본 연구는 간호사의 수면장애, 조직 내지지, 건강증진행위가 소진에 미치는 영향을 파악하기 위해 시도된 서술적 상관관계연구이다. 연구대상자는 B와 G시에 소재한 200병상 이상 300병상 미만 병원에서 근무 중인 간호사 256명을 대상으로 하였다. 자료 수집은 2017년 9월 4일부터 9월 11일까지 이며, 수집된 자료는 SPSS WIN 20.0을 이용하여 분석하였다. 소진은 평균 28.90±4.00점이며, 소진은 수면장애(r=-.321, p<.001), 조직 내 지지(r=-.321, p<.001), 건강증진행위(r=-.519, p<.001), 소진에 미치는 영향요인은 조직 내 지지(β=-.113, p=.045), 수면장애(β=-.129, p<.040), 성별(β=-.131, p=.024), 건강증진행위(β=-.423, p<.001)이며, 설명력은 32.2%이었다. 간호사의 소진을 조절할 수 있는 각종 프로그램 개발이 필요하다.
The purpose of this study was to explore and compare health-promoting behaviors and its relationships with associated variables between Korean elderly and Korean-American elderly. Study instruments were questionnaire that consisted of socioeconomic characteristics, health-promoting lifestyle patterns. self-esteem and self-efficacy. Data were collected from convenient sample of 150 Korean elderly and 110 Korean-American elderly recruited from senior centers. Collected data were analyzed by t-test. ANOVA, and Pearson correlation coefficients. The results are followings : 1. In religion, $32.7\%$ of Korean elderly were protestant. while $32.7\%$ of Korean-American. elderly were protestant. $61.3\%$ of Korean elderly were living with their children, and only $17.3\%$ of Korean-American elderly were living with their children. 2. There was no significant difference in the mean HPLP score in two groups. but Korean elderly showed higher practices in health responsibility. exercise. and stress management than that of Korean-American elderly. The subjects showed the highest practices in nutrition(3.14. 3.01), and the lowest practices in exercise (2.14, 1.92). 3. The mean HPLP score of Korean elderly was 2.63, showing significant relationships with age. education and economic status. the score of Korean-American elderly was 2.54, showing significant relationships with education. 4. Self-esteem score of Korean elderly was 2.72 and Korean-American elderly was 2.73. there was no significant difference in two groups. The score of self-esteem of Korean-American elderly was showing significant relationships with presence of spouse. 5. Self-efficacy score of Korean elderly was 3.27 and Korean-American elderly was 3.21. there was no significant difference in two groups. The score of self-efficacy of both groups were showed significant relationships with education. 6. The HPLP of Korean and Korean-American elderly showed(r=.24. r= .49) positive correlations with self-esteem had positive correlations with self-efficacy(r=.42. r=.28). To draw concrete resolution for health promotion of Korean and Korean-American elderly. this study suggests followings for future research : 1. Nursing interventions enhancing exercise and stress management of the elderly must be provided. Especially developing and adopting feasible exercise programs for Korean-American elderly is highly needed. 2. Identifying the influences of culture on their practices of health-promoting lifestyle patterns among Korean. Korean-American and other racial elderly groups.
Introduction: Geriatric depression is one of the significant mental health issues for older people. This descriptive study aimed to investigate the correlation between selected factors and depression among older people, living in homes for the aged in the western part of Thailand. Methods: 107 older people, living in two homes for the aged of the western part of Thailand were recruited to the study, using cluster sampling. Three questionnaires, including the Barthel Index Activity of Daily living (BADL), the Thai Geriatric Depression Scale (TGDS), and personal characteristics, perceived health status, chronic diseases, family relationship, and recent grief and loss experience were used. The quality of all questionnaires, especially the reliability of BADL, TGDS, and selected factors (e.g., health factors) were 0.95, 0.93, and 0.72 respectively. After finishing data collection, percentages, medians, and Spearman's rank correlation and Mann-Whitney U were used to analyze the data. Results and discussion: The results revealed that nearly half (41.1%) of older people suffered from depression. Furthermore, income, perceived health status, and Barthel ADL index were significantly negatively associated with depression at p<0.01; whereas, the number of chronic diseases was significantly positively associated with depression at p<0.05. Conclusion: results on the correlation may guide the practice in the future. For example, the officers or health care providers in homes for the aged should encourage older people to be independent, improve their perceived health status, increase health promoting behaviors to prevent or delay chronic illnesses, or increase older people incomes by promoting the appropriate occupation.
Purpose: This study aimed to investigate the trends in domestic research related to health literacy in children and adolescents. Methods: Six journal articles and four dissertations or theses related to health literacy in children and adolescents were analyzed according to the following criteria: study aim, research design, study population and sample size, sampling method, health literacy variables, and characteristics of health literacy measurement instruments. Result: The majority of studies focused on general children and adolescents. Correlational studies were most prevalent, while no experimental study was identified at all. The variable most frequently explored in relation to health literacy was health promoting behaviors. Functional health literacy instruments, assessing numeracy and reading comprehension, were most commonly used to evaluate child and adolescent health literacy. Conclusion: Considering the emphasis on health literacy improvement in order to achieve health equity across the entire life cycle, there is a need for both quantitative and qualitative growth in domestic health literacy studies for children and adolescents. School-based interventions are essential for enhancing health literacy. Furthermore, it is also necessary to develop an instrument to measure health literacy of children and adolescents that can be utilized and monitored at the national level.
Purpose: Cancer-related fatigue is frequently experienced by patients during and after therapy. The present study was conducted to assess the impact of energy conservation strategies and health promotion in breast cancer survivors. Methods: A randomized controlled trial was carried out to compare the intervention effect (n=69.0) with controls (n=66.0) based on routine oncology ward care. The intervention was five weekly sessions for groups of 6-8 breast cancer survivors. Data on fatigue and health promotion lifestyle were obtained before and after completion the intervention and then 8 weeks later for analysis of variance (ANOVA) with repeated measures. Results: Our findings showed cancer-related fatigue to be reduced in the intervention group from pre- to post-intervention, and this persisted over the 8-weeks follow-up period (F = 69.8, p<0.001). All subscales of the cancer fatigue scale demonstrated statistically significant effects with partial eta-squared values ranging from 0.15 (the smallest effect in cognitive fatigue) to 0.21 (the largest for affective fatigue). Changes in the health promotion life style indicated a significant promotion from pre- to post-intervention, and this again continued after 8-weeks follow-up (F = 41.6, p < 0.001). All six domains of a health promoting life style featured significantly elevated values, the largest effect being seen in the interpersonal relations subscale (F=57.7, partial ${\eta}^2=0.21$, p<0.001) followed by physical activity (F=51.9, partial ${\eta}^2=0.18$, p<0.001). Conclusions: The program was effective in decreasing cancer related fatigue and promoting a healthy lifestyle.
Purpose: With the development of media, the ways adolescents can obtain information related to sexual health have diversified. Prior quantitative research on adolescents' sexual health information seeking behaviors (HISB) has limitations in grasping the details, and sexual issues of adolescents have tended to be underreported in quantitative studies. It is necessary to explore sexual HISB through an integrative review of qualitative research. The aim of the study was to analyze the literature on sexual HISB among adolescents, focusing on qualitative research. Methods: An integrative review was undertaken to explore the studies conducted between 2009 and 2018 that addressed sexual HISB such as source preferences, perceived trustworthiness, and tendency according to age and gender among adolescents. Results: Seven studies met the selection criteria and were analyzed according different sexual HISB. It was identified that adolescents preferred trustworthy sources and had a pattern of reviewing and comparing the content among diverse sources to confirm the quality of the information. Female adolescents valued privacy and confidentiality, while male adolescents would like to earn information along with their peers and perceived it as an opportunity to exchange their experiences and thoughts. Late adolescents preferred to seek sexual health information from peers and on the internet such as websites and social platforms compared to early adolescents. Conclusion: This study is significant in that it provides evidence that can be applied when developing programs for promoting sexual health in adolescents. It is suggested that programs should focus on building trustworthiness and consider differences in age and gender to improve the use of sexual health information among adolescents.
This study is carrying out a before and after experiment design for the non-equal comparative group to identify the effects of the breast self-examination education on breast self-examination participant education compliance and health promotion in women. The subject of this study was 58 women residing in Chungju. Their age ranged from 20 to 40. These women were not pregnant or did not breast feed, as well as they did not have any breast disease, at the time of survey. They were available for the response to the questionnaires, and understood the purpose of this study. They also agreed to participate in the study, and responded to the 3rd time questionnaires to the end. Thus, brochures and lectures were provided side by side to a group of 19 of those women, and only brochures were provided to another group of 39 of those women. With regard to education, a brochure and a program using a breast model were applied. Then, the frequency of the breast self examination compliance, breast self examination capability and the relations between the breast self examination and activities to promote health were measured, before the education, after 4 weeks of education and after 12 weeks of education. Before education and after 4 weeks of education. I collected the questionnaires myself visiting them, and after 12 weeks of education, the questionnaires were collected by mail. In relation to the study tool, the breast self examination activity was measured by two measuring tools: breast self examination activity frequency and breast self examination compliance capability. As for the frequency, the number of self examination for the period of 3 months, before the questionnaire survey, was measured in the form of self report. In relation to the tool to measure the breast self examination capability, the BSEPRI tool, which was developed by Wood in 1994, was used. Here, as the score was higher, the capability was indicated to be higher. The translated and revised version of Health Promoting Lifestyle Profile II (Walker, Sechrist & Pender. 2002) was used as a tool for health promotion. As the measured score was higher, the health promoting activity was indicated to be higher. The results of this study were as follows: 1. As a result of checking the breast self examination compliance frequency between the experiment group that received the breast self examination participant education and the comparative group that did not receive the education, there was a significant difference in interaction between groups by time, as time passed by. 2. As a result of checking the breast self examination compliance capability between the experiment group and the comparative group, there was a significant difference in interaction between groups by time, as time passed by. 3. As a result of carrying out a repetitive measurement analysis, between the experiment group that received the breast self examination education and the comparative group that did not receive the education, which was carried out to validate the hypothesis that the former would have higher health promoting activities than the latter, there was no significant difference after the breast self examination education was conducted.
The subjects were 349 high school boys and girls who were 10th and 11th graders in Seoul, Korea. Statistical analysis included percentages, means, Pearson correlation coefficient, ANOVA, t-test, and stepwise multiple regression analysis. As a result, there were positive correlations between social support, stress reduction and increases in health behavior. Stepwise multiple regression analysis of social support, stress, and adolescents health behavior showed that social support explained 26.3% of the variance in health behavior, The more social support subjects experienced more health behavior level and the less the correlated stress level. In the area of demographic attributes, gender, height, weight, grade level, socioeconomic level of the parents, and stress were significantly correlated, grade levels, religion, socioeconomic level of parents and social support. sibling order, religion, socioeconomic level of the parents, parents education, occupation of father. and health behavior were statistically significant The findings indicated stress was a negative factor in health behavior, and social support was a positive factor in reducing stress and promoting health behavior. To reduce adolescents stress and to promote health behavior, we should endeavor to develop realistic social support programs.
Objectives: Given the importance of social determinants of health in promoting the health of slum residents, this study was conducted with the aim of identifying the main dimensions and components of these determinants. Methods: This scoping review study was conducted according to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews). A comprehensive search was performed of PubMed, ProQuest, Scopus, and Web of Science for articles conducted from 2010 to the end of 2019. Studies were selected based on inclusion criteria, with a special focus on studies dealing with the social determinants of physical and mental health or illness. Results: Thirty-three articles were selected to extract information on the social determinants of health. After reviewing the articles, 7 main dimensions (housing, socioeconomic status of the family, nutrition, neighborhood characteristics, social support and social capital, occupational factors, and health behaviors) and 87 components were extracted as social determinants of health among slum dwellers. Conclusions: This framework could be used by planners, managers, and policy-makers when making decisions affecting the health of these settlements' residents due to the common characteristics of slums around the world, especially in developing countries.
This study was purposed to find health promotion and care needs of the elderly in rural area of Korea. As the rural elderly are limited in accessibility to health care resources and could not immediately solve their health care needs when they need. health promotion and care services are expected to bring better and more practical solutions of their health care needs. Thus, the type of health care services to be developed in Korea rural area is discussed to have emphasis on health care service component in addition to health promoting components. Methods of this study was based on survey data analysis : total 322 persons aged older than 55 living at one 'Kun' in Korea administrative unit were interviewed by health workers working at the region and also get trained for this study data collection. The data collection interview was continued from February till May in 1996. The interview questions were modified with adjustment to Korea situation. with basis of the WHO's health promotion program components. The collected data were analyzed using SAS program for frequency, correlation, regressions. The major findings were as follows : (1) $74.8\%$ of the surveyed were sick at the survey time point. and $95.9\%$ known the diagnosis name of the disease. The most frequently complained diseases were Muscular-Skeletal diseases $(43.7\%)$. $34\%$ of those sick had never treated or discontinued therapeutic procedures. so that shown the necessity of systematic and usual health care services with health promotion program development for the elderly. (2) The percent of those who make social participation was $95.3\%$. and the activities were visiting neighbors $(70.4\%)$ and lack of qualified social activity programs. (3) $78.1\%$ of the surveyed had health counseling and education from professional health workers. Those ceased smoking and drinking were $59.6\%,\; 60.3\%$. respectively. Those had no application of therapeutic drugs or nutrion supplements was $40.7\%\;and\;94.1\%$ had regular meals. Those practiced exercises was low remarking $17.7\%$. (4) Positive health behaviors were better carried out by sick groups than by the healthier. except smoking. regular meals. and exercise. $17.5\%$ of sick group smoke more than one case of cigarettes. in contrast to $9.5\%$ of the healthier. (5) Mental health status was heathier among positive health behavior earners. Health counseling and education shown better score of mental health than those never counseled. (6) Positive health behavior practice frequency did not show significant differences when crossed by social activity participation status. (7) Health behaviors of the rural elderly people were carried out better when they had positive 'continuency in therapeutic procedure' 'health status'. 'familial relationship'. 'Health Status' of the rural olderly were explained by 'exercise'. 'drinking'. 'familial relationship'. 'activities of daily living'. Thus, health behaviors practice mutually interact with health status. In conclusion. the health promotion and care program component are recommended to include ation on the necessity of positive health promotion active social acitivities. pleasant life style, adaption into changes on the elderly, safety in residential area. community acitivity and resource utilization. etc .. in addition to the elderly's disability and sickness caring services.
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