• Korean Journal of Adult Nursing
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• v.17 no.2
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• pp.287-297
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• 2005

Purpose: The purpose of the study is to investigate the correlation between burden, health status and well-being in spouse caregivers of patients with stroke. Method: The subjects of this study were 160 spouse caregivers registered at general hospital in Seoul and Seongnam. The data were collected from July 2th to October 30th, 2003. The Suh & Oh's burden scale, Yang's health status scale and Park's well-being scale were employed to measure burden, health status and wellbeing respectively. Collected data were analyzed using SPSS 12 version to obtain summary statistics for the descriptive analysis, Pearson Correlation, and Stepwise Multiple Regression. Results: 1. The mean score of the degree of burden, health status and well-being were 3.52, 5.92 and 3.64 points. 2. The burden of the subjects were significantly negative correlated with psychological health status(r=-.482. p<.01) and wellbeing(r=-.455, p<.01). 3. With the result of stepwise multiple regression, psychological health status and wellbeing were the main variables which could explain burden by 27.1%. Conclusion: The findings of this study will provide practical guidelines for developing emotional nursing interventions for the spouses taking care of CVA patients who would experience a heavy burden and distress.

• Korean Journal of Adult Nursing
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• v.27 no.3
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• pp.314-324
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• 2015

Purpose: The purpose of this study was to measure health-related quality of life (HRQOL) and the related factors according to gender in baby boomers by using Korea Health Panel Data 2012. Methods: The Korea Health Panel Data 2012 were collected from February to August 2012 by Korea Institute for Health and Social Affairs and National Health Insurance Corporation and the data of 1,802 respondents categorized as baby boomers were analyzed for this study. The data were analyzed by t-test, ${\chi}^2$ and multiple regression using SPSS/WIN 20.0 program. Results: For male, the influencing factors on HRQOL were economic activity and smoking. For female, the influencing factors on HRQOL were education, psychological and physical stress, unmet basic needs, and psychiatric drugs. The types of insurance, unmet medical needs, anxiety about the future, depression, and self-rated health status showed statistically significant relationships with HRQOL both for male and female. Conclusion: Health care providers are suggested to consider the founded gender differences in this study when they develop interventions for HRQOL improvement for baby boomers in a community.

• Korean Journal of Adult Nursing
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• v.22 no.2
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• pp.113-120
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• 2010

Purpose: The purpose of this study is to examine the factors influencing the barriers faced by Korean nurses in addressing the patients' sexual health. Methods: The subjects in this study were nurses working at hospitals in Seoul and Jeonju. The data for this study were collected between November 2008 and December 2008. The subjects were assured of anonymity and confidentiality. Results: The barriers to addressing the patients' sexual health were moderate in the subjects. The nurses had moderate sexual knowledge and communication skills. In a stepwise regression analysis, the areas of work, communication skills, participation in sexual health training, and experience in Obstetrics and Gynecology accounted for 18.3% of the variance of the barrier for addressing the patients' sexual health. Conclusion: These findings emphasize the need for the development of a patient-centered sexual health-related curriculum for nurses, which has been briefly discussed in Korea. An educational program that improves the nurses' communication skills will be effective in reducing the barriers to addressing the patients' sexual health and will help the nurses become sexual health specialists.

• Korean Journal of Adult Nursing
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• v.20 no.5
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• pp.719-730
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• 2008

Purpose: This study was done to identify the influencing factors of spiritual health in patients suffering from women cancers. Methods: The subjects were 130 in woman patients who were diagnosed with women cancer(breast Ca & uterine Ca) at three university hospitals and one general hospital. Data collection was conducted by using 4 questionnaires. The collected data were analyzed using frequency, percentage, t-test, ANOVA, Pearson's correlation coefficients, stepwise multiple regression. Results: Spiritual health score was middle. There were a significant correlation between spiritual health and depression, pain, fatigue and effects of religion. There were significant differences in spiritual health according to the education level, monthly income, meaning of religion or god, Frequency of attendance at worship. The most powerful predictor of spiritual health was depression(27.2%). Altogether depression, effects of religion, pain, and education level explained 46.1% of spiritual health of women cancer patients. Conclusion: It suggested that concepts of depression, effects of religion, pain, and education level should be considered in developing spiritual health promoting program for women cancer patients.

• Korean Journal of Adult Nursing
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• v.19 no.5
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• pp.37-46
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• 2007

Purpose: The purpose of this descriptive study was to identify predictors on health promoting behaviors of university students. Methods: The participants were 310 students by convenience sampling in G city. The data were collected through a questionnaire given to the students between September 10 to November 6, 2006. Descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression were used to analyze the data. Results: The mean score for the level of health promoting behaviors and optimism was 2.60(${\pm} .31$) and 2.70(${\pm} .55$) respectively. The most frequently used coping skill was the pursuit of social support. There were positive correlations between health promoting behaviors and optimism, between health promoting behaviors and active coping skill, and between health promoting behaviors and passive coping skill. In stepwise multiple regression analysis, the most powerful predictor of health promoting behaviors was active coping skill. Conclusion: The results suggest that coping skills with optimism can be considered when developing a health promotion program for university students.

• Journal of Korean Academy of Nursing
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• v.36 no.5
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• pp.691-700
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• 2006

Purpose: This study was done to analyze variations in unit staffing and recommend policies to improve nursing staffing levels in intensive care units (ICUS). Method: A cross-sectional study design was used, employing survey data from the Health Insurance Review Agency conducted from June-July, 2003. Unitstaffing was measured using two indicators; bed-to-nurse (B/N) ratio (number of beds per nurse), and patient-to-nurse (P/N) ratio (number of average daily patients per nurse). Staffing levels were compared according to hospital and ICU characteristics. Result: A total of 414 institutions were operating 569 adult and 86 neonatal ICUs. Tertiary hospitals (n=42) had the lowest mean B/N (0.82) and P/N (0.76) ratios in adult ICUs, followed by general hospitals (B/N: 1.34, P/N: 0.97). Those ratios indicated that a nurse took care of 3 to 5 patients per shift. Neonatal ICUs had worse staffing and had greater variations in stafnng ratios than adult ICUs. About 17% of adult and 26% of neonatal ICUs were staffed only by adjunct nurses who had responsibility for a general ward as well as the ICU Conclusion: Stratification of nurse staffing levels and differentiation of ICU utilization fees based on staffing grades are recommended as a policy tool to improve nurse staffing in ICUs.

• Korean Journal of Adult Nursing
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• v.21 no.1
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• pp.86-94
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• 2009

Purpose: The purpose of this study was to determine correlates of depression and perceived health status in patients with atrial fibrillation. Methods: The study utilized a descriptive correlational survey design. A convenience sample of 115 subjects were recruited from 3 tertiary medical centers. The data were analyzed by descriptive statistics, hierarchical multiple regression. Results: 1) Study subjects perceived the low frequency of symptoms, relatively high social support, low depression, moderately low physical health, and mental health. 2) The 38% of variance in depression was significantly explained by symptom(${\beta}$ = .49), social support(${\beta}$ = -.21), and education(${\beta}$ = -.17). 3) The 40% of variance in physical health was significantly explained by symptom(${\beta}$ = -.55), social support(${\beta}$ = .16), and education(${\beta}$ = .20). 4) the 12% of variance in mental health was significantly explained by symptom(${\beta}$ = -.26), and social support(${\beta}$ = .24). Conclusion: Most health care providers assume atrial fibrillation patients have very few symptoms. However, symptom related to atrial fibrillation was found to be the most important factors in explaining depression and perceived health status. Additionally, higher social support had great influences on the lower depression and higher perceived health status. Based on the findings of this study, directions for nursing practice and further nursing research for patients with atrial fibrillation are suggested.

• Korean Journal of Adult Nursing
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• v.24 no.2
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• pp.191-199
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• 2012

Purpose: This study was aimed at identifying levels of compliance of patients with metabolic syndrome and the factors influencing their compliance. Methods: Data were collected from patients with metabolic syndrome at K medical center in 2009 using questionnaires. The data were analyzed using ANOVA, t-test, Scheffe test, Pearson correlation, and stepwise multiple regression. Results: The mean score of health behavior compliance was 2.82 (range: 1.43~3.87). Of the factors significantly influencing compliance with health behavior, health perception, exercise efficacy, age and perceived severity explained the 42.8% variance of compliance with health behavior. The factor explaining the highest level of variance was health perception. Conclusion: It is essential for health professionals to consider the aforementioned four factors when developing interventions to increase compliance with health behavior of the patient with metabolic syndrome.

• Journal of Korean Biological Nursing Science
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• v.14 no.3
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• pp.166-173
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• 2012

Purpose: This study was designed to find differences between physical activity and health-related factors of Korean male adults. Methods: Using the 2010 Korean National Health and Nutrition Examination Survey (NHANES V-1), the data of 1,876 Korean males over 30 years old who completed the Health Interview, Health Behavior Surveys and International Physical Activity Questionnaire (IPAQ) were analyzed. Analysis of differences in physical activity according to socio-demographic factors, physical health-related factors and psychological health-related factors was tested using the F-test and chi-square test with SPSS 12.0. Results: The high physical activity group was merely 2.5% and the moderate group was 51.4%. In each group, the study showed significant differences in age (p=.017), education status (p=.019), and economic status (p=.032) of socio-demographic factors, in body mass index (p=.003), vitamin D (p=.020) and hypertension status (p=.007) of physical health-related factors, and in recognition of stress (p=.027) of psychological health-related factors. Conclusion: These results revealed that physical activity can play an important role in nursing intervention of physical and psychological health-related factors in male adults.

• Korean Journal of Adult Nursing
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• v.20 no.6
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• pp.866-882
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• 2008

Purpose: The purpose of this study was: 1) To investigate health status(health behavior, health problem and cognition), depression and social support of elderly beneficiaries of the National Basic Livelihood Security System. 2) To identify the relationships among health status, depression and social support. Methods: This descriptive study used a cross-sectional design. The study sample was a total of 883 elderly recipients supported from the National Basic Livelihood Security System. Quotas for sampling were designed and conducted nationwide throughout Korea. Results: The mean age was 76.2 and the 79.6% of the sample were female. The scores for the health behavior, health problem, ADL, and cognition were 23.9, 4.4, 39.6 and 24.9, respectively. Additionally, the depression score was 19.8 and the social support score was 63.2. Gender, age, education, religion, marital status and monthly income were found as important variables in increasing health status and in decreasing depression among the elderly. Furthermore, depression showed a positive correlation with health problems, but showed negative correlations with health behavior, ADL, and cognition. The upper 25% of social support recipients suffered less depression than the lower 25% of the recipients. Subjects with more social supports had higher ADL scores and less health problem. Conclusion: These findings provide significant practical implications for nursing intervention, including social support for the elderly receiving assistance from the National Basic Livelihood Security System.