• Journal of Home Health Care Nursing
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• v.21 no.2
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• pp.101-109
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• 2014

Purpose: The purpose of this study was to identify the difference in health behavior according to the anger expression styles in patients with coronary arteries disease. Methods: Participants included 99 patients with coronary artery disease who were treated with a percutaneous coronary intervention in K University Hospital in Seoul, from January to March 2012. The survey data were collected using the Anger Expression Inventory Korea Version and the Health Promoting Lifestyle Profile Version 2. The data were analyzed using descriptive statistics, acluster analysis, chi-square test,and ANOVA with the PASW 19.0program. Results: The anger expression styles identified from the cluster analysis were anger-control type(43.3%), anger-in/out type(42.4%), and high anger expression type(14.4%). The total score of the Health Promoting Life style Profile for the anger-control type was significantly higher than the other two types. Additionally, anger-control type showed significantly higher scores than the other two types in all domains of the Health Promoting Life style Profile. Conclusion: These results indicated that higher levels of anger-in and anger-out increased the risk of adverse health behavior and that anger control strategies could have some benefit in reinforcing healthy behavior in patients with coronary artery disease.

• The Journal of Korean Academic Society of Nursing Education
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• v.21 no.1
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• pp.36-45
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• 2015

Purpose: The purpose of this study was to identify the correlation coefficient cultural competence, health promotion behavior, and quality of life of married immigrant women in Korea. Methods: The participants included 88 married immigrant women who applied to educational programs for medical tour coordinators and agreed to participate in the study. Data were collected through self-report questionnaires that were constructed to include scales to measure cultural competence, health promotion behavior, and quality of life. Data were analyzed using ANOVA, Pearson correlation coefficients with SPSS/WIN 19.0. Results: Both cultural competence and health promotion behavior were different according to the husband's occupation. There was a positive correlation between cultural competence and quality of life, a positive correlation between health promotion behavior and quality of life, and a positive correlation between health promotion behavior and cultural competence. Conclusion: From a long-term point of view, various programs for married immigrant women should greatly strengthen their cultural competence and help them become genuine members of our society and live an independent life. Developing detailed and active programs for nursing intervention to constitute a healthy lifestyle and improve the quality of life is recommended.

• Journal of Preventive Medicine and Public Health
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• v.46 no.4
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• pp.173-182
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• 2013

Obesity during childhood is a dominant risk factor for noncommunicable diseases (NCDs), and is itself considered a disease that needs to be treated. Recently, the growth in childhood obesity in Korea has become stagnant; however, two in every ten children are still overweight. In addition, 60% or more of overweight children have at least one metabolic syndrome risk factor. Thus, childhood obesity should be controlled through lifestyle modification. This paper reviews studies of the modifiable risk factors of obesity in Korean children. According to the life-course approach, preschool-aged children (<5 years) are influenced by their parents rather than individual habits because they are under mostly parental care. Elementary school-aged children (6 to 11 years) are affected by overlapping individual and parental effects. This may mean that the establishment of individual behavior patterns begins during this period. The conditions of poor eating habits such as skipping meals, eating out, and high fat intake, along with low physical activity, facilitate increased obesity among adolescents (12 to 18 years). Notably, adolescent girls show high rates of both underweight and obesity, which may lead to the development of NCDs in their offspring. Therefore, the problem of NCDs is no longer limited to adults, but is also prevalent among children. In addition, early intervention offers cost-effective opportunities for preventing NCDs. Thus, children need primary consideration, adequate monitoring, diagnosis, and treatment to reduce the burden of NCDs later in adulthood.

• Women's Health Nursing
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• v.24 no.4
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• pp.392-403
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• 2018

Purpose: To identify factors associated with menstrual distress and characterize the relationship between menstrual distress and sleep disturbance in middle-school girls. Methods: Participants in this correlational study were 117 middle-school girls who were recruited through convenience sampling. Data were collected from March 2018 to April 2018 using self-reported structured questionnaires and analyzed using IBM SPSS Statistics 23.0. Factors associated with menstrual distress included physiological, psychological, and situational factors based on the theory of unpleasant symptoms. Results: Age of menarche (${\beta}=-.28$, p<.001), amount of menstruation (${\beta}=.23$, p=.004), lifestyle-related exposure to endocrine-disrupting chemicals (${\beta}=.21$, p=.027), and academic and peer-relationship stress (${\beta}=.19$, p=.025) influenced menstrual distress, explaining 47.4% of the variance in this regression model. The relationship between menstrual distress and sleep disturbance was statistically significant. Sleep disturbance was increased 1.26 folds when dysmenorrhea score increased by one unit (OR=1.26, 95% CI: 1.01~1.58). However, parental support was not a significant moderating factor of sleep disturbance. Conclusion: This study provides basis to develop an intervention strategy to alleviate menstrual discomfort in adolescents and improve their quality of sleep.

• Journal of Korean Gerontological Nursing
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• v.20 no.3
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• pp.177-184
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• 2018

Purpose: Self-efficacy encompass one's belief in one's ability to organize and achieve goals. Previous studies have not adequately examined the mediating role of self-efficacy between social support and health promotion behavior. Therefore, this study explored the mediating role of self-efficacy in the relationship between social support and health promotion behavior among older women living alone. Methods: Participants were 145 older women living alone attending a local welfare center for seniors. They completed the Self-efficacy Scale, Medical Outcome Study Social Support Survey Scale, and Health Promoting Lifestyle Profile II. Data were analyzed using Descriptive statistics, Pearson correlation coefficients, Baron and Kenny's regression analysis and the Sobel test with the SPSS program. Results: The average social support, health promotion behavior, and self-efficacy were not high. Self-efficacy was a partial mediating role in the relationship between social support and health promotion behavior. Social support was positively correlated with self-efficacy (r=.31, p<.001) and with health promotion behavior (r=.43, p<.001), and self-efficacy was positively related with health promotion behavior (r=.39, p<.001). Conclusion: To enhance health promotion behavior in older women who live alone, intervention strategies to increase social support and self-efficacy for these women should be developed.

• Journal of People, Plants, and Environment
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• v.21 no.6
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• pp.565-574
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• 2018

Previous studies have shown that forest therapy program can help prevent dementia. However, few studies have focused on low-income elderly people living alone. The current study examined the meanings that the elderly living alone receiving medical care assigned to the urban forest therapy program, as a way to understand the pathways that nature-based intervention affect preventing dementia. Twenty-one participants were recruited and they participated in a five-week urban forest therapy program. Semi-structured interviews were carried out with 21 participants who experienced the urban forest therapy program, and analyzed qualitative data using thematic analysis. Results showed that all themes identified were related to connectedness with oneself, neighbors and nature. Awarenesses of change were consisted of positive and negative themes. The themes of positive awareness were improvements of mental and emotional condition, feelings of isolation and loneliness, and health-related lifestyle. The negative themes were terminations of short-term programs and inconvenient access to the urban forest. Based on these data, we suggest an urban green welfare framework for future research and interventions for preventing dementia of underprivileged elderly group.

• Journal of muscle and joint health
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• v.27 no.3
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• pp.211-218
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• 2020

Purpose: This study aimed to identify and prioritize the content needs of patients with osteoarthritis (OA) for developing self-management mobile applications. Methods: A total of 126 participants with OA were recruited from two orthopedic hospitals. They completed the self-report questionnaires after providing written informed consent. The Borich needs assessment model was used to assess the perceived level of competence and perceived level of importance regarding 21 items for self-management of OA. The collected data were weighted and ranked in order of priority. Results: The top five content items needed by OA patients were 'How to avoid excessive use of the joints' (15.03); 'Lifestyle tips on the prevention and management of arthritis' (13.69); 'Exercise types and procedures for OA' (12.54); 'Good and bad exercises for the joints' (9.80); and 'Precautions for exercise (duration, frequency, safety)' (8.88). Need rankings related to causes and treatment of OA were relatively low. Conclusion: OA patients requested self-management competencies that should be practiced in daily activities to reduce the discomfort. The results of this study have practical implications for defining the content of self-management applications for patients with OA. Based on the results, developing a self-management intervention program for OA patients using a mobile is recommended.

• Journal of Life Science
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• v.22 no.11
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• pp.1538-1544
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• 2012

The aim of this study was to evaluate the effect of kale (Brassica oleracea acephala) juice supplementation on serum lipid levels and phospholipid (PL) fatty acid compositions in hypercholesterolemic men. Thirty-two men with hypercholesterolemia (>200 mg/dl) were recruited among the faculty and staff at Y University after annual health examinations. The subjects consumed 150 ml of kale juice per day for a 12-week intervention period. Dietary and anthropometric assessments were performed before and after supplementation, respectively, to ensure that the subjects maintained their usual diet and lifestyle throughout the intervention. Serum concentrations of HDL-cholesterol and the ratio of HDL-cholesterol to LDL-cholesterol were significantly increased (p<0.001) after intervention. Serum LDL-cholesterol concentration and atherogenic index were significantly reduced (p<0.001). Levels of 12:0, 14:0, $18:1{\omega}9$, $18:3{\omega}6$, and sum of monounsaturated fatty acids (MUFA) in serum pholspholipid (PL) were significantly increased, while $22:4{\omega}6$ level was significantly reduced (p<0.05). It can be speculated that kale juice, containing large amounts of antioxidant nutrients, contributes to changes of serum-PL-fatty acid compositions and the improvements of serum lipid profiles. This study demonstrates the supplementation of regular meals with kale juice may favorably affect serum lipid profiles and serum-PL fatty acid compositions and, hence, could lower the risks of coronary artery disease in men with hypercholesterolemia.

• Korean Journal of Community Nutrition
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• v.1 no.2
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• pp.161-177
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• 1996

This study attempts to propose a priority of national nutrition targets and strategies for health promotion by the year 2000 in Korea, as a part of the task set for national health promotion objectives and strategies. Among all of the important health issues raised, ten were chosen, nutrition was one priority area. In the first part, the current status of the nutrition-related health problems and risk factors are reviewed, in conjunction with the newly arisen health phenomena, such as changes in prevalence of lifestyle disease and causes of death, changes of food consumption patterns in our country. In the second section this study suggests six feasible national nutrition targets, eight implementing strategies and current major tasks on the basis of the assessment of present status and in consideration of the other health promotion goals and strategies, with reference to that of other developed countries. The main targets and strategies are suggested as follows ; Firstly, the national nutrition monitoring and surveillance system should be established for identifying the nutritional problems for our people, and current National Nutrition Survey is a strong need for improvement to a more comprehensive and reliable one. Secondly, effective administrative mechanism should be operation at national level for the development of nutrition policy. Ministry of Health and Welfare (MOHW) as well as local health department must be remarkably renewed and strengthened the nutrition section. And it is recommended that MOHW organize and operate “The Council of Nutrition”, in which all government authorities related with foodstuffs and nutrition would incorporated. The Council of Nutrition would act as an adjustor as well as a coordinator in nutrition related policy-making. Thirdly, healthy eating pattern will be supported by activities of introducing a nutrition labeling for providing consumers with the necessary information and skills for food selection. Fourthly, nutrition education, and nutrition intervention programs will be carried out in various settings such as health centers, schools, and clinical fields and workplace. Fifthly, the current dietary guidelines shall be continuously improved in detail, and publicly circulated to particular levels of people by age group and by health condition. And finally, researches and epidemiological studies particularly in regard to diet for development of chronic diseases are needed for more investigation and up-to-date national health and nutrition data should be collected with the support and cooperation from the various medical professional teams . (Korean J Community Nutrition 1(2) : 161-177, 1996)

• Journal of Preventive Medicine and Public Health
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• v.39 no.3
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• pp.235-242
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• 2006

Objectives: We wanted to determine the distribution of the clustering of the metabolic risk factors and we wanted to evaluate the related factors in young schoolchildren. Methods: A cross-sectional study of metabolic syndrome was conducted in an elementary school in Seoul, Korea. We evaluated fasting glucose, triglyceride, HDL cholesterol, blood pressures and the body mass index, and we used parent-reported questionnaires to assess the potential risk factors in 261 children (136 boys, 125 girls). We defined the metabolic risk factors as obesity or at risk for obesity ($\geqq$ 85th percentile for age and gender), a systolic or diastolic blood pressure at $\geqq90th$ percentile for age and gender, fasting glucose at $\geqq110mg/dl$, triglyceride at $\geqq110mg/dl$ and HDL cholesterol at $\leqq40mg/dl$. Results: There were 15.7% of the subjects who showed clustering of two or more metabolic risk factors, 2.3% of the subjects who showed clustering for three or more risk factors, and 0.8% of the subjects who showed clustering for four or more risk factors. A multivariate analysis revealed that a father smoking more than 20 cigarettes per day, a mother with a body mass index of = $25kg/m^2$, and the child eating precooked or frozen food more than once per day were associated with clustering of two or more components, with the odds ratios of 3.61 (95% CI=1.24-10.48), 5.50 (95% CI=1.39-21.73) and 8.04 (95% CI=1.67-38.81), respectively. Conclusions: This study shows that clustering of the metabolic risk factors is present in young schoolchildren in Korea, with the clustering being associated with parental smoking and obesity as well as the child's eating behavior. These results suggest that evaluation of metabolic risk factors and intervention for lifestyle factors may be needed in both young Korean children and their parents.