• Journal of Korean Academy of Nursing
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• v.34 no.7
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• pp.1288-1297
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• 2004

Purpose: The purpose of this study was to investigate the factors influencing health promoting lifestyle in the elderly. Method: The subject of this study was 305 elderly person over the age of 60, living in rural and urban, Korea. For the analysis of collected data, descriptive statistics, t-test, analysis of variance and stepwise multiple regression were used for statistical analysis with SPSS statistical program. Results: The average item score for the health promoting lifestyle was 2.46, The higher score on the subscale was nutrition(2.65). The lowest score on the subscale were physical activity(2,36) and stress management(2,36). General characteristics showing statistically significant difference in health promoting lifestyle were age, residential district, live together spouse, education, religion and pocket money in the elderly. Stepwise multiple regression analysis revealed that the most powerful predictor of health promoting lifestyle in the elderly was prior related behavior(R2=.554). A combination of prior related behavior, perceived benefits of action, perceived self-efficacy, commitment to a plan of action, and interpersonal influences accounted for $64.3\%$ of the variance in health promoting lifestyle in the elderly, Conclusion: The factors influencing on health promoting lifestyle for elderly were prior related behavior, perceived benefits of action, perceived self-efficacy, commitment to a plan of action, and interpersonal influences.

• Journal of Korean Academy of Nursing
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• v.35 no.3
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• pp.585-592
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• 2005

Purpose: The purpose of this study was to identify the relationship between self efficacy (SE), health promoting behaviors (HPB) and symptoms of stress (SOS) among university students. Method: Data was collected by questionnaires from 369 university students in Seoul, Korea. Data was analyzed using descriptive statistics, pearson correlation coefficients, and stepwise multiple regression. Results: The mean score for SE was 3.42, the mean score for HPB was 2.48, and the mean score for SOS was 2.31. The score of SOS showed a significantly negative correlation with the score of SE (r=-.24, p=.00) and HPB (r=-.13, r=.00). Also, SOS showed a significantly negative correlation with diet HPB (r=-.15, p=.00), spiritual growth HPB (r=-.17, p=.00), interpersonal relationship HPB (r=-.17, p=.00), and stress management HPB (r=-.10, p=.04). The most powerful predictor of SOS was SE and the variance was $10\%$. A combination of SE, diet, problems related to drinking, and responsibility for health HPB account for $16\%$ of the variance in SOS among university students. Conclusion: This study suggests that SE and HPB are significant influencing factors on SOS among university students.

• Journal of Korean Academy of Nursing
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• v.25 no.4
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• pp.696-705
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• 1995

The self-efficacy as the mediating variable to connect knowledge to behavior was Identified as the most powerful predictor that determines behavior. The purpose of this study was, first, to develop the slides /tape program based on the self-efficacy theory of Bandura(1977) second, to investigate that the Slides /Tape program would increase self-efficacy and self-care in patients with hypertension. The subjects for this study were 54 hypertensive outpatients and data collection was carried out from January 9, 1995 until March 18, 1995. The design of this study was one-group pretest and posttest design and the results are as follows 1) The slides /tape program was developed to based on performance accomplishment and vicarious experience which are induction modes of efficacy expectation. It composed of 80 slides and 20 minutes long tape. 2) The effectiveness of the slides /tape program “The self-efficacy score after giving the slides /tape program will be higher than one before giving the slides /tape program.” was supported (t=3.67, p=0.001). “The self-care score after giving the slides /tape program will be higher than one before giving the slides /tape program.” was supported(t=5.23. 000), 3) A significant difference was found between the self-care and sex. Also, the significant difference was found between the self-care and job. From these results, the slides /tape program is effective to increase the hypertensive patients' self-care.

• Journal of Korean Academy of Nursing
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• v.35 no.1
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• pp.164-176
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• 2005

Purpose: This study was conducted to develop and evaluate a Web-based program for the maternal role of primiparas who use the internet. Method: The study process was a systems requirements analysis, design and development of a program, program testing by experts, program implementation, and program evaluation by users. A nonequivalent control group non-synchronized design was used. The data was collected from October 5th, 2002 to February 24th, 2003. Result: 1. Based on inquiries into mothers' needs, a Web-based support program was developed. The program was then modified from feedback received from experts. 2. In a sub-scale analysis of mothers' perception of a baby, amenability and persistence was significantly higher in the intervention group. The differences in the mean score of maternal self-confidence and maternal satisfaction were significant. 3. Cyber counseling was done for a total of 73 cases and the most frequent problems for counseling were feeding and nutrition (28.8%), followed by baby care, and health problems. Conclusion: It was proven that a Web-based support program provided appropriate support to primiparas and was effective in promoting their maternal role. Therefore, this study suggests that a Web-based support program for primiparas can become a powerful nursing intervention on virtually all mother and infant health concerns.

• Journal of Korean Academy of Nursing
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• v.30 no.6
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• pp.1427-1436
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• 2000

The purpose of this study was to identify the influencing factor on Symptoms of Stress of Middle Aged Women. The subjects of this study were 35 middle aged women who lives in Seattle, Washington in U.S, and 74 middle aged women who lives in Seoul. Data collection was performed at the University of Washington and Seoul from Oct. 1998 to May. 1999. Data collected through 4 types of questionnaires : SOS, Ways of Coping, Mood Status, Perceived Stress. The results of this study are as follows: 1. The stress symptoms showed positive correlation with emotion-oriented coping, mood status, and perceives stress. 2. Stepwised multiple regression analysis revealed that most powerful predictor of Stress Symptoms was mood status. A combination of perceived stress, mood status and ways of coping account for 64% of the variance in Symptoms of stress in Middle aged women. From the results of the study, the following recommendations are presented as follow: 1. It is necessary to replicate this study with a larger sample. 2. It is necessary to develop a stress management program focused on ways of coping, mood status, perceived stress for middle aged women.

• Journal of Korean Academy of Nursing
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• v.35 no.6
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• pp.1183-1189
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• 2005

Objectives : This descriptive study was conducted to examine the degree of stress, coping styles, communication with the mother and depression between headache-suffering children and headache-free children and to explore predicted factors for headache occurrence in children. Method : The subjects of this study consisted of 196 headache-free children and 107 headache-suffering children. They were 4th-6th graders of an elementary school in T city. The instruments in this study were David's stressor of children, Lazarus & Folkman's Stress Coping Style, PACI(Parent-Adolescent Communication Inventory) by Barnes & Olsen and Kovac's CDI (Children's depression inventory). Data were collected from May 2 to July 16, 2004. Results : Total stress(t=-3.76, p=.035), school stress(t=-3.02, p=.001), mass media stress(t=-1.39, p=.029) and depression(t=7.62, p=.001) in headache-suffering children were significantly higher than those of headache-free children. Problem-oriented coping skills (t=1.23, p=.023), and the score of communication with the mother(t=2.32, p=.012) in headache-suffering children were lower than those of headache-free children. Logistic regression analysis (stepwise) showed that the most powerful predictor was stressors in school, followed by depression, stressors in mass media and communication with the mother. Conclusions: This study revealed that important factors such as the degree of school stress, depression, the degree of mass media stress, communication with the mother and problem-oriented coping skills should be controlled for reducing of headaches in children.

• Proceedings of the Computational Structural Engineering Institute Conference
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• 2005.04a
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• pp.359-366
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• 2005

Most engineering optimization are based on numerical linear and nonlinear programming methods that require substantial gradient information and usually seek to improve the solution in the neighborhood of a starting point. These algorithm, however, reveal a limited approach to complicated real-world optimization problems. If there is more than one local optimum in the problem, the result may depend on the selection of an initial point, and the obtained optimal solution may not necessarily be the global optimum. This paper describes a new harmony search(HS) meta-heuristic algorithm-based approach for structural size optimization problems with continuous design variables. This recently developed HS algorithm is conceptualized using the musical process of searching for a perfect state of harmony. It uses a stochastic random search instead of a gradient search so that derivative information is unnecessary. Two classical space truss optimization problems are presented to demonstrate the effectiveness and robustness of the HS algorithm. The results indicate that the proposed approach is a powerful search and optimization technique that may yield better solutions to structural engineering problems than those obtained using current algorithms.

• Proceedings of the Computational Structural Engineering Institute Conference
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• 2005.04a
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• pp.351-358
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• 2005

Many methods have been developed and are in use for structural size optimization problems, In which the cross-sectional areas or sizing variables are usually assumed to be continuous. In most practical structural engineering design problems, however, the design variables are discrete. This paper proposes an efficient optimization method for structures with discrete-sized variables based on the harmony search (HS) meta-heuristic algorithm. The recently developed HS algorithm was conceptualized using the musical process of searching for a perfect state of harmony. It uses a stochastic random search instead of a gradient search so that derivative information is unnecessary In this paper, a discrete search strategy using the HS algorithm is presented in detail and its effectiveness and robustness, as compared to current discrete optimization methods, are demonstrated through a standard truss example. The numerical results reveal that the proposed method is a powerful search and design optimization tool for structures with discrete-sized members, and may yield better solutions than those obtained using current method.

• Korean Journal of Adult Nursing
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• v.18 no.1
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• pp.71-80
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• 2006

Purpose: This study was to investigate the factors influencing the quality of life of patients with hemophilia and to provide the data for health promoting intervention in order to improve their quality of life. Method: The subjects of this study were involved 186 male patients with hemophilia by convenience sampling. These results were analyzed statistically by frequency, percentage, t-test, ANOVA, Pearson Correlation Coefficient, and Stepwise multiple regression. Results: There were significant differences in the quality of life according to the frequency of bleeding. Quality of life showed negative relationships and health problems, bleeding, limitation of joint motion, and depression with stepwise Multiple Regression analysis for quality of life revealed that the most powerful predictor was depression. Depression, health problem, and limitation of joint motion accounted for 64.6% of the variance in the quality of life of patients with hemophilia. Conclusion: Therefore it is necessary to develop nursing interventions with these variables to increase the quality of life for patients with hemophilia.

• Korean Journal of Adult Nursing
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• v.23 no.1
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• pp.31-39
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• 2011

Purpose: A descriptive study was conducted to examine the relationship of illness perception, self-efficacy, and self-care of patients who were diagnosed pulmonary tuberculosis. Methods: The study was conducted using a convenient sample from two hospitals in Incheon and Seoul. One hundred forty four patients completed a questionnaire which included questions on general characteristics, a Brief Illness Perception Scale, a Self-efficacy Scale and a Self-care Scale. Data were analyzed by using descriptive statistics, t-test, ANOVA, Pearson Moment Correlations and stepwise multiple regression analysis. Results: There was a statistically significant positive correlation between illness perception and self-care (r=.335, p=.000) and between self-efficacy and self-care (r=.687, p=.000). Stepwise multiple regression analysis revealed that among the three variables the most powerful predictor was self-efficacy. Self-efficacy and illness perception were significant factors and accounted for 54.2% of the variance of self care in pulmonary tuberculosis patients. Conclusion: Self-efficacy and illness perception were influencing factors in self care among patients with pulmonary tuberculosis. Hence further interventional researches are needed that consider these two variables.