• 한국치위생학회지
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• 제8권4호
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• pp.55-64
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• 2008

This study set out to identify the factors to affect the oral health promotion behavior of elementary school students and to provide a framework to develop educational programs to promote their oral health promotion behavior. A survey was conducted to 729 fifth and sixth graders attending four elementary schools in Seoul. The variables were measured with a five-point Likert scale and include previous oral health related behaviors, perceived oral health status, perceived benefit, perceived barriers, self-esteem, self-efficacy, and oral health promotion behavior. First, the subjects scored relatively high 3.51 points out of 5 in oral health promotion behavior. They also scored 3.88 points in perceived benefit, 3.51 in selfesteem, 3.43 in self-efficacy, 3.28 in perceived oral health status, 2.77 in previous oral health related behaviors, and 1.79 in perceived barriers. Second, a significant difference was observed according to gender in previous oral health related behaviors and oral health promotion behavior. And a significant difference was also found according to grade in previous oral health related behaviors, perceived benefit, perceived barriers, selfesteem, self-efficacy, and oral health promotion behavior. Third, when they had an experience of visiting a dental clinic for preventive purposes, a significant difference was found according to the purposes of going to a dentist in previous oral health related behaviors, perceived benefit, and oral health promotion behavior. And fourth, multiple regression analysis was carried out with oral health promotion behavior as a dependent variable. As a result, all the research variables, which include previous oral health related behaviors, perceived oral health status, perceived benefit, perceived barriers, self-esteem, and self-efficacy, turned out to have significant influences on oral health promotion behavior. And their explanatory power was 49%. Conclusion: Those factors that were identified to affect the oral health promotion behavior of programs to promote their oral health.

• 기본간호학회지
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• 제8권2호
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• pp.210-219
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• 2001

Purpose: To examine the effects of the GEAP on pain, fatigue, self-esteem, perceived health status and self-efficacy in patients with chronic arthritis. Methods: One group Pre- & post-test design was used. Outcome domains included pain, number of painful joints, fatigue, self-esteem, perceived health status and self-efficacy. Thirty-four patients were recruited over four times from a rheumatic clinic affiliated to a university medical center in Seoul, Korea The GEAP is an exercise program modified by the investigators from PACE program which developed by Arthritis Foundation. The program duration is about 60 minutes, three times a week for 6 weeks. Participants were predominantly women (68%) ; on average 57.3 years old; and diagnossed with RA (58.8), osteoarthritis (29.4) or other (11.8). Results: After completing the GEAP, subjects showed significant improvement in pain (p=.02), number of painful joints (P= .04), fatigue (p= .0001), and perceived health status (P=.006). There were no improvements in self-esteem and self-efficacy score for adults with chronic rheumatic diseases. Conclusion: This study showed that the GEAP is an effective exercise intervention for improving outcomes for patients with chronic arthritis. More sample and research are needed to 1) accurately evaluate on self-esteem and self-efficacy; 2) understand and improve adherence. And also a longer follow up period is recommended to evaluate long-term effects of the PACE program.

• 여성건강간호학회지
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• 제7권3호
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• pp.293-304
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• 2001

The purpose of this study was to investigate the factors influencing health promoting lifestyles in college women thus providing the basic data necessary to establish a health promoting program. The subjects of this study were 274 college women, living in Seoul, Chung-Buk, and Kangwon, during the period from May 10 to July 15, 2000. The instruments for this study were the health promoting lifestyles scale developed by Bak, Insuk(1995), the self efficacy scale by Sherer et al. (1982), the social support scale by Su, Moonja(1988), the self-esteem scale by Rosenberg(1965) and the perceived health status scale by Lawton et al.(1982). The results of this study are as follows; 1. The average score for health promoting lifestyles was 2.45 on a 4 point scale. The health promoting lifestyles categories 'harmony relationships' (3.04) and 'sanitary life'(3.02) revealed higher scores, whereas scores for 'healthy diet' (2.32), 'exercise & activity' (2.14) and 'professional health management' (1.48) were lower. 2. The mean score for self-efficacy, social support, self esteem and perceived health status was 3.38 (on a 5 point scale), 2.88 (on a 4 point scale), 2.98(on a 4 point scale) and 3.08(on a 5 point scale) respectively. 3. Health promoting lifestyles showed significant positive correlation with self efficacy, social support, self esteem and perceived health status. 4. Stepwise multiple regression analysis revealed that the most powerful predictor of health promoting lifestyle was self efficacy. Self efficacy, social support, and perceived health status have significant effects on health promoting lifestyles. These predictive variables of health promoting lifestyles explained 25% of variance. Finally, the result of this study will provide important factors for the development of a nursing intervention program for the promotion of healthy lifestyles in college women.

• 성인간호학회지
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• 제22권5호
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• pp.552-560
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• 2010

Purpose: This study was designed to identify effects of self-esteem and health status on adaptation of elderly residents in facilities. Methods: The sample consisted of 151 elderly residents. The data collected from January to April 2010 were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. Using instruments were self-esteem scale (SES) (Rosenberg, 1965), Korean health status measure for the elderly (KoHSME) (Shin et al, 2002), and nursing home adaptation scale (Lee, 2007). Results: The mean scores of self-esteem ($2.90{\pm}0.71$), health status ($2.15{\pm}0.53$) and adaptation ($2.98{\pm}0.44$) of elderly residents in facilities were above the average. Self-esteem was significantly varied according to religion, economic status and living expenses. Health status was significantly different according to age, disease and motivation of getting into the facilities. Adaptation was significantly different according to religion, satisfaction of facilities and decision maker of getting into the facilities. Significant correlations were found between self-esteem, health status and adaptation. Self-esteem and health status were influencing factors of adaptation (22.6%). Conclusion: These findings indicate that perceived self-esteem and health status may be requirements for promoting adaptation of elderly residents in facilities. These results could be utilized in the development of supportive programs for elderly adaptation.

• 지역사회간호학회지
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• 제13권3호
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• pp.493-502
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• 2002

Purpose: This study was conducted to measure the levels of Health status, perceived stress, self-esteem, and achievement motivation and assertive behavior of adolescents. The relationships among these variables as well as predictors of health status were examined. Method: The sample was composed of 496 students (male: 195. female: 301) from 3 high schools in Seoul and Kyunggi-Do regions. The instruments used in this study were as follows: health status scale developed by Noh (1991), perceived stress scale developed by Park(1996), self-esteem scale developed by Rosenberg (1965), achievement motivation scale developed by Park(1986) and assertive behavior scale developed by Kim(1982). The reliability of the five instruments were examined using Chronbachs' a that ranged from, .63 to .90 in this study. The data were analyzed with the SAS program using descriptive statistics, t-test, ANOVA, Duncan multiple comparison, Pearson correlation coefficients, and stepwise multiple regression. Results: The results were as follows: 1. The mean score .of health status was 3.1, which was higher than the median of the instrument. 2. There were significant correlations of health status with self-esteem (r=.381. p=.0001), assertive behavior (r=.503. p=.0001), and perceived stress (r=-.352. p=.0001). 3. Stepwise multiple regression analysis showed that 34% of health status was affected by the level of assertive behavior (25%), self-esteem (7%), and perceived stress (2%). Conclusion: Based on these findings, assertive behavior and self-esteem appear to be specific important areas of future research as to better understand the health status of adolescents, and to develop health status-related interventions for them.

• 한국응급구조학회지
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• 제2권1호
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• pp.36-46
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• 1998

The study was conducted to investigate the health promoting behavior, self-esteem and social support of college students. The subjects were 170 college students(health related department and non health related department) of college in K, C, U city. The instruments used for this study were a survey of general characteristics(9 items), health promoting behavior(47 items), self-esteem(10 items), social support(25 items). Analysis of data was done by use of mean, percentage, t-test, ANOVA, Pearson correlation coefficient and stepwise regression with SAS program. The results of this study are as follows ; 1. Health promoting behavior were showed significant difference in two groups. 2. Health promoting behavior of two groups according to general characteristics were showed significnant difference in religon, personality, exercise, health food choice of A group and perceived health status, personality, exercise, health food choice of B group. 3. Significant correlation between exercise and health promoting behavior, self-esteem and social support, social support and health promting behavior in A group and between perceived health status and exercise, perceived health status and social support, perceived health status and health promoting behavior, self-steem and social support, exercise and health promoting behavior, self-esteem and health promoting behavior, social support and health promoting behavior in B group was found. 4. Significant correlations were found between most of the subscales of total health promoting behavior. 5. Predicting factor of health promoting behavior were social support and exercise in A group(51.74%) and social support, exercise and self-esteem in B group(41.18%).

• 한국간호교육학회지
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• 제5권2호
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• pp.315-331
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• 1999

This study was done to describe health promoting lifestyle and to identify the factors affecting the performance in health promoting lifestyle among the climacteric women. The subjects of this study were 240 women(40 to 60 years old) The sample data were collected using a purposive sampling method, and collected from August 23 to September 6, 1999. The instruments for his study were a health promoting lifestyle scale, a health locus of control scale, a self-esteem scale and a perceived health status questionnaire. Frequency, percentage, t-test, ANOVA, Pearson's correlation and stepwise multiple regression technique with SPSS program were used to analyze the data. The results of the study were as follows ; 1) The average score of performance in the health-promoting lifestyle variables was 166.40. The variable with the highest degree of performance was the sanitary environment , whereas the one with the lowest degree was the professional health maintenance. 2) Performance in the health-promoting lifestyle was positively related to self-esteem, internal health locus of control and negatively related to accidental health locus of control and perceived health status. 3) A significant difference between educational level and health-promoting lifestyle were found. 4) Self-esteem and perceived health status explained 21.0% of the variance for the total health promoting lifestyle. The results of this study show that self-esteem, perceived health status predicted the health promoting lifestyle of the climacteric women. Therefore, health promoting programs that increase self-esteem and perceived health status should be developed to promote a healthy lifestyle of the climacteric women, especially those who have a low level of education.

• 보건교육건강증진학회지
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• 제20권2호
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• pp.127-147
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• 2003

The purpose of this study was to investigate the factors influencing health promoting behavior and satisfaction of life in female undergraduate students, to provide the basic data for health promoting intervention in order to improve satisfaction of life. The subjects of this study were 345 female undergraduate students living in Jecheon city who were selected by convenience sampling. The data was collected through self-reported questionnaires from Oct. 2 to Dec. 20, 2001. Research instruments used in this study were the health promoting lifestyle profile developed by Walker et al(1987), satisfaction of life developed by Pavot and Diener(1993), perceived health status by Lawston et al(1982), self-esteem by Rosenberg(1965), self-efficacy by Becker et al(1993), health locus of control by Wallston et al(1978). The data was analyzed by using descriptive statistics, pearson correlation coefficient, stepwise multiple regression with SPSS/Win program. The results of this study were as follows； 1) The mean score of health promoting behavior was 2.31 point out of 4. Among the sub-levels of health promoting behavior, the order of importance was the following self-actualization(2.76), interpersonal support(2.75), stress management(2.31), nutrition(2.06), health responsibility(1.83), exercise(1.76). The mean score of satisfaction of life was 4.11 point out of 7. 2) The health promoting behavior showed significant positive correlation with perceived health status, self-esteem, self-efficacy, internal health locus of control, powerful others health locus of control. The satisfaction of life showed significant positive correlation with perceived health status, self-esteem, self-efficacy, internal health locus of control, health promoting behavior. 3) In the relationship between general characteristics and health promoting behavior, there was a significant difference in majors(F＝8.50, p＝.000). In the relationship between general characteristics and satisfaction of life were significant differences in a grades(F＝2.67, p＝.04) and economic status of parents(F＝8.59, p＝.000) 4) The most powerful predictor of health promoting behavior was self-efficacy. A combination of self-efficacy, self-esteem and powerful others health locus of control accounted for 34.7% of the variance in health promoting behavior. The most powerful predictor of satisfaction of life was self-esteem. A combination of self-esteem, health promoting behavior, perceived health status, economic status of parents and grade accounted for 34.0% of the variance in satisfaction of life. In conclusion, we need a health promotion program focusing on exercise, health responsibility and nursing strategies enhancing self-efficacy and self-esteem should be developed to promote a healthy lifestyle and satisfaction of life in female college students.

• 대한간호학회지
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• 제26권3호
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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

• 지역사회간호학회지
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• 제8권2호
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• pp.368-380
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• 1997

This descriptive comparative study was conducted to compare the relationships among self-esteem, self-efficacy, perceived health status and the performance of health promoting lifestyles for nursing and non-nursing students. The sample consisted of 246 nursing students and 166 non-nursing students at an evening class of junior college in T city. The data was collected by a self reporting questionnaire from March 2 to March 17, 1997 and analyzed by SPSS Win. 7.0 program for frequency, mean, percentage, t -test, ANOVA, and a Pearson correlation coefficient. The results of this study are summarized as follows: 1. The results of the comparison between the two groups was not significantly different for self esteem and perceived health status, but significantly different for self-efficacy. Nursing students had higher scores on self -efficacy than non-nursing students(t=4.621. p<.05). 2. There was a statistically significant difference between the two groups concerning a health promoting lifestyle. Nursing students ($157.73{\pm}20.26$) had higher scores on total health promotion as well as its 8 subscales than non -nursing students ($048.15{\pm}21.51$,), (t=21.074, p<.001). On subscales, nursing students had the highest score in sanitary life(3.22) and the lowest score in professional health maintenance(1.54). Non -nursing students had the highest score in harmonious relationships(3.10) and the lowest score in professional health maintenance (1.48). 3. Performance in a health promoting lifestyle was significantly correlated with such demographic variables as age and grade for nursing students, and types of dwelling for non -nursing students. 4. Perceptions of good health have been positively correlated with health promoting lifestyles. Those persons who rated their health as good showed the highest score, followed by excellent ,average, poor in that order. 5. Performance in health promoting lifestyles was significantly correlated with self-esteem, self-efficacy and, perceived health status. The most important factor that affect performance in health promoting lifestyles was self -efficacy.