• 제목/요약/키워드: Internal health control

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고등학생의 건강증진 생활양식과 관련 요인 (The Determinants of a Health Promoting Lifestyle in High school students)

  • 홍외현;김정남
    • 지역사회간호학회지
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    • 제10권2호
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    • pp.330-346
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    • 1999
  • This descriptive correlational study was conducted to identify the variables related to a health promoting lifestyle in high school students. 304 high school students and 189 vocational high school students living in Taegu city were selected by a convenience sampling method. The data were collected by self-reported questionnaires from August 24 to September 4, 1998. Pender and others' Health Promoting Lifestyle Profile, Shere et al's. Self-Efficacy scale, Wallston et al.'s Internal Health Locus of Control scale, Wares' Health self rating scale and Cohen & Hoberman's Social support scale were used. The data were analyzed by using descriptive statistics, Pearson correlation coefficient, t-test, MANOVA, ANOVA. Tukey verification and Stepwise multiple regression with an SAS program. The results of this study were as follows: 1. The average score of a health promoting lifestyle performance was 2.38(SD=.36) of a 4 point scale .Self-actualization (mean = 2.80. SD = .60). interpersonal support(mean = 2.73, SD=.47), health responsibility (mean=1.53, SD=.47), nutrition(mean=2.64, SD=.63), exercise(mean=2.71. SD=.72) and stress management(mean=2.37, SD=.58) were also analyzed. 2. The combination of self-efficacy, social-support, internal health locus of control. father's educational level and perceived health status explained 37.97% of the variance in health promoting lifestyles. 3. A Health promoting lifestyle showed significant positive correlations with self efficacy(r=.5173. p=.0011), perceived health status(r=.254, p=.001) and internal health locus of control(r=.321. p=.001). 4. According to sex(t=7.38. p=.006). economic state(F=6.62, p=.00l), Father's educational level(F=4.25, p=.005), mother's educational level(F=6.94. p=.000l), the grade of educational performance(F=3.74, p=.024), sleeping hours(F=3.47. p=.032) and social support(F=40.76, p=.0001). there were significant differences and modifying factors in health promoting lifestyles. On the basis of the above findings. self-efficacy in cognitive factors, and social support in modifying factors were identified as the variables which explained most of Pender's health-promotion model. Nursing strategies enhancing self-efficacy and social support which have a more significant effect on health promoting lifestyles should be developed. Further research is required to find out the factors influencing health pormoting lifestyle of high school students.

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여대생의 건강증진행위와 삶의 만족에 영향을 미치는 요인에 관한 연구 (A Study of the Factors Influencing Health Promoting Behavior and Satisfaction of Life in Female College Students)

  • 백경신;최연희
    • 보건교육건강증진학회지
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    • 제20권2호
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    • pp.127-147
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    • 2003
  • The purpose of this study was to investigate the factors influencing health promoting behavior and satisfaction of life in female undergraduate students, to provide the basic data for health promoting intervention in order to improve satisfaction of life. The subjects of this study were 345 female undergraduate students living in Jecheon city who were selected by convenience sampling. The data was collected through self-reported questionnaires from Oct. 2 to Dec. 20, 2001. Research instruments used in this study were the health promoting lifestyle profile developed by Walker et al(1987), satisfaction of life developed by Pavot and Diener(1993), perceived health status by Lawston et al(1982), self-esteem by Rosenberg(1965), self-efficacy by Becker et al(1993), health locus of control by Wallston et al(1978). The data was analyzed by using descriptive statistics, pearson correlation coefficient, stepwise multiple regression with SPSS/Win program. The results of this study were as follows; 1) The mean score of health promoting behavior was 2.31 point out of 4. Among the sub-levels of health promoting behavior, the order of importance was the following self-actualization(2.76), interpersonal support(2.75), stress management(2.31), nutrition(2.06), health responsibility(1.83), exercise(1.76). The mean score of satisfaction of life was 4.11 point out of 7. 2) The health promoting behavior showed significant positive correlation with perceived health status, self-esteem, self-efficacy, internal health locus of control, powerful others health locus of control. The satisfaction of life showed significant positive correlation with perceived health status, self-esteem, self-efficacy, internal health locus of control, health promoting behavior. 3) In the relationship between general characteristics and health promoting behavior, there was a significant difference in majors(F=8.50, p=.000). In the relationship between general characteristics and satisfaction of life were significant differences in a grades(F=2.67, p=.04) and economic status of parents(F=8.59, p=.000) 4) The most powerful predictor of health promoting behavior was self-efficacy. A combination of self-efficacy, self-esteem and powerful others health locus of control accounted for 34.7% of the variance in health promoting behavior. The most powerful predictor of satisfaction of life was self-esteem. A combination of self-esteem, health promoting behavior, perceived health status, economic status of parents and grade accounted for 34.0% of the variance in satisfaction of life. In conclusion, we need a health promotion program focusing on exercise, health responsibility and nursing strategies enhancing self-efficacy and self-esteem should be developed to promote a healthy lifestyle and satisfaction of life in female college students.

Effect of One Leg Bridge Exercise with Abdominal Pressure Control on the Trunk Muscle Activation in Healthy Adults

  • Jeong, Seunghoon;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • 제11권2호
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    • pp.253-258
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    • 2022
  • Objective: This study aimed to determine the effect of internal abdominis pressure(normal, hollowing and bracing) on trunk muscle activity during one leg bridge exercise. Design: Cross-sectional study. Methods: Thirteen healthy adults (9 men and 4 women) were instructed to perform Internal abdominal pressure(IAP) control(Normal, Hollowing, Bracing) during one leg bridge. Electromyography (EMG) data (% Maximum Voluntary Isometric Contraction, MVIC) were recorded three times on both sides of the participant's Internal Oblique(IO), Effector Spinae(ES), and Multifidus(MF) muscles and the average value was analyzed. Results: As a result, Abdominal bracing one leg bridge (BOLB) group and Abdominal hollowing one leg bridge (HOLB) group showed significantly increased muscle activation of bilateral internal oblique, erector spinae and multifidus activation compared to the Normal one leg bridge (NOLB) group (p<0.05). Abdominal hollowing one leg bridge (HOLB) group had a significant difference in bilateral Internal oblique muscle activation in compared to the NOLB group (p<0.05). Conclusions: Bilateral internal oblique, erector spinae, and multifidus muscles activation in healthy adults at one leg bridge exercise showed greater activation at abdominal bracing. Therefore, in this study, IAP control can be used as an indicator of choice to the dysfunction with trunk muscle weakness and corrective exercise subject's situation when the goal is to activate the trunk muscles by performing one leg bridge.

Pyogenic Liver Abscess as a Warning Sign for Primary Liver Cancer: A Nationwide Population-based Study

  • Huang, Wen-Kuan;Lin, Yung-Chang;Chiou, Meng-Jiun;Yang, Tsai-Sheng;Chang, John Wen-Cheng;Yu, Kuang-Hui;Kuo, Chang-Fu;See, Lai-Chu
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권8호
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    • pp.4727-4731
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    • 2013
  • Background: There have been no large-scale population-based studies to estimate the subsequent risk of primary liver cancer (PLC) among patients with pyogenic liver abscess (PLA). This study aimed to provide relevant data. Materials and Methods: The Taiwan Longitudinal Health Insurance Database for the years 2000 and 2005 was used. The PLA group were adult inpatients who were newly diagnosed with PLA from 2000 to 2008. The control group was randomly selected and matched with the PLA group in terms of age, sex, and date in which medical treatment was sought other than for PLA. Results: There were 1,987 patients each in the PLA and control groups. In total, 56 had PLC, 48 (2.4%, 601.5 per 100,000 person-years) from the PLA group, and 8 from the control group. After adjusting for potential covariates, the hazard ratio of PLC for the PLA group was 3.4 times that of the control group (95% confidence interval = 1.6-7.3, p <0.001). The PLC risk for the PLA group was significantly higher within the first year after PLA diagnosis (hazard ratio: 35.4) as compared with the control group and became insignificant (hazard ratio: 2.0, 95% confidence interval = 0.8-4.9) more than one year after PLA diagnosis. Conclusions: Patients with PLA have a higher rate of PLC than matched controls, especially within the first year after the diagnosis of PLA, suggesting PLA is a warning sign for PLC.

치과 캐드캠 시스템의 가공 방식에 따른 금속 코핑의 적합도 비교 (Comparison of the Marginal and Internal Gap of Metal Coping according to Processing Method of Dental CAD/CAM System)

  • 김동연;전진훈;박진영;김지환;김혜영;김웅철
    • 치위생과학회지
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    • 제15권1호
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    • pp.12-17
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    • 2015
  • 본 연구에서는 치과 CAD/CAM 시스템을 이용하여 SM 가공 방식으로 코핑을 제작 후 주조한 금속 코핑과, AM 가공 방식으로 코핑을 제작 후 주조한 금속 코핑과의 변연 및 내면 적합도를 비교 평가하여 다음과 같은 결과를 얻었다. SM 가공 방식과 AM 가공 방식의 변연 적합도 부분에서는 $120{\mu}m$ 임상적 허용 범위에 존재하였다. SM 가공 방식과 AM 가공 방식의 변연 적합도 및 내면 적합도는 통계적으로 유의한 차이가 있는 것으로 나타났다(p<0.05). SM 가공 방식과 AM 가공 방식으로 제작된 두 그룹의 전체 적합도와 4부분 부위별 적합도 측정은 SM 가공 방식보다 AM 가공 방식이 우수하였다. 결론적으로 금속 코핑의 변연 및 내면 적합도는 SM 가공 방식보다 AM 가공 방식이 우수하였고, 그 결과 값들은 임상적 허용범위 안에 존재하였다. 앞으로 치과분야에서 AM 가공 방식에 관한 연구는 계속되어야 하며, 보다 완성도 높은 금속 코핑 제작이 가능하다고 생각된다.

컴퓨터-맞춤형 중재 프로그램의 효과;모유수유 증진을 위한 프로그램을 중심으로 (Effectiveness of Computer-tailored Intervention Program;Focused on the Program to Promote Breast-Feeding)

  • 김정아
    • 간호행정학회지
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    • 제13권2호
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    • pp.242-253
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    • 2007
  • Purpose: The aim of this study is to examine the effectiveness of an computer-tailored intervention program to promote breast-feeding. Method: A quasi-experimental design was used assigning forty pregnant women to the experimental group (computer-tailored intervention condition) and the control group (no-intervention control condition). Thirty-three participants completed pretest and posttest questionnaires and 19 participants assigned to intervention condition received personal feedback tailored by computer program. Result: Participants in the experimental group showed higher mean score of 'perception of the importance of breast-feeding'. Significant differences in internal health locus of control was found between the participants in the experimental group and the control group. Participants in the experimental group exceeded controls on intention of breast-feeding. Participants in the control group more often felt that the length of program contents they received was somehow longer. Conclusions: The use of a computer-tailored intervention improved the perception of the importance of breast-feeding and the internal health locus of control. The intention of breast-feeding was increased through the personal feedback tailored by computer even though participants felt that the length of program contents of tailored feedback was not longer.

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진폐환자의 우울에 영향을 미치는 요인 (The Factors Affecting the Depression in Pneumoconiosis Patients)

  • 박주현;임현우;채정미;조현주;정혜선;조선진;이원철
    • 한국직업건강간호학회지
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    • 제16권1호
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    • pp.28-36
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    • 2007
  • Objectives: The objective of this study was to analyze factors affecting depression in pneumoconiosis patients. Methods: The subjects were 200 pneumoconiosis patients hospitalized in Pneumoconiosis Hospitals in An-san and Tae-beck. Collected 114 surveys were used in this study among 200 surveys since 86 surveys offered insufficient data. SAS for Windows 8.01 was used to analyse the data Results: Percentage of normal and mild depression is 2.6%, Percentage of moderate depression is 14.9%, Percentage of severe depression is 79.8%. In order to analyze the factors affecting depression rate, the factors with p-values less than 0.1, such as age, education, religion, work department, hospitalized period, physical pain existence, daily living ability, family supports and internal locus of control, were selected as independent factors and analyzed using a stepwise multiple regression. As results, the factor that affected the rate of depression were of the age, education, ADL(Activities of Daily Living), the internal locus of control, family support. Conclusion: It is necessary to develop health program which can improve the patient's ADL(Activities of Daily Living), enforce internal locus of control to minimize the depression rate in pneumoconiosis patients.

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기능성 소화불량증 환자의 변증증후(辨證證候)에 의한 건강상태와 위 운동성의 상관성에 대한 연구 (기혈수(氣血水) 변증(辨證)과 위전도 지표를 중심으로) (Relationship between Gastric Motility and Health Condition Graded by Total Symptom Scores in Comprehensive Diagnosis of Qui Xue Shui in Functional Dyspeptic Patients)

  • 정하덕;김진성;류봉하;류기원;윤상협
    • 대한한방내과학회지
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    • 제25권4호
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    • pp.158-166
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    • 2004
  • Background & Object : The aim of this study was to investigate the usefulness of electrogastrography in the diagnosis field of traditional medicine through a study of the relationship between gastric motility and health condition based on oriental medicine diagnostic theory in functional dyspepsia. Method : 86 patients (male 27, female 59) with functional dyspepsia and 10 healthy control subjects (male 5, female 5) were involved in the investigation. The disease information of functional dyspepsia (based on Rome criteria II) was used for dyspeptic index and scores were obtained from the comprehensive diagnosis of Qui, Xue, Shui was applied as index for health condition, those were all investigated by questionnaire. Gastric motility were recorded and analyzed using electrogastrography in fasting and postprandial period. Results : The total score of comprehensive diagnosis of Qui Xue Shui was influenced by the number of functional dyspepsia symptoms (p=0.026). In terms of electrogastrographical parameters, both postpranial normal slow waves regularity(p=0.003) and power ratio (p=0.001) in the patients had the statistical significance and they showed an incremental inverse correlation with the number of symptoms. Dominant frequency and fasting normal slow waves regularity ratio had no statistical significance. Conclusion : Results suggest that electrogastrography is useful in evaluating the health condition of patient by comprehensive diagnosis of Qui Xue Sui.

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국가 정신건강증진사업의 현황과 향후 과제 : 부문 간 협력을 중심으로 (Tasks for Present and Future of National Mental Health Promotion in Korea : Focused on Inter-Sectoral Collaborations)

  • 채은희;이효영
    • 보건교육건강증진학회지
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    • 제30권4호
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    • pp.25-39
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    • 2013
  • Objectives: The purpose of this manuscript was to come up with ideas about supportive policies and multi-sectoral collaboration for Mental health Promotion. Methods: The authors reviewed about 40 various international & internal scientific articles including WHO's publications related with mental health programmes and mental health promotion. Besides, we reviewed inter-sectoral and multi-sectoral collaborations of mental health works for policy recommendations. Results: There are many problems in present mental health services; lack of budgets, existence of many vulnerable people, lack of mental health indexes, low accessibilities to mental health services, lack of supportive policies, and no existence of comprehensive control tower. Conclusions: It is important to strengthen public mental health services focused on health promotion. In addition, reinforcement of the infra-structures and establishment of a comprehensive control tower for mental health promotion should be done immediately. The control tower will have specific roles in structures of different government sectors and infrastructures for inter-sectoral collaboration.

오토바이 사고환자의 안전모 착용여부에 따른 뇌 손상비교와 자아존중감, 건강통제위 성격, 건강증진행위의 비교연구 (A Comparative Study on Injury Severity, Self esteem, Health Locus of control and Health Promotion Lifestyles between Helmeted and Nonhelmeted Motorcycle Accident Victims)

  • 최스미
    • 대한간호학회지
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    • 제23권4호
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    • pp.585-601
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    • 1993
  • Data on 63 patients who had had motorcycle accidents and who were admitted to four general hospitals in the Chung Chung Nam Do area from July / 1993 to August 1993 were analyzed. The tool used for this study was a structured questionnaire which consisted of ten items on self- esteem, 18 items on health locus of control and 37 items profiling health prometion lifestyle. Injury severity scores were calculated bated based on data from the patients’ medical records. The collected data were analyzed using the SPSS, yielding descriptive statistics, t-test, ANOVA, Pearson’s Product Moment Correlation. The findings of this study are as follows. 1) Of the 63 injured motorcyclists, 35(55.6%) were helmeted and 28(44.4%) were nonhelmeted, and the nonhelmeted motorcyclists were predominantly young and male. The demographic variables for the helmeted and nonhelmeted groups were heterogeneous for age and occupation. 2) The results of the comparison between the two groups showed a statistically significant difference in the injury severity score(t=-4.70, p=0.000). The helmeted group had lower scores on injury severity score (9.00±3.93) than the nonhelmeted group(14.32土5.05). More than 60% of the nonhelmeted motorcyclists had brain injuries compared to only a third of the helmeted cyclists. 3) There .was a statistically significant difference between the two groups on self esteem(t=4.5, 000). The helmeted group had a higher mean score (31.27±2.72) than the nonhelmeted group(27.46±3.80). 4) The means for Internal health locus of control (IHLC), Powerful others health locus of control (PHLC), and Chance health locus of control (CHLC) in the two groups were similar to instrument norms reported in other literature. The mean scores on the IHLC in the two groups were higher than scores on the PHLC or the CHLC. However, there was a significant difference between the mean scores for the two groups on the PHLC (t=2.85, P=0.006). 5) The mean score for the helmeted group on the health promotion lifestyle profile was higher than the mean score for the nonhelmeted group(107.30±11.10, 96.57土 15.54 respectively), and there was a significant difference between the mean scores (t=3.64, p=0.001) . The highest score for helmeted group on the health promotion lifestyle profile was in the health care domain. However, for the nonhelmeted group the highest score was in the exercise domain and the lowest score was in the health care domain. 6) With regard to the relationship between health promotion lifestyle, health locus of control and self esteem in the two groups, the correlation coefficient between health promotion lifestyle and internal health locus of control for the helmeted group was 50(p〈0.01). For the nonhelmeted group, there was no correlation between health promotion lifestyle and internal health locus of control. However, there were significant correlation between health pro-motion lifestyle and external locus of control(r=0. 46, p〈0.01), and self esteem(r=0.495, p〈0.01). 7) Among the demographic variables, age and education had an impact on individual’s self-esteem The modifying factors of age made a contribution to explaining health - promoting lifestyle. In the present study, more than 40% rf the motorcyclists were riding without a helmet. The incidence of brain injury for patients riding without a helmet was nearly twice as high in the nonhelmeted rider as compared to the helmeted rider. The nonhelmeted motorcyclists in this study had lower self-esteem, obtained a higher score on the IHLC, and were not strongly engaged in performing health promotion activities as compared to the helmeted riders. However, some of the nonhelmeted riders who had a strong belief in PHLC were positively associated with engaging in health promotion activities. Based on the results obtained from this study, strategies to promote helmet usage for motorcyclists have to be developed.

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