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A Study on the Relations of the Psychosocial Well-being, Perceived Health Status and Health Promoting Lifestyle Practices of Middle-aged Adults (중년기의 사회심리적 건강과 지각된 건강상태, 건강증진 생활양식 이행과의 관계 연구)

  • 윤은자
    • Journal of Korean Academy of Nursing
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    • v.29 no.4
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    • pp.977-990
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    • 1999
  • This study was done to examine the relationship among psychosocial well-being, perceived health status and health promoting lifestyle practices, and to Identify those variables affecting a health promoting lifestyle. Three hundred and forty five ruddle-aged adults completed a multiple self-reported questionnaire on psychosocial well-being, perceived health status and health promoting lifestyle profile. Data analysis were conducted by using Pearson correlation coefficients, t-test, ANOVA, Scheffe test and stepwise multiple regression nth SAS program. The results are as follows : 1. The average item score for psychosocial well-being was low at 55.98, the level of perceived health status was moderate at 5.76, and health promoting lifestyle practices were low at 110.09. Among the subscales of the health promoting lifestyle profile, stress management and self-actualization were scored higher than exercise and health responsibility. 2. Performance of health promoting lifestyle was positively correlated with perceived health status and negatively correlated with psychosocial well-being. Also, negative correlations were observed between perceived health status and psychosocial well-being. 3. There were statistically significant differences for health promoting lifestyle, psychosocial well-being and perceived health status according to sociodemographic variables. The performance of health promoting lifestyle was significantly different according to education, economic status and marriage satisfaction. Psychosocial well-being was also significantly different according to education, marriage satisfaction, and exercise. Perceived health status was significantly different according to education, occupation, and economic status. 4. Perceived health status, psychosocial well-being, marriage satisfaction and level of education together explained 21.62% of varience in the performance of health promoting lifestyle. These findings help to clarify relationships among psychosocial well-being, perceived health status, and health promoting lifestyle practices in middle-aged adults. Therefore, the result of study provide clues for encouraging people to adopt healthier lifestyles and constructing alternative strategies for promoting health practices.

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Effects of a Social Support Group on Burden and Well-being of Mothers of Developmentally Delayed Children (사회적 지지모임이 발달지연아 어머니의 부담과 안녕에 미치는 영향)

  • 오가실
    • Journal of Korean Academy of Nursing
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    • v.27 no.2
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    • pp.389-400
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    • 1997
  • This study examined the effects of group social support on the reduction of burden and increase in well-being of mothers of developmentally delayed children. The research used a one group pre-pose experimental design. The independent variable in the experiment was group social support. Two series of 4-weekly meetings for group social support were conducted by the researcher with the intention of developing a self-help group. The dependent variables were burden and well-being. Well-being was operationalized as physical symptoms and quality of life. Thirty mothers of developmentally delayed infants from the rehabilitation center of a medical center participated in the study. Data were collected by interviews and a self-administered questionnaire. The mean age of the subjects was 29.9 years. Changes of the dependent variables between pre and post tests were compared using the t-test. Even though there was a slight improvement in the scores for the dependent variables, they were not statistically significant. The items, "I resent my baby". "I feel angry about my interactions with my baby", "I feel guilty in my relationship with my baby" showed a significant decrease in burden score and were statistically significant. Symptoms of loneliness, constipation, anxiety, restlessness were less and feeling of happiness was greater after participation in the group social support, than on the pretest. The mothers showed emotional instability and frustrations during the group sessions but their reactions in general were positive. Emotional support, stress management and information provided were identified as the most valuable content of the sessions. However, participation was not active due to the mother's denial, delayed acceptance and /or avoidance of their infants' problems. It can be seen that group social support for the mothers with developmentally delayed children should be provided after infancy when the mothers have time to accept their children's conditions and are ready to receive support. The use of comprehensive instruments which measure burden in both families and mothers needs to be developed for future research.

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Effect of Chamomile German Oil Application of IgG1 and IgE 1 to Atopic Dermatitis in NC/Nga Mice Model (Chamomile German 오일도포가 아토피성 피부염을 가진 NC/Nga 생쥐모델의 혈청 IgE와 IgG1양 변동에 미치는 영향)

  • Shin, Gil-Ran;Kim, Yang-Weon
    • Korean Journal of Human Ecology
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    • v.18 no.2
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    • pp.501-507
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    • 2009
  • Atopic dermatitis is one of the most common skin disease in children and a characteristic chronically recurrent form of dermatitis with a hereditary tendency, affecting infants and may extend to the childhood or th the adult age. Environmental factors, stress, and foodstuffs such as milk, egg may cause atopic dermatitis. Nc/Nga mice were used as an animal model for human atopic dermatitis. The divided by 4group such as normal group, BMAC group, FK506 group, MR group for this study raised in conventional conditions. To investigate effect of Chamomile German on atopic dermatitis in NC/Nga mice, the serum IgE and IgG1 level were measured while the severity degree of the skin lesion was examined by the naked eyes of two volunteers who were unaware of the treatment status. The results were the followings. 1. The score on the severity degree of skin dermatitis in FK 506 and MR group was lower than that in control group. 2. The serum IgE level in control group was higher 25% than that in normal group. 3. The serum level of IgE in FK506 and MR group compares to control group was decreased. 4. The serum IgG1 level was decreased more than 3.5 times in FK506 compared to control group while MR group had significantly less the serum IgG1 than control group. From the above results, treatment of Chamomile German oil had the effect on atopic dermatitis in NC/Nga mice. If scientific researches on aroma oil are performed in various way, aroma oil will be used to cure skin dermatitis as a alternative therapy in the future.

Classification of Eating Disorder Patterns of Female Middle School Students and their Association with Self-body Image, Weight Control Behavior, and Eating Behavior (여자 중학생의 섭식장애 패턴 분류와 이에 따른 체형인식, 체중조절행태 및 식습관과의 관계에 대한 연구)

  • Lee Ji-Eun;Lee Lil-Ha
    • The Korean Journal of Community Living Science
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    • v.17 no.2
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    • pp.89-103
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    • 2006
  • This study was performed to provide sources of nutrition education for female adolescents by identifying eating disorder patterns and their relationships with self-body image, weight control, and eating behavior. A total of 329 female middle school students were recruited and completed a general characteristics survey, the Eating Attitudes Test(EAT-26), a perception of self-body image survey, a concern for weight control survey, an eating behavior survey, and the Mini Dietary Assessment Index(MDA). Eating disorder patterns were identified to be obesity stress and weight control(OW), risk of binge eating(RB), and dietary restraint(DR) by factor analysis. OW pattern was related with stout body shape, body dissatisfaction, experience of weight control, skipping of dinner, and low MDA score. RB pattern was associated with lean body shape, body satisfaction, indiscreet snack behavior, and the eating time of snacks. The DR pattern was associated with normal body shape, regular meal times, desirable snack behavior, and high MDA scores. The results indicated that the eating patterns of adolescent were not identical to existing diagnostic categories. Furthermore, each eating pattern displayed different characteristics of perception on self-body image, concern for weight control, and eating behavior. In conclusion, nutrition education for female middle school students could reflect the different characteristics of each eating disorder pattern.

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Development of Measurement Scale for the Quality of Life in Hypertensive Patients (고혈압 환자의 삶의 질 측정도구 개발)

  • Kim, Keon-Yeop;Kam, Sin;Lee, Sang-Won;Park, Ki-Soo;Chae, Shung-Chull;Chun, Byung-Yeol
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.1
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    • pp.61-70
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    • 2005
  • Objectives : To develop a tool for multidimensional measurement of the quality of life, which was psychometrically sound, short, and easy to administer for patients with hypertension. Methods : A sample of 1,115 hypertensive patients aged 20 or above in Cheong-Song County was studied from June 1997 to October 1998. In the development of the instrumental stage, the authors first conceptualized the quality of life. Item generation, item reduction, and questionnaire formatting were followed. Item-level (item descriptive, missing%, item internal consistency, item discriminant validity) analysis, scale-level (scale descriptive, floor and ceiling effect) analysis, and other tests(Cronbach's alpha, inter-dimension correlations, factor analysis, clinical validity) were performed to evaluate the validity and reliability of the new measurement scale. After 1 year, responsiveness and confirmatory factor analysis were performed. Results : The results of both item-level and scale-level analyses were acceptable. An acceptable degree of internal consistency was observed for each of the dimensions (Cronbach's alpha was 0.60 or higher). Inter-dimension correlations were below 0.50 and the factor analysis result was the same as the intended dimension structure. Correlation coefficients between perceived health status, stress and dimensions were proven to be acceptable. The result of comparing dimensional score means among ADL and MMSE-K groups above 60 years was statistically significant(p<0.05). The result of confirmatory factor analysis concluded that the dimensional structure model was well fitted. However, the result of responsiveness test using sensitivity and specificity was unsatisfactory. Conclusions : The newly developed measurement scale is psychometrically reliable and valid instrument for measuring quality of life in hypertensive patients.

Antioxidant and Anti-inflammatory Effects of Atoberry in Atopic Dermatitis-like NC/Nga Mouse Model (아토피 피부염 유사 NC/Nga 마우스 모델에서 아토베리의 항산화 및 항염증효과)

  • Mok, Ji-Ye;Park, Kwang-Hyun;Ryu, Cheol;Cho, Jung-Keun;Jang, Seon-Il
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.2
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    • pp.302-309
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    • 2010
  • Oxidative stress has been implicated in cutaneous damage in various inflammatory skin diseases, including atopic dermatitis (AD). Atoberry is the herb medicine extract which is composed with Spirodelae Herba, Xanthii Fructus, Houttuyniae Herba, Taraxaci Herba, Retinervus Luffae Fructus, Platycodi Radix, and Scutellariae Radix. In this study, we investigated the antioxidant and anti-inflammatory effects of Atoberry in AD-like skin lesion NC/Nga mice. Murine AD-like skin lesions were made by painting Dermatophagoides farinse (Df) extract. Atoberry significantly increased electron donating ability (DPPH), nitrite scavenging (NO) and superoxide dismutase (SOD) activities in dose dependant. Topically applied Atoberry significantly reduced clinical severity score, ear thickness and histological grade in AD-like skin lesion NC/Nga mice. In addition, the serum levels of IgE, NO and prostaglandin E2 were significantly reduced by Atoberry. Futhermore, skin tissue levels of SOD, catalase and glutathione peroxidase (GPx) were significantly reduced by Atoberry. These results demonstrate that topical application of Atoberry may be improve the AD-like skin lesion by antioxidant and anti-inflammatory effects.

The Correlational Study of Health Promotion Lifestyle and Body Composition in a University Students (일개 대학생의 건강증진 생활양식과 신체조성간의 관계 연구)

  • Park, Yeon-Suk;Lee, Hye-Gyeong
    • Journal of the Korean Society of School Health
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    • v.19 no.1
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    • pp.67-78
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    • 2006
  • Purporse : The purpose of this study was to examine the relationship between a health promoting lifestyle and body composition in university students. The study subjects were 194 university students who attended K-university located in Chungnam. Methods : The data was collected between March 2 and May 31, 2004. The instrument used for this study was the modified Health Promoting Lifestyle Profile(HPLP) developed by Walker, Sechrist, & Pender(1987). The body composition was measured by In Body 3.0, a Bioelectrical Impedance Analyzer. The data was analyzed using the SPSS/WIN 10.0 program by t-test, ANOVA and pearson correlation coefficients. Results : The results of this study are as follows: 1) The scores of the Health Promoting Lifestyle(HPL) ranged from 79 to 170, with a mean score of 110(±15.8). The mean scores of sub-categorical HPL were self-actualization 31.8(±4.9), health responsibility 17.0(±4.0), exercise 8.3(±3.2), nutrition 15.4(±3.7), interpersonal relationships 20.3(±3.5) and stress management 17.2(±3.4). 2) The HPL according to the subjects' general characteristics had significant correlation to exercise amount(F=8.09, p<.01), drinking amount(F=6.56, p<.01), perceived health status(F=19.2, p<.01) and perceived health knowledge (F=15.9, p<.01). 3) The total HPL did not significantly correlate with any categories in body composition. The exercise area of sub-categorical HPL had significant positive correlation to height (r=.199, p<.01), weight(r=.181, p<.05) and soft lean mass(r=.257, p<.01), and negative correlation to percent body fat(r=-.255, p<.01) in body composition. Conclusion : The results suggest that the exercise area of sub-categorical HPL was an important variable for an exercise program's development such as nursing intervention for the health promotion of university students.

The Effect of Sodium Reduction Education Program of a Public Health Center on the Blood Pressure, Blood Biochemical Profile and Sodium Intake of Hypertensive Adults (고혈압 환자 대상 저나트륨 식생활에 대한 보건소 영양교육이 혈압, 혈액 성상 및 나트륨섭취에 미치는 영향)

  • Jung, Eun Jin;Son, Sook Mee;Kwon, Jong-Sook
    • Korean Journal of Community Nutrition
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    • v.17 no.6
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    • pp.752-771
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    • 2012
  • This study was conducted to investigate the effect of sodium reduction education program of a public health center on the blood pressure, blood biochemical profile and sodium intake of hypertensive adults. The program continued for 16 weeks with an 8-week nutrition education and an 8-week follow-up to forty two subjects, 6 males and 36 females aged 46 to 80 years. Subjects received nutrition education including lectures, activities, cooking classes and nutrition counseling. Physical fitness, management of stress, and nutrition counseling were provided during the follow-up. The program was evaluated three times, before and after the nutrition education, and after the follow-up. Systolic blood pressure (p < 0.0001) and diastolic blood pressure (p < 0.001) were decreased after completion of the program. Body weight (p < 0.005), percent body fat (p < 0.005) and body mass index (p < 0.001) were decreased, too. There were no significant differences in blood glucose, HDL-cholesterol and triglycerides, while elevated levels of total cholesterol (p < 0.001) and LDL-cholesterol (p < 0.001) appeared after the program completion. Decreased intakes of vitamin A (p < 0.05), ${\beta}$-carotene (p < 0.001) and sodium (p < 0.001) were observed. Consumption frequency of noodles, soups, stews, kimchi, fishes/shellfish, seasoned vegetables, and salted seafoods/pickles (p < 0.05~p < 0.001) were decreased, while that of all food groups were not changed during the follow-up. Total score of nutrition knowledge related to sodium intake and hypertension (p < 0.001), and that of dietary behavior associated with high sodium intakes were changed positively (p < 0.001) only during the nutrition education. This sodium reduction education program, including the follow-up study showed positive effects on the blood pressure, sodium intake, nutrition knowledge and dietary behavior of hypertensive adults.

Factor associated with oral health-related quality of life in adults (성인의 구강건강관련 삶의 질 영향 요인)

  • Youn, Hye-Jeong;Kim, Sun-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.6
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    • pp.1117-1123
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    • 2015
  • Objectives: The purpose of the study was to examine the influencing factors of oral health-related quality of life in adults. Methods: A self-reported questionnaire was completed by 300 adults in Seoul and Gyeonggido from June to July, 2015 by convenience sampling method. Except 19 incomplete answers, 281 data were analyzed by t test, one way ANOVA, Pearson's correlation coefficient analysis, and multiple linear regression analysis using SPSS 18.0 program. The questionnaire consisted of general characteristics of the subjects, health-related characteristics, whole body dry symptoms and subjective perception of dry mouth. The oral health-related quality of life was measured by Likert five points scale, and a higher score indicated a lower quality of life. Results: The oral health-related quality of life in adult varied by age, systemic diseases, oral health status, missing tooth, stress, decayed tooth, gingival disease. The oral health-related quality of life had positive correlations with the subjective perception of dry mouth and whole body dry symptoms. The subjective perception of dry mouth(${\beta}$=0.245) had the influence on the oral health-related quality of life, oral health status(${\beta}$=-0.209), gingival disease(${\beta}$=-0.151), and decayed tooth(${\beta}$=-0.146) in order. Conclusions: The oral health-related quality of life was closely related to the subjective perception of dry mouth and the oral health status. It is necessary to develop the quality of life improvement programs including oral health prevention and care program in the adults.

Preceptor's Perception of Student Preceptorship and Comparison of Perception of the Students' Clinical Competence Readiness between Nurses and Students (일 병원 프리셉터의 학생 프리셉터쉽에 대한 인식 및 임상수행능력 준비도에 대한 간호학생과의 지각비교)

  • Park, Jee-Won;Kim, Ki-Sook;Bang, Kyung-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.16 no.2
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    • pp.213-221
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    • 2010
  • Purpose: The purpose of this study was to investigate the perception of nursing student's preceptorship and to compare the perception on the readiness of clinical competence between nurse preceptors and senior-level nursing students. Method: Data was collected with self-administered questionnaires and analyzed by descriptive statistics and t-test. Study participants were 65 preceptors in one university hospital and 59 nursing students in the same university. Result: The knowledge and satisfaction about preceptorship in the nurse preceptor was 2.66 and 2.70 out of 5. Most of the preceptors (70%) agreed to the students preceptorship program even though the intention to be a preceptor was very low (14.1%). They responded that the merits of student preceptorship were self-development (29.7%) and knowledge acquisition (29.7%), whereas the disadvantages were increased workload (67.2%) and increased stress (23.4%). Requested rewards were monetary reward (44.4%) and promotion (33.3%). In all areas of clinical competence readiness, students' perception score was higher than preceptors'. Conclusion: Nursing education must reexamine current approaches to clinical teaching and seek methods to better prepare future nurses. These findings may serve as a guide to create an ideal students preceptorship program to place a greater emphasis on the competencies desired for providing high quality nursing services.