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A Study on the Evaluation of Maternal Child Health Services in Public Health Centers
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Yong Soon Kim, Jee Won Park, Kyung Sook Bang, Soon Re Jung, Hea Suk Woo, Hea Jung Lee, Hyeon Soon Jang
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J Korean Acad Community Health Nurs. 2002;13(2):280-291. Published online June 30, 2002
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 Abstract
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- OBJECTIVES
This study was conducted to evaluate the maternal child health services provided by public health centers in Pyungtaek city.
METHODS
Data were collected based on multiple sources of official records. A questionnaire survey was obtained from 50 mothers with premature babies, and 89 mothers with full- term babies, in order to compare their demographic factors, and physical, obstetrical, and emotional status. In addition, the investigators collected data on pre and post follow-up care for the remature group to evaluate the effects of home visiting services on them. Moreover, additional data were collected from 135 pregnant women and 315 mothers with infants, to assess their degree of satisfaction for prenatal education course and breast feeding practices.
RESULTS
1) The pregnant women's satisfaction for the prenatal education course, knowledge, and practices on self care were considered to be high.
2) Of the mothers with infants, 62.9% experienced breast feeding, but only 35.9% of them did it for six months.
3) Premature birth rate in the region was 5.6%, and 75.6% of all premature babies received follow-up care.
4) The mothers with premature babies experienced premature rupture of membrane, placenta previa, preeclampsia, and cesarean section more frequently than the mothers with full-term babies.
5) At the pre-intervention data collection point, mothers with premature babies experienced significantly less social support than mothers with full-term babies. In addition, mothers with premature babies reported higher levels of stress and care-giving burdens, and lower level of self esteem, than mothers with full-term babies, although the differences were not statistically significant.
6) In the premature group, stress, care giving burdens, and postpartum depression decreased after the intervention, whereas maternal self esteem, and the husband's support were increased after the intervention. Social support from significant others were somewhat decreased.
7) Satisfaction for the home visiting service in the mothers with premature babies was very high.
CONCLUSION
These results showed a possibility that the recently started maternal child health services provided by the public health centers may be efficient. Although statistically significant differences were not found, the investigators found a potential for changes in a positive direction. Long-term effects of the health services on maternal child health needs should be addressed in future studies.
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Effect of a Resident and Indoor Environmental Characteristics on the House Dust Mites Allergen
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Yong Soon Kim, Jee Won Park, Young Shin Song
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J Korean Acad Community Health Nurs. 2002;13(1):79-88. Published online March 31, 2002
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Abstract
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- PURPOSE
The purpose of this study was to identify the indoor environment i.e. house type and age, ventilation method, use of bed & sofa, cockroach, ants, etc. on HDM (House dust mites), especially Der fI allergen.
METHOD
Samples of dust from mattresses, pillows and the floor were collected by using a vacuum cleaner from April, 2000. The amount of Group I allergen(Der. fI) of HDM (house dust mites) were measured by two-site ELISA. Indoor Environmental characteristics were accessed by using questionnaires on 178 house wives living in the Seoul area.
RESULTS
The amount of HDM allergen (Der fI) was higher in sofa using house. There were higher concentrations of HDM allergen (Der Fl) in sofas made from quilt material than for those that were made from leather. Homes that had pets like dogs living in them had higher concentrations of HDM allergen (Der fI) than without dogs.
CONCLUSION
The photophobic mites thrive in dark, warm and humid environments; Items such as pillows, mattresses, box springs, blankets, carpets, and upholstered furniture should be considered ideal environments for the mite. Therefore, an indoor environmental control program should be carried out to avoid the HDM allergen.
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The Comparision of Lifestyle Patterns between Allergy and Non-Allergy People: Food intake, Exercise, Smoking, Alcohol intake
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Yong Soon Kim, Jee Won Park, Young Shin Song, Gi Yon Kim, Chul Woo Kim, Jung Won Park, Chein Soo Hong
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J Korean Acad Community Health Nurs. 2001;12(1):269-277. Published online March 31, 2001
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Abstract
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- PURPOSE
The purpose of this study was to compare the total lifestyle patterns of allergy and non-allergy group.
METHOD
The study was carried out to access the lifestyle patterns such as food intake, smoking, alcohol intake and exercise habits by questionnairing the 110 allergy people and 205 non-allergy people living in Seoul area.
RESULTS
1. The proportion of eating stimulatory food materials-mainly hot and salty-of allergy group were significantly higher than those of non-allergy group. 2. In allergy group, the proportion of meat intake was significantly higher than that of non-allergy. 3. In allergy group, exercise habit was higher than that of non-allergy, but not significant. 4. In allergy group, smoking was lower than that of non-allergy, but not significant. 5. In allergy group, alcohol intake was lower than that of non-allergy, but not significant.
CONCLUSION
Lifestyle patterens such as food intake(salt and meat) were significantly different by prevalence of allergy and allergy type, which suggested that lifestyle patterns of allergy people need to be studied to develop preventive stratagies for allergic reaction.
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KACHN
