• Journal of Korean Academy of Nursing
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• v.37 no.1
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• pp.72-80
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• 2007

Purpose: This study was to analyze the trend of research on intervention for patients with metabolic syndrome. Method: Using Pubmed, Medline, and CINAHL search engines, a randomized controlled trial(RCT) researching titles such as 'metabolic syndrome', 'intervention', 'lifestyle modification', or 'community-based' were collected. A total of 16 researches were analyzed based on the guidelines of the National Cholesterol Education Program - Adult Treatment Panel(NCEP-ATP III). Results: 1) The total period of the intervention was from 12 to 24 weeks, the frequency was 3 to 5 times per week, and the duration of each session was from 45 to 60 minutes. The types of intervention included exercise, diet, and medication. Among these types, diet was performed most frequently. 2) The outcomes of the intervention was measured with physical aspects such as anthropometric measures, body composition, or biological markers. No studies have evaluated psychosocial outcomes such as quality of life. 3) In terms of effectiveness of the intervention, anthropometric indicators, body composition, or serological markers showed positive effects, whereas results on endothelial or urine indicators were inconsistent. Conclusion: Methodological research developing comprehensive therapeutic lifestyle modification programs and intervention studies are needed for patients with metabolic syndrome. In addition, effects should be evaluated with multidimensional perspectives.

• Research in Community and Public Health Nursing
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• v.20 no.3
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• pp.307-315
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• 2009

Purpose: This study was done to assess the effects of a self-help intervention on clinical, lifestyle and psycho-social outcomes in patients with Type II diabetes. Methods: Eligible adults with Type II diabetes were randomly assigned to either the intervention group receiving the diabetes self-help or the control group receiving usual care. Of the 36 patients who completed the study, 15 were in the intervention group and 21 were in the control group. The self-help group consisted of six weekly sessions covering aspects of diabetes self-care and using continuing education, discussion, and structured social activities. Outcomes included changes in glycemic control, knowledge, self-management behaviors, diabetes-related self-efficacy, and health-related quality of life. Analysis of covariance was used to compare outcomes between the groups, adjusting for baseline measures. Results: After the six week intervention, significant improvements from the baseline were observed in the measurements of self-management behaviors, diabetes-related self-efficacy, and health-related quality of life for the intervention group. Conclusion: The findings provide preliminary evidence that a diabetes self-help group intervention can benefit diabetes patients in self-management behaviors, diabetes-related self-efficacy, and health-related quality of life. However, larger longitudinal studies are needed to determine the most efficacious self-management methods to sustain long-term glycemic control and psychological well-being.

• Women's Health Nursing
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• v.6 no.4
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• pp.606-618
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• 2000

The purpose of this study was to provide basic data for developing a nursing intervention for climacteric women by describing a health promoting lifestyle. Also this study identified the relationship between self-efficacy and family function which are factors affecting the health promoting behaviors. The subjects of this study were 143 women from 40 to 59 years of age. The data was analyzed using SPSS program for t-test, ANOVA, and Pearson's correlation coefficients. The results of the study are as follows; 1. The average score of performance in the health promoting lifestyle was 2.82. The variable with the highest degree of performance was the sanitary environment and reconciliatory relationship(3.31), whereas the one with the lowest degree was the professional health maintenance(2.27). The average score of self-efficacy was 71.44, family function was 68.50, and menopausal symptoms was 60.30. 2. There was a statistically significant difference in performance in health promoting lifestyle according to satisfaction of marital life. Also there was a significant difference between self-efficacy, religion, and family function. 3. Performance in the health promoting lifestyle was positively related to self-efficacy, and family function and negatively related to menopausal symptoms. Self-efficacy was positively related to family function. In conclusion, performance in health promoting lifestyle was related to self-efficacy, family function and menopausal symptoms. These factors were affected by religion, family type, and satisfaction of marital life. Therefore, health promoting programs to increase climacteric women's health should be a planed program based on results of this study.

• The Journal of Korean Academic Society of Nursing Education
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• v.18 no.2
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• pp.343-352
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• 2012

Purpose: The purpose of this study was to identify the factors influencing Health Promotion Lifestyle Profile of women college students. Methods: The sample consisted of 248 women college students in P city. Self report questionnaires were used to measure the variables. In data analysis, SPSSWIN 20.0 program was utilized for descriptive statistics, Pearson's correlation coefficients, and regression analysis. Results: The mean score for Health Promotion Lifestyle Profile was 2.27. In the the highest subcategories, the highest degree of performance was interpersonal relationships and the lowest degree was health responsibility. Health Promotion Lifestyle Profile was significantly different according to religion (F=3.48, p=.017), economic state(F=3.01,p=.031), perceived health state(F=8.07, p<.001), exercise frequency (F=16.02, p<.001), and self-rated knowledge about health (F=21.08, p<.001). In regression of analysis, perceived health state, exercise frequency, and self-rated knowledge about health were significant predictors explaining 30.5%. Conclusion: This study suggests that perceived health state, exercise frequency, and self-rated knowledge about health are significantly influencing factors in Health Promotion Lifestyle Profile in women college students. Therefore, the strategies of nursing intervention which improve these variables must be developed for women college students.

• Women's Health Nursing
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• v.3 no.2
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• pp.157-179
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• 1997

The purpose of this study is to provide a basis for nursing intervention strategies to enhance health promoting practice that are constructive to a healthy lifestyle. Data were collected through self-reported questionnaires from 281 middle-aged women living in Seoul, Kyeung ki, Taegu, Kyeung pook, and Kyeung nam from July to September 1997. The following instruments were used in the study after some adaption : scale of perceived health status, self-esteem, perceived benefits, family hardiness index, purpose in life, Walker and other health promoting lifestyle profiles. The data were analyzed, by t-test, ANOVA Scheffe's Pearson's correlation & stepwise multiple regression, by using the SAS program. The results are as follows : 1) The average score for the health promoting lifestyle was 2.65. In the sub-categories, the highest degree of practice was self-actualization (2.91), and in the lower degree was health responsibility (2.13). 2) In the relation ship between social demographic and health promoting lifestyle there were significant differences ineducation, occupation, economic status, and type of family. 3) There is a significant correlation between perceived health status, self-esteem, perceived benefits, family hardiness index, existential vacuum and total & subcategory health promoting lifestyles. 4) Existential vacuum was the highest factor predicting a health promoting lifestyle for middle-aged women (38.0%). 5) Existential vacuum, commitment and self-esteem accounted for 45.9% of the total variance.

• Research in Community and Public Health Nursing
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• v.9 no.1
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• pp.30-39
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• 1998

The purpose of this study was to identify the factors influencing health promoting lifestyle of teachers and to provide the data for efficient health management of teachers. The subjects of this study were eight hundred nine teachers, who were chosen in Choong-Buk province. Survey Questionaires for data analysis were collected through visiting or mailing from September 1 to 30, 1997. The instruments used in this study were HPLP(Health Promoting Lifestyle Profile) by Walker (1987), Internal Health Locus of Control by Walston et al. (1978), Self Esteem by Rogenberg(1965), Importance of Health by Muhlenkamp (1985), Self Efficacy by Sherer & Maddux(1982), and Family Function by Olson & Schellenberg (1985). Data were analyzed by descriptive statistics, unpaired t-test, ANOVA, Pearsons correlation coefficient and stepwise multiple regression using SPSS/PC(v. 4.01) program. The results were as follows; 1. The mean of health promoting lifestyle was total 2.53 on the average, self-actualization 2.97, nutrition 2.90, interpers 52, stress management 2.33, exercise 1.91, and health responsibility 1.82 in order. The index of total health promoting lifestyle was significantly influenced by the factors including sex, age, religion, marital status, duration of work, teaching load, education level and number of family members. 2. The health promoting Lifestyle was significantly positive correlated with Self Efficacy, Family Function, Importance of Health, Internal Health Locus of Control and Self Esteem. 3. Self Efficacy was the most influential determinant predicting health promoting lifestyle of teachers. Self efficacy, Family Function, Importance of Health, Internal Health Locus of Control and Age explained 42% of the health promoting lifestyle. Based on the above findings, it is suggested to develop nursing intervention to improve Self Efficacy, Importance of Health, Family Function of teachers enhance health promoting lifestyle. Further studies are needed to confirm these findings and to determine factors which significantly influence health promoting lifestyle of teachers.

• Journal of the Korean Society of School Health
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• v.19 no.1
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• pp.67-78
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• 2006

Purporse : The purpose of this study was to examine the relationship between a health promoting lifestyle and body composition in university students. The study subjects were 194 university students who attended K-university located in Chungnam. Methods : The data was collected between March 2 and May 31, 2004. The instrument used for this study was the modified Health Promoting Lifestyle Profile(HPLP) developed by Walker, Sechrist, & Pender(1987). The body composition was measured by In Body 3.0, a Bioelectrical Impedance Analyzer. The data was analyzed using the SPSS/WIN 10.0 program by t-test, ANOVA and pearson correlation coefficients. Results : The results of this study are as follows: 1) The scores of the Health Promoting Lifestyle(HPL) ranged from 79 to 170, with a mean score of 110(±15.8). The mean scores of sub-categorical HPL were self-actualization 31.8(±4.9), health responsibility 17.0(±4.0), exercise 8.3(±3.2), nutrition 15.4(±3.7), interpersonal relationships 20.3(±3.5) and stress management 17.2(±3.4). 2) The HPL according to the subjects' general characteristics had significant correlation to exercise amount(F=8.09, p＜.01), drinking amount(F=6.56, p＜.01), perceived health status(F=19.2, p＜.01) and perceived health knowledge (F=15.9, p＜.01). 3) The total HPL did not significantly correlate with any categories in body composition. The exercise area of sub-categorical HPL had significant positive correlation to height (r=.199, p＜.01), weight(r=.181, p＜.05) and soft lean mass(r=.257, p＜.01), and negative correlation to percent body fat(r=-.255, p＜.01) in body composition. Conclusion : The results suggest that the exercise area of sub-categorical HPL was an important variable for an exercise program's development such as nursing intervention for the health promotion of university students.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.20
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• pp.8809-8814
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• 2014

The objective of this paper is to present the implementation and process evaluation of the first computer tailored program for smoking cessation among Romanian smokers. The program targeted adult smokers who declared the intention to quit smoking in the next six months. The intervention consisted of a letter tailored to several respondent characteristics: gender, cognitive variables (attitude, social influence, and self-efficacy), intention to quit smoking, goal and relapse prevention strategies (action and coping plans), and smoking behaviour. The first 80 participants entered into the program filled in a process evaluation questionnaire one month after the intervention. The results of our study confirmed that the participants had read and remembered the letter. Moreover, new for Romania, this approach was positively appreciated by the participant and the score received for the tailored letter was high. The opinions of the participants confirmed that the tailored letter provided information that was useful, trustworthy and relevant for the individual. At the same time, the participants appreciated the polite, easy to understand content of the letter. These data underlined the premises for continuing the program and for using the information and communication technologies for healthy lifestyle promotion among Romanian population.

• Research in Community and Public Health Nursing
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• v.14 no.2
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• pp.200-210
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• 2003

Purpose: This quasi-experimental study was performed to investigate the effects of a health promotion program(HPP) on self-efficacy, healthy lifestyle and blood lipid profile in employees with hyperlipidemia. Methods: The subjects were forty-three employees who were diagnosed as having hyperlipidemia during routine health examination at two worksites in Seoul in 2001. Of the forty-three subjects, thirty were allocated to the experimental group and the remaining thirteen were allocated to the control group. Data were collected from September 24, 2001 to March 16, 2002. The HPP was applied to the experimental group for 11 weeks and included health education, diet counseling, watching videos, conference, and so on. The health education included information about exercise, smoking cessation, and abstinence from drinking alcohol and seven sessions of hyperlipidemia education. The experimental group was requested to keep a daily health promotion lifestyle diary. This diary was analyzed by a dietician and subjects were instructed based on the results. As for data analyses, wilcoxon signed rank test and wilcoxon rank sum test and x2-test were carried out using SAS program. Results: 1. Self-efficacy scores of the experimental group were significantly more increased than those of the control group (experimental: 5.86 10.80, control: -4.04 11.91, p=0.018). 2. Healthy lifestyle scores of the experimental group were significantly more increased than those of the control group (experimental: 0.19 0.26, control: -0.05 0.29, p=0.024). 3. Blood total cholesterol values of the experimental group were significantly more decreased than those of the control group (experimental: -13.07 30.10mg/dl, control: 10.00 26.57mg/dl, p=0.033). 4. Blood triglyceride values of the experimental group were significantly more decreased than those of the control group (experimental: -29.17 192.40mg/dl, control: 63.31 107.53mg/dl, p=0.050). Conclusion: These findings indicate that the HHP could be effective in improving self-efficacy, healthy lifestyle and blood HDL cholesterol and decreasing blood total cholesterol in employees with hyperlipidemia. Therefore, the HHP could be suggested as an effective nursing intervention for employees in the worksite by ultimately preventing cerebral and cardiac vessel complications related to hyperlipidemia.

• Korean Journal of Occupational Health Nursing
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• v.7 no.1
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• pp.47-54
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• 1998

The purpose of this study was to identify the factors affected with health promoting lifestyle of teachers to provide the data for efficient health management of teachers. The subjects of this study were 809 teachers, who were chosen in Choong-Buk province. Data were collected by written questionnaires by mail and visiting from September 1 to 30, 1997. Data was analyzed by descriptive statistics, t-test, ANOVA using SPSS/PC(v.4.01) program. The results are as follows; 1. The mean scores of Health Promoting Lifestyle was 2.53 on the average, self-actualization 2.97, nutrition 2.90, interpersonal relationship 2.52, stress management 2.33, exercise 1.91, health responsibility 1.82. Total Health Promoting Lifestyle was significantly different by sex, age, marital status, career, teaching load, monthly income education, number of children. 2. Income was the factors affect with self-actualization, age, marital status, teaching load, number of children, career, education, income were the factors significantly affect with Nutrition. Sex, marital status were the factors affect with stress management, sex, age, career were the factors affect with exercise, and sex, age, marital status, career, teaching load, income, education, number of children were the factors affect with health responsibility. 3. Marital status, sex, age, income, number of children, living with family were the factors significantly affect with Family Function. 4. Sex affected with Self Efficacy. The above findings indicate the need to develop nursing intervention to improve Self-Efficacy, Family Function to improve Health Promoting Lifestyle. Further studies are needed to confirm these findings and to determine factors which significantly influence Health Promoting Lifestyle of teachers.