Research in Community and Public Health Nursing

Chung Yul Lee

10 Articles

The Relationships between Social Determinants of Health and Health-related Quality of Life among the Community-dwelling Elderly: Jung Hee Kim, Hyeon Kyeong Lee, Chung Yul Lee, Eun Hee Cho; J Korean Acad Community Health Nurs. 2014;25(4):237-247. Published online December 31, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.4.237

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PURPOSE
The purpose of this study was to examine the social determinants of health (SDH) associated with health-related quality of life (HQOL) among the community-dwelling elderly, based on the conceptual framework of the Commission on Social Determinants of Health (CSDH).
METHODS
A survey was conducted with 199 elders aged 65 years or older sampled through convenient sampling. Data were collected through face to face interviews by trained interviewers using a structured questionnaire, which included scales of the residential area, social support, sense of community, social network, health behaviors, and HQOL. Data were analyzed by ANOVA and stepwise multivariate regression.
RESULTS
Major SDH affecting HQOL included the participants' residential area, sense of community, and health behavior. The HQOL of the elderly residing in the B area with a low rate of basic livelihood security recipients was higher than that of those residing in other areas.
CONCLUSION
CSDH framework was useful to determine the factors associated with HQOL among the community-dwelling elderly. In addition to their health behavior, their sense of community was found to be a SDH of HQOL, indicating the need of health promotion programs tailored to the characteristics of residential areas and strategies to enhance involvement in community activities.

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Influence of cognitive function and social support on health-related quality of life of elderly men in partial medically underserved rural areas: A cross-sectional study
Min Hye Hwang, Hye Kyung Lee
Journal of Korean Gerontological Nursing.2023; 25(2): 163. CrossRef
A comparison of health-related quality of life and personal, social, and environmental factors of older adults according to a residential area: a propensity score matching analysis
Jungmi Yun, Yeongsuk Lee, Hyun-Ju Lee
Quality of Life Research.2022; 31(9): 2631. CrossRef
The Effects of Health Behavior and Health Status on Heath-related Quality of Life in Older People: Gender Analysis by using the 2012 Korea Health Panel Data
Min-Jeong Park, So Eun Choi
Journal of Korean Academy of Community Health Nursing.2017; 28(2): 118. CrossRef
Comparison of Health Status and Mini Nutritional Assessment according to Self-esteem of Elderly in Care Hospital
Eun-mi Kim, Jin Kwon
Journal of the East Asian Society of Dietary Life.2015; 25(4): 631. CrossRef

Factors Influencing Medication Adherence in Patients with Hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey: Eun Hee Cho, Chung Yul Lee, In Sook Kim, Tae Wha Lee, Gwang Suk Kim, Hyeon Kyeong Lee, Ji Sook Ko, Kyong Eun Lee; J Korean Acad Community Health Nurs. 2013;24(4):419-426. Published online December 31, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.4.419

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Abstract PDF

PURPOSE
The purpose of this study is to examine factors influencing medication adherence in patients with hypertension.
METHODS
This study carried out a secondary analysis of data from the 2008 Korean National Health and Nutrition Examination Survey (KNHANES). Stratified sampling was used to select a participant sample that was representative of patients with hypertension throughout the country. Using the SPSS/WIN 18.0 program, data were analyzed using descriptive statistics, chi2 test, t-test, and logistic regression.
RESULTS
Of the patients with hypertension, 8.8% had showed non-adherence to medication. Medication adherence was associated with age, spouse, Medicare insurance, number of other diseases, and current smoking status. The cases with older age, a spouse, Medicare insurance, higher number of other diseases, and no current smoking status showed significantly high medication adherence.
CONCLUSION
Nursing interventions and further studies are needed to achieve high levels of medication adherence based on factors influencing medication adherence such as age, spouse, Medicare insurance, number of other disease, and current smoking status.

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Factors Influencing the Control of Hypertension According to the Gender of Older Adults
Hye Young Choi, Eunha Kim
Healthcare.2023; 11(11): 1595. CrossRef
Association between Patient Experience and Medication Compliance of Dyslipidemia: Using Korea National Health and Nutrition Examination Survey (2015)
Ho-Hyoun Yim, Hwan-Sik Hwang, Hoon-Ki Park, Kye-Yeung Park, Miso Park
Korean Journal of Family Medicine.2021; 42(2): 116. CrossRef
Medication Adherence and Effective Management of Hypertension
Seung-Won Oh
Korean Journal of Family Medicine.2021; 42(2): 89. CrossRef
Factors Influencing 1-Year Medication Adherence of Korean Ischemic Stroke Survivors
Gye-Gyoung Kim, Duck-Hee Chae, Man-Seok Park, Sung-Hee Yoo
International Journal of Behavioral Medicine.2020; 27(2): 225. CrossRef
Real-World Effectiveness and Safety of a Single-Pill Combination of Olmesartan/Amlodipine/Hydrochlorothiazide in Korean Patients with Essential Hypertension (RESOLVE): A Large, Observational, Retrospective, Cohort Study
Sung-Ji Park, Si Jae Rhee
Advances in Therapy.2020; 37(8): 3500. CrossRef
Factors Associated with Awareness, Treatment, and Control Rate of Hypertension among Korean Young Adults Aged 30–49 Years
Yong Woo Jeon, Hyeon Chang Kim
Korean Circulation Journal.2020; 50(12): 1077. CrossRef
Psychological Resistance to Drug Therapy in Patients with Hypertension: A Qualitative Thematic Analysis
Jiyeon Kang, Yeon Jin Jeong
Korean Journal of Adult Nursing.2020; 32(2): 124. CrossRef
Health Behaviors and Quality of Life in the Elderly with High Blood Pressure
So-Youn Bang, Sa-Sang Hyeon
Journal of Digital Contents Society.2018; 19(11): 2159. CrossRef

A Study on Gender Differences in Influencing Factors of Office Workers' Physical Activity: Duck Hee Chae, Su Hee Kim, Chung Yul Lee; J Korean Acad Community Health Nurs. 2013;24(3):273-281. Published online September 30, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.3.273

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PURPOSE
The purpose of this study was to determine gender differences in effects of self-efficacy, exercise benefits and barriers, and demographic factors on the physical activity.
METHODS
Seventy sedentary office workers, 35 male and 35 female, from a major airline company, completed a questionnaire from March 28 to April 5, 2012. Steps and body mass indices were measured using a CW-700/701 (Yamax) pedometer and Inbody 720 (Biospace), respectively. Data were analyzed using t-test, chi2-test, multiple linear regression, and simultaneous quantile regression.
RESULTS
For male workers, exercise self-efficacy had a significant effect on physical activity, but only when respondents were at 10%(3,431 steps/day, p=.018) and 25%(4,652 steps/day, p=.044) of the physical activity distribution. For female workers, marital status was significantly related to physical activity, but only when respondents were at 10% (3,537 steps/day, p=.013) and 25%(3,862 steps/day, p=.014) of the physical activity distribution.
CONCLUSION
Quantile regression highlights the heterogeneous effect of physical activity determinants among office workers. Therefore intervention strategies for increasing physical activity should be tailed to genders as well as physical activity levels.

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Health promotion program for office workers with SEM based on the WHO’s healthy workplace framework
Hosihn Ryu, Jiyeon Jung, Jihyun Moon
Health Promotion International.2020; 35(6): 1369. CrossRef
The association between low frequency of having breakfast and dyslipidemia in South Korean men and women
Doo Woong Lee, Dong-Woo Choi, Yeong Jun Ju, Sang Ah Lee, Eun-Cheol Park
European Journal of Clinical Nutrition.2019; 73(6): 896. CrossRef
Physical Activity of Workers in a Hospital
So Jun, Jaewon Kim, Hyehoon Choi, Joon Kim, Seong Lim, Bomi Sul, Bo Hong
International Journal of Environmental Research and Public Health.2019; 16(4): 532. CrossRef
Program Development and Effectiveness of Workplace Health Promotion Program for Preventing Metabolic Syndrome among Office Workers
Hosihn Ryu, Jiyeon Jung, Jeonghyun Cho, Dal Chin
International Journal of Environmental Research and Public Health.2017; 14(8): 878. CrossRef
Unhealthy Lifestyle Behaviors in Korean People with Metabolic Syndrome
Seongmi Moon
Journal of Community Health Nursing.2017; 34(2): 69. CrossRef
Body Composition and Dietary Self-efficacy of Nursing Students
Hyoung-Sook Park, Jae-Hyun Ha, Hyun-Ju Lee
Journal of muscle and joint health.2016; 23(2): 95. CrossRef
Effects of the Health Support Network Project on Musculoskeletal Disorders of Females
Deok-Ju Kim, Hee-Jung Han, Yeong-Ae Yang
The Korean Journal of Health Service Management.2015; 9(1): 169. CrossRef
Factors Influencing Exercise Behavior of the Male Manual Worker and Office Worker based on Health Promotion Model
SeungKyoung Yang, Yeongmi Ha, Mi-Ra Jung
Korean Journal of Occupational Health Nursing.2015; 24(3): 235. CrossRef
Relationship Between the Physical Activity Levels and Health Care Utilization in Korean Elderly
Kwang-Il Kwak, Chang-Hee Baek, So-Yeon Ryu
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(1): 617. CrossRef
Study of the physical condition of middle-aged workers by gender
SooHee Park, DeokJu Kim
Journal of Physical Therapy Science.2015; 27(3): 841. CrossRef
A Comparison of the Physical Activity of Hematopoietic Stem Cell Transplantation Patients and Healthy People
A Rum Han, Jeong Yun Park
Asian Oncology Nursing.2014; 14(4): 221. CrossRef

Comparison of Preventive Health Behaviors in Adults Aged 50~64 in Korea and the United States: Chung Yul Lee, Jung Ae Kim, Su Hee Kim; J Korean Acad Community Health Nurs. 2013;24(2):161-171. Published online June 30, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.2.161

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Abstract PDF: PURPOSE
The purpose of this study was to compare Preventive Health Behaviors (PHBs) in adults in Korea and the United States and identify factors influencing PHBs.
METHODS
This was a secondary data analysis study using data from the 2008 Korean National Health and Nutrition Examination Survey and the 2008 USA Behavioral Risk Factor Surveillance System. The PHBs were predicted using multiple linear regression analysis.
RESULTS
1) The total score of PHBs was significantly higher in American males (5.11) than in Korean males (4.78). There was also a significant difference between Korean females' total score (6.57) and American females'(6.75). 2) Age, marriage, monthly income, subjective health status, and cardiovascular disease were significant factors of PHBs in Korean males (p<.001). However, age, marriage, education, monthly income, health insurance, subjective health status, and cardiovascular disease were significant factors in American males (p<.001). In Korean females, only age and education were significant predictors (p<.001). However, six variables(age, marriage, education, monthly income, health insurance, and subjective health status) were significant predictors in American females (p<.001).
CONCLUSION
There were different variables in predicting PHBs between Koreans and Americans. Each country should focus on those significant predictors to promote the PHBs for adults.

Correlates of Physical Activity among Korean Navy Personnel: An Ecological Approach: Mi Young Roh, Hyeon Kyeong Lee, Chung Yul Lee, Gwang Suk Kim; J Korean Acad Community Health Nurs. 2012;23(3):296-306. Published online September 30, 2012; DOI: https://doi.org/10.0000/jkachn.2012.23.3.296

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Abstract PDF: PURPOSE
This study was conducted to measure the relationships between ecological factors and Navy personnel's physical activity (PA) based on McLeroy's Ecological model.
METHODS
A cross-sectional survey was conducted with a convenience sample of 184 Navy personnel working in 10 Navyships. A self-reporting questionnaire consisted of measures of intrapersonal, interpersonal, organizational and community factors related to Navy personnel's PA. Data were analyzed by descriptive statistics, chi2-test, t-test, analysis of variance, and hierarchical multiple regression using SPSS/WIN 17.0 programs.
RESULTS
Their mean PA level was 2,848.1+/-3,344.5 MET-min/week, and mostly moderate level (50.5%). Hierarchical multiple regression analysis showed that religion, working department, working type, perceived health status and community environment were significant PA correlates.
CONCLUSION
Community environmental factors as well as intrapersonal factors were significantly associated with Navy personnel's PA, indicating that community health nurses should expand an approach for individual-level behavioral change to incorporate Navy personnel specific community environmental barriers into PA interventions.

The Effects of an Aerobic Exercise Program on Mobility, Fall Efficacy, Balance, and Stress in the Elderly at Senior Centers: Su Kyung Chu, Chung Yul Lee, Jang Hak Yoo; J Korean Acad Community Health Nurs. 2012;23(1):22-30. Published online March 31, 2012; DOI: https://doi.org/10.0000/jkachn.2012.23.1.22

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Abstract PDF: PURPOSE
This study was conducted in order to investigate the effects of an aerobic exercise program on mobility, fall efficacy, balance, and stress in the elderly at senior centers.
METHODS
This research was conducted as a quasi-experimental pretest and posttest control and experimental comparison study. The subjects were 41 senior residents (Exp.=18, Cont.=23) who aged above 65 at senior centers in S City. The period of time for data collection and intervention was from August 25 to December 5, 2008.
RESULTS
Mobility (t=-3.10, p<.01) in the experimental group were significantly higher than those in the control group without an aerobic exercise program. However, fall efficacy (t=1.28, p=.207), balance (t=-.53, p=.602; t=.36, p=.723), stress (t=-1.32, p=.199) in the experimental group was not significantly higher than that in the control group.
CONCLUSION
These findings confirmed that aerobic exercise programs make a contribution to improving mobility in the elderly at senior centers.

Current Status of Community Health Nursing Practicum in Bachelor Program in Korea: Chung Yul Lee, Hyang Yeon Lee, Gwang Suk Kim, Kyung Ah Kang; J Korean Acad Community Health Nurs. 2006;17(1):26-37. Published online March 31, 2006

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Abstract PDF: PURPOSE
This study was to investigate the current situation of community health nursing practicum in bachelor programs.
METHOD
Data were collected using a questionnaire consisting of questions on education goals, teaching items, teaching methods, and evaluation methods and items. Forty five nursing departments/colleges or 84.9% of four-year nursing schools in Korea responded to the survey.
RESULT
Nursing process application and understanding about the role and function of community health nurses were major goals of practice education. Community health centers were the most significant practice fields because all nursing schools mentioned them as places for practice. All nursing schools used a specific evaluation tool to measure students outcomes and utilized guidebooks to help students.
CONCLUSION
The results of this study suggest that the goals of practice education should be standardized to improve the quality of education. Besides, evaluation tools that can be used commonly at all nursing schools should be developed to measure the effectiveness of practice education of community health nursing.

A study of Adolescent Smoking Related Factors in the Seoul Area: Chung Yul Lee, Mi Hye Suh, Won Jung Cho, Sun Hyoung Bae, Kyung Hee Lee, Ok Kyung Ham, Ku Min Seo; J Korean Acad Community Health Nurs. 2004;15(1):95-101. Published online March 31, 2004

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Abstract PDF: PURPOSE
The purpose of this study was to identify factors influencing adolescent smoking behavior in the Seoul area.
METHOD
A total of 6,352 middle and high school students living in the Gangnam district of Seoul participated in the study. A self-report survey method was used to identify factors related to smoking.
RESULT
A stepwise logistic regression analysis identified four factors associated with adolescent smoking: living with a parent who smokes (OR=1.4), having friend(s) who smoke (OR=14.8), negative attitudes toward passive smoking(OR=4.8), and ignorance of the impact of smoking on health(OR=4.6).
CONCLUSION
Based on the study results, components of effective programs to reduce adolescent smoking rates should include programs to deal with peer pressure to smoke and to reduce the impact of parents who smoke, to increase knowledge of the impact of smoking, and to promote positive attitudes toward anti-smoking.

Evaluation research on the application of Problem-Based Learning program in community health nursing: Chung Yul Lee, Won Jung Cho, Margaret J Storey, Eui Sook Kim, Kyung Hee Lee, Sun Hyoung Bae, Gwang Suk Kim, Ku Min Seo, Ok Kyung Ham; J Korean Acad Community Health Nurs. 2003;14(4):579-586. Published online December 31, 2003

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Abstract PDF: The goal of community health nursing courses is to prepare student nurses so that they become able to perform a variety of nursing roles in community. To achieve this goal, programs for community health nursing must develop students' abilities to function independently as community health nurses. This study evaluated the effectiveness of Problem-based Learning(PBL) as a teaching method in programs for community health nursing at four-year colleges of nursing. The subjects of this study were senior students at Y University. The study was designed as a descriptive & comparative survey. To determine the effectiveness of PBL, the author analyzed the process and results of teaching. The PBL teaching method was found to be significantly effective in building critical thinking abilities and increasing knowledge. The results also showed that the 43 students who were taught by both PBL and lecture teaching methods got a significantly higher knowledge score than the other 28 students who were taught only by lectures. As for the future direction of community health nursing courses, a teaching strategy involving both PBL and lectures is recommended.

Development and Performance Analysis of Elementary School Health Promotion Policy Guideline: Chung Yul Lee, Young Sook Chung, Joo Hee Han, Chun Ok Lee, In Sook Kwon; J Korean Acad Community Health Nurs. 2003;14(3):457-467. Published online September 30, 2003

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Abstract PDF: PURPOSE
This study examined the development and performance of the school health promotion policy guideline that is applicable to Korean school health.
METHODS
1. The WHO's guideline was translated into Korean and modified by school health experts 2. A questionnaire was conducted to assess the performance of school health policy on 207 nurses in elementary schools in Seoul and Cheonbuk.
RESULT
The Korean version of the school health promotion policy guidelines were developed including 9 components and 36 checkpoints. Compared to that of WHO, the component 'school nursing teacher' was added and three components were eliminated: 'equitable access to school resources', 'control of helminth', and 'sun protection policy'. The performance degree of first-aid, closure of school in a calamity, and control of HIV/AIDS was very low. The performance degree of a healthy diet, and regular physical examination was quite high. This study was the first that developed the school health promotion policy guideline and examined the performance. Further research is needed to validate the guidelines developed by this study.

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