This study was designed to construct a structural model for health promoting behavior of patients with chronic disease. The hypothetical model was developed based on the literature review and Pender's health promotion model. Method: Data was collected by questionnaires from 1748 patients with chronic disease in General Hospital from December 1999 to July 2000 in Seoul. The disease of subject were cardiac disease included hypertension peptic ulcer, pulmonary disease included COPD and asthma, DM, and chronic kidney disease. Data analysis was done with SAS 6.12 for descriptive statistics and PC-LISREL 8.13 Program for Covariance structural analysis. Results: 1. The fit of the hypothetical model to the data was moderate, it was modified by excluding 4 path and including free parameters to it. The modified model with path showed a good fitness to the empirical data (χ2=591.83, p<.0001, GFI=0.97, AGFI= 0.94, NNFI=0.95, RMSR=0.01, RMSEA=0.05). 2. The perceived benefits, perceived barriers, self-efficacy, self- esteem, and the plan for action were found to have significant direct effect on health promoting behavior of chronic disease. 3. The health concept, health perception, emotional state, social support were found to have indirect effects on health promoting behavior of chronic disease. Conclusion: The derived model in this study is considered appropriate in explaining and predicting health promoting behavior of patients with chronic disease. Therefore, it can effectively be used as a reference model for further studies and suggested implication in nursing practice.
A great deal of attention has been paid to the quality of life in citizens due to the increased number of long term life expectancy. reported as effective in the health promotion of the senior citizens. In this study, the principal investigator developed an exercise program for the senior citizens, which could be educated and managed by nursing staff. This kind approach may support the need of exercise program on regular base via the social organization, which may mean the intentional change of life style. The exercise program consisted of exercise, health education, and a direct the population of the senior A regularexercise has been nursing care. A quasi -experimental study was conducted to investigate the effects of excercise program on health of the elderly in senior citizen's center. Independent variable was a 9 weeks exercise program. Dependent variables were: 1) physical health [e.g. physical fitness(cardiopulmonary endurance, back muscle strength, grip strength, muscular tolerance, flexibility and body fat proportion), physiologic parameters(blood pressure, pulse, respiration. and blood glucose), and perceived physical health status; 2) mental health measured by depression score; and 3) cognitive perception of exercise measured by usefulness and self-efficacy. A total of 37 subjects was randomly assigned into either the control group (without the exercise program: n=18) or the intervention group(with the exercise program: n=19). The results of the study analyzed using a SAS, were as follows: 1) In physical fitness of physical health, there was a significant improvement in cardiopulmonary tolerance. back muscle strength. muscular tolerance and flexibility in the intervention group, compared to the control group, while no difference in grip strength and body fat proportion. The exercise program resulted in decreases in blood pressure, pulse, respiration and blood glucose within normal range and improvement of perceived physical health status in the intervention group. 2) There was a slight increase of mental health(depression score) in the intervention group compared to the control group. but without statistical significance. 3) There was a significant improvement in cognitive perception of exercise(e.g. usefulness and self -efficacy) in the intervention group, compared to the control group. It was concluded that the exercise program employed in this study was appropriate for women senior citizens and had a positive effect on health in general.
Collaborative consumption was suggested as a new paradigm of consumption and business model that focuses on sharing and using resources to reduce the risks of resource depletion and environmental impact. Individual consumers carry out a role not only as users but also as providers for collaborative consumption. In the present study, the authors investigated consumers' intention to participate in collaborative consumption both as providers and users. The effects of perceived benefit of collaborative consumption, subjective norms and ease of participation on the intention to participate in collaborative consumption were analyzed. The perceptions on benefits and subjective norms were relatively high, while the perception on ease of participation was relatively low. The effects of subjective norms and ease of participation on the intention to participate in collaborative consumption were significant. The result shows that support from one's reference group and the perception on ease of participation have significant positive effects on the intent to participate in collaborative consumption. Therefore, communication strategies for developing a positive consumer attitude and a social consensus about the necessity of collaborative consumption are needed.
This study examined the effect of patient teaching on Compliance with sick role behavior in diabetic patients. The purpose was to improve diabetic patients Compliance by D. M. patient teaching. The study objectives were to determine the effect of patient teaching on Compliance with sick role behavior, and factors influencing compliance with sick role behavior of diabetic patients. The Subjects, consisting of 52 diabtic patients diagnosed in the C. and Other hospitals in K. city were divided into experimental and Control groups. Data were gathered from July 25th to September 3rd, 1988 through interviews by questionnaires, measurment of blood sugar level by Reflolux. D. M. Patient teaching was defined as informational intervention of social support by the nurse. A booklet representing patient education and questionnairs were developed by the investigator, and were tested for Content validity, and reliability by Item Analysis: Cronbachs $\alpha$ for any instrument to measure variables was patient Compliance .83, perceived health belief .65, diabetic knowledge .70. Analysis of data were done by paired t-test, t-test, Anova, Pearson correlation and Stepwise multiple regression, The results of the study may be summarized as follows : 1. The effect of patient teaching on Compliance with sick role behavior, on diabetic Knowledge and health belief was Confirmed by significant differences between the experimental and the control group before and after the experiments. (P=000 P=006, P=004). 2. Factors influencing compliance with sick role behavior of diabetic patient were diabetic patient teaching (P<.005), perceived health belief(r=.5597, P<.005), blood sugar(r=.3205, P<.01), diabetic knowledge(r=.2876, P<.05).
Journal of the Korean Society for Library and Information Science
/
v.17
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pp.229-259
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1989
The school library plays very important and central role for the fullfillment of educational objective in the process of implementing the school curriculum. And the media specialist known as teacher-librarian is. primarily responsible for the successful operation and effective management of the media center. It is true that effectiveness of the school library depends greatly on the cooperative coordination among teacher-librarian, teacher and principal in addition to the strong support and effective supervision of school district authority, specifically, supervisor of school library program. The successful program therefore is influenced by their perception of the teacher-librarian's role. The purpose of this study was to investigate the teacher-librarian's. educational role perceived by teacher-librarian, teacher, principal and school district supervisor. A standard task model describing both the management and educational functions and expectations of teacher-librarian was proposed after studying the relevant current standards of four countries. Serveral hypotheses were made regarding role perception and a survey instrument was designed based on this proposed task model and the results of the literature review to validate the hypotheses. The questionnaires were mailed out and the returned questionaires were analyzed by SPSS computer routine. The major findings are summarized as follows: 1) There was difference of the role perception among teacher-librarian, teacher, principal and district supervisor at the significance level of p<0.001 for both management and educational functions of teacherlibrarian. The mean score of the teacher-librarian was highest among four groups and the score for the educational function tasks were lower than that of management function tasks. 2) The positive correlation exists at the significance level of p<0.001 between the role perception and the attitude toward changing social trends such as acceptance of new technology, need for better communication and information. 3) The positive correlation exists at the significance level of p<0.001 between the role perception and the view on the curriculum and teaching method.
Journal of the Korea Academia-Industrial cooperation Society
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v.20
no.11
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pp.232-238
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2019
The purpose of this study is to verify the feasibility of a model, based on the Theory of Planned Behavior (TPB), that predicts the intention of a problem gambler to abstain from gambling. In order to investigate attitudes toward gambling abstinence, subjective norms, perceived behavior control, and intentions to abstain from gambling, we surveyed 100 problem gamblers who used community-based service centers. Furthermore, we analyzed by the structural equation model whether attitude toward gambling abstinence, subjective norms, and perceived behavior control can influence the intention to abstain from gambling. The analysis of the study model revealed that the most powerful predictor of the gambling abstinence intention is perceived behavior control, followed by a positive attitude toward gambling abstinence. In contrast, subjective norms did not show a significant influence on intentions for gambling abstinence. Based on these results, we propose cognitive-behavioral interventions to improve attitudes and self-efficacy toward gambling abstinence in order to help problem gamblers recover. In other words, continuous support and coping-skills training are needed to reinforce the belief that people can recover from a gambling problem, and information and education on problem gambling to improve positive attitudes can also be helpful. Therefore, it is possible to consider not only the treatment of gambling problems, but also to provide preventive interventions centering on the addiction management institution.
The purpose of this study was examined effect of physical fitness and exercise participation on healthy aging of the elderly. The subjecrts were a total 319 people that they were participate in the regular exercise, and go to welfare center in Seoul. Data were collected during the period from November 1 to November 30, 2006. The collected data were analyzed frequency, descriptive statistics, correlation and hierarchical regression analysis using the SPSS-Win 12.0 program. The results of hierarchical regression analysis were appeared as follows. According to the results of hierarchical regression analysis, significant factors influencing healthy aging were monthly income, monthly pocket money, self-perceived health status, leg muscle strength, exercise behavior and period of exercise. 2. According to the results, significant factors influencing physiological health were age, marital status, self-perceived health status, exercise behavior and period of exercise. 3. According to the results, significant factors influencing cognitive-mental health were monthly income, monthly pocket money, self-perceived health status, leg muscle strength, exercise behavior and period of exercise. 4. According to the results, significant factors influencing social-support health were monthly income, age, education, self-perceived health status, leg muscle strength, exercise behavior and period of exercise. In conclusion, First, this questionnaire demonstrates good reliability and validity and therefore it is an appropriate measurement of healthy aging for the elderly in Korea. Second, it is important that exercise behavior is main factor to healthy aging life on the elderly. Third, There is important mean values of the items for healthy aging.
Journal of Korean Academy of Fundamentals of Nursing
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v.14
no.3
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pp.340-350
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2007
Purpose: This study was done to construct a quality of life (QOL) model for recipients of a liver transplant. Method: In consideration of the main factors influencing QOL in recipient of liver transplants, a hypothetical model was constructed with 16 paths. A questionnaire was used to collect data from recipients of liver transplants who were being followed at one of 3 university hospitals. For the final analysis, there were 189 completed questionnaires and the hypothetical model was verified through covariance structure using LISREL program. Results: Overall fitness indices of hypothetical model were GFI= .99, AGFI= .97, NNFI= .96 and RMR=.020. After considering modification indices and paths that proved not to be significant and to improve model fitness, the hypothetical model was modified. In the final model, 3 paths from the hypothetical model were excluded. Overall fitness indices of the final model were GFI= .99, AGFI= .98, NNFI= .98 and RMR= .020. Eleven of fifteen paths proved to be significant. QOL was influenced by duration after transplantation, perceived health status, self-esteem, uncertainty, social support, self efficacy and depression and these variables explained 65% of the variance. Conclusion: This study presents a theoretical model for QOL for recipients of a liver transplant. Based on the results of this study and to improve QOL for recipients of a liver transplant, it is suggested that interventions to re-enforce self efficacy and self-help are needed.
Purpose: The purpose of this study was to build and test a theoretical model that could be used to explain and predict health promoting behavior in school children in Korea. Method: Participants for this study included a total of 423 students, all of whom were enrolled in either the 5th or 6th grade of one of 3 elementary schools in Seoul and Gyunggi Province, Korea. A questionnaire was used to collect the data and the collection period was from September 22 to 30, 2006. The data were analyzed using the SAS Program and Lisrel Windows Program. The instruments for this study were developed to include a health promotion behavior scale, self-esteem scale, self-efficacy scale, perceived benefit and barriers scale, social support scale, health status scale, academic stress scale, and previous health-related behavior scale. Results: The hypothetical model for this study consisted of 3 intrinsic and 6 extrinsic variables, and 27 pathways. As a result of hypotheses testing, as many as 11 pathways were found to be statistically significant. Conclusion: The development of health promotion programs based on the factors found in this study will be very effective in promoting the health of Korea's school children.
The purpose of the study was to explore what kind of intervention might help foster parents decide to continue engaging in foster care. As foster care services are still in the early stages of development, lacking systematic support systems as well as full understanding of the roles of foster parents and foster care agencies, it is important to recruit, select, and train as many foster parents as possible. Utilizing the Foster Parent Role Perception scale developed by Le Prohn, the author first conceptualized foster parent roles or foster care agency roles; then explored what kind of effects the resource level or the role perception of the foster parents have on the decisions to continue doing foster care. The results showed that the foster parents perceived 'supporting the internal system of the foster child' and 'supporting the external system of the foster child' as the roles of foster parents, whereas 'fortifying the foster care system' and 'maintaining liaison with birth parents' were the roles of foster care agencies. It was also found that foster parents' strong role perception, higher levels of satisfaction towards education on the part of foster parents, and the number of children from the previous marriage had statistically significant positive effects on the decisions to continue foster care. The author argues that clear definitions of roles are needed for both foster parents and foster care agencies. Finally, the role of foster care agencies needs to be strengthened and supported.
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