• Title/Summary/Keyword: Health Activity

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The Association of Activity Limitation on Health-Related Quality of Life and Depression in Elderly Korean Stroke Patients

  • Do-Youn Lee
    • The Journal of Korean Physical Therapy
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    • v.35 no.6
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    • pp.195-199
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    • 2023
  • Purpose: The purpose of this study was to help the numerous health care workers who participate in the rehabilitation of stroke patients by understanding how limitations on the activities of stroke patients affect the health-related quality of life and depression. Methods: We investigated 527 stroke patients from the Korean's National Health and Nutrition Examination Survey (KNHANES, 2013-2018). The subjects were divided into two categories: with and without activity limitation. A medical doctor's diagnosis of depression and the EQ-5D, which measures life satisfaction connected to health, were the study's factors. Based on their level of activity limitation, the individuals' depression and health-related quality of life were compared. The odds ratios relating to activity limitation's relationships with depression and stroke patients' quality of life were computed using logistic regression analysis. Results: The diagnosis of depression in subjects with activity limitation was 16.0%, while in those with no limitation on activity it was 5.6%, and the EQ-5D index was 0.67±0.02, 0.85±0.01. For every item on the EQ-5D, there existed a significant difference in the odds ratio. Furthermore, when comparing depression with activity limitation to non-activity limitation, the odds ratio was 4.09 (2.12-7.788). Conclusion: Limitation of activities of stroke patients significantly reduces the health-related quality of life and increase the probability of depression. Therefore, treatment of stroke patients should be approached taking into consideration their psychological condition. It is also deemed necessary to have a systematic and continuous rehabilitation program.

The Comparison between Physical Activity and Health Related Factors of the Korean Male Adult (한국 성인 남성의 신체활동과 건강관련 요인 비교)

  • Kim, Jisu;Lee, Gyeongnam
    • 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.

Social Support and Health Status based on Characteristics of Leisure Activity of Middle-Aged Women (중년 여성의 여가활동특성에 따른 사회적 지지와 건강상태)

  • Chung, Myung-Sill;Song, Ji-Ho
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.1
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    • pp.97-106
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    • 2011
  • Purpose: The purpose of this study was to identify social support and health status based on characteristics of leisure activity in middle-aged women. Methods: Participants were 148 middle-aged women living in the capital area. Data were collected through self-report questionnaires which were constructed to include leisure activity characteristics, social support and Brodman's CMI. Data were analyzed using t-test, and ANOVA, with SPSS/WIN 14.0. Results: Social support was different depending on leisure type, leisure partner, length of participation in present activity, regularity, and motivation to start activity. Health status was different depending on the length of participation in present activity, and regularity. Conclusion: Because social support and health status depend on characteristics of leisure activity, further study in nursing one how to resolve the physical, psychological, social and health problems that middle-aged women might experience through various leisure activities.

Factors Influencing a Health-Promoting Lifestyle among Highly Educated, Married, Employed and Unemployed Women (고학력 기혼여성의 취업 여부에 따른 건강증진생활양식의 영향요인 - 전업주부와 교사의 비교 -)

  • 최지현;이태용;정영진
    • Journal of Nutrition and Health
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    • v.35 no.10
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    • pp.1089-1103
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    • 2002
  • The purpose of this study is to identify factors influencing a health-promoting lifestyle among highly educated, married women with or without work outside the home. It is a direct interview, cross-sectional study. Subjects were 250 married, unemployed women and 236 married women employed as teachers. Women who have not graduated college, work only part-time or have no current spouse were excluded. The instruments used were the Health-Promoting Lifestyle Profile (Walker, et al., 1987) and the Habitual Physical Activity Questionnaire (Backe, et al., 1982), The HPLP scores of the employed, married women were significantly lower than those for unemployed respondents. for both groups of respondents, the self-actualization subscale was the highest score and the exercise subscale was the lowest score. The HPLP indicated that exercise is a very weak area. Thus, an increase in exercise time and frequency, especially for highly educated, married women, is suggested. Multiple regression analysis revealed that a health-promoting lifestyle of unemployed, married women was affected by sports activity, leisure-time activity, depression and satisfaction of role allotment. On the other hand, a health-promoting lifestyle of employed, married women was affected by sports activity, leisure-time activity, stress, self-perceived economic status, coffee consumption, husband's help, and maid's help. That is, with more sports activity and leisure-time activity, less depression and more satisfaction of role allotment, unemployed, married women would have higher HPLP scores. Also, with more sports activity and leisure-time activity, less stress, better self-perceived economic status, less coffee consumption, more husband's help and more maid's help, employed, married women would have higher HPLP scores. The results indicate that sports activity and leisure-time activity were the first and the second determinants of health-promoting lifestyle respectively. Therefore, an exercise-centered health-promoting program for highly educated, married women is suggested in the community or workplace. Especially, the program should be designed to be easily approachable for highly educated, employed married women who have more of a role burden compared to unemployed women.

The Mediating Effects of Subjective Health Perception on the Relationship between Physical Activity, Eating Habits and Mental Health in Gangwon-do Youth

  • Ji-Woo Han
    • International journal of advanced smart convergence
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    • v.12 no.3
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    • pp.192-199
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    • 2023
  • The purpose of this study was to investigate the structural relationship between eating habits, physical activity, and subjective health perception, which can affect the mental health status of adolescents, and to examine whether subjective health perception has a mediating effect in these relationships. In this study, raw data from the "17th 2021 Youth Health Behavior Online Survey" were used, and a total of 1,998 people were used for the analysis of Gangwon-do adolescents, except for data with missing values. For analysis, SPSS 25.0 and AMOS 25.0 programs were used to analyze descriptive statistics, t-test, and structural equation models(SEM). Physical activity was found to have a positive and significant effect on mental health status, and subjective health cognition showed the effect of physical activity mediating mental health status.

Factors Influencing Physical Activity in Elderly Women at Senior Citizen Centers (경로당 여성노인의 신체활동에 대한 영향요인)

  • Seo, Kyung Hee;Eun, Young
    • Journal of muscle and joint health
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    • v.22 no.3
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    • pp.236-244
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    • 2015
  • Purpose: The purpose of this study was to investigate physical activity of elderly women at senior citizen centers and to identify factors influencing physical activity. Methods: The study was conducted from February 22 to April 20, 2013 for 200 elderly women at senior citizen centers in J City. Levels of physical activity, cognitive function, and nutritional status were measured. Results: The total physical activity amount was $2118.94{\pm}2.36$ MET-min. The average cognitive function score was $21.17{\pm}4.63$, and the average nutritional status score was $24.04{\pm}3.37$. There were significant relationships among physical activity, cognitive function, and nutritional status. In addition, there were significant differences of groups of physical activity by levels of cognitive function and nutritional status. Cognitive function, nutritional status, and age were significantly associated with level of physical activity in elderly women. Conclusion: The results showed many older women were doing moderate physical activity. Physical activity was associated with cognitive function and nutritive conditions. Integrated health promotion program needs to be implemented to increase physical activity level, the cognitive function, and nutritive conditions in elderly women.

Development of the Model for Activity Based Costing in the Hospital (의료기관의 활동기준원가 산출 모형)

  • Chun, Ki-Hong;Cho, Woo-Hyun;Kim, Bo-Kyung;Kim, Byung-Cho
    • Korea Journal of Hospital Management
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    • v.6 no.2
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    • pp.37-69
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    • 2001
  • A new cost management system, called Activity Based Costing (ABC) system, has arisen to solve the limitation of a Traditional Cost Accounting (TCA) system until last two decades and ABC has been applied by many companies. TCA systems have limitation in tracing cost because they arbitrarily allocate overhead cost to the cost objects without standard for direct cost distribution. ABC is an accounting system that assigns costs to products or services based on the resources they consume. The costs of all activities are traced to the products for which they are performed. Therefore ABC is a cost management system that provides a matrix to accurately quantify consumed resources triggered by activities and activities triggered by products and services. There is little implementation of ABC in the health services field, one of service industries, due to complicated and many activities, and volatile cost object. However, the necessity for applying reasonable cost accounting system is largely issuing as strategy responding hostile environment, and financial pressure, and it is imperative to implement the Activity Based Costing (ABC) system. Therefore, this study presents the framework to develop ABC system for total health service organizations. Cost objects in this study base on medical service activities per health insurance claim from one general hospital located in Metropolitan Statistical Areas (MSAs). Medical service activities include all health insurance claims in the hospital. The purpose of the study is presenting useful tools and basic frame to develop Activity Based Costing system for health service organizations which want to use ABC system. The steps to develop ABC system for health service organizations are following: 1. Identifying of activity centers; 2. Definition of cost objects and activity by activity center; 3. Analysis of activity and tracing activity contribution; 4. Allocation of direct cost for specific activity; 5. Allocation of indirect cost for specific activity; 6. Allocation of depreciation for facilities, applicants, and consumption goods; 7. Allocation of administration cost; 8. Allocation of cost among activity centers; and 9. Tracing cost of cost objects by activity center. This study identified necessary information from existing reports which hospitals generally made by each step, and defined outcome which had to be produced in each step using this information. The steps of this study had limitation to apply all different size hospitals because the steps were structured ABC system by one hospital, however, this study used similar basic framework and methods with general cases. When a health service organization want to apply Activity Based Costing (ABC) system on all activities of it in future days, this study is very useful to design system structure in the health service organization.

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Current status of physical activity and policy proposals of the national level (신체활동 현황과 국가수준의 정책 제안)

  • Yang, Yun Jun
    • Korean Journal of Health Education and Promotion
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    • v.33 no.4
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    • pp.47-54
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    • 2016
  • Objectives: The prevalence of insufficient physical activity is relatively high in the Republic of Korea and it is increasing. The national strategies to improve physical activity are essential and are suggested in this paper. Methods: National level of physical activity is compared globally by WHO statistics. Korean National Health and Nutrition Survey showed the level of physical activity. National strategies to improve physical activity were suggested referring to the other countries' strategies, public health books and Health Plan 2020. Results: Prevalence of insufficient aerobic exercise in 2010 were 33.4%, 94.8% in over and 18 years old, 11~17 years old, respectively. And it is increasing. Sufficient exercise to fit the national guidelines of physical activity were done by 15.6% of Korean older and 19 years old. Prevalence of insufficient physical activity was high in the elderly, female, adolescent, rural area and lower income. The national spread of the physical activity guidelines, primary care physicians involvement, supports for the physical activity programs, development of the evaluation protocol for the programs and environmental supports are suggested. Conclusions: The government induced various efforts to improve the level of physical activity is needed urgently.

Comparison of Physical Activity Questions in the Korea National Health and Nutrition Examination Surveys (국민건강영양조사 신체활동 설문 문항 비교)

  • Kim, Wan-Soo
    • Korean Journal of Health Education and Promotion
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    • v.29 no.3
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    • pp.23-34
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    • 2012
  • Objectives: This study aims to compare the contents of physical activity questions of Korean National Health and Nutrition Examination Survey(KNHANES), and to propose suggestions for improvement. Methods: Questions measuring physical activity prevalence of adults in the KNHANES from KNHANES I(1998) to the first year of KNHANES V(2010) were compared. Results: The questions used in each survey showed some problems in consistency and appropriateness. Major issues identified are as follows. First, the questions in each survey were not consistent, and would be inappropriate to make time series comparisons. Second, the purpose of physical activity was not clear. Third, the examples of physical activities suggested in the questions were not appropriate. Fourth, the intensity of physical activity were not adequately described. Fifth, by excluding walking from the moderate-intensity physical activity category, the prevalence of moderate-intensity physical activity could be underestimated. Sixth, it is difficult to measure the total amount of physical activity performed in one day because answers from the other domains cannot be clearly differentiated. Conclusions: The physical activity questions in the KNHANES questionnaire should be improved so that they are consistent with the purpose of survey, the respondents can easily understand the contents of the questions, and the questions can measure all physical activity performed in the different domains.

The Effect of Geriatric Oral Health on Health Status and Social Activity in Ulsan Province (울산지역 노인의 구강건강이 노인의 전반적 건강상태와 사회활동에 미치는 영향)

  • Choi, Yu-Jin;Kwon, Su-Jin;Ryu, Hwang-Gun
    • The Korean Journal of Health Service Management
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    • v.6 no.1
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    • pp.185-193
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    • 2012
  • This study is to observe the effect of oral health of elderly on overall health status and social activity to provide basic data for oral health improvement program for the elderly and development of related policies. The survey was conducted from July 25th to July 29th, 2011, and used 145 copies for this research analysis. As a result of correlation analysis, it is observed that all of 4 sub factors of Geriatric Oral Health Assessment Index have significant static correlation with overall health status of elderly and social activity also has significant static correlation with oral health. As a result of regression analysis, the functional limitation out of sub factors showed significant positive effect on health status and psychological effect has significant positive effect on social activity. Based on the above result, it is observed that, at the time of rapidly entering to an aging society, the life quality related to oral health of elderly which is part of overall health and overall health status and social activity areas that are recognized by the elderly have significant correlation. And, it is important to understand the factors of oral health affecting health status and social activity. Based on the result of this study, more researches on the development of oral health program and development of assessment tool that can be easily employed should be made.