• 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.

• 한국보건간호학회지
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• 제35권2호
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• pp.268-282
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• 2021

Purpose: This study sought to investigate health behavior (HB) and its affecting factors based on Anderson's behavioral model in Lao People's Democratic Republic (PDR). Also, it attempted to identify the mediation of the health locus of control (HLC) between HB and the affecting factors. Methods: Secondary data from 694 people without noncommunicable diseases (NCDs) from a survey conducted by the Ewha Womans and the Laos University were used. The measurements included predisposing, enabling, and needs factors, HLC, HB (current non-smoking, low-risk drinking, physical activity, fruit and vegetable consumption, medical checkup). The mediating effect was analyzed using Baron and Kenny's method and the Sobel test. Results: Predisposing (gender, educational level, ethnic), enabling (social support, item ownership in household) and the needs factors (body mass index) were affecting HB. Internal HLC had a positive influence on HB. The stronger the others and chance HLC, the lower the HB. Chance HLC mediated the relationship between the educational level and HB. Conclusion: There is a need to recognize the importance of chance HLC as a mediator between the educational level and HB. Through this result, high-quality nursing education for the prevention of NCDs should be developed considering the impact of chance HLC.

• 지역사회간호학회지
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• 제10권2호
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• pp.347-361
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• 1999

This study was undertaken in order to determine the relationship among a health locus of control. self-esteem. perceived health status. and health promoting behavior in order to determine factors affecting health promoting lifestyle in college students. The subject were 137 students of one university in Kyungsan. The analysis of data was done with a mean. percentage. Pearson correlation coefficient. and Stepwise multiple regression with an SAS program. The result of this study ware as follows: 1. Performance in health-promoting behavior was significantly correlated with self-efficacy and self-esteem 2. Performance in self-achievement was significantly correlated with self-efficacy, self-esteem, and perceived health status. Performance in health responsibility was significantly correlated with self-efficacy and self-esteem Performance in exercise was significantly correlated with self-efficacy and perceived health status. Performance in nutrition was significantly correlated with self-efficacy. self-esteem. and perceived health status. Performance in interpersonal support was significantly correlated with self-efficacy. internal locus of control. and self-esteem Performance in stress management was significantly correlated with self-efficacy, self-esteem. and perceived health status. 3. Self-efficacy was the highest factor predicting health promoting lifestyles. 4. Self-efficacy was the highest factor predicting self-achievement. health responsibility. exercise. nutrition. and stress management. Self-esteem was the highest factor predicting interpersonal support. From this research findings, we need to develop health promoting program and health education focusing on exercise, health responsibility for college students.

• 성인간호학회지
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• 제12권4호
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• pp.573-583
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• 2000

The purpose of this study was to identify the factors influencing health promoting behavior of the elderly for develop health promoting intervention of old people. The subjects of this study were 167 elderly person over the age of 60, living in rural city in Korea. The data were collected by interview and self report questionnaire, during the period from May, 1999 to August. 1999 The instruments for this study were the PRQ-II by Weinert(1988), the scale of Locus of Control by Wallstone et al(1978), the scale of self efficacy by Sherer & Maddux(1982), 10 points visual analogue scale for the perceived health status and the importance of health, the health promoting behavior scale by Walker et al(1987), and the scales developed by authors for the perceived benefits of health promoting behaviors, and the perceived barriers to health promoting behaviors. The Cronbach 's alpha of these scales were .84 ~.97. The data were analyzed using descriptive statistics, Pearson's correlation coefficients, and stepwise multiple regression. The results of this study were as follows: 1. Among cognitive perceptual factors of the Health Promotion Model by Pender(1987), the scores of the importance of health, the perceived internal control of health, the self efficacy, the perceived health status, and the perceived benefits were significantly positive correlation with the scores of the health promoting behavior of the elderly. In addition, the scores of the perceived barriers were significantly negative correlation with the scores of the health promoting behavior of the elderly. 2. Among modifying factors of the Health Promotion Model by Pender(1987), the pocket money of the elderly, the scores of social support were significantly positive correlation with the scores of the health promoting behavior of the elderly. In addition, ages of old people were significantly negative correlations with the scores of the health promoting behavior of the elderly. 3. Stepwise multiple regression analysis revealed that the most powerful predictor of health promoting behavior was the self efficacy. A combination of the self efficacy, the perceived barriers, the social support, the importance of health, and the perceived internal control of health accounted for 56.2% of the variance in health promoting behavior in the elderly. From the results of this study, we concluded that the Health Promotion Model by Pender will be used to explain health promoting behavior of the elderly. We suggested that the results of this study will be considered in developing health promoting programs of elderly.

• 지역사회간호학회지
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• 제11권1호
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• pp.199-208
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• 2000

The purpose of this study is to test the psychometric properties of the Korean version of the Health-Related Hardiness Scale(HRHS) in a sample of Korean nursing students. The korean version of HRHS was administered to 234 nursing students including 135 college students and 99 university students. The Korean version of HRHS was measured on a 6 Likert scale, assessing three factors of HRHS : control, commitment, and challenge. Internal consistency was used to test the instrument's reliability. The internal consistency of the scale was measured using a coefficient alpha. The coefficient alpha was .69(control), .49(commitment). and .69(challenge), Item analysis and confirmatory factor analysis (CFA) were used to test the instrument's construct validity. The item analysis identified that there were 13 items. which were lower than the .25 item-total correlation. CFA revealed that the scale's fadoral validity was not proper by showing unfit indices(RMSEA .07. stand, RMR .09. GFI .71). According to the findings of this study, the reliability and construct validity of the Korean version of HRHS is not satisfactory in the sample of nursing students. As a result. the researcher modified the scale through item analysis and repetitive CFA process, and proposed the revised 25-item Korean version of HRHS for nursing students. The revised scale's reliability(control .74, commitment .73. challenge .77) and factorial validity were within acceptable levels. The item analysis identified that there was no item, which is lower than the .25 item-total correlation. CFA revealed that the scale's factoral validity was proper by showing fit indices(RMSEA .08 stand. RMR .08. GFI .80).

• Tuberculosis and Respiratory Diseases
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• 제82권1호
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• pp.42-52
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• 2019

Background: Transforming growth factor ${\beta}$ (TGF-${\beta}$), retinoic acid (RA), p38 mitogen-activated protein kinase (MAPK), and MEK signaling play critical roles in cell differentiation, proliferation, and apoptosis. We investigated the effect of RA and the role of these signaling molecules on the phosphorylation of Smad2/3 (p-Smad2/3) induced by TGF-${\beta}1$. Methods: A549 epithelial cells and CCD-11Lu fibroblasts were incubated and stimulated with or without all-trans RA (ATRA) and TGF-${\beta}1$ and with MAPK or MEK inhibitors. The levels of p-Smad2/3 were analyzed by western blotting. For animal models, we studied three experimental mouse groups: control, bleomycin, and bleomycin+ATRA group. Changes in histopathology, lung injury score, and levels of TGF-${\beta}1$ and Smad3 were evaluated at 1 and 3 weeks. Results: When A549 cells were pre-stimulated with TGF-${\beta}1$ prior to RA treatment, RA completely inhibited the p-Smad2/3. However, when A549 cells were pre-treated with RA prior to TGF-${\beta}1$ stimulation, RA did not completely suppress the p-Smad2/3. When A549 cells were pre-treated with MAPK inhibitor, TGF-${\beta}1$ failed to phosphorylate Smad2/3. In fibroblasts, p38 MAPK inhibitor suppressed TGF-${\beta}1$-induced p-Smad2. In a bleomycin-induced lung injury mouse model, RA decreased the expression of TGF-${\beta}1$ and Smad3 at 1 and 3 weeks. Conclusion: RA had inhibitory effects on the phosphorylation of Smad induced by TGF-${\beta}1$ in vitro, and RA also decreased the expression of TGF-${\beta}1$ at 1 and 3 weeks in vivo. Furthermore, pre-treatment with a MAPK inhibitor showed a preventative effect on TGF-${\beta}1$/Smad phosphorylation in epithelial cells. As a result, a combination of RA and MAPK inhibitors may suppress the TGF-${\beta}1$-induced lung injury and fibrosis.

• 동의생리병리학회지
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• 제26권2호
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• pp.234-240
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• 2012

The purpose of this case-control study is to investigate the relationship between storke and stroke risk factors, such as family history and past history. The case-control study over clinical data registered from Daejeon Oriental Medical Hospital in the period of November 2006 to July 2010. Study subjects consisted of 108 patients with acute stroke within 1 month as the case group (Cases) and 108 people who visited hospital for health care as the genreral control group (Controls). The participants had been interviewed by residents to find out their family history and past history. Their blood was taken to check the blood lipid level and liver function. 1. The people whose family history included cerebrovascular accident had more probability of stroke than the people who did not have cerebral vascular accident as their family history. 2. The people who suffered from hypertension had more probability of stroke than the people who did not suffer from hypertension. 3. The people who suffered from diabetes mellitus had more probability of stroke than the people who did not suffer from diabetes mellitus. Based on this study, the people who had cerebral vascular accident as their family history should thoroughly treat their blood pressure and blood sugar level to prevent the cerebral vascular accident.

• Journal of Nutrition and Health
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• 제34권2호
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• pp.222-229
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• 2001

This study describes the application of the stages of change construct to fat intake by examining the associations of the stages of change with nutritional status and beliefs on health behavior. Data were obtained from apparently healthy 596 adults(326 females and 270 males) residing in large cities. Stages of change assessed by an algorithms based on 6 items were designed each subject into one of the 5 stages: precontemplation(PC), contemplation(CO), preparation(PR), action(AC) and maintenance(MA). Beliefs on health behavior were assessed by self efficacy as well as 4 belief scales from the Locus of Illness Control(LIC) developed using factor analysis such as internal disease cure and prevention and external disease cure and prevention. Energy and fat intakes were measured by a 39 item short form food frequency questionnaire. Regarding the 5 stages of change, MA stage comprised the largest group(37.9%), followed by Ac(30.7%), PC(11.4%), CO(10.4%) and PR(9.6%). Subjects who were females, older or healthier were more likely to belong to either AC or MA. Stage assignment of individuals was corroborated by their nutritional variables. Those in PC had the most energy and fat and those in MA ate the least for females. BMI was higher in PR than any other stages for both males and females. Those in PC were distinctive in that they were more externally oriented in terms of health control showing higher scores on external disease prevention(for males) and external disease cure(for females), and lower score on internal disease cure. On the other hand, those in MA received the highest scores on internal disease prevention and self efficacy, which suggested that they were more internally oriented. Canonical discriminant function analysis indicated that the 5 stages were importantly discriminated by BMI, self efficacy, internal disease prevention and external disease prevention for males and by fat intake, self efficacy and external disease cure variables for females. The results of our study confirm differences in stages of change in fat intake in terms of nutritional status and beliefs on heath behavior and indicate the need for taking these phases of change into account in nutrition advice. (Korean J Nutrition 34(2) : 222-229, 2001)

• 한국치위생학회지
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• 제10권1호
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• pp.157-172
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• 2010

Objectives : This study is to grasp the efficacy, locus of control, oral disease management beliefs, etc and to make a close inquiry the relevance between theses key figures and oral health promotion practice for a teacher and oral care about children and to provide the basic materials of oral health education for the teachers of infant nursery. Methods : This study was made from July to September in 2009 to nursery teacher by having the self-report questionnaire for teachers of infant nursery who are performing nursry school tearcher. Total 187 questionnaire were distributed and among these, 167 questionnaire excluding 20 questionnaire of incomplete responses were statistically analyzed with SPSS12.0. Results : The efficacy is highly in a married person(p=0.001) according to the teacher's age(P=0.006), perceived good oral status(p=0.001) according to the oral conditions and has the significant difference. The internal locus of control is highly in a married person(p=0.006) according to the teacher's age(P=0.037) and the marital status and has the significant difference statistically. The external locus of control is the highest(p=0.038) in the age of 40 among teacher's age and has the significant difference statistically. The oral disease management beliefs is the highest in the age of 20 ~ 29(p=0.001), highly in married(p=0.003) and has the significant difference according to the marital status and perceived good oral status(p=0.045) according to the oral conditions. There has no significant difference in the efficacy, the internal locus of control, the external Lotus of Control, oral disease management beliefs following by the infant oral care after taking medicines and oral care of infants after tooth brushing. Conclusions : Therefore, the oral health promotion activities should be induced by educating the nursery teacher and it needs to spread out the oral care education with the development to operate practically. It is considered in need of the infant oral care which is not burden on to the nursery teacher but helpful to the infant by connecting the subjects of dental hygiene and oral health education training.

• 한국산학기술학회논문지
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• 제15권8호
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• pp.4999-5008
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• 2014

본 연구는 중년 여성의 암 예방행위와 관련요인을 규명하기 위한 서술적 조사연구이다. 대상자는 B광역시의 4개 교회에 출석 중인 중년여성 114명으로, 자료수집기간은 2012년 10월 1일부터 2013년 2월 10일까지였다. 연구결과, 대상자의 암 예방행위 정도는 암 예방교육 경험(t=2.778, p=.006)과 암 정보에 대한 관심(F=4.490, p=.013) 및 암에 관한 정보이용 정도(F=3.568, p=.031)에 따라 유의한 차이가 있었다. 암 예방행위 정도는 내적성향 통제위(r=.354, p<.001), 우연성향 통제위(r=.193, p=.040)와 자아존중감(r=.283, p=.002)에서는 약한 정도의, 외적성향 통제위(r=.403, p<.001)에서는 중간 정도의 유의한 상관관계가 있었다. 암 예방행위를 설명하는 유의한 변수는 외적성향 통제위, 자아존중감, 암교육 수강 경험 여부의 순이었고, 전체 설명력은 25.3%였으며, 외적성향 통제위가 가장 설명력이 많은 것으로 나타났다. 따라서 중년여성들의 암 예방행위를 높이기 위해서는 내적통제위와 자아존중감을 높이고 암 교육 수강을 독려하는 간호중재와 보건교육을 개발하는 것이 필요하다.