• Women's Health Nursing
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• v.7 no.4
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• pp.486-498
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• 2001

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.

• Korean Journal of Community Nutrition
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• v.23 no.4
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• pp.277-288
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• 2018

Objectives: This study was performed to verify the validity and judgment criteria setting of a health status assessment tool based on dietary patterns for middle-aged women. Methods: A total of 474 middle-aged women who visited the Comprehensive Medical Examination Center at Hanmaeum Hospital in Changwon were enrolled (IRB 2013-0005). The validity was verified using clinical indicators for the diagnosis of metabolic syndrome (MS), and it was used to set the criteria for the tool. A logistic regression analysis was performed for validation. The area under-receiver operation (AUC), sensitivity, specificity, and Youden Index were calculated through ROC curve analysis. Statistical analysis was performed by SPSS 21, and p value <0.05 was considered to be statistically significant. Results: The mean score of the group with no MS (73.3 points) was significantly higher compared to the group with MS (65.7 points) (p<0.001). An analysis of the association between the tool scores and risk of MS showed a 0.15-fold reduction in the risk of MS every time the tool's score increased by one point. As the result of the ROC curve analysis, the assessment reference point was set to 71 points, indicating 77.0% sensitivity and 61.0% specificity. Risk of MS was significantly higher in the group with a score of less than 71.0 than a group with more than 71 points (OR=5.28, p<0.001). Conclusions: This study was the first attempt to develop a health status assessment tool based on the dietary patterns for middle-aged women, and this tool has proven its usefulness as an MS assessment tool through the application of middle-aged women in the field of health screening.

• Journal of Korean Academy of Nursing
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• v.36 no.1
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• pp.94-102
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• 2006

Purpose: The purpose of this study was to confirm the effects of a moderate and fast walking exercise program on middle-aged women's fatigue, serum lipids and immunoglobulins. Method: A non-equivalent control group pretest-posttest design was used for this study. The experiment was conducted for 10 weeks from May 17th to July 25th, 2004 with 44 middle-aged women, consisting of 16 for the moderate walking group, 15 for the fast walking group and 13 for the control group. Result: Walking exercise at both a moderate and fast speed was effective in middle-aged women in reducing fatigue and serum lipids. It was also revealed that extended periods of exercise was more effective in decreasing fatigue while for reducing serum lipid, high intensity exercise was more effective. In this study, serum immunoglobulins were reduced after moderate and fast walking exercise but its cause was not fully understood so further research is needed. Conclusion: This study helps us recognize the importance of regular exercise and promotes motivation to exercise for a healthy life among middle-aged women.

• Korean Journal of Adult Nursing
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• v.19 no.3
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• pp.413-421
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• 2007

Purpose: The purpose of this study was to explain the relationship between fatigue and other variables(perceived health status, marital adjustment and stress), and define the main factors influencing fatigue in middle aged women. Methods: Data were collected by self-reported questionnaires from 212 middle aged women. Data analysis was done with the SPSS 11.0 pc+ program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Results: The mean score of fatigue was 2.30(${\pm}0.46$), perceived health status was 2.82(${\pm}0.68$), marital adjustment was 2.86(${\pm}0.44$), and stress was 2.43(${\pm}0.61$). There were significant correlations between fatigue and the other variables(r=.56-.21, p=.00). The major factors that affect fatigue in middle aged women were stress, perceived health status, and marital adjustment, which explained 35.2% of fatigue. Conclusion: These variables have an effect on middle aged women's fatigue. Therefore, these findings can provide the basis for the development of nursing interventions to manage fatigue.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.10 no.1
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• pp.78-86
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• 2003

Purpose: The purpose of this study was to investigate the relationship between self concept and the climacteric symptoms in middle-aged women. Method: From a convenience sample of 123 women between 40 and 59 years of age living in P-city data were collected using a structured questioanaire. It included a self concept scale and climacteric symptom scale. With spss/pc(+), data were analyzed using descriptive statistics, t-test, ANOVA and Pearson's correlation coefficients. Result: 1 The mean score for self concept was $108.73{\pm}16.24$. 2. The variables that influenced the self concept of middle-aged women most were 'health state' and 'marriage satisfaction'. They were statistically significant at the .01 level. 3. The mean score for climacteric symptoms was 3.13. Of psychophysical, physical and psychological symptoms the scores for psychophysical symptoms were the highest. 4. There were significant negative correlations between self concept and climacteric symptoms (r=-.333, p=.000). Conclusion: This study suggests that positive self concept can reduce climacteric symptoms in middle-aged women.

• Korean Journal of Adult Nursing
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• v.26 no.2
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• pp.181-190
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• 2014

Purpose: This study was to identify the impact of spiritual wellbeing and social support on the depression among middle-aged women. Descriptive study design was used. Methods: The subjects completed the structured questionnaires: the 'Spiritual Well-being Scale', developed by Paloutzian & Ellison, 'the Social Support Scale' developed by Park, and 'the CES-D Scale' developed by Radloff. Data were collected from 216 middle aged women in B metropolitan city and J city. The data were analyzed using t-test, ANOVA, Scheff$\acute{e}$ test, Pearson's correlation coefficients, and multiple regressions. Results: Participants with higher depression had lower scores for spiritual wellbeing (r=-.57, p<.001) and lower scores for social support (r=-.49, p=.011). The influencing factors on depression were spiritual wellbeing, social support, and utilization of spare time. These variables were explained 46% of the variance in depression. Conclusion: The depression of the middle-aged women can be reduced when spiritual wellbeing and social support are improved. Therefore, we suggested to develop nursing intervention programs in order to improve spiritual wellbeing and social support of middle-aged women for reducing their depressions.

• Research in Community and Public Health Nursing
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• v.15 no.4
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• pp.577-586
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• 2004

Purpose: This study is to examine the effect of a health promoting education program for middle-aged women. Methods: Health promoting education program: The subject group consisted of 116 women between 40 and 60 years of age. Three 12-week sessions consisted of a 90 minute class each week, from March 14th to November 14th, 2003. Pre- and post-education tests were collected after each session. The data was collected using structured questionnaires before and after the education sessions. Data were analyzed employing descriptive statistics, paired t-test with SPSS/PC (10.0 version) program. Results: There were significant changes in health promoting behavior, but no significant changes in the self-efficacy and the knowledge of health management. Conclusion: This study showed that a health promoting education program has partially positive effects for middle-aged women. Based on this study, a continuous education program through a community health center is needed for middle-aged women's health.

• Journal of Korean Academy of Nursing
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• v.32 no.5
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• pp.694-705
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• 2002

The purpose of this study is to describe the health behavior experience of middle-aged Korean women in rural areas, and to help understand their health practice, perceive their nursing needs and provide guidelines to developing appropriate nursing interventions. Method: The participants were 18 healthy middle-aged women living in rural areas, with no serious illness that require hospitalization. The data was collected through interviews and participant observation, analyzed by the grounded theory methodology of Strauss & Corbin(1997). The data collection period was from April to November of 2001. Result: Depending on the paradigm model, the central phenomenon was family-oriented pursuing of yangsaeng. The causal condition was less confidence on one's own health, responsibilities in caring for family. The contexts were cultural system. The intervening condition was information system, support system, limitation of approaching a medical institution. The action/ interaction strategies were yangsaeng through dietary practice, yangsaeng through promoting clothing and housing, yangsaeng through exercise, practice of folk therapy, yangsaeng through mental hygiene, and use of medical institution. The consequences were stabilization of body and mind, and stabilization of family. Conclusion: It is recommended for nurses to understand health behavior experience of middle-aged women, and provide nursing intervention with theoretical scheme and practical principles so that these women can pursue the family-oriented process of yangsaeng.

• Journal of Korean Academy of Nursing
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• v.30 no.3
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• pp.606-618
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• 2000

The purpose of this study was to identify the level of Symptoms of Stress, Stress Reaction, Health Promoting Behavior, and Quality of Life in Korean Immigrant Middle Aged Women. The subjects of this study were 33 middle aged women who live in Seattle, Washington, U.S.A. Data collection was performed at the U.W from Oct. 1998 to May. 1999. Data collection time was one hour and data was collected through 4 types of questionnaires : SOS, Health Promoting Behaviors, Quality of Life and Demographic data form, and the Physiologic Stress Profile was collected by J&J I-410 biofeedback equipment. The data was analyzed by descriptive statistics and the pearson correlation coefficient using the SAS program. The results of this study are as follows: 1. The level of physiological stress reaction and stress symptoms showed high level and quality of life showed low in general. 2. The Stress Reaction and Symptoms of Stress showed significant negative correlation with health promoting behavior, quality of life in the middle aged women. 3. The health promoting behavior showed significant positive correlation with quality of life in the middle aged women. In conclusion, the physiological stress reaction, symptoms of stress, and health promoting behavior were major influencing factor to quality of life in Korean Immigrant Women. From the results of the study, the following recommendations are presented as follow: 1. It is suggested that the study for developing the health promotion program focused on stress self-regulation for Korean immigrant women. 2. It is suggested that the comparative study for Korean immigrant women and Women in Korea. 3. It is necessary to broaden the scope of nursing practice for middle aged healthy women, so nurses can include a health promotion program focused on stress self-regulating as part of nursing care.

• Journal of the Korean Society of Food Culture
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• v.33 no.1
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• pp.1-10
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• 2018

Sustainable meal management at home will be affected by the lifestyle of the housewife. This study examined the lifestyle of middle aged women and identified their practice levels of sustainable meal management at home. A total of 438 women, aged 35 to 59, managing the family's dietary life at home and living in Seoul, Gyeonggi Province, Daejeon, and Chonnan area participated in the survey. The middle aged women showed a higher performance level of hygiene-oriented (4.15) and health-oriented dietary life (3.59), but a less convenience-oriented dietary life (2.57). Based on their lifestyle, 3 clusters were extracted: Low-interest dietary life meal manager, health and quality pursuit meal manager, and convenience and eating-out pursuit active meal manager. Among them, the cluster of health and quality pursuit meal manager showed the highest sustainable practices in 7 dimensions of sustainable practices in the home except for the saving practices (p<0.001). The criteria suggested from the study can be applicable to the guidelines of sustainable meal management at home. The study can also be helpful for educators to identify the education themes for improving housewife's sustainable meal practices, having different lifestyle and sustainable meal practices.