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Factors Affecting Health Promotion Behavior of Apheresis Blood-Donors (성분헌혈자의 건강증진행위에 영향을 미치는 요인)

  • Hong Kyong Hee;Park Ho Ran
    • Journal of Korean Public Health Nursing
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    • v.19 no.1
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    • pp.41-52
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    • 2005
  • This study was designed to provide a base for nursing intervention to help apheresis blood-donors to perform health promotion behavior effectively by surveying their health promotion behavior and by analyzing the critical factors. The study subjects were 468 participants in platelet donation at a university hospital apheresis unit in Seoul. The data for this study were collected between May and June. 2002. by questionnaire. Data were analyzed by t-test, ANOVA. Scheffe test, Pearson correlation coefficient. and stepwise multiple regression. The results were as follows. 1. The degree of performance of health promotion behavior of the subjects was a total average score of $152.9\pm21.5$ points and a mean score of 2.7 points. The highest score was 'I have a good relationship with others' in the factor of self-actualization and interpersonal support. The lowest score was 'I have my blood pressure checked regularly' in the factor of health responsibility. 2. Considering the classification according to the subjects' general characteristics. the health promotion behavior score was significantly higher for soldiers than high school students, for religious believers than atheists. and for high class economic status than mid and low class economic status. Also the health promotion behavior score was higher for those who had made more than five blood donations than those who had made zero or one donation. and for those who had made more than four blood donations than for those who had made less than four blood donations in the previous times of apheresis blood donation. The score was also higher for those not having a relationship with recipient than those having a relationship. 3. The self-efficacy related to donation. general self-efficacy and self-esteem had a significant correlation with the performance in health promotion behavior. 4. The critical factors that influenced the health promotion behavior were explained by $35.6\%$ of the general self-efficacy and by $40.2\%$ of the total of self-efficacy related to donation, and previous times of apheresis blood donation. The health promotion behavior score of apheresis blood-donors differed according to job, religion, economic status, previous times of whole blood donation, previous times of apheresis blood donation, and relationship with recipient. The health promotion behavior and self-efficacy related to donation, general self-efficacy, and self-esteem showed significant positive correlation with one another. The general self-efficacy, self-efficacy related to donation, and previous times of apheresis blood donation appeared to be the significant predictive factors of health promotion behavior. Therefore, from these study results, it is necessary to establish more effective and organized nursing intervention strategies for the health promotion behavior of apheresis blood-donors.

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A Correlation Study on the Relationship between Hardiness and Compliance with Prenatal Care in Pregnant Woman (임부의 강인성과 산전간호이행과의 관계연구)

  • 박명희
    • Journal of Korean Academy of Nursing
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    • v.23 no.3
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    • pp.339-355
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    • 1993
  • The purpose of this correlational study was to offer strategies for nursing intervention to improve compliance with prenatal care. This study was designed to investigate degree of tardiness, correlation between hardiness and compliance with prenatal care. In research, the characteristic of hardiness has 1 teen demonstrated in resolving stressful situaltions and in adapting to overcome physical and psycho-logical tension. pregnancy is normal crisis process. Therefore, it is necessary to investigate degree of hardiness in normal pregnant woman and I think that concept of hardiness is able to become a new, important concept for prenatal care imtervention. The subjects were 388 normal pregnant woman over five months, who were selected from five university hospitals and two health centers in Taegu. Data were obtained using a convenience sample technique. Data collection was done from March 6 to June 18, 1992. The instruments used for this study were the Health Related Hardiness Scale developed by Pollock(1984) and compliance with a prenatal care scale developed by the author on the basis of results of a literature review. Data were analyzed using the SAS program for t - test, ANOVA, Scheffe test, Pearson correlation and stepwise multiple regression. The results are as follows : 1. The scores on the hardiness scale ranged from 35 to 210 with mean of 88.89. 2. The scores on the compliance with prenatal care scale ranged from 28 to 140 with a mean of 111.49. 3. There were significant differences between hardiness and obstetrical characteristic factors, duration of pregnancy, frequency of pregnancy, frequency of abortion(P .05). 4. There were significant differences between compliance with prenatal care and general and obstetircal characteristic factors, education and frequency of pregnancy(P .05). 5. Correlations between hardiness and compliance with prenatal care were all negative and significant(r=-.2276~ -.2930, P .000). Challenge of hardiness components was the low est (r= -.2814). 6. Significant differences between hardiness and compliance with prenatal care by group were as follows : Group 1 was the high est, whereas Group 8 was the lowest(F=5.47, P .0000). 7. Factors influencing compliance with prenatal care were : 1) Challenge was the main variable and accounted for 7.92% of the total variance. 2) Education and frequency of pregnancy accounted for an additional 2.74% of the total variance. From the above findings, this study suggests the following : 1) Considering the lack of empirical support, the theroy of hardiness needs to be evaluated. 2) A valid, reliable and culturally appropriate instrument needs to be developed for Health Related Hardiness Scale. 3) There is a need for further study of hardiness in a broad variety of populations. 4) There is a need for comparative study correlation between hardiness and compliance with prenatal care in woman with normal and abnormal pregnancies

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A Study of the Anxiety Levels of Hospitalized Psychiatric Patients in Terms of Length of Hospitalization (정신과 입원환자의 입원기간에 따른 불안정도에 관한 연구)

  • 김윤희
    • Journal of Korean Academy of Nursing
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    • v.11 no.1
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    • pp.45-63
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    • 1981
  • This study was done to determine the relationship between the anxiety levels of hospitalized psychiatric patients and various influencing variables. The purpose of this study was to determine factors that may help hospitalized psychiatric patients to experience lower levels of anxiety in relation to changing situations and provide the basic data for a dynamic approach which is important in the field of modern psychiatric nursing that understands and analyses the meaning of patients behavior. The anxiety may produce stress, which is a common experience among all human beings. Patients may merely feel uncomfortable in the state of mild anxiety, however, the severe state could be an obstacle to treatment and recovery from disease. The anxiety of the psychiatric patient is a factor which greatly influencing the patient's behavior, so his disorderd behavior is an expression of defence or pathologically fixed behavior. According the psychiatric patient's anxiety at the time of admission is the concern of the health team. The nurse's special concern has to do with understanding and supporting the patient and meeting his individual needs by frequent close contact during the entire hospitalization period, compared to other teamembers the nurse's responsibility in this regard is greated. So this study emphasizes the necessity of creating conditions these, but above all the psychiatric nurse should create a therapeutic environment by not only regarding the patient's behavior or symptoms but understanding the meaning of them. The subjects of this study were 57 psychiatric patients selected from the K neuropsychiatric hospital located in Kunsan city. Data were collected twice from the same patients within a 24 hour period after admission and 10 days after admission. (September 18th to November 8th, 1980). The data collected method was through direct interview, and the interview time was 20 minutes for each patient. Data analysis included Item Analysis & Internal Consistency Reliability Tests, Percentages, t-test, analysis of variance and stepwise multiple regression analysis. The findings of this study were as follows. A. Test of Hypothesis a. Hypothesis 1 :“The anxiety level of psychiatric patients within 24 hours after admission will be higher than those of the same patients 10 days after admission,”was accepted. (t = 3. 15 ; p < 0.005) b. Hypothesi 2:“The more the number of admissions the higher the level of anxiety related to two categories”, was accepted. (affective anxiety: F = 5.50, p < 0.005, Somatic anxiety: F = 9.12, p <.

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Successional Trends and Vegetation Types in the Baramjae Area of Baekdudaegan (백두대간 바람재일대 식생유형 및 천이경향)

  • Kim, Ji-Dong;Lee, Jun-Woo;Park, Byeong-Joo;Lee, Hye Jung;Lee, Dong-Hyuk;Heo, Tae-Im;Byeon, Jun-Gi;Ahn, Ji Hong
    • Journal of Korean Society of Forest Science
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    • v.109 no.3
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    • pp.249-258
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    • 2020
  • The purpose of this study examined the succession by vegetation type after forest ecosystem restoration in the Baramjae area. Vegetation of the Baramjae area was classified using a survey of 81 sites from May to October 2019. The vegetation type was classified as Pinus densiflora community group with both Quercus mongolica community and P. densiflora typical community. The group unit was further classified as the Quercus dentata typical subgroup, Salix koreensis subgroup, and Q. mongolica typical subgroup. Such as Q. mongolica, Quercus variavilis in vegetation unit 1, Q. mongolica, Q. dentata in vegetation unit 2, P. densiflora in vegetation unit 3 and S. koreensis in vegetation unit 4 were shown a high importance value. The difference in species by vertical layer is explained by sere. Based on the vegetation type classification system, Detrended Correspondence Analysis was conducted to observe the trend of succession. Since restoration, vegetation unit 1 and vegetation unit 2 were considered to have developed the most extensive vegetation. In vegetation unit 2 and vegetation unit 4, many of the species found were in the early vegetation development in S. koreensis subgroup. Accordingly, vegetation in the Baramjae area can be categorized as a stepwise succession.

Prognostic Factor Analysis of Overall Survival in Gastric Cancer from Two Phase III Studies of Second-line Ramucirumab (REGARD and RAINBOW) Using Pooled Patient Data

  • Fuchs, Charles S.;Muro, Kei;Tomasek, Jiri;Van Cutsem, Eric;Cho, Jae Yong;Oh, Sang-Cheul;Safran, Howard;Bodoky, Gyorgy;Chau, Ian;Shimada, Yasuhiro;Al-Batran, Salah-Eddin;Passalacqua, Rodolfo;Ohtsu, Atsushi;Emig, Michael;Ferry, David;Chandrawansa, Kumari;Hsu, Yanzhi;Sashegyi, Andreas;Liepa, Astra M.;Wilke, Hansjochen
    • Journal of Gastric Cancer
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    • v.17 no.2
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    • pp.132-144
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    • 2017
  • Purpose: To identify baseline prognostic factors for survival in patients with disease progression, during or after chemotherapy for the treatment of advanced gastric or gastroesophageal junction (GEJ) cancer. Materials and Methods: We pooled data from patients randomized between 2009 and 2012 in 2 phase III, global double-blind studies of ramucirumab for the treatment of advanced gastric or GEJ adenocarcinoma following disease progression on first-line platinum- and/or fluoropyrimidine-containing therapy (REGARD and RAINBOW). Forty-one key baseline clinical and laboratory factors common in both studies were examined. Model building started with covariate screening using univariate Cox models (significance level=0.05). A stepwise multivariable Cox model identified the final prognostic factors (entry+exit significance level=0.01). Cox models were stratified by treatment and geographic region. The process was repeated to identify baseline prognostic quality of life (QoL) parameters. Results: Of 1,020 randomized patients, 953 (93%) patients without any missing covariates were included in the analysis. We identified 12 independent prognostic factors of poor survival: 1) peritoneal metastases; 2) Eastern Cooperative Oncology Group (ECOG) performance score 1; 3) the presence of a primary tumor; 4) time to progression since prior therapy <6 months; 5) poor/unknown tumor differentiation; abnormally low blood levels of 6) albumin, 7) sodium, and/or 8) lymphocytes; and abnormally high blood levels of 9) neutrophils, 10) aspartate aminotransferase (AST), 11) alkaline phosphatase (ALP), and/or 12) lactate dehydrogenase (LDH). Factors were used to devise a 4-tier prognostic index (median overall survival [OS] by risk [months]: high=3.4, moderate=6.4, medium=9.9, and low=14.5; Harrell's C-index=0.66; 95% confidence interval [CI], 0.64-0.68). Addition of QoL to the model identified patient-reported appetite loss as an independent prognostic factor. Conclusions: The identified prognostic factors and the reported prognostic index may help clinical decision-making, patient stratification, and planning of future clinical studies.

The Effect of Self-esteem, Academic Achievement and Family Functioning of Adolescents on Hope (일도시 청소년의 자아존중감, 학업성취수준, 가족기능이 희망에 미치는 영향)

  • Lee Jong Eun;Park Sun Nam;Park Ho Ran
    • Child Health Nursing Research
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    • v.7 no.1
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    • pp.74-84
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    • 2001
  • This study is the descriptive survey for the purpose of providing the basic data that establishes the strategy to promote adolescent's hope by the examining of self-esteem, academic achievement, family functioning and hope of adolescents and the investigating of the factors influencing the hope in adolescents. The subjects for this study were 456 students of the first and second year of man's senior high school that located in Seoul. The data were gathered from 16th to 31st of the October 2000. For the survey tool, it was used that the Family Assessment Device(FAD) of Epstein, Baldwin & Bishop(1983), the Self-Esteem Inventory(SEI) of Coopersmith(1975), the class record order and Hinds & Gatusso(1991)'s Hopefulness Scale for Adolescents(HSA). The collected data was analyzed by statistics methods as the descriptive and frequency analysis, t-test, ANOVA, Pearson and Spearman correlation coefficients and Stepwise multiple regression of SAS program. The results of this study were following : 1. The mean score of self-esteem of young people was 51.06±6.83 and the mean grade was 2.04. The high academic achievement was 29.2%, middle grade was 52.7%, and low grade was 18.1%. The mean score of the family functioning was 38.30±6.98 and the mean grade was 2.25. The mean score of hope was 84.26±16.45 and the mean grade was 3.51. 2. The hope in adolescents was significantly different according to their father's school career. The mean score of the group that the father's school career was below junior high school was 77.32. That was significantly lower than the mean score 84.59 of the group that the father's school career was above college and the mean score 85.18 of senior high school group(F=4.04, P= 0.0183). 3. The self-esteem was represented the positive correlation with family functioning(r=0.43) and the all of the 4 subscales(r=0.31, 0.41, 0.39, 0.30). And, it was highly ranked as much as family functioning was good. The academic achievement was represented the positive correlation with self-esteem(r= 0.15). Also, the positive correlation was shown between the affective responsiveness, role recognition and emotional support as the subscales of family functioning and academic achievement(r=0.11, 0.12). And so, academic achievement was high as much as self-esteem was high and affective responsiveness and role recognition and emotional support were good. The hope was represented positive correlation with self-esteem and academic achievement(r=0.42, 0.26), and with the whole of family functioning(r=0.15) and the 4 subscales(r=0.13, 0.16, 0.11, 0.13). So, hope was high as much as self-esteem was high, academic achievement was high and family functioning was good. 4. The influencing factors on the hope of adolescents were self-esteem(17.63%), academic achievement(3.41%), father's school career(0.84%). These factors made it possible to explain 21.88% of hope.

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Health-Promoting Behaviors of the Women Workers at the Manufacturing Industry -Based on the Pender's Health Promotion Model- (제조업 여성 근로자의 건강증진행위 관련 요인 분석 -Pender의 건강증진모형 적용-)

  • Yun, Soon Nyoung;Kim, Jeong Hee
    • Korean Journal of Occupational Health Nursing
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    • v.8 no.2
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    • pp.130-140
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    • 1999
  • The purpose of this study was to identify health promoting behaviors(HPBs) and the related determinants affecting to women workers health based on the New Health Promotion Model by Pender(1996). Data were collected by self-reported questionnaires from 208 women workers at the 8 electronic manufacturing factories under the permission of data collection and cooperation with health managers in the factories during the period from September to October 1999. For data analysis. Descriptive statistics, ANOVA, Pearson's correlation and Stepwise multiple regression with SPSS/PC+7.5 version were used. The results were as follows : 1. The average score for the HPBs, consisted of 6 subdimensions was 2.05. The highest mean score was 2.29 in 'Spiritual growth' and the lowest one was 1.66 in 'Physical activity'. 2. No significant difference between general charateristics and HPBs were found. 3. HPBs were positively related to 'Prior related behavior'(r=0.369, p<0.1), 'Perceived self-efficacy'(r=0.340, p<.01), 'Activity-related affect'(r=0.252, p<.01). 'Social support'(r=0.350, p<.01). 'Commitment to a plan action'(r=0.374, p<.01). There was no significant correlation between perceived health status, perceived barriers to action and HPBs. 4. The most important variable in HPBs was 'Commitment to a plan action'. It was explained 14.0% out of the total variance of HPBs. 'Commitment to a plan action', 'Prior related behavior', 'Social support', 'Self-efficacy' and 'Perceived barriers to action' explained 23.0%. According to the results of this study, the suggestions were as follows: 1. It is necessary to develop program for improving the physical activity and health responsibility of women workers at the manufacturing industry. 2. To facilitate and maintain HPBs of women workers, nurses may enhance and plan mutually interactive active HPBs with women workers. 3. Social support at the level of individual workers, supervisors, and the organization is required in order to conduct health promotion program at the factories. 4. Significantly related variables to HIPBs should be identified the direct and indirect paths among them further more.

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Influence of Self-esteem and Consumer Socialization Agents on Rational Consumption Behavior of Middle School Students (중학생의 자아존중감과 소비자사회화 영향요인이 합리적 소비행동에 미치는 영향)

  • Lee, Seung Jin;Yu, Nan Sook
    • Journal of Korean Home Economics Education Association
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    • v.31 no.4
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    • pp.115-128
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    • 2019
  • The purpose of this study was to examine the influence of self-esteem and consumer socialization agents on rational consumption patterns of middle school students. Using a convenient sampling method, the data were collected from middle schools in Seoul, Gyeonggi, Chungcheong, Jeonnam, and Gwangju and a total of 412 copies were analyzed. The descriptive statistics, Chronbach's α, t-test, and stepwise regression analysis were performed using the SPSS and the results were as follows. First, rational consumption behavior was 3.18 and self-esteem was 3.54 on a 5-Likert scale. As for consumer socialization agents, parents was the highest at 3.13, followed by school 2.83, mass media 2.78 and peers 2.73. Second, the average comparison of rational consumption behavior and consumer socialization agents by gender showed that there was no gender difference in rational consumption behavior, but in the case of consumer socialization, girls were higher than boys. Third, examining the influence of self-esteem and consumer socialization agents on rational consumption behavior, it was found that the amount of money, mass media, and peers showed an negative effects on rational consumption behavior, while self-esteem and parents showed positive effects on rational consumption behavior. In this regard, middle school students need to have more self-esteem and guide their peers so that their influence can be positive in the home economics class in order to become consumers with rational consumption behavior.

Influence of Smartphone Addiction, Sleeping Condition, Scholastic Achievement on Mental Health in Nursing Students (간호대학생의 스마트폰 중독, 수면상태, 학업성취가 정신건강에 미치는 영향)

  • Im, Young Soon;Noh, Gie Ok
    • Journal of Internet of Things and Convergence
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    • v.6 no.2
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    • pp.57-64
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    • 2020
  • The purpose of this study was to investigate the smartphone addition, which effects sleep, scholastic achievement and mental health in nursing students. The study subjects consisted of 185 nursing students in grade 2nd, 3rd who completed a informed consent. The date were collected from 13th of May to 3rd of June 2019. Data were analyzed descriptive statistics, Independent t-test, one-way ANOVA, Pearson correlation and stepwise multiple regression using by IBM SPSS/WIN 24.0. The score for Smart Phone addition was 36.99 out of 60. The more addicted a smartphone is, the more likely shows lower score of sleep (r=.19, p=.009), mental health (r=.34, p<.001) was found to be negative. The key variable for effecting nursing students' mental health was smartphone addiction, quality of sleep and time, level of grade. Among them, smartphone addiction (β=.27) was found to have the highest influence for all. Explanation that by influencing factors was 20.4%. Therefore, for the mental health of nursing students, various programs that can reduce smartphone addiction should be applied and sleep management should be done.

Segmentation Method of Overlapped nuclei in FISH Image (FISH 세포영상에서의 군집세포 분할 기법)

  • Jeong, Mi-Ra;Ko, Byoung-Chul;Nam, Jae-Yeal
    • The KIPS Transactions:PartB
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    • v.16B no.2
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    • pp.131-140
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    • 2009
  • This paper presents a new algorithm to the segmentation of the FISH images. First, for segmentation of the cell nuclei from background, a threshold is estimated by using the gaussian mixture model and maximizing the likelihood function of gray value of cell images. After nuclei segmentation, overlapped nuclei and isolated nuclei need to be classified for exact nuclei analysis. For nuclei classification, this paper extracted the morphological features of the nuclei such as compactness, smoothness and moments from training data. Three probability density functions are generated from these features and they are applied to the proposed Bayesian networks as evidences. After nuclei classification, segmenting of overlapped nuclei into isolated nuclei is necessary. This paper first performs intensity gradient transform and watershed algorithm to segment overlapped nuclei. Then proposed stepwise merging strategy is applied to merge several fragments in major nucleus. The experimental results using FISH images show that our system can indeed improve segmentation performance compared to previous researches, since we performed nuclei classification before separating overlapped nuclei.