Abstract
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 8.82±1.36, while it was 4.53±0.47 for attitude, 3.78±0.66 for practice, and 3.78±0.69 for social capital. It was observed that the factors influencing the practice of RIP were attitude of RIP (β=.38, p < .001), social capital (β=.29, p < .001), family type (β=−.19, p=.002), and subjective health status (β=.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.
|
|
| Factors Influencing the Practice of Respiratory Infection Prevention for the Elderly in Rural Areas
|
Myung Soon Kwon ,1
and Jeong Soon Yu2
|
1Professor, School of Nursing · Research Institute of Nursing Science, Hallym University, Chuncheon, Korea.
|
2Doctoral Student, School of Nursing, Hallym University, Chuncheon, Korea.
|
Corresponding author: Yu, Jeong Soon. School of Nursing, Hallym University, 1 Hallymdaehak-gil, Chuncheon 24252, Korea. Tel: +82-33-248-2719, Fax: +82-33-248-2734, Email: jayamush@hotmail.com
|
|
Received June 30, 2019; Revised October 22, 2019; Accepted November 07, 2019.
|
|
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
|
|
|
Abstract
|
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 8.82±1.36, while it was 4.53±0.47 for attitude, 3.78±0.66 for practice, and 3.78±0.69 for social capital. It was observed that the factors influencing the practice of RIP were attitude of RIP (β=.38, p<.001), social capital (β=.29, p<.001), family type (β=−.19, p=.002), and subjective health status (β=.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.
|
|
|
Keywords:
Respiratory tract infections; Knowledge; Attitude; Health behavior; Aged
|
|
|
|
Table 2
Degrees of Knowledge, Attitude of Respiratory Infection Prevention, Social Capital and Practice of Respiratory Infection Prevention (N=188)
|
|
Click for larger image |
|
|
|
|
Table 4
Correlations among of Knowledge, Attitude of Respiratory Infection Prevention, Social Capital and Practice of Respiratory Infection Prevention (N=188)
|
|
Click for larger image |
|
This work was supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (NRF-2018S1A3A2074932).
|
|
Statistics Korea. 2018 Aging population statistics [Internet]. Seoul: Statistics Korea; 2018 [cited 2019 March 12].
United Nations Department of Economic and Social Affairs/Population Division. World population prospects: The 2017 revision, key findings and advance tables [Internet]. New York: United Nations; 2017 [cited 2019 March 14].
Choi JS, Kim CG, Park SM. The knowledge, awareness and preventive behaviors of pneumococcal vaccination for the elderly. Journal of Korean Academy of Community Health Nursing 2012;23(3):266–275. [doi: 10.12799/jkachn.2012.23.3.266]
Song MS, Yang NY. Knowledge and compliance with cough etiquette among elderly in the community. The Journal of Korean Academic Society of Home Care Nursing 2017;24(1):52–60. [doi: 10.22705/jkashcn.2017.24.1.052]
Office of Disease Prevention and Health Promotion. Healthy people 2020 [Internet]. Washington DC: U.S. Department of Health and Human Services; 2019 [cited 2019 March 14].
OECD STAT. Health Status: Cause of mortality, pneumonia [Internet]. Paris: OECD; 2015 [cited 2019 June 3].
World Health Organization. Advocacy, communication and social mobilization for TB control: A guide to developing knowledge, attitude and practice surveys. 1st ed. Geneva: WHO Press; 2008. pp. 60.
Jefferson T, Rivetti D, Rivetti A, Rudin M, Pietrantonj CD, Demicheli V. Efficacy and effectiveness of influenza vaccines in elderly people: A systematic review. The Lancet 2005;366(9492):1165–1174. [doi: 10.1016/S0140-6736(05)67339-4]
Kim WJ. Elderly vaccination. Korean Journal of Medicine 2009;76:310–316.
Benkouiten S, Brouqui P, Gautret P. Non-pharmaceutical interventions for the prevention of respiratory tract infections during Hajj pilgrimage. Travel Medicine and Infectious Disease 2014;12(5):429–442. [doi: 10.1016/j.tmaid.2014.06.005]
Qualls N, Levitt A, Kanade N, Wright-Jegede N, Dopson S, Biggerstaff M, et al. Community mitigation guidelines to prevent pandemic influenza - United States, 2017. Morbidity and Mortality Weekly Report. Recommendations and Reports 2017;66(1):1–34. [doi: 10.15585/mmwr.rr6601a1]
Siegel JD, Rhinehart E, Jackson M, Chiarello L. 2007 Guideline for isolation precautions: Preventing transmission of infectious agents in health care settings. American journal of infection control 2007;35 10 Suppl 2:S65–S164.
Launiala A. How much can a KAP survey tell us about people's knowledge, attitudes and practices? Some observations from medical anthropology research on malaria in pregnancy in Malawi. Anthropology Matters 2009;11(1):1–13.
Han SI, Kwon JM, Ahn BY, An JH, Lee SH, Yim HJ, et al. Knowledge, attitude and practice (KAP) of hand washing for soldiers. The Journal of the Korea Contents Association 2017;17(8):472–482. [doi: 10.5392/JKCA.2017.17.08.472]
Kim SH, Kim JS. Nurse's knowledge, attitudes and practice of preventive nursing for aspiration pneumonia in elderly. Journal of Korean Gerontological Nursing 2012;14(2):99–109.
Park YH, Lee SH, Yi YM, Lee CY, Lee MH. Compliance with respiratory infection preventive behaviors and its related factors in older adults using a senior center. Journal of Korean Academy of Community Health Nursing 2018;29(3):322–334. [doi: 10.12799/jkachn.2018.29.3.322]
Jeon JD, Ryu SY, Han MA, Park J. Comparisons of health status and health behaviors among the elderly between urban and rural areas. Korean Society for Rural Medicine and Community Health 2013;38(3):182–194. [doi: 10.5393/JAMCH.2013.38.3.182]
Yoon DH. In: The elders attitude for their health and the mediated effect in social capital related to health- enhancement relationship [dissertation]. Gwangju: Chosun University; 2017. pp. 87.
Putnam R. The prosperous community: social capital and economic growth. American Prospect 1993;4:35–42.
Chuang YC, Huang YL, Tseng KC, Yen CH, Yang LH. Social capital and health-protective behavior intentions in an influenza pandemic. Public Library of Science One 2015;10(4):e0122970. [doi: 10.1371/journal.pone.0122970]
Rönnerstrand B. Social capital and immunization against the 2009 A (H1N1) pandemic in the American States. Public Health 2014;128(8):709–715. [doi: 10.1016/j.puhe.2014.05.015]
Shaqrah AA, Al-Hhashem A, Alqirem R. Social capital, attitude, expectations and quality of knowledge sharing in Jordanian knowledge stations. International Journal of Knowledge-Based Development 2013;4(2):185–199. [doi: 10.1504/IJKBD.2013.054083]
Jang HJ, Noh GI. Structural model of health status in rural community: Social trust, medical communication, and health information. Journal of Digital Convergence 2015;13(8):483–493. [doi: 10.14400/JDC.2015.13.8.483]
Lee MH. In: Development and evaluation of a respiratory infection preventive behavior improvement program for community-dwelling older adults [dissertation]. Seoul: Seoul National University; 2018. pp. 164.
Sin KY, Ko JU. Influence of the elderly feeling of self-efficacy on preparation after retirement - focused on the mediating effect of social capital. The Journal of the Korea Contents Association 2017;17(9):255–267. [doi: 10.5392/JKCA.2017.17.09.255]
Cho MH, Park DS, Choi YW. In: Health status of the rural elderly and policy issues. Basic Research Report. Naju: Korea Rural Economic Institute; 2013 Dec.
Wang MJ, Cha NH. A study on health belief and health behaviors of the elderly. Journal of East-West Nursing Research 2003;8(1):103–112.
Kim A, Kim O. The path model based on senescent sleep model for sleep in community-dwelling older adults. Korean Journal of Adult Nursing 2015;27(2):211–222. [doi: 10.7475/kjan.2015.27.2.211]
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
KACHN
, 정순 유
PubReader
Cite
