• Title/Summary/Keyword: health care behavior

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Effects of Individualized Cardiac Health Education on Self Care Behavior and Serum Cholesterol in Patients with Coronary Artery Disease (심장병 관리 개별교육이 관상동맥질환자의 자가간호수행과 혈중 콜레스테롤에 미치는 효과)

  • Cho, Hye-Young;Kim, Hee-Seung
    • Korean Journal of Adult Nursing
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    • v.22 no.3
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    • pp.322-328
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    • 2010
  • Purpose: The purpose of this study was to investigate the effects of an individualized cardiac health education on self-care behavior and serum cholesterol levels patients with coronary artery disease. Methods: Twenty-two patients in the intervention group and 22 in the control group were assigned randomly in this study. The intervention group received an individualized cardiac health education program which consisted of four different sessions for a total of four sessions. Specifically, two sessions occurred during the patients' hospitalization with a third session at the time of discharge with a fourth session scheduled via telephone one week post discharge. Data were collected through a questionnaire for self-care behavior and a blood test for total cholesterol at the time of admission and the two weeks after discharge. The questionnaire for self-care behavior was a standardized instrument and serum cholesterol was measured by Accutrend GC (Roche, Germany). Results: Self-care behavior scores included diet, medication, exercise, risk factor, blood pressure measurement, and visits to hospital were significantly more in the experimental group compared to the control group. Conclusion: The above findings indicate that the individualized cardiac health education was effective in increasing of self-care behavior.

Relationships between Health Literacy, Knowledge and Self-Care Behaviors in Elderly Patients with Heart Failure (노인 심부전 환자의 건강 문해력에 따른 심부전 지식과 자가 간호)

  • Shin, Kyung Min;Chu, Sang Hui;Jang, Yeon Soo;Kang, Seok Min
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.1
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    • pp.28-37
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    • 2016
  • Purpose: This study was to investigate the relationships between among health literacy, knowledge and self-care behavior in elderly patients with heart failure(HF). Methods: 166 patients (age ${\geq}65$ years) with HF were recruited in a cardiovascular center of an university affiliated hospital. The structured questionnaire included Health literacy, Dutch Heart Failure Knowledge Scale, European Heart Failure Self-care Behavior, Self-Care of Heart Failure Index. Data were analyzed by descriptive statistics, Chi-test, Pearson correlation analysis, t-test and ANCOVA using SPSS/WIN version 21.0. Results: Participants with the high level of health literacy were more likely to be younger (p=.001), men (p=.001), with more education (p<.001), and have a job (p=.004), and with a higher economic status (p=.005). The positive correlations between the level of health literacy, knowledge, and self-care behavior were confirmed (p<.001). Participants with the high level of health literacy showed higher level of knowledge, more self-care behavior for health maintenance, and confidence. Conclusion: This study shows that the level of health literacy may influence knowledge and self-care behavior in elderly patients with HF. In order to improve self-care behaviors in elderly patients, a strategic nursing approach based on the level of patients' health literacy needs to be considered.

Relationship between BMI, oral health behavior and perceived oral symptoms among child care teachers (보육교사에서 구강건강행동 및 구강자각증상과 BMI의 연관성)

  • An, So-Youn;Park, So-Young
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.5
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    • pp.769-776
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    • 2013
  • Objectives : The aim of this study was to analyze relationship between body mass index(BMI), oral health behavior, and perceived oral symptoms among child care teachers. Methods : The subjects were 310 child care teachers who worked in child care centers in Jeollabukdo Province, Korea. A cross tab analysis and a multiple regression analysis were conducted to find a possible relationship between oral health behavior, oral symptoms and BMI. Results : BMI in child care teachers was 35.1% and male and married teachers had higher BMI. Higher BMI revealed perceived periodontal disease in smokers. Higher BMI was closely related to perceived xerostomia and halitosis. Conclusions : BMI is a very important index to develop health improvement and obesity control.

The Use of Professional Health Care Systems among the Elderly in Rural Communities (농촌 지역 노인의 전문 건강관리 체계 이용 행위에 관한 연구)

  • 조명옥
    • Journal of Korean Academy of Nursing
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    • v.33 no.6
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    • pp.731-742
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    • 2003
  • Purpose: This ethnography is aimed at describing the health care seeking behavior of elderly details in their socio-cultural context. The research question is 'under what conditions did elderly informants decide to use certain professional health care services and how do they make use of all the available resources?' Method: 10 sessions of fieldwork were conducted in the two agricultural villages between Sep. 1999 and Oct. 2002. The data for this paper came from participant observation with 14 informants. In the process of analysis I used proxemic and taxonomic techniques. Result: Informants decided to use a certain health care system according to their folk definition of illness. They prefer to use the health services where they felt more comfortable and free. They wished to be care from intuitive and holistic healers. Social network and having health resources was also important factor. Conclusion: We need more comprehensive research model to reach a plausible explanation. Combined qualitative-quantitative research is needed to get practical data to develop effective health care systems for the elderly.

The effect of social capital, health risk behavior and health status on medical care utilization by the elderly (노인의 사회자본과 건강위해 행위 및 건강수준이 의료서비스 이용에 미치는 영향)

  • Woo, Kyung-Sook;Seo, Jae-Hee;Kim, Gye-Soo;Shin, Young-Jeon
    • Health Policy and Management
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    • v.22 no.4
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    • pp.497-521
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    • 2012
  • Objectives This study aimed to investigate the effect of social capital, health risk behavior and health status on medical care utilization by the elderly. The data and Research method Data were obtained from the 4th wave survey of the Korea Welfare Panel Study. 4,087 household members aged 65 years and over were subject to analysis. Descriptive statistics are used to describe the basic features of the data in a study. we performed a structural equation modeling(SEM) analysis to evaluate the effect of social capital and mediating effect of health risk behavior and health status. Results Results showed that factors related to medical care utilization of the elderly were different depending on types of service (inpatient and outpatient service) except health status. Age, higher social capital, more health-risk behavior and poorer health status were associated with increased use of inpatient service. Social capital was found to have a positive direct effect on it. Also, social capital had an indirect effect on reducing use of inpatient services by improving health status. On the other hand, lower age and higher household income tended to increase use of outpatient service, while higher social capital and higher health status were inversely related. Social capital had a direct effect and an indirect effect on reducing use of outpatient service and, at that time, health status played a mediating role. Conclusions Social capital may contribute to improve health status and indirectly reduce medical care utilization of the elderly by enhancing their health status. These results provide evidence that more policy and strategy considerations should be needed for the elderly to strengthen their social capital in order to enhance their levels of health and more efficient utilization of medical care.

Relations Between Mothers, Oral Health Knowledge And Behavior And Their Children’s Oral Health Behavior (어머니의 구강보건지식 및 행동과 학생의 구강보건행태의 관련성)

  • Jang, Bun-Ja
    • Journal of the Korean Society of School Health
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    • v.19 no.2
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    • pp.49-57
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    • 2006
  • Purpose:The purpose of this study is to analyze the relationship between mothers' oral health knowledge level and oral health behavior and their children,s oral health behavior. Methods:The subjects in this study were 980 mothers and their children of fourth grade, fifth grade and sixth grade in an elementary school in Daegu city, Korea. The data were collected by a structured questionnaire from 26 June to 30 June, 2006. Collected data were analyzed into frequency, One-Way ANOVA, T-test, and correlation analysis using SPSS 10.0 program. Results:First, the mothers, oral health knowledge was significantly associated with their children,s perception of benefit, seriousness and barrier. Second, the mothers, oral health behavior was significantly associated with their children,s frequency of toothbrushing and visiting at dental care facility. Third, the mothers, toothbrushing frequency was significantly associated with their children,s toothbrushing frequency. Fourth, the mother's visiting at dental care facility were significantly associated with their children's visiting at dental care facility. Conclusion:The mothers, oral health knowledge was significantly associated with oral health belief of their children and the mothers, oral health behavior was significantly associated with oral health behavior of their children. Consequently it was necessary to encourage mothers and their children to take part in oral health education programs and oral health projects.

Correlation Study of Knowledge and Behavior Regarding Breast Care among Female Undergraduate Students in China

  • Liu, Meng-Xue;Li, Jian;Geng, Yun-Long;Wang, Yan-Chun;Li, Jie;Chen, Yu-Juan;Ali, Gholam;Tarver, Siobhan L.;Wen, Yu-Feng;Sun, Wen-Jie
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.24
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    • pp.10943-10947
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    • 2015
  • Background: This study aimed to understand the relationship between knowledge level and behavior on breast care in Chinese students, so as to provide strategies for improving the health education of breast care and subsequently for aiding in breast cancer prevention. Materials and Methods: A self-designed questionnaire was used to evaluate breast care knowledge level and characterize related behavior. Correlation analysis was conducted for the knowledge level and behavior. The study was carried out using 597 female undergraduate students in medical and non-medical colleges in Wuhu, China. Results: The average score of breast care knowledge was $5.32{\pm}1.68$ ($5.62{\pm}1.68$ and $5.00{\pm}1.68$ for medical and non-medical students, respectively), with a greater score value for sophomores ($5.59{\pm}1.72$) than freshmen ($5.18{\pm}1.65$). The average score of breast care behavior was $2.21{\pm}1.13$, again with a greater value in sophomores ($2.37{\pm}1.15$) than freshmen ($2.21{\pm}1.13$). A significant positive correlation (r=0.231, p<0.01) between knowledge scores and behavior scores was observed. In addition, various factors, including paying attention to breast care information, receiving breast self-examination guidance, TV program and Internet, were found to influence breast care knowledge. Conclusions: In general, female undergraduate students lack of self-awareness of breast care with a low rate of breast self-examination. It is necessary to carry out health education to improve early detection of breast cancer.

Information Searching Behavior of Health Care Consumers by Sociodemographic Characteristics (의료소비자들의 인구사회학적 특성에 따른 정보탐색 행태분석)

  • Chae, Yoo-Mi;Cho, Woo-Hyun;Lee, Sun-Hee
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.4
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    • pp.389-398
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    • 2001
  • Objectives : To investigate the information searching behavior of health care consumers according to sociodemographic characteristics. Methods : A questionnaire survey was conducted of 1,507 persons who were selected through a multi-stage stratified area cluster sampling of the Republic of Korea, excluding the province of Jeiu-do. Personal were conducted through a door-to-door survey between 27 July and 10 August 1999. Results : 80.5% of respondents used more than one source of information and those $40\sim59$ years of age, female, a housewife or student and those who claimed a religion demonstrated more active information searching behavior. A personal informer was used significantly more in those $20\sim39$ years old, female, and those who claimed a religion. Clerical workers, those with post-secondary education and a monthly income greater than 2,000,000 won ($1500) were more actively used a public informer. Low socioeconomic status and older persons used an experimental informer when they chose a health care institution. Conclusion : Regardless of the sociodemographic characteristics, personal and experimental informers were the most useful source of information. Because appropriate information was not easy to obtain, the health care consumer was dependent upon word-of-mouth communication(personal informer) when using health care services.

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A Study on Health Knowledge, Health Promoting Behavior and Needs for Healthcare Service in the Elderly in a Rural Area (일 농촌지역 노인의 건강지식과 건강증진행위 및 의료 서비스 욕구에 관한 연구)

  • Park, Mi Hui;Choi, Eun Hee;Choi, Kyung Sook
    • Journal of East-West Nursing Research
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    • v.21 no.1
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    • pp.18-27
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    • 2015
  • Purpose: The purpose of this study was to investigate the relationship between health knowledge and health promoting behavior in the elderly. Methods: The participants of this study were 114 men and women over 65 years at P-myeon, Yeongju-si, Gyeongsangbuk-do. Data were collected from March 1st to April 9th in 2011. The survey was carried out via the face to face interview using structured questionnaires. Results: Eighty nine percent of the participants responded that they were aware of the types of healthcare service. The most desirable service was 'long term care insurance system'. The average of health knowledge was 7.94 (${\pm}1.51$) out of 10 and average of health promoting behavior was 2.81 (${\pm}0.30$) out of 4. Health promoting behavior showed a positive correlation with health knowledge (r=.189, p=.044). Conclusion: The health promoting behavior in the elderly was related with health knowledge. Therefore, the enhancement of health knowledge is needed to improve health promoting behavior in the elderly. Education for self care and providing information for health care are needed for health maintenance and improvement in elderly. In addition, program development for providing health knowledge and nursing intervention for supporting health promoting behavior are in need.

Relationship between Caregiver's Dementia Attitude and Care Behavior: The Mediating Effect of Compassion Competence (요양보호사의 치매태도와 돌봄행위 간의 관계에서 공감역량의 매개효과)

  • Oh, Young Ju;Jun, Young Hee
    • Korean Journal of Occupational Health Nursing
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    • v.33 no.1
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    • pp.36-46
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    • 2024
  • Purpose: This study aimed to investigate compassion competence and its mediating effects on the relationship between attitudes toward dementia and care behavior among caregivers of older adults with dementia in nursing homes. Methods: 211 participants were recruited for this cross-sectional study. Data were collected from February 1st to May 24th, 2023, through a structured questionnaire and analyzed using multiple linear regression analysis and the bootstrapping method. Results: The mean score for care behavior was 3.67±0.97 (range 1~5). Caring behaviors were significantly associated with attitudes toward dementia (r=.76, p<.001) and compassion competence (r=.75, p<.001). Using Baron and Kenny's approach and PROCESS Macro model 4, care behavior was directly affected by dementia attitude (β=.76, p<.001). Compassion competence (β=.66, p<.001) was directly affected by dementia attitude. The partial mediating effects of compassion competence (β=.47, p<.001, 95% confidence interval 0.10~0.23) on the impact of dementia attitude on care behavior was confirmed. Conclusion: The results suggest that compassion competence should be considered when developing nursing interventions to enhance dementia-related attitudes and improve care behavior among caregivers of older adults with dementia.