• Title/Summary/Keyword: Health factors

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Conceptual Model for Women s Health (여성건강을 위한 개념적 모형)

  • 이경혜
    • Journal of Korean Academy of Nursing
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    • v.27 no.4
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    • pp.933-942
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    • 1997
  • There has recently been an increased interest in women's health from, various disciplines, with different perspectives presented according to each profession's academic background. This has led to many instances of incorrectly defining, or misinterpretation, of the issues even among professionals. Nurse scholars as well as practitioners who work in women's health care need to have a clear conceptual understanding of women's health in order to build a body of knowledge, delineate curricular activities, and set directions for professional nursing interventions. In addition, a conceptual model that may be directly utilized in practice is needed to maintain and promote women's health issues. The purpose of this study was to apply a Hybrid model, analyzing conceptual definitions and discussions related to women's health gathered from review of the literature. Further to compare analyticals the concepts and properties observed from field work, so as to present a final definition of women's health and, build a conceptual framework for a united comprehensive perspective on the concept as well as on nursing practice. Data collection and analysis consisted of a theoretical stage, field work stage, and final analysis. A heterogeneous group of professionals and lay persons, 39 in all, participated in the field work. Study findings Include several subconcepts under the concept of women's health : a woman's whole life, holistic health, quality of life, awareness of being a woman, individual nursing, self care ability, reproductive health, and family health. Thus, a comprehensive definition was built, 1. e., "Women's health care be defined as improvement in the quality of life of women through attainment of holistic health throughout the life span. With reproductive health at the core, the concept is directly related to family and national health, and includes taking care of one's own health based on awareness of being a woman and utilizing self care activities. Women's health care issues are unique and allow various responses, therefore women's health professionals need to apply individual approaches to reach solutions in attaining holistic health and improving quality of life." The constructual factors of women's health were found to be reproductive functions, diseases more common in woman, self actualization, mental health, women's health policies, sexuality, midlife changes, and marital relations, with each factor having more than three properties. Positive factors affecting women's health were found to be a normal childbearing process, a healthy lifestyle, active health management, health information, support, and resources, and interpersonal relationships. Negative factors were found to be overwhelming role stress, cultural oppression, gender inequality, distorted sexual identity, economic difficulties, misuse and/or abuse of substances, and stress. The model of women's health may be visualized as a balance scale set upon a woman's life, supporting 4 concentric circles. The innermost circle and second circle incorporate conceptual definitions of women's health, and the outer two circles represent the constructional factors and properties of women's health. Each circle has its own color that symbolizes the conceptual meaning. Positive and negative factors are represented as weights at either end of the scale, and are affected by nursing intervention, i. e., health and wellness increase when positive factors are stronger, whereas disease and illness increase when negative factors are stronger. This model is only a preliminary effort and requires much discussion and testing to be further developed. Continuous research is also required.

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Unmet Health Care Needs and Associated Factors among Patients with Hypertension and Those with Diabetes in Korea (우리나라 고혈압 환자와 당뇨병 환자의 미충족 의료 수준과 관련 요인)

  • Huh, Soon-Im;Lee, Sue-Hyung
    • Health Policy and Management
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    • v.21 no.1
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    • pp.1-22
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    • 2011
  • This study investigated unmet health care needs and associated factors among patients with hypertension and those with diabetes. Patients were identified by medical professionals. Patients who did not take pharmaceuticals to treat their disease(s) were defined as those with unmet health care needs. Using data from 2005 National Health and Nutrition Examination Survey, 3,635 hypertension patients and 1,431 diabetes patients were analyzed. A multivariate logistic regression analysis was employed to examine factors associated with unmet needs. Overall, 16.6% of hypertension patients, 20.3% of those with diabetes presented unmet needs. Common factors associated unmet needs for both hypertension and diabetes were sex, insurance type, self-reported health status and length of disease. Study findings suggest that hypertension and diabetes should be treated in early stage and further study is needed to examine the reasons for unmet needs to improve patient's status effectively.

Identifying health literacy levels and related factors focusing on age (연령에 따른 헬스 리터러시(HL) 수준과 관련 요인 파악)

  • Jae Yeon, Jeong;HeeJeung, Jee
    • Korea Journal of Hospital Management
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    • v.29 no.1
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    • pp.64-75
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    • 2024
  • Purposes: This study aims to identify the characteristics of the study subjects by age, including non-elderly people aged 19 to 65, pre-elderly people aged 65 to 75, and elderly people aged 75 and over, and to identify factors affecting health literacy based on an investigation of the health literacy level of each study group. This study would like to find out the differences in health literacy factors by age group. Methodology: The HLS-EU-Q16, developed by the World Health Organization Regional Office for Europe for the Health literacy Survey of Europeans, will be applied in this study. Findings: We found that scores decreased in order of nonelderly, pre-elderly, and late-elderly in health care, disease prevention, and health promotion. In addition, health literacy was lower in the older age group, and higher health literacy was associated with being unmarried, higher education, and higher income. In terms of influencing factors, marital status was significantly different in the non-elderly group, and higher education level was associated with higher health literacy. Practical Implications: The results of this study show that health literacy levels are low in all age groups, and efforts to improve health literacy in younger, older, and non-elderly groups are needed. It is expected that age-specific health literacy strategies can help improve the level of understanding and utilization of health information, improve health, and lead a healthy life.

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Impact of Psychosocial Factors on Occurrence of Medication Errors among Tehran Public Hospitals Nurses by Evaluating the Balance between Effort and Reward

  • Zaree, Tahere Yeke;Nazari, Jalil;Jafarabadi, Mohhamad Asghary;Alinia, Tahereh
    • Safety and Health at Work
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    • v.9 no.4
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    • pp.447-453
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    • 2018
  • Background: Patient safety and accurate implementation of medication orders are among the essential requirements of par nursing profession. In this regard, it is necessary to determine and prevent factors influencing medications errors. Although many studies have investigated this issue, the effects of psychosocial factors have not been examined thoroughly. Methods: The present study aimed at investigating the impact of psychosocial factors on nurses' medication errors by evaluating the balance between effort and reward. This cross-sectional descriptive study was conducted in public hospitals of Tehran in 2015. The population of this work consisted of 379 nurses. A multisection questionnaire was used for data collection. Results: In this research, 29% of participating nurses reported medication errors in 2015. Most frequent errors were related to wrong dosage, drug, and patient. There were significant relationships between medications errors and the stress of imbalance between effort and reward (p < 0.02) and job commitment and stress (p < 0.027). Conclusion: It seems that several factors play a role in the occurrence of medication errors, and psychosocial factors play a crucial and major role in this regard. Therefore, it is necessary to investigate these factors in more detail and take them into account in the hospital management.

Socioeconomic Inequity in Self-Rated Health Status and Contribution of Health Behavioral Factors in Korea (한국인의 사회경제적 불평등에 따른 주관적 건강수준의 차이와 건강행태 기여요인 분석)

  • Kim, Min-Kyung;Chung, Woo-Jin;Lim, Seung-Ji;Yoon, Soo-Jin;Lee, Ja-Kyoung;Kim, Eun-Kyung;Ko, Lan-Ju
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.1
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    • pp.50-61
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    • 2010
  • Objectives: The study is investigated socioeconomic variations in self-rated health status and contribution of health behavioral factors in Korea. Methods: A nationally representative sample (2,800 men and 3,230 women aged 20-64 years) from the 2005 Korea National Health and Nutrition Surveys was analyzed using logistic regression. Results: Self-rated health was lower among lower socioeconomic groups compared with higher socioeconomic groups, with gender being irrelevant. This association was attenuated when health behavioral and socio-demographic factors were adjusted. When each health behavioral factor was considered separately, mediators such as smoking in men, and stress or exercise in women explained a large part of the decreased socioeconomic health inequalities. Conclusions: In Korea, subjective health inequalities arise from different socioeconomic status, but this difference is decreased by health behavioral factors. Therefore, socioeconomic inequity in self-rated health status can be corrected more effectively by promotional health behaviors.

Convergence factors of subjective oral health awareness perception on oral health improvement behavior in some university students (일부 대학생의 주관적 구강건강 인지지각이 구강건강증진행위에 미치는 융합적 요인)

  • Lim, Sun-A
    • Journal of the Korea Convergence Society
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    • v.8 no.11
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    • pp.167-175
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    • 2017
  • The purpose of this study was to investigate the convergence factors affecting behavior of oral health improvement perceived by the subjective oral health awareness perception factors in some college students. The questionnaire was conducted from April 10, 2017 to April 30, 2013 for 300 students at S university and the and the 290 final data were used. Oral health knowledge, oral health importance measured by 5-point, oral health status and oral health interest are 11.46, 1.71, 2.78, 2.52 respectively. Significant differences from experience of oral health education for oral health knowledge, oral health importance, oral health interest have been observed. The convergence factors influencing acts of oral health promotion were oral health status(${\beta}=-0.188$) and oral health interest(${\beta}=-0.265$) the higer the oral health status and oral health interest, the better acts of oral health promotion. Therefore, effective oral health education programs should be developed to increase oral health knowledge and interest in oral health and to change behavior and attitude.

A Study of Motivational Factors and Health Behaviors in Patients with Coronary Artery Disease (관상동맥질환자의 동기요인과 건강행위에 관한 연구)

  • Kim, Kum-Ja;Yi, Myung-Sun
    • The Korean Journal of Rehabilitation Nursing
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    • v.10 no.2
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    • pp.125-133
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    • 2007
  • Purpose: The purpose of this study was to identify motivational factors that may influence health behaviors of patients with coronary artery disease. Methods: Structured questionnaires were used with a convenience sample of 164 subjects who were discharged from the hospital. The subjects were recruited for an interview at outpatient clinic in hospitals. The tools for the study were the motivational factors and health behaviors measure for the Elderly with cardiovascular disease. The data were analyzed using frequency, t-test, ANOVA, sheffe, Pearson correlation coefficient and stepwise multiple regressions. Results: There were significant correlations between motivational factors and health behaviors, ranging from r=.192 to .692. Stepwise multiple regression analyses indicated that 51% of variance in health behaviors was explained by self-efficacy and perceived benefits among four motivational factors(F=34.988, p<.01). Self-efficacy contributed the greatest amount of variance in health behaviors(${\beta}=.467$), followed by perceived benefits(${\beta}=.235$). Conclusions: The results of the study indicate that motivation, especially self-efficacy, was very important in predicting health behaviors of patients with coronary artery disease. Thus it would be necessary to include motivational factors in designing rehabilitation program for people with coronary artery disease.

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Factors associated with Suicidal Ideation by Age Group among Korean Adults: Using the Fifth Korea National Health and Nutrition Examination Survey(KNHANES V, 2012) (한국 성인의 연령계층별 자살생각 관련 요인: 국민건강영양조사 제5기 3차(2012) 자료를 이용하여)

  • Kim, Sun-Young;Jung, Mi-Yeong;Kim, Kyeong-Na
    • Korean Journal of Health Education and Promotion
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    • v.31 no.2
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    • pp.1-14
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    • 2014
  • Objectives: This study aimed to investigate factors influencing suicidal ideation among Korean adults. Methods: Cross-sectional data from the fifth Korea National Health and Nutritional Examination Survey conducted in 2012 were analyzed in this study. The subjects were categorized into three groups by subjects' age(defined as young adults(20-39), middle-aged adults(40-59), and the elderly(60 or more). Data were analyzed by frequency, Chi-square test and multiple logistic regression using SPSS 18.0. Results: The factors influencing suicidal ideation were different among three age groups. The influencing factors were (1) gender, marital status, household income, perceived stress and depression in the young adult group, (2) household income, perceived health status, perceived stress and depression in the middle-aged group, (3) gender, regular physical activity, smoking, perceived health status, perceived stress and depression in the elderly group. Conclusions: The health education considering the characteristics of each age group should be developed and applied to prevent adults' suicidal ideation because the factors influencing suicidal ideation were revealed differently between the age groups.

Risk Factors, Subjective Symptoms, Knowledge of Coronary Artery Disease and Preventive Health Practices in Postmenopausal Women (폐경후 여성의 관상동맥질환 위험요인과 자각증상, 관련지식 및 예방적 건강실천)

  • Jung, Jung-Ja;Kim, Nam-Cho
    • Women's Health Nursing
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    • v.12 no.1
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    • pp.29-36
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    • 2006
  • Purpose: The purpose of this study was to investigate postmenopausal women's risk factors and subjective symptoms of coronary artery disease, their knowledge about the risk factors and their performance of health behaviors. Method: The subjects were 285 women aged between 50~60 who had naturally reached menopause. We interviewed them using a questionnaire on the subjects' risk factors of coronary artery disease, their knowledge about the risk factors and their performance of preventive health behaviors. Collected data was analyzed through t-test, ANOVA & Duncan test. Results: Risk factors of coronary artery disease observed in the subjects were diabetes (10.9%), hypertension (22.8%) and hyperlipidemia (14.7%). Symptoms of coronary artery disease were experienced more by those who had diabetes, smoked, had a history of coronary artery disease, and thought that they might have coronary artery disease. With regard to the subjects' knowledge about the risk factors of coronary artery disease, the average score was 13.88 out of 20 points. Conclusion: The results of this study suggest that postmenopausal women have several risk factors of coronary arterial disease but they did not have sufficient knowledge about the risk factors and did not manage the factors appropriately.

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Noncommunicable Diseases: Current Status of Major Modifiable Risk Factors in Korea

  • Kim, Hyeon Chang;Oh, Sun Min
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.4
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    • pp.165-172
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    • 2013
  • A noncommunicable disease (NCD) is a medical condition or disease that is by definition non-infectious and non-transmissible among people. Currently, NCDs are the leading causes of death and disease burden worldwide. The four main types of NCDs, including cardiovascular disease, cancer, chronic lung disease, and diabetes, result in more than 30 million deaths annually. To reduce the burden of NCDs on global health, current public health actions stress the importance of preventing, detecting, and correcting modifiable risk factors; controlling major modifiable risk factors has been shown to effectively reduce NCD mortality. The World Health Organization's World Health Report 2002 identified tobacco use, alcohol consumption, overweight, physical inactivity, high blood pressure, and high cholesterol as the most important risk factors for NCDs. Accordingly, the present report set out to review the prevalence and trends of these modifiable risk factors in the Korean population. Over the past few decades, we observed significant risk factor modifications of improved blood pressure control and decreased smoking rate. However, hypertension and cigarette smoking remained the most contributable factors of NCDs in the Korean population. Moreover, other major modifiable risk factors show no improvement or even worsened. The current status and trends in major modifiable risk factors reinforce the importance of prevention, detection, and treatment of risk factors in reducing the burden of NCDs on individuals and society.