• Journal of Korean Biological Nursing Science
• /
• v.17 no.1
• /
• pp.50-59
• /
• 2015

Purpose: The purpose of this study was to determine the relationship among concepts of the salutogenic model - sense of coherence, occupational stress, and health status in clinical nurses. Methods: Participants were recruited from a hospital in Seoul using a stratified random sampling. A total of 349 nurses participated in the study and data were collected using a self-administered questionnaire. The structural equation model was used to assess the relationships among the variables. Results: The results of the study showed that occupational stress and health behavior were significant factors, directly explaining the health status of nurses. Factors explaining occupational stress were: sense of coherence, and social support. Sense of coherence showed higher effects on occupational stress than those of social support. Sense of coherence and the work conditions (work experience and shift work) of nurses had a significant and direct effect on health behavior. Sense of coherence and social support had a significant and indirect effect on health status through occupational stress and health behavior. Conclusion: Strategies to enhance sense of coherence and social support are necessary for successful health promotion programs for nurses.

• 대한예방의학회:학술대회논문집
• /
• 1998.10b
• /
• pp.111-112
• /
• 1998

• Journal of Korean Academy of Nursing
• /
• v.42 no.7
• /
• pp.928-935
• /
• 2012

Purpose: The current study was done to identify individual- and group-level factors associated with health care service utilization among Korean medical aid beneficiaries by applying multilevel modeling. Methods: Secondary data analysis was performed using data on health care service reimbursement and medical aid case management progress from 15,948 beneficiaries, and data from 229 regions were included in the analysis. Results: Results of multilevel analysis showed an estimated intraclass correlation coefficient (ICC) of 18.1%, indicating that the group level accounted for 18.1% of the total variance in health care service utilization, and that beneficiaries within the region are more likely to share common features with regard to health care service utilization. At the individual level, existence of disability and types of medical aid beneficiaries showed a significant association, while, at the group level, social deprivation index, and the number of beneficiaries and case managers within the region showed a significant association with health care service utilization. Conclusion: The significant influence of group level variables in health care service utilization found in this study indicate a need for group level approaches, such as policy change and/or promotion of community awareness.

• Korean Journal of Health Education and Promotion
• /
• v.23 no.2
• /
• pp.91-107
• /
• 2006

Objectives: The school adjustment problems of the adolescence groups become more aggravated and are on the increase. The objective of this study is to identify the causal relationship of intra-family conflicts, self-concept and school adjustment as health protection behavior. Methods: The study setting is the adolescence groups. Data were collected by self-administered questionnaires from the middle and high school students in Seoul. The study sample consisted of 268 students. Structural Equation Modeling(SEM) analysis was conducted to find the causal relationship of intra-family conflicts, self-concept and school adjustment. Results: This study shows that firstly, the total effects of intra-family conflicts have a negative effect on self-concept(path coefficients=-0.080) and school adjustment(path coefficients=-0.107). And the self-concept factor as an intervening variable are affecting positively on school adjustment(path coefficients=0.411). Secondly, the economic conflicts, personaliy conflicts and social activity conflicts of father and mother among various family conflicts are more highly affecting on self-concept and school adjustment(p<0.01) Conclusions: These results imply that first, communication between parents and students is essential to solve the problems of school adjustment. Especially economic conflicts should be solved to improve the self-concept and school adjustment. second, a variety of programs are available for schools to employ in an effort to provide interventions for students who demonstrate school adjustment. Finally, it is necessary for family, school and all the society members to comprehensively cooperate to solve family conflicts and school adjustment.

• Korean Journal of Health Education and Promotion
• /
• v.20 no.3
• /
• pp.91-108
• /
• 2003

Psychological stress is a growing issue in work stress research because work stressors are closely related to depression； and depression, in turn, decreases organizational effectiveness. Considering such causal relationships of work stress, a comprehensive source to control work stress is needed for worksite mental well-being. This study was conducted to identify how social support at work controlled work stress and which characteristics of social support were effective on work stress reduction. The study participants were 240 workers employed in a public hospital in Georgia, U.S.A self-administered survey was given to employees with their pay slips, and followed by a hospital wide voice reminder for 7 days. Surveys were conducted over a 20-day period. The questionnaires asked about job demands, job control, social support at work, depression, job performance, absenteeism, and demographics. The social support construct was structured on the source of support at work and the kinds of support were provided. Statistical analyses were conducted in the structural equation modeling approach. Social support at work was directly related to high job control, low depression, and high job performance. High score of social support at work were significantly associated with high job control, low depressive symptoms, and high job performance. By source of support, only organizational support was positively related to high job control. Organizational support was more effective than supervisor and coworker support. Any stressors and their outcomes were not differenciated by the kinds of support. This result indicated that job control was influenced more by the source of support than the kinds of support provided at work； and the most efficient source of support was the organization. Organizational support was a strong factor in improving workers" perceived controllability of their jobs from a work stress reduction perspective.tive.

• Korean Journal of Health Education and Promotion
• /
• v.28 no.5
• /
• pp.105-116
• /
• 2011

Objectives: The aim of this study was to explore the influence of learning social integration and self-doubt on the suicidal ideation, and to test the mediating effect of self-doubt and the moderating effect of drinking on suicidal ideation. Methods: A cross-sectional survey was administered to a convenience sample of 1,000 freshmen in a university in S city. A total of 803 questionnaires were included in the statistical analysis. To analysed the data, Pearson correlation and structural equation modeling were performed. Results: In this study, self-doubt had a mediating effects in the path way from learning social integration to suicidal ideation. Drinking had a moderating effect between self-doubt and suicidal ideation. Conclusions: The results suggest that the low level of learning social integration increases the level of self-doubt and leads to suicidal ideation. Drinking was a significant moderator of suicidal ideation. Therefore, interventions on various strategies to enhance academic performance and social interaction skill, and to help to stop or not to initiate drinking habit are needed in the early part of the freshman year.

• The Journal of Asian Finance, Economics and Business
• /
• v.8 no.5
• /
• pp.939-950
• /
• 2021

The purpose of this study was to measure the significance and contribution of sensory appeal, lifestyle, and health motive in determining coffee drink consumption. The theory adopted is the SOR (stimulus-organism-response) theory and the AISAS (attention-interest-search-action-share) model approach. Data was collected online in April-May 2020, and obtained 413 valid respondent data. The data were processed using SEM (Structural Equation Modeling) framework. The results showed that the variable sensory appeal of coffee drinks, lifestyle variables and health motive variables had a significant effect on coffee consumption. Of the 13 hypotheses proposed, nine hypotheses are accepted and four hypotheses are rejected. Sensory appeal has a positive effect on attitude and action of coffee consumption. Lifestyle has a positive effect on attitude, search, and action, whereas health motive has a positive effect on attitude of coffee consumption. Lifestyle variables have the greatest role in determining coffee consumption, followed by health motive variables and sensory appeal of coffee drinks. The SOR theory and the AISAS approach can both be used to analyze coffee drinking behavior. The research suggests that, to increase coffee consumption, a marketing approach should touch the lifestyle of the community and increase the promotion of the health aspects of coffee drinks.

• Journal of Information Technology Services
• /
• v.17 no.1
• /
• pp.105-119
• /
• 2018

The healthcare business is growing as a global core business because of the phenomenon of global aging, as well as in South Korea, skyrocketing health care costs accordingly, and changing the paradigm from treatment to the prevention-centered medical service. Especially, as the digital healthcare service stands out as a solution, major countries actively promote and support policies at the government level. Thus, this study will present attributes of a market-oriented service that would vitalize the digital healthcare service industry by investigating major attributes of the digital healthcare service. To analyze the relationships of the influences of attributes, this study used Interpretive Structural Modeling. As a result of literature research and ISM, this study can understand the eight basic attributes of the digital healthcare service (network scalability, context awareness, connection among information platforms, cost, trust, security, ease of use, usefulness) and analyze the relationships of the influences among the attributes. In addition, as this study finds some significant differences in Order Winner and Order Qualifier between the experts' group (security) and the users' group (trust, ease of use, usefulness), It provides meaningful implications for revitalization and promotion of digital healthcare service industry.

• Korean Journal of Health Education and Promotion
• /
• v.23 no.3
• /
• pp.99-119
• /
• 2006

Objectives: This study intends to understand the difference within group of social support level and the effect of social support to health behaviors and health status of the elderly by selecting the old of local society as target. Methods: Data were obtained from self-administered questionnaire of 8,688 persons, older than 65 years, living in a community. We measured the sociodemographic characteristics, social support(family support, other support, quality of support), physical health state(subjective health status, number of chronic disease), physical function state(activities of daily living; ADL, instrumental activities of daily living; IADL), cognition state(mini-mental state examination-Korean; MMSE-K) and depression state(short form of geriatric depression scale; SGDS), health behaviors(smoking, drinking, exercise, eating habit). Univariate, multinominal logistic regression and covariance structure analysis were employed to analyze factors affecting on the social support of the elderly. Results: When considering the degree of social support by the sociodemographic characteristics of the older adults, the family support, other support and quality of support is better when the old is male, young, high education and self-reported living status is good and it has significance statistically. When considering the relation between social support and health status, the family support, other support and quality of support is better when the old's subjective and objective physical health status is good. The family support, other support and quality of support is better when the old's subjective health status is better. The other support and quality of support is better when the old's ADL(activities of daily living) and IADL(instrumental activities of daily living) are good. The family support, other support and quality of support is better when the old's cognitive function and depression state is better. When considering the relation between social support and health behaviors, in case of smoking and drinking, the quality of support, family support and other support is better when the old smokes and drinks rather than the old does not. In case of exercise and eating habit, the family support, other support and quality of support is better when the old exercises and eats regularly rather than the old does not. It has significance statistically. From the result of performing covariance structure analysis by structural equation modeling(SEM) with two endogenous variable(health behaviors and health status) and one exogenous variable(social support), factor loading of health status is 0.74 and factor loading of health behaviors is 0.05. The social support explains health status of 55.4% and health behaviors of 2.9%. Conclusions: This study has the meaning that it finds the difference of social support generating from inside of the group for the old residing in city and country and specifies the effect that the difference of social support influences to health status and health behaviors. From now on, in the development of health improvement strategy of the olds, it is necessary to approach from inclusive aspect while considering psychosocial factor such as social support and social economical factor as well as health status.

• Research in Community and Public Health Nursing
• /
• v.15 no.3
• /
• pp.365-375
• /
• 2004

Purpose: This study intends to make a database for hypertensive patients and middle-aged women who are visiting the Yeojoo County Health Center. While building up the database, the study reviewed the current assessment tools used in the health center, developed appropriate health care programs, and designed a computerized health care system. Method: The modeling of a database for the system was constructed by MS-Access for DBMS (Database Management System) and Visual Basic. The system is to be used only in the health center by being designed as a client server method, making it possible for many public employees to be interconnected, and enables them to retrieve and search data from the database simultaneously. Results: The health management system systematically follows nursing processes including assessment, diagnosis, intervention and evaluation. Diagnosis. once it is done according to the self determined criteria, saves time and provides appropriate health information for the members. Also, the health education program was developed to follow up on the health status of the members on a continuous basis. Conclusion: Based on these results, it is required to evaluate health care programs provided for the members by using the database system and to develop more practical health care programs. It is also necessary to connect the system to other databases. which contain information about members.