• Journal of Korean Academy of Nursing
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• v.44 no.6
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• pp.672-681
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• 2014

Purpose: The purpose of this study was to investigate the effects of using a Coaching Program on Comprehensive Lifestyle Modification with pregnant women who have gestational diabetes. Methods: The research design for this study was a non-equivalent control group quasi-experimental study. Pregnant women with gestational diabetes were recruited from D women's hospital located in Gyeonggi Province from April to October, 2013. Participants in this study were 34 for the control group and 34 for the experimental group. The experimental group participated in the Coaching Program on Comprehensive Lifestyle Modification. The program consisted of education, small group coaching and telephone coaching over 4weeks. Statistical analysis was performed using the SPSS 21.0 program. Results: There were significant improvements in self-care behavior, and decreases in depression, fasting blood sugar and $HbA_1C$ in the experimental group compared to the control group. However, no significant differences were found between the two groups for knowledge of gestational diabetes mellitus. Conclusion: The Coaching Program on Comprehensive Lifestyle Modification used in this study was found to be effective in improving self-care behavior and reducing depression, fasting blood sugar and $HbA_1C$, and is recommended for use in clinical practice as an effective nursing intervention for pregnant women with gestational diabetes.

• Journal of Digital Convergence
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• v.18 no.4
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• pp.371-380
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• 2020

This study is a systematic review study to confirm the effectiveness of the health promotion program for the elderly in the community. The research method was to search for published papers using the domestic databases RISS, KISS, DBpia, and KoreaMed, analyze a total of 10 studies, and code them for 2 researchers. As a result, the characteristics of intervention in the health promotion program were often applied to the frequency of intervention more than twice a week, and the intervention time of more than 12 weeks, approximately 60 minutes once. In the composition of intervention, the study that applied exercise and education together and the study that mixed the types of exercise were mainly. The outcome measurement variables were muscle strength, body mass index, depression, self-efficacy, health promotion lifestyle, and quality of life. Through this study, it is necessary to develop a sustainable health promotion program and verify effectiveness in the lives of the elderly in the community.

• Korean Journal of Health Education and Promotion
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• v.32 no.4
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• pp.37-46
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• 2015

Objectives: This study was conducted to expand evidence-base for the effectiveness of lifestyle intervention programs to prevent the onset of diabetes and cardiovascular diseases. Methods: Seven intervention studies between 2006 and 2014 at Korea Association of Health Promotion were analyzed. All the studies were randomized controlled trials(RCTs) and included multi-component behavioral interventions. The participants of the programs were 2,172 adults with risk factors regarding metabolic syndrome criteria. The proportions of normalized participants were compared within and across the studies using odds ratio effect sizes. Results: The reductions in the prevalence of metabolic syndrome were from 49.6% to 65.1% in intervention groups, and from 38.7% to 52.3% in comparison groups. Significant differences in effectiveness between groups were found in two studies, one in 2006 with odds ratio of 1.69(p<0.01) and another in 2009 with odds ratio of 2.36(p<0.001). Proportions of normalized participants were higher in blood pressure(31.9% to 52.5% in the intervention groups and 23.0% to 43.3% in comparison groups) than other risk factors. Abdominal obesity showed weakest improvement after the intervention in both groups. Conclusions: Lifestyle modification program is an effective method to reduce diabetes and cardiovascular risks in adults by decreasing the prevalence of metabolic syndrome and its components.

• Journal of muscle and joint health
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• v.22 no.3
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• pp.245-257
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• 2015

Purpose: The purpose of this study was to apply intervention mapping (IM) to develop a community-based disease self-management support program for patients with osteoarthritis. Methods: IM was applied as follows: i) a needs assessment has been carried out by a literature review, survey and interview with osteoarthritis patients; ii) on the basis of the needs assessment, identification of expected outcomes and change objectives for the target population; iii) selection of theory-based methods and practical applications to influence self-management and the determinants of behavior; iv) design of the intervention by developing activities and materials such as osteoarthritis self-management guide and smart patient pocket book. The activities were integrated into an existing healthcare activities; v) implementation and evaluation plan has been developed. Results: The program is aimed at improving health status through activating patients by a patient-centered and tailored intervention for patients with osteoarthritis; consists of 8 sessions with coaching and cognitive emotional psychological skills; includes smart patient, communication, osteoarthritis, medication adherence, pain control, depressive mood control, physical activity and healthy diet. Conclusion: The IM is a systematic and feasible method for developing the program. The next step is to evaluate the impact of the intervention on activation, and health status.

• Journal of Korean Academy of Nursing
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• v.35 no.5
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• pp.943-954
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• 2005

Purpose: The purpose of this study was to identity the effects of a health promotion program for rural elderly on health promotion lifestyle and health status. Method: The study was a nonequivalent control group pre-post experimental design. Data collection was performed from April 12th, 2003 to August 2nd, 2003. The subjects were selected at Mari Myun Geochang Gun in Korea. 44 elders were in the experimental group and 45 elders were in the control group. The 16-week health promotion program was given to the experimental group. Data was analyzed by descriptive statistics, $x^2$-test, t-test, and ANCOV A test with SPSS/Win 10.0 program. Result: The experimental group showed higher scores of a health promotion lifestyle and perceived health status than the control group. In addition, systolic BP, heart rate, body fat and glucose of the experimental group were lower than the control group. Waist flexibility, left hand grip power, back strength and leg strength of the experimental group were higher than the control group. However, there were no significant differences in diastolic BP, total cholesterol and right hand grip power between the two groups. Conclusion: This health promotion program for rural elderly can be recommended as an effective nursing intervention in rural communities.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.10
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• pp.4783-4790
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• 2016

Purpose: Cancer-related fatigue is frequently experienced by patients during and after therapy. The present study was conducted to assess the impact of energy conservation strategies and health promotion in breast cancer survivors. Methods: A randomized controlled trial was carried out to compare the intervention effect (n=69.0) with controls (n=66.0) based on routine oncology ward care. The intervention was five weekly sessions for groups of 6-8 breast cancer survivors. Data on fatigue and health promotion lifestyle were obtained before and after completion the intervention and then 8 weeks later for analysis of variance (ANOVA) with repeated measures. Results: Our findings showed cancer-related fatigue to be reduced in the intervention group from pre- to post-intervention, and this persisted over the 8-weeks follow-up period (F = 69.8, p<0.001). All subscales of the cancer fatigue scale demonstrated statistically significant effects with partial eta-squared values ranging from 0.15 (the smallest effect in cognitive fatigue) to 0.21 (the largest for affective fatigue). Changes in the health promotion life style indicated a significant promotion from pre- to post-intervention, and this again continued after 8-weeks follow-up (F = 41.6, p < 0.001). All six domains of a health promoting life style featured significantly elevated values, the largest effect being seen in the interpersonal relations subscale (F=57.7, partial ${\eta}^2=0.21$, p<0.001) followed by physical activity (F=51.9, partial ${\eta}^2=0.18$, p<0.001). Conclusions: The program was effective in decreasing cancer related fatigue and promoting a healthy lifestyle.

• Journal of Nutrition and Health
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• v.46 no.2
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• pp.156-165
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• 2013

This study examined how achievement of session goals contributes to outcomes of subjects after participation in a 12-week lifestyle intervention program in men with metabolic syndrome (MetS). Thirty office workers with MetS, aged $47.2{\pm}6.6$ years, participated in this study, from March to July, 2011. The intervention program included face-to-face counseling five times during the 12-week period. Counselors and subjects designed session goals for each round. The average of the goal achievement rate was calculated based on compliance for each round. The subjects were divided into three groups according to their tertiles of achievement rate: Low-compliance group (LC, < 59%), medium-compliance group (MC, 59-70%), and high-compliance group (HC, > 70%). Anthropometry, biochemical index, and nutrient intake were examined at baseline and at the end of the 12-week intervention program. After the intervention, diastolic blood pressure (DBP) showed a significant decrease in the LC group, and waist circumference (WC) showed a significant decrease in the MC group. Systolic blood pressure (SBP), DBP, and low-density lipoprotein cholesterol (LDL) showed a significant decrease in the HI group. Changes in SBP and DBP were significantly lower in the HC group than in the MC group (p < 0.05, p < 0.01). Changes in LDL were significantly lower in the HC group than in the MC group (p < 0.05). Results for intake of total energy, protein, fat, and sodium, as well as rates of carbohydrate and fat intake, showed a significant decrease in all participants (p < 0.05). The change in fiber was significantly higher in the HC group than in the MC group (p < 0.05). The change of fruit serving size showed a significant increase in the HC group (p < 0.01). The number of risk factors for MetS showed a significant decrease in the LC and HC groups (p < 0.05), however, no significant mean differences were observed among the three groups. In conclusion, participation in this intervention program resulted in positive effects on risk factors for MetS, nutrient intake, and dietary habits, especially in the High-compliance group.

• The Journal of Korean Academic Society of Nursing Education
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• v.13 no.2
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• pp.177-183
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• 2007

Purpose: The purpose of this study was to investigate the effects of self efficacy, and health related hardiness on a health promoting lifestyle of middle-aged people Method: The study was designed as a descriptive survey study. Data was collected using a structured questionnaire which included general characteristics, measure of self efficacy, health related hardiness, and health promoting lifestyle. Data collection was done between May and August, 2007 with 197 middle-aged participants. Result: The average score of the participants for self efficacy was 34.78, for health related hardiness 57.01 and for a health promoting lifestyle 127.53. There were positive correlations between self efficacy and a health promoting lifestyle, health related hardiness and a health promoting lifestyle, and self efficacy and health related hardiness. The correlations were statistically significant. Health related hardiness was a significant predictors of a health promoting lifestyle. Conclusion: A strategy for improving self efficacy and health related hardiness should be developed and a nursing intervention program should also be provided based on the developed strategy of middle-aged people.

• Research in Community and Public Health Nursing
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• v.11 no.1
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• pp.184-198
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• 2000

This descriptive correlational study was conducted to identify the variables related to a health promoting lifestyle in college female students. Participants were 232 female college student living in chinju city who selected by convenience sampling method. The data were collected by self-reported questionnaires from May to December. 1999. The data were analyzed by using descriptive statistics. pearson correlation coefficient. t-test. ANOVA. Duncan verification and stepwise multiple regression with an SAS program. The result to this study were as follows; 1) The average score of a health promoting lifestyle performance was 97.19, the average score of each item was 2.37. among the each items. self-actualization was obtained the most high score(31.10) and stress management was obtained the low score(14.74). 2) The result of compare health promoting lifestyle performance with related variables was follows; (1) In intervention factor, school lifestyle level showed significant positive correlations with teaching relationship level. (2) In Analysis of relationship of health definition. self-efficacy, perceived health status. and perceived benefit & barriers of health that is recognition-perception factors. health promoting lifestyle performance showed significant positive correlations with health definition (r = .2948. p = .001) and self-efficacy (r= .4587. p = .001). (3) A health promoting lifestyle showed significant positive correlations with school lifestyle(9.9%), family support (12.8%), and relationship with teacher (14.6%). This result indicate that; 1) need to development the health promoting model that suitable to our situation. 2) need to development the health promoting model that include family member and application and test to women. 3) need to development of the health promotion program and health education to women. 4) need to study for find out variables that have a influence to stress management. exercise. nutrition. and health promoting performance with low score in test.

• Journal of Korean Academy of Nursing
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• v.28 no.4
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• pp.992-1002
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• 1998

This study measures the subjectivity(opinions·attitudes)of college women. Identifying the schemata(structure of subjectivity) would be a basic step for the women's health education and the promotion to alternative strategies of women's health nursing. More concretely, these following research questions are focused. 1) The subjective schemata : find out typologies based on the opinions and attitudes toward the health lifestyle. 2) Applications : describe the characteristics of each type. 3) Alternatives : provide suggestion of the promotion to alternative strategies for women's health nursing. Q- Methodological method was used for that purpose. As for the research method, Q-statements were preliminary collected in the study from through in-depth interviews and a literature review. For the study 36 Q-statements were selected. 33 college women were used as subjects for research. The 33 college women sorted the 36 statements using the principle of Forced Normal Distribution. The principle of Forced Normal Distribution, which has nine scales to measure the individual opinions, was called. Q-Factor Analysis by using PC Quanl Program to supply the material. According to the outcomes of this study, there were three categories of special opinions about the health lifestyle in college women. The first type is called Initiatived Health Management Type. The second type is called Social Activity Centered Type. The third type is called Positive Outlook Type. Through the result of this study, the health lifestyle could be identified by 3 types, therefore the nurses needed to understand each women's meaning to health lifestyle so they could develop the appropriate nursing intervention based the typology of the health lifestyle this study explored. Finally, The result of the study will provide clues for developing a nursing interventional program and alternative strategies for the health promotion lifestyle in college women.