• 성인간호학회지
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• 제26권4호
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• pp.383-392
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• 2014

Purpose: The purpose of this study was to describe the degrees of body image, self esteem and Health Related Quality Of Life (HRQOL), and to identify factors related to these variables in patients with Crohn's disease. Methods: A descriptive cross sectional survey design was used. The 148 participants were the patients with Crohn's disease, recruited conveniently from one metropolitan hospital located in Seoul, Korea. The collected data were analyzed with SPSS/WIN program. Results: Patients with severe illness activity reported significantly lower body images than those of the others. Education levels and working states affected self-esteem positively, while the number of operations and illness activity affected self-esteem negatively. Hospitalization and illness activity affected HRQOL negatively. Body image, self esteem, and HRQOL were positively correlated to each other with statistical significance. Illness activity was a common factor to affect body image, self esteem, and HRQOL. Body image was an influential factor on HRQOL as well as illness activity in patients with Crohn's disease. Conclusion: As a result, this study suggested a necessity for developing an intervention study to lower the illness activity and heighten the body image among the patients with Crohn's disease.

• 성인간호학회지
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• 제15권2호
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• pp.236-246
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• 2003

Purpose: The purpose of this study was to examine the differences of the process of change, decision making, self-efficacy and perception of subjective health according to the stages of exercise behaviors suggested by transtheoretical models among older adults. Method: The subjects consisted of 291 older adults. Trained research assistants interviewed the older adults using structured questionnaires. ANOVA analyses with post hoc test were used to examine the mean differences for each stage of exercise behavior using SPSS for windows. Result: The subjects were divided into five stages of exercise behavior: 24.4% precontemplation, 12.4% contemplation, 17.9% preparation, 12.4% action, 33.0% maintenance stage. There were significant differences in process of change, decision making, self-efficacy and subjective health perception according to the exercise stage of change. 'Self-liberation' and 'stimulus control' were important strategies for intention of exercise, while 'reinforcing management' for the actual practice of exercise. 'Self-efficacy' was an effective strategy to change older adults from pre-contemplation to preparation stage. Conclusion: For exercise intervention, older adults should be classified into groups according to their stages of exercise behaviors and provided effective individualized intervention depending on their stage.

• 성인간호학회지
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• 제22권5호
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• pp.552-560
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• 2010

Purpose: This study was designed to identify effects of self-esteem and health status on adaptation of elderly residents in facilities. Methods: The sample consisted of 151 elderly residents. The data collected from January to April 2010 were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. Using instruments were self-esteem scale (SES) (Rosenberg, 1965), Korean health status measure for the elderly (KoHSME) (Shin et al, 2002), and nursing home adaptation scale (Lee, 2007). Results: The mean scores of self-esteem ($2.90{\pm}0.71$), health status ($2.15{\pm}0.53$) and adaptation ($2.98{\pm}0.44$) of elderly residents in facilities were above the average. Self-esteem was significantly varied according to religion, economic status and living expenses. Health status was significantly different according to age, disease and motivation of getting into the facilities. Adaptation was significantly different according to religion, satisfaction of facilities and decision maker of getting into the facilities. Significant correlations were found between self-esteem, health status and adaptation. Self-esteem and health status were influencing factors of adaptation (22.6%). Conclusion: These findings indicate that perceived self-esteem and health status may be requirements for promoting adaptation of elderly residents in facilities. These results could be utilized in the development of supportive programs for elderly adaptation.

• 성인간호학회지
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• 제27권1호
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• pp.63-72
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• 2015

Purpose: The aim of this study was to determine whether job-seeking stress, career decision-making self-efficacy, self-esteem, and academic achievement had an influence on nursing students' happiness. Methods: The participants were 147 nursing students in D city. Data were collected with a structured questionnaire. The data were analyzed with SPSS/WIN 19.0 using ANOVA, t-test, Pearson correlation, and stepwise multiple regression. Results: Factors that had an influence on happiness included major satisfaction(highly unsatisfied ${\beta}=-.251$, p=.001), average monthly family income(between four and six million won ${\beta}=.222$, p=.002), career decision-making self-efficacy(${\beta}=.198$, p=.010), major satisfaction(satisfied ${\beta}=.196$, p=.006), and subjective health(unhealthy ${\beta}=-.167$, p=.020). These factors explained 33.5% of the variance in student happiness. Conclusion: The results of this study reveal that career decision-making self-efficacy, self-esteem, major satisfaction, and job-seeking stress were important intrinsic factors in the happiness of nursing students. Thus, it is necessary to help these students attain more self-efficacy, self-esteem, and major satisfaction rather than focusing on academic achievement in order to increase their happiness.

• 성인간호학회지
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• 제23권2호
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• pp.189-197
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• 2011

Purpose: The purpose of the study was to identify levels of hope, self-esteem, and quality of life, and to find correlations among these variables in people with spinal cord injury. Methods: This study was a cross-sectional descriptive survey. The data were collected by survey interview in 2010 from 120 people with spinal cord injury living in the community. To measure hope, self-esteem and quality of life, the Dispositional Hope Scale, Self-Esteem Scale, and World Health Organization's Quality of Life Instrument were utilized respectively. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation and stepwise multiple regression analysis using SPSS version 12.0. Results: Mean score of hope was 2.56 and that of self-esteem was 3.23. Mean score of quality of life was 3.01. Statistically significant relationships were found between quality of life and hope (r=.73, p<.001), and between quality of life and self-esteem (r=.67, p<.001). Multiple regression analyses showed that hope and self-esteem were statistically significant in predicting quality of life with the explanatory power of 59.1%. Conclusion: The results of this study indicate that nursing interventions fostering hope and self-esteem should be integrated in developing rehabilitation programs to improve quality of life for people with spinal cord injury.

• 성인간호학회지
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• 제21권2호
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• pp.225-234
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• 2009

Purpose: This study examined family function and self-esteem among young and middle-aged adults with physical disabilities. Methods: The subjects of this study consisted of 116 adults with physical disabilities. Data were collected from 4 Community rehabilitation centers in C area from October to November 2008. All subjects were questioned about family function and self-esteem by the APGAR scale and the Rosenberg Self-esteem Scale. SPSS/WIN 12.0 was used for descriptive analysis, t-test, one-way ANOVA, and Pearson correlation. Results: Subjects had a moderate level of family function (5.31) and self-esteem (28.13). There were significant differences of family function according to age, monthly income, economic status, and disability site. There were significant differences in self-esteem according to age, gender, monthly income, and economic status. The level of family function and income were related to self-esteem. Conclusion: These findings suggest that there is a necessity to improve family function and self-esteem among young and middle-aged adults with physical disabilities. Nursing interventions should take into account the role of family function in promoting self-esteem in people with physical disabilities.

• 성인간호학회지
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• 제17권2호
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• pp.200-207
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• 2005

Purpose: The purpose of this study was to examine the effects of family function, self-esteem, and loneliness on subjective health status in middle-aged women. Methods: A five-item family APGAR was used to measure family function. Self-esteem was measured by the Rosenberg's Self-esteem scale, and the level of loneliness was measured using RULS. One-item was used to investigate subjective health status. Result: In this study, the level of family function was moderate. The mean score of self-esteem was 29.06, and subjects revealed moderate loneliness. Subjects rated their health status as 'fair'. There were differences in subjective health status according to education and economic status. Through multiple regression, it was found that self-esteem was a variable predicting subjective health status in middle-aged women. Conclusion: Facilitating self-esteem of the middle-aged women can be one of the important nursing interventions in maintaining subjective health status as good.

• 성인간호학회지
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• 제17권3호
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• pp.358-367
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• 2005

Purpose: This study was to test some effects on pain, depression and ego integrity of the elderly by adapting group reminiscence therapy with mugwort fragrance to the elderly with chronic pain. Method: The research was executed from April 2001 through September 2001, and research participants were male and female olderly people randomly assigned from 3 environmentally similar day care centers. They were divided into experimental group A and B, and a control group; The control group was divided into a daily care group and a regularly visiting group, and the experimental group A was for group reminiscence therapy with mugwort fragrance inhalation and the group B for group reminiscence therapy. Result: The group reminiscence therapy with mugwort fragrance inhalation showed significant effects on decrease of pain and depression, and improvement of ego integrity, and for 2 weeks after the treatment proved its continuous effect. Conclusion: The result above explains the fact the mugwort fragrance stimulates reminiscence and shows curing effects. In further researches, it is necessary to adapt various health problems of the elderly, not only to the aged with chonic pain.

• 성인간호학회지
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• 제27권6호
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• pp.644-655
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• 2015

Purpose: This study was aimed to clarify the concept of ego-resiliency in the context of nursing and to propose a definition of ego-resiliency. Methods: Rodgers' evolutionary approach to concept analysis was used to identify common attributes, antecedents, and consequences of the term ego-resiliency. A literature search of the RISS, NDSL, NAL, CINAHL, PubMed, MEDLINE, PsycINFO, and Scopus databases from 1980 to 2014 was conducted, using the key words of ego-resiliency, ego-resilience, and ego-resilient. Thirty-four relevant articles and one book were finally selected and throughly reviewed. Results: The results of the concept analysis concluded that ego-resiliency was a individualized, integrated, and coping resource and capacity leading personal adaptive capacity including physical, psychological, social well being in various adversity and challenge of life. Conclusion: The findings of this study warranted nursing research on a development of nursing intervention related with ego-resiliency as a pivotal personal characteristic. By doing so, better understanding of human and health within the context of nursing could be achieved.

• 성인간호학회지
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• 제24권2호
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• pp.200-207
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• 2012

Purpose: The purpose of this study was to investigate the influences of body mass index (BMI), mindfulness and self-esteem on reported body image among university students. Methods: Data were collected through questionnaires from 266 students and were analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficients and Stepwise multiple regression analysis with SPSS/WIN 19.0 program. Results: As defined by body mass index, the sample was divided into an underweight group was 88.7%, a normal weight group was 10.5%, and an overweight group was 0.8%. The levels of body image depended on family income, personality, and BMI. The body image was significantly correlated with BMI, mindfulness, and self-esteem. The influential factors affecting body image were self-esteem, BMI, family income and personality, which explained about 34.6% of the variance. Conclusion: The results of this study indicate that nursing intervention are needed to improve body image, and that such variables should be carefully considered in intervention for university students.