• Journal of Korean Public Health Nursing
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• v.12 no.2
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• pp.89-106
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• 1998

The Health Promotion Model by Pender(l987) was used as the conceptual framework for analyzing the health promotion behaviors. The purposes of this study were to describe health promoting life style behaviors in 245 women between the ages of 35 and 59 living in Seoul and other cities and to find their predictive factors. Data were collected from 1st to 23th. June. 1998. The tool used for this study was structured questionnaire with consisted of 8 items on general characteristics. 5 items on health related characteristics. 43 items on health promoting life style. 28 items on menopausal symptoms. 5 items on family support. and 28 items on self-efficacy. The collected data were analyzed using the SAS. yielding descriptive statistics. ANOVA. Pearson's Correlation. stepwise multiple regression. The findings of this study are as follows. 1) The mean score of health promotion behavior(3.25) is not high. The mean scores of this self actualization (3.73). interpersonal support (3.68). and nutrition (3.57). regulation of stress (3.22) in domains are higher than health responsibility (2.90). exercise (2.63). 2) The results of the comparison between the health promotion behaviors and general variables showed a statistically significant difference in education (P=.0061), domestic economy status(P=.0001). perception of health status(P=.0001) but. age. state of menstruation. perception of weight is not significant difference. 3) The correlation between health promoting life style and self-efficacy(P=.0001). family support(P=.0001) is significant. But. there is no correlation between health promoting life style and age. number of family. perception of weight. 4) In the cognitive-perceptual factors. self-efficacy (P=.0001) is very significant predictor (accounted for $39.7\%$) and in the modifying factors. family support(P=.0001) is very significant (accounted for $9.0\%$). It is same to other research results.

• Women's Health Nursing
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• v.28 no.4
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• pp.329-337
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• 2022

Purpose: The purpose of this study was to investigate the influence of eHealth literacy, reproductive health knowledge, and self-esteem on early adult women's health-promoting behaviors (HPB). This study was based on Pender's health promotion model as a theoretical underpinning. Methods: Early adult women aged 18 to 35 years (n=165) were recruited by posting advertisements on social network sites for a student club and a faith-based community in Ansan, Korea. Willing individuals were invited to participate in the online survey from June 1 to June 30, 2022. Standardized instruments were used to measure HPB, eHealth literacy, reproductive health knowledge, and self-esteem. General characteristics included income level, perceived subjective health, and internet usage time. The collected data were analyzed using the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression. Results: The mean age of the respondents was 21.97±3.87 years. The total HPB score was 120.69, corresponding to a moderate level; and the total scores for eHealth literacy (30.24), knowledge of reproductive health (23.04), and self-esteem (35.62) were higher than the midpoint. The model explained 53.3% of variance in HPB, and self-esteem (β=.48, p<.001) was the most influential factor. Other influential factors were, in descending order, higher economic level, higher subjective health status, greater eHealth literacy, and less internet use time (<2 hours/day). Conclusion: In order to promote the health of early adult women, counseling or programs that positively improve self-esteem appear promising, and eHealth literacy should be considered as a way to promote HPB using information technology.

• Journal of Korean Academy of Nursing
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• v.26 no.3
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• pp.632-652
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• 1996

It has been noted that a genetic alteration of cells influenced by unhealthy lifestyle in addition to a series of other carcinogens increases the incidence of various neoplasmic diseases. Therefore the importance of a lifestyle that minimizes such an impact on health should be emphasized. Since stomach cancer, the most common neoplasmic disease in Korea, is related to personal lifestyle and as there is a possibility of its recurrence, patients with stomach cancer need to lead a healthy lifestyle. Also the quality of life which patients experience is negatively affected by the side effects of treatments and the possibility of recurrence. Therefore an effective nursing intervention to enhance quality of life and encourage healthy lifestyle is needed. The purpose of this study is to provide a basis for nursing intervention strategies to promote health and thus enhance quality of life. A hypothetical model for this purpose was constructed based on Pender's Health Promotion Model and Becker's Health Belief Model, with the inclusion of some influential factors such as hope for quality of life and health promoting behavior. The aims of study were to : 1) evaluate the effectiveness of patient's cognitive-perceptual factors on health promoting behaviors and quality of life ; 2) examine the causal relationships among perceived benefit, perceived barrier, perceived susceptibility and severity, internal locus of control, perceived health status, hope, health concept, self efficacy, self esteem health promoting behaviors & quality of life ; 3) build and test a global hypothetical model. The subjects for this study were 164 patients who were being treated for stomach cancer were approached in the outpatient clinic on a University Hospital. The data from the completed questionnaires were analyzed using Linear Structural Relationships (LISREL). The results of research are as follows : 1) Hypothetical model and the modified model showed a good fit to the empirical data, revealing considerable explanational power for health promoting behaviors(54.9%) and quality of life(87.6%) 2) Self efficacy and hope had significant effects on health promoting behaviors. Of these, hope was affected indirectly through self efficacy and self esteem. 3) Perceived health status, hope and self esteem had significant direct effect on the quality of life. Of these variables, perceived health status was the most essential factor affecting general satisfaction in life. 4) Self-efficacy, as a mediating variable, was positively affected by perceived benefit and hope. 5) Self-esteem, as a mediating variable, was positively affected by perceived health status and hope. 6) Hope was the main variable affecting self efficacy, self esteem, health promoting behaviors and quality of life. The derived model in this study could effectively be used as a reference model for further study and could suggests a direction for nursing practices

• Journal of Korean Academy of Nursing
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• v.35 no.3
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• pp.494-502
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• 2005

Purpose: This study was to evaluate the casual relationship between the factors in the Pender's model and to explain health promoting behaviors among middle-aged women in order to facilitate nursing interventions for this population group. Method: 116 women between 40$\~$60 years old living in Incheon were asked to complete a questionnaire about their health. The data was collected between March and November, 2003. The data was analyzed by descriptive statistics and the correctional analysis SPSSWIN 11.5 program. The LISREL 8.12 program was used to find the best fit model which explained a causal relationship of the variables. Results: The climacteric symptoms of middle-aged women negatively correlated with health promoting behaviors. However, marital satisfaction positively correlated with health promoting behaviors. Conclusion: Marital satisfaction and climacteric symptoms had an effect on health promoting behaviors. Therefore, based on this study, we plan to develop a health education program to decrease climacteric symptoms and to promote marital satisfaction for health promotion.

• Research in Community and Public Health Nursing
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• v.9 no.1
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• pp.5-20
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• 1998

The purpose of this study was to develop health promotion programs for middle aged women and to identify the adaptability and the effectiveness of the program in order to provide a model for health promotion programs as a basis for nursing intervention. The research design was a quasi-experimental, nonequivalent control-group pretest -posttest design. The data were collected from October 30 to December 11, 1996. The study subjects were middle aged women residing in Chonju city, with ages from 40 to 59. The experimental group consisted of 42 subjects who were recruited through announcements of the local newspaper. The control group consisted of 49 subjects who were mothers of nursing college students. The health promotion program for middle aged women was based on the Bandura's self efficacy theory and Pender's heath promotion behavior theory consisting of exercise and heath diaries as performance accomplishments as well as education and group sessions as verbal persuasion and vicarious experiences. The study program was provided for 6 weeks, 3 hours a day per week. There was a pretest before the program and a posttest after the 6 week program. The instruments used for the study were a Self Efficacy Scale and a Health Promotion Behavior Scale developed by Park(1995). The data analysis was done by the use of a SPSS/PC. The study results were as follows: 1. In the analysis of the homogeneity between the experimental and control groups, there were significant differences in the socio-demographic characteristics, self efficacy and health promotion behavior. There were significant differences between the experimental and control groups in occupation, the number of children, and the status of involvement in social activities. 2. The first hypothesis, 'The level of self efficacy of the experimental group will be higher than that of the control group.' was supported(F=10.154, p=.002). The second hypothesis, 'The degree of health promotive behaviors in the experimental group will be higher than that of the control group.' was supported(F=17.349, p=.000). 3. There was a significant positive correlation between the self efficacy and the health promotion behaviors in pretest and posttests (pretest: r=.732, p=.000 ; posttest : r=.754, p=.000). 4. The significant variables for health promotion behaviors were religion(t= -1.97, p=.05), family income(F=4.85, p=.00), education level (F=6.38, p=.00) and involvement in social activities(t= -3.06, p=.00) in socio-demographic characteristics. In summary, a heath promotion program based on self efficacy theory has made an improvement on health promotion behaviors. Also, the results show that the higher the level of self efficacy, the better the health promotion is in middle aged women. The study has proved that nurses can provide nursing intervention for the improvement of health promotion in middle aged women through the adaptation of a program increasing the subject's self efficacy level.

• Journal of Korean Public Health Nursing
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• v.11 no.2
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• pp.171-179
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• 1997

The purpose of this study was to identify the major factors affecting performance of health promoting behavior and Pender's health promotion model was examined. The subjects were 508 workers employed in 4 manufacturing industries, data was collected from May 19th to 24th, 1997 using questionaires and it was used convenient sampling method. Data were analyzed by SPSS Win 6.1 program. The results of this study were as follows 1. The average score of health promoting behavior was 2.47. 2. The Health promoting behavior in the relationships between health promoting behavior and demographic factors, there is statistically significant difference in age(F=2.56, P=.0378), religion(F=6.34, P=.0001), working type(F=4.56, P=.0036)variables. 3. The performance score of health promoting behavior was statistically positively correlated with Definition of health(r=.2471. P=.000), Self-efficacy(r=.1385, P=.002), Internal health locus of control(r=.126, P=.000), External health locus of control(r=.2550, P=.000), Chance health locus of control(r=.3023, P=.000), but negatively with Perceived health status(r=-.2076, P=.000). 4. The major factors were Chance health locus of control. Definition of health, working hours, self-efficacy, External health locus of control. and explained for $39.58\%$ of Health promoting behavior performance score.

• Korean Journal of Occupational Health Nursing
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• v.8 no.1
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• pp.42-55
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• 1999

The purposes of this study were to understand health-promoting behavior of client visiting health-promoting center, to identify the major subscales affecting performance in health promoting behavior to facilitate nursing intervention for health promoting of this population and to test Pender's Health Promotion Model. The subjects for this study were 177 sampled among clients from health-promoting center in General Hospital at Teajon. Data was collected by self-reported questionnaires from February 11 to May 22, 1998. Analysis of the data was done by frequency, t-test, ANOVA, Pearson Correlation Coefficient, Stepwise multiple regrssion using SPSS-PC. The results of the study were summarized as follows : 1. The mean score of performance in the health-promoting behavior was 109.22 and range was 71 to 170. The subscale of the highest mean score was self-actualization(30.77) and the subscale of the lowest mean score was exercise(10.50). 2. The most important variable in the health promoting behavior was the perceived self-efficacy. The perceived self-efficacy explained 15.8% of the variance in health promoting behavior. The combination of perceived self-efficacy, perceived barriers, religion, perceived benefits, perceived symptom, and age explained 43.5% of the variance in health promoting behavior. 3. In the relationships between individual characteristics and experience and health promoting behavior, age, religion, the significant differences in the subscale of the health promoting behavior ; sex, educational state, previous occupation, monthly income, marrital state, perceived symptom, and visiting plan of health-promoting center. 4. The health promoting behavior was statistically significant correlated with perceived benefits, perceived barriers, affect related to action, and perceived self-efficacy.

• Research in Community and Public Health Nursing
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• v.10 no.2
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• pp.330-346
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• 1999

This descriptive correlational study was conducted to identify the variables related to a health promoting lifestyle in high school students. 304 high school students and 189 vocational high school students living in Taegu city were selected by a convenience sampling method. The data were collected by self-reported questionnaires from August 24 to September 4, 1998. Pender and others' Health Promoting Lifestyle Profile, Shere et al's. Self-Efficacy scale, Wallston et al.'s Internal Health Locus of Control scale, Wares' Health self rating scale and Cohen & Hoberman's Social support scale were used. The data were analyzed by using descriptive statistics, Pearson correlation coefficient, t-test, MANOVA, ANOVA. Tukey verification and Stepwise multiple regression with an SAS program. The results of this study were as follows: 1. The average score of a health promoting lifestyle performance was 2.38(SD=.36) of a 4 point scale .Self-actualization (mean = 2.80. SD = .60). interpersonal support(mean = 2.73, SD=.47), health responsibility (mean=1.53, SD=.47), nutrition(mean=2.64, SD=.63), exercise(mean=2.71. SD=.72) and stress management(mean=2.37, SD=.58) were also analyzed. 2. The combination of self-efficacy, social-support, internal health locus of control. father's educational level and perceived health status explained 37.97% of the variance in health promoting lifestyles. 3. A Health promoting lifestyle showed significant positive correlations with self efficacy(r=.5173. p=.0011), perceived health status(r=.254, p=.001) and internal health locus of control(r=.321. p=.001). 4. According to sex(t=7.38. p=.006). economic state(F=6.62, p=.00l), Father's educational level(F=4.25, p=.005), mother's educational level(F=6.94. p=.000l), the grade of educational performance(F=3.74, p=.024), sleeping hours(F=3.47. p=.032) and social support(F=40.76, p=.0001). there were significant differences and modifying factors in health promoting lifestyles. On the basis of the above findings. self-efficacy in cognitive factors, and social support in modifying factors were identified as the variables which explained most of Pender's health-promotion model. Nursing strategies enhancing self-efficacy and social support which have a more significant effect on health promoting lifestyles should be developed. Further research is required to find out the factors influencing health pormoting lifestyle of high school students.

• 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.

• Research in Community and Public Health Nursing
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• v.17 no.2
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• pp.283-294
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• 2006

Purpose: The purpose of this study was to identify the factors influencing childhood immunization. Method: Data were collected by questionnaires from 251 Parents who have 6 months to 7 years old children at public health centers in Seoul and Kyunggi Province. The data were analyzed using descriptive statistics, t-test, ANOVA, and multiple regression. Result: According to general characteristics of the parents and children, there were statistically significant differences in education level of parents, child immunization card, gender, age, and birth order of children. The main factors that affected children's immunization were perceived barriers of action, perceived control, birth order of children, child immunization card, and education level of parents, and these factors explained 49.4%(explanatory power of this model was 49.4%). Conclusion: The results of this study showed strategies for compliance of children immunization. Therefore, when the program are developed for public immunization, these factors need to be considered.