Purpose: To identify factors influencing women's intention to take hormone replacement therapy(HRT). Method: A cross-sectional survey design was utilized. A total of 116 married women aged 40 to 60 were recruited from women's groups in communities. They completed a structured questionnaire containing demographic characteristics, Orientation to Life Questionnaire, Menopausal Symptom Checklist, Health Belief of Korean Adult, Sexrole Idea of Kim, Dong-il, chronic illnesses, and a single item measuring marital satisfaction. Result: Thirteen percents of the women were currently taking HRT and 28.4% had intention to take HRT. Education, sense of coherence, and sex role attitude were related to women's susceptibility to menopause. Hysterectomy status and the level of sense of coherence explained women's perception of seriousness regarding menopause. In addition, chronic health conditions accounted for the variances of benefits and barriers to HRT. Factors influencing women's intention to take HRT were education, menopausal symptoms, and perceived benefits of HRT. Conclusion: Women's chronic health conditions, psychosocial characteristics as well as menopausal discomforts were associated with women's choice regarding HRT. Other factors related to decision making process of women's health seeking behaviors need to be explored.
Choi, Jeong Hwa;Tae, Young Sook;Heo, Je Eun;Kim, Young Suk
Journal of East-West Nursing Research
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v.22
no.1
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pp.78-86
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2016
Purpose: The study was to identify relationships among the Anger-in, Forgiveness, and Quality of Life in Clinical Nurses. Methods: Data were collected by questionnaires from 205 clinical nurses who worked at the 4 hospitals located in Busan. Data were collected from September 26 to October 10, 2013. Anger-in, Forgiveness, and Quality of Life were measured using a structured questionnaire. The instruments included Anger-in Scale, Forgiveness Scale, Quality of Life Scale. The collected data were analyzed using frequency, percentage, independent t-test, One-way ANOVA, $Scheff{\acute{e}}$ test and Pearson's correlation coefficients by SPSS/WIN 18.0 for windows. Results: There were significant correlations among anger-in and forgiveness(r=-.34, p<.001), anger-in and quality of life(r=-.33, p<.001), forgiveness and quality of life(r=.27, p<.001). There was a statistically significant difference in Anger-in of participants according to nurse's satisfaction of job. Forgiveness showed significant different according to nurse's perceived health status, belief of religion, turnover intension, and job satisfaction. Quality of life was significantly different according to nurse's age, perceived health status, work period, work pattern, night duty, turnover intention, motivation of choice in nursing and job satisfaction. Conclusion: These results suggested that reducing anger-in level and enhancing forgiveness level would increase quality of life among clinical nurses.
Previous studies have shown that five representative behaviors affect the health of adults in everyday life : smoking, drinking, exercise, nutrition, and stress. This study focuses on these five behaviors in an attempt not only to develop a program that promotes health, but also to suggest ways that such a program may be implemented to reflect diverse lifestyles. Our aim is to show how individual subjectivity influences behavior when making lifestyle choices that affect health. By analyzing individual characteristics, we tried to group people according to their common attitude and behaviors to promote health. We hope that this study may provide the fundamental data which may be used to assist professionals in promoting healthy behaviors among adults. In order to examine how subjectivity(e.g, personal opinions or attitudes) influences behavior, we prepared Q-statements which were composed of Q-samples for the study of human subjectivity. We polled forty-two adults and then analyzed the results using a PC qunal program. As a result, the respondents were classed according to six different types. Type One includes people who think managing stress is the most effective way to live a healthy life. They regard smoking and drinking as harmful behaviors. Type Two subjects, on the other hand, regard smoking and drinking as a matter of taste with few harmful effects. Although they recognize the importance of managing stress, they have a positive attitude towards smoking and regard nutrition as a minor factor in promoting their healthy lifestyle. Those classed as Type Three emphasize the necessity of exercise. They perceive drinking, smoking, and stress as harmful. People in this category seek to increase physical strength and to regulate all five health behaviors by keeping them in a normal range. Type Four consists of people who are indifferent to their health. While they seem to recognize the importance of regular exercise, they pay little attention to nutrition or to the harmful effects of smoking, drinking, and stress. They believe that exercise alone is sufficient to maintain their health. Type Five subjects believe drinking is not a harmful behavior at all. Rather. it has a positive effect on their mental health. They are characterized by this positive attitude towards drinking as well as by indifference toward nutrition (although they readily admit that good nutrition is important). Finally. those classed as Type Six have a positive attitude toward moderate drinking as a means to relieve stress. However. they also recognize the harmful effects of excessive drinking. They regard good nutrition as an important lifestyle choice but are indifferent toward exercise. This type is engaged in passive health management. This study devised six types or categories that reflect different attitudes toward promoting health in everyday life. It further went on to analyze the characteristics of each type. This study shows that programs designed to promote health must be modified to reflect the diversity of individual attitudes and patterns of behaviors.
The aim of this study was to research and compare the demographic characteristics of drug abusers with non-drug abusers among junior high school students in Japan through a closed format questionnaire. The same questionnaire and face-to-face interviews were used in order to find the circumstances of drug abuser among Kyogoin(a sort of child welfare institution) students in Japan. The goal of the study was to provide basic materials for preventive education of drug abuse through the two investigations mentioned above. Between July 1993 and November 1993, the information for this study was collected from 964 students from 4 junior high schools, and also 142 students from 3 Kyogoin in Japan. A total of 1106 questionnaires were completed resulting in a following response rate of 90.4%. Information was based on the scales : family relation scale, school life scale, recognition on danger of drug abuse scale, family environment scale (Moos, 1986), self esteem inventory (Coopersmith, 1967), etc. The conclusions can be summarized as follows : 1. Drug abusers are more likely to lake communication in their families and have poorer human relations than non-drug abusers. Also their school life scores tended to be lawer non-drug abusers. 2. It was between their 6th year of elementary school and their first of Junior high school when the drug was first used. The drug of choice which they made their first attempt at using was a volatile solvent which was inhaled. It is likely that this drug is "gateway-drug" for adolescents in Japan because they then also tried other drugs (e.g. cocaine, marijuana, etc.) step by step. 3. It is therefore clearly important that greatly increasing education on the harmful effects of drug abuse before the summer vacation of the first term of the sixth year of elementary school. At the same time, intervention in the family will have an effective prevention strategy in Japan, as well., as well.
This study is about choice attribution of customers make in food and beverage events. The researcher provided practical plans to uplift food-related enterprises and activate management through surveys and positive analyses, targeting customers who use food services. First of all, all event plans must include customer demands, social changes, special qualities of the business, and market research. Second, low demand season must be customers will be induced to the events. Third, prediction for market variable and solutions must be thoroughly examined and plans should look into the future to maintain a long period of time. Fourth, sufficient communication between planners and employees should be made before the event starts, so that food and beverage businesses can gain trust and quality of event services.Fifth, immaterial service and visible goods/menus in business of food and beverage events must be closely matched. Sixth, menus introducing a variety of merchandise, quality of nutrition and health of the business should be developed. Also, events from countries(regions) should be hold to create a market of cultural exchange. Seventh, for hereafter event plans, feedbacks are needed concerning customers needs and demands through customer care, after the food and beverage events. Eight, faculty management for convenience, kindness, safety, and life preserver accommodations in parking areas must be made, as automobiles are necessaries for people in Mycar era. The ninth, off-line and on-line care through on-line business construction and production of homepage must be done, due to the fact that even the well-made events are bound to fail if they are not delivered to the customers.
Background: The purpose of this study was to investigate the effect of shift work on occupational safety in various industrial sectors. The study analyzes the effects of shift work on the health of workers by considering factors such as the workplace environment and welfare. Methods: Focusing on the $4^{th}$ Korean Working Conditions Survey, this study used an ordinary least-square multiple regression analysis. The dependent variable was the annual frequency of injuries reported by workers. Independent variables were categorized as demographic, shift work, workplace environment, and welfare variables. The analysis was conducted on two levels: 1) Shift work and nonshift work groups were compared, and 2) Shift work was compared with fixed and rotating shifts. Results: For the entire group, age, a low level of education, work hours, and daily and dispatch work negatively impacted the frequency of injuries. Shift work was negatively affected by workplace environment and welfare factors. In the shift group, the frequency of injuries was lower than that of regular workers, and the higher the autonomy in the choice of work hours, the lower the frequency of injuries. Furthermore, shift workers in Korea have more extended work hours (49.25 h/week) than other workers (46.34 h/week). Conclusion: Overall, welfare factors such as workplace satisfaction and worke-life balance reduced the frequency of injuries. The effect of shift work was limited, but it was confirmed that shift worker autonomy could reduce the frequency of injuries.
Total quality management has been a focus of concern in recent years since some dissatisfaction with the results from implementation of quality assurance programs in the U.S. Many managerial methodologies and innovation guidelines from academic disciplines have been applied to promote TQM programs in the health field. This paper consists of two folds of aspects: firstly to examine TQM's managerial philosophy by comparing with the newly introduced managerial concepts in Business Reengineering; and then to introduce a method for an integrative way of process analysis, Entity Life-Cycle Diagram (ELCD) modeling. The analysis method was compared with Process Map, which is a well-known method for BR applications. To show effectiveness of ELCD modeling, a case of application was introduced using 'drug' as a target entity. With having TQM issues in mind, the result was reflected in designing Entity Relation Diagrams. The results of ELCD modeling turn out to be helpful in designing database related to quality monitoring, in that many monitoring check points can be identified in a systematic way and that queries cross-sectional over organizational boundaries can be generated with a consistent view focusing on the drug use as a single process. Full evaluation of the analysis method remains to be studied until the completion of the information system under construction. But as long as TQM is based on a process-oriented view and needs supports from information system, ELCD can be one of the appropriate choice as a tool for the process analysis.
Forming health care management model in small-scale enterprises was the purpose of this study. For the purpose, we tried to investigate the characteristics of small-scale enterprises and analyzed the pattern of their health care management. The results are as follow: 1. The strength of health managing agency and technical supporting program lies in team approach by specialized manpower. However, if the liaison between each part of the organization is not smooth, the overall management will be very difficult. 2. Small scale enterprises are characterized by their short life after the establishment, use of rental building, lack of welfare facilities, weakness in sanitary management and aggregation of factories of similar type of industry. Because of these characteristics, it is very difficult to solve problem basically, such as improvement of working environment. Therefore, it is important to focus on health education and community based approach. 3. Many workers in small-scale factories are in middle and old age. They have health problems mainly related to personal habits. Implementation of an appropriate health promotion program is needed. 4. The number of workplaces, which should be managed by health managing agent. is increasing rapidly. But the number of health managing agent is limited. In the aspect of the requirement of manpower and equipment, training personal agent is more urgent than founding institutional agent. 5. The uniform method of health management hampers the choice of employer and workers. The types of provision of health management should be diversified. 6. For an efficient management, a frequent visit of personal agent and the following referral to a specialist should be done. The specialists in charge of secondary management are from the field of occupational medicine, occupational hygiene, ergonomics, etc. 7. The health management of small-scale facilities should have six components. They are community-based approach, multi-disciplinary cooperative system, program based on the need of recipient, forming partnership of employer and worker, change of lifestyle, and evidence-based program.
This study examines knowledge, attitudes and behaviors toward sexual activity among 412 college students in Seoul. An 127-item questionnaire is used in order to understand and consider alcircumstances involved in decisions about sexual activity, and to reflect to the course on healthy sexuality. The major findings are as follows: 1. ‘Books/media’ and ‘friends’ are the primary source of sexual knowledge. 2. Despite the increased number of sxeducation programs, peers apparently remain the major source of information and the counsellor of the sexual problems(71.6%). 3. About ninety percent of males and 14.2 percent of females masurbate. Although mastubation is anormal response to pleasurable bodily feelings, students feel ‘unnatural’, ‘bad’ or ‘guilty’. 4. For some students, sexual intercourse is perceived as the natural outgrowth of love. More than thirty oercent of males and 8. 1 percent of females are engaged in inter -course. 5. Asking parents or teachers to be specific in talking about sex makes it uncomfortable to discuss sex. 6. Sex education should begin in the family and in school in early childhood and continue throughout life. 7. Sexual feelings and emotions are stirred up differently between male and female by sexual sensations. 8. Half of the intimate relationship with opposite sex shows a love relationship with sexual closeness and pleasure. Unguided reading or peers remain the primary source of information about topics like masurbation and sexual technique. Thus, schools should be responsible for the more value-laden subjects (such as birth control, homosexuality, and sexual techniques). And inclusionof a peer education componebt that modified college students' perceived peer norms may be the intervention method of choice. The prevention of health problems is far more desirable than treatment. The earlier the knowledge and skill to make healthful decisions are instilled, the greater the chance a healthful lifestyle will be adopted. School is the logical place in our society to provide the college students learning opportunities essential to developing the knowledge and skills to choose a healthful life course.
Journal of The Korean Society of Integrative Medicine
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v.11
no.1
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pp.99-111
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2023
Purpose : Although quantitative research on alcohol consumption among nursing students is important, qualitative research is needed to determine the subjective views of individual students, such as their feelings and thoughts, and ensure the implementation of a targeted alcohol intervention program. Q-methodology is a systematic approach that examines the subjective perspectives of individuals, including their views, beliefs, and attitudes, enabling understanding of the types and characteristics according to the individual's subjectivity structure. This study examined the subjective perceptions of drinking among freshmen in nursing college using Q methodology. Methods : Q-sorting was conducted, collecting 38 P samples and 40 statements. The data were analyzed using the PC QUANL program. The principal component factor analysis method was used for Q-factor analysis. Results : The results identified four types of drinking perceptions among freshmen in nursing college. Type 1 was "safety and health pursuit," type 2 was "friendship pursuit," type 3 was "'norm-oriented," and type 4 was "sound manners." When looking at the subjective perceptions of drinking among freshmen in nursing college, there was a common opinion that drinking should not be forced and that it is an individual choice. However, the difference in views (positive and negative) of drinking shows the need for customized educational programs and interventions suitable for each type. Conclusion : Nursing freshmen should be prepared to play an important role in health care as an educational role and model in preventing damage from drinking and maintaining health promotion throughout their life by habituating proper drinking behavior during college life. In addition, it is necessary to develop a plan to increase positive awareness of drinking among nursing students through various strategic programs that can participate in sobriety prevention programs within the university.
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