• Journal of the Korean Society of School Health
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• v.13 no.2
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• pp.261-270
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• 2000

Background: Adolescence is the transitional period between childhood and adulthood. We have to pay attention to their psycho-social problems as well as their physical symptoms. In this context, we need to investigate the adolescent depression tendency and its related factors. Method : From May to June in 1008, we chose one elementary school, one middle school and one high school in Seoul and surveyed for all students who were above the 4th grade of elementary school and their parents. We analyzed the data for 3,685 students. Result: From the 6th grade of elementary school to the 1st grade of high school, the girls' DSRS(Depression self-rating scale) score was significantly higher than the boys'. The DSRS score was increased from the 2nd grade of high school for boys and from the 1st grade of high school for girls. The Pearson correlation coefficient between age and DSRS score was 0.16(p<0.01) and that between APGAR and DSRS score was -0.45(p<0.01). The median number of psychosomatic symptoms of the past month was 6, and when students complained for more psychosomatic symptoms, the DSRS scores were higher. Those who drank or smoked ranked significantly higher in DSRS score; and, those who exercised regularly, had leisure activity, and had a faithful person for counselling ranked significantly lower in DSRS score. Conclusion : Adolescents who complained of many psychosomatic symptoms needed to be screened for depression. A primary physician have to intervene about health related behavior such as family function, smoking, exercise and relieving stress.

• Research in Community and Public Health Nursing
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• v.30 no.4
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• pp.437-448
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• 2019

Purpose: The purpose of this study was to identify levels of health-related quality of life (EQ-5D) and its related factors among merchants in traditional markets. Methods: A cross-sectional design was used. Data were collected through questionnaires and physical examination on blood pressure, blood glucose, total cholesterol and BMI between February 12 and April 13, 2018. The participants were 175 merchants from two traditional markets in U. Metropolitan city. The data were analyzed with descriptive statistics, t-test, ANOVA and multiple regression analysis using the SPSS/WIN 22.0 program. Results: Levels of health-related EQ-5D were significantly different according to demographic characteristics, smoking status, exercise, total cholesterol, BMI, subjective health status, stress, and depression. The EQ-5D related factors were variables that had significant influence on subjective health status (β=.30, p<.001), gender (β=.27, p<.001), BMI (β=-.16, p=.012), depression (β=-.17, p=.010), and working period (β=-.15, p=.021). They explained 27.2% of the total variance of health-related quality of life (F=13.91, p<.001). Conclusion: The findings of this study indicated that disease prevention and health management is essential for merchants who work in traditional markets to promote their health-related quality of life. For better merchants outcome, the intervention program should consider factors that are subjective health status, gender, BMI, depression, and working period in order to improve levels of EQ-5D.

• Journal of Korean Academy of Nursing
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• v.36 no.3
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• pp.514-522
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• 2006

Purpose: The purpose of this study was to identify effects of a tilting training program on lower extremities function, depression, and self-efficacy among stroke inpatients. Method: The subjects were 60'stroke patients hospitalized in an oriental medical hospital; 31 in the experimental group and 29 in the control group. A nonequivalent control group pretest-posttest design was used. The tilting training program consisted of 3 sessions and was implemented for 30 minutes daily during 3 weeks. Data was collected from Feb to July 2003, and analyzed by percentage, Fisher's exact probability, $\chi^2-test$, and t-test using the SPSS/Win 10.0 computerized program. Result: After treatment with the tilting training program, the experimental group was significantly increased in the mean score for function of lower extremities (t=2.72, p=.009) compared to the control group, especially for keeping standing balance (t=2.78, p=.007) and standing by oneself (t=3.32, p=.002). However, in the mean scores of depression and self-efficacy, there were no significant differences between the two groups. Conclusion: The tilting training program was effective for increasing the function of lower extremities and to improve walking ability earlier among stroke inpatients. Therefore, the tilting training program is applicable to increase the balance level in standing and walking ability at the early rehabilitation stage for stroke patients.

• The Korean Journal of Rehabilitation Nursing
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• v.3 no.1
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• pp.108-117
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• 2000

Stroke is one of the leading causes of death in Korea. Because of their sequelae, strokes are categorized as a sudden-onset, constant course chronic illness which needs continuous efforts for rehabilitation. Unfortunately, there are few community based rehabilitation program for post-stroke patients who stay at home. The authors developed a community based selp-help management program for post-stroke patients to enhance their rehabilitation process. The program consists of five sessions and each session contains health education. ROM exercise, ADL training, and stress management like foot reflexology. A professor and two graduate students of nursing college coordinated the program. To test the effects of the program we conducted a 5 week program to the 10 conveniently selected post-stroke patients who were living in Kang-buk district of Seoul. The Questionnaires about ADLs, IADLs, depression and life satisfaction were asked to the all subjects before and after program. The hand grisp power and muscle strength of four limbs were measured at the end of each sessions. The analysis of data revealed that the program was effective to increase the ADLs, IADLs, and muscle strength and to decrease the depression levels of subjects. However, there was no significant difference between pre and post hand grisp power and life satisfaction. Because the program was effective to Improve the physical and psycholocial function of subjects, we suggest continual development and Implementation of community based self-help management programs.

• Korean Journal of Health Education and Promotion
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• v.21 no.2
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• pp.87-100
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• 2004

Purpose： This study was to identify the degree of health-promoting behavior and quality of life and the factors influencing quality of life of solitary elderly in rural areas. Method： The subjects of this study were 202 solitary elderly, and 65-89, who had been living in four rural areas. Data was collected through 4 questionnaires from July 10th, 2003 to August 30th, 2003. The collected data was analyzed using descriptive statistics, t-test, ANOVA, Duncan's multiple-range test, Pearson correlation coefficient and Stepwise multiple regression with SPSS/PC. Results： The average item score for the health-promoting behavior was 2.43； the highest score on the subscale was self-actualization (M＝2.58) with the lowest being exercise (M＝2.05). 2) The average item score for the quality of life was 2.81； the highest score on the subscale was neighbor relationships (M＝3.27) with the lowest being economic conditions (M＝2.24). There were significant differences in the health-promoting behavior by educational level and leisure-activity, in the quality of life by age and religion. Quality of life scores correlated negatively with depression scores (r＝-.063, p＝.000) and positively with health-promoting behavior (r＝.144, p＝.000), social support scores (r＝.383, p＝.000). Stepwise multiple regression analysis for quality of life revealed that the most powerful predictor was health-promoting behavior. Health-promoting behavior, social support, depression and age explained 51.8％ of the variance. Conclusion： These results suggested that elderly people in rural areas with high degree of quality of life are likely to be high in health-promoting behavior and social support and low in depression. Therefore, it is necessary to develop health promotion programs in due consideration of health-promoting behavior and social support and depression in order to enhance the quality of life of solitary elderly in rural areas.

• Journal of Korean Public Health Nursing
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• v.16 no.1
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• pp.135-147
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• 2002

It is essential to improve the quality of life of the elderly in aging society. Regular exercise as nursing intervention is needed to prevent diseases, maintain and promote their health, and thus promote the quality of life for the elderly, especially who generally had poor cognition for their health maintenance and promotion in a low class community. Subjects consisted of 30 women. over 65 years old in a community welfare center, who lived in the low class apartments financially supported by the local government in G city, Gangwon Province, Korea. The program consisted of dancing on music for approximately 50 minutes, 3 times a week for 10 weeks. Experimental data were analyzed with $x^2-test$, t-test, mean values, standard deviation, percentage of change and paired t-test using SAS program. After the recreation dance, the mean value of the experimental group was decreased from 7.62 to 7.44 (t=-0.258, P=0.799), and that of the control group was also decreased from 7.00 to 6.58 (t=-0.971, P=0.349) in depression. However, there were no statistically significant differences in scores of depression between two groups. In life satisfaction, the mean value of the experimental group was increased from 19.07 to 26.50 (t=2.392, P=0.030), but that of the control group was decreased from 15.92 to 13.71 (t=-1.060, P=0.305). Thus it shows that there was a statistically significant improvement on life satisfaction after the recreation dance.

• Journal of Korean Academy of Nursing Administration
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• v.16 no.1
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• pp.26-36
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• 2010

Purpose: The purpose of this study was to investigate the relationships among psycho-social well-being, and health perception and behavior in clinical nurses. Methods: The data were collected from 362 nurses employed at five general hospitals. A self-reported questionnaire was used to assess demographics and job characteristics, health perception and behavior, depression, and psycho-social stress. The data were analysed using Cronbach's alpha, descriptive statistics, t-test, and ANOVA. Results: While nurses perceived themselves to be in good health, represented by a high mean for health perceptions, actual health behavior was poor as the mean for health behavior was low. Forty two percents of the subjects were categorized as having major depression and high-stress levels. There were statistically significant differences in psycho-social well-being according to age, marital status, years of employment, and monthly salary. Also, there were significant differences in psycho-social well-being according to health perception, regular meals and exercise, sufficient sleep, job related injury and accident, and absences for ill. Conclusion: In order to prevent depression and improve psycho-social well-being among clinical nurses, organizational support and health management needs to be focused on high-risk nurses. Furthermore, it is essential to consider the health perception and behavior of clinical nurses.

• The Korean Journal of Rehabilitation Nursing
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• v.13 no.2
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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.

• Journal of the Korean Society of Physical Medicine
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• v.9 no.2
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• pp.213-222
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• 2014

PURPOSE: This study was conducted to determine the effect of patient-selected, task-oriented training on activities of daily living, quality of life, and depression for stroke patients. METHODS: This study included 40 stroke subjects, randomly assigned to either an experimental group or a control group. Both the experimental group and the control group included 20 stroke patients. Patients from the experimental group selected and performed task-oriented training. In the exercise program, the patient chose two categories from six categories and trained for 30 minutes a day, three times a week, for four weeks. Patients from the control group performed conventional task-oriented training. Outcomes were measured using the Korean version of a modified Barthel Index (K-MBI), the Korean Instrumental Activities of Daily Living (K-IADL), the Stroke-specific Quality of Life (SS-QOL), the Short Form 8 (SF-8), and the Beck Depression Inventory (BDI), both before and after training. RESULTS: There were significant differences between the before- and after-intervention data of the K-MBI and the K-IADL (p<.05) for both groups. Also, there were more significant improvements in the experimental group compared to the control group (p<.05) for the SS-QOL, SF-8 and BDI. CONCLUSION: The results of this study showed that patients-selected, task-oriented training had positive effects on stroke patients' activities of daily living, quality of life, and depression.

• Journal of the Korea Convergence Society
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• v.10 no.4
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• pp.257-264
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• 2019

The purpose of this study was to investigate the main results of the nursing intervention program for reducing depression in menopausal women in Korea and to investigate the effects of systematic review of literature. Research methods were searched for RISS, KMbase, KoreaMed and KISS as domestic databases and limited to domestic papers published in last 10 years from 2006 to 2015. The analysis of 14 articles showed that exercised therapy among the various nursing intervention programs provided significant effects on reducing depression. The intervention methods provided oral education, demonstration training, and practical training, 6 sessions, 60 sessions per session, 5~10 weeks for intervention, and 6~12 weeks for intervention. Depression in menopausal women is not a temporary or short-term emotional state. So it is necessary to provide appropriate exercises that can be applied for their own, regardless of daily life.