• Korean Journal of Adult Nursing
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• v.23 no.3
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• pp.267-277
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• 2011

Purpose: The purpose of this study was to evaluate the effects of a sex education program for middle aged men patients with diabetes and their spouses. Methods: The research design for this study was a non-equivalent control group quasi-experimental study. The subjects were 23 diabetic patients and their spouses with half of the subjects exposed to a structured sex education program. Sexual Beliefs and Information Questionnaire, Dyadic Sexual Communication Scale, Sexual Frequency Scale, Derogatis Sexual Function Inventory and International Index of Erectile Function-5 were used for data collection. Results: In the experimental group, sexual knowledge of diabetic patients and sexual communication with their spouses were improved after two weeks following the program. Also, in the experimental group, sexual knowledge, sexual communication, and sexual frequency in both diabetic patients and their spouses were improved after six weeks following the program. In the experimental group, sexual satisfaction of diabetic patients was improved after six weeks following sex education program, however their spouses in the experimental group showed no significant differences than those of the comparison group. Conclusion: The results of this study suggest that sex education program for both diabetic patients and their spouses could be utilized in public health centers, hospitals, and clinics.

• Korean Journal of Adult Nursing
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• v.29 no.1
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• pp.87-97
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• 2017

Purpose: The purpose of this study was to investigate the relationship among sleep quality, heart rate variability (HRV), fatigue, depression, and anxiety reported by Korean adults. Methods: A cross-sectional study of 208 adults aged 20~60 years was conducted using a short-term HRV analysis and self-reported questionnaires of Pittsburgh Sleep Quality Index (PSQI), Fatigue Severity Scale, Beck Depression Inventory, and State Trait Anxiety Inventory. Results: Subjects with good sleep quality (PSQI $score{\leq}5$) had higher HRV total power (t=2.03, p=.043) and high-frequency (t=2.04, p=.043) with lower fatigue (t=-4.08, p<.001), depressive mood (t=-3.66, p<.001), and trait anxiety (t=-3.84, p<.001) than subjects with poor sleep quality. Poor sleep quality was negatively correlated with HRV total power (r=-.17, p=.016), high-frequency (r=-.14, p=.049), and positively fatigue (r=.39, p<.001), depression (r=.44, p<.001), state anxiety (r=.23, p=.001) and trait anxiety (r=.34, p<.001). Conclusion: The results indicated that sleep quality is correlated with HRV which reflects the activities of the autonomic nerve system, fatigue, depression, and anxiety in adults.

• Research in Community and Public Health Nursing
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• v.25 no.2
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• pp.75-84
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• 2014

Purpose: This study aimed to identify the level of knowledge on preventing cardiovascular disease (CVD) and nicotine dependency among smoking male college students, and to examine the predicting factors of nicotine dependency. Methods: This study was conducted as cross-sectional descriptive research using structured questionnaires. Data were collected from 411 smoking male college students ($22.5{\pm}2.59$ yr) at two universities located in two cities in Korea from September 2012 to April 2013. Logistic regression analysis was performed to estimate age-adjusted odds ratios of nicotine dependency. Results: The mean value of nicotine dependency was $4.2{\pm}1.96$ and the percentage of participants who had strong nicotine dependency (${\geq}7$) was 10.7%. Logistic regression analysis showed that, when adjustment was made for age, nicotine dependency was predicted by the frequency of alcohol drinking (${\geq}3$ times/week), knowledge on CVD prevention, the age starting drinking, and the total length of smoking. Conclusion: Nicotine dependency was strongly related to the frequency of drinking alcohol and lower knowledge on CVD prevention. Therefore, male college students who have a dependent smoking habit and drink alcohol frequently need to take more interest in health through educational counseling to modify their lifestyle behaviors and to have preventive knowledge related to CVD.

• Research in Community and Public Health Nursing
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• v.19 no.1
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• pp.46-56
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• 2008

Purpose: The purpose of this study was to identify the effects of pelvic floor muscle exercise on reducing the symptoms of stress urinary incontinence and improving attitude toward exercise and quality of life. Method: The research adopted was a nonequivalent control group pretest posttest design. The subjects were 55 persons who were surveyed using a structured questionnaire, and 23 persons in the experimental group among the total sample were measured for the peak pressure and the duration of PMC and trained correct pelvic floor muscle contraction using peritron in the first week. Then, pelvic floor muscle exercise was implemented for 6 weeks. The data was analyzed by $\chi^2$-test and t-test with the SPSS 10.0 program. Results: 1) The degree of stress urinary incontinence, frequency of urination, nocturia, urgency, noctural incontinence, the frequency and quantity of incontinence, outer clothing change and incomplete emptying decreased significantly more in the experimental group than in the control group. 2) Attitude toward pelvic floor muscle exercise and the qualify of life were improved significantly more in the experimental group than in the control group. 3) The peak pressure and duration of PMC increased significantly more in the posttest. Conclusion: Based on the results above, it is judged that pelvic floor muscle exercise is an effective nursing intervention in order to care for stress urinary incontinence.

• Korean Journal of Adult Nursing
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• v.14 no.3
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• pp.418-427
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• 2002

Purpose: The Purpose of this research was to develop the integrative exercise program for the elderly. Method: The first step was to survey the elder's health status and general health problems. The second step was to design the exercise type, intensity, time and frequency. Result: 1. Elders who implement the integrative exercise program had weaker health status, lower physical performance and more depression than any other places. 2. The integrative exercise program developed the preparation stage composed of stretching and Yudongkong-Ki exercise, the central stage was composed of range of motion exercise, muscle strength exercise and aerobic exercise with favorite and popular Korean music. The finishing stage was composed of joint rounding and Yudongkong-Ki exercise. The exercise intensity was RPE(rating perceived exertion) 10-11, maximal pulse rate 40-60%, duration started from 20min to 50min and frequency is 2-3times/wk. Conclusion: The integrative exercise program developed by the researcher is tailored exercise that is more applicable to individual cases in community settings. Eventually, the program is safely applicable to the elders, and is expected to improve the elders' physical function and quality of life.

• Korean Journal of Adult Nursing
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• v.21 no.1
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• pp.13-22
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• 2009

Purpose: The purpose of this study was to determine the effects of the seniorobic program on physical function and fall in elderly. Methods: The experimental group and control group was composed of 22 subjects each. The subjects in the experimental group had participated in the seniorobic program for 12 weeks which consisted of exercise and education. Muscle strength, flexibility, balance and the frequency of fall for each subject were measured before, and at the 6th and 12th weeks of the seniorobic program. Data were analyzed using SPSS /WIN 12.0 program. Results: The experimental group had significantly increased their flexibility at the 6th and 12th weeks of the seniorobic program, their the lower limb muscle strength and balance at the 12th week of the seniorobic program. There was no significant difference in the frequency of fall between the experimental group and the control group during the period of seniorobic program. Conclusion: These results suggest that the seniorobic program can increase lower limb muscle strength, flexibility and improve the balance of the elderly.

• Korean Journal of Adult Nursing
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• v.24 no.2
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• pp.183-190
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• 2012

Purpose: The purpose of this study was to investigate the reported patterns of sexuality and life satisfaction of the elderly. Methods: Study participants were 490 older than 60 years of age who participated in a sexuality education program over five provinces. Data were collected from August to October, 2009 by using a structured questionnaire. The data were analyzed using PASW/WIN 18.0 program. Results: 163 participants (33.3%) reported being sexually active with a frequency on an average of 3.16 times per month. The reported life satisfaction of the participants was significantly different in terms of education level ($p$ <.001), health status ($p$ <.001), economic status ($p$ <.001), sexual behaviors ($p$ <.001), and attitude on the sexuality ($p$=.023). The reported life satisfaction was significantly associated with sexual attitudes and the frequency of sexual behaviors. Conclusion: These results suggest that the elderly person has a positive sexual attitude although not all elderly people are sexually active. There are several influencing factors on life satisfaction of the elderly. Therefore, it is needed to investigate the sexuality of the elderly more closely to enhance their life satisfaction.

• Journal of Korean Academy of Nursing
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• v.42 no.4
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• pp.589-598
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• 2012

Purpose: The purpose of this study was to examine risk factors for pathological gambling of horse race participants. Methods: The participants, 508 horse race gamblers, completed the DSM-IV criteria of pathological gambling, Alcohol Use Disorders Identification Test (AUDIT-K) and Symptom Checklist-47-Revision (SCL-47-R). Data were analyzed using t-test, $x^2$-test, Fisher's exact test, and logistic regression analyses. Behaviors related to horse racing, alcohol abuse, and mental health were analyzed between problem or pathological gamblers compared to recreational gamblers. Results: The prevalence rates of recreational, problem, and pathological gambling were 36.6%, 39.4%, and 24.0%, respectively. Frequency of gambling (${\geq}4/day$), frequency of racetrack visiting (${\geq}3/month$), accompaniment (alone), and mental health (SCL-47-R scores) were all associated with increased risks of problem and pathological gambling. Expenditure on betting (${\geq}200,000$ won/day) and alcohol abuse (AUDIT-K 8-20 scores) group members had higher levels of gambling pathology than recreational gamblers. Conclusion: Problem and pathological gambling are highly associated with alcohol abuse and mental health disorders, suggesting that clinicians should carefully evaluate this population.

• Journal of Korean Academy of Nursing
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• v.41 no.1
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• pp.26-35
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• 2011

Purpose: This study was done to compare the effects of abdominal aroma massage and meridian massage on constipation and stress in college women with functional constipation. Methods: The participants were 38 college women, 18 were in the aroma group and 20 in the meridian group. The aroma massage was given using aroma oil which was a mixture of lemon, lavender, rosemary, and cyprus. The meridian massage was given at 9 accupoints which influence intestinal functions. The treatment was given 5 days a week for 4 weeks. A constipation severity score, weekly defecation frequency, and a stress response score were measured before and every week of 4 weeks of the experiment. Results: While there was no significant difference between two groups, there was a significant difference within the groups in the constipation severity (aroma group: 1st week, meridian group: except 4th week), defecation frequency (aroma group: 3rd week, meridian group: 2nd and 3rd week), and stress (aroma group: all weeks, meridian group: except 4th week) after different duration of experiment. Conclusion: Based on these results, both abdominal massages relieved constipation and stress. Resorting to either types of massage will contribute to the reduction of use of stool softeners, suppositories, or enemas.

• Asian Oncology Nursing
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• v.7 no.2
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• pp.169-178
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• 2007

Purpose: This study was to identify the relationship between depression and spiritual health in patients suffering from female cancer. Methods: The study utilized a cross-sectional descriptive study design. Data was collected by questionnaires from 106 female patients who were diagnosed with cancer of female organs at three university hospitals and one general hospital. The instruments used in this study included, "the Depression Scale" developed by Zung(1965) and "Spirituality Health Inventory" developed by Highfield(1992) and amended by Kim. The collected data were analyzed using frequency, percentage, t-test, ANOVA, and Pearson's correlation coefficients. Results: There was significantly negative correlation between spiritual health and depression in female cancer patients (r= -.65, p< .0001). There were significant differences in spiritual health according to the monthly income (F=4.30, p= .016), the degree of pain (F=2.85, p= .041), the degree of fatigue (F=3.42, p= .020), the frequency of attendance at worship services (F=3.26, p= .014), the effect of religion on personal life (F=9.41, p= .000). There were significant differences in depression, according to the residence type (F= .75, p= .012), the cancer insurance (t=7.86, p= .006), the degree of pain (F=2.78, p= .045). Conclusions: There is a necessity to develop strategies to improve the spiritual health and to reduce depression in female cancer patients. The significant several characteristics related to depression and spiritual health should be considered in psychsocial nursing intervention of female cancer patients.