Purpose: To identify the compliance level with therapeutic regimen among patients with hypertension residing in rural communities. Method: A descriptive-retrospective research design was employed. One hundred patients with hypertension using 8 Primary Health Care Posts under W Public Health Center were randomly recruited on the basis of being over 35 years of age. After obtaining written consent, the patients underwent direct interviews with a structured questionnaire carried out by 8 public health practitioners. Descriptive statistics and binary logistic regression were utilized. Results: In a binary logistic regression model adjusted for age, sex, education, income, and occupation, those who were receiving medication (OR=5.34), were undergoing a weight control program (OR=4.45), restricted alcohol (OR=9.93), or smoking cessation (OR=25.59) as recommended by medical or health professionals were more compliant (p<.05) while those under a low salt diet, exercise, and stress management were not significant statistically (p>.05). Conclusions: Further research should be conducted to validate these findings so as to facilitate the development of nursing intervention strategies for improving the compliance of hypertensive patients in respect to medication and life style modification.

Purpose: To test the effects of health education on the blood pressure, knowledge, and self-care of visiting nursing clients. Methods: The study subjects were 96 participants who had been diagnosed with hypertension or had high risk factors for hypertension among those registered at a public health center in Seoul. The education program was individualized and delivered to enhance the management of hypertension including life-style modification, medication, and complication managements. Data were collected using questionnaires from May to December 2006 and analyzed using descriptive analysis, t-test, paired t-test, and ANOVA. Results: The blood pressure of the participants after the education was significantly decreased compared to before the education. Education also significantly affected the increases of knowledge of the disease and self-care capability. However, the blood pressure and self care were not significantly improved for the age group over 85 years. Conclusions: This study proves that the individualized health education for visiting nursing clients was effective in improving blood pressure, knowledge, and self-care of hypertension. However, it is necessary to develop strategies that are specifically targeted at particular age groups in order to improve the capability of self-care of hypertension.

Purpose: To investigate the effect of self-efficacy and self-esteem on the mental health of the elderly in a rural area. Method: The subjects were 120 elderly aged 65 years or over. The instruments used in this study were the self-efficacy, self-esteem, and mental health scales. The data were analyzed by SPSS Win version 10.0, including mean, standard deviation, t-test, ANOVA, and stepwise multiple regression. Results: The means were 78.95$\pm$8.11 for self-efficacy, 25.07$\pm$4.79 for self-esteem, and 82.58$\pm$9.78 for mental health. Mental health was significantly influenced by age, spouse, family type, general self-efficacy, social self-efficacy, and self-esteem. These variables accounted for 21.5% of the variances of mental health. Conclusion: The important factors that affected the mental health of the elderly were self-efficacy and self-esteem. Therefore, these findings may provide useful data for constructing a geriatric mental health program of the elderly in a rural area.

Purpose: To measure the sexual life and life satisfaction of the elderly in a rural sea village. Method: Data were collected from November 20, 2006 to January 10, 2007 through a personal. interview with 262 elderly registered at one primary health care post in Gyeongsangnam do using a questionnaire. Results: The mean life satisfaction score was each 20.9. Of the scores related to life satisfaction according to general characteristics, there were statistically significant differences in age(p=.003, p=.026), education level(p=.036), presence of spouse(p=.016), residence(p=.039), economic status(p=.000, p=.013), monthly spending(p=.000, p=.000), economic supporter(p=.001, p=.022), and perceived health condition(p=.005, p=.009). Of the scores related to life satisfaction according to sexual life characteristics, there were statistically significant differences in importance of sexual life(p=.000, p=.047), performance of sexual life(p=.018), frequency of sexual life(p=.006), satisfaction of sexual life(p=.002, p=.005), and sexual life of youth(p=.022, p=.000). Conclusion: We should investigate influencing factors on sexual life and life satisfaction of the elderly and include knowledge about sexual life of the elderly in health promotion programs for the elderly.

Purpose: The purpose of this study was to explore the living experiences of low-income elderly living alone. Method: The data were collected through more than ten times of in-depth interview with 7 participants. The research question was "what is it like to experience your daily living?" The data were analyzed by Colaizzi's phenomenological analytic method. Results: Four main meaningful themes were identified: 1) The participants blamed themselves for their past lives, 2) They also felt sorry for being a burden on other's lives, 3) They considered diseases to be a natural part of life, 4) They felt worried and hopeless about the rest of their lives. Conclusion: This study revealed the living experiences of low-income elderly living alone. Further studies are needed to determine appropriate care and treatment. The authentic caring approaches are required with caring community people. Finally, this study may provide data for better recognizing the low-income elderly's experiences of caring in the community.

Purpose: The objectives of this study were to define basic data for developing silver services related to goods, medical care, finance, leisure and residence. Method: In this cross-sectional study, the subjects were 792 pre-elderly and 382 elderly. The data were collected 2005 by using a structured questionnaire from Aug. 19 to Sep. 5. Data were analyzed using descriptive statistics on the SPSS version 12.0 for windows. Result: The pre-elderly had the intention to use massage chair(36.6%), homecare service(29.8%), national pension(35.9%), sports(48.5%) and personal house(59.5%) in the ares of silver goods, medical care, finance, leisure and residence, respectively. The elderly wanted sphygmomanometer(38.7%), homecare service(27.7%), pocket money from their offspring (40.5%), sports(33.5%), and personal house(74.8%). They wanted manpower in the area of reforming of living place, leisure time and education, counseling of silver goods, and management of finance. Conclusion: Based on this study findings, the pre-elderly are thoroughly established for their future than the elderly. It is important to upgrade the silver services and to prepare the manpower for the pre-elderly and the elderly in the future of the aging society.

Purpose: To evaluate the current status of utilization and implementation of health promotion programs for Korean middle-aged women in public health centers. Methods: Three-phase stratified sampling was done to select 1304 middle-aged women (aged 40-64 years) from all regions of Korea. The data were collected by face-to-face interviews using a structured questionnaire for individual responses and mailed surveys to 126 public health centers. Descriptive statistics and $x^2$-test were done for data analysis. Results: Only 12 of the 126 public health centers (9.9%) implemented health promotion programs for middle-aged women, with the lack of manpower being cited as the main reason for the absence of programs. From individual responses, 11.3% had participated in health promotion programs offered by public health centers. The main reasons for not participating were inconvenient times and lack of information. Significant differences were found in the frequency of participation in programs, exercise programs and diabetes management according to the size of region. The majority of the respondents cited the need for medical services, followed by programs focused on stroke prevention and leisure time management. The responses on the willingness to participate followed a similar pattern. Conclusion: There are gaps between the utilization of health promotion programs by middle-aged women and what is offered by public health centers. The results of this study support the need to develop more health promotion programs focusing specifically on the needs of middle-aged women.

Purpose: The purpose of this study was to investigate the perceived social support of mothers with disabled children. Method: This study was a cross-sectional, descriptive study using a questionnaire survey which included the standardized measure: personal resource Questionnaire 2000. Results: The participants were 98 mothers, each with one with disabled children. Of the 98 participant's children, 39.8% suffered mental retardation, 34.7% was developmentally disability, 16.3% was brain diseases and 9.2% was multiple disabled. The mean age of the disabled children was 8.2 years and of their mothers was 38 years. The order of the life events for which the need help for the subjects required help were 'when anger and frustration arise happened', 'difficulties in human relationship' and 'emergency situations'. The personal resources were spouse (38.1%), friends (20.9%) and parent (12.9%). The mean score of perceived social support was 5.48 out of a total of 7, indicating a slightly high on social support score. Significant differences were found in the level of perceived social support according to the school grade of disabled child's school grade (F=4.04, p= .02) and the mother having a job presence of mothers (t=2.49, p= .01). Conclusion: These findings indicate a need for nursing intervention programs for mothers with disabled children, including anger management, methods of human relationship, support for leisure time and long term illness and providing information.

Purpose: This study sought to investigate the relationship between smoking, drinking and the mental health of adolescents. Method: The study subjects included 1,092 randomly sampled third-year middle and high school students from N-City and the L-Kun area in Chonbuk Province. The data were collected using an anonymous questionnaire developed by the Ministry of Health and Welfare(2005). The data were analyzed using the SPSSWIN 15.0 Program. Result: The smoking rate in the adolescents was 10.1%, and the drinking rate was 43.2%. The stress recognition rate in normal daily life was 45.5%, the frequency of depressive symptoms was 33.2% and 40.0% of the subjects reported that they wanted to die at some point within the past year. The rate of stress recognition, depressive symptom experience, suicidal planning and attempt in smokers and drinkers was higher than that in non-smokers and non-drinkers (p<.05). Especially, the frequency of suicidal thoughts was higher in the drinkers than in the non-drinkers (p<.05). Conclusion: The smoking and drinking status of the adolescents was correlated with their mental health a sit relates to stress, depression and suicide. Therefore, an effective program for the prohibition of cigarette smoking and alcohol consumption is needed in order to prevent smoking and alcohol consumption in adolescents and improve their mental health status.

Purpose: To identify bullying tendencies among elementary, middle, and high school students. Method: A descriptive study was conducted with 911 participating students. Data were collected using three, self-administered questionnaires that had been modified by the investigator. The data were analyzed by the SPSS Win 10.0 program using descriptive statistics, ANOVA. Result: The level of bullying was significantly different among elementary school, middle school and high school students. Middle school students were higher than elementary and high school students. In subtypes of bullying, language type was higher than alienation and physical damage types in elementary, middle and high school students. The methods to resolve a bullying situation are for the victim to 'speak to parents' in elementary school students, but 'bear alone' in middle school and highschool students. The answer to the question 'how many of your friends have been the victim of bullying' was 3-8 friends'. The reason for being a bully victim was 'because they pretend to be a superior man'. Conclusion: Although much research has been conducted in this area, further study among elementary, middle and high school students needs to be conducted. Furthermore, a variety of programs for preventing bullying among elementary, middle and highschool students should be developed.

Purpose: To identify the effects on tuberculosis mortality of a tuberculosis control program conducted at 108 community health centers in terms of structure and process. Methods: The dependent variable was tuberculosis mortality, and the independent variables were the structure(type of centers, staff, nurses, doctors, budget) and process(chest X-ray checking, immunization, case detection, health education, patients registering & managing) of the tuberculosis control programs at the community health centers. Data were analyzed using descriptive analysis and stepwise regression analysis. Result: Tuberculosis morality was positively correlated with type of centers(rural area)(p<0.01), but negatively correlated with type of centers(large cities) (p<0.01), (middle cities)(p<0.05), staff FTE(p<0.05), and number of nurses(p<0.05). Regression analysis indicated that type of centers(rural area)($\beta$=0.457) and case detection($\beta$=0.234) had a significant effect on tuberculosis mortality. Conclusion: Ultimately, this study will provide information to improve the effectiveness of tuberculosis control programs in community health centers.

Purpose: To analyze the trends of study related with case management in Korean nursing in order to present the direction for future research. Methods: This article reviewed 15 studies from 7 nursing Journals and dissertations published in Korea from 1995 to 2006. The studies were examined according to the research topics, research subjects and methods and research results. Results: Only 15 articles related to case management were published in nursing journals between 1995 and 2006, most of which were from 2001 to 2003. The majority of the articles (53.3%) was experimental designs and their subjects were mostly adults (72.7%). The major topic of the articles was the effects of nursing interventions, followed by development for case management model, applying program for CM and developing case management strategies. Conclusion: This study suggests the need for further research in various areas of case management and the development of case management theory related to nursing.