• Research in Community and Public Health Nursing
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• v.11 no.2
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• pp.333-346
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• 2000

The purpose of this study was designed to test and develope the structural model that explains health promoting behaviors among college students in Korea. The hypothetical model was constructed on the Pender's Health promotion Model(l996) and the inclusion of some influential factors for life satisfaction. The conceptual framework was built around eight constructs. Exogenous variables included in the model were self-esteem, perceived health status, self-efficacy, internal locus of control, chance locus of control. powerful other locus of control. Endogenous variables were health promotion behaviors and life satisfaction. The results are as follows; 1. The overall fit of the hypothetical model to the data was moderate <$x^2$=4.18(df=11. p=0.041), GFI= 0.99, AGFI= 0.76, RMR= 0.019, CFI= 0.99, CN= 248.50> 2. Path and variable of the model were modified by considering both its theoretical implication and statistical significance of parameter estimates. Compared to the hypothetical model. the revised model has become parsimonious and had a better fit to the data expected in a chi-square value <$x^2$=8.43( df= 16, p=0.21), GFI= 0.99, AGFI= 0.92., RMR= 0.024, CFI= 0.99, CN= 312.01> 3. Some of the predictive factors. especially self efficacy. self esteem. powerful others locus of control. perceived health status revealed the direct effects on health promoting behaviors. Of these variables. self-efficacy was the most signigicant factor. These predictive variables of health promoting behaviors explained 59% of total variances in the model. 4. Health promoting behaviors, self-esteem. and perceived health status revealed direct effect on the life satisfaction. Self-efficacy was identified as an important variable that contributed indirectly to improve life satisfaction by enhancing health promoting behaviors. These predictive variables of life satisfaction explained 42% of total variances in the model. In conclusion. the derived model in this study is considered appropriate in explaining and predicting health promoting models and life satisfaction among college students in Korea and could effectively be used as a reference model for further studies by suggesting a direction in health promoting nursing practices.

• Journal of Korea Association of Health Promotion
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• v.1 no.1
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• pp.14-18
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• 2003

Although it has been well known that smokimg is one of the major cause of various disease and conditions, the smoking rate is still very high in Korea. A variety of smoking cessation program are provided by public organization and also by healthcare institutions. In this social enviroment, the smoker's intension and trial rates for smokimg cessation increasing, but it is also true that the succes rate is low about 30%. Therefore this study was conducted to suggest the strategies for providing the effective smoking cessation programs by exploring the factors related to recognition and behavioral intention or programs. To explain the health behavior for smoking and smoking cessation programs, the behavioral model was constructed. The model is composed of five-stages such as recognition of the program, past exprience, present smoking status, intention for smoking, and behavioral intention for cessation programs. It is results that there were very low recognition and and purchase rates for most of smoking cessation programs. Evidenced-based and effective smoking cessation progrms need to be encouraged to smokers by medical doctors, and the strategies of eucationm public realtions, and advertisement are recommended. In addition, cotinuing legal and systematic supports for smoking cessation would lower the smoking rate and ultimately ontribute to the nation;s health promotion, Recognitionm Behavioral Intention.

• Korean Journal of Health Education and Promotion
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• v.34 no.1
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• pp.67-76
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• 2017

Objectives: The purpose of this study was to investigate factors that influence problematic drinking among adolescents in South Korea. The first aim of this study was to examined the problematic drinking status according to ocio-demographics characteristics, mental-health, and health behavior factors. The second aim was to identify factors affecting problematic drinking. Methods: Using statistics from the $11^{th}$(2015) Korea Youth Risk Behavior Web-based Survey, any variations among the subjects were presented by percentages and analyzed by $x^2$-tests, and then logistic regression analysis was conducted. Results: In the final model, gender, economic status, weekly allowance, father's education level, experience of sadness, smoking, and consumption of high-caffeine drinks were all significantly associated with problematic drinking. Conclusions: Awareness of teenagers regarding the potential health effects of problematic drinking, in particular in regards to mixing smoking and high-caffeine drinks with consumption of alcoholic beverages, should be increased through health education. Teenagers need to be taught the physical and mental dangers of drinking. A program that can teach proper drinking habits and prevent excessive drinking is needed. It should be a national matter just like the smoking policy.

• Journal of Korean Academy of Nursing
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• v.48 no.5
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• pp.545-553
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• 2018

Purpose: The increasing survival rate of colorectal cancer demands various nursing interventions and continuous care for patients to adapt to their psychosocial daily lives. The purpose of this study was to identify factors associated with psychosocial adjustment in colorectal cancer survivors. Methods: A cross-sectional descriptive study with face-to-face interviews was conducted of 156 colorectal cancer survivors after surgery visiting an outpatient cancer clinic at a tertiary hospital in S city, Korea. Posttraumatic growth, health-promoting behavior, length of treatment, difficulty in activities of daily living, and having a stoma were entered into the linear regression model. Results: The strongest factor influencing the level of psychosocial adjustment was health-promoting behavior (${\beta}=.33$, p<.001), followed by difficulty in activities of daily living (${\beta}=-.24$, p=.001), posttraumatic growth (${\beta}=.20$, p=.004), and having a stoma (${\beta}=-.19$, p=.004). Conclusion: Nursing interventions for psychosocial adjustment in colorectal cancer survivors need to include the contents for posttraumatic growth, as well as health-promoting behavior, and activities of daily living.

• Korean Journal of Occupational Health Nursing
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• v.27 no.2
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• pp.99-108
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• 2018

Purpose: This study aimed to identify the factors affecting stress among resort workers. Methods: The subjects of the study were 199 resort workers in a province of Korea. Data were collected using self-administered questionnaires that were completed between November 16, 2017 and January 19, 2018. The questionnaire consisted of stress and health promoting behavior and its sub-areas such as health responsibilities, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management. Using the SPSS 23.0 program, descriptive statistics, t-test, ANOVA, correlation analysis, and multiple regression analysis were conducted. Results: The mean score of the stress levels of resort workers was $2.3{\pm}0.98$ out of a maximum score of 5. A multiple regression analysis revealed that gender, spiritual growth, and stress management were statistically significant factors in the model (p<.001), with an explanatory power of 35%. Conclusion: Stress levels were considerably high in resort workers. This study suggests that nursing interventions are needed to reduce stress levels and enhance health promoting behavior, especially spiritual growth and stress management, at both an individual and organizational level.

• Journal of the Korea Convergence Society
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• v.13 no.4
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• pp.79-88
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• 2022

The objective of this study was to assess the association of changes in behaviors and depressed mood during the COVID-19 pandemic in Korea. A cross-sectional internet-based survey was conducted, using proportional samples of Korean adults and a logistic regression model was used to assess the association. As a result, negative changes of daily sitting or lying down time, daily walking time, smoking, and alcohol consumption were associated with being more depressed during the COVID-19 pandemic [odds ratios (ORs): 2.23 (95% CI=1.77-2.81), 2.04 (95% CI=1.63-2.56), 2.84 (95% CI=1.51-5.36), and 1.82 (95% CI=1.26-2.63), respectively]. This indicates that strategies to promote positive health behaviors change (increased activities and decreased consumption of smoking and alcohol) could help address psychological distress during the COVID-19 pandemic.

• Research in Community and Public Health Nursing
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• v.18 no.1
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• pp.90-101
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• 2007

Purpose: The purpose of this study was to investigate influencing factors of health problems which the vinyl house farmers had experienced. Method: Based on PRECEDE model, this study was done with 110 respondents(50 to 69 years old), working in vinyl house and living in the remote area where the primary health post located. Results: Quality of life was low in economical status, emotional status, and physical function. Health problems were founded as pain and chronic fatigue that were caused by physical symptoms, weakened physical strength, and increased blood pressure and cholesterol. Behavioral and environmental factors were related with lack of exercise, irregular eating habit, curtailed sleep, overwork, wrong working postures, stress, and non-fulfillment of safety standard during spraying pesticide. Self efficacy was low in excercise practice, working way, and stress management. Conclusion: The Health Promotion Program for vinyl house farmers should be developed to improve health promoting behavior and self efficacy, to reduce stress, and to strengthen physical function.

• Korean Journal of Health Education and Promotion
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• v.22 no.1
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• pp.103-115
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• 2005

The Purpose of this study was to identify the process of change, decisional balance and self-efficacy corresponding to the stages of change in exercise behavior based on the Transtheoretical Model(TTM) in obese adolescents. A random sample of 517 obese adolescents was recruited in Pusan. The data were collected from June 15 to 30, 2004. The research instruments were Stages of Change for Exercise Behavior, Process of Change, Decisional Balance, and Self-Efficacy. The data were analyzed by descriptive statistics and ANOVA using SPSS WIN 10.0 program. The results of this study were as follows 1. The subjects were distributed in each stage of exercise behavior: There were 255 subjects($49.3\%$) in the contemplation stage, 131 subjects($25.3\%$) in the preparation stage, 52 subjects($10.1\%$) in the maintenance stage, 41 subjects($7.9\%$) in the action stage, and 38 subjects($7.4\%$) in the precontemplation stage. 2. Analysis of variance showed that cognitive process (F=13.57, p=.000), behavioral process(F=17.23, p=.000), decisional balance pros(F=11.95, p=.000), and self efficacy(F=12.52, p=.000) were significantly associated with the stages of exercise behavior change, but decisional balance cons(F=2.87, p=.023) was not significantly associated with the stages of exercise behavior change. This study can provide useful information for developing effective exercise behavior program considering obese adolescents' stages of change according t'.t the TTM.

• Korean Journal of Health Education and Promotion
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• v.5 no.2
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• pp.90-109
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• 1988

This study was carried out to find the influencing factors on the acceptance of vaccination of viral hepatitis type B. Two groups of students, 362 undergraduates of Korea University were surveyed for research. The compliant group was 156 students who were inoculated with viral hepatitis type B shot more than one time. The non-compliant group was 206 students who were not inoculated. The measures used for this study were Multidimensional Health Locus of Control Scales and the one developed by the researcher on the basis of literature review about Health Belief Model. The results of this stuby were as follows. The awareness on health of the compliant group was higher than that of the non-compliant group(t=0.39, P<0.05), And perceived barrier of the compliant group was lower than that of the non-compliant group(t=0.35, P<0.05). But the knowledge about the viral hepatitis type B of the compliant group was lower than that of the non-compliant group(t=2.49, P<0.05). There were no differences between two groups in the perceived susceptibility of the hepatitis and the perceived benifit of the hepatitis vaccination. There was no difference between two groups in terms of the Inner Health Locus of Control (HLOC) and Chance HLOC. On the other hand Powerful-Others HLOC of the compliant group was higher than that of the non-compliant group(t=3.67, P<0.05). 'Parent's advice' was found to be the major answer to the motive of being vaccinated in the compliant group. This explains that the most influencial factor in determining one's health behavior is the parent's opinion. Answers to the question of the reason of not being vaccinated were, 'did not want to bother' and 'did not care yet' in order. As a whole, except for the awareness on health and the perceived barrier of the hepatitis vaccination, this study result shows disagreement with the past investigations on the inter-relationship between one's health belief or Health Locus of Control and the health behavior. The author of this study believes this was due to the limitation in the survey group's particular homogenity.

• Research in Community and Public Health Nursing
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• v.16 no.4
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• pp.446-457
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• 2005

Purpose: The purpose of this study was to analyse researches on nursing intervention for elderly health promotion. Method: A literature review of 38 researches was carried out using guidelines developed by the present researchers. Result: The research papers studied in this research were theses written for doctoral or master's degree and published between 1994 to 2004. These researches applied nursing intervention for health promotion of elders and used experimental study design. The average period of nursing intervention was about 9 weeks and the average frequency was three times per week. As for major characteristics of subject groups, most of them were over 65 years old (76.3%) and resided in community (65.8%), and each group consisted of 10 to 29 elders. The dependent variables used in these studies included physiological variables (blood pressure, blood cholesterol level, pulmonary function, fasting blood sugar, blood cortisol level, body mass etc.), psychologic variables (depression, quality of life, life satisfaction, loneliness, anxiety etc.), cognitive variables (perceived benefits, perceived barriers, self-efficacy, self-concept, subjective health status etc.), activities of daily livings, health promotion behavior, pain, risks of fall, and variables related to Trans Theoretical Model. The majority of these studies (78.9%) applied exercise programs for health promotion including exercise motivating programs (15.8%). Conclusion: We suggest that more various nursing interventions must be applied to promote elders' health and to take care of their chronic diseases.