• Title/Summary/Keyword: 건강행위변화

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Relation of Self-Efficacy and Cognition of Irradiated Food among High School Students (고등학생의 방사선조사식품에 대한 인식과 자기효능감과의 관련성)

  • Han, Eun Ok;Choi, Yoon Seok
    • Journal of Radiation Protection and Research
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    • v.38 no.2
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    • pp.106-118
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    • 2013
  • In this paper, we analyzed the Cognition of irradiated food and its relation with self-efficacy. The most important variables described behaviors based on health choices compared with the choice to choose irradiated food items. According to the survey, 33.1% of respondents said that the reason why irradiated food is considered to be a health risk is because "radiation is dangerous". 27.9% of respondents answered that "eating irradiated food is like eating a radioactive substance", 21.1% said radiated food is comparable to a "genetic variation in food" while 10.1% said "food goes bad during the irradiation process". On this basis, it is reasonable to conclude that respondents have a misunderstanding of irradiated food without reference to the general theory of irradiated knowledge. In this respect, it would be helpful to provide education showing that irradiated food is not related to eating harmful or genetically modified food to help high school students create informed opinions of irradiated food. In terms of relevance with health-specific self-efficacy, experience of acquiring information about irradiated food was marked at r=0.148 (p<0.01), experience of purchasing irradiated food was marked at r=0.077 (p<0.05), experience of eating irradiated food was marked at r=0.113 (p<0.01) while knowledge of irradiated food, attitude towards irradiated food and behavior was marked at r=0.103 (p<0.01), r=0.076 (p<0.05) and r=0.105 (p<0.01) respectively. This shows that self-efficacy is high when one has experience of acquiring information about irradiated food, purchasing or eating irradiated food resulting in a high level of knowledge, attitude and behavior. Education which serves to improve the level of self-efficacy needs to be provided along with an educational program which will increase the public's understanding of irradiated food. It is expected that if this education which increases the level of self-efficacy is provided together with correct information of irradiated food, behavior to choose and eat irradiated food will also improve.

Relating Factors in Pap Smears by Stages of Change among Married Nurses (기혼간호사 대상 자궁경부세포 검진의 변화 단계에 따른 관련요인)

  • Kim, Hae-Won;Jung, Yeon-Yi
    • Women's Health Nursing
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    • v.16 no.4
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    • pp.317-325
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    • 2010
  • Purpose: This study was to examine the differences in health belief variables and HPV (Human Papillomavirus) knowledge in Pap smears according to the stages of change using Trans-theoretical Model (TTM) among married nurses. Methods: The research design was a cross sectional survey. Participants were 387 married nurses working in general hospital located metropolitan city. Measurement variables were perceived threatening, perceived severity, benefits of Pap, HPV knowledge and stages of the change in Pap smear. Results: Classified stages were pre-contemplation 3.9%, contemplation 17.8%, relapsing 29.5%, action 31.0%, and maintenance 17.8%. Accuracy rate of HPV knowledge were low ranging from 15% to 45%. Among the variables, perceived threatening (F=3.56, p=.007), perceived severity (F=9.73, p<.001) and HPV knowledge (F=7.52, p<.001) were significantly different by stages of change. Conclusion: Application of TTM to Pap smears was efficient to know the nurse's level of health behaviors, Health belief variables and HPV knowledge were main factors to identify the stages of change. The continuation of Pap smears and the education in relation to HPV knowledge should be encouraged for married nurses.

Changes in the Hosptal Length of Stay and Medical Cost between before and after the Applications of the DRG payment system using Health Insurance Big Data (건강보험 빅 데이터를 활용한 종합병원에서의 포괄수가제 적용 전·후 재원일수와 진료비의 변화)

  • Jeong, Su-Jin;Choi, Seong-Woo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.12 no.2
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    • pp.401-410
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    • 2017
  • This study aimed to identify appropriateness and efficiency in the DRG payment system by analysing the hospital length of stay and changes in fees before and after the application of DRG payment system. The subjects of the study were a total of 398 patients consisting of 204 for the fee for service system and 194 for the DRG payment system. They received surgery in the Obstetrics and Gynecology (OBGY) department of a general hospital in G metropolitan city between January and December 2013. The mean hospital length of stay was significantly decreased after application of the DRG payment system(p=0.013). Total fees, insurance charges, and deductions increased significantly(p<0.001), and non-payment charges and total deductions decreased significantly(p<0.001). Application of the DRG payment system reduced length of stay, non-payment charges and total patient's cost sharing and increased out-of-pocket, insurance charges, and total fees.

A Study on the Stages of Change in Caregiver's Exercise Behavior (요양보호사의 운동행위 변화단계 확인)

  • Ki, Eun-jeong;Kim, Eun Joo;Kim, Jeong Sun
    • Korean Journal of Occupational Health Nursing
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    • v.23 no.4
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    • pp.262-268
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    • 2014
  • Purpose: This study was conducted to identify the differences by the stages of change in exercise behaviors of caregivers based on Transtheoretical Model. Methods: The subjects were consisted of randomly chosen 105 caregivers working in a nursing home. The collected data were analyzed with descriptive statistics, chi-square test, ANOVA and Duncan test using IBM SPSS Statistics 19. Results: The results showed that in the stages of exercise behaviors, there were most participants in contemplation stage with 24.7%, followed by 22.8% in preparation, 21.9% maintenance, 19.0% action and 11.4% pre-contemplation. As for the process of change by the stages of change in exercise behaviors, it showed statistically significant differences in behavioral strategies (F=7.64, p<.001). In decisional balance, pros (F=3.75, p=.007) showed statistical significance, with higher pros in all stages except pre-contemplation. Self-efficacy was also statistically significant (F=6.25, p<.001), especially in the maintenance stage. Conclusion: This study suggested that in order to encourage caregivers to exercise, a strategic intervention to reinforce the process of change, recognition of positive decision-making and promotion of self-efficacy in exercise behaviors should be developed.

Planning Health Promotion Program in Workplace (산업장 건강증진 프로그램 개발에 관한 연구 -건강행위의 변화의도 예측요인 및 대상의 유형 분류를 중심으로-)

  • Coon, Kyeong-Ja;Kim, Hwa-Joong
    • Research in Community and Public Health Nursing
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    • v.5 no.1
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    • pp.5-29
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    • 1994
  • In recent years, interests in health promotion have been stimulated by the epidemiological transition from infectious to chronic diseases as lead ing causes of death, the aging of the population, rapidly escalating health care costs, and epidemiologic findings linking individual risk to morbidity and mortality. It is not surprising that the workplace has been targeted as a promising setting for health promotion. In Korea, national attention to the opportunities for workplace health promotion began in the first 1990s. But there is no in depth study to identify the relating factors to the health promotion program in the workplace. The objective of this study is behavioral and physical characteristics to find that in crease the person's risk for a range of health problems and to analysis other characteristics to influence the degree of his/her intention to change health behavior. In addition, this study is purposed to present the process of planning health promotion program in the workplace. To accomplish these objectives, one workplaces was selected. And 363 employees in those workplaces were served as subjects for the study. Major findings in this study are as follows. (1) They have many risk factors such as smoking, drinking, lack of sleep, law rate of regular exercise, irregular eating, stress. (2) Some of the health risk factors such as smoking, drinking, and stress have the negative correlation to the intention to change. (3) Among cognitive and socio-environmental factors, significant predictors to the intention are attitude and social support. (4) In the cluster analysis to segment the target population in to homogeneous unit, three clusters of lifestyle are specified. (5) Smoking cessation and exercise program are planned for the risk group to change their behavior.

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The Change of Health Behavior and Knowledge related to Women's Health after Women's Health Education on Korean College Women (여성건강 교육 후 여대생의 여성건강 지식과 건강행위 실천의 변화)

  • 이은숙;김성효;박성주
    • Korean Journal of Health Education and Promotion
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    • v.21 no.1
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    • pp.183-195
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    • 2004
  • The purpose of this study was to discover the effects on women's health education for college women on their health promotion behaviors and the health related knowledge. The content of women's health education consisted of sex education, smoking, alcohol, exercise, nutrition, diet and stress management. “A Women and Heath” course was provided as an optional full term subject in the years of 2002 and 2003 at C University in G City. Out of 210 students who had chosen this course, 134 had agreed to participate in the research and had answered the same questionnaire which was given before the education and 14 weeks after the course at the last class. The findings are as follows: 1. It was found that the subjects have obtained knowledge mainly from television, radio, the Internet, women's magazines in order before the education. 2. Knowledge related to women"s health origionally scored low(average 1.92 out of 5). However, having completed a course on women and their health, they showed a significant increase of knowledge statistically(t=26.945, p= .001) with average score of 3.48. 3. Health promotion behaviors who had completed the course has statistically significantly increased (t=6.464, p= .001) compared to before the education. The results of this study are that by providing a women's health related course for college women on a regular basis, they could broaden their health related knowledge and become more active in practicing health promotion behaviors. This shows us the need to broaden the curriculum on women's health at the college level so that women have good knowledge and practice the knowledge for the sake of their health throughout their life.

The analysis of future land use change impacts on runoff characteristics in urbanized watershed using SWAT model (SWAT 모형을 이용한 도시유역 토지이용 변화가 유출특성에 미치는 영향연구)

  • Kim, Sang-Ho;Ha, Rim;Jung, Chung-Gil;Kim, Seong-Joon
    • Proceedings of the Korea Water Resources Association Conference
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    • 2012.05a
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    • pp.159-159
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    • 2012
  • 유역의 도시화는 지체시간, 첨두유량 및 총 유출량 등 홍수 유출특성 뿐만 아니라 개발행위에 따른 토사유출특성 변화를 초래하는 등 다양한 문제를 유발하고 있다. 또한 인구증가, 산업발달, 교통량 증가로 인한 화석연료의 소비증가로 대기 중의 이산화탄소의 농도가 급증하여 기후변화에도 큰 영향을 미치고 있다. 이러한 지나친 도시화 진행을 억제하고 웰빙과 건강에 대한 관심 증대에 따라 저탄소 녹색사업의 일환으로 도시 녹지조성 계획이 진행되고 있다. 따라서 본 연구에서는 도시하천인 중랑천 ($288km^2$) 유역을 대상으로 도시화 진행에 따른 토지이용 변화가 강우-유출 특성에 미치는 영향을 분석하였다. 이를 위해, 중랑천 유역의 과거 (1975, 1980, 1985, 1990, 1995, 2000) 토지 이용도로부터 각 항목별 면적변화 추이를 분석한 결과, 17.8%의 도시지역 면적 증가가 나타났다. 미래토지이용 예측을 위하여 CLUE-s (Conversion of Land Use change and its Effects) 모델을 이용하였다. 과거 토지이용 변화 특성을 분석하여 토지피복의 변화와 전이 특성값을 결정하였고, 이를 바탕으로 토지면적 시나리오, 변화 제한지역, 회귀식 결과와 토지이용 변화 특성에 따른 CLUE-s 모델을 이용하여 미래 토지이용변화 (2040, 2080) 모의를 실시하였다. 이러한 토지이용 변화에 따른 유출특성변화 모의를 위해, 물리적 기반의 준분포형 강우-유출 모형인 SWAT (Soil and Water Assessment Tool) 모형을 이용하였다. 모형의 적용성 평가를 위해, 매개변수 민감도 분석에 따른 도시유역 최적의 유출관련 매개변수를 선정하고 중랑교 지점의 일별 유출량자료(2000~2009)를 이용하여 보정 및 검증을 실시하였다. SWAT 모형의 검보정 후, 예측된 미래 토지이용도를 적용하여 과거와 현재, 미래 토지이용변화에 따른 유출특성변화를 비교분석하였다.

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A Study on the Stage of Change in Exercise Behaviors, Exercise Self Efficacy, Depression and Stress in Middle Aged Women (중년여성의 운동행위 변화단계, 운동 자기효능감, 우울 및 스트레스에 관한 연구)

  • Lee, Yun-Mi;Park, Hyoung-Sook
    • Women's Health Nursing
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    • v.10 no.3
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    • pp.218-225
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    • 2004
  • Purpose: The study was performed to identify exercise self-efficacy, depression, and stress by the stage of change in exercise behavior in middle aged women. Method: The subjects consisted of 317 women residing in B city by convenience sampling. The collected data was analyzed by the SPSS/WIN program. Result: The subjects were distributed in each stage of exercise behavior change: There were 53 subjects in the pre-contemplation stage, 86 subjects in the contemplation stage, 88 subjects in the preparation stage, 51 subjects in the action stage and 39 subjects in the maintenance stage. Analysis of variance showed that exercise self-efficacy (F=39.9, p<.001), depression (F=5.58, p<.001), and stress (F=6.33, p<.001) were significantly associated with the stages of exercise behavior change. There was a significant negative correlation between the stage of change and depression, and the stage of change and stress, but a significant positive correlation between the stage of change and self- efficacy, depression and stress. Conclusion: This study identified that exercise self-efficacy, depression and stress were significant variables to explain a possible relationship with exercise stages of middle aged women. This study provides new information to influence the development of better health promotion and exercise intervention for middle aged women in the community.

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Factors Associated with Stages of Exercise Behavior Change Applying the Transtheoretical Model in Upper Grade Elementary Students (범이론적 모형에 근거한 일부 초등학교 고학년 아동의 운동행위 변화단계 관련요인)

  • Park, Il-Soon;Park, Jong;Ryu, So-Yeon;Kang, Myung-Geun
    • Korean Journal of Health Education and Promotion
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    • v.28 no.3
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    • pp.67-82
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    • 2011
  • Objectives: The purpose of this study was to identify the factors influencing the stages of exercise behavior change after adjusting for related covariates. Methods: Participants included 362 of fourth to sixth graders in 3 elementary schools in a metropolitan city in Korea. The data were collected using structured questionnaire included Korean Stages of Change Scale for Exercise. Results: Logistic regression results showed that the motivational factors associated with transition from precontemplation to contemplation were cognitive process of change, self-reevaluation, conscious raising; regarding that from contemplation to preparation, cons of the decisional balance; regarding those from preparation to action, behavioral process, counter-conditioning, stimulus control, which were very similar to the results of previous researches subjected other age groups. But, there was no motivational factors associated with from action to maintenance, and self-efficacy had no influence on forwarding stages of change. Conclusions: TTM would be applicable to explain the exercise behavior of some children in Korea, which suggested that it be useful in developing the programs to improve physical activities of Korean school children.

Health Promoting Behavior and Perceived Health Status of Nursing College Students: A Longitudinal Study (간호대학생의 건강증진행위와 건강상태 인지 변화에 대한 종단적 연구)

  • Lee, Suk Jeong;Baek, Hee Chong
    • Journal of the Korean Society of School Health
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    • v.28 no.3
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    • pp.220-228
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    • 2015
  • Purpose: The purpose of this study is to investigate changes in health promoting life style and weight control behavior among nursing students during their two years of college, and to identify the relationship between the changes and their perceived health status. Methods: The subjects were 264 female students in a three-year nursing college in Seoul, Korea. Data was analyzed by paired t-test, Wilcoxon signed-rank test, and multiple logistic regression using SPSS ver.21. Results: Of the six sub-categories regarding health promoting life style, five except spiritual growth showed improvement after two years, but their perceived health status did not change significantly. The number of students who engaged in weight control behavior increased, but there was no change in the number of students who engaged both in weight control and in diet. The group which recorded high scores in perceived mental health status showed 1.2 times greater positive changes in health promoting lifestyle (OR=1.202, p=.023). Conclusion: The results showed although health promoting behavior changed positively throughout the nursing curriculum, physical activities were still low and few students used constructive methods to control their weight. Therefore, it is recommended that nursing colleges build specific programs into their curriculum to correct students' undesirable health promoting behavior.