• 대한간호학회지
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• 제29권1호
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• pp.48-60
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• 1999

This study was done to determine the factors influencing smoking-cessation behavior in female university students. A total of 534 students participated in this cross sectional study by answering a questionnaire. The data collection was done between September 1 and October 31, 1997 The measurement tools used in this study were the self help change process scale (Cronbach's alpha＝.9930 : developed by Oh & Kim, 1996) for smoking-cessation behaviors, the self efficacy scale(Cronbach's alpha＝.8250 : developed by Sherer et al, 1982), the sex role acceptance scale (KR－20＝.7757 : developed by Kim, 1991) and the social support scale(Cronbach's alpha＝.9172 : developed by Park, 1985). The summarized results are follows : 1. The mean scores for smoking-cessation behaviors in smokers (N＝150) was 91.72 that was considered a middle score compared to the total possible score of measurement tool (150.0). The mean score for smoking-cessation behaviors by smoking-cessation step showed significant different between the groups(F＝11.71, p＝.000). 2. The group with no experience in smoking(N＝332) showed a high general self efficacy score (t＝5.24, p＝.000), and more openness to sex role acceptance(t＝-2.15, p＝.032) compared to the group with smoking experience (N＝202). 3. General self efficacy, sex role acceptance, and social support were not different significantly between the groups according to the steps in smoking-cessation. 4. Significant factors influencing smoking-cessation behavior (total, sub concepts) were religion, sex role acceptance, social support, smoking duration, smoking attitude, time of smoking onset, amount of smoking, drinking, and perception of health status. 5. Smoking-cessation behaviors which explained 11% of the variance were smoking attitude, and smoking duration. In conclusion, this study identified factors influencing smoking-cessation behavior. Thereby it will help in the development of smoking-cessation intervention strategies. For future research, exploration other determinants of smoking cessation behaviors, evaluation of intervention efficiency, and comparative study by gender characteristics are needed.

• 대한간호학회지
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• 제46권3호
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• pp.327-337
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• 2016

Purpose: The purpose of this study was to construct and test a structural equation model on resilience of breast cancer patients receiving chemotherapy. Methods: Participants were 204 patients with breast cancer who received chemotherapy treatment. They participated in a structured interview, which included social support, depression, symptom experience, self-efficacy, hope, resilience, and infection prevention behaviors. Data were analyzed using SPSS/WIN 20.0 and AMOS 18.0. Results: Lower depression (${\gamma}=-.33$, p=.020) and symptom experience (${\gamma}=-.31$, p=.012) and higher self-efficacy (${\gamma}=.32$, p=.005) and hope (${\gamma}=.48$, p=.016) were influenced by higher social support. Greater resilience was influenced by lower symptom experience (${\beta}=-.18$, p=.016), higher self-efficacy (${\beta}=.49$, p=.023), and higher hope (${\beta}=.46$, p=.012), and these predictors explained 66.7% of variance in resilience. Greater resilience (${\beta}=.54$, p =.009) made an impact on greater infection prevention behaviors. Resilience mediated the relations of symptom experience (${\beta}=-.10$ p=.013), self-efficacy (${\beta}=.27$, p=.006) and hope (${\beta}=.25$, p=.009) with infection prevention behaviors. These predictors explained 24.9% of variance in infection prevention behaviors. Conclusion: The findings of the study suggest that breast cancer patients with greater resilience who are receiving chemotherapy participate in increased infection prevention behaviors. Further research should be conducted to seek intervention strategies that improve breast cancer patients' resilience.

• 대한간호학회지
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• 제46권3호
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• pp.454-462
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• 2016

Purpose: Posttraumatic growth (PTG) is defined as 'positive psychological change experienced as a result of a struggle with highly challenging life circumstances'. The purpose of this study was to identify the level of PTG and its correlates in Korean patients with breast cancer. Methods: A sample of 120 participants was recruited from outpatients, who had successfully completed primary treatment of breast cancer at a university hospital., Data were collected from June to December, 2014 using Posttraumatic Growth Inventory, Illness Intrusiveness Rating Scale, Cancer Coping Questionnaire, Revised Life Orientation Test and The Multidimensional Scale of Perceived Social Support. Results: Total score for the PTG was $79.18{\pm}17.54$ in patients surviving breast cancer. Bivariate analyses indicated that PTG was positively associated with having a religion, perceived social support, greater optimism, cancer coping, and illness intrusiveness. Results of the regression analysis showed that cancer coping (${\beta}=.29$, p=.001), optimism (${\beta}=0.28$, p=.001) and illness intrusiveness (${\beta}=0.17$, p=.037) were statistically significant in patients' PTG. Conclusion: The research findings show that the variables of cancer coping, optimism and illness intrusiveness significantly explain PTG and these psychological variables can be used to provide improvement in PTG for patients with breast cancer.

• 대한간호학회지
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• 제47권5호
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• pp.624-637
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• 2017

Purpose: This study aimed to identify variables influencing the health-related quality of life (HRQoL) of adults with epilepsy in order to establish a structural model and design an intervention strategy to improve patients' HRQoL. Methods: The selected subjects were 212 patients with epilepsy aged between 18 and 70 years who were currently receiving treatment from hospital, general hospital, and clinic. They were surveyed using a structured questionnaire. Results: The goodness of fit measures of the final hypothetical model were as follows: ${\chi}^2/df=2.51$, GFI=.91, AGFI=.90, CFI=.96, SRMR=.04, NFI=.93, and RMSEA=.08. The major variables influencing the HRQoL of adults with epilepsy were epilepsy self-efficacy, depression, social support, and side effects of anti-epileptic drugs (AEDs), which were significant in the mentioned order, whereas the duration of AEDs use and perceived stigma did not show any effects. Six variables accounted for 75.6% of HRQoL. Variables having a direct and total effect on the HRQoL of adults with epilepsy were the side effects of AEDs, social support, epilepsy self-efficacy, and depression, and those with an indirect effect were the side effects of AEDs and social support. Conclusion: It is necessary to accurately identify the side effects of AEDs in adults with epilepsy and accurately observe the physical changes caused by depression. In addition, it is imperative to establish an active and effective nursing intervention program to strengthen the self-efficacy of the patients and to improve their quality of life through social support provided by family members and medical professionals.

• 여성건강간호학회지
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• 제7권3호
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• pp.293-304
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• 2001

The purpose of this study was to investigate the factors influencing health promoting lifestyles in college women thus providing the basic data necessary to establish a health promoting program. The subjects of this study were 274 college women, living in Seoul, Chung-Buk, and Kangwon, during the period from May 10 to July 15, 2000. The instruments for this study were the health promoting lifestyles scale developed by Bak, Insuk(1995), the self efficacy scale by Sherer et al. (1982), the social support scale by Su, Moonja(1988), the self-esteem scale by Rosenberg(1965) and the perceived health status scale by Lawton et al.(1982). The results of this study are as follows; 1. The average score for health promoting lifestyles was 2.45 on a 4 point scale. The health promoting lifestyles categories 'harmony relationships' (3.04) and 'sanitary life'(3.02) revealed higher scores, whereas scores for 'healthy diet' (2.32), 'exercise & activity' (2.14) and 'professional health management' (1.48) were lower. 2. The mean score for self-efficacy, social support, self esteem and perceived health status was 3.38 (on a 5 point scale), 2.88 (on a 4 point scale), 2.98(on a 4 point scale) and 3.08(on a 5 point scale) respectively. 3. Health promoting lifestyles showed significant positive correlation with self efficacy, social support, self esteem and perceived health status. 4. Stepwise multiple regression analysis revealed that the most powerful predictor of health promoting lifestyle was self efficacy. Self efficacy, social support, and perceived health status have significant effects on health promoting lifestyles. These predictive variables of health promoting lifestyles explained 25% of variance. Finally, the result of this study will provide important factors for the development of a nursing intervention program for the promotion of healthy lifestyles in college women.

• Perspectives in Nursing Science
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• 제13권2호
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• pp.70-80
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• 2016

Purpose: This study examined the relationship between acculturation stress and health promotion behaviors in the Korean Chinese elderly immigrants living in Korea, focusing on the buffering effects of social support. Methods: We included 132 completed questionnaires in the analysis. The buffering effect was examined using a hierarchical regression analysis by adding interaction terms. Results: Health promotion scores were significantly higher in the group with a higher education level, lower depressive symptom scores, and higher levels of social support. However, no statistically significant differences were found in the health promotion behaviors by gender, age, spouse, job, financial stability, subjective health status, chronic disease, regular health checkups, or acculturation stress. The hierarchical regression analysis demonstrated that social support had a buffering effect on the relationship between acculturation stress and health promotion behaviors in the Korean Chinese elderly immigrants. Specifically, the relationship between the acculturation stress stemming from the difficulties in the workplace and health promotion behaviors was attenuated by social support. Conclusion: These findings indicate that social support significantly moderates the relationship between acculturation stress and health promotion behaviors in the Korean Chinese elderly immigrants living in Korea. A variety of strategies to enhance social support should be incorporated in the health promotion programs to decrease the negative effects of acculturation stress in the Korean Chinese elderly living in Korea.

• 디지털융복합연구
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• 제13권1호
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• pp.321-329
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• 2015

본 연구는 요양병원에 근무하는 요양보호사의 이직 및 예측요인을 파악하고자 시도 되었다. 연구대상자는 K시와 B시에 소재하는 3개 요양병원의 150명이었다. 자료수집을 위한 조사는 구조화된 설문지에 의해 수집되었다. 자료분석은 SPSS/WIN 18.0 프로그램을 이용하여 t-test, One way -ANOVA와 multiple regression을 분석하였다. 연구결과 이직과 자기존중감, 직무 만족도 사이에 유의한 음의 상관관계가 있는 것으로 나타났으며, 요양보호사 이직에 영향을 미치는 요인은 조직몰입(${\beta}=.59$, p<.001), 사회적 지지(${\beta}=.32$, p<.001)가 이직의도의 40% 설명하였다. 본 연구에 의하면 요양병원에서 이직율 감소를 고려한 효율적인 교육프로그램 개발이 요구된다.

• 재활간호학회지
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• 제13권2호
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• pp.140-150
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• 2010

Purpose: This study aims to find the factors that affect the degree of self-care performance in Parkinson's disease (PD) patients. Method: This study used a descriptive correlational design. The data were collected using a sample of 80 PD patients, from the university affiliated Parkinson Center in Busan. Pearson's correlations and multiple regression analyses were conducted using the SPSS 18.0. Results: The mean score of the self-care performance was 3.61 (${\pm}0.40$). The highest score observed of self-care performance subscale was medication subscale ($4.55{\pm}0.50$) and the lowest score was observed in the exercise subscale ($3.03{\pm}0.64$). The self-care performance had significant correlations with depression (r=-.32, p<.01), self-care knowledge (r=.28, p<.05), function of motion (r=.25, p<.05), ability of daily activity (r=.22, p<.05), self-efficacy (r=.24, p<.05), and support from medical staff (r=.24, p<.05). The significant predictors of self-care performance included depression (${\beta}=-.28$), status of employment (${\beta}=-.27$), self-care knowledge (${\beta}=-.21$), support from medical staff (${\beta}=-.28$), and educational level (${\beta}=-.28$), accounting for 34% of the variance in the self-care performance. Conclusion: Depression, self-care knowledge, medical support are significant predictors which affect the self-care performance with PD patients.

• 한국사회복지학
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• 제42권
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• pp.397-422
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• 2000

Since 1998 when economic assistance from IMF started, the empirical research on the effects of unemployment and drastic income loss on psychological functioning among the unemployed as well as their family members has increased. These studies have found that unemployment and drastic income loss following unemployment have significant negative influence on the psychological outcomes such as anxiety and depression of the unemployed and their family members. Studies have also focused on the role of social support in this process, and reported that depending on the levels of received social support, unemployment and income loss have differential effects on the psychological aspects of the unemployed. However, these studies have several weaknesses. First, most of the related studies employed the data which were collected from limited regions of the country, which imposes limitations on the scope of the generalizability of research findings. Second, the main independent variables used in these studies were mainly unemployment or income loss, which ignore the psychological evaluation by the employed of their family financial situations. Third, in analyzing the moderating effects of social support, most studies have focused mainly on showing the existence of moderating effects by social support. Consequently, the nature and role of social support remained unanalyzed and left to speculations. The purpose, of this study is to examine the effects of economic pressure experienced by family heads who were unemployed and to analyze the moderating role of social support based on a nationally representative sample. The findings showed that economic pressure has negative influence on anxiety and depressive feelings among the unemployed, and that the effect of economic pressure on depressive feelings were substantially higher among those who have received lower levels of social support from family members than that among those with higher levels of family support.

• Child Health Nursing Research
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• 제18권3호
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• pp.150-156
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• 2012

Purpose: The main purposes of this study were to assess maternal-fetal attachment (MFA) of the expectant mothers of a fetus with a prenatal diagnosis of congenital heart disease (CHD) and to identify factors associated with MFA. Methods: The methodology was a cross sectional survey study using a self-administered questionnaire. Thirty pregnant women carrying a fetus with a prenatal diagnosis of CHD and 30 pregnant women with a normal fetus were enrolled in this study. The MFA Scale and PPS (The Prenatal Psychosocial Profile) were used to collect data. Data were analyzed using SPSS 20.0 Window version. Descriptive statistics, $X^2$-test and t-test were used to compare the two groups. The factors associated with MFA were identified by multiple regression analysis. Results: There was no significant difference between the two groups in MFA and social support from spouse was the only variable showing a significant difference. The model from the multiple regression analysis explained 33.8% of MFA for both groups. Conclusion: MFA of expectant mothers with a prenatal diagnosis of CHD and of mothers with a normal fetus were not significantly different. It is important that health care providers encourage expectant fathers to support the expectant mothers to increase MFA.