Purpose: The purpose this study was to examine pathways from family strengths and resilience to internet addiction through stress in male high school students Methods: Particiants in this study included 482 male students from six high schools located in Daegu and Gyeongsangbukdo, Korea. The SPSS 15.0 program and AMOS 7.0 program were used for analysis of data. Results: In this study, family strengths, resilience and stress were found to be factors influencing internet addiction. Stress was a direct factor and family strengths and resilience were indirect factors. Conclusion: Findings of this study may provide useful assistance in development of effective nursing interventions for prevention and management of male high school students' internet addiction.

Purpose: The purpose of this study was to identify the effect of sexual education on sex knowledge and attitude in elementary school students. Method: Questionnaire data were collected from 4 elementary schools located in Y-gu, Seoul. Final participants included 512 older school-age children. Results: There were significant differences in the degree of sex knowledge (t=-28.35, p<.001) and attitude (t=-18.44, p<.001) between the pretest and the post-test. The degree of sex knowledge changed significantly according to grade, sex, and experience with sex-related questions, and the degree of sex attitude changed significantly according to grade and sex. There was a significant correlation in the degree of change between sex knowledge and attitude (r=.28, p<.001). Conclusion: In this study, sex education for elementary school students effectively changed sex knowledge and attitude. Sex education is recommended elementary school students as well as adolescents in order to encourage responsibility in desirable sex behavior.

Purpose: The purpose of this study was to explore relationships among cognition, activities of daily living, and depression in persons with decreased memory. Method: Data were collected from 121 out-patients with decreased memory and analysis was performed using descriptive statistics, t-test, ANOVA, Bonferroni test, and Pearson's correlation coefficients with the SPSS/WIN 18.0 program. Result: K-MMSE was significantly increased by BADL (r=.40, p<.001), whereas K-MMSE was significantly decreased by K-IADL (r=-.51, p<.001) and K-IADL significantly decreased by BADL (r=-.51, p<.001). Conclusion: The K-MMSE of persons with decreased memory showed association with BADL and K-IADL. Management of patients complaining of decreased memory and development of nursing interventions will slow down the progression of cognitive impairment.

Purpose: The purpose of this study was to examine the effect of a 12-week combined exercise training program on the body composition, physical fitness levels, and metabolic syndrome profiles of obese women. Methods: Twelve obese women were assigned to the combined exercise training program group. The women underwent training for 70-90 min/d, three times per week for a period of 12 weeks. Paired samples t-tests were performed using SPSS ver. 17.0 for analysis of the results. Results: The results of this study showed that body-composition parameters such as weight, fat-free mass, body fat mass, body-mass index, body fat, waist-hip ratio, basal metabolic rate, and intra-abdominal fat, physical fitness parameters such as muscle strength, muscle endurance, flexibility, and cardiac endurance, and metabolic syndrome biomarkers such as triglyceride levels, high-density lipoprotein cholesterol levels, glucose levels, systolic blood pressure, and waist circumference before participation the training program differed significantly from those after participation in the training program (p<0.05). However, diastolic blood pressure before participation in the training program did not differ significantly from that after participation in the training program (p>0.05). Conclusion: We concluded that a 12-week combined exercise training program could be a good exercise program for improvement of the body composition, physical fitness levels, and metabolic syndrome profiles of obese women.

Purpose: The purpose of this study was to define and clarify the concept of 'equilibrium' in community-dwelling elderly persons with chronic diseases. Methods: A hybrid model was used for development of the concept of equilibrium. The model included a field study conducted in Seoul, Korea. Participants in this study included 12 elderly persons with chronic diseases who were taking medicine regularly. Results: The concept of equilibrium was found to be a complex phenomenon having meaning in two dimensions: the family-friendly and social relation-oriented dimensions. Four attributes and nine indicators were defined. Conclusion: Equilibrium was defined as the state of having health recognition, will power, and motive power (family-friendly dimension) and having a feeling of participation (social relation-oriented). Therefore, nurses who work with elderly persons with chronic disease in the community should be aware of the attributes and indicators of equilibrium in order to enhance the equilibrium of their elderly clients with chronic diseases.

Purpose: The purpose of this study was to provide basic data for use in development of strategy for healthy aging preparation and successful transfer to old age by identifying factors influencing quality of life of the baby boom generation. Methods: The data were collected from a total of 205 members of the baby boom generation(aged 48 to 56), and analysis was performed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression using the SPSS(Version19.0) program. Results: Burden for taking care of children, aging anxiety, preparations for old age, and quality of life according to the general characteristics and health-related characteristics commonly showed a significant difference in education level and presence of stress. The greater the more burden for taking care of children and the deeper the aging anxiety, the lower the quality of life, and the better prepared for aging, the higher the quality of life. Factors affecting quality of life in the baby boom generation included preparations for old age, burden for taking care of children, monthly household income, and quality of sleep. Explanatory power was 32%. Conclusion: For successful transition to old age and for improvement of quality of life in the baby boom generation, a comprehensive approach in micro and macro dimensions will be sought.

Purpose: The purpose of this study was to provide the basic data for university students to develop program for achieving successful developmental task. Method: The subjects involved this study were 462 1-4th grade university students located at Kangwon-Do & Chungchung-Do. Data were measured using Global assessment of recent stress scale, CES-D and Self-esteem scale. Data were analyzed using SPSS WIN 17.0 program that included mean, standard deviation, ANOVA, Sheffe test and Pearson correlation coefficients. Results: 1) The mean score of the degree of perceived stress was 4.17(${\pm}1.43$), depression was .92(${\pm}.47$), and self esteem was 2.89(${\pm}.48$). 2) There were significant differences in the degree of stress according to gender(t=2.03, p=.043), level of living(F=3.55, p=.029). Likewise, there were significant differences in the degree of depression according to gender(t=3.35, p=.001), age(t=2.15, p=.032), level of living(F=3.38, p=.035) and in the degree of self-esteem there were significant difference according to gender(t=3.64, p<.001), age(t=2.81, p=.005), participation of regular meeting or not(t=3.14, p=.002), frequency of alcohol drinking(F=5.59, p=.004), onset age of alcohol drinking(t=2.43, p=.016). 4) There was a significant relationship between stress and depression(r=.556, p<.001), self-esteem (r=-.423, p<.001). Also, there was a significant relationship between depression and self esteem(r=-.667, p<.001). Conclusions: Nursing interventions and educational programs which can help the students to accomplish the developmental tasks required.

Purpose: The purpose of this study was to investigate the influence of breakfast characteristics of university students on their self-regulated learning, attentional control, and fatigue in order to provide-basic data for establishing desirable eating habits, self-regulated learning skills using attentional control, and advisable learning habits of university students. Method: The level of fatigue was estimated using the Visual analogue scale (VAS) and Critical flicker frequency (CFF). Attentional control was measured using the Attentional Control Questionnaire (ACQ) adapted by Yoon. Self-regulated learning was surveyed by the Self-Regulated Learning Test developed by Chung. Data from atotal of 142 university students were collected from November 30 to December 9, 2011. Result: 69% of the subjects skipped their breakfast. Attentional control has a negative correlation with fatigue (r=-.179, p=.033) and a positive correlation with self-regulated learning (r=.352, p<.001). The multiple regression model of self-regulated learning consists of attentional control (t=3.218, p=.002), commuting time (t=-3.076, p=.003), understanding the importance of breakfast (t=-2.413, p=.008), and skipping breakfast(t=-2.195, p=.030) and its R-square was 21.8%. Conclusion: Learning efficiency of university students should be improved by means of attentional control, which is related to self-regulated learning. Also, it is essential for university students to establish healthy lifestyles including regular eating habits and attentional control, in order to improve their self-regulated learning.

Purpose: The purpose of this study was to investigate the effects of oral exercise on oral function and quality of life among community-dwelling elders. Methods: This was a quasi-experimental study. Sixty four participants were recruited from the dental clinic of a public health center in G City, Gyeonggi-do. Thirty one participants were assigned to the experimental group and 33 to the control group. Participants in the experimental group performed oral exercise once a week for a period of three months. Subjects in the The control group received usual oral education. The Scores for oral function and quality of life were measured before and after the treatment. Data were analyzed using SPSS WIN 14.0. Results: After the experiment, statistically significant differences were observed between the two groups. were observed. The amount of saliva (p<.001), and the scores of for oral function (p<.001), and quality of life (p<.001) were higher in the intervention group compared to the control group. Conclusions: Oral exercise programs were effective in improving the oral function and quality of life among community-dwelling elders. Oral exercise could be an effective oral health nursing intervention for older people in the community.

Purpose: The purpose of this study was to measure empowerment and to identify factors influencing empowerment. Method: Subjects included 767 clients registered with the customized home visiting health services in Daegu. Data collection was performed from June 3 to July 30, 2011. Descriptive statistics, ${\chi}^2$ test, ANOVA, and stepwise multiple regression were used in this study. Results: The mean score for total empowerment was 3.01(${\pm}0.28$). In subscales of total empowerment, the score for individual empowerment was 2.97(${\pm}0.36$), the score for interpersonal relationship empowerment was 3.09(${\pm}0.34$), and the score for political-social empowerment was 2.96(${\pm}0.48$). Job, education, economic status, living arrangement, and client classification were significant factors related to total empowerment in these clients. Job, education, economic status, types of health insurance, living arrangement, age, and client classification were significant factors related to individual empowerment, interpersonal relationship empowerment and political-social empowerment. 4.4 percent of the variance in total empowerment can be explained by education and living arrangement (Cum $R^2=0.044$, F=13.207, p<.001). Individual empowerment, interpersonal relationship empowerment, and political-social empowerment can be explained by education, job, economic status, and living arrangement. Conclusion: An empowerment intervention that includes general characteristics of clients is essential to improving empowerment of customized home visiting health care services beneficiaries.

Purpose: The aim of this study was to investigate gender differences in risk factors and sleep, depression, and mobility of Korean elderly with and without low back pain and sciatica. Methods: Data were derived from the 2011 Korean National Survey on Older Adults. Participants included 10,674 community-dwelling elderly. The group of elderly subjects with low back pain and sciatica and the group of elderly subjects without low back pain and sciatica were compared according to gender. Result: Age, monthly income, exercise, arthritis, osteoporosis, and providing caring support were significant risk factors for low back pain and sciatica in elderly male subjects. On the other hand, monthly income, living arrangement, arthritis, osteoporosis, providing caring support, and television watching time were significant risk factors in elderly female subjects. Significant differences in depression and mobility according to low back pain and sciatica were observed in both genders. Conclusion: Risk factors for low back pain and sciatica in elderly differed according to gender. Low back pain and sciatica showed an association with depression and mobility. These findings should be considered in planning for nursing intervention for low back pain and sciatica.

Purpose: This study was conducted in order to develop and test a measurement for assessment of stress of female marriage immigrants in Korea. Methods: Forty four preliminary items were initially developed based on literature review and focus group interviews. Those items were evaluated by experts for content validity, resulting in six factors and 26 items. The 26 items were translated into Chinese, Vietnamese, and English by professional translators and were reviewed by native speakers of each language who are fluent in Korean. For testing validity and reliability, data were collected from 323 female marriage immigrants residing in five regions in Korea. Results: As a result of item analysis, 25 items were selected. Factor analysis yielded 21 items in four factors, including 1) household economic 2) parenting and discrimination 3) cultural and 4) emotional stressors, explaining 61.3% of the total variance of stress of female marriage immigrants in Korea. The Cronbach's alpha reliability coefficient was .903 for the overall instrument and .692-.892 for four factors. Conclusion: Measurement of stress for female marriage immigrants in Korea has high validity and reliability. Therefore, this measurement may be utilized for systematic assessment of stress and for identification of areas of support for female marriage immigrants in Korea.

Purpose: This study was conducted in order to investigate the level of intimate partner violence (IPV), beliefs and attitudes toward IPV and depression in victims of IPV and to identify factors influencing their depression. Methods: This was a descriptive study using a questionnaire. The Woman Abuse Screening Tool was used for examination of IPV, and the tool developed by Saunders, Lynch, Grayson & Linz(1987) and Haj - Yahia (2003) was used for examination of beliefs and attitudes toward IPV. The CES -D Scale was used for evaluation of depression. Results: A total of 172 victims were recruited. The level of IPV was low ($1.36{\pm}0.30$ out of 3) and the level depression was mild depression ($11.57{\pm}11.30$, out of 60). Beliefs and attitudes toward IPV were not positive (2.51 out of 5). A significant relationship was observed between beliefs and attitudes toward IPV, level of IPV and depression. Factor influencing depression was physical abuse, and that was explained by 13.5% (F=3.600, p=.001). Conclusion: According to these results, depression was a significant symptom in victims of IPV, therefore, health care providers should recognize depression as a significant indicator of IPV and should evaluate women with depression regarding their experience with IPV.

Purpose: The purpose of this study was to investigate factors influencing internet addiction proneness and condition of internet use in higher grade students at an elementary school. Method: The subjects consisted of 234 sixth grade students at an elementary school in Gyeonggido. SPSS/Win18.0 was used for analysis of data. Results: Among the subjects, 51.3% had used the internet for more than three years, 89.3% used the internet in their home, and 38.5% used the internet for games. In internet addition proneness, 3.1% were potential risk users and 1.3% were high risk users. Internet addiction proneness differed significantly according to gender, period of internet use, internet access location, and purpose of internet use. Internet addiction proneness showed negative correlation with protective factors and positive correlation with risk factors. The factors affecting the internet addiction proneness were degree of internet use, peer protective factor(support from peer), personal protective factor(self-control), internet access location, and family risk factor(negative communication). These factors accounted for 32.9% of internet addiction proneness. Conclusion: Strategies are needed for improvement of the relationship with the peer group and family communication and to encourage self-control for prevention of internet addiction in elementary school students in community mental health service.

Purpose: This study was designed to evaluate the effects of a newborn care education promotion program on child-rearing knowledge, child rearing stress, and child rearing self-efficacy of immigrant pregnant women. Methods: The subjects were 23 immigrant pregnant women who voluntarily participated in the study in D city. The program was provided, once a week for 90 minutes for a period of 3 weeks. The outcome variables were child-rearing knowledge, child-rearing stress, and child rearing self-efficacy. Data was collected from April 4 to June 24, 2011, through self-administered questionnaires. Results: The program significantly improved child rearing knowledge, child rearing stress, and newborn care self-efficacy for married immigrant pregnant women who participated in the program compared to women who did not participate. Conclusion: The results suggest that the reproductive health promotion program has an affirmative effect on child-rearing knowledge, child rearing stress, and child rearing self-efficacy of married immigrant pregnant women. It is suggested, therefore, that the educational program be presented to married immigrant woman at public health centers to enhance their confidence in child-rearing.

Purpose: This study examined factors influencing death anxiety in the middle aged. Method: This was a descriptive survey study. Data were collected from September to October, 2011, from 410 middle- aged adults. The questionnaires solicited information on death anxiety, health behavior, depression, life satisfaction, and family function. Analysis of data was performed using descriptive statistics, Pearson's correlation, and stepwise multiple regression. Results: Average scores were 2.53 for death anxiety, 3.02 for health behavior, 4.44 for depression, 10.13 for life satisfaction, and 3.77 for family function. Statistically significant negative correlations were observed between health behavior and death anxiety, life satisfaction and death anxiety, and family function and death anxiety. However, from the statistical point of view the correlation between depression and death anxiety was a significantly positive. In addition, statistically significant positive correlations were observed between depression and death anxiety. Depression, life satisfaction, and family function were significant predictors of death anxiety. Conclusion: Multilateral nursing intervention is needed for maintenance of the health of middle aged adults.