• Journal of Korean Academy of Nursing
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• v.27 no.4
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• pp.820-830
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• 1997

Sleep is an essential component for health and the quality of life of individuals, and is affected by multiple factors. Thereby, sleep impairment is known to be frequent even in healthy subjects. The purpose of the study is to compare sleep patterns and related factors between healthy young and old adults and to identify aging effects upon sleep in a cross-sectional way. The survey questionnaire was developed by translation and modification of two well-known sleep questionnaires which were originally developed by Monroe(1967) and Ellis, et al. (1982). Discussion with experts and pilot study were completed to finalize the contents of the questionnaire that was used in this study. Results are as follows : 1. Sleep complaints were lower in older adults. 2. The most frequent variables that explain sleep satisfaction were feeling rested in the morning in the older adults and feeling rested and failing asleep within five minutes in the young adults. 3. Regarding sleep-disturbing factors, physical factors were more frequently reported in the older adults and environmental factors are reported more frequently in the young adults, and there was no difference related to the emotional factors between the two groups. 4. Young adults were practiced strategies for better sleep more often than the older adults, and they were mainly in-home activities just before sleep. 5. Sleep patterns which change with aging were as follows : going to bed and waking up earlier : not staying in the bed long after waking up ; getting harder to fall asleep ; frequent arousal after sleep onset ; getting harder to go back to sleep after arousal during night sleep. From the results of this study, it can be concluded that sleep and related factors of the young and the older adults are different. Also, sleep patterns change with aging and those changes seem to be negative for sleep in the elderly. Repeated studies are needed to establish more concrete information regarding sleep patterns. In addition, further research is needed to develop more reliable, valid, and feasible sleep measure tools, and to develop and evaluate nursing interventions.

• Journal of Korean Academy of Nursing
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• v.42 no.3
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• pp.377-384
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• 2012

Purpose: This study was done to investigate factors affecting preparation stage to quit smoking in men. Methods: Based on data from the Community Health Survey conducted in Chungbuk Province in 2008, we estimated rates and odds ratio (OR) of smoking cessation intention for 2,639 men who were current smokers. Multivariate logistic regression analyses were used to identify factors affecting preparation stage to quit smoking. Results: Among current male smokers, the rate of smoking cessation intention was 17.1%. The OR of factors affecting smoking cessation was as follows: Compared to men with middle school education, the OR for rate of smoking cessation intention in men with high school education was 1.47 (p=.018), and for college or higher, 1.55 (p=.017). Compared to being single, the OR for cohabitation after marriage was 1.61 (p=.011) and living alone after marriage, 2.23 (p=.005). The OR for attempt to quit smoking, exposure to secondhand smoke and participation in smoking education were 6.80 (p<.001), 1.32 (p=.020) and 1.69 (p=.005), respectively. Conclusion: Results of this study show that it is necessary to decrease exposure to secondhand smoke and to increase participation in smoking cessation education targeting current smokers to move them from precontemplation or contemplation stage to preparation stage.

• Journal of Korean Public Health Nursing
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• v.11 no.1
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• pp.128-137
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• 1997

This study was designed to get basic data about AIDS educational program development of Adults. The objective of this study was to identify the level of AIDS relatied Knowledge and Attitude of Adults. The subject for this study consisted of 327 men and women who were living in chonbuk province. Data was colledted by self-reporting questionaire consist of 61 items during the period from 1st. December to 20th, December, 1996. The results were us follow ; 1. AIDS related knowledge ranged from 6 to 32(M;23.13, SD:5.86). Percentage of correctly answered respondents to each catagories ; Risk factors : $\cdot$ Infection through needle : $93.9\%$ $\cdot$ Infection through blood transfusion : $92.4\%$ $\cdot$ Infection of multi-sexuals : $90.5\%$ $\cdot$ Infection of hemophillias patients : $39.4\%$ $\cdot$ Infection of hemosexuals : $23.2\%$ Mode of transmission : $\cdot$ Infection through pubic rest room : $56.3\%$ $\cdot$ Infection through personal materials: $65.1\%$ $\cdot$ Infection through food: $67.6\%$ 2. The relationship between AIDS related knowledge and each of those general characteristics, AIDS related knowledge showed significant difference with age(p=0.0293), marital status(p=0.003). sexual experience(p=0.020) and used contraceptive(p=0.0l5). 3. Among the items regarding attitudes, what has highed level was preventional education of National policy about AIDS$(94.5\%)$. What has lowest level of Attitides was that AIDS carrier could go to school with noncarrier children$(39.1\%)$. 4. The relationship between attitude of AIDS and each of these general characteristics over 30 age group, married women, sexual experience and used contraceptive were higher than others.

• Journal of Korean Academy of Nursing
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• v.44 no.4
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• pp.391-397
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• 2014

Purpose: This study was done to examine the association between body mass index (BMI) and any type of clinical dementia. Methods: Participants were 60,321 people over 60 years of age enrolled in the Seoul Dementia Management Project in 2011. K-MMSE was used to classify participants as having a cognitive impairment and the Clinical Dementia Rating or DSM-IV by psychiatrists or neurologists to determine whether participants were in the dementia group or the non-dementia group. Descriptive statistics, chi-square test, and binary logistic regression analysis were performed. Results: In the univariate analysis, age, education level, living with spouse, BMI, alcohol consumption, and exercise were significantly associated with dementia. In multivariable analysis, increasing age was positively associated with dementia, and educational level was negatively associated with dementia. The exercise group had a lower prevalence of dementia than the non-exercise group. The odds ratio of dementia in the over-weight and obese groups compared to the normal group was 0.85 (95% CI 0.60, 0.98) and 0.64 (95%CI 0.46, 0.75), respectively. Conclusion: Results indicate that dementia is negatively associated with increasing BMI in people aged 60 years or older, but a prospective cohort study is needed to elucidate the causal effect relationship between BMI and dementia.

• Journal of Korean Academy of Nursing
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• v.47 no.2
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• pp.257-266
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• 2017

Purpose: The aims of this study were to construct a hypothetical structural model which explains premenstrual coping in university students and to test the fitness with collected data. Methods: Participants were 206 unmarried women university students from 3 universities in A and B cities. Data were collected from March 29 until April 30, 2016 using self-report structured questionnaires and were analyzed using IBM SPSS 23.0 and AMOS 18.0. Results: Physiological factor was identified as a significant predictor of premenstrual syndrome (t=6.45, p<.001). This model explained 22.1% of the variance in premenstrual syndrome. Psychological factors (t=-2.49, p=.013) and premenstrual syndrome (t=8.17, p<.001) were identified as significant predictors of premenstrual coping. Also this model explained 30.9% of the variance in premenstrual coping in university students. A physiological factors directly influenced premenstrual syndrome (${\beta}=.41$, p=.012). Premenstrual syndrome (${\beta}=.55$, p=.005) and physiological factor (${\beta}=.23$, p=.015) had significant total effects on premenstrual coping. Physiological factor did not have a direct influence on premenstrual coping, but indirectly affected it (${\beta}=.22$, p=.007). Psychological factors did not have an indirect or total effect on premenstrual coping, but directly affected it (${\beta}=-.17$, p=.036). Conclusion: These findings suggest that strategies to control physiological factors such as menstrual pain should be helpful to improve premenstrual syndrome symptoms. When developing a program to improve premenstrual coping ability and quality of menstrual related health, it is important to consider psychological factors including perceived stress and menstrual attitude and premenstrual syndrome.

• Journal of Korean Academy of Rural Health Nursing
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• v.7 no.2
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• pp.51-58
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• 2012

Purpose: to investigate the relationship of between socioeconomic characteristics, and weight perception and lifestyle on body mass index (BMI) in Korea. Method: Participants were 2,405 people recruited from the 2007 Fourth Korea National Health and Nutrition Examination Surveys. Data included weight perception, BMI, and lifestyle factors and was analyzed using ${\chi}$ 2-test, logistic regression Results: Perception of weight was significantly different according to gender, age, education and residence. In the obesity group 21.6% perceived their weight as normal whereas 29.6% of the normal group perceived their weight as obese. In the obesity group, men who were over 70 years old, rural residents and only had elementary education perceived their weight range as normal. In the normal weight group, women who were urban residents and university graduates more frequently perceived their weight as obese. Logistic regression analysis of lifestyle factors, indicated that misperceived obesity was associated with walking (OR=0.703, 95% CI=0.553-0.896), weight control (OR=2.693, 95% CI=2.080-3.485), and health exam (OR=0.730, 95% CI=0.567-0.940) whereas misperceived normal weight was associated with walking (OR=0.696, 95% CI=0.497-0.975), weight control (OR=0.523, 95% CI=0.363-0.749). Conclusion: Results indicate differences in self-perceived weight and life style and provide information that can be used for health promotion program development.

• Journal of Korean Public Health Nursing
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• v.30 no.2
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• pp.326-336
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• 2016

Purpose: This study was conducted to help with the development of an intervention program in efforts to prevent suicidal ideation and suicide. The study also sought to generate strategies for improving health conditions by ascertaining and analyzing potential factors that may influence suicidal ideation according to age group in adults. Methods: Data on general characteristics and suicidal ideation from 447 adults aged between 20 and 59 years, living in Y city, Gyeonggi Province, South Korea, were collected based on a structured questionnaire, The data were analyzed using SPSS20.0 statistics program. Results: The results showed that 48.6% of young and older adults have experienced suicidal ideation while 44.5% of middle-aged adults have had suicidal thoughts. With regard to suicidal ideation, young and older adults revealed relevant differences in terms of gender, residential type, degree of stress and subjective physical and mental health, while middle-aged adults revealed relevant differences in terms of marital status and degree of stress. With regard to factors that influence suicidal ideation, it was found that the relevant variables of young and older adults included gender, residential type, depression, degree of stress, and subjective physical and mental health, while for middle-aged adults, relevant variables included marital status and degree of stress. Conclusion: These findings indicate that as stress and depression decreases, subjective physical and mental health improves. Therefore, this study proposes that developing and operating an intervention program can help prevent suicidal ideation in local residents.

• Journal of Korean Public Health Nursing
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• v.28 no.1
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• pp.22-31
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• 2014

Purpose: The purpose of this study was to examine the impact of body mass index (BMI) and waist circumference (WC) for pulmonary function in normal-weight and obese women. Methods: Data from women aged ${\geq}40$ years were obtained from the 2011 Korean National Health and Nutrition Examination Survey. Obesity was measured by BMI and WC and pulmonary function was measured by forced vital capacity (FVC), forced expiratory volume in 1 second ($FEV_1$), and a ratio between forced expiratory volume in 1 second ($FEV_1$/FVC). Multiple linear regression analysis was performed for assessment of the association between FVC, $FEV_1$, $FEV_1$/FVC and obesity variables. Results: BMI showed positive association with FVC, $FEV_1$, $FEV_1$/FVC, and WC showed positive association with $FEV_1$ and $FEV_1$/FVC in normal-weight women. BMI and WC showed negative association with FVC, $FEV_1$ in obese women. A 1 unit increase in BMI showed an association with a 25-mL reduction in FVC and a 19-mL reduction in $FEV_1$. A 1-cm increase in WC showed an association with a 6-mL reduction in FVC and a 4-mL reduction in $FEV_1$. Conclusions: BMI and WC showed negative association with pulmonary function in obese adult women. Therefore, obese women with reduced pulmonary function should be encouraged to lose weight for improvement of their pulmonary function.

• Women's Health Nursing
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• v.6 no.4
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• pp.594-605
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• 2000

The purpose of this study is to collect fundamental data for adult female health improvement based on urban adult female obesity and cardiopulmonary function. Surveyed were 859 adult females who visited a health improvement center in D district in Seoul between April, 1999, and December, 1999, and the resulting data are as follows: 1. The adult female mean BMI was $23.97{\pm}3.11kgm^2$, which comes within the range of overweight. Among them, BMI of the females aged 41-60, and over 60, were significantly higher. Mean percentage of body fat was $32.07{\pm}4.63$, and it significantly increased in accordance with age, recording the highest among those aged over 60. 2. The systolic blood pressure significantly increased in accordance with age, recording highest among those aged over 60. Those aged 41-60 and over 60 showed significantly higher diastolic blood pressure than those in their 20s and 30s; however, they had a significantly lower heart rate. Vital capacity and maximum oxygen intake significantly decreased in accordance with age, and those aged over 60 were lowest. 3. As to health perception, 20.6% of the subjects perceived themselves as healthy, and those who perceived themselves as unhealthy showed significantly higher BMI than those who perceived themselves to be of moderate health. 4. There were no significant differences in blood pressure, heart rate and maximum oxygen intake in accordance with health perception, but those who perceived themselves as healthy showed significantly higher vital capacity than those who didn't. 5. As to cardiopulmonary function in accordance with obesity, the obese group showed significantly higher systolic blood pressure than those whose weight was normal to overweight. The diastolic blood pressure of the normal weight group was the lowest, while the obese group showed significantly lower vital capacity and maximum oxygen intake. These findings indicate that the womens' health promotion program must include an effective strategy for preventing obesity, and strengthening cardiopulmonary function.

• Journal of Korean Academy of Nursing
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• v.18 no.3
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• pp.245-256
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• 1988

The purpose of this study was to examne the relationship between sex-role-identity and life adjustment which adult patients perceive by means of the analysis of the relationship between the sex-role-identity and life adjustment which are perceived by adult patients who are hospitalized. The primary purpose of this study is to investigate how the adult patients describe their own Sex role-identity. Sceondary purpose is to find out whether their Sex role-identity is related to life adjustment and which life circumstances. If any are associated with Sex role identity. 207 adult patients who were older than 30 years living under 65 years were admitted to the hospital in Seoul. Were interviewed with measures including the Bem Sex Role Inventory short Form. Life adjustment and current life situation. For data analysis, X$^2$-test, ANOVA, and Scheffe test were used. The results are summarized as follows ; (1) Most adult patients described androgynous Sex role-identity. (2) Sex role-identity differentiated significantly life adjustment. (3) Perceived Sex role identity was related to the Several dimension of life sityation such as marital status family construction activity. By the result of this study, the present writer is to suggest as follows ; Firstly, in the aspect of the study of nursing the many -sided and desirable study on the relation between the sex-role-identity life ajustment, and the study which a nurse can control and prevent the anxiety of adult patients by means of examining the measure and the cause of the emotional support on a patient must be accomplished. Secondly, in the aspect of the aspect of the practical affairs of nursing the practical effort which puts emphasis on the whole personal nursing in the performance of the duty, and the institutional support in the nursing administration must be planned in order to increase the efficiency of the nursing service by promoting the whole -personal nursing role of a nurse.