• 제목/요약/키워드: Internal health control

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Health Locus of Control in Indonesian Women with Breast Cancer: a Comparison with Healthy Women

  • Iskandarsyah, Aulia;de Klerk, Cora;Suardi, Dradjat R.;Sadarjoen, Sawitri S.;Passchier, Jan
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권21호
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    • pp.9191-9197
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    • 2014
  • The aims of this study were to assess whether Indonesian women with breast cancer havea higher external health locus of control (HLC) than healthy women, and to explore the association between HLC and symptoms of anxiety and depression. In this study, 120 consecutive women with breast cancer were recruited at the outpatient surgical oncology clinic at the Hasan Sadikin Hospital in Bandung. One hundred and twenty two healthy women were recruited from the Bandung area as controls. A standard demographic form, Form C of the Multidimensional Health Locus of Control, as well as the Hospital Anxiety and Depression Scale and patients' medical records were used. Data were analyzed using descriptive statistics, t-test, Pearson's correlation, MANOVA and multiple linear regressions. Women with breast cancer had higher scores on all external HLC subscales, i.e. chance, doctor, powerful others and God, and lower internal HLC compared to healthy women. High God LHC scores were associated with a high level of anxiety (${\beta}=0.21$, p<0.05), whereas none of the HLC subscales were associated with depression. Our results suggest that women with breast cancer tend to have high external HLC, while healthy women tend to have high internal HLC. A strong belief in an external source of control, i.e. God, might be negatively associated with patient emotional adjustment. Further research is needed to give an insight into the direction of this association.

간호대학생의 중동 호흡기 증후군 예방을 위한 손 씻기 수행 빈도에 영향을 미치는 요인 (Hand washing and Preventive Measures for Middle East Respiratory Syndrome Coronavirus)

  • 임소희
    • 한국산학기술학회논문지
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    • 제17권2호
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    • pp.427-435
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    • 2016
  • 최근 중동 호흡기 증후군의 발현으로 손 씻기가 강조되고 있는 실정이다. 본 연구의 목적은 중동호흡기 증후군의 예방을 위하여 손 씻기의 빈도에 영향을 미치는 요인을 파악하기 위하여 기질불안, 건강통제위, 건강증진행위의 관계를 분석하였다. 314명의 간호 대학생들에게 중동 호흡기 증후군을 예방하는 방법, 손 씻는 횟수, 기질불안, 건강통제위, 건강증진행위에 대하여 설문조사하였고, 수집된 자료는 Pearson correlation, 다중회귀분석으로 분석하였다. 손 씻기 수행 빈도에 영향을 미치는 요인으로는 손 씻기 중요도 이였으며, 손 씻기 중요도에 영향을 미치는 요인은 내적통제위로 나타났다. 또한, 대부분의 간호 대학생이 손 씻기가 중동 호흡기 증후군의 가장 중요한 예방법으로 인지하였다. 이에 손 씻기의 중요성과 내적 통제위를 강화한 건강교육을 진행해야 할 것이다.

만성 요통 환자의 대처 유형과 건강 통제위, 자기효능감과의 관계 (Coping Patterns in Chronic Low Back Pain : Relationship with Locus of Control and Self-Efficacy)

  • 김인자;이은옥
    • 근관절건강학회지
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    • 제2권1호
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    • pp.1-16
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    • 1995
  • Coping patterns were investigated in a sample of 126 patients with chronic low back pain by means of self-reported questionnaire. Based on the previous researches, coping pat terns were divided into the active cognitive coping, the active behavioral coping, the passive cognitive coping, and the passive behavioral coping. While all the above coping patterns were used, the passive behavioral coping was found to be used most frequently. Six subgroups were identified by cluster analytic procedure using their scores of the coping scale : active cognitive coper, general active coper, passive behavioral coper, general passive coper, multidimensional coper, and multi dimensional non-coper. Six subgroups were compared regarding locus of control, self-efficacy, pain and demographic variables. Distinct differences appeared among subgroups in internal locus of control, self-efficacy, and pain. General active coper and active cognitive coper had higher internal locus of control, higher self-efficacy, and lower pain. General passive coper and multidimensional non-coper had lower internal locus of control, lower self-efficacy, and higher pain. Passive behavioral coper had higher internal locus of control, lower self-efficacy, and higher pain. It supports the concept of learned helplessness due to prior experiences. Multi dimensional coper had higher internal, higher powerful others, and higher self-efficacy. So it corresponds to 'believer in control' group Identified by Wallston et at(1982). Unexpectedly this group also complained more pain. It could be interpreted in two ways. The more coping methods they use, the more they complain pain ; which is the result of Folkman et al (1986). Or they might be typical 'yea sayers'. These unique groups-passive behavioral coper and multidimensional coper-identified by this study supports the suggestion of Wallston et al(1982), about locus of control : individual's pattern of responses across the three scales may be more predictive than his or her scores on each of the scale seperately. The fact that passive coping was used more than active coping also suggests that self controlled active co ping is encouraged to chronic patients as well as acute patients. And it is necessary to articulate the coping scale and self-efficacy scale. It is also necessary to study the relationship of coping and adjustment by experimental design.

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Effects of Recognition of the Pregnancy necessity on Emotional Happiness -The mediation effect of health control behavior-

  • Kim, Jung-Ae
    • International Journal of Advanced Culture Technology
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    • 제6권3호
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    • pp.12-21
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    • 2018
  • This study was a cross-sectional survey of the effects of pregnancy necessity recognition on emotional happiness and mediation effect of health control behavior on it. A total of 200 participants in the study were collected from structured questionnaire online and the data collection was from July $1^{st}$ to July $31^{st}$, 2018. Health control behavior questionnaire was developed by Wallston, K.A., Wallston, B.S. & Devellis, R (1978), Emotional happiness was analyzed by using PANAS (positive and negative affect schedule) developed by Watson, Clark and Tellegen (1988). The collected data were chai-square($X^2$), Pearson correlation, Dummy regression analysis, simple regression analysis, and the mediated effect analysis by SPSS 18.0. As a result, Under statistical significance, there were differences in the recognition of pregnancy necessity were depending on religion, participant's age, number of siblings, thought of optimal marriage age(p<0.05). More siblings, more religious, older age, and more recognized the pregnancy necessity. The analysis of Pearson correlation with the pregnancy necessity, health control behavior, and emotional happiness reveled that it was relevant (p<0.01). Dummy regression analysis showed that people who thought that pregnancy was necessary were 0.700 times more likely to felt emotional happiness that people who thought it was unnecessary (p<0.01). Analysis on the mediation of health control behavior, in which the effects of pregnancy recognition on emotional happiness, showed that it was effect (other people's health control behavior: B:.299, p<0.01, internal health control behavior : B:.217, p<0.05). Based on these results, this study suggested that to promote pregnancy recognition, families with brother and sister should be programmed with recommendations for exercise and alcohol abstinence, religious belief and health control programs.

고압 산소 요법의 뇌경색 환자 치료 효과에 대한 연구 (A Case-Control Study on the Effect of Hyperbaric Oxygen Therapy on Cerebral Infarction Patients)

  • 오민규;김동진;윤혜연;신현수
    • 대한한방내과학회지
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    • 제29권3호
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    • pp.675-683
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    • 2008
  • Objectives : This study was designed to examine the effects of hyperbaric oxygen therapy on cerebral infarction. Methods : Fifty-five patients with acute or subacute cerebral infarction were classified into two groups, the study group and control group. The study group was treated by hyperbaric oxygen therapy(HBOT) for 2 weeks(5 times/week) and the control group wasn't treated by HBOT. We compared the score of National Institutes of Health Scale(NIHSS scale) between two groups. We subdivided the study group by TOAST classification and onset stage, and compared the results. All of this data was analyzed by statistical method. Results : The study group patients who were treated by hyperbaric oxygen therapy saw more improvement than the control group patients in NIHSS score, and there was significant consideration. Among the study group patients, we saw more improvement during the first week period than in the course of the second week, and there was significant consideration. Conclusion : These results suggest that hyperbaric oxygen therapy(HBOT) could be a useful medical treatment to treat cerebral infarction. Further studies are needed on more cases to make sure that hyperbaric oxygen therapy (HBOT) is surely effective for cerebral infarction.

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Musculoskeletal Model for Assessing Firefighters' Internal Forces and Occupational Musculoskeletal Disorders During Self-Contained Breathing Apparatus Carriage

  • Wang, Shitan;Wang, Yunyi
    • Safety and Health at Work
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    • 제13권3호
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    • pp.315-325
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    • 2022
  • Background: Firefighters are required to carry self-contained breathing apparatus (SCBA), which increases the risk of musculoskeletal disorders. This study assessed the newly recruited firefighters' internal forces and potential musculoskeletal disorders when carrying SCBA. The effects of SCBA strap lengths were also evaluated. Methods: Kinematic parameters of twelve male subjects running in a control condition with no SCBA equipped and three varying-strapped SCBAs were measured using 3D inertial motion capture. Subsequently, motion data and predicted ground reaction force were inputted for subject-specific musculoskeletal modeling to estimate joint and muscle forces. Results: The knee was exposed to the highest internal force when carrying SCBA, followed by the rectus femoris and hip, while the shoulder had the lowest force compared to the no-SCBA condition. Our model also revealed that adjusting SCBA straps length was an efficient strategy to influence the force that occurred at the lumbar spine, hip, and knee regions. Grey relation analysis indicated that the deviation of the center of mass, step length, and knee flexion-extension angle could be used as the predictor of musculoskeletal disorders. Conclusion: The finding suggested that the training of the newly recruits focuses on the coordinated movement of muscle and joints in the lower limb. The strap lengths around 98-105 cm were also recommended. The findings are expected to provide injury interventions to enhance the occupational health and safety of the newly recruited firefighters.

개인의 건강관리능력(Personal Power of Health Care; PPHC) 도구 개발 (Scale Development: The Personal Power of Health Care (PPHC))

  • 이은희;이경숙;소애영
    • 한국간호교육학회지
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    • 제16권1호
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    • pp.129-139
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    • 2010
  • Purpose: A new scale was developed to measure personal power and ability for health care and promotion including health determinants. Method: Research phases designed for this study were a literature review, scale development, discussion with experts, pre-test for content validity, and survey for construct validity and reliability. The scale was composed of 20 items on 4 point Likert scale and was tested on middle aged Korean-Americans (110) and Koreans (105) living in a community. Result: As the result of factor analysis, 7 dimensions were identified that were similar yet different from the original dimensions. They included health literacy, socialbelonging and gender role, self-perception, health policy participation, socio-cultural interpersonal relationships, spiritual comfort, and socioeconomic involvement. The total variances explained 59.73%. The reliability was .736 of Cronbach's alpha. The mean PPHC was not different in age, gender, economic status and disease presence, but significantly different in country where living, religion, education level, job presence, and emigration period. The increased power group perceived more wellbeing and less depression, high internal locus of control and increased power with others. In addition, they had a greater health promotion lifestyle profile. Conclusion: This scale was statistically reliable and valid to measure personal power of health care.

여성건강교육 프로그램 개발에 관한 연구 - 여성건강간호센터에서의 교육을 중심으로 - (Health Educational Program for Women's Health in Women's Health Care Center)

  • 이은희;최상순;소애영
    • 여성건강간호학회지
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    • 제6권1호
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    • pp.67-81
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    • 2000
  • The purpose of this study was to analyze women's health problems using Green & Kreuter's(1991) PRECEDE model and to develop health education program for women's health. The subjects were recruited women from Wonju city 18 years or older. 1. The results showed that about 50% of the women were satisfied with their lives as women, 23% of the sample felt there was a need for a women's health care center. The mean number of health problems was 3.1 and the prevalence rate, 44.4%. 2. We developed on educational program according to group differences related to health problems, diagnosis of disease, variables influencing health promotion behavior, and programs which each group wanted. Also we stressed self-efficacy and self-help group for the management of individual health to all groups. 3. The diagnoses of diseases that were experienced premarital over the past year were gastritis, bronchitis, spinal disk, and fracture, for the childbearing/rearing group, gastritis, vaginitis and cervicitis, cervical cancer and cystitis and nephritis and arthritis and for the middle-aged/elderly group arthritis, gastritis, vaginitis and cervicitis, and spinal disk. Of the sample 30.5% did not have a health exam in the past year, and only 10% of the premarital group, 12.5% of the childbearing/child-rearing group, and 18.3% of the middle aged-elderly group were concerned about their health and did something for their health. 4. The average score on the HPLP was 2.41. the HPLP was scores according to group were found to have significant differences. self-efficacy, family functions, health attention and were considered important variables in the premarital group, in the childbearing/child-rearing group self-efficacy, family functions, internal locus of control, health attention, and health perception and power others locus of control and then for the middle aged-elderly group self-efficacy, health attention, internal locus of control, family functions and health perception. 5. There are a few educational programs in the city provided by the Wonju Health Center and by community health nurse practitioners. The premarital group requested the educational programs on diet, health exercise, family health and stress management. Also the childbearing/child-rearing group wanted programs on diet, family health, stress management, and health exercise, and the middle-aged/elderly group wanted that of family health, diet, climacteric changes stress management and health exercise. The program suggested that this program should be applied to women in the community to insure adequate management of women's health. Follow-up research with PROCEED is needed to analyze health outcomes, also, a women's health nursing specialist system is required to develop health promotion, and improve the quality of life for women.

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고관절 내회전 보행이 둔부 근육과 척추 기립근의 근활성도에 미치는 영향 (Effects of the Hip Internal Rotation Gait on Gluteal and Erector Spinae Muscle Activity)

  • 권오윤;원종혁;오재섭;이원휘;김수정
    • 한국전문물리치료학회지
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    • 제13권1호
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    • pp.24-31
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    • 2006
  • The purpose of this study was to identify the effect of the hip internal rotation on gluteal and erector spinae muscle electromyographic (EMG) activity during treadmill walking. Eleven healthy subjects were recruited. All subjects performed treadmill walking while maintaining the hip in neutral position (condition 1) and in internal rotation (condition 2). Surface EMG activity was recorded from four muscles (gluteus maximus (GM), gluteus medius (GMED), tensor fascia latae (TFL), and erector spinae (ES)) and the hip internal rotation angle was measured using a three dimensional motion analysis system. The gait cycle was determined with two foot switches, and stance phase was normalized as 100% stance phase (SP) for each condition using the MatLab 7.0 program. The normalized EMG activities according to the hip rotation (neutral or internal rotation) were compared using a paired t-test. During the entire SP of treadmill walking, the EMG activities of GM in condition 1 were significantly greater than in condition 2 (p<.05). The EMG activities of TFL and ES in condition 2 were significantly greater than in condition 1 (p<.05). The EMG activities of the GMED in condition 1 were significantly greater than in condition 1 (p>.05) except for 80~100% SP. Further studies need randomized control trials regarding the effect of hip internal rotation on the hip and lumbar spine muscle activity. Kinetic variables during gait or going up and down stairs are also needed.

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여대생의 건강통제위와 운동 자기효능감, 운동 유익성 및 장애성 (Health Locus of Control, Exercise Self-efficacy, and Exercise Benefits / Barriers of Female College Students)

  • 하주영
    • 여성건강간호학회지
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    • 제16권2호
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    • pp.116-125
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    • 2010
  • Purpose: The purpose of this study was to investigate the relationship between health locus of control, exercise self-efficacy and exercise benefits / barriers of female college students. Methods: Convenient sampling was used to recruit participants from a University based in Pusan. Data were collected from October 15 to December 20, 2007, and participants were 322 students. The questionnaires administered consisted of Multidimensional Health Locus of Control (HLOC) Scales, Exercise Self-efficacy Scale, and Exercise Benefits / Barriers Scale. Descriptive statistics, ANOVA, and Pearson's correlation coefficients were used to analyze the data. Results: The mean scores for the HLOC among female students was HLOC-I: 22.24, HLOC-P: 16.82, HLOC-C: 15.16. The mean scores were exercise self-efficacy: 37.45, exercise benefit: 2.96, and exercise barriers: 2.89. The 'double external' response pattern of HLOC was the largest group in female students with significant difference in exercise benefit between response patterns of HLOC. There were significant correlations between HLOC-I, exercise self-efficacy, and exercise benefit/barriers. Conclusion: The results of this study suggest that tailored health management program by pattern of HLOC should be developed to promote the exercise behavior and enhance the exercise self-efficacy and benefit for female students.