• Journal of Hospice and Palliative Care
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• v.19 no.4
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• pp.310-321
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• 2016

Purpose: The purpose of this study is to examine the level of understanding of hospice palliative care (HPC) and shared decision making (SDM) among middle-aged adults. Methods: Data were collected from 90 middle-aged adults living in D city using a self-reported questionnaire. The SPSS program was used to analyze the data. Results: Among the participants, 76.7% were aware of the HPC while 82.2% of the participants were not aware of SDM. Among all, 85.6% responded positively for needs of HPC, and 77.8% of participants for SDM. Participants with Christian faith (Protestants and Catholics), high income level and present illness were better aware of HPC than others. The most needed services were nursing care and treatment along with systematic counseling and explanation provided by the medical staff. There was also a significant relationship between the HPC factors, gender, income, current health status and current illness status. Participants with high income level were well aware of SDM. Stronger SDM needs were observed among participants with professional jobs or current illness. Conclusion: For continued discussion on HPC and SDM, it is necessary to implement and promote various education programs for medical staff and the public.

• Journal of dental hygiene science
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• v.12 no.6
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• pp.624-633
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• 2012

This study was executed to provide the basic data that can be helpful for a program aiming at the enhancement of life quality or establishment of policy related to public health by analyzing the importance of health state among the middle-aged adults when it came to the decision of life quality. For 160 adults who were older than 40 years old, a survey was conducted and the results were derived by using t-test, one way ANOVA, and multiple regression analysis. Followings are the outcome of the study. According to such results, it was known that the level of general life quality and oral health related life quality were shown to be different depending on symptoms of depression and xerostomia. Therefore, it suggests that prevention and early intervention of depression and xerostomia will make a great contribution to improve the life quality among the middle-aged adults.

• Korean Journal of Adult Nursing
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• v.22 no.6
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• pp.615-623
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• 2010

Purpose: The purpose of this study was to evaluate the influence of the Koryo Hand Acupuncture Therapy on middle-age women s obesity index. Methods: A total of 38 middle-age women were assigned to either a control or an intervention group. The intervention group received Koryo Hand Acupuncture Therapy three times a week for ten weeks. The two sample t-test was used to compare the body mass index, fat mass, and waist-to-hip ratio between the intervention (n=18) and the control group (n=20). Results: In both groups, body mass index did not change significantly following the intervention. The intervention group lost $1.00{\pm}1.10kg$ of fat mass (p=.00) and the decrease was significant between the intervention and control group (p=.00). Both groups had increase in waist-to-hip ratio, however, the increase was only significant for the control group (p=.00). Conclusion: The application of Koryo Hand Acupuncture Therapy influenced the change of fat mass, but not clinically significant. It may be useful to repeat the study and to examine other factors that may have interfered with the effectiveness of the intervention. The use of Koryo hand acupuncture therapy should be further studied.

• Korean Journal of Adult Nursing
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• v.20 no.3
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• pp.418-430
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• 2008

Purpose: This study was to examine the effects of Seogeum therapy for middle-aged abdominal obese women. Methods: Seogeum therapy combined cupping, stepping on ion aluminum board, adhering to Seoam moxibustion and Seoam pellet. The subjects consisted of 30 middle-aged abdominal obese women between 40 and 59 years of age: fifteen were assigned to experimental group, fifteen to control group. The data collection and treatments were performed from June to October, 2007. The subjects of experimental group participated in Seogeum therapy for 5 times per week during 8 weeks. The data were analyzed with Chi-square test, Wilcoxon signed rank test and Wilcoxon rank-sum test with SPSS/Window 12.0 program. Results: Seogeum therapy experimental group showed significant difference in change of general obesity indexes(body weight, body fat amount, body fat ratio, BMI) than control group supporting hypothesis 1. Experimental group showed significant difference in change of abdominal obesity indexes(abdominal fat ratio, waist circumference, hip circumference) than control group supporting hypothesis 2. Conclusion: Obesity management of Seogeum therapy had a positive effect for middle-aged obese women. Therefore, it is concluded that the obesity management of Seogeum therapy can be applied as a nursing intervention to decrease the obesity for middle-aged women.

• Korean Journal of Adult Nursing
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• v.19 no.3
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• pp.413-421
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• 2007

Purpose: The purpose of this study was to explain the relationship between fatigue and other variables(perceived health status, marital adjustment and stress), and define the main factors influencing fatigue in middle aged women. Methods: Data were collected by self-reported questionnaires from 212 middle aged women. Data analysis was done with the SPSS 11.0 pc+ program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Results: The mean score of fatigue was 2.30(${\pm}0.46$), perceived health status was 2.82(${\pm}0.68$), marital adjustment was 2.86(${\pm}0.44$), and stress was 2.43(${\pm}0.61$). There were significant correlations between fatigue and the other variables(r=.56-.21, p=.00). The major factors that affect fatigue in middle aged women were stress, perceived health status, and marital adjustment, which explained 35.2% of fatigue. Conclusion: These variables have an effect on middle aged women's fatigue. Therefore, these findings can provide the basis for the development of nursing interventions to manage fatigue.

• Korean Journal of Adult Nursing
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• v.24 no.4
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• pp.339-347
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• 2012

Purpose: The purpose of this study was to identify the influencing factors on health related quality of life in middle age. Methods: Data were as collected by self-reported questionnaires from 303 middle age adults. Data analysis was done using SPSS/WIN 17.0 program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Results: The average score of health related quality of life was $79.50{\pm}0.40$. Health related quality of life was statistically significant differences according to gender, education, economic status and disease. The health related quality of life was significantly correlated with fatigue, depression, stress, social support, somatic attribution, psychological attribution, normalizing attribution and type D personality. The major factors that affect health related quality of life in middle age were stress, fatigue, type D personality and normalizing attribution, which explained 51.3% of health related quality of life. Conclusion: The findings can provide the basis for the development of nursing interventions to improve health related quality of life. Furthermore, more studies are needed to explore variables that influence on the health related quality of life in middle age.

• Korean Journal of Adult Nursing
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• v.13 no.4
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• pp.610-619
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• 2001

Purpose: The purpose of this study was to verify the effectiveness of the model based on the TPB, behavior-related theories, and exercise-related empirical studies in predicting exercise intention and behavior. Methods: The subjects who participated in this study were 152 middle-aged women. The data were analyzed by use of SAS PC program and LISREL 8.12a program. Results: 1) The overall fit of the hypothetical model to the data was acceptable ($\chi^2$ 24.01(p=0.0043), $\chi^2/df$ 2.67, RMSEA 0.11, standardized RMR 0.04, GFI 0.97, AGFI 0.84, NFI 0.95, NNFI 0.85). 2) Affect, subjective norm, perceived behavioral control and habit were significant determinants of the exercise intention. Attitude and facilitating conditions were not significant determinants. These six variables explained 43% of the total variance of the exercise intention. 3) Perceived behavioral control and habit were significant determinants of the exercise behavior. Intention and facilitating conditions were not significant determinants. These four variables explained 95% of the total variance of the exercise behavior. Conclusion: This study shows the model's applicabiltiy in explaining exercise behavior of middle-aged women, and suggests that we should focus on perceived behavioral control and habit rather than intention to improve exercise behavior of middle-aged women.

• Korean Journal of Adult Nursing
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• v.23 no.3
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• pp.267-277
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• 2011

Purpose: The purpose of this study was to evaluate the effects of a sex education program for middle aged men patients with diabetes and their spouses. Methods: The research design for this study was a non-equivalent control group quasi-experimental study. The subjects were 23 diabetic patients and their spouses with half of the subjects exposed to a structured sex education program. Sexual Beliefs and Information Questionnaire, Dyadic Sexual Communication Scale, Sexual Frequency Scale, Derogatis Sexual Function Inventory and International Index of Erectile Function-5 were used for data collection. Results: In the experimental group, sexual knowledge of diabetic patients and sexual communication with their spouses were improved after two weeks following the program. Also, in the experimental group, sexual knowledge, sexual communication, and sexual frequency in both diabetic patients and their spouses were improved after six weeks following the program. In the experimental group, sexual satisfaction of diabetic patients was improved after six weeks following sex education program, however their spouses in the experimental group showed no significant differences than those of the comparison group. Conclusion: The results of this study suggest that sex education program for both diabetic patients and their spouses could be utilized in public health centers, hospitals, and clinics.

• Korean Journal of Adult Nursing
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• v.17 no.2
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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.

• Korean Journal of Adult Nursing
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• v.22 no.4
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• pp.365-374
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• 2010

Purpose: This study was designed to explore and compare the self efficacy, social support, and quality of life between middle-aged Korean and Chinese women. Methods: The sample included 430 (Korean: 220, Chinese: 210) middle-aged women. Study instruments were the Self Efficacy Scale developed by Shere et al (1982), the Social Support Scale modified and based on Interpersonal Support Evaluation List (ISEL) developed by Cohen and Hoberman (1983), and The Quality of Life Scale (SF-36) developed by Ware and Book (1981). Data were analyzed by SPSS/WIN 16 version. Results: Korean women reported more self efficacy and better quality of life than the Chinese women. The quality of life scores between middle-aged Korean and Chinese women showed a statistical significant difference. Self efficacy and quality of life scores reported by middle-aged Korean and Chinese women were below the reported standards of the instruments. In contrast to the other scores, Chinese women reported more social support than Korean women. Conclusion: The findings add to the body of literature about Chinese and Korean middle aged women. Additional research is needed to explain the differences among the two groups but the findings can inform the practicing nurse who works with these populations.