Journal of Korean Academy of Nursing Administration
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v.12
no.1
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pp.41-51
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2006
Purpose: The purposed of this study was to develop and evaluate a Web-based for medical terminology educational program. Method: For the development of this program, the NBISD model was applied as a basic model and WBI ID Process Action model was applied. It was executed for 15 weeks along with off-line lectures. After the operation of this program to 210 nursing students, learners' responses were analyzed twice(at 5th week and 15th week). Result: The satisfaction with this program was slightly above the center point. But the structure of system and composition of design were high score. The results of the final evaluation were more positive than those of the interim one. This program have the advantage of easy accessibility and easy understandability with picture and testing. Conclusions: This study proved the importance of the suitability of learning contents and learning form in developing WBI programs and showed possibility for applying WBI to medical terminology. In order to enhance the effects of Web-based medical terminology educational program for, it is necessary to perform analytic comparison with the effect of WBI based on self-directed learning.
Objectives: The aim of this study was to develop the efficient program protecting shift to cerebrovascular disease as complication for patients with diabetes and hypertension. Methods: Chronic disease self management program(CDSMP), implement manual, action plan, Q&A card and motivation methods were suggested based on Bandura's social learning theory through reviewing various literatures and cases. Results: This program can increase self-efficacy, individual health behavior change and quality of life and it makes to continuous care of chronic disease. Conclusion: In order to operate chronic disease self-management program, standardized education courses training of specialist leaders and expert patients leaders would be required. And the development enlargement of self-management program for various other chronic disease such as arthritis, back pain, atopy, asthma would be required in the future.
Purpose: This study was carried out to investigate the effects of improvement in self-rated health, self-efficacy, perceived benefit and health promotion behavior by running a health promotion program through the coalition of industries, universities and districts. Methods: This study was designed as non-equivalent control group research. Data were collected from 62 participants in a health promotion program who were enrolled in a community center (experimental group: 29, control group: 33). The program was applied from October to November, 2008. The health promotion program was composed of value, competence, action, and policy based on a multi-level health promotion model. Collected data were analyzed through $x^2$ test, t-test, and Wilcoxon test. Results: After participating in the health promotion program, the experiment group showed statistically significant increases in self-efficacy, perceived benefit and health promotion behavior but not in self-rated health. Conclusion: It was proven that the health promotion program enhanced the health promotion level in the community.
The purpose of this study is to examine the effect solution-focused brief group therapy program on a relationship between developmental disorder children and their parents. The following research question is formulated to address the purpose: (1) Does solution-focused brief group therapy program will improve interaction on parents's "warmth" and "involvement"? (2) Does solution-focused brief group therapy program will improve interaction on child's overall action and relative behavior? (3) Does solution-focused brief group therapy program will improve relationship between the developmental disorder children and their parents? For research, 12 disabled children and their parents are assigned into two groups: Experimental and Control group. Findings are that. (1) The solution-focused brief group therapy program showed positive reaction on "parent's warm heart" but there was no reaction on "involvement". (2) The solution-focused brief group therapy program affect on interaction types of the disabled children. 3) According to self-recorded report, the parents' satisfaction of consultation has been increased by frequency. These results showing that the solution-focused brief group therapy are affected the interaction between developmental disorder and their own parents. Clinically, this outcome shows a significant practical implications on social work intervention.
The purposes of this study are 1) to modify a self-help program for patients having fibromyalgia, 2) to revise instruments to measure the self-efficacy and impact of fibromyalgia; and 3) to test the effects of the program in terms of self-efficacy, physical activities, and clinical symptoms. The subjects of this study were persons diagnosed as fibromyalgia at a university hospital. For the first two purposes, six patients were selected. Twenty three subjects for the third purpose were selected and assigned to experimental and control group on the base of their residence. Thirteen were assigned to the experimental group, while 10 to the control group. Instruments selected for revision were self-efficacy scale and fibromyalgia impact profile. On the basis of the text developed by Arthritis Foundation, a program for patients with fibromyalgia was tentatively developed. Instruments for measurement of self-efficacy and impact of fibromyalgia were revised to show high reliabilities. Results obtained by utilization of the program were as follows : 1) There were no increase of self-efficacy and physical activities. 2) There were no improvement of the number of tender points and pain. 3) There were improvement of depression, fatigue and sleep impairment. These findings indicate the needs for modification of the program with emphasis of exercise for relaxation of tender points, increases of enactive action and vicarious learning.
Kim, Hye-Kyeong;Hyun, Sung-Min;Kwon, Eun-Joo;Kim, Hee-Chul
Korean Journal of Health Education and Promotion
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v.25
no.3
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pp.59-75
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2008
Objectives: The purpose of this study was to identify the stages of change distributions for nine major health behaviors among poor children in underserved area, and to provide basic information for developing specific objectives and strategies for health education program. Methods: The health behavior data were obtained with a self-administered questionnaire and analysed for 3,081 poor children in 106 local children's centers nationwide. Stages of change classification were based on self-reported responses to five statements. The health behaviors included were balanced diet, safety behavior (helmet and protective device use while riding), regular exercise, smoking, alcohol use, drug use, sleep pattern, weight management and stress management. Results: Poor children were more likely in precontemplation and less frequently in action and maintenance stages for a safety behavior. 33.1% of respondents were precontemplators, 29.9% contemplators, and 6.5% in preparation stage. Only 4.3% and 9.6% were in action and maintenance stages, respectively. Gender differences were apparent. Boys were more likely to be precontemplators for nine health behaviors. Children from the lowest socioeconomic status and disrupted family were more likely to be in precontemplation for weight management and exercise behaviors. Children living with both parents were more likely to be in the action and maintenance stages for nine health behaviors. Stages of change for balanced diet and smoking were significantly related with those for other eight health behaviors. And the stage of exercise adoption was found to be significantly related with those for other seven health behaviors. Conclusion: Safety education must receive high priority in health education program for low income children. Balanced diet smoking cessation and regular exercise could be a possible gateway behavior toward healthier lifestyle practices.
The Journal of Korean Academic Society of Nursing Education
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v.27
no.4
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pp.412-422
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2021
Purpose: The purpose of this study was to analyze the factors influencing the health promoting behavior(s) of office worker males in the COVID-19 pandemic by applying Pender's health promotion model. Methods: The participants in this study were 149 male office workers at companies located in S, G and S cities. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and a stepwise multiple regression using the SPSS Window 25.0 program. Results: The subject's health promoting behaviors and prior related behaviors (r=.58, p<.001), perceived benefits of action (r=.41, p<.001), self-efficacy (r=.53, p<.001), social support (r=.39, p<.001), self-esteem (r=.47, p<.001) and commitment to a plan of action (r=.67, p<.001) showed a high positive correlation. The factors affecting the subjects' health promoting behaviors were the commitment to a plan of action (𝛽=.35, p<.001), self-esteem (𝛽=.27, p=.005), prior related behavior (𝛽=.26, p<.001), health status (good) (𝛽=.20, p=.001) and self-efficacy (𝛽=.14, p=.047). These variables explained 63.0% of the subjects' health promoting behaviors. Conclusion: During the COVID-19 pandemic, subjects are more likely to be exposed to disease due to reduced outdoor activity time and irregular eating habits due to the strengthening of social distancing. Health promoting behaviors are an important concept that can maintain health and prevent diseases. To improve the health promoting behaviors of men engaged in office work, it is necessary to develop and operate a health promotion behaviors program considering those variables.
Purpose: This study developed and tested a hypothetical model of health promotion behavior on migrant workers based on the Health Promotion Model and the Health Literacy Skills Framework. Methods: Data were collected from 298 migrant workers in 9 regions across the country from December 2020 to March 2021. The exogenous variables were e-health literacy, occupational stress, acculturation, and social support. The endogenous variables were perceived benefits of action, self-efficacy, and health promotion behavior. Data were analyzed using SPSS/WIN 25.0, AMOS 20.0, and R-4.0.3 program. Results: The model fit was appropriate. Social support had the most significant direct impact on the health promotion behavior of migrant workers. Perceived benefits of action and self-efficacy played a mediating role in the relationship among e-health literacy, social support, and health promotion behavior. Based on multi-group analysis, the migrant worker group with less than 5 years of residency had a more statistically significant effect on the relationship between perceived benefits of action and health promotion behavior than those with over 5 years. Conclusion: Providing social support as a critical administrative strategy to enhance the health promotion behavior of migrant workers is necessary. Furthermore, when developing an intervention program utilizing the internal mechanism between social support and health promotion behavior, a self-efficacy-enhancing strategy is considered to be more effective. Additionally, educating migrant workers with short-term residence of less than 5 years about the benefits of health behaviors is essential.
Background: The emergency planning zone (EPZ) of the city of Busan is divided into the precautionary actions zone (PAZ) and the urgent protective action planning zone; which have a 5-km radius and a 20-km to 21-km radius from the nuclear power plant site, respectively. In this study, we assumed that a severe accident occurred at Shin-Kori nuclear unit 3 and evaluated the dispersion speed of radiological material at each distance at various wind speeds, and estimated the effective dose equivalent and the evacuation time of PAZ residents with the goal of supporting off-site emergency action planning for the nuclear site. Materials and Methods: The total effective dose equivalent, which shows the effect of released radioactive materials on the residents, was evaluated using the RASCAL 4.2 program. In addition, a survey of 1,036 residents was performed using a standardized questionnaire, and the resident evacuation time according to road and distance was analyzed using the VISSIM 6.0 program. Results and Discussion: According to the results obtained using the VISSIM and RASCAL programs, it would take approximately 80 to 252.2 minutes for permanent residents to move out of the PAZ boundary, 40 to 197.2 minutes for students, 60 to 232.2 minutes for the infirm, such as elderly people and those in a nursing home or hospital, and 30 to 182.2 minutes for those temporarily within the area. Consequently, in the event of any delay in the evacuation, it is estimated that the residents would be exposed to up to $10mSv{\cdot}h^{-1}$ of radiation at the Exclusion Area Boundaries (EAB) boundary and $4-6mSv{\cdot}h^{-1}$ at the PAZ boundary. Conclusion: It was shown that the evacuation time for the residents is adequate in light of the time lapse from the initial moment of a severe accident to the radiation release. However, in order to minimize the evacuation time, it is necessary to maintain a system of close collaboration to avoid traffic congestion and spontaneous evacuation attempts.
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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