• Journal of Korean Public Health Nursing
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• v.35 no.1
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• pp.72-88
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• 2021

Purpose: This study investigated the associations between physical activities (PAs) and the health-related quality of life (HRQOL) and perceived health status (PHS) of cancer survivors. We further examined the interaction effects of PAs and covariates on HRQOL and PHS. Methods: Data sets were obtained from the 2014-2018 Korea National Health and Nutrition Examination Survey. The subjects were 1,349 cancer survivors aged over 18 years old. Data were analyzed using R 4.0.3 and SPSS 18.0. Logistic regression analysis was conducted considering only the main terms, or including additional interaction terms between PAs and covariates. Results: Moderate and high PAs showed significantly improved HRQOL related to self-care domain, euro quality of life-5 dimension index, and PHS. Interaction analysis revealed that high PAs resulted in improved HRQOL associated with self-care and pain/discomfort in cancer survivors having depression. Moreover, for low- and middle-income levels, higher PAs served to improve HRQOL associated with depression/anxiety. In contrast, higher PAs rather reduced HRQOL for the high-income group. Conclusions: To improve HRQOL, we recommend PAs higher than the moderate level for cancer survivors. In case of cancer survivors having depression or belonging to the high-income group, it is necessary to manage individual PAs considering the interaction effects.

• Journal of muscle and joint health
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• v.20 no.3
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• pp.235-246
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• 2013

Purpose: This study systematically reviewed the research literature on nurse job satisfaction to suggest directions for further research. Methods: A total of 98 articles published in the journals registered in National Research Foundation of Korea (NRF) from January 2000 to August 2013 were included for the final analysis. Results: The number of published papers related to nurse job satisfaction has increased annually. The most frequently used instrument to measure nurse job satisfaction was 'The Index of Work Satisfaction'developed by Slavitt et al. (1978). 'Personal Perception/Attitude' was the strongest predictor influencing on nurse job satisfaction (41 times, 38.0%). Organizational commitment, turnover intention, nursing performance, job stress, and organizational performance were commonly used as outcome variables related to nurse job satisfaction. Conclusion: Further research is needed to analyze diverse influential factors on nurse job satisfaction. In addition, it is also needed to develop an intervention program which can improve nurse job satisfaction.

• The Journal of Korean Academic Society of Nursing Education
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• v.12 no.2
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• pp.280-286
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• 2006

Purpose: To test whether a hope carries the influence of pain to health related quality of life in patients with cancer. Method: 114 cancer patients recruited with. Data were collected through the Visual analog Scale, the Herth Hope Index, and the SF-36 Standard Korean Version. Results: The results showed that the measurement variables (pain, hope and health-related quality of life) were all significantly interrelated. The results of MedGraph revealed that the full mediation effect of hope in the relation between pain and mental component summary of quality of life was significant. Conclusion: These results imply that hope need to be considered in planning intervention programs for the enhancement of quality of life in patients with cancer.

• Journal of The Korean Society of Integrative Medicine
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• v.11 no.2
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• pp.129-140
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• 2023

Purpose : This study was conducted to investigate and analyze the physical health of older Koreans with sarcopenia and locomotive syndrome and identify the related factors. Methods : In this study, the sarcopenia and locomotive syndrome evaluations were applied to 210 elderly people, and the sarcopenia group was 36, the locomotive syndrome group was 164, and the normal group was 10. After group selection, a physical health status survey was conducted. The physical health status was assessed via body composition analysis, physical characteristics survey including measurement of waist and calf circumference, investigation of diseases currently being diagnosed by a doctor, and frailty measurements. The collected data were statistically analyzed using one-way ANOVA, the Kruskal-Wallis test, and the Chi-square test. Results : There were significant differences between groups in all elements of physical characteristics including body mass index, waist circumference, and calf circumference. Among them, a consistent result was found that the normal group had the largest amount of muscle mass and the sarcopenia group had the least amount of muscle mass in the factors related to muscle mass. However, the factors relating to fat mass and obesity also showed significant differences between the groups, but the results were not consistent. Considering the group differences in current diseases, a significant difference was only detected for osteoporosis among 12 diseases. Moreover, those in the sarcopenia group had the highest rate of osteoporosis. And there was no significant difference between the groups in the total score of the frailty measurement, but there was a significant difference between the groups in the frailty measurement levels. Conclusion : This study on physical health status confirmed that muscle mass-related factors, osteoporosis, and frailty levels were significantly related to sarcopenia and locomotive syndrome.

• Journal of Environmental Impact Assessment
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• v.19 no.1
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• pp.15-28
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• 2010

Because deterioration of air quality and urban heat island directly harm health of citizens, Health Impact Assessment (HIA) and Environmental Impact Assessment (EIA) for urban development projects needs to conduct analysis of their impacts objectively. This study aims to review appropriate methods for assessment of air quality used at each stage of urban development and to investigate prediction and assessment methods of urban heat island. In addition, by evaluating impacts of climate change following supposed urban construction performed in the central area of Korea on public health, it examines usefulness of HIA for urban construction. When urban heat island prediction and HIA method suggested in this study are applied to an imaginary city, they predict urban heat island properly and the impacts of climate changes on public health inside the city could be determined clearly by calculating life-climate index and bio-climate index related with thermal environment from the model.

• Health Policy and Management
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• v.20 no.3
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• pp.21-35
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• 2010

This study examined the changes in the service mix of Korean hospitals in 6 metropolitan cities between 2003 and 2005, and assessed whether the sample hospitals exhibit consistent trend or chance variation in multiple years. Three measures of hospital service mix, focusing on the specialization of services, were applied: information theory index, internal Herfindahl index, and number of distinct diagnosis-related groups (DRGs) treated. National Health Insurance claims were used to calculate the indexes. Specialization indexes were calculated in each year, and then examined to identify the pattern over time. Kappa analysis was applied to assess the agreements of specialization score between two years after hospitals were categorized into 4 groups with quartiles. Kappa score showed that the service mix of hospitals were changed during the study years. Specialization scores were increased given the market structure for three years. Hospitals which showed higher or lower specialization scores than the average of the scores consistently classified into the same group. Specialization indexes showed relatively consistent pattern over 3 years, and such consistencies were evident for hospitals regardless of the specialization status. Policy makers can identify the degree of specialization with the indexes, and it could provide a picture of how hospital services were mixed and changed over time.

• Research in Community and Public Health Nursing
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• v.24 no.1
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• pp.62-73
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• 2013

Purpose: The purpose of the study is to identify differences in BMI between early and late elderly people, and factors having influence of them. Methods: This study is an analysis of secondary data that used the raw materials from the KNHANES from 2008 to 2010. The subjects involved in the final analysis were 4,772 elders aged 65 or higher. Descriptive statistics, $x^2$-test and F-test, and CSGLM from the complex sample design were used for the data analysis with SPSS/WIN 19.0. Results: Significant differences were observed in the socio-demographic characteristics, health behaviors and diet habits between early and late elderly people. Adjusted for gender, location of residence, and living alone, the factors that affected BMI of the early elderly people included current smoking status, number of disease, difficulty in chewing, and number of meals per day while those that affected BMI of the late elderly people were current smoking status, number of disease, self-rated health, and difficulty in chewing. Conclusion: The study concludes that we should consider age-specific traits for monitoring the weight status of the elderly and providing appropriate weight management programs for the elderly.

• Women's Health Nursing
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• v.15 no.2
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• pp.108-120
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• 2009

Purpose: This study aimed to explore the subjective sleep quality of depressed and non-depressed mothers in the late postpartum period and to determine the relationship with their health promoting behaviors, family functioning, parenting stress. Method: A non-probability sample of 128 mothers completed a self-administered questionnaires at 4-6weeks postpartum. The Edinburgh postnatal Depression Scale (EPDS) and Pittsburgh Sleep Quality Index were used to measure mother's experiences of depression symptoms and sleep. Related factors of sleep quality were measured by the Korean Family Functioning Scale, Health Promoting Lifestyle Profile, and Parenting Stress Index. The data was analysed using t-test, one-way ANOVA, and the Pearson's correlation coefficients. Result: The results indicated that the depressed mothers (EPDS$\geq$ 10) had poorer sleep quality than the non-depressed mothers(EPDS < 10), reported shortened sleep duration, and experienced more daytime dysfunctions. Depressed mothers who had no job, did not drink coffee, and were primipara tended to report poorer sleep quality. There were significant correlation between poorer sleep quality and lower health promoting behaviors, higher family intimacy and lower family communication, and higher parenting stress among depressed mothers. Conclusion: Our findings support the view that depressed mothers' experiences of poor sleep are much higher than non-depressed mothers and multi-faced. Nurse professionals should screen for sleep problems in the depressed mothers with a different biopsychosocial and behavioral aspect from the non-depressed mothers in the late postpartum period.

• 한국노년학
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• v.32 no.3
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• pp.759-776
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• 2012

This study analysed the income-related health inequality of the aged in Korea applied to EQ-5D. Two decompositions were used in analysis. One was the decomposition of income-related health inequality into six different dimensions of EQ-5D, and the other was to decompose it by sub-group such as sex, region, existence of spouse. The results are summarized as follows. First, the health concentration index(CI) of the aged was .0254, which meant that there were pro-rich inequality in elderly people's health levels. The same patterns were also seen in the analysis of different dimensions of EQ-5D such as mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Second, mobility accounted for 35.8% of total EQ-5D score, most contributing to CI of the dimensions of EQ-5D. The CIs by the dimensions ranged from .0091 for mobility to .0013 for self-care. Third, The decompositions by sub-groups showed that the contributions of sex, region, and existence of spouse to health inequality was similar to each other, all of three sub-groups accounted for 10 % of inequality respectively. Fourth, the inequality within group was higher in female group, rural area, and the aged without spouse. The average health level of these groups was lower than that of the other ones, too. These facts indicated that old women, the aged without spouse, and the elderly in rural area were the most vulnerable groups in health problems. Therefore, it is necessary to pay more attention to health problems of these groups in the policy making of health security and social welfare services.

• Korean Journal of Health Education and Promotion
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• v.24 no.3
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• pp.119-128
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• 2007

The purpose of this study is to develop Web database for healthy city that contains healthy city indicators for making city health plans, setting project priorities, monitoring projects, and evaluating healthy city projects, effectively. Using Delphi survey method for identifying indicator domains and indicators, we extracted nine domains with thirty-four healthy city indicators. Based on the appraisals of DB users about the contents of DB, a web database for healthy city Wonju was constructed. We developed a web database system for the purposes of sharing high quality health related data for managing and evaluating healthy city projects. The web database currently provides variety data in the web address, http://healthycity.wonju.go.kr/index.html. The web DB comprised with major healthy city indicators that are the most important indicators, healthy city indicator data that have a variety data set for encompassing all domain areas such as city infrastructure, health medicine, economies, and all other related areas and qualitative data that contains policy reports, research results, healthy city information and all other tips. A database of healthy city is very essential and important because it makes healthy city projects alive by managing and sharing healthy city related data effectively. But we need to fill out some blank cells in DB because there are currently unavailable data for some indicators. In conclusion, we expect the web DB contributes information sharing of healthy city project teams and improving healthy city project quality at Wonju city in Korea.