• Title/Summary/Keyword: Illness behavior

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The Development and Initial Validation of the Korean Version of Strengths Scale of Individuals with Mental Illness (한국형 강점척도-정신장애인용 개발연구)

  • Park, Jung-Im
    • The Journal of the Korea Contents Association
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    • v.17 no.3
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    • pp.596-608
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    • 2017
  • This study was carried out in order to develop and validate the Korean Version of Strengths Scale for individuals with mental illness. The first step taken to develop the scale was to construct sample items for the Strengths Scale using literature research and three focus group interviews of individuals with mental illness. Secondly, two professors of the Social welfare Department of a University and two mental social workers reviewed these sample items to select and compile a final version of the scale. Lastly, the scale's reliability and validity was verified through an empirical study of 478 individuals with mental illness who conduct the survey items. The explanatory factor was that the sample items can be grouped into seven factors. Factor 1 was 'Vocation', Factor 2 was 'Family and Social Support', Factor 3 was 'Optimism', Factor 4 was 'Resources Utilization', Factor 5 was 'Coping Behavior', Factor 6 was 'Leisure', Factor 7 was 'Health'. The Confirmatory analysis showed that the model demonstrated a goodness- of-fit. Finally, the Korean Version of Strengths Scale for individuals with mental illness was developed consisting 40 items and was proposed a mental health social work implications.

THE CLINICAL FEATURES OF THREE SUB-DIAGNOSED GROUPS OF TIC DISORDERS AND FACTORS RELATED WITH ILLNESS SEVERITY (틱 장애의 진단분류에 따른 임상특징과 질환 심각도와 연관된 변인들)

  • Jung, Hee-Yeon;Hwang, Jeong-Min;Chung, Sun-Ju
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.12 no.1
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    • pp.115-124
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    • 2001
  • Objective:The purpose of this study was to compare the clinical features of children with three subdiagnoses of tic disorder(transient tic disorder(TTD), chronic tic disorder(CTD) and Tourette’s disorder (TD)) and to exam the factors related with illness severity of them. Method:Subjects were 69 children who met DSM-IV criteria for tic disorder and 43 control children. All subjects were investigated demographic and clinical factors related to tic. The severity of tic was assessed with the Yale Global Tic Severity Scale(YGTSS) in tic disorder children. The Child Behavior Checklist(CBCL) was accomplished by parents of all subjects. Results:Children with TTD had not only shorter duration of tic symtoms but also milder tic severity and impairment than those with CTD and TD. They also had significantly lower scores on most CBCL subscales than children with CTD and TD, while they were similar with controls in all the CBCL subcale scores except aggressive behavior. Children with CTD and those with TD were similar to each other in clinical variables except number of tic symptom and scores on CBCL social problem subscale. The interference and intensity of motor tic symptoms and duration of tic symptoms were significant predictors of global impairment score on YGTSS, while the presence of comorbid ADHD was a preictor of the total behavior problem score of CBCL. Conclusion:These findings indicate that duration of tic symptoms and the presence of comorbid ADHD as well as the severity of tic symptoms strongly associated with the illness severity of children with tic disorder. These results also suggest that those clinical factors may be more important for assessing the severity of illness and determining the treatment strategy than the sub-diagnosis itself in children with tic disorder.

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Helplessness and Health Behavior of Patients with Rheumatoid Arthritis (류마티스 관절염 환자의 무기력과 건강행위에 관한 연구)

  • Han, Jung-Won;Park, In-Hyae
    • Journal of muscle and joint health
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    • v.15 no.1
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    • pp.33-40
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    • 2008
  • Purpose: This study was to find out the relationships between helplessness and health behavior of patients with rheumatoid arthritis. Method: The subjects were 293 rheumatoid arthritis patients who visit 2 rheumatology outpatient clinics in G city. Data were collected by questionnaires including Arthritis helplessness index(Nicassio, Wallston, Callahan, Herbert, & Pincus, 1985)and health behavior assessment scale(Jo, Oh & Choe, 2000). The data were analyzed with Pearson correlation coefficient, t-test, ANOVA and Duncan's multiple range test. Results: The majority of the subjects were women and the mean age was 50.4years. The mean duration of illness was 8.9years. There were negative correlations between the degree of helplessness and the degree of health behavior. The degree of helplessness was significantly high in those who were older, female, less educated, out of workforce, and those who had no chances to attend any arthritis-related classes. The degree of health behavior was significantly low in those who were older, high school graduate, in higher economic status, married, and those who had chances to attend arthritis-related classes. Conclusion: To reduce the helplessness of rheumatoid arthritis patients, the nursing intervention which is to increase the health behavior should be developed and provided to the rheumatoid arthritis patients.

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Analysis of Factors Affecting the Health Behavior of Taxi-drivers (택시운전기사의 건강행위에 영향을 미치는 요인분석)

  • Ko, Ja-Kyung
    • Journal of East-West Nursing Research
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    • v.15 no.2
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    • pp.71-81
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    • 2009
  • Purpose: This study was conducted to find out interrelation of health behavior and related variables to provide basic data for an effective health promotion for the taxi-divers. Methods: 293 male taxi-drivers from 2 cities in Korea participated in this study. The data were collected using questionnaires from April 17th to Jun 3rd, 2006, and analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple regression. Results: There were statistically significant differences according to monthly income, past illness or surgery, current disease or medication, frequency of fright on daily driving (FFDD), driving fatigue, working style, social support in health status; current disease or medication, FFDD, driving fatigue, duty shift, social support in health perception; body mass index (BMI), FFDD, driving fatigue, intention of changing job, social support in health behavior. Social support, health status, health perception, and health behavior were significantly correlated with one another. The multiple regression analysis showed that health perception (17.8%), BMI (6.8%), intention of changing job (5.7%), and driving fatigue (4.2%) explained the 34.5% variance of health behavior. And the 22.6% of variance of health perception was explained by social support (12.2%), health status (6.9%), and duty shift (3.2%). Conclusions: To promote the taxi-drivers' health, nursing intervention strategies unique for them should consider health behavior and affecting factors.

A Study on Types of Health Behavior among Middle Aged Women in Rural Areas (농촌중년여성의 건강행위 유형)

  • Yang Jin-Hyang
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.9 no.3
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    • pp.484-500
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    • 2002
  • Purpose: The purposes of this study were to better understand types of health behavior in middle aged women in the Korean agricultural society, understand their nursing needs, and eventually present guidelines to develop proper nursing interventions. Method: Participants for this study were 16 middle aged women from farming communities, who lived in C county and were independent and without chronic ailments. In collection and analysis of data Strauss & Cortin's (1997) research processes and methods were used. The period of data collection was between April 2001 and February 2002. Result: The results of the study showed that the core category was the family-oriented process of $yangsaeng^{1)}$, and four types of health behaviors were observed; $momboyang^{2)}$ maintenance of health through daily life, managing mental health, and managing illness. Each type was perceived to differ from the other in the terms of health behavior priority which was largely affected by the cultural surrounding, for example, degree of attention to children's education and tendency to a traditional role for women. Conclusion: In conclusion, nurses need to understand various types of health behavior in middle aged women. The findings from this study can be applied to the development of Korean nursing interventions that are based on health behavior among middle aged women in the Korean agricultural society. These interventions can then. be based upon understanding of Korean culture rather than drawn only from Western concepts of health behavior.

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Exploratory Study of The Korean Health Concept and Health Behaviors (성인의 건강개념과 건강행위에 대한 서술적 연구)

  • 김애경
    • Journal of Korean Academy of Nursing
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    • v.24 no.1
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    • pp.70-84
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    • 1994
  • People experience health behaviors for themselves and theses have diversity according to each culture and people and further there is an inherent meaning in health behavior The purpose of this study was to explore the health cconcept of Korean people and their pattern of health behavior The research method was a questionaire including open questions and the subjests were 164 adults age from 21 to 61. The result of this study are as follows : 1. Perceived health concepts by adults were “possibility”, “responsibility”, “being free”, “happiness”, “brightness”, “power”, “life”, “importance”, “mental rest”, “state of nnonilliness”, “death” 2. Health behaviors carried out by Korean adults were “maintance of psychological comfort”, “exercise”, “work”, “maintance of balanced diet”, “having a hobby”, “eating health food”, “health check up”, “prevention of hazards”, “eating natural food”, “maintenance of personal relationships”, “rest”, “having religion”, “making contract with nature”, “relaxation”, “limit one’s tastes”. 3. The perceived purposes of health behavior by Koran adults were maintenance of a joyful life, health maintenance, health restoration, prevention of illness, achievement of reponsibility, haying a hobby, longevity, peaceful death. Korean health concepts in this study showed a trend that reflects the rule of family and forcused harmony and eating habits. Korean health behavior in this study showed a trend that forcuses on emotional comfort which reflects oriental thinking. The result of this study will contribute to build a theory of health behavior and to derive strategies of health behavior to promote health.

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A Survey on Pain and Self-Care Behavior of Patients with Chronic Arthritis (만성 관절염 환자의 통증과 자기간호행위 관련요인)

  • Sohng Kyeong-Yae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.10 no.2
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    • pp.206-213
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    • 2003
  • Purpose: This study was designed to explore pain and self-care behaviors and identify related variables in patients with chronic arthritis. Method: One hundred fifty patients with arthritis were recruited from two university based arthritis centers according to selection criteria. Collected data were analyzed using the SAS program to analyze the responses to the structured questionnaires of the study. Result: Most of the participants expressed pain and the intensity of the pain was moderate. There were significant differences according to age, educational level, diagnosis, duration of illness, number of affected joint, and use of complementary therapy. Self-care behavior scores were moderately high. The highest practice was for 'regular visits to the hospital', and the lowest for 'applying physical therapy at home'. The mean self-care behavior scores showed significant differences according to economic status and educational level. Pain scores showed no correlation with self-care behavior. Conclusion: Developing self-management programs for patients with chronic arthritis should focus on self-care skills which are applicable in the relief of pain and enhancement of knowledge. The skills are recommended not only for better health practices but also for enhancing the level of well-being and life satisfaction.

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A Study of Health Concerns, Health Behavior, and Related Factors in Elders in Senior Centers (일 지역 경로당 이용 노인의 건강관심도, 건강행위 및 영향 요인)

  • Joo, Ae-Ran;Park, In-Hyae;Choi, In-Hee;Ryu, Hyun-Sook;Kim, Youn-Kyoung;Kang, Seo-Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.4
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    • pp.500-506
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    • 2007
  • Purpose: This study was conducted to analyze the health concerns, health behavior, and related factors for elders taking part in activities at senior centers. Method: A total of 811 elders were selected through conveniently sampling. Data were collected from November 21, 2006 to December 20, 2006. Data analysis included frequency, t-test, ANOVA, Duncan test, and Stepwise Multiple Regression using SPSS Win 15.0. Results: For health concerns statistically significant differences were found for gender, age, family, pockety money, sleeping time, regular health check-ups, and exercise. For health behavior statistically significant differences were found for gender, age, family, pocket money, religion, medical insurance, perceived health status, sleeping time, regular health check-ups, chronic illness, regular breakfast, exercise, and drinking. Perceived health status was identified as a variable influencing the health behavior. Conclusion: The results suggest that perceived health status can be considered as factor for significant nursing interventions to help single elders and older elders in senior centers.

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Comparative Study on Self-Care Behavior, Diabetes-related Stress, and Stress Coping among Good, Inadequate, and Poor Glycemic Control Groups (혈당 조절 양호, 불충분, 불량 군 간의 자가간호행위, 당뇨관련 스트레스, 스트레스 대처의 비교)

  • Kang, Hye-Yeon;Gu, Mee-Ock
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.2
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    • pp.168-178
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    • 2012
  • Purpose: The purpose of this study was to compare self-care behavior, diabetes-related stress and stress coping style among 3 blood glucose control groups (good, inadequate, and poor blood glucose control groups). Methods: Participants were 102 type 2 diabetic patients (good group: 41, inadequate group: 31, poor group: 30). Data were collected from Feb 19 to Mar 24, 2010 and were analyzed using Chi-square, Fisher's exact test and ANCOVA with SPSS/WIN 12.0. Results: Using ANCOVA with frequency of admission, and illness duration as covariates, significant differences were found among the 3 groups in self-care behavior (total score) and the exercise subscale. Using ANCOVA significant differences were found among 3 groups in diabetes-related stress (total score), emotional burden subscale and regimen distress subscale. Using ANCOVA no difference in stress coping was found among the 3 groups, but there was a significant difference in the problem-oriented coping subscale. Conclusions: Self-care behavior, diabetes-related stress, and stress coping style are factors influencing blood glucose control. The results of this study suggest that for improving blood glucose control, self care education program focused on diet and exercise in addition to stress management program for promoting problem oriented coping capability are recommended.