• Title/Summary/Keyword: Intervention Strategies

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Associated Factors of Binge Drinking and Problem Drinking among Korean Men and Women (우리나라 남녀 성인의 폭음 및 문제음주 영향 요인)

  • Jeon, Gyeong-Suk;Lee, Hyo-Young
    • Korean Journal of Health Education and Promotion
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    • v.27 no.1
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    • pp.91-103
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    • 2010
  • Objectives: This study firstly examined the pattern and prevalence of drinking. Secondly, we examined the sociodemographic and health factors associated with binge drinking and problem drinking among Korean men and women. Methods: Secondary analysis of the 2005 Korea National Health and Nutrition Examination Survey was conducted for 6,613 respondents aged 19 to 64. Results: Prevalence for binge drinking was 59.7% of men and 15.2% of women. Overall, 45.0% of men and 7.1% of women reported problem drinking. For both men and women, being divorced/separated/widowed was associated with binge drinking (OR=1.51 for men, OR=1.91 for women) and problem drinking (OR=1.43 for men, OR=2.12 for women), and smoking was associated with binge drinking (OR=3.20 for men, OR=3.96 for women) and problem drinking (OR=2.39 for men, OR=4.93 for women). Among women, unmarried and less educated increased the risk of binge drinking and problem drinking but being single and education level were not associated with binge drinking and problem drinking in men. Conclusion: There might be sex difference in the relationships between sociodemographic, and health factors and binge drinking, and problem drinking. Our finding suggest that the need to develop appropriate binge drinking prevention and intervention strategies for sex specified groups at greater risk.

Environmental Radiation Protection in Medical Institutions

  • Han, Eun-Ok;Dong, Kyung-Rae
    • Journal of Radiation Protection and Research
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    • v.35 no.3
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    • pp.91-95
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    • 2010
  • The study aimed to measure the levels of radiation protection for radiologists in medical institutions in three environmental categories (physical, administrative and social) and to establish a data base which can be used to increase awareness of environmental radiation protection in medical institutions within Korea. The study surveyed 10% of radiologists working in radiology departments in medical institutions which are supervised by the National Dose Registry overseen by the Korean Food and Drug Administration(KFDA). This study found that the level of environmental radiation protection was higher in the capital area and in larger hospitals. On the other hand, the study shows environmental radiation protection was lower in the Youngnam area and in clinics. Results from the questionnaires indicate the level of environmental radiation protection was higher when radiologists were given an individual dosimeter but lowest when the radiation protection apron quality test was conducted. Environmental radiation protection is an important factor for radiologists to conduct activities in a safe and protected environment. However, this study shows there are differences in the level of environmental radiation protection in medical institutions and location within Korea. In particular, the level of environmental radiation protection was lower in clinics, appropriate intervention strategies befitting these conditions are needed based on medical institution classification and location in order to improve the level of environmental protection.

Adolescent Health Risk Behaviors in Jeju, South Korea

  • Park, Eun-Ok;Hong, Seong-Chul;Park, Sun-Hee
    • Child Health Nursing Research
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    • v.13 no.2
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    • pp.212-221
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    • 2007
  • Background: Adolescent risk behaviors are of concern because they are dangerous in themselves and have negative influences on adult health. Objectives: This study explored six health risk behaviors of a sample representing the adolescent population in Jeju. Methods: Frequency and percentage of risk behaviors were calculated. Additionally, the chi-square test was used to explore whether differences in experimentation with risk behaviors exist relative to gender and schooling levels. Results: There were six major findings in this study: (a) a lower rate of lifetime and current cigarette use among female students compared to male students, (b) a substantial portion of heavy drinkers, (c) a higher rate of lifetime drug use among female students than among male students, (d) a higher prevalence of suicide ideation among female students than among male students, (e) substantial percentages of students who did not usually wear seatbelts, motorcycle helmets, or bicycle helmets, and (f) a substantial portion of students who were not involved in vigorous physical activities. Conclusions: Since a substantial portion of adolescents have been involved with diverse risk behaviors, it is urgent to implement effective intervention strategies to reduce the rates of these behaviors.

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The Impacts of Psychosocial Work Conditions on Self-rated Health among Korean Workers (한국 근로자의 심리·사회적 근로환경이 주관적 건강에 미치는 영향)

  • Choi, Eunsuk;Jeon, Gyeong-Suk
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.4
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    • pp.300-310
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    • 2016
  • Purpose: Few studies have considered the psychosocial work environment factors in relation to employee health. This study explored the relationship between psychosocial work characteristics and self-rated health among Korean employees. Methods: The study population of 21,476 employees was derived from the 2014 Korean Work Environment Survey (KWES). Psychosocial work environment was measured by Copenhagen psychosocial questionnaire scales. Results: Among employees at workplaces (n=21,476), 23.3% rated their health as poor. Among 12 indicators of psychosocial work environment characteristics, 'higher emotional demand', 'demands for hiding emotions', 'work-family conflict', and 'social community at work' were independently associated with risk of poor self-rated health of Korean employees after adjustment of all sociodemographics, work condition characteristics and physical work environment exposure. In addition, higher 'possibilities for development' and 'social support from supervisor' were more likely to decrease the risk of poor health. Conclusion: We suggest that psychosocial work environment is an important determinant of employees' health. The study results provide a good starting point for developing intervention and strategies for health improvement.

A Concept Analysis on Reality Shock in Newly Graduated Nurses Using the Hybrid Model (혼종모형을 이용한 신규간호사의 현실충격에 대한 개념분석)

  • Sin, Kyung Mi;Kim, Eun-Young
    • Korean Journal of Occupational Health Nursing
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    • v.26 no.1
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    • pp.19-29
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    • 2017
  • Purpose: The purpose of this study was to define and clarify the concept of reality shock in new graduated nurses. Methods: The hybrid model was used to develop the concept of reality shock. The model included a field study. The participants were 9 newly graduated nurses with a nursing career spanning less than a year. Results: The reality shock in newly graduated nurses was identified to have three dimensions and seven attributes. Specifically: 1) the dimension of performance included two attributes (conflict between theory and practice, and being overwhelmed by the workload), 2) the dimension of relationship included three attributes (loss of support, embarrassment from interference, and relational withdrawal), 3) the dimension of expectations included two attributes(value confusions and incongruity in personal life). Conclusion: Newly graduated nurses' reality shock was defined as a state of incongruence in their entire life that the new nurses experienced owing to value confusions that occurred due to the conflicts between theory and practice in an unfamiliar work environment, getting overwhelmed by the workload, and withdrawing establishing relationships with others due to the loss of support and excessive interference. These findings could help develop intervention strategies to decrease reality shock in newly graduated nurses.

Coronary three vessel disease: hydrodynamic simulations including the time-dependence of the microvascular resistances

  • Harmouche, Majid;Anselmi, Amedeo;Maasrani, Mahmoud;Mariano, Chiara;Corbineau, Herve;Verhoye, Jean-Philippe;Drochon, Agnes
    • Advances in biomechanics and applications
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    • v.1 no.4
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    • pp.279-292
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    • 2014
  • This paper presents some simulations of fluxes and pressures in the coronary network, in the case of very severe coronary disease (several stenoses on the left branches and total occlusion of the right coronary artery). In that case, coronary artery bypass graft surgery is the commonly performed procedure. However, the success of the intervention depends on many factors. Modeling of the coronary circulation is thus important since it can help to understand the influence of all these factors on the coronary haemodynamics. We previously developed an analog electrical model that includes the eventual presence of collateral flows, and can describe the different revascularization strategies (two grafts, three grafts, ...). The aim of the present work is to introduce in our simulations the time-dependence of the coronary microvascular resistances, in order to better represent the effect of the systolic ventricular contraction (which induces an elevation of the resistances because the vessels are squeezed).

Analyzing Motivational Factors to Predict Health Behaviors among Older Adults (동기이론에 근거한 재가 및 시설거주 노인의 건강행위 예측요인 분석)

  • Song, Rhayun
    • Korean Journal of Adult Nursing
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    • v.18 no.4
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    • pp.523-532
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    • 2006
  • Purpose: The positive effects of health behaviors in older population are well recognized, but maintenance of health habits was more difficult than initiation. The purposes of the study were to identify predictors of health behavior based on motivation theories, and to analyze predicting power of motivational factors to explain health behaviors in older adults. Methods: The data were collected from older adults either institutionalized or living in the community. Total of 159 subjects with 72 years old in average were recruited for an interview. Hierarchical multiple regression analysis were utilized to analyze the data with age, residential type, and motivational variables. Results: The results of the multiple regression analysis showed that age and residential type explained 3% of variance in health behaviors (F=3.705, p=0.027). When motivational variables were entered, additional 56.9% of variance were explained by the model (F=33.275, p< 0.001). Among motivational variables, perceived benefits was the most important variable (${\beta}=0.346$, t=4.582, p<0.001), followed by self efficacy, emotional salience, and perceived barriers. Conclusion: Considering the importance of each motivational variable, the focus of intervention strategies to assist older adults to maintain health behaviors should be on modifiable and important motivational variables, such as self-efficacy, perceived benefits and barriers, and emotional salience.

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The Health Behavioral Experience of Patients with Myocardial Infarction during the Recovery Period (회복기 심근경색 환자의 건강행위 경험)

  • Kang, Kyung Ja;Kim, Moon Jeong
    • Korean Journal of Adult Nursing
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    • v.26 no.2
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    • pp.203-213
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    • 2014
  • Purpose: The purpose of this study was to understand and describe the every day life experience of patients with acute myocardial infarction (AMI) during the recovery period after Percutaneous Coronary Intervention (PCI) using a qualitative approach. Methods: Twelve patients with AMI participated in this study. Their age ranged from 42 to 75. The data were collected by individual in-depth interviews and all interviews were audio-taped and transcribed verbatim. The transcribed data were analyzed using traditional qualitative content analysis. Results: Six sub-themes emerged from the data as follows: Getting to know about illness, getting motivated for health behavior, putting an effort into health behavioral change, having difficulties maintaining health behavior, setting up coping strategies for health behavior and having a need for a tailored education. The results of this study showed how the health behaviors of patients with AMI are related to their every day life experiences. Conclusion: The results of this study could help health professionals to better understand patients with AMI and design effective educational interventions to improve their health behaviors.

Factors influencing related Health Promoting Life-Style in Middle-aged Women (중년여성의 건강증진 생활양식 관련요인분석)

  • Park, Myeung-Hee
    • Women's Health Nursing
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    • v.3 no.2
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    • pp.157-179
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    • 1997
  • The purpose of this study is to provide a basis for nursing intervention strategies to enhance health promoting practice that are constructive to a healthy lifestyle. Data were collected through self-reported questionnaires from 281 middle-aged women living in Seoul, Kyeung ki, Taegu, Kyeung pook, and Kyeung nam from July to September 1997. The following instruments were used in the study after some adaption : scale of perceived health status, self-esteem, perceived benefits, family hardiness index, purpose in life, Walker and other health promoting lifestyle profiles. The data were analyzed, by t-test, ANOVA Scheffe's Pearson's correlation & stepwise multiple regression, by using the SAS program. The results are as follows : 1) The average score for the health promoting lifestyle was 2.65. In the sub-categories, the highest degree of practice was self-actualization (2.91), and in the lower degree was health responsibility (2.13). 2) In the relation ship between social demographic and health promoting lifestyle there were significant differences ineducation, occupation, economic status, and type of family. 3) There is a significant correlation between perceived health status, self-esteem, perceived benefits, family hardiness index, existential vacuum and total & subcategory health promoting lifestyles. 4) Existential vacuum was the highest factor predicting a health promoting lifestyle for middle-aged women (38.0%). 5) Existential vacuum, commitment and self-esteem accounted for 45.9% of the total variance.

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Subjectivity on Coping with Fatigue among Middle-aged Men (중년기 남성의 피로대처에 관한 주관성)

  • Yeun, Eun-Ja;Ryu, Eun-Jung;Chon, Mi-Young;Hwang, Yun-Young
    • Korean Journal of Adult Nursing
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    • v.14 no.4
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    • pp.625-634
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    • 2002
  • Purpose: The purpose of this study is to identify factors that affect coping with fatigue in middle-aged men according to Q-methodology and to provide basic strategies for health promotion. Method: 25 subjects in Seoul, Incheon, Chung-buk classified 24 selected Q-statements in to 9 points standard. The collected data were analyzed by using a QUNAL pc program. Result: Principal component analysis identified 3 types of coping with fatigue among middle-aged Korean men. 1st Type : Coping with fatigue through various kinds of game, using alcohol, smoking cigarette other than rest and sleep. 2nd Type : Coping with fatigue through rest and sleep, taking medicine or food which helps relieving fatigue. 3rd Type : Coping with fatigue through acitivities such as sports or trip other than sleep. Conclusion: We have found how Korean middle-aged men cope against fatigue through this research. To setup and apply different nursing intervention on each type based on this result is needed.

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