• Korean Journal of Health Education and Promotion
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• v.31 no.4
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• pp.25-36
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• 2014

Objectives: The self-management of chronic diseases is currently receiving much attention. This study applied an extended technology acceptance model (ETAM) to analyze the factors influencing acceptance of a healthcare smartphone application. Methods: Three hundred people living in Seoul and Gyeonggi who used smartphones were quota sampled. A telephone survey was conducted using a structured questionnaire based on ETAM. A path analysis was carried out using the AMOS 17.0 program, and the model was verified. Results: The analysis revealed significant factors of perceived usefulness (.374, p < .001), enjoyment (.210, p < .001), subjective norms (.168, p < .001), perceived costs (.146, p < .001), and innovativeness (.138, p < .001). Cost directly influenced intention to use health applications; self-efficacy and perceived ease of use indirectly affected intention through innovation and perceived usefulness. Conclusions: This study helped to identify the main factors that influence usage intention of smartphone applications. These findings could contribute to promoting the self-management of chronic disease through future health applications using smartphones.

• Journal of Korean Academy of Nursing Administration
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• v.17 no.2
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• pp.147-157
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• 2011

Purpose: This study was done to investigate factors affecting perceived financial burden of medical expenditures. Method: The participants were 2,024 inpatients who were enrolled in a survey on the benefit coverage rate of the National Health Insurance in 2006. The collected data were analyzed using t-test, ANOVA-test, Mann-Whitney-test, Kruskal-Wallis-test, Chi-square test and logistic regression. Results: The crucial factors for perceived financial burden were age, job, equivalence scale, ratio of annual family income vs medical expenditure, and private health insurance. Perceived financial burden was higher for people who were older, who were unemployed, whose medical expenditures were high compared to annual family income, whose index of family equalization was low and for those who had no private health insurance. Conclusion: The results of the study indicate a demand for system reform that will enable management of no-pay hospital bills in the National Health Insurance to decrease the medical expense of people in the low-income bracket.

• Korean Journal of Occupational Health Nursing
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• v.27 no.4
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• pp.235-246
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• 2018

Purpose: This study aimed to comprehend the real context of metabolic syndrome-related factors of Korean male blue-collar workers from small-sized companies based on the health belief model. Methods: A total of 37 workers from three companies were interviewed, and three series of focus group interviews were conducted. Data were analyzed using deductive content analysis. Results: Data were classified into four categories: knowledge, perceived susceptibility and severity, perceived barriers, and beliefs. Knowledge referred to low knowledge level; perceived susceptibility and severity referred to unawareness of susceptibility and severity; perceived barriers referred to shift work, overtime work, and a social context including having no choice but to drink; and beliefs referred to believing that health promotion behaviors do not relate to preventing metabolic syndrome, believing that one cannot prevent metabolic syndrome oneself, and believing that professional help is required. Conclusion: To prevent and reduce the risk of metabolic syndrome among Korean male blue-collar workers, interventions should focus on strategies to increase metabolic syndrome-related knowledge and perceptions, social support, and self-efficacy for practicing health behaviors. In addition, it is necessary to develop policies for establishing a healthy drinking culture in companies.

• Research in Community and Public Health Nursing
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• v.13 no.2
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• pp.292-305
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• 2002

Purpose: The purpose of this study was to conduct a systematic assessment on the level of health status, and quality of life of the health care beneficiaries registered in health management programs of public health centers. In order to investigate the level of health status and the quality of life and to find factors affecting them, the PRECEDE model, that was developed by Green, et al. for the purpose of a comprehensive diagnostic research, was used. Method: The subjects were 81 residents who resided K-gu, Seoul. Data were collected from September, 1999 to August, 2000 using a self reported questionnaire. The data were analyzed by descriptive statistics, t-test, Kruskall-Wallis test, Pearson's correlation coefficient. and path analysis. Results: 1. The quality of life and the level of health promoting lifestyle were moderate or more, but were not significantly different by sex, age, marital status, educational level. occupation, and monthly household income. 2. Self-efficacy was significantly correlated to be a perceived benefit, social support and health-promoting lifestyle. Perceived benefit had a significant correlation with social support and health promoting lifestyle. There was also a significant correlation between the level of satisfaction, and the availability of the health promotion program. 3. Social support, health promoting lifestyle, and health status were found to influence the quality of life directly, whereas self efficacy and perceived benefit affected the quality of life indirectly through social support. Conclusion: The results of this study suggest that the health promotion program should include strategies to strengthen self efficacy and perceived benefit to enhance social support, and to encourage health promoting behaviors in order to improve the quality of life of the health care beneficiary.

• The Journal of the Korea Contents Association
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• v.15 no.9
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• pp.541-554
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• 2015

In this paper, first, we examined the factors which would affect users's intention for accepting Smart Healthcare Service. Second, we analyzed weather the types(health care provider vs. health care recipient) of the users would modulate the factors's influences. The independent variables of the research model are novelty-seeking, self-efficacy, facilitating conditions and security. The mediating variables are the perceived ease of use and the perceived usefulness. The dependent variable is the acceptance intention and the moderating variable is the user type which contains health care provider and health care recipient. As the results of the analysis, we recognized that the self-efficacy of the users would affect the perceived ease of use and the perceived usefulness in the smart healthcare services, but the user types(health care provider vs. health care recipient) did not modulate the factors's influences. We also recognized that the facilitating conditions would affect the perceived ease of use and the perceived usefulness in the smart healthcare services, in particular, the user types modulated the influences in the ease of use. We also recognized that the security would affect the perceived ease of use and the influence was more sensitive in the case of the health care provider. At last, we recognized that the ease of use and usefulness would affect the acceptance intentions. The influence of the ease was more sensitive in the case of the health care recipient. The influence of the usefulness was more sensitive in the case of the health care provider.

• Korean Journal of Adult Nursing
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• v.23 no.6
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• pp.554-563
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• 2011

Purpose: The purpose of this study was to investigate factors associated with drug misuse behaviors among polypharmacy elderly. Methods: This was a cross-sectional survey. Participants consisted of 116 polypharmacy elderly who were taking 5 or more medications each day. Data were collected via face to face interviews. Data were analyzed using the PASW 18.0 program. Data concerning predisposing factor (knowledge, benefit), enabling factor (communication with health care provider), and need factor (perceived health status, number of disease) were collected. Results: The total mean score of drug misuse behaviors among polypharmacy elderly was 3.04 out of 10 points. Communication with health care provider, perceived health status, and knowledge were found to be significantly correlated with drug misuse behaviors. In stepwise multiple regression analysis, a total of 42% of the variance in drug misuse behaviors was accounted for communication with health care provider, perceived health status, and knowledge. Conclusion: Therefore, education program for improving communication with health care provider, and knowledge should be designed and provided for polypharmacy elderly.

• Research in Community and Public Health Nursing
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• v.15 no.4
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• pp.600-607
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• 2004

Purpose: This study was conducted to examine the relationship among health promotion behavior, perceived stress and constipation. Method: The subjects of this study consisted of 212 female university students. The data was collected using questionnaires from October to December, 2003 and analyzed t-test, ANOVA, Pearson Correlation Coefficients using SAS. Result: The subjects with difficulties in bowel elimination were 57.6% and there was a significant negative correlation between health promotion behavior and constipation. Conclusion: Data from this study suggest that constipation is an important health problem among female university students and needs further research to understand factors related to constipation.

• Journal of dental hygiene science
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• v.17 no.5
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• pp.398-404
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• 2017

The present study aimed to examine the influence of mental health factors on oral health factors using data from the Korean National Health and Nutrition Examination Survey (KNHANES). A total of 1,548 elderly individuals aged over 65 years who completed the screening and health questionnaire were selected as the final study participants. The psychological health factors related to perceived oral health status were depression and stress when the gender was controlled, and in terms of gender, both elderly male and female individuals were stressed and depressed. These results suggested that the psychological health of elderly individuals negatively affects not only perceived oral health but also the quality of life. In addition, the psychological health of the elderly individuals should be systematically managed along with oral health care and overall health care and lifestyle. If a comprehensive health management system is available for low-income groups or an elderly person living alone, it should positively affect and improve the quality of life of elderly individuals.

• Health Policy and Management
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• v.14 no.3
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• pp.66-96
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• 2004

This study was intended to describe the hypertensive patient's lifestyle and quality of life by creating a hypothetic model on the lifestyle and quality of life and by examining a causeand effect relationship, and to contribute to countermeasures for practicing their lifestyle and improving the quality of life through creating a predictable model. Exogenous variable($\xi$) of hypothetic model in this study composed of a family support, hypertension knowledge, perceived benefit and toughness. Endogenous variable($\eta$) composed of self-esteem, perceived health state, depression, lifestyle and quality of life. There were 6 measured variables for exogenous variable(x). There were 9 measured variables(y) for endogenous variable. Also, there was error variable ($\delta,\;\epsilon$) of an individual. The survey was conducted for 207 hypertensive parents who received an out-patient service for 3 weeks from September 15, 2003 to October 3, 2003 after diagnosing as hypertension from 2 general hospitals in Daegu. As the conformance of hypothetic model in this study, there were $x^2$= 155.81, standard $x^2$ ($x^2$/df)=2.32, GFI=0.003, NFI=0.971, CFI=0.982, and RMSEA=0.080. Generally, the hypothetic model and actual data were well coincided. The higher the hypertension knowledge was(t=6.030), the higher the perceived benefit was(t=9.429), the higher the toughness was(t=2.783), and the higher the perceived health state was(t=2.282), the higher the lifestyle was. However, the degree of depression (t=-0.038), family support(t=1.161), and self-esteem(t=0.518) was not affected. The higher the family support was(t=10.476), the higher the self-esteem was(t=7.244), the higher the perceived health state was(t=6.996), the lower the degree of depression was(t=-2.044), and the higher the practice degree of lifestyle was(t=3.315), the higher the quality of life was. However, the toughness(t=1.672) didn't have a significant influence on the quality of life. It was modified to increase the model conformance and gain a conscious model As the result of model revision, for the model conformance, there were $x^2$= 118.43, standard $x^2$=1.69, GFI=0.923, NFI=0.976, CFI=0.982, and RMSEA=0.078. As the revised model showed the better conformance than hypothetic model, it seemed to be more suitable model. In the revised model, the perceived benefit(t=9.440) affected the lifestyle in the revised model. Then, the lifestyle was influenced by hypertension knowledge(t=6.139), toughness (t=2.757), family support(t=2.078), perceived health state(t=1.962) in the order. As a factor which affected the quality of life, there were the family support(t=l0.46l), self-esteem(t=7.368), perceived health state(t=6.989), lifestyle(t=3.316), toughness(t=2.584), and depression(t=-1.968) in the order. It showed the significant effect.

• Journal of Digital Convergence
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• v.12 no.10
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• pp.391-403
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• 2014

This study seeks to carry out a literary review of preceding studies and the health improvement model of Pender(1987) on university students majoring in nursing to explain the health improvement behaviors and identify the factors that affect their activities to provide a framework for developing a more effective nursing mediation method that promotes health improvement behaviors. The study subjects were 204 university students majoring in nursing who have had clinical practice experience. The period for data collection was from April 1to May 30, 2014 and a total of 204 copies of the questionnaire were used for analysis. For the collected data, frequency analysis, percentage, ANOVA, t-test and correlation analysis were conducted using SPSS, LISREL, and path analyss was done for hypothesis testing. The overall index of hypothesis model showed a good congruence as ${\chi}^2=.06$(p=.812), df=1, ${\chi}^2(df)=.000$, GFI=0.97, AGFI=1.0, SRMR=.002, NFI=0.947, NNFI=0.957, RMSEA=0.016, CN=266. Looking at the verification of the hypothesis presented in the model, the variables that affect health improvement behaviors were perceived disability, perceived self-efficacy, perceived social support, while stress from clinical practice, perceived health status, persistence and perceived benefits did not affect health improvement behaviors.