Research in Community and Public Health Nursing

Original Article

Factors Influencing the Practice of Respiratory Infection Prevention for the Elderly in Rural Areas: Myung Soon Kwon, Jeong Soon Yu; J Korean Acad Community Health Nurs. 2019;30(4):460-470. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.460

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PURPOSE
This study was to identify the factors influencing the practice of respiratory infection prevention (RIP) for the elderly residing in rural areas.
METHODS
The data were collected from 188 residents aged 65 years or older residing in the jurisdictions of four public health clinics in rural areas of C city, using a structured questionnaire for the period from December 1, 2018 to February 28, 2019. The collected data were analyzed with independent t-test, one-way ANOVA, Pearson's correlation coefficients, and hierarchical multiple regression analysis using SPSS/WIN 25.0 program.
RESULTS
The score on knowledge of RIP was 8.82Â±1.36, while it was 4.53Â±0.47 for attitude, 3.78Â±0.66 for practice, and 3.78Â±0.69 for social capital. It was observed that the factors influencing the practice of RIP were attitude of RIP (Î²=.38, p < .001), social capital (Î²=.29, p < .001), family type (Î²=âˆ’.19, p=.002), and subjective health status (Î²=.15, p=.035), while the explanatory power of the model was 47%.
CONCLUSION
Consequently, to enhance the practice of RIP for the elderly residing in rural areas, it is necessary to develop programs considering social and environmental characteristics of rural areas based on their attitude of RIP, social capital, family type and subjective health status.

Citations

Citations to this article as recorded by

Impact of educational interventions on the prevention of influenza: A systematic review
Mohammad Javad Nasiri, Bardia Danaei, Niloofar Deravi, Alireza Salimi Chirani, Amir Hashem Shahidi Bonjar, Zohreh Khoshgoftar, Forouzan Karimi
Frontiers in Public Health.2022;[Epub] CrossRef
Respiratory Infections Prevention in Rural Older Adults: An Interventional Study
Hassanat Ramadan Abdel-Aziz, Nashwa Saber Atia
Clinical Nursing Research.2022; 31(8): 1445. CrossRef
A Systematic Review for Effective Preventive Public Education of Respiratory Infection
Woojae Han, Jeong-Soon Yu, Sihun Park, Myung-Soon Kwon
International Journal of Environmental Research and Public Health.2021; 18(8): 3927. CrossRef
Developing and Evaluating an Educational Program for Respiratory Infection Prevention among Rural Elderly Residents in South Korea
Jin Soon Kim, Ji Hye Choi, Myung Soon Kwon
International Journal of Environmental Research and Public Health.2020; 17(9): 3057. CrossRef

Published Erratum

Corrigendum: Qualitative Analysis of Tele-healthcare Systems based on the Diffusion of Innovation Model: Myung Soon Kwon, Ghee Young Noh, Ji Hye Jang; J Korean Acad Community Health Nurs. 2017;28(3):357-357. Published online September 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.3.357

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Abstract PDF: This erratum is being published to correct the co-authors errors.

Original Articles

Qualitative Analysis of Tele-healthcare Systems based on the Diffusion of Innovation Model: Myung Soon Kwon, Ji Hye Jang; J Korean Acad Community Health Nurs. 2017;28(2):129-143. Published online June 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.2.129

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Abstract PDF

PURPOSE
The purpose of this study is to explore factors which influence adoption, implementation and continued use of tele-healthcare systems.
METHODS
Qualitative research was conducted by in-depth interviews with 17 professionals from various fields of organizations involved in developing and implementing tele-healthcare systems. Data were analysed thematically, using a conceptual model of diffusion of innovations.
RESULTS
The system users were reacted positively to the 3 attributes out of 9 which decided the adoption of innovation. In addition, it is required to redesign the tele-health care system simpler and easier so that the system users can access to the system much more easily regardless of space and time limitations. From the design stage on an individual level, it is necessary to conduct detailed needs analysis and listen to users who are at the center of innovation diffusion. On an organizational level, it is necessary to actively prepare for possible problems during system implementation, educate the users and build communication channels continuously.
CONCLUSION
This study has identified the factors affecting the innovation of tele-health care systems and contributed to the understanding of the operation of tele-health care systems by the diffusion of innovation theory in community health posts.

Citations

Citations to this article as recorded by

Tele-Treatment Application Design for Disable Patients with Wireless Sensors
Alberto Arteta Albert, Luis Fernando de Mingo López, Nuria Gómez Blas
Applied Sciences.2020; 10(3): 1142. CrossRef
A study on the experience of mHealth based on health belief model: Focus group interview
Na Young Park, Jeong Hae Hwang, Yun-Kyoung Choi, Seong-Hi Park, Yeon Kyung Lee
Korean Journal of Health Education and Promotion.2019; 36(3): 97. CrossRef

The Factors Affecting Cultural Competency of Visiting Nurses and Community Health Practitioners: Soon Ok Yang, Myung Soon Kwon, Seung Hee Lee; J Korean Acad Community Health Nurs. 2012;23(3):286-295. Published online September 30, 2012; DOI: https://doi.org/10.0000/jkachn.2012.23.3.286

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Abstract PDF: PURPOSE
The purpose of this study was to investigate the level of cultural competency of visiting nurses and community health practitioners and explore factors that are related with their cultural competency.
METHODS
The subjects of this study were 113 visiting nurses and 103 community health practitioners working in Gangwon-do. Data were collected using a structured questionnaire on May 24, 2011. The SPSS/WIN 17.0 program was used for data analysis.
RESULTS
The average score for cultural competency of visiting nurses was 2.76+/-0.60 and that of community health practitioners 2.91+/-0.51. Most of subjects received no multicultural education (78.0% for nurses, 85.7% for community health nurses). Factors influencing cultural competency were number of service experience for multicultural clients and participation of multicultural education.
CONCLUSION
It is necessary to develop systematic educational programs to enhance the cultural competency of nurses.

A Survey on the Use of Visiting Nurses in Child Day Care Centers: Soon Ok Yang, Shin Jeong Kim, Myung Soon Kwon, Seung Hee Lee, Sung Hee Kim; J Korean Acad Community Health Nurs. 2011;22(2):87-99. Published online June 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.2.87

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Abstract PDF: PURPOSE
The purpose of this study was to contribute children's health care and health promotion by surveying the use of visiting nurses in child day care centers.
METHODS
This study is a descriptive study, and the study period covers July to September, 2010. The research subjects were 27 public health center managers, 166 visiting nurses and 137 child care teachers.
RESULTS
Teachers' need of visiting health care services and visiting nurses' work performance of were statistically significantly different. The teachers' need of visiting health care was higher in all areas (health examination, health life practice, infectious disease control, safety accidents and disaster management, emergency measures and linkage, nutrition, parent education) but the visiting nurses had a low level of work performance.
CONCLUSION
Child care teachers are not health professionals for child health care, and therefore they are in need of professional help. Thus, for the current public health centers in need of customized visit health care, new visiting nurses in charge of professional child health care need to be developed. Also, new models need to be developed for visiting nurses and child care teachers through the connection of community child health care.

The Effects of a Case Management Program of Customized Home Visiting Health Service for Clients with Arthritis: Soon Ok Yang, Myung Soon Kwon, Yong Jun Choi, Seung Hee Lee; J Korean Acad Community Health Nurs. 2011;22(2):151-161. Published online June 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.2.151

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Abstract PDF

PURPOSE
The purpose of this study was to analyze the effects of a case management program on range of motion, pain, depression and self efficacy in community-dwelling older women with knee arthritis.
METHODS
The research design was one-group pre and post-test design with 40 participants with knee arthritis who agreed to participate in the 12-week case management program. Data were collected four times, before and after 4, 8 and 12 weeks.
RESULTS
Repeated measures ANOVA revealed significant differences between before and after the service in range of motion, pain, depression and self efficacy. Significant improvements from the baseline to 4 weeks after the service were observed in the measurements of range of motion, pain, depression and self efficacy. There were no significant differences in range of motion, pain and depression between 4 and 12 weeks after the services.
CONCLUSION
This study represents the first effort showing that a case management program can have positive outcomes on range of motion, pain, depression and self efficacy for older women with knee arthritis. More research using a control group pre-post test design considering time lapse is needed in order to examine more accurately the effects of case management programs for knee arthritis.

Citations

Citations to this article as recorded by

Effects of a nurse-led multicomponent intervention for frail older adults living alone in a community: a quasi-experimental study
Mi Sook Song, Sunjoo Boo
BMC Nursing.2022;[Epub] CrossRef
Long-term Monitoring of Changes in Blood Pressure, Blood Glucose, and Total Cholesterol Levels among Frail Older Individuals Receiving Home Health Care Nursing in South Korea
Young-Ran Chin, Hyo Young Lee
Journal of Community Health Nursing.2021; 38(1): 13. CrossRef
Benefit analysis of visiting healthcare in public health centers
Sukja Ko, Young-Ho Jung, Jae Yong Lee
Korean Journal of Health Education and Promotion.2018; 35(5): 69. CrossRef
The Effects of Foot Reflexology on Arthralgia, Ankylosis, Depression, and Sleep in Community-dwelling Elderly Women with Osteoarthritis
Chung Soon Kim, Kwang Soo Yoo, Se Hwa Hong
Journal of Korean Academy of Community Health Nursing.2014; 25(3): 207. CrossRef
Symptoms, aging-stereotyped beliefs, and health-promoting behaviors of older women with and without osteoarthritis
Hyun-E Yeom
Geriatric Nursing.2013; 34(4): 307. CrossRef
Effects of Tailored Case Management using a Gatekeeper for the Depressed Single-household Elderly Population -Focusing on the Mental Health Case Management-
Yun-Jung Choi, Mi-Ra Won
Journal of Korean Academy of Community Health Nursing.2012; 23(4): 376. CrossRef
The Effects of Case Management for Clients with Clonorchiasis in Riverside Areas
Chunmi Kim, Hee-Gerl Kim, Kyung-Ja June, Souk-Young Kim
Journal of Korean Academy of Community Health Nursing.2012; 23(4): 427. CrossRef

Relations among Knowledge, Fear and Efficacy of Fall in the Community Dwelling Elderly: Myung Soon Kwon; J Korean Acad Community Health Nurs. 2010;21(2):139-147. Published online June 30, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.2.139

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10 Citations

Abstract PDF

PURPOSE
This study was to find out knowledge, fear, and efficacy of fall in the community dwelling elderly and to investigate how the factors were connected to one another.
METHODS
Data were collected from June to August, 2009 from 101 aged people who aged 65 or older and agreed to participate in this study sampled among elders at 8 halls of the aged in local communities. The subjects were interviewed by a co-researcher and 3 trained assistants in a way of responding to the questionnaire after being read. The data were analyzed through t-test, ANOVA, Turkey's test and Pearson correlation coefficients.
RESULTS
Knowledge of fall was affected significantly by whether the living cost was provided or not, fear of fall was affected by sex, level of education, hearing impairment and regular exercise, and efficacy of fall was affected by age, sex, marital status, level of education, hearing impairment, vertigo and regular exercise. The results also showed a negative correlation between fear of fall and efficacy of fall.
CONCLUSION
According to this study, regular exercise can build up knowledge and efficacy of fall and diminish fear of fall. Thus it is highly recommended to include regular exercise in an effective fall-prevention program.

Citations

Citations to this article as recorded by

Latent classes based on fall risk factors in community‐dwelling older adults: The 2017 National Survey of Older Persons
Mi Yeon Kim, Jong Sun Ok, Heejung Choi
International Journal of Nursing Practice.2023;[Epub] CrossRef
Factors affecting the use of protective measures of farmers to prevent falling during the walnut collection period in Tuyserkan County
Saeid Bashirian, Salman Khazaei, Maryam Afshari, Ensiyeh Jenabi, Hamid Shokoohi, Zahra Zobdeh, Mehran Biglari, Behzad Gholamaliee
Archives of Trauma Research.2021; 10(3): 141. CrossRef
Understanding and Prevention of Fall-related Injuries in Older Adults in South Korea: A Systematic Review
Ki-taek Lim, Ji-eun Lee, Ha-eun Park, Su-young Park, Woochol Joseph Choi
Physical Therapy Korea.2019; 26(2): 34. CrossRef
The effect of a VR exercise program on falls and depression in the elderly with mild depression in the local community
Jong-Eun Yang, Tac-Young Lee, Jin-Kyung Kim
Journal of Physical Therapy Science.2017; 29(12): 2157. CrossRef
Factors influencing fall prevention nursing performance of hospital nurses
Keong-Sook Jang, Hae-Sook Kim
The Korean Journal of Emergency Medical Services.2016; 20(3): 69. CrossRef
A Structural Equation Model of Fall Prevention Behavior among Community-dwelling Older Adults with Osteoarthritis
Keong Sook Jang, Rhayun Song
Korean Journal of Adult Nursing.2015; 27(6): 684. CrossRef
A Predictive Model of Fall Prevention Behaviors in Postmenopausal Women
Hyun-Jung Jang, Sukhee Ahn
Journal of Korean Academy of Nursing.2014; 44(5): 525. CrossRef
Relations among Fall Efficacy, Perception of Fall Risk and Fall Prevention Behavior in the Frail Elderly at Home
Young-Hee Kim
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(7): 3383. CrossRef
Analysis of Factors Influencing Risk of Fallings among Rehabilitation Patients with Impaired of Mobility: Focusing on Activities-specific Balance Confidence
Dongwook Han, Kyung-Yeon Park
Journal of Korean Academy of Fundamentals of Nursing.2013; 20(3): 220. CrossRef
Prevalence and correlates of fear of falling in Korean community-dwelling elderly subjects
Seonho Kim, Wi-Young So
Experimental Gerontology.2013; 48(11): 1323. CrossRef

Development of Health Education Program Components for Early Childhood and the Investigation of Teachers' Awareness and Performance Rate of Health Education: Myung Soon Kwon, Suk Jung Han, Oh Soon Yoon, Myung Sun Song; J Korean Acad Community Health Nurs. 2009;20(4):453-464. Published online December 31, 2009

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Abstract PDF: PURPOSE
This study was conducted to develop health education program components for early childhood and to investigate teachers' awareness of the importance of health education and their performance rate of health education.
METHODS
Early childhood health education program components were developed using two rounds of the Delphi method. The Delphi group consisted of 21 experts in childhood education. After health education program components were developed, they were used in surveying child care teachers' awareness of importance and performance rate and 151 teachers sampled from 30 child care centers participated in the survey.
RESULTS
The early childhood health education program components consisted of 5 areas, 16 subjects and 33 specific contents. Early childhood teachers' awareness of importance was over 4.5 points in all the areas and in 11 out of the 16 subjects. The most frequently educated subjects were 'the importance of hand washing' and the least frequently educated subject was 'obesity prevention'. The teachers' awareness of importance and their performance rate of specific contents were high in 'maintaining order' and 'using children's rides safely,' and low in 'obesity prevention' and 'infectious disease prevention.' CONCLUSION: The components of this health program were developed in consideration of field feasibility and the relationship of health program education in elementary, middle and high school.

A Study on the Awareness of Importance, Performance Level, and Perceived Competence Level of School Health Promotion Programs: Soon Ok Yang, Myung Soon Kwon, Geum Hee Jeong, Seung Hee Lee; J Korean Acad Community Health Nurs. 2009;20(1):96-104. Published online March 31, 2009

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Abstract PDF: PURPOSE
The purpose of this study was to provide fundamental materials for improving school health promotion programs by investigating school nurses' awareness of the importance, performance level, and perceived competence level of school health promotion programs in Gangwon-do.
METHODS
The subjects of this study were 173 school nurses who were working in Gangwon-do. The instrument for this study was a scale for awareness of importance, performance level, and perceived competence level. Data were collected on December 15, 2007 and analyzed using SPSS 13.0 for Windows.
RESULTS
The mean score of awareness of importance was 3.51 (range: 1~4). The mean score of performance level and the mean score of perceived competence level were 3.35 (range: 1~4) and 3.29 (range: 1~4), respectively. The younger school nurses were (F=4.380, p=.014), the higher their awareness of importance was. The performance level was lowest in high school nurses (F=5.013, p=.008). There were significant correlations between awareness of importance, performance level, and perceived competence level in school nurses.
CONCLUSION
In order to improve the effectiveness of school health promotion programs, training and education programs for school nurses' competencies and technical support systems for school nurses should be provided.

The Effects of Customized Home Visiting Health Service in Gangwon-do: Focused on Hypertension and DM Clients: Soon Ok Yang, Soo Yeon Ahn, Eun Shil Yim, Myung Soon Kwon; J Korean Acad Community Health Nurs. 2008;19(1):88-100. Published online March 31, 2008

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Abstract PDF: PURPOSE
This study was to present the effects of home visiting health service on hypertension and DM clients.
METHOD
The one-group pretest-posttest design was applied to 127 hypertension and 116 DM clients. To evaluate the effects of visiting nursing service, biological indexes and self-care abilities were measured from April to July, 2007.
RESULT
Biological indexes and self-care abilities were improved in the hypertension and DM clients who received visiting nursing service. Especially, blood pressure and fasting blood sugar showed a dramatic decrease.
CONCLUSION
Home visiting health service by public health centers is considered to be an effective nursing service in Gangwon-do. Therefore, case management is demanded not only for hypertension and DM but also for other chronic diseases.

Testing for Self-care Ability Measurement in an Aged Health Center: A Delphi Technique: Myung Soon Kwon; J Korean Acad Community Health Nurs. 2006;17(4):573-582. Published online December 31, 2006

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Abstract PDF: No abstract available.

Development an Evaluation Tool for Evaluation of Hypertension Prevention and Management Program in Community Health Posts: Myung Soon Kwon, Won Jung Cho; J Korean Acad Community Health Nurs. 2004;15(2):197-208. Published online June 30, 2004

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Abstract PDF: PURPOSE
This study was to develop an effective evaluation tool for evaluation of hypertension prevention and management program(HPMP) in community health posts (CHPs).
METHOD
Evaluation tool composed from the literature review, the field visiting, and the in-depth interviews with the community health practitioners.
RESULT
The evaluation tool had four domains, each with different maximum points:, hypertension prevention (35), hypertension management (40), environment of the CHPs(10), and evaluation system of the HPMP(15). The first domain was hypertension prevention with sub-domains of health education, and early detection of patients with hypertension. The second domain was hypertension management with sub-domains of management of health records of patients, education and counseling , and treatment and follow-up of patients. The third domain was the environment of the CHPs with subdomains of accessibility of CHPs to residents, accessibility of general health data to the public, and availability of health information to the public by multimedia. The fourth domain was the evaluation system of the HPMP with the subdomains of planning of program, formative evaluation, process evaluation, and summative evaluation.
CONCLUSION
The newly developed evaluation tool will contribute not only to plan and set goals for evaluation of HPMP in CHPs.

Factors Associated with the Stages of Changes in Drinking Behavior among Industria Workers, an Application of thel Transtheoretical Model: Hee Soon Kim, Keum Ee Kim, Myung Soon Kwon; J Korean Acad Community Health Nurs. 2004;15(1):110-121. Published online March 31, 2004

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Abstract PDF: PURPOSE
This study was performed to identify factors associated with drinking behavior using Transtheoretical Model in workers.
METHOD
The study method was a survey of 216 marine shipping metal workers in Koje city from November 11, 2002 to November 30, 2002.
RESULT
The subjects were divided in four stages of drinking behavior: 38.9% in pre-contemplation stage, 38.6% in contemplation stage, 17.6% in preparation stage and 7.9% in action & maintenance stage. The amount of drinking was significantly decreased as the workers progressed through each stage. Helping relationships(HR) and Self reevaluation(SR) were identified as the main processes of change in all stages. Self liberation(SEL), Counter conditioning(CC), Helping relationships(HR), Self reevaluation(SR), Dramatic relief (DR) and Social liberation(SL) were used higher than average. The self-efficacy score increased as the workers progressed through each stage, but not significantly. The Pros score of decisional balance was the highest in the pre contemplation stage and decreased as the workers progressed through each stage, but not significantly. The Cons score of decisional balance was the highest in the preparation stage, but not significantly in as the workers progressed through each stage.
CONCLUSION
This study can provide the basis of a staged matching alcohol-reducing program using TTM for more effective and useful intervention.

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