• Korean Journal of Adult Nursing
• /
• v.13 no.1
• /
• pp.82-95
• /
• 2001

The purpose of this study was to examine the relationship among perceived health status, self-esteem, self-efficacy and health promoting behavior, and to determine the predictors of health promoting behavior in post-mastectomy patients. The study, a descriptive correlational study, was done with structural questionnaires. A total of 51 post-mastectomy subjects from C university hospital in Kwang-ju, South Korea completed mail-in self-reporting questionnaires during a three month period from March to June, 1999. The data were collected using Lawstone's(1982) perceived health status scale, Rosenberg's(1965) self-esteem scale, the modified self-efficacy scale(Shere et al, 1982), and the modified health promoting lifestyle profile (Walker et al, 1987). The data obtained were analyzed according to percentage, mean and standard deviation, principal component analysis, varimax rotation, t-test, ANOVA, Pearson's correlation, and stepwise multiple regression. The results were as follows: 1. The health promoting behavior measurement resulted in six factors. Each factor was labelled as follows: self-actualization, nutrition, stress management, exercise, health responsibility and interpersonal support. The total percent of variance explained by the six factors was 58.4%. 2. The mean score of health promoting behavior was 85.92(range 58~117). The scores of six factor were nutrition 3.20, self-actualization 2.59, stress management 2.58, interpersonal support 2.58, health responsibility 2.49, and exercise 2.34 on a four point scale. 3. When the score of health promoting behavior factors were compared by general characteristics. Factor I: self-actualization, differed significantly by the frequency of pregnancy (F=3.06, p=.037). Factor II: nutrition differed significantly by drinking experience(t=-2.26, p=.028) and the pre- or post stage of menopause(F=2.69, p=078). FactorIII: stress management differed significantly depending on regularity of mensturation(t=-2.12, p= .042). FactorIV: exercise differed significantly by type of religion (F=2.49, p=.072), marital status(F=5.03, p=.010), and feeding type (F=2.64, p=.036). Factor V: health responsibility differed significantly by regularity of mensturation(t=2.18, p=.037). 4. The total health promoting behavior score was significantly related to self-esteem and perceived health status(r=.610, p.006; r= .378, p=.006). The score of selfactualization also corresponded with selfesteem and perceived health status(r=.556, p=.001; r=.343, p=.013). 5. The predictor to explain the score of health promoting behavior was self-esteem, which accounted for 37.1% of the total variance. The predictor to explain the score of self-actualization was self-esteem, which accounted for 30.9% of the total variance. The score of nutrition was primarily affected by both premenopause and drinking experience, which accounted for 13.1% and 9.5% respectively. Finally, the score of exercise was dictated by marriage, Buddhism, no experience of breast feeding, which accounted for 17%, 9.8%, & 5.2% respectively. In conclusion, self-esteem is the main predictor for health promoting behavior in post-mastectomy women. These findings suggest a need for nursing strategies which promote self-esteem in such patients.

• Research in Community and Public Health Nursing
• /
• v.9 no.1
• /
• pp.21-29
• /
• 1998

This study was undertaken in order to examine the relationship of hardiness and health-promoting behavior and the effects of hardiness on stress-related physical symptoms. The subjects were 104 female nursing students of one college in Kongju. The instruments used for this study were a survey of general characteristics, hardiness(25 items), health-promoting behavior(44 items), and physical symptoms(35 items), Analysis of data was done by use of mean, Pearson correlation coefficient, stepwise regression and a hierarchical multiple regression with an SAS program. The results of this study are as follows. 1) Significant correlations between health -promoting behavior and subscales of hardiness, that is, control(r=-.35, P<.00l), commitment(r= -.29, P<.0l), and challenge(r= -.23, p<.05) were found. 2) Control was the highest factor predicting health -promoting behavior. 3) Main and buffering effects of hardiness on current physical symptoms were not found.

• Korean Journal of Health Education and Promotion
• /
• v.21 no.4
• /
• pp.63-73
• /
• 2004

Purpose: This study was to identify the correlation between the health-promoting behavior and life satisfaction in elderly of the urban area. Method: The subjects of this study were 202 people aged over 65 who had been living in urban area. Data was collected through questionnaires from April 10th to September 30th, 2002. The collected data was analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient with SPSS statistical program. Result: The health-promoting behavior was given the informations that nutrition practices were most highly ranked, followed by interpersonal relationships, self-actualization, stress management, health responsibility, and exercise. The mean scores of health-promoting behaviors were significant differences in age and educational level. Life satisfaction was significantly related to only living situation. Health-promoting behavior of the subjects was found to be statistically significant and positively correlated with life satisfaction. Conclusion: These results suggested that elderly people in urban areas with high degree of quality of life is likely to be in practice with high degree of health-promoting behaviors. Therefore, it is necessary to develop health promotion programs in order to enhance the quality of life of elderly people in urban areas.

• Journal of East-West Nursing Research
• /
• v.14 no.1
• /
• pp.56-67
• /
• 2008

Purpose: This study was a descriptive survey study to examine the degrees of the health perception, health knowledge, and health promoting behavior in the elderly, and the relationship among the above factors. Methods: Subjects were 183 persons with the age over 65 years living in Seoul. Measures were Health Perception Questionnaire (HPQ) developed by Ware (1979), the health knowledge instrument developed by Ha Gwi-Yeom (2005), and the Health Promotion Lifestyle Profile (HPLP) developed by Walker, Sechrist & Pender (1987) and modified by Hong Young-Ae (2003). Data were collected from March 4 to April 12, 2007. Data were analyzed by frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson's correlation using the SPSS program. Results: The mean level of health perception was 2.71(${\pm}0.77$), the mean level of health knowledge was 7.10(${\pm}1.82$), and the mean level of health promoting behavior $2.72{\pm}0.86$. Health promoting behavior showed a positive correlation with health perception (r=.715) and health knowledge (r=.543), and a positive relation was observed between health perception and health knowledge (r=.526). Conclusion: The enhancement of health perception and health knowledge are needed to improve health promoting behavior of the elderly. Also, the general characteristics of elderly should be considered to improve health promoting behavior of elderly.

• Journal of Korean Public Health Nursing
• /
• v.9 no.1
• /
• pp.44-58
• /
• 1995

This study was to investigated the relationship between health locus of control and health promoting behavior of College students. For this study, questionnaires were given to 300 students in the H University of Seoul and collected during the period from Nomber 17 to November 24, 1994. Health locus of control and health promoting behavior were measured by using the MHLC scale and a modified HPLP scale. Healthiness of life style is parameterized by self actualization, health responsibility, exercise, nutrition, stress management, and internal support. The data were analyzed using the statistics package SAS, yielding frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson's Correlation. The result of this analysis are as follows: 1. Among the components of health locus of control, internal health locus of control showed the highestscore (mean: 3. 12, standard deviation: 0.46). Powerful others health locus of control followed next with the mean of 2. 30 and the standard deviation of 0.44. Chance health locus of control showed the mean of 2.29, and the standard deviation of 0.43 2. The HPLP mean score and the standard deviation of practice of health promoting behavior were 2.51 and 0.31 respectively. 3. HPLP correlated positively with internal health locus of control (r= 0.20, p<.01) and powerful others locus of control (r= 0.21. p<.001). However, HPLP inversely correlated with chance locus of control (r=-0.13, p<.05) 4. The demographic variables representing sex (t= 2.26, p<.05), health status (F = 5.52, p<.01) showed connections to health promoting behavior. Therefore, nurses should consider health locus of control when they take care of College students to improve such health promoting behavior as self actualization, exercise, internal support, stress management, and health responsibility. Further research is required to discover factors influencing health promoting behavior of College students.

• Journal of Korean Public Health Nursing
• /
• v.29 no.3
• /
• pp.463-473
• /
• 2015

Purpose: The purpose of this study was to examine stress, interpersonal competence, health promotion behavior and factors influencing health-promoting behavior of undergraduate students majoring on a health-related degree program in Korea. Methods: Descriptive correlational study was utilized. The subjects were 269 college students in Gyeongi Province. Data were collected from November to December, 2014. Stress, interpersonal competence and health promotion behavior were measured using structured questionnaires. SAS 9.3 program was used for data analysis. Results: Stress and health promotion behavior were low, while interpersonal competence levels of students were moderate. Correlation between stress and health promoting behavior (r=-.16, p=.002) and interpersonal competence and health promoting behavior (r=.46, p<.001) was statistically significant. Factors influencing health promotion behavior were found to be stress(2.4%), interpersonal competence(21.7%), religion(1.7%) and academic achievement(1.5%). Interpersonal competence was the most influencing predictor for the health-promoting behaviors of undergraduate students majoring in health related programs. Conclusion: We suggest development of intervention programs for enhancement of interpersonal competence for college students in order to improve their health-promoting behaviors.

• Journal of Korean Academy of Fundamentals of Nursing
• /
• v.4 no.2
• /
• pp.283-300
• /
• 1997

This study was undertaken to grasp health-promoting behavior of the elderly and to identify variables related to them in order to facilitate nursing intervention for health promotion of this population. The subjects for this study were 291 old persons obtained by cluster sampling from twenty general social welfare centers located in Tague. Data were collected by self-reported questionnaires from August 13 to September 13, 1996. Questionnaires were developed based on Sherer and others' Self-Efficacy scale, Rosenberg's Self-Esteem scale, Wallston and other's Multidimensional Health Locus of Control scale, Northern illinois University's Helath Self Rating Scale, Walker and others' Health Promotion Lifestyles Profile. Analysis of the data was done by use of descriptive statistics, stepwise multiple regression, Pearson Correlation Coefficient, MANOVA, t-test, and ANOVA. The results were summarized as follows : 1. For the practice of health-promoting behavior, the mean score was 2.89 and range was 3.59 to 2.09. The factor of the highest mean score was regular diet(M=3.42) and factor of the lowest mean score as stress management(M=2.27). 2. The combination of self-efficacy, internal health locus of control, family number, and average monthly pocket money explained 30.0% of the variance of health-promoting behavior. 3. With regard to the relationship between health-promoting behavior and cognitive perceptual factor, self-efficacy correlated positively with health-promoting behavior(r=.4951, P=.0001), self-esteem correlated positively(r=.3263, P=.0001), internal health locus of control correlated positively(r=.3244, P=.0001), perceived health status correlated positively(r=.1355, P=.0274). 4. According to age(F=2.50, P=.0431), sex(t=2.14, P=.0332), marital status(F=7.85, P=.0005), education(F=5.44, P=.0003), family number(F=11.18, P=.0001), people living together(F=7.21, P=.0009), previous occupation(F=5.83, P=.0001), average monthly pocket money(F=7.27, P=.0001), there were differences of health-promoting behavior. The above findings show that health-promoting behavior are related to demographic characteristics, four cognitive perceptual factors(self-efficacy, self-esteem, internal health locus of control, perceived health status). On the basis of the above findings the following recommendations are made ; 1. Nursing interventions enhancing exercise or activity, accountability for health, stress management of the elderly must be provided. 2. Nursing strategies enhancing self-efficacy which is most significant effect on health-promoting behavior must be developed.

• Asian Pacific Journal of Cancer Prevention
• /
• v.16 no.5
• /
• pp.1729-1736
• /
• 2015

Background: The purpose of this study was to investigate the associations among the internal health locus of control, depression, perceived health status, self efficacy, social support, and health-promoting behavior in Iranian breast cancer survivors and to determine influential variables. Materials and Methods: A predictive design was adopted. By convenient sampling the data of 262 breast cancer survivors in Iran were collected by questionnaires during 2014. Data were analyzed applying descriptive statistics, t-tests, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. Results: The internal health locus of control, depression, perceived health status, self efficacy, social support and undergoing chemotherapy all correlated significantly with the health-promoting lifestyle. Stepwise multiple regression analysis revealed that social internal health locus of control, depression, perceived health status, self efficacy and social support and chemotherapy accounted for about 39.8% of the variance in health promoting lifestyle. The strongest influence was social support, followed by self efficacy, perceived health status, chemotherapy and depression. Conclusions: The results of the study clarifed the seriousness of social support, self efficacy, perceived health status and depression in determining the health-promoting lifestyle among Iranian breast cancer survivors. Health professionals should concentrate on these variables in designing plans to promoting a healthy lifestyle.

• Journal of the Korean Applied Science and Technology
• /
• v.40 no.5
• /
• pp.1055-1064
• /
• 2023

This study attempts to understand the mediating effect of health self-efficacy in the relationship between health consciousness and health promoting behavior of nursing college students. The subjects of the study were 255 nursing college students attending nursing departments at four universities located in G city and J province. Collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple regression analysis using SPSS 25.0, and Sobel tests were conducted to verify the mediating effect. As a result, health self-efficacy showed a partial mediating effect between health consciousness and health promoting behavior(Z=5.54, p<.001). The higher the health consciousnes(β=.20, p<.001) and health self-efficacy(β=.39, p<.001), the higher the level of health promoting behavior. And the explanatory power(R2) explaining the health promoting behavior was 48%. Therefore, in order to improve the health promoting behavior of nursing college students, it is necessary to prepare an effective strategy to not only increase health consciousness but also strengthen health self-efficacy at the same time.

• Journal of Korean Public Health Nursing
• /
• v.14 no.1
• /
• pp.161-171
• /
• 2000

The purpose of this study was to investigate the factors influencing health promoting behavior and quality of life in the nursing students, to provide the basic data for health promoting intervention in order to improve quality of life. The subjects of this study were 199 nursing students, living in M city, during the period from May 18 to 25, 1999. The instruments for this study were the health promoting behavior scale developed by Walker et al.(1987), the quality of life scale by Ro(1988), the self efficacy scale by Sherer(1982), the health locus of control scale by Wallston et al. (1978) and the self esteem scale by Rogenberg(1965). The data were analyzed using descriptive statistics, Pearson correlation coefficients, stepwise multiple regression, t-test, ANOVA. The results of this study are as follows; 1. The health promoting behavior showed significant positive correlation with self efficacy, self esteem, internal health locus of control and quality of life. 2. The quality of life showed significant positive correlation with self efficacy, self esteem, internal health locus of control. 3. Stepwise multiple regression analysis revealed that the most powerful predictor of health promoting behavior was self efficacy. A combination of self efficacy, self esteem, health locus of control and quality of life accounted for $41\%$ of the variance in health promoting behavior. 4. Stepwise multiple regression analysis revealed that the most powerful predictor of quality of life was self esteem. A combination of self esteem, self efficacy and health promoting behavior accounted for $40\%$ of the variance in quality of life. Based on the above findings, it is suggested to develop nursing intervention to improve Self Efficacy, Self Esteem of nursing students enhance health promoting lifestyle.