The purpose of this study was to identify transition conditions, health behavior and indicators of healthy transitions among middle-aged women based on Schumacher & Meleis(1994) transition model for developing intervention program for their health promotion. A convenience sample of 221 women aged 40-60 was obtained in Jung-Gu, Seoul and they were asked to complete the questionnaires, which consisted of modified health-promoting lifestyle profile(HPLP), knowledge of menopause, physical well-being, emotional well-being, modified women's role integration protocol (WRIP), Beck's Depression Inventory(BDI), and indicators of healthy transition with subcategories such as subjective well-being, role mastery and well-being of interrelationship. The results were as follows: 1. Women had a mean age of 47.53 years. More than half(53.39%) of the women had jobs and 88.69 % had their spouses, Of 221 women, 51.13 % were premenopausal, 19.91% were perimenopausal, and 28.96% were postmenopausal. 2. Women scored lower on health responsibility and exercise than on self actualization, nutrition and interpersonal support among subcategories of health behavior measured the modified HPLP. Only 11.98% of respondents had breast-self examination and 42.66% had pap smear for screening cancer. 3. In transition conditions, women had poor knowledge about menopause and median level of physical well-being, emotional well-being and stress. 15.45% of the women had clinical depression. 4. As for the outcome index of the transition model, the mean of indicators of healthy transition was 3.69(possible range 1-5). 5. The levels of education and economic and the menstrual status were significantly related to physical well-being, depression and stress in the categories of transition conditions. The total score of health behavior correlated negatively with depression. The total score of indicators of healthy transition correlated with physical well-being, emotional well-being, stress, and depression in the categories of transition conditions. In conclusion, these findings suggested a profile of fragile middle-aged women and contributed to developing the community-based intervention program for health promotion.
This study has examined multiple influences of several variables on parenting behavior by looking into illustrative studies. This study provides support to the view that various factors influence parenting and that parenting behavior is multiply determined. Characteristics of parents, children and the context in which parent-child relations occur cause different childrearing patterns among parents. This study can be summarized as follows: 1) Parental behavior is influenced to a large degree by what the parent brings to the situation. In other words, characteristics of the parent including personality characteristics, interpersonal skills, problem-solving skills, level of maturity, values and childrearing beliefs contribute to individual differences in parenting. 2) The parent's relationship history influences the personality characteristics that the parent brings to his or her adult roles. To understand who the parent is today, we have to look at who the parent was, and what the parent was doing in the years prior to parenthood. That is, we need to see the life course of the individual before parenthood. 3) Contextual variables including the immediate context and the larger context have proved to influence parental behaviors. Characteristics of the immediate context such as the quality of marital rationship can influence the parent's psychological well-being and his or her behavior toward the childen while characteristics of the larger context such as the economic situation and the neighborhood can influence the level of stress experienced by the parent and cosequently how the parent relates to his or her child. 4) In order to understand the development of the parent-child relationship we need to look at the characteristics of the child. Children may elicit positive behaviors from their parents, or they may possess characteristics that the parents find aversive thus leading to difficulties in the relationship. Therefore, much depends on the fit beween the characteristics of the parents and characteristics of the child. By examining multiple contemporaneous influences on parenting, this study could deepen the understanding of why parents have different childrearing patterns, why some parents fail to meet their children's demands and why parents act in certain ways. What we ultimately hope is that as we learn more about parenting and the development of parent-child relationships, we will be better able to provide parents with the supports they need to achieve their parenting goals.
Purpose: This study was conducted to describe qualitatively the entities of nurse's experiences in general hospitals and to suggest basic data guiding research on developing Standards of clinical nursing practice in Korea. Method: Fourteen nurses working at general hospitals with over 300 beds in Seoul were interviewed in-depth until saturation using tape-recorders and transcription. Result: The central theme of clinical nursing practice experienced by subjects was "being with clients" that means accepting client's personal character, solving client's needs and providing client-centered nursing. A also "being with clients" was felt to be the responsibility of nurses which was learned from their nursing schools. The nursing strategies performed in order to be with patients were proving skillful nursing techniques, accepting, educating, emotional support, advocating, and self-reflecting, the subjects experienced somewhat problematic affects such as difficulties in interpersonal relationship, work overload, negative image of nursing, deficit of self-confidence for nursing actions, poor working conditions, and unfair treatment. Nurses at the hospital practiced with pride when they felt that they were accepted by clients. Conclusion: Further research is needed to analysis problems in clinical practice and the comparison of nurses' experiences of clinical practice, with nurses' experiences in various settings.
Park, Seung-Kyu;Heo, Jae-Won;Yang, Dae-Jung;Gang, Jeong-Il;Lee, Jun-Hui
The Journal of Korean Physical Therapy
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v.24
no.4
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pp.282-289
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2012
Purpose: The purpose of this study is to analyze the home-stay disability's activity, as well as the participation domains and the environment factor domains of international classification of functioning (ICF), in order to examine the effect of the home visiting physical therapy and the disability's activity. Methods: A total of 211 home-stay disabled subjects with brain lesions or crippled disorder, living in 5 cities and districts of Jeollanam-do, underwent 90 minutes of home visiting physical therapy per week during a 6-month period, and using the ICF checklist, evaluated the subject's activity and participation domains and environmental factor domains. Results: The performance qualifier showed a significant statistical change in the movement, self-care, domestic life, interpersonal interactions and relationships, community, society and civic life domains (p<0.05); and the capacity qualifier showed a significant change only in the mobility domains in the before and after of the home visiting physical therapy (p<0.05). The barrier factor in the order of services, systems and policies domains, product and technology domains, and attitude domains it influenced significantly in the performance (p<0.05), and in the facilitator factor in the order of product and technology domains, support and relationships domains, services, systems and policies domains it influenced significantly in the performance of the disabled (p<0.05). Conclusion: The visiting physical therapy can help in the improvement of the activity and participation of the home-stay disabled subjects, and for the accurate evaluation of the home-stay disabled subjects, it is considered that an evaluation including various environmental factors, such as ICF, must be fulfilled.
Objectives : To obtain necessary fundamental data for the development of oral health improvement programs for senior citizens in the manner of investigating the Status of their oral health. Methods : Data were collected from 346 senior citizens aged 65 years or older who had lived in Seoul and Gyeonggido province, Republic of Korea. This study was conducted for 3 months from April 2011 to June 2011. Excluding those obtained from 34 respondents who gave inadequate responses to given questions, the data from 312 respondents were analyzed. Results : 1. The number of senior citizens who chose 'Sometimes' to as an answer to the question about the self-perception of their own oral conditions such as mastication, swallowing, gingiva hemorrhage, dry mouth, and/or oral malodor was the largest. As an answer to the question about the presence of interpersonal avoidance, 'No' accounted for the largest proportion. The number of respondents choosing gingiva treatment regarding the perception of the necessity for medical interventions was the largest. 2. In regard to the knowledge of oral health care, the percentage of correct answers was the highest for 'I brush my tooth before each meal' ($0.69{\pm}0.156$), while the lowest percentage of correct answers was seen for 'Gingival diseases can be improved by medications' ($0.33{\pm}0.472$). Conclusions : Based upon the above mentioned results, the author conclude that developing relevant national programs and support policies at a national level as well as implementing proactive and systematic home-visiting oral health programs at the levels of local autonomous entities or communities will lead to significant improvements in senior citizens' oral health and QoL (quality of life).
Journal of The Korean Society of Integrative Medicine
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v.5
no.3
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pp.91-99
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2017
Purpose: The purpose of this study was to examine the relationship among self-efficacy, career attitude maturity, and campus life satisfaction in nursing college students. Method: A total of 277 students agreed to participate in this study from 1 May 2016 to 31 May 2016. Data analysis included t-test, ANOVA, Scheffe's test, and multiple regression using the SPSS/WIN 18.0 program. Results: The results of the analysis revealed a positive correlation between campus life satisfaction and career attitude maturity (r=.316, p=.001); between campus life satisfaction and self-efficacy (r=.256, p=.001); and between self-efficacy and career attitude maturity (r=.469, p=.001). Career attitude maturity had the highest R-squared value of 10% (${\beta}=.22$) for campus life satisfaction, while peer relationships had an R-squared value of 2% (${\beta}=-.18$), residence type of 2% (${\beta}=.14$), and self-efficacy of 1% (${\beta}=.14$), for a total R-squared value of 15%. Discussion: Given these results, individual counseling is recommended to improve campus life satisfaction by helping college students to acquire the skills to foster good interpersonal relationships, self-efficacy, and a positive view of their future vocation. Furthermore, it is essential for an educational environment to support students to ensure that after graduation they become fully-fledged members of society with a sense of pride in their profession.
Park, Jiyoung;Park, Youngsook;Lee, Jeongeun;Kim, Soobin
Child Health Nursing Research
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v.23
no.2
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pp.158-167
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2017
Purpose: The purpose of this study was to investigate the ecological factors influencing school adjustment of adolescents from low-income families. Methods: Secondary data analysis was performed using data of 1,321 low-income adolescents in 123 regions found on the Survey on Service Satisfaction with Community Child Care Center. Results: The results of multi-level analysis identified the factors influencing school adjustment of low-income adolescents as follows: individual-level factors were gender, grade in school, and emotional problem; an interpersonal-level factor was family structure; organizational-level factors were length of time attending center and satisfaction with the service of the center; community-level factors were region and perception of community. Conclusion: The results suggest that low-income adolescents' adjustment to school is influenced not only by individual factors but also by diverse environmental factors. Community factors suggest that more education support systems and leisure facilities for adolescents need to be built in small and medium cities. Strategies to enhance positive perception of community are also needed for this population. Further, it is necessary to develop multi-level interventions to improve the school adjustment of adolescents from vulnerable social groups.
The term 'nursing' is often defined as a therapeutic and interpersonal process that ultimately functions to help clients. In the process of helping, empathic ability(ability to entering into the another's feeling or motives) is an essential factor that has been proved in the fields of psychology and social psychology. In the sense, nursing personnel with high level of empathy is required to accomplish the comprehensive nursing. The purpose of this study was (1) to investigate empathy between nursing and non-nursing students, (2) to examine changes of empathic ability in accordance with their academic years, and (3) to show relationships, if any, between the two concepts, empathy and need-affiliation. For the survey, 325 respondents for nursing department and 378 from non-nursing departments were randomly selected from the two universities in Seoul. The instruments used in this questionaire survey method were Hogan's Empathy Scale and Mehrabian's Need-Affiliation Scale, each of them has established its validity and reliability in many different people and settings. For the analysis, descriptive stative statistics were mostly used by calculating frequencies, percentages and mean scores. T-test, analysis of variance and correlation coefficient were employed to test the differences and the statistical significance. The results of this study are summarized as follows: (1) There was no significant difference in empathic ability detween the nursing and non-nursing student (2) The levels of empathy among the nursing students, 'surprisingly enough, were negatively correlated with their academic years, even though statistical significations was not found. The scores of the empathy are somewhat dropped as academic year going up. (3) No significant relationship was revealed between empathy and need-affiliation. In conclusion, the results of the study repeatedly support the claim that the nursing education must empathize and, also, include the programs that enable nursing students to develop the ability of empathy for their clients.
Purpose: The purpose of this study was to explore the experiences of people with chronic hepatitis B (CHB) in Korea. The specific aim was to identify major problems that people with CHB face and strategies that they are dealing with. Methods: A grounded theory method was utilized. The data were collected by individual in-depth interviews from 12 CHB patients from one of the major hospitals in Korea. Results: After constant comparative analysis, a core category emerged as "illness management with self-reliance and will." Seven major strategies that were identified in dealing with the illness were maintaining receptive and positive attitudes; restraining excessive work and greed; searching for information; controlling illness information; adhering to practices for not spreading the viral disease; abstaining from alcohol and smoking and maintaining healthy eating habits; nd using alternative therapies. The outcomes that result from employing these strategies were identified as burden, depression and helplessness, stress for maintaining compliance, and dispirited interpersonal relationships. Conclusion: The results of this study suggest that most people with CHB in Korea have problems in psychosocial area. Thus health professionals need to provide not only informational support but also emotional one to improve quality of life of the people with CHB.
The purpose of this study was to examine the differences of the perceptions and conditions of happiness between children and adolescents, and also of the perceptions of happiness according to their needs level of the conditions of happiness. There was a total of 649 participants, of which 405 were children and 244 were adolescents, all of whom were attending elementary school, middle school, or high school. The children and adolescents completed a questionnaire on the perceptions of happiness and the conditions of happiness which consisted of 57 (for children) or 58 (for adolescents) items. The results were as follows: First, children and adolescents both felt happy regarding the variables of 'flow', 'health and appearance', 'leisure' and 'interpersonal relations'. However, it was found that children felt happier than adolescents. Second, children and adolescents perceived achievement-related variables as important conditions of happiness. Additionally, variables of 'relations with parents and relatives' and 'positive emotions' were the conditions that children needed. However, adolescents rated the needs of the conditions of happiness higher than children. Lastly, children and adolescent groups who perceived the necessity of the conditions of happiness at a high level were found to be happier than those who perceived the necessity of the conditions of happiness at a low level. The findings have implications of providing educational, psychological and environmental support to improve the happiness of children and adolescents.
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