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Development and Evaluation of the Parenting Support Group Program for Mothers with Infants 婴幼儿母亲育儿支持小组计划的制定与评价
Q3 Nursing Pub Date : 2021-03-01 DOI: 10.12799/JKACHN.2021.32.1.40
Sun Hwa Park, K. June
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引用次数: 1
The Relationship between Unmet Healthcare Needs Due to Financial Reasons and the Experience of Catastrophic Health Expenditures 财政原因导致的未满足医疗需求与灾难性医疗支出经历的关系
Q3 Nursing Pub Date : 2021-03-01 DOI: 10.12799/JKACHN.2021.32.1.95
J. Kang, Chul-Woung Kim
Purpose: The purpose of this study is to investigate the association between unmet healthcare needs due to financial reasons and catastrophic health expenditures. Methods: This study used secondary data from the 2014~2015 Korean Health Panel survey. The subjects of this study were 21,495 people aged 20 or older, and of them, there were 16,227 people aged 20 to 64 and 5,268 people aged 65 or older, which were surveyed between 2014 and 2015. The association between unmet healthcare needs due to financial reasons and catastrophic health expenditures was analyzed through logistic regression. Results: In 2015, 1.7% of people aged 20~64 years and 7.9% of those aged 65 or older experienced unmet healthcare needs due to financial reasons. In the 20~64 age group, people who repeatedly experienced catastrophic health expenditures (=10%,=20%) were less likely to experience unmet healthcare needs due to financial reasons than those who did not experience catastrophic health expenditures for two years (OR=0.50, OR=0.41). However, in the 65-or-older group, people who repeatedly experienced catastrophic health expenditures (=20%) were more likely to experience unmet healthcare needs due to financial reasons than those who did not experience catastrophic health expenditures for two years (OR=1.68). Conclusion: A greater percentage of the elderly repeatedly faced both catastrophic health expenditures and unmet healthcare needs due to financial reasons compared to the non-elderly.
目的:本研究的目的是探讨由于经济原因导致的未满足的医疗保健需求与灾难性医疗支出之间的关系。方法:本研究采用2014~2015年韩国健康小组调查的二手数据。本次研究的对象是21495名20岁及以上的人,其中20 - 64岁的16227人,65岁及以上的5268人,调查时间为2014 - 2015年。通过logistic回归分析财务原因导致的未满足的医疗保健需求与灾难性医疗支出之间的关系。结果:2015年,1.7%的20~64岁人群和7.9%的65岁及以上人群因经济原因出现医疗需求未得到满足的情况。在20~64岁年龄组中,反复经历灾难性卫生支出的人(=10%,=20%)比两年没有经历灾难性卫生支出的人更不可能因经济原因而经历未满足的卫生保健需求(OR=0.50, OR=0.41)。然而,在65岁或以上的人群中,反复经历灾难性医疗支出的人(=20%)比那些两年没有经历灾难性医疗支出的人(OR=1.68)更有可能由于经济原因而经历未满足的医疗需求。结论:与非老年人相比,老年人由于经济原因多次面临灾难性的医疗支出和未满足的医疗需求的比例更高。
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引用次数: 0
The Effects of Self-efficacy and Self-stigma on Self-care in People with Diabetes 糖尿病患者自我效能感和自我污名对自我护理的影响
Q3 Nursing Pub Date : 2021-03-01 DOI: 10.12799/JKACHN.2021.32.1.86
Kawoun Seo
Purpose: This descriptive study investigated the effects of self-efficacy and self-stigma on self-care in people with diabetes. Methods: The study included a total of 377 patients with diabetes enrolled in university hospitals in D city and public health centers in S city. Data were collected from 1 July to 31 August, 2017, and were analyzed using descriptive statistics, t-test, analysis of variance, Pearson ’ s correlation coefficient, and hierarchical multiple regression. Results: Diabetes self-care was positively correlated with diabetes self-efficacy, whereas it was negatively correlated with diabetes self-stigma. Participants ’ education level, marital status, perceived health status, type of medication, self-efficacy, and self-stigma explained 42.4% of the variance in diabetes self-care. Conclusion: The findings indicate that diabetes self-efficacy and self-stigma are important factors for improving self-care in patients with diabetes. Therefore, systematic programs for enhancing self-efficacy and reducing self-stigma of these individuals should be developed.
目的:本描述性研究调查了糖尿病患者自我效能感和自我污名对自我护理的影响。方法:本研究共纳入了377名糖尿病患者,他们分别在D市的大学医院和S市的公共卫生中心接受治疗。数据收集于2017年7月1日至8月31日,并使用描述性统计、t检验、方差分析、Pearson相关系数和分层多元回归进行分析。结果:糖尿病自我保健与糖尿病自我效能呈正相关,而与糖尿病自我污名呈负相关。参与者的教育水平、婚姻状况、感知健康状况、药物类型、自我效能感和自我污名解释了42.4%的糖尿病自我护理差异。结论:糖尿病自我效能感和自我污名是提高糖尿病患者自我保健水平的重要因素。因此,应该制定系统的计划来提高这些人的自我效能,减少自我羞辱。
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引用次数: 5
Maternal Health Effects of Internet-Based Education Interventions during the Postpartum Period: A Systematic Review 基于互联网的产后教育干预对孕产妇健康的影响:一项系统综述
Q3 Nursing Pub Date : 2021-03-01 DOI: 10.12799/JKACHN.2021.32.1.116
Jungmi Chae, Hyun Kyoung Kim
Purpose: This study aimed to investigate the maternal health effects of internet-based education interventions on parturients during the postpartum period through a systematic review of randomized controlled trials. Methods: An electronic literature search of the Cochrane Library, CINAHL, EMBASE, Eric, PsycINFO, PubMed, RISS, and KISS databases was performed, using the combination of keywords such as ‘ parenthood education ’ , ‘ *natal education ’ , ‘ *birth intervention ’ , ‘ internet-based intervention ’ , ‘ randomized controlled trial ’ . The inclusion criteria were peer-reviewed papers in English regarding randomized controlled trials of internet-based postnatal education interventions. Educational interventions were delivered through any web, mobile, eHealth, mHealth, virtual reality, short message service, or social networking service platform. Quality appraisal was performed using the Risk of Bias 2 (RoB 2) for randomized controlled trials. Nine articles were yielded, and the intervention effects were analyzed. Results: Internet-based education interventions during the postpartum period affect maternal self-efficacy, postpartum depression, and successive breastfeeding; however, they do not affect maternal satisfaction and parenting confidence. Conclusion: This study demonstrated that internet-based education interventions affect maternal health status in terms of psychological, emotional, and physical wellness. Therefore, maternal health care professionals can utilize remote education using the internet or mobile-based interventions during the postpartum period.
目的:本研究旨在通过随机对照试验的系统回顾,调查产后互联网教育干预对产妇健康的影响。方法:对Cochrane Library、CINAHL、EMBASE、Eric、PsycINFO、PubMed、RISS和KISS数据库进行电子文献检索,使用关键词组合,如“父母教育”、“*出生教育”、”*出生干预“、”基于互联网的干预“和”随机对照试验“。纳入标准是关于基于互联网的产后教育干预的随机对照试验的英文同行评审论文。教育干预通过任何网络、移动、eHealth、mHealth、虚拟现实、短信服务或社交网络服务平台提供。使用随机对照试验的偏倚风险2(RoB2)进行质量评估。共发表9篇文章,并对干预效果进行分析。结果:产后期间基于互联网的教育干预影响产妇自我效能感、产后抑郁和连续母乳喂养;然而,它们并不影响母亲的满意度和养育子女的信心。结论:本研究表明,基于互联网的教育干预从心理、情感和身体健康方面影响产妇的健康状况。因此,产妇保健专业人员可以在产后利用互联网或基于移动的干预措施进行远程教育。
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引用次数: 2
An Exploratory Study on How and Why Young and Middle-aged Adults Disclose Depressive Feelings to Others: Focusing on the Influence of Perception of Social Norms 中青年人向他人透露抑郁情绪的方式及原因探析——以社会规范感知的影响为中心
Q3 Nursing Pub Date : 2021-03-01 DOI: 10.12799/JKACHN.2021.32.1.12
S. An, Hannah Lee
Purpose: This study explored how and why young and middle-aged adults disclose depressive feelings to others. In particular, we investigated the role of social norms to see whether using mobile instant messaging (MIM) could lower the perceived barriers of emotional disclosure. Furthermore, the motivations of emotional disclosure via MIM were compared between young and middle-aged adults. Methods: A total of 255 Koreans (128 middle-aged people, 127 young adults) participated in an online survey. Pearson’s correlation coefficients, paired t-tests, SPSS PROCESS macro, and exploratory factor analysis were used to examine the relationships among the key variables. Results: The perceived social norms were found to be a significant deterrent in disclosing depressive feelings to others. However, there was a significant interaction effect between generations and perceived social norms. Although young adults with low social norm awareness were more likely to disclose depressive feelings via MIM, emotional disclosure among middle-aged adults increased with higher levels of perceived social norms. Also, different motivations were observed. Conclusion: The results confirmed the significant effect of social norms as well as generational differences when using MIM as a channel of emotional disclosure.
目的:本研究探讨中青年如何及为何向他人表露抑郁情绪。特别是,我们调查了社会规范的作用,看看使用移动即时通讯(MIM)是否可以降低情感表露的感知障碍。此外,还比较了青壮年和中年人通过MIM进行情绪表露的动机。方法:对255名韩国人(128名中年人,127名青壮年)进行在线调查。采用Pearson相关系数、配对t检验、SPSS PROCESS宏观、探索性因子分析等方法检验关键变量之间的关系。结果:感知到的社会规范对向他人表露抑郁情绪有显著的抑制作用。然而,代际和感知社会规范之间存在显著的交互作用。虽然低社会规范意识的年轻人更有可能通过MIM披露抑郁情绪,但中年人的情绪披露随着社会规范感知水平的提高而增加。此外,还观察到不同的动机。结论:社会规范和代际差异对情感表露的影响显著。
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引用次数: 2
Analysis of Trends in Willingness to Pay Research in Healthcare Service of Korea 韩国医疗服务支付意愿研究趋势分析
Q3 Nursing Pub Date : 2021-03-01 DOI: 10.12799/JKACHN.2021.32.1.24
So-Mi Seo, S. Jang
Purpose: This study was to review the previous studies on the ‘ Willingness to Pay (WTP)' for healthcare services and suggest future implications for nursing research. Methods: Using the scoping review method, we used RISS, KISS, KMbase, Koreamed, PubMed, EMbase, CINAHL as searching engines. According to the selection and exclusion criteria, 40 appropriate studies were selected and analyzed. Results: 24 studies were categorized into medical service field among medical, public health, and nursing service fields. A total of 16 studies were related to healthcare system (policies), 13 studies were to the healthcare intervention, and 11 studies were categorized into the health management. Most of the methods for eliciting WTP (70%) were about a contingent valuation method (CVM), and the use of double bounded dichotomous choice (DBDC) tended to increase. In the nursing field, five WTP studies were identified: two studies published in the early years of 2000, which were conducted on hospital-based home health visit services. Recent studies were mostly about counseling and education by advanced practice nurses (APNs). Conclusion: WTP studies on healthcare services were largely published from the medical fields and health policy areas with the CVM method. In the field of nursing, studies have been conducted on the subject of limited service areas. More active exploration of research topics is required, particularly under the current policy setting, where discussion of the public health insurance fee for nursing practice is essential.
目的:本研究旨在回顾以往关于医疗服务“支付意愿(WTP)”的研究,并对护理研究的未来意义提出建议。方法:采用范围界定回顾法,使用RISS、KISS、KMbase、Koreame、PubMed、EMbase、CINAHL作为搜索引擎。根据选择和排除标准,选择并分析了40项适当的研究。结果:24项研究被分为医疗服务领域,包括医疗、公共卫生和护理服务领域。共有16项研究与医疗保健系统(政策)有关,13项研究与卫生保健干预有关,11项研究被归类为卫生管理。大多数引发WTP的方法(70%)都是关于或有估值方法(CVM),并且有界二分选择(DBDC)的使用趋于增加。在护理领域,确定了五项WTP研究:2000年初发表的两项研究是关于医院家庭健康访问服务的。最近的研究主要是关于高级实习护士的咨询和教育。结论:采用CVM方法对医疗服务的WTP研究主要发表在医疗领域和卫生政策领域。在护理领域,已经对有限服务领域进行了研究。需要对研究主题进行更积极的探索,特别是在当前的政策背景下,讨论护理实践的公共健康保险费用至关重要。
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引用次数: 0
Occupational Accident Compensation Insurance Coverage and Occupational Accidents for Special-type Delivery Workers 特殊类型快递员职业事故赔偿保险范围及职业事故
Q3 Nursing Pub Date : 2021-03-01 DOI: 10.12799/JKACHN.2021.32.1.64
Min Ji Kim, Eunsuk Choi
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引用次数: 3
The Effect of Senior Elementary School Students’ Emotional Perception Clarity, Emotion Regulation, and Family Relationship on Non-Suicidal Self-Injury and Depression 高中小学生情绪知觉清晰度、情绪调节和家庭关系对非自杀性自伤和抑郁的影响
Q3 Nursing Pub Date : 2021-01-01 DOI: 10.12799/jkachn.2021.32.4.457
Ji-hye Shin, Suk-Sun Kim
Purpose: The purpose of this study was to examine the correlations among emotional perception clarity, emotion regulation, family relationship, non-suicidal self-injury, and depression, and to determine associated factors of non-suicidal self-injury and depression for senior elementary school students. Methods: Data were collected from 150 early adolescences in K region, Korea. A self-report questionnaire consisted of Trait Meta-Mood Scale, Cognitive Emotion Regulation Questionnaire, Family Relationship Assessment Scale, Functional Assessment of Self-Mutilation, and Children's Depression Inventory. The data were analyzed using t-test, Pearson ’ s correlation coefficient, logistic regression, and multiple regression analysis. Results: Non-suicidal self-injury and depression were positively associated with maladaptive emotion regulation strategy and family conflict, but negatively related to emotional perception clarity and family support. Adaptive emotion regulation strategy and family togetherness were only significantly correlated with depression. In logistic regression analysis, significant predictors of non-suicidal self-injury were emotional perception clarity, maladaptive emotion regulation strategy, and family support. Multiple regression analysis found that significant factors of depression were adaptive and maladaptive emotion regulation strategies, which explained 38.0% of the variance. Conclusion: Our study findings suggest that targeted intervention to reinforce the adaptive emotion regulation strategy and family relationship may prevent non-suicidal self-injury, and depression for senior elementary school students.
摘要目的:本研究旨在探讨小学生情绪知觉清晰度、情绪调节、家庭关系、非自杀性自伤与抑郁的相关关系,并探讨小学生非自杀性自伤与抑郁的相关因素。方法:收集韩国K地区150名早期青少年的数据。自述问卷由特质元情绪量表、认知情绪调节量表、家庭关系评定量表、自残功能评定量表和儿童抑郁量表组成。采用t检验、Pearson相关系数、logistic回归和多元回归分析对数据进行分析。结果:非自杀性自伤和抑郁与适应不良情绪调节策略和家庭冲突呈正相关,与情绪感知清晰度和家庭支持负相关。适应性情绪调节策略和家庭团聚只与抑郁显著相关。在logistic回归分析中,情绪知觉清晰度、情绪调节策略不良和家庭支持是非自杀性自伤的显著预测因子。多元回归分析发现,适应和不适应情绪调节策略是影响抑郁的显著因素,解释了38.0%的方差。结论:有针对性地加强适应性情绪调节策略和家庭关系的干预可以预防小学高年级学生的非自杀性自伤和抑郁。
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引用次数: 0
Factors Related to Smoking Recurrence within Six-months Smoking Cessation among Employees in Enterprises with Smaller than 300 Workers 300人以下企业员工戒烟6个月内再吸烟相关因素分析
Q3 Nursing Pub Date : 2021-01-01 DOI: 10.12799/jkachn.2021.32.1.107
Byung Jun Jin, Chul-Woung Kim, Seung Eun Lee, H. Im, Tae-Yong Lee
Purpose: The purpose of this study is to identify factors associated with smoking relapse within six months after quit attempts among workers in small and medium-sized enterprises in South Korea. Methods: The analysis was conducted for a total of 194 people who attempted to quit smoking by applying for a smoking cessation support service at the Regional Tobacco Control Center. The data used in the study were extracted from the Smoking Cessation Service Integrated Information System. Kaplan-Meier estimator and Cox proportional hazards regression model were used to identify variables associated with smoking relapse within six months ’ time period. Results: Smoking relapse rate within six months was 66.0%, and variables associated with relapse included the cases such as carbon monoxide (CO) at the time of registration (HR: 2.15, 95% CI: 1.10~4.22 for CO ≥ 20 ppm or more vs.CO < 10 ppm), the average number of cigarettes smoked per day (HR: 1.04, 95% CI: 1.00~1.07), and the number of counseling(HR: 0.60, 95% CI: 0.54~0.67). Conclusion: Smoking characteristics and counseling showed one of the strongest correlations with relapse within six months. This implies that it is necessary to understand the smoking characteristics and patterns of workers and to provide continuous smoking cessation counseling tailored to individual characteristics for effective smoking relapse prevention.
目的:本研究的目的是确定韩国中小企业员工在戒烟后六个月内吸烟复发的相关因素。方法:对194名在地区控烟中心申请戒烟支持服务试图戒烟的人进行分析。研究中使用的数据来自戒烟服务综合信息系统。Kaplan-Meier估计和Cox比例风险回归模型用于确定6个月内吸烟复发的相关变量。结果:6个月内的复发率为66.0%,与复发率相关的变量包括登记时的一氧化碳(CO) (CO≥20 ppm及以上vs CO < 10 ppm, HR: 2.15, 95% CI: 1.10~4.22)、平均每天吸烟数(HR: 1.04, 95% CI: 1.00~1.07)、咨询次数(HR: 0.60, 95% CI: 0.54~0.67)等。结论:吸烟特征与心理咨询是6个月内复发的重要因素之一。这意味着有必要了解工人的吸烟特征和模式,并根据个人特征提供持续的戒烟咨询,以有效预防吸烟复发。
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引用次数: 0
Factors Influencing Influenza Vaccination Intention among Health Personnel in General Hospitals: An Application of the Theory of Planned Behavior 综合医院卫生人员流感疫苗接种意向的影响因素:计划行为理论的应用
Q3 Nursing Pub Date : 2021-01-01 DOI: 10.12799/jkachn.2021.32.2.175
Jiyoung You, Jinhyang Yang
Purpose: Influenza immunization among health personnel is of particular importance given their elevated risk of influenza infection, role in transmission and influence on patients' immunization status. The purpose of this study is to identify factors associated with the influenza vaccination intention among health personnel based on the theory of planned behavior. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 131 health personnel in five general hospitals in two cities in South Korea. The data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with the SPSS 26.0 program. Results: There were statistically significant differences in influenza vaccination intention according to the high-risk group in the family, occupation, length of employment, and influenza vaccination status within a year. The influenza vaccination intention of these health personnel showed significant positive correlations with attitude, subjective norms, and perceived behavioral control towards influenza vaccination. Multiple regression analysis for influenza vaccination intention revealed that the significant predictors were attitude, subjective norms, influenza vaccination within a year and physician in occupation. These factors explained 41.4% of the variance. Conclusion: The results suggest a need to strengthen attitude and subjective norms. The findings also suggest that their characteristics through influenza vaccination status within a year and occupation should be considered for tailored interventions related to the intention. Furthermore, it is necessary to develop programs strengthening attitude and subjective norms to enhance influenza vaccination intention among health personnel.
目的:鉴于卫生人员感染流感的风险较高、在传播中的作用以及对患者免疫状况的影响,对卫生人员进行流感免疫接种尤为重要。本研究的目的是在计划行为理论的基础上,确定卫生人员流感疫苗接种意愿的相关因素。方法:采用问卷调查的横断面描述性设计。参与者是韩国两个城市五家综合医院的131名医务人员。采用SPSS 26.0统计软件对数据进行描述性统计、t检验、方差分析和多元回归分析。结果:不同高危人群家庭、职业、工作年限、一年内流感疫苗接种情况的流感疫苗接种意向差异有统计学意义。这些卫生人员的流感疫苗接种意愿与流感疫苗接种态度、主观规范和感知行为控制呈显著正相关。对流感疫苗接种意向的多元回归分析显示,态度、主观规范、一年内流感疫苗接种情况和职业医师是影响流感疫苗接种意向的显著因素。这些因素解释了41.4%的差异。结论:需要加强态度和主观规范。研究结果还表明,应考虑他们通过一年内流感疫苗接种状况和职业的特征,以制定与意图相关的量身定制的干预措施。此外,有必要制定加强态度和主观规范的方案,以提高卫生人员的流感疫苗接种意愿。
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引用次数: 2
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Journal of Korean Academy of Community Health Nursing
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