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Association of Dietary Factors with Cognitive Impairment in Older Women (여성 노인의 식이요인과 인지기능 감퇴의 관련성)

  • Kim, Jin-Hee;Han, Geun-Shik;Lee, Yun-Hwan
    • Journal of Preventive Medicine and Public Health
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    • v.37 no.2
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    • pp.174-181
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    • 2004
  • Objective : To examine the association between dietary factors and cognitive impairment in older Korean women living in the community. Methods : Wave 2 data, from the Suwon Longitudinal Aging Study (SLAS), of 365 women aged 65 years or over, were used. The Korean version of the 30-point Mini-Mental State Examination (MMSE-K) was used to assess cognitive impairment (score$\geq$19). Dietary habits and frequencies of food group consumption were also examined. Results : A total of 67 women (18.4%) were found to be cognitively impaired. In bivariate analyses, nondietary factors, such as age, marital status, education, income, self-rated health, depression, emotional support, social activity, exercise, and dietary factors, such as self-rated nutritional status, frequency of beans and bean products and milk and dairy products consumption were associated with cognitive impairment. In the multivariate analysis, a higher frequency ($\geq$1 vs. <1 time/day) of beans and bean products (OR=0.48, 95% CI: 0.23-0.99) and milk and dairy products (OR=0.25, 95% CI: 0.10-0.61) consumption was inversely associated with cognitive impairment, after adjustment for non-dietary factors. Conclusion : These results suggest that dietary factors may play a significant role in cognitive impairment of older Korean women.

A Critical Review of Health Behavior Studies of Adolescents Conducted in Korea (청소년 건강행위에 대한 국내연구동향)

  • Park, Nam-Hee;Lee, Hae-Jung
    • Research in Community and Public Health Nursing
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    • v.13 no.1
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    • pp.98-114
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    • 2002
  • Purpose: This review examined literature relevant to adolescent's health behavior in order to identify key behaviors and factors related to health behaviors for targeting health promotion interventions. Method: A critical review of 29 research articles was carried out using the guidelines suggested by Cooper. Result: The majority of the studies were descriptive and cross-sectional. Generally. the study includes sub-dimensions such as general hygiene and daily life habit, safety and accident prevention, nutrition and eating (tobacco, drinking), exercise, mental health and stress management, health duty (drug, health examination, disease prevention). Factors highly related to health behaviors were age, living areas, economic status, parent health behaviors, parent health concern, social support, friends influence, self-efficacy, self-esteem, locus of control, and the perceived health status. Sex, parent education and health knowledge were not related to health behaviors of adolescents. Conclusion: Several conceptual and methodological problems were identified in the studies review, such as restricted conceptualization of health behaviors and sampling issues which limit the generalizability of the study outcomes. Further research is needed to enhance the concept clarification and generalizablity of the study results.

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Nonpharmacological management and psychosocial support for children and adolescents with type 1 diabetes

  • Yoo, Jae-Ho
    • Clinical and Experimental Pediatrics
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    • v.54 no.2
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    • pp.45-50
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    • 2011
  • Compared to that in the Caucasian population, type 1 diabetes mellitus (T1DM) incidence rates are very low in Koreans. Therefore, compared to the recent development of pharmacological therapy applicable to Korean children with T1DM, interest in nonpharmacological therapy and psychosocial support systems remains low, as is the development of Korean-style T1DM education programs for therapeutic application. Children who have been newly diagnosed with diabetes are placed in completely new environments for treatment. For appropriate control of diabetes, patients have to self-monitor blood glucose levels and inject insulin several times a day and must use extreme self-control when they eat foods to avoid increases in blood glucose levels. Blood glucose excursions resulting from impaired pancreatic ${\beta}$ cell functions cause mental stress due to vague fears of chronic complications of diabetes. In addition, children with diabetes cannot be excluded from the substantial amount of studies required of Korean adolescents, and the absolute shortage of time for ideal control of diabetes adds to their mental stress. Many of these patients are psychologically isolated in school where they spend most of their time, and they are not appropriately considered or supported with respect to blood glucose control in many cases. In this respect, this author will introduce some of the newest views on nonpharmacological therapy and psychosocial support systems that account for important parts of T1DM management and seek measures to apply them in conformity with the social characteristics of Korea.

The Factors That Related the Dietary Behavior in Coronary Artery Disease Patients (관상동맥질환자의 식이이행과 건강신념, 사회적 지지 및 특성 간 상관관계)

  • Lee, Ju-Im;Han, Sang-Sook
    • Journal of East-West Nursing Research
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    • v.11 no.1
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    • pp.25-32
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    • 2005
  • Purpose: This study was aimed to identify the factors that related the dietary behavior in coronary artery disease patients and to made the data for nursing which is thought to improve the dietary behavior. Method: The study population was the coronary artery disease patients who were treated at outpatient base. The study method was the dietary behavior, diet self-efficacy, perceived-healthy behavior, social support measurement & characteristics. All of the above tool was validated for its composition propriety and confidence. The statistical analysis was done by SPSS PC 11.0 program. and frequency, percentage, mean, standard deviation, Pearson's correlation was used for analysis. Results: The score of dietary behavior in the coronary artery disease patients was 4.57 point. The score of perceived-benefits was the highest among the association factor(point) and the score of perceived-barriers(m=2.78), diet self-efficacy(m=5.12), social support(m=4.86 point), exercise and chest pain. Conclusion: The development of the program for the efficient dietary education that prevents the progression of the coronary artery disease is needed.

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A Diagnostic Study on the Development of a Health Promotion Program for Vinyl House Farmers (비닐하우스 농작업자 건강증진프로그램 개발을 위한 진단적 연구)

  • Kim, Chung-Nam;Lim, Kyung-Soon
    • Research in Community and Public Health Nursing
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    • v.18 no.1
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    • pp.90-101
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    • 2007
  • Purpose: The purpose of this study was to investigate influencing factors of health problems which the vinyl house farmers had experienced. Method: Based on PRECEDE model, this study was done with 110 respondents(50 to 69 years old), working in vinyl house and living in the remote area where the primary health post located. Results: Quality of life was low in economical status, emotional status, and physical function. Health problems were founded as pain and chronic fatigue that were caused by physical symptoms, weakened physical strength, and increased blood pressure and cholesterol. Behavioral and environmental factors were related with lack of exercise, irregular eating habit, curtailed sleep, overwork, wrong working postures, stress, and non-fulfillment of safety standard during spraying pesticide. Self efficacy was low in excercise practice, working way, and stress management. Conclusion: The Health Promotion Program for vinyl house farmers should be developed to improve health promoting behavior and self efficacy, to reduce stress, and to strengthen physical function.

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Interpretive Planning Which Is "In Tune" With Visitors Expectations in Nature Park: Case Study in Jogyesan Provincial Park, Jeonnam, Korea

  • Cho, Kye-Joong;Ann, Jong-Man
    • Journal of Korean Society of Forest Science
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    • v.94 no.2 s.159
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    • pp.61-66
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    • 2005
  • This research is based on a visitor survey at Jogyesan Provincial Park in Jeonnam, and its implications for interpretive planning. The research population was the set of weekend and holiday visitors, 20 years of age and older, to Jogyesan Provincial Park in Jeonnam, during the summer of 2003. A questionnaire was offered to every tenth person entering the park on every other weekend day and both holidays (June 1 and September 30). It was obvious that the interpretive program at Jogyesan Provincial Park, to meet the expectations of its visitors, should provide: (1) visitors with opportunities to experience the out-of-doors and learn about the cultural, historical and natural surroundings; (2) opportunities for the visitors to relax and escape from the normal and work environment; and (3) opportunities for the visitors to experience an atmosphere which enables them to achieve and self-actualize. In the area of interpretive programs, expectations are usually priorities, except for mountain climbing and exercise. Enhancing achievement and self-actualization is rarely a consideration and needs more emphasis in the future interpretive programs and plans.

The Effects of an Internet Based Coaching Program for Obesity Management in Hypertensive Patients (고혈압 환자의 비만관리를 위한 인터넷 기반 코칭 프로그램의 효과)

  • Jeon, Hae-Ok;Kim, Ok-Soo
    • Korean Journal of Adult Nursing
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    • v.23 no.2
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    • pp.146-159
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    • 2011
  • Purpose: The purpose of this study was to investigate the effects of the internet based coaching program for obesity management on weight control related knowledge, self-efficacy, eating habits, physical activity and obesity related physiological indexes in hypertensive patients. Methods: The study design was non-equivalent control group pre-test-post-test design. A total of 43 subjects were overweight or obese hypertensive patients aged 30 or older, who were divided into experimental group (n=23) and control group (n=20). This program lasting 12 weeks consisted of a weight control related education, internet based individual coaching for diet, exercise and behavior modification, offering internet community and health counseling. The variables were measured three times (before the treatment, after 6 weeks, and after 12 weeks) and the collected data were analyzed by SPSS/WIN 17.0 program. Results: The experimental group had significantly improved weight control related knowledge, self efficacy, eating habits, body composition, and systolic blood pressure with time. Conclusion: The internet based coaching program was effective in improving obesity management, also this program will help to prevent cardiovascular disease of obese hypertensive patients.

Comparison of Health Promoting Behavior in Rural Elderly by Complementary Alternative Medicine Utilization (농촌노인의 보완대체요법 사용에 따른 건강증진행위 비교)

  • Lee, Myung Suk
    • Korean Journal of Adult Nursing
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    • v.19 no.1
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    • pp.98-108
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    • 2007
  • Purpose: To compare the health promoting behavior in rural elderly people by complementary alternative medicine(CAM) utilization. Methods: The data were collected from March 06th to May 26th, 2006. The participants were 207 rural elderly persons in Korea. Data were collected using structured questionnaires and analyzed with the SAS win 8.0 program. Results: The rate of using CAM was 60.9%. Non-religious, perceived poor health and high concerns about health group used it more. The most common type was oriental medicine(35.7%), the most common motive was body protection(21.2%) and major source of information was other patients(35.9%). Almost all the subjects(90%) were satisfied with using CAM. The average score for the health promoting behavior was $2.67{\pm}.32$(range 1.65-3.71). The average scores for each subscale were, personal communication 2.98, self-actualization 2.79, nutrition 2.78, health responsibility 2.58, exercise 2.40, stress management 2.38. Significant differences in health promoting behavior were found according to CAM utilization: personal communication, self actualization. Conclusion: There were differences health promoting behavior between the elderly CAM utilization: Systemic guidelines of CAM use are needed.

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Factors associated with Hospitalization among Patients with Diabetes Mellitus (당뇨병 환자의 입원에 영향을 미치는 요인)

  • Guk, Mi Ra;Choi, Ja Yun
    • Korean Journal of Adult Nursing
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    • v.29 no.1
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    • pp.1-11
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    • 2017
  • Purpose: The purpose of this study was to identify the factors and the relative risk associated with admission of patients with diabetes mellitus (DM). Methods: The sample included one hundred twenty-eight patients with type II DM. Seventy-seven patients who were admitted within six months of a hospitalization to one hospital from the first of February to the 31st of August 2014, were compared with fifty-one patients who regularly attended an outpatient clinic and had no hospitalizations. Results: Hospitalization probabilities among patients who had only diet and exercise or took oral diabetic medication were 0.03 (p=.004) and 0.21 (p=.007) times independently lower than the ones with insulin injection. The risks for hospitalization increases 6.33 times if there is absence of a spouse (p=.027) whereas the presence of a spouse seems to make hospitalization less likely. The risk among the ones having diabetic complications was 5.15 times higher than ones having no recognition of the complications (p=.040). For every one point increase in self-efficacy and every 1 mg/dL increase in high density lipoprotein (HDL) cholesterol, there was a 0.84 (p=.005) and a 0.96 (p=.036) decrease in hospitalization risk, respectively. Conclusion: Nurses should be sensitive to the risk groups of hospital admission among patients with DM including no spouse, insulin injection, diabetic complications, low self-efficacy, and low HDL cholesterol.

A Study on the Morbidity and the Types of Accident among the Workers of Limestone Industry (석회석 가공 산업 근로자들의 상병 상태 및 사고 유형)

  • Lee, Kyoung Hee
    • The Korean Journal of Emergency Medical Services
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    • v.8 no.1
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    • pp.161-168
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    • 2004
  • The workers of limestone industry have relatively higher rate of accident and injury than other industry workers. This survey was conducted to provide the informations for the planning of safety and health educations to prevent the accident and injury. The purpose of this study is to identify the morbidity rate per month and to determine the related health factors, and to find accident experiences of the limestone workers and to analyze the reasons and types of that accidents. The study design was a descriptive survey. Self reporting questionnaires developed by researcher were used for data collection. The subjects of this study were 225 workers in limestone industries in Jecheon city. The statistical methods utilized for data analysis were frequency analysis, $x^2$-test with SPSS-pc(ver.9.0). The results are as follows, 1. The workers morbidity rate per month was 22%, and morbid factors were Flu., G-I trouble, hypertension, orthopedic trauma, external wound, burn, etc., and the related health factors are self-assessment for health, exercise, accessability for medical facilities. 2. 40% of the subjects have experienced the accidents during last 6 months. The types of the accidents were safety violations, traffic accidents and fire accidents. Injury types were external wounds, fracture/amputation and burn. The workers of limestone industry have higher morbidity rate and experiences of accidents. Therefore the more increased safety and health educations than now for both the workers and the managers are needed. And this study could be helpful to increase the quality and the quantity of the educations needed.

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