결되고 추후 일 대학교 병원 유방센터 외래를 방문중인 유방암 여성들을 대상으로 연구를 시행하였다. 대상자는 유방암의 진단 시기 54명, 보조요법 시기 54명, 회복 및 추후 관리시기 53명으로 총 161명이었으며, 불확실성 정도를 측정하기 위해 MUIS (Mishel''s Uncertainty Illness Scale), 불확실성 평가양상을 측정하기 위해 불확실성 평가도구인 위험평가도구 (Danger Appraisal scale)와 기회평가도구 (Opportunity Appraisal scale), 삶의 질을 측정하기 위해 Ferrell (1989)의 QOL-CS (Quality of Life-Cancer Survivors)를 이용하였다. 연구 결과, 치료 단계에 따른 불확실성 정도는 세 그룹 간에 통계적으로 유의한 차이가 없었고, 불확실성에 대한 위험 평가는 보조요법 시기에 가장 높았으며, 치료 단계에 따른 세 그룹 간에 유의한 차이가 있었다. 또한 불확실성 정도와 불확실성에 대해 위험 평가는 긍정적인 상관관계가, 기회평가와는 부정적인 상관관계가 있었다. 대상자들의 치료 단계에 따른 세 그룹간의 삶의 질은 통계적으로 유의한 차이가 있었으며, 불확실성 정도와 위험평가와 부정적인 상관관계가 있었으며, 기회평가와는 긍정적인 상관관계가 있었다. 삶의 질을 유의하게 설명하는 변수는 나이, 종교, 병기, 불확실성 정도, 불확실성에 대한 위험평가와 기회평가로 나타났으며, 불확실성 정도에 의해 약 32%, 불확실성에 대한 평가인 위험평가와 기회평가에 의해 약 59%로 삶의 질의 설명이 가능하였다. 치료 단계에 따라 대상자들의 질병에 대한 불확실성 정도는 유의한 차이 없어, 유방암 환자들에서 해결해 주어야 할 중대한 문제인 것을 확인하였고, 불확실성이 높을수록 불확실성에 대해 위험으로, 불확실성이 낮을수록 불확실성에 대해 기회로 평가하였으며, 불확실성이 높을수록 삶의 질은 유의하게 낮았다. 또한, 불확실성에 대해 위험으로 평가할수록 삶의 질은 낮고, 불확실성에 대해 기회로 평가할수록 삶의 질은 높아지는 것을 알 수 있었다. 이에, 유방암 환자들의 각 치료 단계에서 불확실성은 중요한 문제로 인식되었으므로, 불확실성을 줄이기 위한 중재프로 그램 개발과 적용, 평가에 관한 연구의 진행이 필요하며, 불확실성 정도와 불확실성의 평가 양상인 위험평가와 기회평가가 삶의 질과 유의한 관계가 있었으므로 간호 실무에서 불확실성을 낮추고 불확실성 평가 중 기회평가를 높여주기 위한 간호중재 프로그램을 개발하고 실무에 적용, 평가하는 연구를 제언한다. [영문]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 Mishel‘s 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 χ2 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