Research in Community and Public Health Nursing

Original Articles

The Follow-up Study of Changes in Frailty in Elderly Receiving Home Health Care of the Public Health Center: Dong Ok Lee, Young Ran Chin; J Korean Acad Community Health Nurs. 2019;30(4):528-538. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.528

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PURPOSE
The purpose of this study was to follow-up the frailty of the old who received home health care by Registered Nurse in Public Health Center over 8 years.
METHODS
We used the second wave data which was a comprehensive longitudinal data set, Public Health Information System of a public health center located in Seoul from 2010 to 2018. For statistical analysis, a mixed model of repeated measures by R program was used.
RESULTS
Frailty (range: 0~31) was getting worse significantly from 5.38 on registration to 6.54 on 4th year, 7.40 on 7th year, 7.69 on 8th year with adjustment for age, sex, economic status, the number of family, and the number diseases. The coefficient of parameters with frailty change was serviced year (Î²=0.29, p < .001), age (70~79 to 60~69; Î²=0.98, p=.018) and sex (female to male; Î²=2.55, p < .001).
CONCLUSION
This study showed that the home visiting health service needs to take attention to aged 70s and over, female. The home health care of public health center need to be extended more practical and effective services in terms of â€˜community careâ€™ and â€˜ageing in placeâ€™.

Citations

Citations to this article as recorded by

Factors influencing the stages of frailty among Korean older adults focusing on objective and subjective social isolation
Song Yi Han, Hye Young Jang, Young Ko
BMC Geriatrics.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
Type 1 Diabetes Home Care Project and Educational Consultation
Eun Chong Shin
The Journal of Korean Diabetes.2020; 21(2): 88. CrossRef

Levels of Health-related Quality of Life (EQ-5D) and Its Related Factors among Vulnerable Elders Receiving Home Visiting Health Care Services in Some Rural Areas: Jong Im Kim; J Korean Acad Community Health Nurs. 2013;24(1):99-109. Published online March 31, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.1.99

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41 Citations

Abstract PDF

PURPOSE
The purpose of this study is to identify levels of quality of health-related life (EQ-5D) and its related factors among vulnerable elders receiving home visiting health care services in some rural areas.
METHODS
The subjects of this study were vulnerable elders aged 65 or higher receiving visiting health care benefits by a public health center in a county.
RESULTS
Levels of health-related EQ-5D were high when the subjects were males, their ADL and IADL were high. The EQ-5D of the vulnerable elders and social supports had a positive correlation, while their IADL and depression had a negative correlation with the EQ-5D. We can see that the EQ-5D related factors are variables that have significance influence on gender, subjective health status, BMI, IADL, depression levels, and social support.
CONCLUSION
To improve the EQ-5D of the vulnerable elderly, it needs maintenance of independent IADL levels, social supporting systems using small meeting of the elderly in community. It is necessary to maintain independent IADL levels, enhance social supporting systems including small group gatherings for elders living alone by means of places like community halls, and develop specific intervention programs for the prevention and management of depressive elders.

Citations

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Health-related quality of life in South Korean community-dwelling older adults with multimorbidity: a convergent parallel mixed-methods approach
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Differences in the Levels of Physical Activity, Mental Health, and Quality of Life of Elderly Koreans with Activity-Limiting Disabilities
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The Follow-up Study of Changes in Frailty in Elderly Receiving Home Health Care of the Public Health Center
Dong Ok Lee, Young Ran Chin
Journal of Korean Academy of Community Health Nursing.2019; 30(4): 528. CrossRef
Identification of High-risk Groups of Suicide from the Depressed Elderly using Decision Tree Analysis
Sehoon Hong, Dongwon Lee
Journal of Korean Academy of Community Health Nursing.2019; 30(2): 130. CrossRef
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Geun Myun Kim, Myung Sun Hong, Wonjung Noh
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Woun-Jong Choi, Kyeong-Su Kim, Hyeon-Gyeong Lee, Hyo-Cher Kim, Hye-seon Chae, Kyung-Suk Lee, Dong-Phil Choi
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Nam Hee Park, Mi Sook Song, So Young Shin, Ji‐hye Jeong, Hyo Young Lee
International Journal of Older People Nursing.2018;[Epub] CrossRef
Effects of the Health Status and Health Behavior on Health-related Quality of Life of the Elderly Living Alone and Living with Their Families: Using Data from the 2014 Community Health Survey
Kyung-Sook Kim
Journal of Korean Academy of Community Health Nursing.2017; 28(1): 78. 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
Frailty and its related Factors in Vulnerable Elderly Population by Age Groups
Eunok Park, Mi Yu
Journal of Korean Academy of Nursing.2016; 46(6): 848. CrossRef
Association between the number of existing permanent teeth and health-related quality of life (EuroQol-5 Dimension) among adults: findings from the fifth Korea National Health and Nutrition Examination Surveys, 2012
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Journal of Korean Academy of Oral Health.2015; 39(4): 303. CrossRef
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Kyunghee Kang
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Hee Gerl Kim
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So-Hi Kwon
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The Journal of Digital Policy and Management.2014; 12(1): 501. CrossRef
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Hyeonkyeong Lee, Sung Hye Cho, Jung Hee Kim, Yune Kyong Kim, Hyang Im Choo
Journal of Korean Academy of Nursing.2014; 44(6): 608. CrossRef
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The Korean Journal of Health Service Management.2014; 8(3): 169. CrossRef
The Factors Influencing Health-Related Quality of Life in the Elderly: Focused on the General Characteristics, Health Habits, Mental Health, Chronic Diseases, and Nutrient Intake Status: Data from the Fifth Korea National Health and Nutrition Examination
Hye-Sang Lee
Korean Journal of Community Nutrition.2014; 19(5): 479. CrossRef
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Gyeyoung Shin, Eun Kyung Kim
Journal of Korean Public Health Nursing.2014; 28(3): 419. CrossRef
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Younghae Chung, Yoo Hyang Cho
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Kum-Sook Park, Heon-Young Jeong, Sun-Yoe So, Young-Hee Park, Hee-Jung Yang, Kyoung-Ran Jung, Soon-Joo Moon, Hae-Kyoung Kim, Jung-Hee Cho, Kyung-Hee Yang
Journal of Oriental Neuropsychiatry.2013; 24(4): 353. CrossRef
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Seung-Hee Lee
The Journal of Digital Policy and Management.2013; 11(12): 523. CrossRef

Task Analysis of Managers in the Customized Visiting Health Services: Young Ran Han, Young Rye Park, Young Hee Kim, Hee Chung Choi, Mi Ja Chung; J Korean Acad Community Health Nurs. 2012;23(2):165-178. Published online June 30, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.2.165

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Abstract PDF

PURPOSE
The aim of this study was to analyze the tasks of managers who were working in the Customized Visiting Health Services (CVHS) and to prioritize analyzed tasks according to performance frequency, perceived importance, and difficulty.
METHODS
Job analysis method by Hartley (1999) was used for task analysis and performance frequency, perceived importance, and difficulty were used for prioritize as criteria. A total of 85 managers in the CVHS of public health centers nationwide were recruited through e-mail and mail survey. Using SPSS/WIN 15.0, descriptive statistics, such as frequency distribution, means, median, and standard deviation, were conducted to examine each subject's general characteristics, the frequency, importance, and difficulty of the tasks as well as to prioritize the each task.
RESULTS
The job description of the managers revealed 12 duties, 35 tasks, and 104 task elements. Of the 85 managers, 84.8% were classified as nurses, 40.5% were home health care specialists, and 32.9% were social workers. Their coretasks were management of client cases, budget management, and management of work performance and quality assurance.
CONCLUSION
Considering the analyzed managers' tasks and core tasks, we need to examine each manager's role precisely and provide various educational programs for improving overall manager competence.

Citations

Citations to this article as recorded by

Contract Employment Experiences of Visiting Nurses at Public Health Centers in the Metropolitan Area: Focused on Employment Type and Treatment
Hee-Gerl Kim, Soong-Nang Jang, Young Ran Chin, Jungyi Hur, Ryoun-Sook Lee
Journal of Korean Academy of Community Health Nursing.2022; 33(2): 175. CrossRef
Job Analysis of Visiting Nurses in the Process of Change Using FGI and DACUM
Jieun Kim, Insook Lee, Jina Choo, Songwhi Noh, Hannah Park, Sohyeon Gweon, kyunghee Lee, Kyoungok Kim
Journal of Korean Academy of Community Health Nursing.2022; 33(1): 13. CrossRef
Predictors of Chewing Discomfort among Community-dwelling Elderly
Seol Hwa Moon, Gwi-Ryung Son Hong
Journal of Korean Academy of Community Health Nursing.2017; 28(3): 302. CrossRef
Oral Health-Related Quality of Life of the Elderly under Visiting Health Care
Keun-Yoo Lee, Young-Sik Cho, Soon-Ryun Lim
Journal of dental hygiene science.2015; 15(3): 325. CrossRef
An analysis on performance of visiting health care services by general characteristics of visiting nurse in public health center
Jeong Sook Park, Yun Jung Oh
Journal of Digital Convergence.2014; 12(12): 381. CrossRef

Factors Influencing Depression and Quality of Life in Elderly Customized Home Visiting Health Services: Yun Hee Kwon, Chung Nam Kim, Oh Gye Kwag; J Korean Acad Community Health Nurs. 2011;22(3):262-271. Published online September 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.3.262

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4 Citations

Abstract PDF

PURPOSE
The study was conducted in order to identify factors influencing depression and quality of life in elderly customized home visiting health services.
METHODS
A total of 442 people participated as the subjects of this study. Data were collected during the period from June to September in 2010 and the measurement tool used for this study was the customized home visiting health service recording sheet recommended by the Ministry of Health. Data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS/WIN 17.0.
RESULTS
Depression was correlated negatively with quality of life. According to the results of this research, factors influencing depression in elderly customized home visiting health services were quality of life, customized home visiting health service period, and IADL. Factors influencing quality of life in elderly customized home visiting health services were depression, joint exercise capacity, age, connection to volunteerism, IADL and ADL.
CONCLUSION
The results of this study can be leveraged as complementary information for the effective management of customized home visiting health service subjects. Moreover, the results can be used as a reference for future studies.

Citations

Citations to this article as recorded by

Factors Affecting the Intention to Participate in Healthcare Programs among Elders Living Alone
Mi Sook Song, Sunjoo Boo
Journal of Korean Academy of Community Health Nursing.2016; 27(4): 319. CrossRef
Cognitive Functions, Instrumental Activities of Daily Living, Depression and Quality of Life in the Elderly with Mild Cognitive Impairment
Yeon Ok Kim, Moon Sook Shim
Journal of Korean Public Health Nursing.2015; 29(2): 219. CrossRef
Relationships of Depression Symptom, Self-Esteem, and Stress to Health-Related Quality of Life in Patients with Hypertension Registered to a Community Health Center
Mi Ni Choi, Eun-Hyun Lee
Journal of Korean Public Health Nursing.2015; 29(2): 165. CrossRef
Factors Influencing the Quality of Life in Low- Income Elders Living at Home: A Literature Review
Chung-Min Cho
Journal of Korean Public Health Nursing.2013; 27(2): 372. CrossRef

Elders' Health Status, Quality of Life, and Satisfaction with Customized Home Visiting Health Service Depending on Connection to Volunteerism: Ji Eun Park, Chung Nam Kim, Yun Hee Kwon; J Korean Acad Community Health Nurs. 2010;21(4):448-457. Published online December 31, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.4.448

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3 Citations

Abstract PDF

PURPOSE
This study attempted to identify differences in elders' health status, quality of life, and satisfaction with customized home visiting health service depending on connection to volunteerism.
METHODS
A total of 400 subjects participated in this research. Data were collected from May to August of 2009 and the measurement tool used for this study was the house visiting health service recording sheet recommended by the Ministry of Health.
RESULTS
According to the results of this research on elders' health status in customized home visiting health service depending on connection to volunteerism, elders connected to volunteerism positively showed a high level in functional health status areas such as daily life performance ability, instrumental daily life performance ability and Joint exercise capacity, and in the quality of life area.
CONCLUSION
The results of this study can be utilized as complementary information when resources and networks are used for the effective management of house visiting health service subjects.

Citations

Citations to this article as recorded by

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
Nutritional Risk, Stress, and Health related Quality of Life among Older Women with a Foreign Daughter-in-Law
Mikyung Park, Kiwol Sung
Journal of Korean Public Health Nursing.2015; 29(2): 312. CrossRef
The Effects of an Exercise Program using a Resident Volunteer as a Lay Health Leader for Elders' Physical Fitness, Cognitive Function, Depression, and Quality of Life
Yeon-Hee Choi, Na-Young Kim
Journal of Korean Academy of Community Health Nursing.2013; 24(3): 346. CrossRef

A Cost Benefit Analysis of Individual Home Visiting Health Care: Jin Hyun Kim, Tae Jin Lee, Jin Hee Lee, Sang Jin Shin, Eun Hee Lee; J Korean Acad Community Health Nurs. 2010;21(3):362-373. Published online September 30, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.3.362

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PURPOSE
The purpose of this study is to evaluate the costs and benefits of individual home visiting health care using secondary data and literature review.
METHODS
The total number of subjects was 1,008,837. A specific program was classified into disease management, care of infant, child and women, or elderly care. The costs and effects of a program were identified from a societal perspective, and the effects were converted into monetary terms or benefits. The total cost was calculated in the way that medical expenses, travel costs and productivity losses were offset by the decrease in benefits and thus only the program budget was included in the total cost.
RESULTS
The total program cost was 47.6 billion won per year and the total annual benefit was estimated at 435.6 billion won. The benefits of arthritis management were the biggest among disease management programs. The net benefit was 388.0 billion won per year and the benefit/cost ratio was 9.16.
CONCLUSION
Home visiting health care was validated to be economically effective. It made a positive contribution to improving the health status of vulnerable populations and reducing medical expenses. These results suggest that home visiting care should be extended more broadly to vulnerable populations.

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Effects of a nurse-led structured home visiting program on quality of life and adherence to treatment in hemodialysis patients
Mina Pooresmaeil, Sohrab Iranpour, Masoumeh Aghamohammadi
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A Study on Outcomes of the Utilization of Visiting Nursing Service at the Integrated Visiting Nursing Center in Bucheon-si
Hyun-Kyung Park, Ae Jung Yoo, Ju Young Yoon, Jae Woo Choi
Research in Community and Public Health Nursing.2023; 34: 127. CrossRef
Nursing Students' Practice Experience on Community Visiting Nursing
Jae-Hyun Ha, Jeong-Hee Park
Journal of Korean Academy of Community Health Nursing.2020; 31(1): 43. CrossRef
Types of Perception of Home Visiting Oral Health Care Services for Korean Older Persons: A Q Methodology Study
Sue-Hyang Lee, Soo-Myoung Bae, Bo-Mi Shin, Sun-Jung Shin
International Journal of Environmental Research and Public Health.2020; 18(1): 214. 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
Cost-Benefit Analysis of Occupational Therapy in Center for Dementia Based on Public Data
Seung-Hyun Cho, Kyung-Yoon Kam, Sung-Yoon Bae, Nam-Hoon Cho, Hye-Won Oh, Young-Ae Yang
Journal of Korean Society of Occupational Therapy.2018; 26(2): 99. CrossRef
Comparison of Working Conditions among Non-regular Visiting Nurses in Public Health Centers based on Their Employment Types
Hee Girl Kim, Ryoun-Sook Lee, Soong-Nang Jang, Kwang Byung Kim, Young Ran Chin
Journal of Korean Academy of Community Health Nursing.2018; 29(3): 267. CrossRef
Economic Effect of Home Health Care Services for Community-dwelling Vulnerable Populations
Eunhee Lee, Jinhyun Kim
Journal of Korean Academy of Nursing.2016; 46(4): 562. CrossRef
Estimating need for Home Visiting Nurse from Public Health Centers
Hyun-Ji Bae, Jinhyun Kim
Perspectives in Nursing Science.2015; 12(1): 23. CrossRef
The Cost-Benefit Analysis of the NutriPlus Program in Daejeon Dong-gu Health Center
Hyun Ju Kim, Sung Han Kim
The Korean Journal of Food And Nutrition.2015; 28(4): 717. CrossRef
Ethical concerns of visiting nurses caring for older people in the community
Kwisoon Choe, Kisook Kim, Kyoung-Sook Lee
Nursing Ethics.2015; 22(6): 700. CrossRef
Job Stress, Job Satisfaction, and Organizational Commitment of Customized Home Health Care Nurse
Chan Gyeong Park, Ki Soo Park, Young Sil Kang
Journal of agricultural medicine and community health.2013; 38(1): 39. CrossRef
Factors influencing the number of remaining natural teeth in elderly people visiting dental care services
Hyun-Ju Lim, Eun-Kyoung Lee
Journal of Korean society of Dental Hygiene.2013; 13(4): 693. CrossRef

Comparison of Health-related Characteristics and Self-care Behavior between a Hypertension Controlled Group and a Non-Controlled Group of Hypertension Patients in a Customized Home Visiting Health Service: Hyo Soon Jang, Hee Kyoung Hyoung, Kyoung Huy Kim; J Korean Acad Community Health Nurs. 2009;20(4):483-492. Published online December 31, 2009

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Abstract PDF: PURPOSE
This study was conducted to compare health-related characteristics and self-care behavior between a controlled group and a non-controlled group of hypertension patients in a customized home visiting health service.
METHODS
This study was conducted as cross-sectional research. The subjects were 1,317 hypertension-controlled patients and 555 non-controlled ones. Data were collected using a structured questionnaire and analyzed by descriptive statistics, chi2-test, and t-test using the SPSS WIN 15.0 program.
RESULTS
Socio-demographic characteristics and self-care behavior were not significantly correlated between the groups. According to health-related characteristics, the health status was significantly higher in the hypertension-controlled group than in the non-controlled group. The cholesterol level was significantly lower in the hypertension-controlled group than in the non-controlled group.
CONCLUSION
Attention should be paid to patients who are not in good health status in order to control their hypertension. Also, it is necessary to educate the patients in order for them to manage their hypertension and cholesterol.

Knowledge, Attitude and Practice of Home Visitors in Public Health Centers toward Wife Abuse: Young Ran Han; J Korean Acad Community Health Nurs. 2005;16(3):308-319. Published online September 30, 2005

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Abstract PDF: PURPOSE
This study investigated knowledge and attitude of home visitors in public health centers toward wife abuse and the actual status of how they were detecting wife abuse and providing interventions.
METHOD
Data were collected using questionnaires from October 2003 to December 2004. The subjects were 403 home visitors at Public Health Centers around Korea. The data were analyzed using SPSS program.
RESULTS
The correction rate of knowledge related to wife abuse was 51.9%. The mean score of attitude toward wife abuse was 3.09 (SD=.40) out of 4, showing that their attitude is right. There was a significant difference in attitude according to age (F=3.27, p=.008). One hundred twenty six visitors (31.3%) detected wife abuses and each visitor confirmed 2.3 cases on the average. Forty eight respondents (38.1%) answered that they had provided interventions.
CONCLUSION
This result implies that health visitors have difficulties in detecting wife abuse, and even for identified cases, the rate of providing interventions was low. It was because health visitors' educational experience in wife abuse is insufficient and they do not regard this work as their duty. These findings suggest the necessity for developing nursing in-service programs teaching health visitors their duties and knowledge related to wife abuse.

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