• Journal of Korean Academy of Fundamentals of Nursing
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• v.5 no.2
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• pp.353-361
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• 1998

The purpose of this study was to determine the predictors of health promoting behavior in postpartal $4{\sim}6$ week women. The sample consisted of 104 postpartal women who experienced a vaginal delivery at four obstetrical clinics located in Kwangju city. Data were collected for two months from June 1 to July 30, 1997. Analysis of the data was done by use of percentage, t-test, ANOVA, Pearson's Correlation Coeficients, and Stepwise Multiple Regression. The results of this study were summarized as follows : 1. The range of total HPLP score was from 93 to 182 and the mean score of that was 142.28. In comparison of mean scores defending on each item of six demensions, self-actualization demension tended to showed hightest score(3.33) and exercise & rest demension, the lowest score(2.47). 2. The HPLP score was not significantly different defending on the general characteristics. 3. The HPLP score showed a positive correlation with family-support(r=.51) and self-efficacy(r=.41), but a inverse correlation with perceived barriers(r=-.27). 4. By using stepwise multiple regression analysis it was determined that the main influencing factors on the HPLP score were family-support(26%) and self-efficacy (8%). These variables made it possible to explain 34% of variance in HPLP score.

• 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.

• Women's Health Nursing
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• v.7 no.3
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• pp.317-330
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• 2001

This study was undertaken in order to examine the relationship of control, perceived health status, self efficacy, social support, and demographic characteristics to health promoting lifestyle of nursing students, and to determine factors affecting health promoting lifestyle of nursing students. The subjects were 270 students of a single university in Busan. The instruments used for this study was a survey of general characteristics, health promoting lifestyle (47 items), control(8 items), perceived health status(6 items), self-efficacy(17 items), and social support(18 items). Data analysis was done by use of mean, percentage, t-test, ANOVA, Pearson Correlation coefficients and stepwise regression with a SPSS PC+ program. The results of this study are as follows : 1) The average item score for the health promoting lifestyle was less than 2.43. In the sub-categories, the highest degree of performance was interpersonal relationships (2.94) and the lowest degree was health responsibility(1.93). 2) Students who were older and higher scores in health responsibility and interpersonal support subscale. Students who had higher grade had higher scores in health support subscale. Students who had experienced disease had higher scores in health responsibility subscale. Students who had experienced exercise had higher scores in health responsibility, exercise and nutrition subscale. 3) Significant correlation between control and self-efficacy, self-efficacy and social support was found. 4) Significant correlations was found between most of the subscales and total health promoting lifestyle. 5) Social support revealed significant correlations with total health promoting lifestyle and all subscales of health promoting lifestyle. Control revealed significant correlations with total health promoting lifestyle and self actualization and health responsibility. Perceived health status revealed significant correlations only with the exercise and nutrition subscale. Self-efficacy revealed significant correlation with the total health promoting lifestyle and all subscales of health promoting lifestyle except exercise and nutrition, stress management subscale. 6) Social support was the highest factor predicting health promoting lifestyles of nursing students(31%). Social support, excercise self-efficacy and control accounted for 35% in health promoting lifestyle of nursing students.

• Journal of Korean Academy of Nursing
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• v.47 no.2
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• pp.242-256
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• 2017

Purpose: This study was done to clarify attributes, antecedents, and consequences of spirituality. Methods: Rodgers's evolutionary concept analysis was used to analyze fifty seven studies from the literature related to spirituality as it appears in systematic literature reviews of theology, medicine, counseling & psychology, social welfare, and nursing. Results: Spirituality was found to consist of two dimensions and eight attributes: 1) vertical dimension: 'intimacy and connectedness with God' and 'holy life and belief', 2) horizontal dimension: 'self-transcendence', 'meaning and purpose in life', 'self-integration', and 'self-creativity' in relationship with self, 'connectedness' and 'trust' in relationship with others neighbors nature. Antecedents of spirituality were socio-demographic, religious, psychological, and health related characteristics. Consequences of spirituality were positive and negative. Being positive included 'life centered on God' in vertical dimension, and among horizontal dimension 'joy', 'hope', 'wellness', 'inner peace', and 'self-actualization' in relationship with self, 'doing in love' and 'extended life toward neighbors and the world' in relationship with others neighbors nature. Being negative was defined as having 'guilt', 'inner conflict', 'loneliness', and 'spiritual distress'. Facilitators of spirituality were stressful life events and experiences. Conclusion: Spirituality is a multidimensional concept. Unchangeable attributes of spirituality are 'connectedness with God', 'self-transcendence', 'meaning of life' and 'connectedness with others nature'. Unchangeable consequences of spirituality are 'joy' and 'hope'. The findings suggest that the dimensional framework of spirituality can be used to assess the current spiritual state of patients. Based on these results, the development of a Korean version of the scale measuring spirituality is recommended.

• Journal of Korean Public Health Nursing
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• v.9 no.2
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• pp.80-91
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• 1995

This Study was conducted to describe relatioship between health promoting behaviors and Self-efficacy of 427 Students during the period form June 1. 1994 to June 30. 1994. The research Scale used Kim and Choe's (994) that was modified Sheredr and Maddux's (1982) Self-efficacy measurement scale. Data was. analysed by SPSS-PC program. and reavealed to percentage. t-value. F-value and Pearson's correlation coefficency. 1. The general characteristics of subjects was that men $55\%$. average age 22.5years old. There are the most highest destribution in religion. abscence $52.2\%$. and in residence. own house $49.9\%$ There are 129 subjects $(30.2\%)$ regularity exerciseed now. and 46 subjects $(35.7\%)$ exercise time was above 30 mins below 1 hour. There are 78 subjects $(60.5\%)$ above 4 times per weeks the most highest distribution in exercise times. 2. Health promoting behaviors score of subjects was 94.287 (2.548) and self-efficacy was 967.63 (69.12) 3. There are statistically significant difference in health promoting behavior score according to sex. sibling number. residence place (p<.05). In the subconcept of health promotion lifestyle profile (HPLP). there was the more higher score in men than women for self actualization (t=2. 67. p=.008). exercise(t=5.92. p=.000). There are statistically significant difference in nutrition according to sibling number (F=3.05. p=0.01). resident place (F=2.93. p=0.02). and in interpersonal support according to religion (F=2.88. p=0.02). 4. In the Self-efficacy score. there was statistically significant difference according to sex (t= 5.88. p=.000). 5. There was postive correlation between health promoting behavior and self-efficacy (r=.43. p=.000). On the basis of this result. I hope that develp Korean type health promoting behavior scale to understand health promotion for people. and nursing intervention method to improve health promoting behavior through increasment of Self-efficacy.

• Journal of Korean Public Health Nursing
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• v.16 no.2
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• pp.285-303
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• 2002

This descriptive correlational study was conducted to identify the variables related to a health promoting behavior in nursing students. 238 nursing students were selected by a convenience sampling method. The data were collected by self - reported questionnaires from 12 to November 19, 2001. The data were analyzed by using descriptive statistics, pearson correlation coefficient, stepwise multiple regression with an SPSS program. The result of this study were as follows: 1. The average score of health promoting behavior was 2.47(SD=0.36)of a 4 point scale. Self actualization (mean=2.94, SD=0.50), interpersonal support (mean=2.91, SD=0.53), stress management(mean=2.58, SD=0.48), health responsibility(mean=2.07, SD=0.48)) nutrition & exercise(mean=2.07, SD=0.48)) were also analyzed. 2. Health promoting behavior showed significant positive correlations with self­esteem(r=0.446, p<0.001) perceived health status(r=0.180, p<0.01), perceived benefits (r=0.183. p<0.01). self-efficacy(r=0.311, p<0.001), social support(r=0.447, p<0.001), control(r=0.169, p<0.01). 3. The combination of self-esteem, social support, affect related to action explained $38.0\%$ of the variance in health promoting behavior. On the basis of the above findings. self-esteem and social support were identified as the variables which explained most of Pender's health promoting model. Nursing strategies enhancing self-esteem and social support which have a more significant effect on health promoting lifestyles should be developed.

• Korean Journal of Occupational Health Nursing
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• v.8 no.1
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• pp.42-55
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• 1999

The purposes of this study were to understand health-promoting behavior of client visiting health-promoting center, to identify the major subscales affecting performance in health promoting behavior to facilitate nursing intervention for health promoting of this population and to test Pender's Health Promotion Model. The subjects for this study were 177 sampled among clients from health-promoting center in General Hospital at Teajon. Data was collected by self-reported questionnaires from February 11 to May 22, 1998. Analysis of the data was done by frequency, t-test, ANOVA, Pearson Correlation Coefficient, Stepwise multiple regrssion using SPSS-PC. The results of the study were summarized as follows : 1. The mean score of performance in the health-promoting behavior was 109.22 and range was 71 to 170. The subscale of the highest mean score was self-actualization(30.77) and the subscale of the lowest mean score was exercise(10.50). 2. The most important variable in the health promoting behavior was the perceived self-efficacy. The perceived self-efficacy explained 15.8% of the variance in health promoting behavior. The combination of perceived self-efficacy, perceived barriers, religion, perceived benefits, perceived symptom, and age explained 43.5% of the variance in health promoting behavior. 3. In the relationships between individual characteristics and experience and health promoting behavior, age, religion, the significant differences in the subscale of the health promoting behavior ; sex, educational state, previous occupation, monthly income, marrital state, perceived symptom, and visiting plan of health-promoting center. 4. The health promoting behavior was statistically significant correlated with perceived benefits, perceived barriers, affect related to action, and perceived self-efficacy.

• Research in Community and Public Health Nursing
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• v.20 no.1
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• pp.75-86
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• 2009

Purpose: This study has a purpose to suggest research and intervention directions for health promoting behaviors (HPB) of the Korean middle-aged in the future. Methods: Forty four articles on HPB of the Korean middle-aged were reviewed and analyzed. The articles analyzed are theses written for a doctoral or master's degree and published between 1995 and 2007. Results: 1. As for the major characteristics of the subject groups, most of them were between 40 and 60 years old (61.4%), were females (79.5%), and resided in cities (84.1%). 2. The dependent variables adopted were physiological, psychological and cognitive factors (self-efficacy, knowledge of health management, etc.), HPB and factors related to Health Promoting Lifestyle Profile (HPLP). 3. The average scores of HPLP were $1.57{\sim}3.08$ on a 4-point scale. The highest score was observed in self-actualization, and the lowest score in exercise. 4. Self-efficacy, perceived health status and income had significant correlations with HPB. 5. In regression analysis, self-efficacy, self-esteem and perceived health status were the most powerful predictors. Conclusion: It is necessary to develop intervention tools for more diverse HPB of the Korean middle-aged. The interventions are recommended to focus on increasing exercise and to use strategies for improving self-efficacy and self-esteem.

• Child Health Nursing Research
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• v.3 no.2
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• pp.154-168
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• 1997

The purpose of this study were to define the degree of performance in health promoting lifestyle and to identify the variable related to performance in health promoting lifestyle of adolescents. The subjects of this study were 469 adolescents in the 4 high schools. The sample data were collected using a purposive sampling method from July 1 to July 27. The collected data were analysed by using descriptive statistics, Pearson's correlation coefficients, and stepwise multiple regression with SPSS PC+ program. The results of this research were as follows. First, The means of performance in the health promoting lifestyle of adolescents revealed total 2.478 ; harmonious relationships 3.045, regular diet 2.236, professional health management 1.332, sanitary life 2.910, self regulation 2.558, emotional support 2.696, healthy diet 2.408, rest and sleep 2.651, exercise and activity 2.491, self actualization 2.466, diet control 2.408. The factor with the highest degree of performance was the harmonious relationships, whereas the one with the lowest degrees was the professional health management. Second, the relationship between the degree of performance in health promoting lifestyle and its related variable were as follows. (1) Performance in the health promoting lifestyle was significantly correlated with self esteem, self efficacy, health conception, perceived health status, mother's health promoting lifestyle, mother's health conception. (2) The most important factor that affects performance in the health promoting lifestyle of adolescents was self esteem. The combination of self esteem, health conception, mother's health promoting lifestyle, self efficacy, perceived health status accounted for 45.2% of the variance in health promoting lifestyle of adolescents.

• Journal of Korean Academy of Nursing
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• v.30 no.5
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• pp.1145-1155
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• 2000

The purpose of this study is to explore the concept spirituality and to gain understanding of nursing intervention that may improve spiritual well-being. The concept analysis framework developed by Walker and Avant (1995) was used to clarify the concept. In the study, 'Harmonious interconnectedness', 'Transcendence', 'Integrative Energy' and 'Purpose and Meaning in Life' emerged as the critical attributes of spirituality. The first attribute, 'harmonious Inter- connectedness', has three categories including intrapersonal, (self), interpersonal (others/ nature) and transpersonal (the Supreme Being). The second attribute, 'Transcendence', is defined as the ability to extend one's own self beyond the limits of usual experiences and to achieve new perspectives. This attribute is demonstrated by 'coping with situations', to 'self-healing', and 'transformation'. The third attribute of spirituality is 'Integrative Energy', which integrates all dimensions and acts as a creative and dynamic force that keeps a person growing and changing. 'Integrative Energy is also defined as an inner resource that gives a sense of empowerment. Therefore the highly spiritual person demonstrate 'inner peace', 'growing', 'inner strength,' and 'well-being'. The fourth attribute 'Purpose and Meaning in Life' represents a sense of connectedness with one's inner values and with a greater purpose in life. It is demonstrated by 'hope' and 'a powerful life'. In this study, the antecedents of the spirituality represented as 'spirit' and its potential enablers were 'Introspection/reflection', 'Interconnectedness with all living things', and an 'Awareness of a Higher-Power'. The consequences of this concept may be described as 'physical, psychosocial, and spiritual well-being'. Empirical referents of this are 'purposeful life' 'self-worth' 'hope' 'love' 'service' 'forgiveness' 'trust/belief' 'inner peace' 'self-actualization' 'religious practices' 'transformation' 'inner strength' and 'coping'. In conclusion, spirituality can be defined based on these critical attributes. Spirituality is a dynamic, integrative energy based on a feeling of harmonious interconnection with self, others and a higher power. Through it, one is enabled to transcend and to live with meaning and purpose in life.