• 한국노년학
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• v.28 no.4
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• pp.1201-1212
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• 2008

This study was conducted to find the relation among perceived health status, self-esteem, self-efficacy, and social support related with the health behavior in the aged, and to ascertain the factors which affect the health behavior in the aged. For this study, 271 old men and women were surveyed from June to July, 2008, who lived in Daejeon and Chungnam province, and were 65 years old and over. As a result, it was surveyed that the old having their religious beliefs were good in health behavior, and the old who had a spouse and a high level of education were good in health status. And also, old women had a higher self-efficacy than old men, and the old who had a high level of education had a higher self-efficacy than those who didn't. Among the subjects of this study, there was a significant correlation between the health behavior in the aged and perceived health status, self-esteem, and self efficacy, and one between perceived health status and self-esteem, and self efficacy. And also, there was a significant correlation between self-esteem and self efficacy. Self-esteem was confirmed as the important variable which affected the health behavior of the aged. The limitations, implications of this study and future tasks for the old were discussed.

• Asian Oncology Nursing
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• v.12 no.2
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• pp.156-165
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• 2012

Purpose: This study was to identify predictors of sexual function in gynecologic cancer patients. Methods: The participants were 154 patients treated at a university medical center in A city, Korea. The data collection was performed through a structured questionnaire from July to December, 2010. The instruments used in this study were Female Sexual Function Index (FSFI) perceived health status scale, Eastern Cooperative Oncology Group (ECOG) performance status, body image, and depression. Data were analyzed using descriptive statistics, Mann-Whitney test, Kruskal-Wallis test and stepwise multiple regression with the SPSS 18.0. Results: The mean score of perceived health status was 8.42 and sexual function was 8.42. The lowest score among sexual function was lubrication. The scores of sexual function was significantly different by age, job, marital status, period after diagnosis of cancer and diagnosis. There were significant correlations between sexual function, perceived health status, ECOG performance, body image and depression. In multiple regression analysis, predictors were identified as ECOG performance, age, diagnosis and period after diagnosis of cancer (Adj.$R^2$=.28). The most powerful predictor of female sexual function was ECOG performance (19.0%). Conclusion: The above findings indicate that it is necessary to develop a more effective and personalized sexual function improvement program for gynecologic cancer patient.

• Journal of Korean Academy of Nursing
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• v.40 no.5
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• pp.695-704
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• 2010

Purpose: This study was done to develop a model which explains factors influencing health promotion behavior in women who immigrate to Korea for marriage, and to verify the appropriateness of the model. Methods: The participants were 300 women who immigrate to Korea for marriage and settled in located in Jeonbuk Province, Korea. The data were collected with self-report questionnaires from October 10, 2007 through November 10, 2007. A total of 271 data sets were analyzed using the SPSS/WIN 12.0 and Amos 7.0 version. Results: Immigrant women's social support, self-efficacy, perceived health status, acculturation, and perceived barrier had an impact on their health promotion behavior. Social support was the most influential factor. All of these variables together explained 49% of the variance in health promotion behavior in immigrant women married to Korean men. Conclusion: In order to increase the health promotion behavior in immigrant women, intervention strategies to increase social support and self-efficacy for immigrant women should be developed.

• Research in Community and Public Health Nursing
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• v.22 no.1
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• pp.22-32
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• 2011

Purpose: The purposes of this study were to examine the level of anger, anger expression, depression, psychosomatic symptom and perceived health status, and to identify the influencing factors of anger expression in shelter residents. Methods: This study employed a descriptive correlational design. Data were collected from 407 homeless people residing at 27 shelters using structured instrument. Results: The level of anger expression was different by age, educational level, existence of children, and duration of shelter residency. Anger expression was significantly correlated with depression, psychosomatic symptoms and perceived health status. The predictors of high-level anger expression was younger age, low educational level, duration of shelter residency in Model 1 (F=6.884, p<.001, Adj. $R^2=.065$, and depression and psychosomatic symptoms in Model 2 (F=7.197, p<.001, Adj. $R^2=.113$. Conclusion: This study suggested that the homeless in the shelters had various psychological vulnerabilities, and therefore more individualized programs based on their needs and psychological health status should be provided for the homeless.

• Korean Journal of Health Education and Promotion
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• v.30 no.1
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• pp.27-39
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• 2013

Objectives: The purpose of the study was to test a model of physical activity of elderly living in Korea, determine significant factors contributing the physical activity, and examine significant paths in the model. Methods: A cross-sectional study was conducted using a convenience sample of 207 elderly men and women, aged 60 and older, residing in Busan Metropolitan City. Data were collected from July to August 2009 and analyzed using Predictive Analytics Software (PASW) and Analysis of a Moment Structures (AMOS). Results: The fitness of the modified model was confirmed to be appropriate (${\chi}^2$ = 55.61, ${\chi}^2$/df = 1.32, p = .078, RMSEA = .04, GFI = .96, AGFI = .91, NFI = .90, NNFI = .94, CFI = .97, PNFI = .48). The elder's age, previous exercise behavior, and self-efficacy were significant in explaining the variance in their physical activity. We found that (a) perceived health status, perceived benefits, perceived barriers, and social support directly affected self-efficacy; (b) previous exercise behavior and perceived health status directly affected perceived benefits; (c) previous exercise behavior directly affected perceived barriers; and (d) and education level, extent of pocket money, and economic level directly affected social support. Conclusions: The younger the age, the more previous exercise experience, and the higher the self-efficacy, the more S. Korean elders demonstrated improved physical activity.

• Journal of Korean Public Health Nursing
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• v.33 no.1
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• pp.123-135
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• 2019

Purpose: The purpose of this study was to identify the factors of the health promotion behavior of child care center teachers. Methods: This study conducted a survey of 200 child day care center teachers in Seoul from January to February, 2017. This study examined the actual condition of health promotion behavior, perceived health status and the determinants of health promotion behavior of child care center teachers. Results: The factors affecting the health promotion behaviors of the child care teachers were age, working time, perceived benefit, barrier, and social support. Conclusion: These findings suggest that it is necessary to develop and apply a health promotion program for child care teachers.

• Journal of Korean Public Health Nursing
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• v.22 no.1
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• pp.18-26
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• 2008

Purpose: To assess the health status and health behavior characteristics of immigrant women married to Koreans. Method: A descriptive research design was employed. Fifty female marriage immigrants who were clients of the visiting health program at W public health center were recruited. After full consent, direct interview with a structured questionnaire and physical measurements were conducted by visiting health nurses. Descriptive statistics were utilized. Results: All of the subjects showed normal blood sugar. 25.7% of them exhibited extreme body weight condition of either obesity or low body weight by BMI. 36.4% had pre-hypertension stage and 15.9% had first stage of hypertension. Only two of the women had been diagnosed with hypertension and treated by a doctor. Almost all (95%) of them perceived their general health status as good or moderate. Most of them did not exercise, smoke or drink. Regarding dental care, no subject brushed before lunch. and only one did between meals. About 30$\sim$60% of subjects had undergone health screening. Conclusion: Health education is needed for immigrant women married to Koreans to enhance their health behavior, prevent life style disease and improve their health.

• Journal of Preventive Medicine and Public Health
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• v.52 no.6
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• pp.405-415
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• 2019

Objectives: The aim of this study was to evaluate the associations of frailty with perceived neighborhood walkability and environmental pollution among community-dwelling older adults in rural areas. Methods: The participants were 808 community-dwelling men and women aged 65 years and older in 2 rural towns. Comprehensive information, including demographics, socioeconomic status, grip strength, polypharmacy, perceived neighborhood environment (specifically, walkability and environmental pollution), and frailty, was collected from participants using face-to-face interviews conducted between June and August 2018. Perceived neighborhood walkability was measured using 20 items that were selected and revised from the Neighborhood Environment Walkability Scale, the Neighborhood Walkability Checklist from the National Heart Foundation of Australia, and the Physical Activity Neighborhood Environment Survey. The Kaigo-Yobo Checklist was used to assess participants' frailty. Results: The overall prevalence of frailty in this community-dwelling population was 35.5%. Sex, age, cohabitation status, educational attainment, employment status, grip strength, and polypharmacy were significantly associated with frailty. In the logistic regression analysis, frailty was associated with low perceived neighborhood walkability (adjusted odds ratio [aOR], 0.881; 95% confidence interval [CI], 0.833 to 0.932; p<0.001) and severe perceived neighborhood environmental pollution (aOR, 1.052; 95% CI, 1.017 to 1.087; p=0.003) after adjusting for sex, age, cohabitation status, educational attainment, employment status, monthly income, grip strength, and polypharmacy. Conclusions: More studies are warranted to establish causal relationships between walkability and environmental pollution and frailty.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.8 no.2
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• pp.210-219
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• 2001

Purpose: To examine the effects of the GEAP on pain, fatigue, self-esteem, perceived health status and self-efficacy in patients with chronic arthritis. Methods: One group Pre- & post-test design was used. Outcome domains included pain, number of painful joints, fatigue, self-esteem, perceived health status and self-efficacy. Thirty-four patients were recruited over four times from a rheumatic clinic affiliated to a university medical center in Seoul, Korea The GEAP is an exercise program modified by the investigators from PACE program which developed by Arthritis Foundation. The program duration is about 60 minutes, three times a week for 6 weeks. Participants were predominantly women (68%) ; on average 57.3 years old; and diagnossed with RA (58.8), osteoarthritis (29.4) or other (11.8). Results: After completing the GEAP, subjects showed significant improvement in pain (p=.02), number of painful joints (P= .04), fatigue (p= .0001), and perceived health status (P=.006). There were no improvements in self-esteem and self-efficacy score for adults with chronic rheumatic diseases. Conclusion: This study showed that the GEAP is an effective exercise intervention for improving outcomes for patients with chronic arthritis. More sample and research are needed to 1) accurately evaluate on self-esteem and self-efficacy; 2) understand and improve adherence. And also a longer follow up period is recommended to evaluate long-term effects of the PACE program.

• 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.