• Journal of Korean Academy of Nursing
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• v.46 no.2
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• pp.305-314
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• 2016

Purpose: The purpose of this study was to determine quality of life (QOL) related factors in Alcoholics Anonymous (AA) members based on PRECEDE Model. Methods: A cross sectional survey was conducted with participants (N=203) from AA meeting in 11 alcohol counsel centers all over South Korea. Data were collected using a specially designed questionnaire based on the PRECEDE model and including QOL, epidemiological factors (including depression and perceived health status), behavioral factors (continuous abstinence and physical health status and practice), predisposing factors (abstinence self-efficacy and self-esteem), reinforcing factors (social capital and family functioning), and enabling factors. Data were analyzed using t-test, one way ANOVA, Tukey HSD test and hierarchical multiple regression analysis with SPSS (ver. 21.0). Results: Of the educational diagnostic variables, self-esteem (${\beta}=.23$), family functioning (${\beta}=.12$), abstinence self-efficacy (${\beta}=.12$) and social capital (${\beta}=.11$) were strong influential factors in AA members' QOL. In addition, epidemiological diagnostic variables such as depression (${\beta}=-.44$) and perceived health status (${\beta}=.35$) were the main factors in QOL. Also, physical health status and practice (${\beta}=.106$), one of behavioral diagnostic variables was a beneficial factor in QOL. Hierarchical multiple regression analysis showed the determinant variables accounted for 44.0% of the variation in QOL (F=25.76, p<.001). Conclusion: The finding of the study can be used as a framework for planning interventions in order to promote the quality of life of AA members. It is necessary to develop nursing intervention strategies for strengthening educational and epidemiological diagnostic variables in order to improve AA members' QOL.

• Journal of Korean Public Health Nursing
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• v.20 no.2
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• pp.119-129
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• 2006

Purpose: This study was conducted to investigate the status of depression and the cognitive function among the elderly over 65 years of age who use the welfare facilities for the aged in the community. Methods: For this study the data were collected from March 27, 2006 to April 14, 2006. Subjects were 92 elderly over 65 years old. The level of depression was estimated with the Beck Depression Inventory, and the cognitive function with the modified Mental Status Questionnaire (MSQ). The Data were analyzed using frequencies, t-test, and Pearson's correlation coefficient with the SPSS/PC program. Results: The results of this study are summarized as follows. 1. The mean score was 13.09 for depression and 8.27 for cognitive function. 2. Analysis according to the demographic characteristics confirmed a statistically significant difference on the level of cognitive function between the elderly who live alone and those who live together(f=4.293, p<0.01) 3. The percentage of the severely and mildly impaired in cognitive function was 7.6% and 6.5%, respectively. 4. The variables of age(f=11.17, p<0.01), educational level(f=15.23, p<0.01), martial status(f=4.084, p<0.01), and economic activity(t=4.41, p<0.01) showed a significant effect on cognitive function. 5. There was no relationship between depression and cognitive function. Conclusion: Social support and a variety of programs at welfare facilities in the community were recommended in order to reduce depression and cognitive impairment in the elderly.

• Journal of Korean Academy of Nursing
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• v.36 no.5
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• pp.829-836
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• 2006

Purpose: The purpose of the present study was to identify prevalence of excessive daytime sleepiness(EDS) and its associations with sleep habits, sleep problems, depression, subjective health status and obesity in community dwelling adults. Method: Data was collected from adults aged 20-59 years by random sampling. Subjects completed a questionnaire which was composed of the Epworth Sleepiness Scale, Center for Epidemiologic Studies Depression Scale, and questions that included items about sleep habits, sleep problems, subjective health status and sociodemographic characteristics. Height and weight were measured for calculation of body mass index. The statistical analyses was based on 3,302 adults (51.5% males and 48.5% females). Descriptive statistics, univariate logistic regression and multiple logistic regression were used. Result: The prevalence of EDS was 17.1% Multiple logistic regression showed that the associated factors of EDS were depression, obesity, dissatisfaction with sleep time, irregular sleep, and habitual snoring. Depression was the most significant associated factor(adjusted odds ratio for severe depression=2.27, 95% Confidence Interval=1.73-2.96). Conclusion: EDS is a common symptom in adults. Our finding suggested that persons with a complaint of EDS should be completely assessed for depression and obesity as well as sleep problems.

• Korean Journal of Adult Nursing
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• v.25 no.2
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• pp.194-206
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• 2013

Purpose: The purpose of this study was to develop a health promotion program for frail elderly nursing home residents, and to analyze the effects of the program. Methods: The research was a nonequivalent control group pretest-posttest design. Data collection was performed from February 26, 2012, to April 26, 2012. The subjects were 28 residents for the experimental group, who were selected at A nursing home, D city, in Korea and 27 residents for the control group, who were selected at B nursing home. Data were analyzed using descriptive statistics, ${\chi}^2$-test, independent t-test, ANCOVA and Cronbach's ${\alpha}$ with SPSS/Win 17.0 program. Results: There was a significant improvement in health promoting behaviors (F=64.26, p<.001), Lt. Grip strength (F=39.76, p<.001), Rt. Grip strength (F=38.06, p<.001), Static balance (F=3.98, p=.050), TUG (F=18.60, p<.001), oral status (F=26.75, p<.001), depression (F=18.79, p<.001), and subjective health status (F=10.75, p<.002) in the treatment group compared to the comparison group. Conclusion: The health promotion program improved the health promoting behavior, physical fitness, oral status, depression, and subjective health status of the frail elderly nursing home residents. Therefore, health promotion programs for frail elderly nursing home residents could be helpful.

• Asian Oncology Nursing
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• v.12 no.3
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• pp.213-220
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• 2012

Purpose: The purpose of this study was to identify factors that influence medication adherence in colorectal cancer patients receiving oral chemotherapy. Methods: One hundred and nine colorectal cancer patients receiving oral chemotherapy were recruited in the cross-sectional survey design. A survey including medication adherence, knowledge about chemotherapy, self-efficacy, depression and symptom experience were completed. Results: The level of medication adherence was $7.38{\pm}.80$. Medication adherence showed significant differences according to perceived health status and combination of IV chemotherapy. Medication adherence was significant correlated with self-efficacy, depression and symptom experience. On stepwise regression analysis, the most important factors related to the medication adherence were symptom experience, perceived health status and combination of IV chemotherapy. These variables explained 17% of medication adherence. Conclusion: The level of medication adherence in colorectal cancer patients receiving oral chemotherapy was relatively high. It is important to develop nursing intervention for medication adherence in colorectal cancer patients that focus on symptom experience and to consider about perceived health status and combination of IV chemotherapy.

• 한국노년학
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• v.29 no.1
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• pp.101-116
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• 2009

With increasing elderly living with diabetes, health professionals have focused on the relations between behaviors improving health status and life satisfaction. This research attempts to explain the influence of the health promotion behaviors on the life satisfaction of the elderly with diabetes. Also, we are focusing whether there is a mediating effect of depression between health promotion behaviors and life satisfaction of the elderly with diabetes. 685 persons with diabetes over 60 years of age were selected from the data of KLoSA (Korean Longitudinal Study of Ageing), administered by The National Institute of Labor in 2006. Life satisfaction was measured by 5 items: health status, economic status, relationship with a spouse, relationship with children, and the quality of life. Health promotion behaviors were measured by 4 items: regular diet, exercise, smoking, and drinking. The mediating variable is the depression measured by CES-D10. As the method of analysis, the multiple regressions were used with SPSS 12.0. The result of the study shows that the health promotion behaviors have a positive influence on life satisfaction and a negative influence on depression. It was also verified that the depression variable has a partial mediating effect between health promotion behaviors and life satisfaction. These results present the importance of integrated (physical, psychological, and social) approach for the health promotion experts intervening with the elderly with diabetes.

• Journal of the Korean Society of School Health
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• v.23 no.1
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• pp.79-87
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• 2010

Purpose: The purpose of this study was to explore the relationship between depression, alexithymia, social support and somatic symptom in adolescents. Methods: The subjects were 1,519 adolescents in Seoul. Radloff's CES-D (The Center for Epidemiological Studies-Depression scale) for depression, Bagby, Parker and Taylor's TAS (Toronto Alexithymia Scale) for alexithymia, Park's social support and Derogatis's SCL-90 (Brief Symptom Inventory & Matching Clinical Rating Scale) were used. The data was analyzed using descriptive statistics, Pearson's correlation coefficients, t or F test, and stepwise multiple regression. Results: Depression and somatic symptom were lower but social support was higher when compared to mean score. The somatic symptom was significantly positive correlations to age, depression, alexithymia but no correlation to social support. Stepwise multiple regression analysis showed that 21.8% of the somatic symptom was significantly accounted for depression, alexithymia, social support, gender, economic status, living alone, and living with parent. Conclusion: These results suggest that depression, alexithymia, living alone can be potential risk factors for somatic symptom in the adolescents. Therefore, these findings will give useful information for developing a promotion program focused on social support in the adolescents.

• The Journal of the Korea Contents Association
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• v.16 no.8
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• pp.29-38
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• 2016

The purpose of this study is to investigate the relationship between Korean women's experience of anxiety & depression and socioeconomic level. We used Korea National Health and Nutrition Examination Survey VI-1 data. Study population were consisted of 3,453 female adults, and used a binary logistic regression analysis to identify the relationship between socioeconomic status factors and experience of anxiety & depression after adjusting health factors. It was identified the variables that affect experience symptoms of anxiety & depression is age, marital status, education, income level, economic activity, health condition and stress. Based on the analysis, Korean women's socioeconomic level and anxiety & depression experience concluded to be associated. Thus, the program for low income, unemployed and low educated level women is needed.

• Journal of agricultural medicine and community health
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• v.25 no.1
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• pp.85-98
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• 2000

The questionnaire survey using the Center for Epidemiological Studies-Depression Scale(CES-D) was conducted to determine the prevalence of depression and related factors in the rural elderly. The subjects were 922 individuals of 60 years of age and over, living in Chonnam province. The results of this study were as follows. The prevalence rates of depression were 14.6% in male and 24.4%, in female. As the age increased, the prevalence rate increased and the rate was higher in non-educational and widowhood group. The prevalence rate was lower in the group of having good health habits and having a good health status. In the regression analysis, significant predictors of the depression were sex, education, physical activity, perceived health status and body image. In conclusion, main, characteristics which had close relationship to depression in the rural elderly were physical function and self-rated health status.

• Korean Journal of Health Education and Promotion
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• v.31 no.5
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• pp.45-58
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• 2014

Objective: The purpose of this study was to analysis the determinants and trend of suicidal ideation the elderly in Korea. Methods: This study participants were selected the elderly over the age of 55 from the Korea National Health and Nutrition Examination Survey in 2001(n=1,122), 2005(n=2,098), and 2010(n=2,402). Statistical analysis methods used in this study were $x^2$-test, logistic regression analysis and other basic statistics such frequency, percentage using SPSS version 21.0. Results: In 2001, the influencing factors of suicidal ideation was spouses, subjective health status and stress recognition. In 2005, the influencing factors of suicidal ideation were spouses, subjective health status, chronic disease amount, activity limitation, depression experience and stress recognition. In 2010, the influencing factors of suicidal ideation were elderly, education level, subjective health status, activity limitation, depression experience and stress recognition. Conclusions: The health education considering the characteristics of each elderly group should be developed and applied to prevent adults' suicidal ideation because the factors influencing suicidal ideation were revealed differently between the elderly group.