• 근관절건강학회지
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• 제25권1호
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• pp.30-38
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• 2018

Purpose: The purposes of this study were to examine the relationships between health literacy, self-efficacy, social support, and medication adherence and to determine its impact on medication adherence in the elderly. Methods: This study was a descriptive research study. Structured questionnaires were used for survey with a convenience sample of 220 elderly in a community. Data were analyzed using descriptive statistics, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression with IBM SPSS 18.0. Results: The mean scores of health literacy, self-efficacy, social support, and medication adherence were $35.89{\pm}19.39$, $55.34{\pm}7.44$, $86.54{\pm}15.90$ and $4.82{\pm}1.83$, respectively. There were significant correlations between health literacy, self-efficacy, social support, and medication adherence. Social support (${\beta}=.23$, p=.001) and health literacy (${\beta}=.21$, p=.002) were significantly associated factors with medication adherence. Conclusion: This finding showed that nursing interventions to promote medication adherence in the elderly group should focus on social support program and health literacy intervention.

• 보건교육건강증진학회지
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• 제33권5호
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• pp.47-57
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• 2016

Objectives: To develop and evaluate the applicability of a health literacy instrument in patients with diabetes by measuring their ability to understand diabetes-related words. Methods: Diabetes-related words were extracted from the Korean Diabetes Association's website and literature reviews. In the first phase, three nursing researchers evaluated 2,661 diabetes-related words based on graded lexical vocabularies and what patients need to know about self-care, and the narrowed them to 255 words. In the second phase, a content validity assessment was conducted by an expert panel. In the third phase, the remaining 25 words were administered to 200 conscientious with type 2 patients aged 40 years old and using a Gallup survey from March 3 to 17, 2016 in Seoul, Korea. Descriptive analysis and Rasch analysis were performed to test psychometric properties. Results: The mean score was 21.47 with a range of 0 to 25. The Cronbach's ${\alpha}$ was .92. The health literacy instrument using diabetes-related words had a ceiling effect response. Conclusions: Diabetes-related words are useful and reliable items for testing the health literacy of diabetes patients. Future study is needed to develop and validate health literacy measures for diabetic patients.

• 지역사회간호학회지
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• 제25권3호
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• pp.217-224
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• 2014

Purpose: This study aimed to assess the levels of and relationships among health literacy, knowledge about diabetes, and self-care activities in the Korean low-income elderly with diabetes and to identify factors influencing the self-care activities of this vulnerable population. Methods: This study surveyed a total of 151 low-income elderly patients with diabetes registered at 16 Visiting Health Care Services in B City, Korea. Health literacy was measured with the Newest Vital Sign. Diabetes knowledge was measured with the Diabetes Knowledge Test. The Summary of Diabetes Self-care Activities Questionnaire was used to assess diabetes self-care activities. A stepwise multiple regression analysis was conducted to identify significant factors influencing diabetes self-care activities in these patients. Results: In the regression model, diabetes knowledge (${\beta}=.322$, p<.001), exercise (${\beta}=.337$, p<.001), and experiences of diabetes education (${\beta}=.241$, p=.001) were significantly associated with increased diabetes self-care activities in low-income elderly patients with diabetes when gender, education, health literacy, and subjective health state were controlled. Conclusion: To improve diabetes self-care activities in the low-income elderly with diabetes, it is important to develop a customized program considering their knowledge, exercise, and diabetes education experience.

• 한국치위생학회지
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• 제16권6호
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• pp.879-891
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• 2016

Objectives: This study was conducted to evaluate the oral health literacy of foreign students in Korea regarding their utilization of dental clinic services and oral care products. Methods: This study measured the oral health literacy through a self-administered questionnaire that were distributed among 145 foreign students in Seoul and 153 Korean students in Wonju, Gangwon province. The questionnaire is used to assess the oral health literacy with a total of 92 questions including 30 questions on linguistic oral health literacy, and 40 questions on functional oral health literacy (sentence translation ability 27 questions, document decoding ability 13 questions), and 22 questions on the general characteristics. The collected data were analyzed by frequency test, ${\chi}^2$, independent t-test, and ANOVA with p-value of <0.05 was considered statistically significant. Results: The linguistic oral health literacy awareness score was doubly lower in foreign students $20.5{\pm}22.4%$ than Korean students $53.9{\pm}18.4%$ (p<0.05), three words were not statistically significant with less than 10% of all the foreign and Korean students. Correct answer rate of sentence translation ability was statistically significant in all questions by foreign students $26.7{\pm}27.1%$ and Korean students $99.0{\pm}2.3%$ (p<0.05). Correct answer rate of document decoding ability showed a relatively small difference between foreign students and Korean students with $54.7{\pm}33.1%$ and $87.3{\pm}8.7%$, respectively, but it was statistically significant in all questions (p<0.05). Oral health literacy according to residence period and Korean language class level of foreign students were the most correlated among the other variables (p<0.05). Conclusions: Dental terminology was difficult for ordinary people to understand regardless of the Korean language proficiency levels, so it is recommended and needed to express dental clinical terms in simple layman's term or to use illustrations to dental patients. In case of foreign residents in Korea, interpretation services are needed. Additionally, labels and instructions of oral hygiene products retailed in Korea with the consideration for foreigners are required.

• 디지털융복합연구
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• 제19권11호
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• pp.625-633
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• 2021

본 연구의 목적은 간호대학생의 건강정보 이해능력이 의사소통능력에 미치는 영향을 검증하는 것이다. 본 연구는 서술적 조사연구로 가설검증을 위해 G시에 소재하는 일 대학 간호대학생을 대상으로 2021년 5월 3일부터 21일까지 온라인 자가설문지로 자료수집을 하여, 최종 104명이 자발적 동의 후 참여하였다. 수집된 자료는 SPSS 18.0 프로그램을 사용하여 독립표본분석, 일원분산분석 및 위계적 회귀분석으로 분석하였다. 연구결과 간호대학생의 건강정보 이해능력은 48.62/66점, 의사소통능력은 59.60/75점이었고, 과반수이상이 우리나라 성인의 평균 읽기 수준을 실제보다 높게, 적합한 건강 정보의 읽기 수준은 적정 수준보다 어려워야 한다고 인식하였다. 간호대학생의 의사소통능력에 영향을 미치는 요인은 주관적 건강상태(β=.309, p<.001), 건강정보 이해능력(β=.284, p=.002), 주관적 학업성취도(β=.235, p=.009) 순이었고(F=10.546, p<.001), 건강정보 이해능력을 추가하여 설명력이 7.3% 증가하였다(F=10.339, p=.002). 간호대학생의 의사소통능력 제고을 위해 건강정보 이해능력을 증진시킬 수 있는 보다 체계화된 교육과정의 구성이 필요하다.

• Journal of the Korean Data and Information Science Society
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• 제26권6호
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• pp.1427-1438
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• 2015

본 연구는 우리나라 중년 여성의 기능적 의료정보 이해능력과 건강증진행위의 관련성을 파악하고자 시행되었다. 연구대상은 K도와 D광역시 1개에 거주하는 40~64세의 중년 여성으로 편의추출 방식으로 수집하였다. 연구결과 중년 여성의 기능적 의료정보 이해능력은 13점 만점에 $4.75{\pm}2.98$점, 건강증진행위는 5점 만점에 $2.30{\pm}0.55$점으로 낮게 나타났다. 기능적 의료정보 이해능력과 건강증진행위는 양의 상관관계가 있다고 나타났으며, 기능적 의료정보 이해능력은 연령, 교육수준 등의 인구사회학적 요인을 통제한 상태에서 중년 여성의 건강증진행위에 유의한 영향을 주는 것으로 확인되었다. 이는 의료정보 이해능력이 향상될수록 건강증진행위를 증가시킬 수 있다는 결과이다. 따라서 중년 여성을 위한 맞춤식 교육프로그램 및 의료정보 이해능력을 효과적으로 향상시킬 수 있는 전략을 개발하고 그 효과를 검증하는 연구가 지속되어야 할 것을 제안하는 바이다.

• 지역사회간호학회지
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• 제32권3호
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• pp.303-311
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• 2021

Purpose: This study investigated the health literacy level of, the hypertension knowledge of, the self-management behaviors of, and the factors influencing self-management behaviors of the hypertensive elderly population residing in the urban and rural areas. Methods: Data were collected from November to December 2017 by the trained research staff. For two months, a total of 160 subjects in urban and rural areas who had been taking antihypertensive medications consented to participate in the project. 157 participants completed the survey. Results: The health literacy score of the hypertensive elderly subjects was at 48.38±8.13, the hypertension knowledge score at 8.90±2.01 points, and the self-management behaviors score at 52.96±8.08. The factor that influenced the self-management behaviors of the hypertensive elderly subjects the most was the health literacy, followed by the residential area, and the hypertension knowledge. Conclusion: The research findings suggest that a health promotion program for the hypertensive elderly population should be designed in consideration of the health literacy, the area of residence and the hypertension knowledge of the elderly.

• 재활치료과학
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• 제10권4호
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• pp.65-80
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• 2021

목적 : 건강정보에 대한 이해·적용·판단·접근에 기반한 건강문해력의 개념을 다루고 있는 HLS-EU-Q47의 한국판을 개발하고, 노인들을 대상으로 본 도구를 적용하여 국내 노인들의 포괄적인 건강문해력 수준을 확인하는데 목적이 있다. 연구방법 : HLS-EU-Q47의 번안 과정을 거쳐 전문가를 대상으로 내용타당도 검증을 통해 문항을 확정하였다. 이렇게 완성된 Korean-HLS-EU-Q47(K-HLS-EU-Q47)을 지역사회 노인 254명을 대상으로 내적일치도 및 신뢰도 분석과 일반적 변인에 따른 비교 분석을 실시하였다. 결과 : 노인들을 대상으로한 본 도구의 내적일치도는 Cronbach's 𝛼 .81~.91로 높은 수준의 신뢰도를 보였다. 일반적 특성에 따른 비교 성별과 연령에 따른 건강문해력의 차이를 보였는데, 남성이 여성에 비해 건강문해력이 높았으며 연령이 높아질수록 건강문해력의 저하를 보이는 것으로 나타났다. 결론 : 본 연구를 통하여 국내 노인의 포괄적인 건강문해력 수준을 확인하는데 사용할 수 있는 K-HLS-EU-Q47을 소개하였으며, 본 연구 결과를 통한 노인들의 건강문해력 수준의 이해를 통하여 노인들이 보다 건강한 삶을 유지할 수 있는 방법들의 모색이 활성화되기를 기대하는 바이다.

• 한국보건간호학회지
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• 제34권2호
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• pp.238-250
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• 2020

Purpose: The purpose of this study was to investigate the effect of health literacy and unmet health care needs on health promotion behaviors among elderly people receiving visiting health care services at community health centers. Methods: The subjects of this study were 180 elderly people over 65 years old who were receiving health care services at public health center The subjects fully understood the purpose of this study and voluntarily agreed to participate. The collected data were analyzed by frequency, percentage, mean, standard deviation, independent t-test, one-way ANOVA, Scheffé test and Hierarchical Regression Analysis using the SPSS 23.0 program. Results: Hierarchical regression analysis was used to identify factors influencing health promotion behaviors of the subjects. The results were as follows: presence of occupation (β=.26, p<.001), social activity status (β=.26, p=.001), and health literacy (β=.16, p=.023). Conclusion: Therefore, in order to improve health promotion behaviors, it is necessary for visiting nurses to administer health education and programs by considering the level of health care understanding.

• 한국간호교육학회지
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• 제30권1호
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• pp.71-81
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• 2024

Purpose: This study aimed to identify the relationship between nursing professionalism and nursing intention for patients with emerging infectious diseases of nursing students who had experienced coronavirus disease 2019 (COVID-19), with a focus on the mediating effect of e-Health literacy. Methods: The study surveyed 177 nursing students who had experienced COVID-19. The data were collected using self-reported questionnaires. The collected data were analyzed using IBM SPSS statistics 25.0, and the mediating effect was analyzed through the SPSS Process macro model 4. Results: Nursing professionalism (β=.26, p=.002) and e-Health literacy (β=.18, p=.021) were found to be significant predictors of nursing intention for patients with emerging infectious diseases. In addition, e-Health literacy partially mediated the relationship between nursing professionalism and nursing intention for patients with emerging infectious diseases. Conclusion: e-Health literacy was a mediating factor in the relationship between the nursing professionalism and nursing intention of nursing students for patients with emerging infectious diseases. In order to improve nursing intention of nursing students for patients with emerging infectious diseases, it is important to develop an education program that can enhance their e-Health literacy as well as nursing professionalism.