• 한국보건간호학회지
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• 제31권3호
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• pp.567-581
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• 2017

Purpose: The purpose of this study was to develop a Health Mileage Program (EHMP) to promote exercise amongst the elderly and assess the feasibility of the program. Methods: A literature review to identify the effects of exercise in the elderly was conducted. Relevant cases were investigated and in-depth interviews with exercise instructors were conducted, after which the EHMP was developed based on the assessment and tested in three regions. The outcome was evaluated using indicators such as attendance rate, number of participants, proportion of participants who received health education, and proportion of participants who measured their physical and mental status. Results: Based on assessment, we developed an EHMP composed of four steps. Following application of the EHMP in three regions, ${\geq}80%$ of the participants received incentives. Additionally, ${\geq}85%$ of participants underwent measurement of their physical and mental status. The proportion of participants who received health education differed among regions. Conclusion: The EHMP program increased participation and interest in exercise programs for the elderly. However, there is concern regarding availability due to regional differences in resources related to elderly exercise; therefore, it will be necessary to invest in infrastructure, including facilities, and knowledgeable instructors.

• 성인간호학회지
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• 제17권2호
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• pp.230-238
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• 2005

Purpose: The purposes of this study were to explore the concept of uncertainty and to examine the relationships among uncertainty, appraisal of uncertainty, depression, anxiety, and perceived health status in patients with atrial fibrillation. Method: The study utilized a descriptive correlational survey design using a face to face interview method. A convenience sample of 49 subjects were recruited from K university hospital over 8 months. The data were analyzed by t-test, ANOVA, Pearson correlation and partial correlation analysis. Results: 1) Subjects perceived with moderately high uncertainty(M=65.98); moderate physical health(M=39.80), mental health(M=47.38), and general health(M=2.94); moderate anxiety(M= 44.78); and slightly low depression(M=15.33). 2) There were significant differences in uncertainty by gender and education. 3) Uncertainty and danger appraisal were significantly correlated(r=.32, p=.03) while the uncertainty was not associated with opportunity appraisal. 4) Uncertainty was significantly correlated with mental health(r=-.31, p=.04), anxiety(r=.38, p=.01), and depression(r=.37, p=.01). Conclusion: This study was the first trial to explore uncertainty and to examine the relationships among its associated factors in Korean patients with atrial fibrillation. Thus, based on the findings of this study, directions for nursing practice and further nursing research for patients with atrial fibrillation were suggested.

• 여성건강간호학회지
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• 제8권1호
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• pp.7-19
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• 2002

This study was to compare mother's postpartum physical health, mental health, and role performance between mothers with fullterm infants and preterm infants over 3 months postpartum period. The study used a correlational and longitudinal design and was secondary data analysis from a large study. A convenience sample of 132 mothers who had fullterm and preterm infants was followed up for 3 times (postpartum 1-2 days, 6 weeks, and 3 months) during the first 3 months postpartum period. Postpartum physical health was assessed by level of fatigue in the morning and in the afternoon, and number of physical symptoms. Postpartum mental health was assessed by positive affect, anxiety, and depression; and postpartum role performance was measured by role functional status. Mothers with preterm infants experienced higher levels of fatigue in the morning, lower positive affect, higher anxiety and higher depression over 3 data collection time points, compared to mothers with fullterm infants. Mothers with preterm infants also resumed lesser self-care activity and social and community activity than the counterparts. It implies that some aspects of preterm birth and caring for preterm infants continue to negatively affect the mother's health outcomes during the postpartum period.

• 대한치위생과학회지
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• 제3권2호
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• pp.19-26
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• 2020

This study surveyed 57,303 teenagers using the 15th (2019) online Juvenile Health Behavior survey data to understand the relationship between oral health behavior, mental health, and smoking. The results of analyzing the factors affecting smoking experience are as follows: The smoking rate was higher in men (p<0.001), in a lower academic ability (p<0.001), and in moderate economic status was moderate (p<0.001). The smoking rate was higher in 2 or less brushing frequency (p<0.001), in no brushing before going to bed (p<0.001), in no brushing aftger lunch (p<0.001), in no experience of oral health education (p<0.001), and when the subjests felt unhealty in oral health (p<0.001). The smoking rate was significantly higher in those who experienced a lot of stress (p<0.001) and feelings of depression (p<0.001). The odds ratio for smoking was 1.44 when not brushing teeth before bedtime, 0.76 in experience of oral health education, and 1.29 in unhealthy subjective oral health. The odds ratio for smoking was 0.91 in no stress and 1.85 in depression. Since oral behavior and mental health affect smoking, intervening with these factors is necessary to quit smoking.

• 재활간호학회지
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• 제8권1호
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• pp.20-30
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• 2005

Purpose: The purpose of this study was to investigate the stress level and health status of primary caregivers living with demented elderly. Method: The subject was 92 primary caregivers who had been taking care of demented elderly at home. The research tools were a stress questionnaire and health status questionnaire. The data were collected through direct interview with a questionnaire in the B city, from February to March 2004. The data were analyzed by t-test, ANOVA, Pearson's correlation coefficients and Scheffe test using SPSS/PC 11.0 program. Results: The primary caregivers living with demented elderly showed slightly high level of stress and moderate level of health status. Moreover, there was a significant correlation between the stress level and the mental and the physical health status. Conclusion: Based on the results, we recommend the development of an intervention program to decrease the stress level of primary caregivers living with demented elderly for improving their health status.

• 대한간호학회지
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• 제39권5호
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• pp.700-708
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• 2009

Purpose: This study was done to test the validity and reliability of the Adolescent Mental Problem Questionnaire (AMPQ) for Korean high school students. Methods: The AMPQ was designed to assess adolescents', mental health status and problem behavior (Ahn, 2006). A methodological study design was used with exploratory factor analysis, Pearson's correlation coefficients, and a fitness of the modified model for validity. Also, Cronbach's alpha coefficients and alternative-form method for reliability were used. AMPQ was tested with a sample of 36,313 high school students. The participants consisted of 18,701 males and 17,612 females. Results: Seven factors were extracted through factor analysis: 'Psychiatric problems', 'Delinquency', 'Academic troubles', 'Family problems', 'Hazardous behavior', 'Harmful circumstance', 'Eating problems'. These factors explained 51.1% of the total variance. The fitness of the modified model was good ($X^2$=38,413.76, Goodness of Fit Index [GFI]=.94, Adjusted Goodness of Fit Index [AGFI]=.93, Comparative Fit Index [CFI]=.95, Root Mean Square Error of Approximation [RMSEA]=.05), and concurrent validity with Korea-Youth Self-Report [K-YSR] was .63. Cronbach's alpha coefficient of the 31 items was .85. Conclusion: The results of present study suggest that the modified AMPQ instrument may be useful for efficiently assessing mental health status and problem behavior in late adolescent, high school students.

• 지역사회간호학회지
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• 제26권4호
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• pp.355-363
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• 2015

Purpose: This study identified the relationships among subjective health status, wisdom, and self-care agency of Korean older adults. Methods: The participants were 274 older adults from Daegu, aged over 65 years. Data were collected by visiting two social welfare centers, two senior welfare centers, and nine senior centers in Daegu from January 18 to February 5, 2013. Data were analyzed through one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple linear regression using the IBM SPSS/WIN 19.0 statistical program. Results: A significant positive correlation was found among older adults' subjective health status, wisdom, and self-care agency. Self-care agency was affected by wisdom (47%, ${\beta}=.55$), the physical component summary (18%, ${\beta}=.31$) and mental component summary (1%, ${\beta}=.12$) of subjective health status, and the absence of disease (2%, ${\beta}=.13$). Conclusion: This study suggests that nursing interventions to promote self-care agency in older adults should be developed based on the characteristics of their subjective health status and wisdom.

• Journal of Nutrition and Health
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• 제35권1호
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• pp.124-136
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• 2002

As the elderly population has increased in recent years in Korea chronic degenerative diseases prevalent in the aged have garnered attention in relation to food behavior. In general, dietary intakes of elderly Koreans were inadequate in quality as well as in quantity. Especially, intakes of Ca, vitamin A, and riboflavin along with total energy were insufficient. They tended to consume high carbohydrate and low fat energy rates which may be resulted from long standing vegetable-based flood patterns. Relationships between dietary intakes and indices of cardiovascular diseases revealed that blood pressures and serum lipids patterns tended to be poor in individuals having high abdominal fat accumulations which seemed to be related with dietary consumption of high carbohydrate and insufficient intake of many nutrients. These results suggested that a nutritionally balanced diet including animal sources floods is needed in order to prevent an abdominal obesity and cardiovascular diseases. The bone health status of the Korean elderly appeared poor. It was more serious in women recording a higher prevalence rate of osteopenia and osteoporosis than in men. There were strong associations between dietary factors and bone health status. Bone mineral density was found to be higher with higher intakes of protein energy rate, the total amount of feeds, and many nutrients including Ca and p, indicating that a good quality diet is essential in maintaining healthy bone status in later life. mental health condition of the elderly as measured by cognitive function and the degree of depression was also inadequate and had strong association with dietary consumption. The positive results were obtained in individuals having an adequate dict. Therefore, it could be summarized that the physical as well as mental health in elderly Koreans are highly related with their dietary patterns. Thus, the older adults need te consume nutritionally well balanced diet in sufficient amount, which contains various flood items including significant amounts of animal source floods in a daily diet in order to maintain healthy condition.

• 수면정신생리
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• 제28권1호
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• pp.34-42
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• 2021

Objectives: This study investigated sleep quality in female full-time homemakers and evaluated the relationship of sleep disturbance with psychological and socio-environmental factors. Methods: This cross-sectional study adopted a structured survey and sequential recruitment method for randomized participation of community-dwelling full-time female homemakers. Sleep quality and mental health were measured using the Korean version of the Pittsburgh Sleep Quality Index (K-PSQI), Korean version of the Beck Depression Inventory-II (K-BDI-II), Korean version of the Beck Anxiety Inventory (K-BAI), and Korean version of the Beck Hopelessness Scale (K-BHS). The willingness-to-pay (WTP) method was selected to measure the self-evaluated monetary value of household service work. The relationship among the main relevant factors was statistically analyzed through a mediation model. Results: A total of 166 participants were analyzed and classified having poor versus good sleep quality (poor : 24.1%, n = 40 ; good : 75.9%, n = 126 ; cut-off point = 9 on the K-PSQI). Significant between-group differences were observed in mental health status (K-BDI-II, p < 0.001 ; K-BAI, p < 0.001 ; K-BHS, p = 0.003). The moderated mediation model was verified, indicating that depression may mediate the association between nurturing burden and sleep disturbance. The path from nurturing burden to depression may be moderated by average monthly household income. Conclusion: A relatively high portion of full-time female homemakers may suffer from sleep disturbance and interactions between psychological and socio-environmental factors might determine sleep quality, suggesting the need for public health policies targeting improvement of sleep quality and mental health among full-time homemakers.

• 디지털융복합연구
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• 제11권1호
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• pp.321-327
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• 2013

본 연구는 우리나라 성인의 정신건강이 삶의 질에 미치는 영향을 알아보고자 '2010년 국민건강영양조사' 자료를 이용하여 20대~50대 성인 4,211명을 대상으로 하였다. SPSS WIN 18.0을 사용하여 빈도와 백분율, t-test, 다중회귀분석을 실시하였으며, 연구결과는 다음과 같다. 첫째, 성인 남녀 수면시간과 삶의 질의 관계에서는 20 30대에서 여자가 남자보다 조금 더 수면을 취하는 것으로 나타났고, 40 50대에서는 수면시간의 차이가 없었다. 둘째, 성인 남녀 주관적 건강상태와 평소 스트레스 인지정도에서는 주관적 건강상태에서는 남자가 여자보다 성인초기와 중기에서 모두 높은 것으로 나타났고, 평소 스트레스 인지정도에서는 20 30대에서만 여자가 남자보다 조금 더 스트레스를 인지하고 있는 것으로 나타났다. 40 50대에서는 성별에 따른 통계적 차이는 없었으나 대체적으로 약간의 스트레스를 느끼고 있었다. 셋째, 성인의 정신건강변인과 삶의 질에서는 주관적 건강상태와 평소 스트레스 인지정도만이 삶의 질에 유의한 영향을 미치는 변인임이 확인되었다. 이를 종합해보면, 우리나라 20대~50대 성인은 자신의 건강상태를 긍정적으로 인식하고 평소 스트레스를 적게 받을수록 삶의 질이 높아짐을 알 수 있었다. 따라서 건강관련과 스트레스 관리를 위한 교육적 개입과 실천 가능한 프로그램 활성화가 요구된다.