Park, Hayoung;Park, Jong Son;Lee, Hye Rin;Kim, Soomin
Healthcare Informatics Research
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v.24
no.4
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pp.359-370
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2018
Objectives: We assessed the public acceptance of a health information exchange (HIE) and examined factors that influenced the acceptance and associations among constructs of the Technology Acceptance Model (TAM). Methods: We collected data from a survey of 1,000 individuals in Korea, which was administered through a structured questionnaire. We assessed the validity and reliability of the survey instrument with exploratory factor analysis and Cronbach's alpha coefficients. We computed descriptive statistics to assess the acceptance and performed regression analyses with a structural equation model to estimate the magnitude and significance of influences among constructs of TAM. Results: Eighty-seven percent of the respondents were willing to use the technology, and the average level of agreement with the need for the technology was 4.16 on a 5-point Likert scale. The perception of ease of use of the technology significantly influenced perceptions of usefulness and attitudes about the need for HIE. Perceptions of usefulness influenced attitude and behavioral intention to use HIE, and attitude influenced intention. Age showed a wide range of influences throughout the model, and experience with offline-based information exchange and health status also showed noteworthy influences. Conclusions: The public acceptance of HIE was high, and influences posited by TAM were mostly confirmed by the study results. The study findings indicated a need for an education and communication strategy tailored by population age, health status, and prior experience with offline-based exchange to gain public buy-in for a successful introduction of the technology.
The purpose of this study is to identify the factors affecting Health-related Quality of Life of Elderly in Busan. Then this study would like to present basic data that can be used in research into specific measures to improve Health-related Quality of Life of Elderly in Busan. The subjects of this study were a total of 3452 elders aged 65 or higher in 2016 Community Health Survey. Data were analyzed using descriptive statistics, Mann-Whitney U test, Kruskal-Wallis test and multiple linear. The results showed that subjective health status perception, depression, stress, education level, the national basic livelihood security, sleep duration, BMI, Marital status, hypertension were found to be the influencing factors of subjective happiness and explained 28.8% of Health-related Quality of Life.
The purpose of this study was to analyze the converged influencing factors on the stages of exercise behavior changes in shift work nurses. The subjects were 120 shift work nurses working in hospitals who understood the purpose of the study and agreed to participate in the study. Data were analyzed using frequency, percentage, mean, standard deviation, t-test, $X^2$ test, and multiple logistic regression analysis. The exercise motivation factors of shift work nurses had a significant effect on stages of exercise behavior change (${\beta}=2.480$, p=.022), health status perceptions(${\beta}=1.151$, p=.013). Social support factors (${\beta}=1.819$, p=.002) and marital status (${\beta}=-1.820$, p=.004) also had significant effects on the stages of exercise behavior change of shift work nurses. In other words, subjects with change in exercise behavior had 11.9 times higher motivation and 3.1 times higher health status perception than those without change in exercise behavior, social support was 6.1 times higher, and unmarried subjects showed 16 times showed higher than that of married subjects. Therefore, it is important to develop a strategy to practice continuous and regular exercise in consideration of the exercise motivation, social support, and health status perception of the nurses in shift work.
Purpose: This study was designed to identify nurses' perceptions and educational intentions regarding natural childbirth control (NCC) methods. Method: The participants were 313 nurses working at three general hospitals in Seoul. They were asked to complete a questionnaire composed of scales measuring knowledge and perceptions childbirth control methods, awareness of bodily changes in ovulation phase, perceptions of fetal life, which were developed by the author. Also, Chang's (2002) Sexual Autonomy Inventory was utilized. The data were analyzed by the SAS program. Results : Methods of condom and rhythm were considered to be more useful for childbirth control than other methods. Only 34-54% of them knew exactly about the NCC methods using menstrual cycle, body temperature, and mucus. The mean scores of sexual autonomy and awareness of bodily changes in ovulation phase were 3.8 and 3.4 out of 5, in respect. Educational intention was different statistically by the age, marital status, future intention to use NCC methods, and perception of educational need for NCC methods. Conclusion : Nurses' perceptions and educational intentions regarding NCC were low, especially in nurses who were married. It is recommended to encourage nurses to learn NCC methods for clients education.
The Journal of Korean Academic Society of Nursing Education
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v.22
no.3
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pp.294-303
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2016
Purpose: The purpose of this study was to determine subjective happiness related factors in Korean nursing students. Methods: A purposive sample of 200 nursing students was recruited for the cross-sectional survey design. The instruments were perceived stress scale, major satisfaction scale, resilience scale, and subjective happiness scale. Data were analyzed using descriptive statistics, hierarchical linear regression, and the Sobel test for testing mediating effects. Results: The mean score of stress, major satisfaction, resilience and subjective happiness was 2.21, 3.95, 3.60 and 5.03, respectively. Perceived health status, stress_positive perception, stress_negative perception, resilience_self confidence, resilience_positivity, resilience_social support had significant effects on subjective happiness. Explained variance for the subjective happiness was 53.4%. Resilience had a partial mediating effect in the relationship between stress and subjective happiness (Sobel test: Z=-5.67, p<.001). Also, resilience had a mediating effect in the relationship between major satisfaction and subjective happiness (Sobel test: Z=5.65, p<.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on improving resilience are recommended to improve subjective happiness in nursing students.
Objectives: This study aims to investigate the elements to affect the usage of individual oral hygiene devices in adults by the age group, to make the community inhabitants keep their healthy dental hygiene status, and to provide them with the educational materials for the dental hygiene and the basic data for the program development. The purpose of the study is to investigate the relation ot use of oral hygiene devices in the adults. Methods: The subjects were 9,073 adults from the sixth KNHANES from January, 2013 to December, 2014. The study consisted of questionnaire survey and direct physical examination. The questionnaire included genral characteristics of the subjects and oral health characteristics. The general characteristics consisted of subjective perception of health and chronic diseases. The oral health characteristics consisted of subjective oral health perception, dental caries, periodontal disease, annual oral examination, toothbrushing, prosthetics, implant surgery, and use of individual oral hygiene devices. Results: Those within 40 to 64 years old were the top users of oral hygiene devices. They perceived their dental hygiene was normal because they did not have periodontal disease but most of them had dental caries. They used oral hygiene devices three times a day and brushed teeth more than three times a day. They took annual dental checkup. Conclusions: It is necessary to promote the use of oral hygiene devices to prevent the dental caries and periodontal disease. The continuous training for the dental hygienists is very important because the dental hygienists is the first line of the prevention of dental caries and periodontal disease.
This study was conducted to identify the relationship between personal competence of health care(PCHC) and quality of life among middle-aged adults. Data were collected using questionnaires from 412 middle-aged parents of university student. There were significant differences in PCHC and quality of life according to educational level, family support, monthly income, exercise over 3times a week, subjective health status. However, religion and drinking made a differece only in PCHC on the other hand, sex and disease affected quality of life. All subdomains of PCHC had significant positive correlations with quality of life. Factors predicting quality of life among subdomains of PCHC were health perception, sociocultural relationship and socioeconomical involvement, which explained about 50.3%. These results indicate a need to develop programs to improve health perception, sociocultural and socioeconomical competence for middle-aged adults.
This study was conducted to analyze the effects of smoking and drinking on quality of life in Adults. The content was analyzed for aged 30 years or older using data from the 7th National Health and Nutrition Survey(2017). The total number of subjects of this study was 5,465. Socio-demographic characteristics, health-related variables and EQ-5D index scores were used for the analysis. Statistical analysis was performed using the IBM SPSS ver.23 program. As a result of the analysis, there were statistically significant differences in smoking status, binge drinking, subjective health status and stress perception with quality of life. In the regression after adjusting the control variables, 'the amount of alcohol consumed at once(β=.106)' was statistically significant. However smoking status and binge drinking were not statistically significant. Therefore, it is necessary to develop Convergence drinking intervention program to improve the quality of life in adults.
As material perspective that stresses absolute income has limitations in explaining socioeconomic gradients in health, research on the relationship between an individual's subjective socioeconomic status(SSS) and health has emerged in recent years. Although previous research has been conducted mostly on adults, late school-aged children, who frequently evaluate themselves using social comparisons, are likely to subjectively perceive their socioeconomic status and be affected by their perception. Accordingly, this study examined the relationship between late school-aged children's SSS and their physical health, and its underlying path based on a psychosocial perspective. For this purpose, data from the first year survey of the Seoul Education and Health Welfare Panel (2014), which consisted of responses from 394 children ($4^{th}$ graders in elementary school) and their parents, were analyzed utilizing structural equation modeling. The results showed an indirect but significant relationship between late school-aged children's SSS and their physical health, via stress, self-efficacy, and health behaviors, which are mediating variables grounded on a psychosocial perspective. No direct relationship was found between late school-aged children's SSS and physical health. Based on these findings, we suggested several implications to improving children's health, including efforts to prevent adverse effects of low SSS on physical health through psychosocial factors.
The concept and definition of nursing and her role have been changing in accordance with the socio-cultural factors of the initial society. At present, nursing is conceptualized as a health care profession assisting man to restore, maintain and promote health by providing knowledge, wilt strength and resources through various processes of interaction. Man′s behavior, of individual and group activities for health inclusive, is driven by the initial man′s value orientation. The purpose of this study is to investigate the value orientation regarding health of rural health center milieu in order to give data for; 1. the planning for the delivery of community nursing service, 2. the health education plan at all level of nursing care activities, and 3. the planning of curriculum for nursing education. A hundred opinion leaders among the labor population residing in rural areas (P-group), hundred and six professional nurses at rural health centers (N-group) were indirectly interviewed through questionaries. And ninety five of N-group were interviewed likewise of their perceptions of P-group (NP-group) from July 15, to October 15, 1974. The result is as follows: 1. Maintenance of health is revealed to be the most valued component for man′s happiness in all the three groups. (P-group: 7.30 S. D.=1.31), (N-group :7.84 S. D. =49), and (NP-group : 5.93 S. D. =2.28) 2. The average value score of the maintenance of health revealed significant difference by P〈.001 level between each of the three groups. (Between N-group and P-group : T= -4.07 P and NP ; T=-6.93, N and NP: T=-9.35) 3. Basic health maintenance activities necessary for maintenance and promotion of personal health were moderately valued by all the three groups, P-group ; 3.74 (S. D. =.43) , N-group: 3.52 (S. D. =.34), NP-group: 3.07 (S. D. :.55) Among the 8 categories of basic health maintenance activities, "food intake" was highly valued by P-group (mean value score; 4.00 S. D=.51) , "exercise and rest" and "personal cleanliness" was highly valued by both P-group (4.02, 4.08) and N-group (4.08, 4.22). 4. The mean value score of basic health maintenance activities revealed significant difference by P〈.001 level between each of the three groups (between P-group and N-group: T=-4, 07, N-and NP: T=-6.93, P and NP T=-9.35) 5. Among the 30 questionaries, dynamic activities for health maintenance were more valued in comparison to passive activities in an tile three groups. 6. In N-group, correlation between the value of basic health maintenance activities and the personal health status personal revealed moderate significance. Correlation between the value of basic health maintenance activities and the age revealed low significance. 7. In group, correlation between the value of basic health maintenance activities and; perception of personal health status revealed non significance, between the age and sex revealed low sign affiance, and between the educational status revealed moderate significance. Recommendations are as follows ; 1. The efforts towards alteration of value orientation concerning health in general in community nursing practice de focussed be that of family Planning. 2. In order to prepare professional nurses competent in understanding individual and group, social science and behavioral science be strength ended in planning nursing curriculum. 3. Milieu of nursing experience during nursing education be Planned to begin at simple nursing problem and move towards complex, f. e. home care towards health crisis situation in order to achieve dynamic role mastery.
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