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A Study of the Index Development and Measurement for School Health Promoting Behaviors (학교건강증진 지표개발 및 측정에 관한 연구)

  • Kim, Young Im
    • Journal of the Korean Society of School Health
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    • v.11 no.2
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    • pp.189-201
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    • 1998
  • The objectives of this study are first to develop the index of school health promoting behaviors, two, to measure those, third, to analysis the relative importance of factors that effect on school health promoting behaviors. School health promotion indexes were composed of 60 components of six areas which modify the element of health promoting schools are developed by world health organization. The survey data were collected by questionnaires from June to September in 1998. The number of subjects was 294 school nurses. The SAS-PC program was used for the statistical analysis. The major results were as follows: 1. The six areas of school health promoting behaviors are: school health politics (20 components), the school physical environment (17 component), the school social environment (7 component), community relationships (6 component), personal health skills (7 component) and health services (3 component). 2. The mean of total school health promotion indexes was highest at elementary school as 3.46. The order of area was health services, the school physical environment, school health politics, the school social environment, personal health skills, community relationships. 3. The regression model used in this analysis presented significant relationships between school health promoting behaviors and independent variables. The important variable affecting the area of school physical environment was education level of school nurses. The important variable affecting the area of the school social environment and personal health services were the location of school, credential education program. Age or career also were significant variables affect the community relationships and health services. In summary, The health promoting behavior of elementary school was higher than other school. It is mean that have to perform active promoting behavior at middle school and high school. Health service level was highest among areas of school health promoting behaviors. It is mean also that school nurse teachers is interested in activity for other areas to improve of school health. Furthermore, it is necessary to develop the specific program for school health promoting behavior.

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The Determinants of Health Promoting Lifestyle in High School Students (여고생의 건강증진 생활양식과 관련요인 연구)

  • Hong Woi Hyun;Kim Chung-nam;Park Young-Sook
    • Journal of Korean Public Health Nursing
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    • v.13 no.2
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    • pp.183-201
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    • 1999
  • This descriptive correlational study was conducted to identify the variables related to health promoting lifestyle of girls in High school students. 156 high school students and 88 vocational high school students who lives in Taegu city were selected by a convenience sampling method. The data were collected by self-reported questionnaires from August 24 to September 4. 1998. Pender and others' Health Promoting Lifestyle Profile. Shere et al's. Self-Efficacy scale. Wallston et al.' s Internal Health Locus of Control scale. Wares' Health self rating scale and Cohen & Hoberman's Social support scale were used. The data were analyzed by using descriptive statistics, Pearson correlation coefficient. t-test. MANOVA. ANOVA. Tukey verification and Stepwise multiple regression with SAS progrom. The results of this study were as follows : 1. The average score of health promoting lifestyle performance was 2.34(SD=.36)points by the 4 point scale. 2. The combination of self-efficacy. internal health locus of control. mather's educational level and type of school explained $41.31\%$ of the variance of health promoting lifestyle. 3. Health promoting lifestyle showed significant positive correlations with self efficacy(r=.5173. p=.001), perceived health status(r=.254, p=.001) and internal health locus of control(r=.321. p=.001). On the basis of the above findings, self-efficacy in cognitive factors. and social support in modifying factors were identified as the variables which explained the most part of the Pender's health-promotion model. Nursing strategies enhancing self-efficacy which has the most significant effect on health promoting lifestyle should be developed. Further research is required to find out the factors influencing health pormoting lifestyle of high school students.

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Determinants of Health Promoting Lifestyle of College Students (대학생의 건강증진 생활양식 결정요인에 관한 연구)

  • 이미라
    • Journal of Korean Academy of Nursing
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    • v.27 no.1
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    • pp.156-168
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    • 1997
  • This study was undertaken in order to examine the relationship of self-efficacy, control, perceived health status. self-esteem, social support, and demographic characteristics to health promoting lifestyle of college students, and to determine factors affecting health promoting lifestyle of college students. The subjects were 92 students of one university in Taejon. The instruments used for this study were a survey of general characteristics, health promoting lifestyle(44 items), self-efficacy (28 items), self-esteem(10 items). control(8 items), perceived heath status(1 item), and social support(12 items). Analysis of data was done by use of mean, percentage, t-test. ANOVA, Pearson correlation coefficient and stepwise regression with SAS program. The results of this study are as follows. 1) The average item score for the health promoting lifestyles was low at 2.30. In the sub-categories, the highest degree of performance was interpersonal support(2.90), and the lowest degree was exercise(1.67). 2) Male students showed a significant higher score in exercise subscale than female students. Students who had more income had higher scores in self actualization subscale. Students who's family had experienced severe disease had higher scores in health responsibility and interpersonal support subscale. Students who had experienced exercise had higher scores in total health promoting lifestyle, exercise, interpersonal support, and stress management subscale. 3) Significant correlation between perceived health status and self-efficacy, perceived health status and self-esteem, control and self-efficacy, control and self-esteem, control and social support, self-esteem and self-efficacy was found. 4) Self-efficacy and control revealed significant correlations with total health promoting lifestyle and all subscales of health promoting lifestyle except self actualization, A significant correlation between perceived health status and self actualization subscale was found. Self-esteem revealed significant correlations only with self actualization and interpersonal support subscale. 5) Significant correlations were found between most of the subscales of total health promoting lifestyle. 6) Self-efficacy was the highest factor predicting health promoting lifestyles of college students (30.55%). Self-efficacy and control accounted for 36.55% in health promoting lifestyle of college students.

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Psychological Well-being, Perceived Health Status, and Health Promoting Behavior of Clinical Nurses (임상간호사의 심리적 안녕감, 지각된 건강상태, 건강증진행위에 관한 연구)

  • Choi, Yune-Jung;Sung, Young-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.5
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    • pp.589-598
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    • 2013
  • Purpose: This study was designed to assess the degree of psychological well-being, perceived health status, and health promoting behavior of clinical nurses, and to identify correlations between variables. Methods: Participants were 194 nurses working at S hospital, Seoul and data were analyzed using descriptive statistics, ANOVA, Duncan's test, Pearson correlation coefficient, and multiple regressions. Results: Mean scores were 3.45 (5 point scale) for psychological well-being, 2.82(4 point scale) for perceived health status, and 2.30(4 point scale) for health promoting behavior. Psychological well-being correlated positively with perceived health status (r=.34, p<.001). Perceived health status showed a positive correlation with health promoting behavior (r=.30, p<.001). There was a positive correlation between psychological well-being and health promoting behavior (r=.52, p<.001). Personal growth(t=2.85, p=.005), purpose in life (t=2.30, p=.023) among subscales of psychological well-being, and perceived health status (t=2.13, p=.034) had a significant influence on health promoting behavior. These combinations explained 32.1% of health promoting behavior (F=12.58, p<.001). Conclusion: The results of this study suggest strategies to improve health promoting behavior by enhancing psychological well-being of nurses. Furthermore, a study to identify the effects of developed and applied psychological well-being promotion program should be conducted.

Factors influencing Health Promoting Behaviors of Visiting Nurses in Seoul (방문간호사의 건강증진행위에 영향을 미치는 요인 - 서울시 방문건강관리사업을 중심으로 -)

  • Kim, Yun Su;Baek, Hee Chong
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.25 no.2
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    • pp.209-218
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    • 2018
  • Purpose: This study is to identify the health promoting behaviors, health belief, and self-efficacy of visiting nurses working for the Health Visiting Project in Seoul and to determine the predictors of influencing health promoting behaviors. Methods: Data were collected from an online survey of 496 visiting nurses form 25 districts in Seoul. Using SPSS ver. 24, the study performed descriptive statistics, t-test, one-way ANOVA, correlations, and stepwise multiple regression. Results: The mean scores for health promoting behaviors and self-efficacy were slightly higher than that of the median, whereas health belief showed in the median. The factors influencing health promoting behavior were perceived barriers, perceived sensitivity, self-efficacy, and age. These variables explained 36.0% of health promoting behaviors(F=60.62, p<.05). Conclusion: To prevent illness and to promote the health of the population, the visiting nurse mainly performs health screening, health education and counseling. To fulfill these responsibilities, the visiting nurse should be healthy and perform health promoting behaviors well, effectively serving as a model for their clients. Most of the visiting nurses were middle-aged, thus, it is necessary to strengthen health promotion activities that manage physical and psychological health at the individual level.

The Factors Affecting the Health Promoting Life Style in Hypertensive Male Workers (고혈압 남성 근로자의 건강증진 생활양식의 영향요인)

  • Yun, Soon-Nyoung;Hong, Eun-Young
    • Research in Community and Public Health Nursing
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    • v.15 no.3
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    • pp.397-407
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    • 2004
  • Purpose: In Korea, as the number of hypertensive worker grows, identifying the level of health promoting life style practice and related factors in hypertensive workers is becoming more and more important. Method: The subjects of this study were 195 hypertensive male workers in Korea. The data was collected during 3 months ranging from August 2003 to October 2003. The data was analyzed by descriptive statistics. t-test, ANOVA. Pearson's correlation coefficient and stepwise multiple regression by SAS 8.1 program. Results: It was found that there were significant differences between age, religion, medication, perceived health status, perceived benefits, internal health locus of control, powerful other health locus of control and health promoting life style practice. The most significant factor affecting the health promoting life style practice was internal health locus of control. The combination of internal health locus of control, specific self-efficacy, powerful other health locus of control, general self-efficacy accounted for 51.0% of the health promoting life style practice. Conclusion: The level of health promoting life style practice was very low, so it is urgent to manage and care for hypertensive male workers continuously and systemically with occupational health nurses. Based on the above results, cognitive perceptual characteristics should be considered when developing health education programs for hypertensive workers.

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Health Promoting Behaviors and Related Variables in Students Rewriting College Entrance Examination (재수생의 건강증진행위와 관련요인)

  • Lee In-Sook;Moon Young-Im;Park Ho-Ran
    • Child Health Nursing Research
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    • v.11 no.3
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    • pp.348-355
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    • 2005
  • Purpose: In order to provide basic information for the development of nursing programs, health promoting behavior of students rewriting college entrance examinations was examined and factors related to health promotion were identified. Method: Data were collected by questionnaire from 804 examines in Seoul and Gyeonggi Province and were analyzed using the SAS program with t-test, ANOVA, Scheffe's test and Pearson correlation coefficients. Result: The mean score for health promoting behavior was 2.50. The highest score for the sub-areas was harmonious relationships and the lowest was, professional health maintenance. There were significant differences in health promoting behavior according to the following general characteristics; religion, frequency of rewriting college entrance examination, economic burden, parents' education level, grade, satisfaction with parents, friends and rewriting of college entrance examinations, parents' health concernsand knowledge of health, need for health education, and health condition and chronic disease over the past year. Correlations between health promoting behavior and family support and self-esteem were positive. The variables that influenced health promoting behavior were family support ($24.5\%$), self-esteem ($11.3\%$), anxiety ($2.6\%$), and stress of studying ($0.5\%$), explaining $38.9\%$ of the total variance. Conclusion: These results will help to develop a nursing program that enhances health promoting behavior of students rewriting college entrance examinations.

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The Relationship of Individual Characteristics, Perceived Health Status, Body Image, and Health Promoting Behavior in Hospital Nurses (간호사의 개인적 특성과 건강상태 인지, 신체상, 건강증진행위간의 관계)

  • Kim, So Sun;Park, Jeong Sook;Roh, Young Sook
    • Korean Journal of Adult Nursing
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    • v.17 no.1
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    • pp.88-99
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    • 2005
  • Objective: The purpose of this study were to: (1) describe the individual characteristics, perceived health status, body image, and health promoting behaviors of staff nurses working in a metropolitan hospital and (2) determine the relationship of perceived health status, body image, and health promoting behaviors. Methods: Data were collected from 311 staff nurses working at one of university affiliated hospitals using a self-administered questionnaire for perceived health status(SF 36 V2), body image(BAQ), and health promoting behaviors (HPLP-II) and using the report of year 2002 employee physical check-up results for health related characteristics. Results: Most of nurses were within the normal range of BMI, total cholesterol, and liver enzymes but 42.2% had systolic BP above 120mmHg and 37.3% hemoglobin below 12g/dL. Although 96.4% of BMI score indicated 'underweight' or 'normal', 'feeling fat' showed the highest. Among health promoting behaviors the most frequently reported one was spiritual growth and the least one was engagement in physical activity. In the correlational analysis, health promoting behaviors had the positive relationships with perceived health status, vitality, mental health, attractiveness, strength and fitness (p=.000 - .004). Conclusion: These findings provide information that is relevant in designing interventions to enhance health promoting behaviors among nurses working in a hospital.

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Comparison on Practice of Health promoting Behavior between Hospital Workers and Government Officers (병원 근무자와 공무원의 건강증진 행위 비교)

  • Moon Jung-Soon;Kim Yun-Su
    • Journal of Korean Public Health Nursing
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    • v.13 no.2
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    • pp.45-58
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    • 1999
  • This study was conducted to compare the practice of health promoting behaviors between hospital workers and government officers. The subjects for this study were consisted of 344 hospital workers in four university hospitals and 340 government officers in four district offices in the Kyong-in area. Data were collected by using constructed questionnaires from January to February in 1997 and analyzed by Chi-square test, t-test. ANOVA, Pearson correlation coefficient and stepwise multiple regression. The results were as follows : 1. There was no significant difference between hospital workers and government officers in practice of health promoting behaviors as a whole. but among five domains of the health promoting behaviors, hospital workers was significantly higher than that of government officer in the domain of health responsibility, while they were significantly lower than those of government officer in the domain of exercise & nutrition and stress management. The mean score of health promoting behavior for hospital workers and government officer were 2.40, and 2.47, respectively. The health promoting behavior in relation to the characteristics of the hospital workers varied significantly according to sex and age. The domain of self-actualization ranked highest in health promoting behaviors of hospital workers, interpersonal support came next. stress management, health responsibility and exercise & nutrition followed them. While those of government officers. the domain of self-actualization ranked highest. interpersonal support came next, stress management, exercise & nutrition and health responsibility followed them. 2. There were no significant difference between hospital workers and government officers in the health perception with mean score of 3.32 and 3.34 respectively, in the self esteem with mean score of 2.82 and 2.84 respectively, in the self-efficacy with mean score of 70.50 and 72.35 respectively. in the internal health locus of control with mean score of 2.95 and 3.03, respectively, m the chance health locus of control with mean score of 2.10 and 2.13, respectively, m the powerful others health locus of control with mean score of 2.39 and 2.46, respectively. 3. The practice of health promoting behavior of hospital workers were strongly associated with self-esteem and self-efficacy, and self-esteem was strongly correlated with self-efficacy. And the practice of health promoting behavior of government officers were strongly associated with self-esteem, powerful others health locus of control and internal health locus of control. and self-esteem was strongly correlated with self-efficacy. 4. The combination of self-esteem, powerful others health locus of control. health perception. self-efficacy. internal health locus of control. age and marital status explained $45.7\%$ of variance of likelihood to engage in health promoting behavior of hospital workers. And the combination of self-esteem. powerful others health locus of control. health perception. self-efficacy. internal health locus of control. sex and marital status explained $48.2\%$ of variance of likelihood to engage in health promoting behavior of government officers.

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A Study on the Relations Between a Health Promoting Daily Life Style and Self-Efficiency in University Students (대학생의 건강증진행위와 자기효능감과의 관계연구)

  • Huh, Eun Hee;Chung, Yeon Kang;Yeoum, Soon Gyo
    • Journal of the Korean Society of School Health
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    • v.11 no.2
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    • pp.203-215
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    • 1998
  • The purpose of this study is to inquire into the degree of health promotion activity in university students, and to find out the relationship between self-efficiency and health promotion behavior, Thus, we can offer basic data for developing an educational method or program for health promotion. For this research, data was collected from university men and women through a questionnaire from February 18 to March 20, 1998. A measuring instrument was based on lating reviews of health promotion behavior in chronic disease protection, perceived self efficiency, demographic factors, biological factors, and circumstatial factors. The content validity of the instrument was authenticated by two professors of nursing, and reliability was confirmed by 'cronbach' (${\alpha}^{\prime}$ after mortifying content through a pre-test on 30 students. 475 persons were analyzed in terms of average, percentage, t-test, ANOVA, Pearson's Correlation Coefficient, and Multiple Stepwise Regression by 'SPSS-PC'. The analyzed data is as follows: 1. Higher self-efficiency, as a cognitive-perceptual factor, has a beneficial effect on health promotion behavior (r=.479, p=.000). The result of analyzing the differences among a low group, a middle group, a high group in terms of self-efficiency reveals that the relationship between self-efficiency and health promoting behavior is meaningful. 2. The degree of health promoting behavior is 3.26 out of 6. Other figuresrelating to health promoting behavior, are as follows. self-actualization area (4.62), interpersonal area (4.60), stress management area (4.01), nutrition area (3.68), responsibility of health area (3.11), liquid and cigaret area (2.85), and exercise area (2.33). 3. The degree of self-efficiency was 6.81 out of 10. Other figures relating to self-efficiency are as follows. interpersonal area (7.89), self-actualization area (7.84), liquid and cigarette area (7.72), exercise area (6.88), stress management area (6.84), responsibility of health area (6.35), and nutrition area (6.34). 4. The different lerels of health promoting behavior according to a subject's general factos are following: age (p=0.003), sex (p=0.000), health concern of parents (p= 0.000), taking health programs (p=0.007), case history of familes (p=0.048). Health promoting behavier is also positirely affeted by the following: higher age, social sciences focus, religion, living the relatives', and the higher health concerns of parents. 5. The difference of self-efficiency according to a subject's general factors is positirely affected by sex (p=.008), the health concerns of parents (p=.004), body indexes (p=.001), and the higher health concerns of parents. 6. As the result of analyzing major factors, the most powerful factor appears to be self-efficiency, 26.6% of health promoting behavior. Suggestions: 1. Results of this study point to self-efficiency as a major factor in the health promoting behavior of university students. It is crucial, therefore, to develop a health program to promote self-efficiency and to study how to promote prerention of certain diseases. 2. That health promoting behavior appears low in this study shows that health education should be taken into the university class, with a focus on the daily life of students as its goal.

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