• Research in Community and Public Health Nursing
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• v.33 no.2
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• pp.259-268
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• 2022

Purpose: In Cambodia, noncommunicable diseases (NCDs) account for 64% of all deaths. A lack of risk perception of NCDs leads to poor measures of their prevention and management. This study aimed to investigate Cambodians' risk perceptions of NCDs based on the health belief model. Methods: A cross-sectional design was used, and using convenience sampling, participants included 200 Cambodians aged 40 years or older. A face-to-face administered structured questionnaire was used to assess demographic characteristics, health behaviors, and risk perceptions of NCDs. Results: Of the constructs of NCD risk perception, perceived severity (88.2%) and benefits (86.3%) were high, but relative to these, perceived cues to action (64.1%), barriers (63.5%), and self-efficacy (58.1%) were low. Conclusion: It is important to improve perceived self-efficacy in government health promotion, outreach, and improvement programs and to reduce perceived barriers through medical tests either by facility-based delivery or via outreach health services in Cambodia.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.5
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• pp.598-606
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• 2020

This study analyzed the factors of stress perception and their patterns depending on the high school students from different types of high school, which include academic high schools and vocational high schools. The data reflected the degree of stress perception according to several factors, which are considered to be related to stress perception, and the study analyzed how differently these factors affected students in each school type. The subjects were 29,380 students from the 14th Korea Youth Health Behavior Survey who meet the purpose of this study. The factors related to stress perception were classified into general characteristics, health behavior characteristics, and health status characteristics. The factors of the study were compared in each group and between the groups. In both school types, stress perception was associated with a number of common factors and some group specific factors. The common main factors related to stress perception were depressive experience, subjective recognition of their health status, subjective recognition of sleep satisfaction, and gender. However, the pattern in which each factor was related to stress perception differed according to the school types. Therefore, efforts should be made to reflect the characteristics of each school type while considering the common factors related to stress perception when making policies for managing high school students' stress.

• Research in Community and Public Health Nursing
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• v.29 no.1
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• pp.87-96
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• 2018

Purpose: The aim of this study is to identify Korean high school students' health behaviors and perceived stress and to examine effects of their health behaviors on their stress perception. Methods: The subjects were 33,744 high school students who participated in the 11th Korea youth risk behavior web-based survey 2015 in Korea. Data were analyzed using complex samples analysis with the PASW 18.0 program. The questionnaire utilized in this study is designed to find the subjects' general characteristics, health behaviors, and perceived stress. Results: The prevalence of subjects with high level stress was 38.9% (n=13,137) in this study. There were significant differences in the general characteristics and stress perception among the Korean high school students in terms of gender, grade, school achievement, family's affluence, mother's education, perceived happiness, perceived health status, and stressor. The variables of health behaviors of Korean high school students were significantly different from stress perception. Under complex samples logistic regression, predictive factors of stress for the high school students include gender, grade, father's education, family's affluence, living arrangement, perceived health status, perceived happiness, current smoking, current alcohol experience, and enough sleep. Conclusion: The study suggests multilateral efforts are needed to help high school students' stress management including health behaviors for high school students.

• Health Policy and Management
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• v.23 no.4
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• pp.326-342
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• 2013

Background: Engaging and Involving stakeholders who have different interests in changing health care policies are difficult task. As the literature on the governance in Korean health care field is rare, this study aims to provide empirical evidence of 'governing health policy'-the ways health care policy is made, implemented, and evaluated from a political perspective. Methods: The authors of this study conducted interviews with elites in policy and clinical areas, which was considered to be the most effective approach to gather in-depth information about the background of changing payment policy as well as the barriers or contributors for making the policy sustainable. A total of 14 experts (3 government officials, 2 representatives from medical profession, 3 professors form academic field, and 6 healthcare providers from New DRG pilot program hospitals) participated in 2 hour long interviews. Results: There was a perception gap of the feasibility and substantiality of new payment system among elites. The score was higher in government officers than those in scholars or clinical experts. Next, the interviewees indicated that Korean New DRG might not sustain without significant efforts to improving democratic aspects of the governance. It is also notable that all interviewees except healthcare providers provided negative expectation of the contribution of new payment system to increase administration efficiency. For clinical efficiency, every stakeholders perceived there was no increased efficiency after introduction of New DRG payment. Like general perception, there was a wide gap between the perception of stakeholders in quality change after implementing the new payment system. Finally, interview participants negatively assumed about the likelihood of New DRG to remain a case of successful reforms. Conclusion: This study implied the importance of social consensus and the governance of health policy.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.8
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• pp.5394-5403
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• 2015

This study is a exploratory study to examine the health perception, health knowledge and health promotion behavior of university students, and relations among the factors. The subjects for this study were 235 university students at D metropolitan city and J province. Data were collected from September 1 to October 30, 2014 using self-report questionnaires which was changed to match the Korean tool. Data analyzed by frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearsons correlation and multiple regression using the IBM SPSS Statistics 22. The mean level of health perception was $3.29({\pm}0.53)$, the mean level of health knowledge was $7.55({\pm}1.67)$ and the mean level of health promotion behavior was $2.88({\pm}1.67)$. Health promotion behavior showed strong and positive correlation with health perception(0.65), health knowledge(0.29), subjective health status(0.24) which was statistically significant. The factors affecting health promotion behavior were gender, health preception and health information. R2 showed 55%.

• Journal of muscle and joint health
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• v.22 no.2
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• pp.87-95
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• 2015

Purpose: The purpose of this study was to examine the perception of the healthcare accreditation and the level of job stress and also to identify the factors affecting turnover intention in general hospital nurses. Methods: This cross-sectional study was performed using questionnaires. Data were collected from 230 nurses who worked at one general hospital from February 20 to April 10, 2014. Data were analyzed with independent t test, ANOVA, Pearson correlation coefficient, and regression using SPSS/WIN v 21.0. Results: The scores of perception of the healthcare accreditation, job stress, and turnover intention were 3.05 out of 5, 4.30 out of 5, and 3.18 out of 5. A positive correlation was observed between turnover intention and job stress. Turnover intention was negatively correlated with perception. The factors affecting turnover intention were the perception of healthcare accreditation (35.3%), total clinical experience (12.3%) and job stress (7.4%). The total explanatory power was 55.3%. Conclusion: The perception of the Healthcare Accreditation was confirmed as a new factor affecting turnover intention in nurses. These findings can be utilized to the development of strategies for reducing job stress, and enhancing perception and resulting in both the quantitative and qualitative development of the healthcare system.

• Journal of Home Health Care Nursing
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• v.26 no.3
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• pp.278-287
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• 2019

Purpose: This study aims to examine the relationship between ego resilience, family resilience, and the perception of successful aging in nursing students; additionally, specific factors relating to the perception of successful aging were identified. Methods: The participants comprised 154 nursing students. Data were collected through the administration of self-reported questionnaires. Data analysis was then performed utilizing a t-test, an ANOVA, Pearson's correlation coefficients, and a multiple regression analysis. Results: Family resilience differed significantly based on the type of residence (p=.020) (i.e., living with grandparents (p=.048)). Perception of successful aging differed significantly based on grade (p<.001). The perception of successful aging showed a positive correlation relative to mode of communication and organizational pattern. The mode of communication accounted for 4.7% of perception of successful aging. Conclusion: The significance of the study on the importance of mode of communication was confirmed by identifying the effects of the perception of successful aging. Nursing students may actively cope with crises through communication; thus, successfully recognizing aging in order to lead a healthy life. Furthermore, having a high perception of successful aging while treating an increasing number of elderly patients at the clinical practice is believed to have a positive effect on patient care.

• The Journal of Korean Medicine
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• v.32 no.6
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• pp.103-111
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• 2011

Objectives: The study was investigated to assess efficacy for home visiting treatment using Traditional Korean Medicine (TKM). Methods: The traditional medical doctor of Um-Sung health center has treated the 109 patients and they also answered the questionnaires of home visiting treatment using TKM before and after. The questionnaires were composed of flexibility, pain, health behavior, perception of health, satisfaction, cognition of TKM, etc. The questionnaires were analyzed by use of paired t-test and chi-square test. Results: They have significantly improved the flexibility (p<.001), pain (p<.001), health behavior (p<.001), and the perception (p<.001) of health after home visiting treatment. It was also brought to improve about the perception of TKM, and showed a good satisfaction and the improvement of health. Conclusion: Home visiting treatment using TKM is helpful to improve the health based on these results. We need to systemize the research for the activation of home visiting treatment using TKM.

• Korean Journal of Adult Nursing
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• v.19 no.4
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• pp.547-555
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• 2007

Purpose: The purpose of this study was to test a hypothetical model of health-related quality of life in patients with heart failure. The hypothetical model was derived from the Wilson and Cleary's model, the Rector's model, and published research findings. Methods: Data from 103 patients with heart failure were analyzed to determine the best multivariate health-related quality of life model given variables derived from the prior studies. The statistics programs SPSS 12.0 and LISREL 8.7 program were used for descriptive statistics and covariance structure analysis respectively. Results: The overall fitness of the path final model was good(GFI=.97, AGFI=.95, NNFI=1.06, NFI=.96, p=.96). Symptoms were directly affected by gender. HYHA Class was directly affected by only gender. Physical functioning limitation was directly affected by exercise. Health perception was directly affected by economics, symptom, and physical functioning limitation. Depression was directly affected by exercise and health perception. Heath-related quality of life was directly affected by physical functioning limitation and depression, indirectly affected by gender, economics, exercise, symptoms, NYHA Class, and health perception. This path analysis model explained 51% of health-related quality of life in patients with heart failure. Conclusion: To improve of health-related quality of life with heart failure patients, it is necessary to make nursing interventions for physical functioning and depression.

• Korean Journal of Adult Nursing
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• v.12 no.4
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• pp.584-594
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• 2000

This study was the done to describe health behavior and determine affecting factors in middle aged women. The subjects of this study were 306 middle aged women, living in M city, during the period from June 28th to August. 31st 1999. The instruments for this study were Health Behavior Assesment tool developed by Kim (1998), Self esteem scale developed by Rosenberg(1965), the perceived health status scale by Lawston, et al.(1982), the Quality of life by Ro(1988), the attitude toward Climacteric symptom by Ji(1983). The data were analyzed using descriptive statistics, t-test, Pearson correlation coefficients and stepwise multiple regression. The result of this study are as follows; 1. The total mean score for Health behavior was 2.51(range 1-4). The mean scores on the subscale were 2.83 for nutrition, 2.81 for stress management, 2.71 for limitation of liking in the menstrual group, health behavior was 2.64. The mean scores on the subscale were 2.98 for nutrition, 2.85 for stress management, 2.82 for limitation of liking, 2.80 for energy conservation in the menopausal group, 2. The mean scores for cognitive-perceptual variables in the menstrual group were perception of health status: 2.61, quality of life: 3.17, self-esteem: 2.59, and attitude for climacteric symptom: 3.02. In the menopausal group the scores were perception of health status: 2.41, quality of life: 3.10, self-esteem: 2.62, attitude for climacteric symptom: 3.06. 3. Health behavior and self-esteem(r=.269, p=.000; r=.205, p=.042), attitude for climacteric symptom(r=.192, p=.005; r=.545, p=.000), quality of life(r=.385, p=.000; r= .195, p=.050) and health behavior were correlated positively, and the perception of health status and health behavior were correlated negatively(r=.-135, p=.050; r= -.207, p=.040 ) in the menstrual group and menopausal group. 4. Perception of health status, quality of life, age, self-esteem, job and marital status explained 33.7% of the variance for health behavior in the menstrual group; self-esteem and education explained 33.1% of the variance for health behavior in the menopausal group. In conclusion, health behavior should be considered when developing nursing strategies for middle-aged women, especially when dealing with perception of health status, quality of life, and self-esteem.