• 한국노년학
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• v.29 no.1
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• pp.243-258
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• 2009

Background: Falls are among the most common and serious health problems of older people. The psychological symptoms of falling have received relatively little attention compared to physical problems. Objective: The purpose of this study is to test a model to explain the factors that influence fear of falling among older adults living in a continuing care retirement community (CCRC) in Baltimore city, United States. Methods: A secondary analysis was conducted using data obtained from a Health Promotion Survey done on 149 older adults living in a CCRC. Data was originally obtained during face to face interviews with each participant. Descriptive statistics and bivariate correlations were used to describe the sample and evaluate simple correlations. A path analysis was done using the AMOS 4.0 statistical program. Results: Of the 49 hypothesized paths, 13 were statistically significant, and the model accounted for 22% of the variance in fear of falling among the elderly. There was support for the fit of the model to the data with a nonsignificant chi square at 0.478 (df=2, p=0.79), and the ratio of chi-square to degrees of freedom was 0.24, a CFI of 0.99 and RMSEA of 0.00. In particular, gender, a history of falling, and exercise were significant predictors of fear of falling. Conclusions/Implications: As anticipated, exercise is an important factor to prevent fear of falling. As a modifiable variable, self-efficacy and outcome expectation indirectly influence fear of falling through exercise.

• Journal of Korean Public Health Nursing
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• v.10 no.1
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• pp.58-79
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• 1996

재미 한인들의 급격한 증가와 더불어 미국 간호학의 한인들에 대한 문화적 지식의 유입을 필요로 하게 하였다. 더구나 기존 연구들은 한인들이 질병을 비효율적이며 부적절하게 관리하는 것으로 보고하고 있어 이에 대한 연구의 필요성이 더욱 증가하였다. 기존 연구에 의하면 초기 이민 경험은 이민자들의 건강과 질병 관리에 크게 영향을 미치는 것으로 나타났다. 이 연구에서는 비평적 문헌 고찰을 통하여 초기 이민 경험이 재미 한인들의 질병관리에 어떻게 영향을 미치는지에 관하여 살펴보고 이에 근거하여 재미 한인들을 위한 적절한 간호의 방향을 제시하고자 했다. 의학도서 목록 전산망과 기타 문헌 자료를 이용하여 1966년부터 1995년까지의 의학, 보건학, 생물학, 심리학, 사회학 문헌들을 살펴보았다. 체계적인 문헌 고찰을 위하여 4개의 세부적인 주제 아래 문헌들을 구분하여 고찰하였다 첫째. 일반적인 이민자들의 초기 이민경험, 건강, 질병 관리가 고찰되었고. 둘째로 재미 한인들의 초기 이민 경험이 고찰되어졌으며, 셋째로, 재미 한인들의 건강. 질병관리가 고찰되어졌고, 마지막으로 이들을 위한 간호의 방향을 제시해 줄 기존의 간호 모델들이 고찰되어졌다. 문헌 고찰 결과, 재미 한인들의 부적절한 질병 관리는 그들의 초기 이민 경험들과 관련되는 것으로 나타났다 첫째 문화적으로 결정되어진 신념이나 태도들이 재미 한인들의 적절한 질병 관리를 방해하는 것으로 나타났다. 둘째, 재미 한인들도 본국인들과 마찬가지로 질병관리를 위해 현대의학. 한방, 무속, 민간요법을 사용하는 것으로 나타났는데. 한방의 사용이나 이러한 치료법들의 흔용은 한인들의 적절한 질병 관리를 방해하는 것으로 나타났다. 셋째, 문화적 차이, 언어장벽, 그리고 비언어적 의사소통의 차이점에서 오는 오해들이 재미 한인들의 질병 관리를 부적절하게 만드는 것으로 나타났다. 넷째, 이민생활에서 오는 여러 어려움들 또한 재미 한인들의 질병관리를 어렵게 만드는 것으로 나타났으며, 다섯째. 사회적 지지의 부족 역시 재미 한인들의 적절한 질병관리를 힘들게 하는 것으로 나타났다. 마지막으로 적절한 간호 모델의 부재가 이들을 위한 적절한 간호의 제공을 어렵게 하고 있는 것으로 밝혀졌다. 이러한 결과에 근거를 두고 초기 이민 적응기에 있는 재미 한인들에게 적절한 간호를 제공하기 위한 몇 가지 제안들이 제시되었다. 첫째, 이민자들에게 적절한 간호가 제공되기 위해서도 문화적 배경을 고려해야 하겠다. 문화적으로 적절한 간호를 위해서 간호 제공자들은 자신들의 문화와 다른 간호 대상자의 문화도 존중해 주어야 하며, 문화적으로 결정되어진 건강 신념들과 질병 관리 행태도 생명을 위협하지 않는 한 존중해 주어야 할 것이다. 또한 간호제공자들은 자문화 중심적인 사고방식에서 벗어나야 하며, 간호 대상자들의 상황을 총괄적으로 이해하여야 하고 이민자들의 어려움에 대해 공감을 가지고 간호를 제공하여야 하겠다. 둘째, 간호 제공자들은 한방에 관한 지식을 가지고 한 의학 혼용으로 인한 위험으로부터 간호 대상자를 보호하여야 할 것이다. 셋째, 문화적 차이나 자민족 중심적 사고방식으로 인한 오해를 막기 위하여 간호 제공자들은 간호 대상자와 자주 상호 교류함으로써 배우는 자세로 간호 대상자를 대하여야 할 것이며, 자신의 자민족 중심적인 사고방식을 인지하고 언어적, 비언어적 의사소통의 문화 집단별 차이를 앎으로써 오해의 소지를 줄여야 할 것이다. 넷째, 적절한 간호의 제공을 위하여 의사소통을 위해 대화만을 직접 번역해 주는 통역자와는 달리 문화적 배경까지도 이해하고 해석해 주는 문화적 통역자의 도움을 밟아야 할 것이다. 다섯째, 한국문화는 가족 중심적 문화이므로 간호 대상자의 혈연관계를 이해하고 그에게 크게 영향을 주는 가족원을 간호 중재에 참여시킴으로써 치료 효과를 높여야 할 것이다. 마지막으로 효과적인 간호를 위하여 재미 한인을 위한 적절한 간호 모델을 개발함으로써 체계적인 간호의 방향을 제시할 수 있어야 할 것이다.

• Journal of Digital Convergence
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• v.18 no.3
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• pp.227-234
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• 2020

This study was carried out to provide basic data for the development of an educational program by assessing the its effects on the MDROs infection management performances of nurses at general hospitals. Data was obtained through a structured questionnaire survey conducted on 202 nurses. The average of knowledge score was 17.68 and their perceived susceptibility, perceived severity, perceived benefits, and performances had correlation. There was difference in their performances in accordance with their general characteristics including marriage, clinical experiences, positions, and affiliated department. Factors that affected MDROs infection management performance included perceived benefits and affiliated department with an explanation power of 35%. Therefore, it is necessary to emphasize the benefits by including advantages and effects of performing the MDROs infection control at the time of the development. In addition, nurses are required to have MDROs infection control education.

• Korean Journal of Occupational Health Nursing
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• v.27 no.4
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• pp.235-246
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• 2018

Purpose: This study aimed to comprehend the real context of metabolic syndrome-related factors of Korean male blue-collar workers from small-sized companies based on the health belief model. Methods: A total of 37 workers from three companies were interviewed, and three series of focus group interviews were conducted. Data were analyzed using deductive content analysis. Results: Data were classified into four categories: knowledge, perceived susceptibility and severity, perceived barriers, and beliefs. Knowledge referred to low knowledge level; perceived susceptibility and severity referred to unawareness of susceptibility and severity; perceived barriers referred to shift work, overtime work, and a social context including having no choice but to drink; and beliefs referred to believing that health promotion behaviors do not relate to preventing metabolic syndrome, believing that one cannot prevent metabolic syndrome oneself, and believing that professional help is required. Conclusion: To prevent and reduce the risk of metabolic syndrome among Korean male blue-collar workers, interventions should focus on strategies to increase metabolic syndrome-related knowledge and perceptions, social support, and self-efficacy for practicing health behaviors. In addition, it is necessary to develop policies for establishing a healthy drinking culture in companies.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.9
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• pp.5610-5620
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• 2014

This study was conducted to determine the levels of job stress, as well as its association with psychosocial factors (type A behavior pattern, locus of control, and self-esteem). Self-administered questionnaires were given to 634 clerical public officers in the C Provincial Office between February 18 and Mar. 10, 2013. As a result, the job stress levels of the subjects was significantly different according to age, sex, educational level, marital status, job position, job career, satisfaction in job life, smoking, alcohol drinking, sleeping time, type A behavior pattern, locus of control, and self-esteem. Regarding the correlation of job stress and psychosocial factors, the level of job demand was negatively correlated with the internal locus of control. The decision latitude was negatively correlated with the type A behavior pattern, internal locus of control and self-esteem. Supervisor support was negatively correlated with the external locus of control. In hierarchial multiple regression analysis, the affecting factors to the job stress selected variables, such as age, subjective health status, job position, overtime work, experience of sick absence, satisfaction in work, sleeping time, leisure time, visiting out-patient department, type A behavior pattern, locus of control, and self-esteem, and the explanatory powers of these factors was 32.1%. In particular, the factors related to the psychosocial factors (type A behavior pattern, locus of control, self-esteem) were strongly related to the job stress, increasing the explanation of factors up to 15.0%.

• Journal of the Korea Institute of Information Security & Cryptology
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• v.26 no.6
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• pp.1619-1637
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• 2016

With wide distribution of smart phones and development of mobile network, social network service (SNS) is displaying remarkable growth rates. Users build new social relations by sharing their interests, which brings surging growth to the SNS based on the combination between the strength of expanding the place for communication and distribution of smart phones featured with easy portability. This study is designed to understand impact factors of SNS on users in Korea and to conduct empirical research on casual relationship between the factors above and the factors affecting personal information behavior through the privacy protection and self-efficacy. In order to accomplish the objective above, the study presented a research model applied with key variables of the Health Belief Model (HBM) predicting behaviors capable of recognizing and preventing individual diseases in the field of health communication. To perform empirical verification on the research model of this study, a survey was conducted upon college students at N university located in Chungcheongnam-do and K university in rural area, who have experiences using the SNS. Through this survey, a total of 186 samples were collected, and path analysis was performed in order to analyze the relationship between the factors. Based on the findings from the survey, first, variables Perceived probability, Perceived severity, Perceived impairment of the HBM, key factors of personal information protection behavior on the SNS, were found to exhibit negative relationship with self-efficacy, and Perceived probability, Perceived benefit, Perceived impairment were found to exhibit negative relationship with privacy protection. But the above, Perceived severity showed positive relationship with privacy protection, and Perceived benefit and self-efficacy also displayed positive relationship. Second, although self-efficacy, a parameter, showed positive relationship with privacy protection, it demonstrated negative relationship with personal information protection behavior. Lastly, privacy protection exhibited positive relationship with personal information protection behavior. By presenting theoretical model reflected with characteristics of prevention based on these findings above unlike previous studies on personal information protection using technologies threatening personal information, this study is to provide theoretical and operational foundation capable of offering explanations how to predict personal information protection behavior on the SNS in the future.

• Journal of Korean Home Economics Education Association
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• v.19 no.4
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• pp.17-36
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• 2007

The purpose of this study was to develop health belief model based various milk education program as print education media and apply to elementary, middle, and high schools. The subjects were 432 students(124 elementary, 122 middle, 186 high school students). We designed one group pretest-posttest study model. The data were obtained from pre and post-study with self-administered questionnaires. Before applying this education program, we evaluated the degree of awareness on milk. Their awareness on milk was very low, 35.5% lower elementary, 32.7% higher elementary, 52.5% middle, and 54.3% high school students were answered they don't know the milk well. After they had implemented milk education program, their recognition on milk had changed that milk is nutritious as supplementary food. And their reasons for drinking milk were also changed that 'they want to eat it' in elementary school students, 'they want to be healthier' in middle school students, and 'they want to be taller' in high school students. Their nutrition knowledge score showed a significant increase(p<0.05). As a results. milk nutrition education has improved nutrition knowledge and recognition on milk in elementary, middle, and high school students. To improve their milk eating behaviors, nutrition education programs will have to be continued.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.3
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• pp.96-107
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• 2020

This study aimed to identify the associated factors of protective behaviors for radiation exposure among some radiology technologists using the Health Belief Model. The subjects of the study were 541 radiology technologists working at hospitals or clinics in Honam Province. Using the SPSS version 18.0 program, data were analyzed using a t-test, ANOVA, Pearson's correlation analysis, and hierarchical multiple logistic regression analysis. To modify the factors, the performance of subjects who had a higher level of education and nuclear medicine rooms were higher than those who worked in simple radiography rooms. The radiation protective behaviors performance of the subjects who had more exercise, medium-level stress, and worked in higher-quality protection facilities was higher. Regarding the personal perceptions, the cues to action (β=.292, p=.0001), and perceived seriousness (β =.075, p=.010) were factors that had effects on the performance of radiation protection behaviors. Regarding the likelihood of action, the benefits (β=.168, p<.0001), self-efficacy (β=.148, p=.007), and the performance of protective behaviors were higher. In conclusion, protection education as a cue to action should be provided to stimulate protective behaviors, and the benefits of protective behaviors should be emphasized. To increase the performance of protection behaviors, self-efficacy should be enhanced, and the subjects are offered appropriate information that helps perceive seriousness.

• The Journal of Society for e-Business Studies
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• v.21 no.4
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• pp.95-117
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• 2016

Entering aging society and increasing individual's interests on wellbeing lead to increasing demands of healthcare service and various healthcare related applications are providedon app market or Internet. These healthcare services could enhance user's health status if the users continuously use the service. In order to enhance effectiveness of a healthcare service, the service user should comply with recommendations or directions are provided by the service. However, previous studies of healthcare service are not considered effects of compliance intention on continuous usage. Hence, we tested how user's compliance intention effect on continuous usage intention of healthcare service based on theories of information system and medical information. Moreover, we found that compliance intention of users for healthcare service is an important factor on sustainability of healthcare service. Additionally, we investigated what factors are related with user's compliance intention.

• Journal of Korean society of Dental Hygiene
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• v.13 no.4
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• pp.623-629
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• 2013

Objectives : The aim of the study is to investigate the health belief model affecting the oral health behavior in elementary school students by applying health belief model. Methods : Subjects were 216 elementary school students including 6th grade 103 boys and 113 girls in Gyeonggi-do from February 1 to February 28, 2013. They completed self-reported questionnaires after receiving informed consents. Results : Oral health belief model showed cues to action($20.39{\pm}3.11$), benefits($19.63{\pm}3.37$), self-efficacy($16.62{\pm}2.60$), severity($14.53{\pm}3.94$), susceptibility($14.31{\pm}4.62$), and barrier($11.74{\pm}3.85$). Oral health belief revealed the lower the level of barrier(p=0.004) and the higher cues to action, Benefits and self-efficacy were the best oral health behavior(p=0.000). The most influencing factors of oral health belief were self-efficacy(0.267) and Cues to action(0.239). Conclusions : Children's oral health belief is associated with oral health behavior. children's self efficacy and cues to action toward oral care influenced on oral behavior. It is important to enhance the recognition toward self efficacy and cues to action by following recommended behavior and effective health educational program.