• Child Health Nursing Research
• /
• v.25 no.4
• /
• pp.388-397
• /
• 2019

Purpose: This study aimed to identify the degree of accident prevention behavior, self-esteem, self-regulation ability, and social support among middle-school students, and investigate factors influencing their practice of accident prevention behaviors. Methods: The participants were 174 students from two middle schools located in J city. Data were collected from December 28, 2017 to February 9, 2018 using self-reported questionnaires. Results: The mean score were $3.08{\pm}0.37$ of 4 for practice of accident prevention behaviors, $3.07{\pm}0.57$ of 4 for self-esteem, $3.69{\pm}0.48$ of 5 for self-regulation ability, and $3.38{\m}0.75$ of 5 for social support. Positive correlations were found among self-regulation ability, self-esteem, social support, and practice of accident prevention behaviors. The factors influencing the practice of accident prevention behaviors were personality (being 'haste') (${\beta}=-.20$, p=.003), self-regulation ability (${\beta}=.48$, p<.001), and social support (${\beta}=.23$, p<.001). These factors explained 39.0% of the variance in practice of accident prevention behaviors. Conclusion: It was found that the middle-school students engaged in prevention behavior to an extent that was insufficient to prevent accidents. Therefore, it is necessary to develop intervention strategies to improve the practice of accident prevention behavior among middle-school students, considering self-regulation ability, social support, and personality, which affect the practice of accident prevention behaviors.

• The Journal of Korean Society for School & Community Health Education
• /
• v.21 no.1
• /
• pp.91-103
• /
• 2020

Objectives: This study was conducted to investigate the effects of personal characteristics and health beliefs on health behaviors of foreign workers living in Korea. Methods: The subjects of this study were foreign workers who understood the purpose of this study and allowed participation in the workplaces in northern Gyeonggi Province. The final subjects were 206, and collected all data were analyzed by SPSS 23.0. Results: The personal characteristics of the subjects were 51.0% for male and 49.0% for female, and the average age was 31.76(±6.96) years old. The mean for each health belief factors was perceived benefits 4.03(±.56), perceived severity 3.75(±.73), perceived susceptibility 3.65(±.64), self-efficacy 3.56(±.83), and perceived barriers 3.34(±.73). The mean of each health behavior factors was non-smoking 4.02(±.83), drinking 3.92(±.80), health responsibility 3.42(±.83), exercise 3.37(±1.01), dietary habits 1.91(±.11), and stress management 1.72(±.27). The correlation between sub-factors of health belief was all at the level of p <0.01. The sub-factors of health belief were health behavior and perceived susceptibility(r=.773, p<0.01), followed by self-efficacy(r=.760, p<0.01), and perceived severity(r=.574, p<0.01). The factors affecting health behavior were self-efficacy(β=.540, p<.001), perceived susceptibility(β=.461, p<.001), perceived benefits(β=.152, p<.05), marriage status(β=-. 100, p <.05), and income(β=-. 120, p <.05) in order. Conclusion: In-depth consideration of factors that can affect the physical, psychological and social health of foreign workers, and various program development and intervention strategies based on these factors should be sought.

• Journal of the Korean Society of School Health
• /
• v.24 no.1
• /
• pp.110-117
• /
• 2011

Purpose: The study aimed at identifying distributions of career stress and determining whether conflict at school or with family and health-risk behaviors could be associated with career stress. Methods: The subjects were 7,155 high school students in Seoul. Data were stratified random samples from Seoul student health examinations in 2010. Chi-square, trend test and multiple logistic regression were conducted. Results: Fifty six percent of subjects had career stress. Career stress, after adjusting for confound variables was associated with a significantly increased odds ratio (OR) for sociodemographic characteristics including females (OR=1.34), 12th graders (OR=1.56), 11th graders (OR=1.50), south area (OR=1.47), and northeast area (OR=1.40), for conflict at school or with family including violent threats made by family members or schoolmates (OR=2.00), thoughts of running away from home (OR=1.45), and needing of counseling for agony (OR=5.45), and for health-risk behaviors including sleep ${\leq}6$ hours/day (OR=1.23), nonuse of seat belts or protective euipment (OR=1.50), and frequently viewing pornography or chatting on adult Web sites (OR=1.23). Conclusion: Stress-coping skills and intervention strategies will be needed to enhance students' positive and to help them cope with psychosocial conflicts at school and with their families, and with health-risk behaviors, including sleep deprivation and nonuse of safety measures, including seat belts and protective.

• Research in Community and Public Health Nursing
• /
• v.32 no.3
• /
• pp.404-414
• /
• 2021

Purpose: Health behaviors for metabolic syndrome (MetS) prevention should be emphasized from early adulthood. There is little information on psychosocial factors associated with health behaviors for MetS prevention. The aim of this study was to determine whether there would be a mediating effect of perceived stress on the association between social support and health behaviors for MetS prevention among university students. Methods: This cross-sectional and correlation study was conducted with 502 university students in South Korea. Social support, perceived stress, and lifestyle evaluation for metabolic syndrome scales were used. Online questionnaire survey was conducted between November and December 2019. The mediating effect of social support on health behaviors for MetS prevention was analyzed using PROCESS macro program with bootstrapping method to test our hypotheses. Results: Social support directly influenced perceived stress (β=-.35, p<.001) and health behaviors for MetS prevention (β=.14, p=.002). Health behaviors for MetS prevention was indirectly influenced by perceived stress (β=-.25, p<.001). The size of indirect effect of social support on health behaviors for MetS prevention was 0.06. Conclusions: The association of social support and health behaviors for MetS prevention was partially mediated by perceived stress among university students. Therefore, a university-based nursing intervention should comprise social support strategies with stress management to promote health behaviors for MetS prevention.

• Journal of Digital Convergence
• /
• v.17 no.2
• /
• pp.423-431
• /
• 2019

The purpose of this study is to examine the mediating effect of social support in relations between alcoholics' depression and suicidal ideation. The subjects were diagnosed with alcohol dependence by the DSM-IV, and are currently hospitalized at the hospitals in Busan, Ulsan, etc. for alcohol treatment. After explaining the purpose of this study to the participants, the questionnaires were distributed to those who agreed to the research and survey was self-written. Through this process, 217 questionnaires were analyzed. The Survey was done from October 1 to November 1, 2017. To examine the mediating effect of social support, 3steps' mediated regression analysis and Sobel test were done. The result of mediated regression analysis show halfly mediated effect of social support on alcoholics' suicidal ideation. According to these findings, intervention strategies that focus on increasing the social support on alcoholics are suggested.

• Journal of Korean Neurosurgical Society
• /
• v.62 no.1
• /
• pp.35-45
• /
• 2019

Objective : To describe our experiences with a fully equipped high-end digital subtraction angiography (DSA) system within a hybrid operating room (OR). Methods : A single-plane DSA system with 3-dimensional rotational angiography, cone-beam computed tomography (CBCT), and real-time navigation software was used in our hybrid OR. Between April 2014 and January 2018, 191 sessions of cerebrovascular procedures were performed in our hybrid OR. After the retrospective review of all cases, the procedures were categorized into three subcategorical procedures : combined endovascular and surgical procedure, complementary rescue procedure during intervention and surgery, and frameless stereotaxic operation. Results : Forty-nine of 191 procedures were performed using hybrid techniques. Four cases of blood blister aneurysms and a ruptured posterior inferior cerebellar artery aneurysm were treated using bypass surgery and endovascular trapping. Eight cases of ruptured aneurysm with intracranial hemorrhage (ICH) were treated by partial embolization and surgical clipping. Six cases of ruptured arteriovenous malformation with ICH were treated by Onyx embolization of nidus and subsequent surgical removal of nidus and ICH. Two (5.4%) of the 37 cases of pre-mature rupture during clipping were secured by endovascular coil embolization. In one (0.8%) complicated case of 103 intra-arterial thrombectomy procedures, emergency surgical embolectomy with bypass surgery was performed. In 27 cases of ICH, frameless stereotaxic hematoma aspiration was performed using $XperGuide^{(R)}$ system (Philips Medical Systems, Best, the Netherlands). All procedures were performed in single sessions without any procedural complications. Conclusion : Hybrid OR with a fully equipped DSA system could provide precise and safe treatment strategies for cerebrovascular diseases. Especially, we could suggest a strategy to cope flexibly in complex lesions or unexpected situations in hybrid OR. CBCT with real-time navigation software could augment the usefulness of hybrid OR.

• Biomolecules & Therapeutics
• /
• v.27 no.1
• /
• pp.107-116
• /
• 2019

The global obesity epidemic and associated metabolic diseases require alternative biological targets for new therapeutic strategies. In this study, we show that a phytochemical sulfuretin suppressed adipocyte differentiation of preadipocytes and administration of sulfuretin to high fat diet-fed obese mice prevented obesity and increased insulin sensitivity. These effects were associated with a suppressed expression of inflammatory markers, induced expression of adiponectin, and increased levels of phosphorylated ERK and AKT. To elucidate the molecular mechanism of sulfuretin in adipocytes, we performed microarray analysis and identified activating transcription factor 3 (Atf3) as a sulfuretin-responsive gene. Sulfuretin elevated Atf3 mRNA and protein levels in white adipose tissue and adipocytes. Consistently, deficiency of Atf3 promoted lipid accumulation and the expression of adipocyte markers. Sulfuretin's but not resveratrol's anti-adipogenic effects were diminished in Atf3 deficient cells, indicating that Atf3 is an essential factor in the effects of sulfuretin. These results highlight the usefulness of sulfuretin as a new anti-obesity intervention for the prevention of obesity and its associated metabolic diseases.

• Nutrition Research and Practice
• /
• v.13 no.1
• /
• pp.32-40
• /
• 2019

BACKGOUND/OBJECTIVES: This study investigated nutritional status of the elderly with dementia in a care facility with the aim of improving the meal quality of the facility. SUBJECTS/METHODS: Data were collected from 30 dementia patients aged more than 65 years in a long-term care facility in Hongseong. The data were obtained from questionnaires and medical records. The food intake data was obtained using food photographs and the nutrient intakes were calculated using the CAN-Pro 5.0. The data were compared with the dietary reference intakes for Koreans (KDRIs). The nutrient density, diet quality such as nutrient adequacy ratio (NAR), mean adequacy ratio (MAR), and index of nutritional quality (INQ), as well as dietary diversity score (DDS) were evaluated. The data were analyzed using SPSS statistical programs. RESULTS: The average daily energy intakes for men and women were much lower than the estimated energy requirements of the KDRIs. The average intakes of energy and most nutrients in the general diet group were significantly higher than those of the other two groups. Significant differences in diet quality and diet diversity were observed according to the meal type groups. The NARs of some minerals (calcium, iron, and zinc) and vitamins (vitamin $B_6$ and folic acid) were less than 0.5 in all study groups. The NARs of protein, iron and MAR of the general diet group were significantly higher than those of the liquid diet group. The DDS scores of meats, fruits and diary food group were very low in all meal type groups, meaning that the diet qualities of the study subjects were not appropriate in all meal type groups. CONCLUSIONS: The food intakes of the study groups showed some limitations by a direct comparison with KDRIs because of the very low physical activities of the study subjects. The diet quality and diet diversity indices suggest the need for improvements in the nutritional quality in all types of diet. Overall, new intervention strategies targeting facility residents with dementia in Korea are needed as soon as possible.

• Journal of Korean Academy of Nursing
• /
• v.48 no.6
• /
• pp.656-668
• /
• 2018

Purpose: The purpose of this study was to develop and examine the effects of combined exercise program for older adults with sarcopenia based on transtheoretical model (TTM). Methods: A non-equivalent control group with a pretest-posttest design was used. The subjects consisted of 43 older adults with sarcopenia in precontemplation stage, contemplation stage and preparation stage of TTM (experimental group: 22, control group: 21). The developed program consisted of 36 sessions for 12 weeks including combined exercise (60 minutes) and TTM based strategies for enhancing exercise behavior (10 minutes) per session. Data were collected before, immediately after the program between July 31 to October 27, 2017. The data were analyzed using independent t-test, Mann-Whitney U test with SPSS/WIN 18.0. Results: Compared with their counterparts in the control groups, older adults with sarcopenia in the experimental group showed a significantly greater improvement in process of exercise behavior change, pros and cons of decisional balance for exercise behavior, exercise self-efficacy, parameters of muscle, and the level of physical performance. Conclusion: The study findings indicate that this combined exercise program for older adults with sarcopenia based on TTM model was effective and can be recommended as a nursing intervention for older adults with sarcopenia.

• Journal of the Korean Applied Science and Technology
• /
• v.38 no.2
• /
• pp.521-531
• /
• 2021

This study was conducted to examine the relationships between nursing students' knowledge on dementia, care performance, and empathy, thus providing the foundation of dementia patient nursing intervention strategies for nursing students. For the analysis to examine the relationships, this study used descriptive statistics, t-test, ANOVA, Scheffé test, and Pearson's correlation coefficient. The analysis showed that the higher students' year of study and the higher their interest in dementia (F=5.02, p=.008), the higher their knowledge on dementia (t=-4.03, p<.001), and also that the higher their satisfaction with clinical training (F=3.91, p=.023), the higher their care performance. It was found that nursing students' knowledge on dementia and their care performance (r=.21, p=.023) were positively correlated at a statistically significant level. Based on the results, this study suggests the need to develop and utilize education programs that can help students gain knowledge on dementia prior to clinical training so that they can have more knowledge on dementia and be encouraged to practice caring for patients with dementia.