• Journal of Preventive Medicine and Public Health
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• v.15 no.1
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• pp.47-56
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• 1982

Korean versions of British Medical Research Council (MRC), Cornell Medical Index(CMI), and American Thoracic Society 78 (ATS-DLD-78) respiratory questionaires were compared with each other, and were tested the stability, in terms of test-retest reliability, of each questions by self-administration of those to 156 medical students. The results obtained and conclusions drawn are as follow: 1. The degree of agreements between responses to the comparable questions of CMI vs MRC, and of CMI vs ATS-DLD-78 were not satisfactory. There were, however, $71{\sim}100$ per cent of agreement between responses to the questions on Cough, Wheezing, Phlegm, Breathlessness, and Chest illness of ATS-DLD-78 vs MRC questionaire. And the ATS-DLD-78 tended to yield greater number of positive responses than MRC (See Table 4). 2. All of the coefficient of stability of each questions in 3 questionaires were statistically significant, ranged $77{\sim}100$ per cent, except that of the question on episode of cough and phlegm in ATS-DLD-78 questionaire (See Table 5-1). The question is composed of two collateral conditions, 'lasting for 3 weeks or more' and 'each year'. 3. It can be insisted that the Section-B questions of CMI is not proper for use in epidemiologic survey on respiratory illness. And rather than MRC, the ATS-DLD-78 questionaire deserves to prefer to be used in epidemiologic studies on respiratory illness. 4. In question-wording, especially, of inquiring past experience, it is possible to lessen the reliability of the question that including collateral conditions such as 'the duration lasted of symptoms', and moreover, of which words are not common usage. For example, for Korean '10days' or 'half a month' is more familiar time unit rather than 'week'.

• Asian Oncology Nursing
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• v.1 no.2
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• pp.191-203
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• 2001

The health of a nurse is very important because her mental and physical health can influence toward nursing patients directly, Especially, Cancer patients are growing annually. Also, terminal cancer patients' nursing and dead place are increasingly using hospital and the period of nursing for cancer patients are increasing. Nursing for cancer patients are different with acute disease. Therefore, I analysed comparing nurses' health working in cancer and general ward so that nurses working at cancer ward could be developed as a professional nurse, and I wanted to establish the foundation of nursing administration and reasonable manpower management to supply good quality of nursing to patients. In my research, I selected 117 nurses working in cancer ward and 134 nurses working in general word to analyse the stress rate and nurse's health comparing nurses working in general ward and cancer ward. The survey was conducted of nurses working in cancer ward nurses in 2 university hospitals, nurses working in a cancer hospital, and general ward nurses working in 3 public hospital. Also, the data was collected from Sep. 13, 2001 to Sep. 28, 2001. As health measuring tool, I used Cornell Medical Index(CMI) which are developed to fit Koreans by Ko Ungrin and Park Hang-bas (1980) using Cornell Medical Services which were designed by Weiser, Brosman, Mittelman, Wechler, Wolff in Cornell University(1945). As working stress measuring tool, I used Questionaries which were designed by Kim Mae-ja and Ku Mi-ok(1984) and then developed by Bae In-sook(1996). For managing the data, I used frequency, percentage, ${\chi}^2$ verification, t-test, and F-test (ANOVA). And in the case of significant data(p<.05). I did Duncan's test for post verification. The mutual relation between health condition and working stress rate have been conducted using Pearson's Correlation Coefficient. Followings are the results of my research. 1. Two groups showed significant differency at age after testing homogeneous character between two groups (${\chi}^2$ =9.919, p=.007). 2. Comparing two group's health condition, cancer ward(average 19.35${\pm}$18.34) were higher than general ward(14.42${\pm}$10.59) and showed statistical significant differency(p=.009). And, comparing two group's mental condition, cancer ward(9.00${\pm}$9.79) were higher than general ward(7.13${\pm}$6.35) and statistically no differency. 3. After comparing two group's working stress rate, the rate of cancer ward nurse's working stress(3.36${\pm}$.50) is higher than general ward nurse (3.32${\pm}$.48). There are no significant differency. However, in the detailed verification test, there were significant differency at inappropriate compensation (t=3.254, p=.001) and medication issue (t=2.170, p=.031). 4. After comparing health condition at general points, physical health condition showed significant differency at age(p=.020), the number of children (p=.015), religion (p=.015), position(p=.005), career(p=.008), working satisfaction(p=.003), activity after office hour(p=.045); and mental health condition showed significant differency at position(p=.010), career (p=.017), working satisfaction (p=.003). 5. After comparing the working stress rate according to general points, there were significant differency at working satisfaction (F=5.285, p=.006), predicted nursing(F=3.822, p=.023). 6. At the relation of health condition and working stress rate between two groups. physical and mental condition showed significant relation with working stress rate. i.e, if a nurse's health condition is not good, she are feeling much more stress than others. After considering all the factors in my research, I found that the health condition and stress rate of cancer ward nurses is much higher than general ward nurses. Considering that cancer ward nurses is necessary to care for increasing cancer patients with mental and physical nursing, the less stress for cancer ward nurses is very important to develop nursing quality and working efficiency by keeping good health condition, specializing cancer ward nurses. Therefore, we need following studies to find the factors which are effecting to cancer ward nurses' health and specialization. Also, we need to improve managing working condition to decrease working stress by improving working condition.

• Research in Community and Public Health Nursing
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• v.11 no.2
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• pp.358-372
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• 2000

The purpose of this study was to describe the way of life (such as smoking habits, alcohol consumption, exercise, duration of sleep, eating habits etc.), physical. psychological and overall health complaints and to identify the relationship between the way of life and health complaints of the nursing students. Data was collected with the self-administered OMI( Okayama Medical Index Health Questionnaire, devised Cornell Medical Index) from 766 nursing students and was analyzed. For data analysis, descriptive statistics and an ANOVA with an SPSS/PC+ program were used. The results were as follows: 1. The mean age of subjects was 21.0557(2.7618) years old in their 1st, 2nd, 3rd and 4th year-classes of nursing departments and college students in 4 regions of Korea. 62.1% of subjects were of the proper body weight, 2.0% were overweight, and 28.3% were underweight. Most subjects did not have a past history of disease, but 1.8% of subjects had experienced a blood transfusion. 2. 28.3% of the subjects had averaged 7 hours of sleep, 98.5% were nonsmokers, 91.2% were nondrinkers, 74.7% of subjects had milk intake sometimes, 53.7% of the subjects had an average salt intake, 49.6% of the subjects usually had a green vegetable intake, 45.4% of the subjects sometimes had fatty food intake, 64.8% of the subjects had good taste, 29.5% of the subjects enjoyed physical exercise. 3. The highest percentages of 'yes' among physical. psychological and overall health complaints were observed in the question 'Do you have gastric pain?'(60.2%), 'Are you confused of disorderly?' (37.2%), 'Physical body was burdensome and fatigued.'(57.3%). 4. The total O.M.I. score ranged from 1 to 89 with an average of 22.91(SD=12.10). A statistically significant difference was observed for the physical. psychological complaints for alcohol consumption. and for the psychological complaints for salt and fatty food intake. These conclusions should provide grounds for future studies of strategies for health promoting lifestyle for nursing students and their health concerns. Further research is required to investigate the life environmental and psychological factors affecting the way of life for nursing students and their health status, to analyze the health behavior of nursing students related with their culture and consciousness. Also epidemiologic research methodology, such as prospective cohort study should be considered to explore the performing process of nursing student's health behavior related with the occurrence of diseases.

• Journal of East-West Nursing Research
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• v.13 no.2
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• pp.170-178
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• 2007

Purpose: This study was to examine the effects of the Danjeon Breathing Exercise Program on physical fitness, levels of serum lipid and physical symptom of people using public health center at Yangju city. Method: One group pretest-posttest design was utilized for this study. This study has been done from July 6 to September 28, 2005 and the subjects of the study were 28 persons. Danjeon breathing exercise was carried out for 60 minutes a day, 3 times a week for 12 weeks. Physical fitness was measured using the Health Management System developed by the Korea Physical Science Institution. Serum lipid level was measured in public health center at Yangju city. Questions of physical symptom (35 items) were chosen from Cornell Medical Index. The collected data were processed by using the SPSS PC program and analyzed by using Wilcoxon Signed Rank Test. Result: 1. The scores of back strength, flexibility and balance of post-test were more increased after Danjeon breathing exercise than those of pre-test. But the score of muscular endurance of post-test was not significantly increased. 2. The degrees of total cholesterol, LDL-cholesterol and triglyceride of post-test were more decreased after Danjeon breathing exercise than those of pre-test. But the degree of HDL-cholesterol of post-test was not significantly increased in statistics. 3. The score of physical symptoms of post-test was not significantly decreased in statistics after Danjeon breathing exercise than that of pre-test. Conclusion: It is concluded that the Danjeon Breathing Exercise Program could increase the physical fitness and decrease levels of serum lipid. So Danjeon breathing exercise could be utilized to promote physical fittness and to decrease level of serun lipids.

• Research in Community and Public Health Nursing
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• v.11 no.1
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• pp.117-126
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• 2000

For basic data to develop health management program of female workers. this study was intended to characterize factors affecting health problems of women at workplace which has less than 50 workers by Cornell Medical Index(CMI). 195 items of CMI questionnaire were simplified to 57 items which were composed of 35 items concerning physical health problems and 22 items concerning mental health problems. The data was collected during 6 months from July 10 to December 30 and analyzed with frequency, percentage, t-test and ANOVA. The 107 female workers included in this study was characterized to be mainly twenties(64.5%), single(69.2%) and working at production position(89.7%). The most frequent physical problem was fatigability and the next, neurological system and cardiovascular system. Main mental complaints were inadquacy. anger and tension. When the health problems were reviewed according to its general characteristics, anger in young age, adaptiveness in single and respiratory complaints in self-recognized unhealthy group were prevalent. According to life styles. the prevalent complaints were musculoskeletal one in alcoholic group and cardiovascular one in group who are sleeping just for four to five hours. The appropriateness of each items of CMI should be evaluated to reveal the reasons why meaningful results could not come from many items of this questionnaire. The repeated study should be carried out to figure out the health problems and its related factors of female workers at small scale workplace. Also, exercise program and abstinence from drinking and smoking should be carried out for female worker's health.

• Journal of Korean Public Health Nursing
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• v.4 no.2
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• pp.25-34
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• 1990

The Purpose of this study were 1) to find out the characteristics of health promoting Ii festyles of the study samples, 2) to determine the relationships of physical health and mental health, 3) to determine the relationships of health promoting lifestyles and health status. The health promotion model was tested with a volunteer sample of 141 female students in a university in Seoul. The health promoting lifestyle was measured by the scales developed by Walker and Pender(1987). Health status was measured by Cornell medical Index. Pearson's product moment correlations and stepwise multiple regression technique were used to analyze the data. The results are summarized as follows; 1. The items with the highest frequency of the subscales of health promoting lifestyle were 'look forward to the future' $(133,\;95.0\%)$ in self actualization, 'Enjoy being touched and touching people close to me' $(122,\; 87.14\%)$ in relationships with others. The strongest correlation was between general competence In self care and nutritional practice(r=5388, P<. 0001). 2. Fatigability, frequency of illness, miscellaneous diseases, habit, mood and feeling patterns were predictive of mental health. 3. Total health promoting lifestyles explained $14\%$ of the variance for health status. Relationships with others explained $20.9\%$ of the variance for health status. In conclusion, because the most variance explained was $420.9\%$, there must be other variables not accounted for by the model. that influence health promoting behaviors. Psychological factors accounted for more variance than other factors. Intervention studies focused on psychological factors as a means of altering behaviors have great potential for the design of interventions to increase health promoting behaviors. Further testing of the model with this population should be done.

• Journal of Nutrition and Health
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• v.18 no.2
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• pp.155-166
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• 1985

This study was carried out to compare the nutritional status with food preference of subjects in eight constitutional groups on the view point of constitutional medicine. The constitutions of 124 college women was classified by Kwon's theory. Food preference of the subjects was surveyed in accordance with the suggested foods for each constitution and the health status was investigated by Cornell Medical Index. The following determinations were also made to compare food preference score with the nutritional status : Hb, Hct, WBC, serum levels of albumin, protein, IgG, IgA, IsM, $C_3$, Triglyceride, cholesterol, and total lipids, and lipoprotein fraction ratio. The distribution of the constitution revealed that Jupito individuals accounts 51.6%, the most followed by ; Saturno, 21.8%: Hespero, 10.5%: Jupita, 8.1%: Hespera, 3.2%: Mercurio, 3.2%, no subject belonged to satura. There were no difference among constitutional groups in food preference score, health status and the values of most blood components. Only significant difference was that the percentage of mental complaints in Mercurio was lowest and serum IgG level in Jupito was the highest among groups. Correlation between values of blood component and food preference score shows variety of different trends. However, the results suggested that the better food consumption of the subjects was in accordance with the suggested foods for the constitution, the better the nutritional status of the subjects was.

• Journal of Korean Academy of Nursing
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• v.7 no.2
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• pp.107-116
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• 1977

It is a well accepted fact that mental and physical health of nurses has a direct bearing or influence in their practice in the nursing profession. Recently, with this view in mind, the study of the mental and physical health of nurses has attracted the attention of many especially those in research hospitals. According to Soon Hyang Cha(1974) a nurse in clinical practice or service has a daily energy consumption of 39% and San Cho Chun (1974) asserts that Nurses'duties are more demanding on her emotionally than on her nursing technical skills. Many more studies has been made to this effect, here and abroad and similarly stressed the importance of mental and physical health for nurses. This study was made in an attempt to analyze the trend or tendency of the mental and physical health of nurses by employing the Cornell Medical Index (CMI) method. The data has been collected from May 1977 to November 1977, 200 nurses from 8 University hospitals and 200 nurses from general hospitals in Seoul, Theses who participated were selected at random. The data were tabulated and comparison made. The results were as follows : 1. Among nurses, the analysis based on the length of experience, it is apparent that, the longer or more experience one ha s, the more complaints they have. 2 The longer the nurses are engaged in nursing practice, the more they have problems in their digestive, musculoskeletal, respiratory and nervous systems and are more prone to diseases, and get tired easier than those of shorter experience. But on the other hand it could be seen that younger nurses or nurses with less experience in the profession are more melancholic and prone to stress than those with longer experience.

• Journal of Korean Public Health Nursing
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• v.9 no.2
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• pp.92-103
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• 1995

This study was done for the purpose of investigating nursing students' health promotion behavior and health status and analyzing the relationship between health promotion behavior and health status. The subjects for this study were 249 nursing students obtained by a convenience sampleing from two Junior Colleges Located in Kangwon-do. The instruments used for this study were health promotion behavior scale developed by the researcher and modified Cornell Medical Index developed by Brodman, Erdmann, Lorge, Wolff & Broadbent. Data were collected from November 21 to December 10, 1994 by means of questionaire. The data were analyzed through the SPSS program by use of descriptive statistics, t-test, ANOVA and Pearson Correlation Coefficient. The results of the study were as follows; 1) The subject's degree of health promotion behavior was about middle level 2) When the relationships between health promotion behavior and their general characteristics were explored, economic status, importance of health & perceived health status were revealed to have significant differences. 3) The subject's health status was at slightly high level, therefore viewed their health as slightly good. 4) When the relationships between health status and their general characteristics were explored, age and perceived health status were revealed to have significant differences. 5) In regard to the relationship between health promotion behavior and health status, psychological health status correlated positively with health promotion behavior (r=.193, p=0.002) ; physical health status correlated positively with psychological health status (r=0.493, p=0.000). But, physical health status did not show a significant correlation with health promotion behavior. In conclusion, it is important for late adolescents including nursing students to lay the foundation for chronic disease prevention by promoting and maintaining healthy lifestyles. Many of the leading causes of disease are preventable, through changes in lifestyle. The need to increase individual awareness of relationships between lifestyle and health and to enhance knowledge regarding the long-term effects of negative health behaviors, is an important nursing strategy for health promotion.

• Korean Journal of Rural Living Science
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• v.10 no.1
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• pp.21-32
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• 1999

To investigate the status of farmers health management for health promotion, and for checking the effect of village health care center during 1 year, 746 subjects were selected with cluster method in 8 provinces of Korea. The most frequent group was 40th of age (39%) : elementary school graduates (32%) The self-conscious of health status tested with CMI (Cornell Medical Index) questionnaire, the subjects in the village of health care center had lower health status than those of conventional village. The farmers living in the village with health care center had longer agricultural work (p＜0.05) and more frequency of spraying pesticides in the fields. The subjects of living the village of health care center were frequently exercise (34%) with health appliance use methods (30%), but the duration time of exercise was similar, Dietary habits and agricultural work condition were similar between two groups. For the fatigue recovery, steeping and bathing were most favorite methods, but exercise was lowest. It was significantly different between 2 groups the fatigue recovering methods, the subjects of village with health care center were more doing exercise (p＜0.01), less sleeping (p＜0.01) than those of conventional village. The working condition of self-estimated of farmers was not good, only 8.7% was thought pleasant condition. Of the various health factors, exercise, nutrition, and working situation would be more important. Considering on farmers exercise, it was very weak point for health management. The foundation and leading of the Farmers health care center was encouraged to farmers. For more effective operations, the experts education, easy and funny exercise program, and health promotion committee for administrators would be needed. The better systemic and continuous exercise programs should develop for associating livelihood. Funding for this project provided by the ministry of health and welfare of Korea.