• Journal of muscle and joint health
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• v.18 no.2
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• pp.169-181
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• 2011

Purpose: This paper presents the development process and the final contents of the sellf- management education program integrated with exercise training (Healthy Aging Happy Aging, HAHA program) for community residing older adults with chronic diseases. Methods: The program evaluation methodology was applied which is an interactive program development process based on needs assessment, formative evaluation, process evaluation and outcome evaluation. The program was developed and revised while the program was implementing to 22 hypertension (HT) and 32 diabetic (DM) participants. Results: The final program has two sub-programs for HT and DM participants utilizing self-efficacy resources. They share four common components; 1) health screening of exercise risks, 2) weekly 1-hour group self-management education classes, 3) biweekly 1-hour group exercise training and 4) a mid-term individual counseling. Both sub-programs were 12-weeks long but have different education and exercise contents. Participants-rated mean satisfaction scores were 3.47/4 and 3.61/4 for HT and DM program respectively. Attendance rate were 83.1% ~ 92.3% for the classes. Conclusion: The HAHA program developed by multidisciplinary team which reflected participants needs was accepted well by participants evidenced by high attendance rate and perceived satisfaction level.

• Journal of East-West Nursing Research
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• v.29 no.2
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• pp.161-171
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• 2023

Purpose: The purpose of this study is to verify the effectiveness of the Environmental Hazards Exposure Prevention Program for Mothers with Young Child (EHEPP-MYC) and to provide basic data for environmental health projects in the community. Methods: EHEPP-MYC was developed based on the protection motivation theory. A quasi-experimental design was applied to evaluate the effectiveness of the program. The number of study participants was 30 in the experimental group and 31 in the control group. The intervention applied to the experimental group consisted of lectures as the main method, current affairs programs, discussions, booklets, animations, and practical training. The program was held twice a week for a total of 4 sessions of 60 minutes each. The effect of applying the program was measured three times through surveys (before, immediately after, and two weeks after the intervention) and analyzed through repeated measures ANOVA. Results: The EHEPP-MYC had significant effects on preventive behavior, perceived severity, perceived vulnerability, self-efficacy, response efficacy, and response costs at three time points. Conclusion: EHEPP-MYC has been shown to be effective in promoting environmental hazards prevention behaviors among mothers of young child. EHEPP-MYC can be used as baseline data for projects developing programs to prevent exposure to environmental hazards and improve the environmental health of communities.

• Child Health Nursing Research
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• v.14 no.1
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• pp.22-34
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• 2008

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.

• Korean journal of applied entomology
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• v.22 no.2 s.55
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• pp.106-129
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• 1983

An emphasized analysis and reviews on the progress of pesticide managements for the past 10 years through the statistics in Korea are summarized in this continued studies in connection with the fundmental aspects and direction of advanced pesticide industry and improved plantprotection policies for 1980's. Remarkable development and changes are observed in the plant species and varieties, plantation practices and production techniques as well as pest infestations and controls in the last decade, but no normal achievement and operations are recognised on the pesticide management and marketing system especially. Realistic plant protection adminstration and pesticide regulations in accordance to the industrial modernization and pest management advancement must be adjusted in accordance with national economic progress and desirable agricultural structure for 1980's. Special considerations are stated on the strengthening of research and inspection program for the quality products and control with the efficacy and safety use of pesticides. More serious attentions are noted on the over production and flooded stocks under struggled market demands and sales competitions with lethal financial difficulties by producers. Through the status analyzed for the last decade, the integrated past management and cooperative basic control pattern under positive self-forecasting system by farmers are also urged for the effective and economic pest control measures. The problems and solutions discussed here ell the advanced pesticide management as well as the cooperation on the self-ordered quality control and market managing systems in 1980's as it is a desired projection for the further improvement. Most of outstanding and necessary statistics and data in the past decade are also summarized here for references in connection with the previous report.

• Research in Community and Public Health Nursing
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• v.13 no.1
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• pp.98-114
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• 2002

Purpose: This review examined literature relevant to adolescent's health behavior in order to identify key behaviors and factors related to health behaviors for targeting health promotion interventions. Method: A critical review of 29 research articles was carried out using the guidelines suggested by Cooper. Result: The majority of the studies were descriptive and cross-sectional. Generally. the study includes sub-dimensions such as general hygiene and daily life habit, safety and accident prevention, nutrition and eating (tobacco, drinking), exercise, mental health and stress management, health duty (drug, health examination, disease prevention). Factors highly related to health behaviors were age, living areas, economic status, parent health behaviors, parent health concern, social support, friends influence, self-efficacy, self-esteem, locus of control, and the perceived health status. Sex, parent education and health knowledge were not related to health behaviors of adolescents. Conclusion: Several conceptual and methodological problems were identified in the studies review, such as restricted conceptualization of health behaviors and sampling issues which limit the generalizability of the study outcomes. Further research is needed to enhance the concept clarification and generalizablity of the study results.

• Journal of Korean Academy of Nursing
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• v.31 no.5
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• pp.781-792
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• 2001

Professional nurse Autonomy is an essential attribute of a discipline striving for full professional status. Purpose: This study was to clarify the concept of professional nurse autonomy to provide basic data needed for development of professional autonomy enhancing strategies. Method: This study use the process of Walker & Avante's concept analysis based on Wade's research (1999), and field data of 21 nurses. Results: Professional nurse autonomy is defined as competency and creative performance of the professional nurse in practice, to decide independently or interdependently nursing activities and to be had accountable for results of decisions, that reflect advocacy and caring. It was identified that critical attributes include responsible discretionary decision making, collegial interdependence, initiative, creativity, and caring, advocacy, cooperative relationship with clients, receptive capacity to others, activeness, self confidence, and devotion and responsibility to their profession. Antecedents include personal characteristics, educational background, experience and structural characteristics that enhance professional nurse autonomy. Consequences of professional nurse autonomy are feelings of self-efficacy, empowerment, job satisfaction, reduction of intention to leave their job. Conclusion: According to these results, it is recommended that the curriculum provides an environment for learning professional nurse autonomy, and that is used as basic data to develope strategies to enhance professional autonomy of nurse in practice and it's effects

• Korean Journal of Health Education and Promotion
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• v.28 no.3
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• pp.67-82
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• 2011

Objectives: The purpose of this study was to identify the factors influencing the stages of exercise behavior change after adjusting for related covariates. Methods: Participants included 362 of fourth to sixth graders in 3 elementary schools in a metropolitan city in Korea. The data were collected using structured questionnaire included Korean Stages of Change Scale for Exercise. Results: Logistic regression results showed that the motivational factors associated with transition from precontemplation to contemplation were cognitive process of change, self-reevaluation, conscious raising; regarding that from contemplation to preparation, cons of the decisional balance; regarding those from preparation to action, behavioral process, counter-conditioning, stimulus control, which were very similar to the results of previous researches subjected other age groups. But, there was no motivational factors associated with from action to maintenance, and self-efficacy had no influence on forwarding stages of change. Conclusions: TTM would be applicable to explain the exercise behavior of some children in Korea, which suggested that it be useful in developing the programs to improve physical activities of Korean school children.

• Journal of Korean Academy of Nursing
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• v.34 no.2
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• pp.333-343
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• 2004

Purpose: This study was designed to construct a structural model for symptom management of life of the patients with chronic fatigue. The hypothetical model was developed based on the literature review and Self-regulating Model. Method: Data were collected by questionnaires from 252 patients with chronic fatigue in the 8 community from December 2002 to April 2003 in Seoul. Data analysis was done with SAS for descriptive statistics and PC-LISREL Program for Covariance structural analysis. Result: The fit of the hypothetical model to the data was moderate, thus it was modified by excluding 4 path and including free parameters and 3 path to it The modified model with path showed a good fitness to the empirical data($x^2$=318.11, p=0.0, GFI=.98, AGFI=.98, NNFI=.95, RMSR=.03, RMSEA=.05). The symptoms of stress, self-efficacy, and present fatigue level were found to have significant direct effect on symptom management of the patients with chronic fatigue. The ways of coping, perceived stress, and fatigue symptom were found to have indirect effects on symptom management of the patients with chronic fatigue. Conclusion: The derived model is considered appropriate in explaining and predicting symptom management of the patients with chronic fatigue. Therefore, it can effectively be used as a reference model for further studies and suggested direction in nursing practice.

• Journal of Korean Academy of Nursing
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• v.35 no.4
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• pp.694-700
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• 2005

Purpose. The purpose of this study was to determine the relationship between peer and parental factors and smoking behavior of adolescents in urban cities and to investigate whether there are gender differences. Methods. A stratified and random cluster sampling design was used to obtain a cross-sectional sample of high school students in two urban cities. The sample consisted of 512 Korean adolescents (256 boys and 256 girls) aged 15 to 18 (mean age 16.7$\pm$.58). Self-reported questionnaire consisted of adolescent smoking behavior, peer smoking and alcohol use, parental smoking and alcohol use, father-mother-peer relationships and perceived social support from peers and parents. Multiple logistic regression analysis was used to examine the hypothesized model. Results. The findings showed that peer and parental factors accounted for $30.3\%$ of the variance in adolescent smoking and peer smoking was most strongly associated with adolescent smoking behavior (OR = 10.18). In addition, peer smoking (OR = 4.71), peer alcohol use (OR = 4.21), and peer relationships (OR = 1.03) were significantly associated with boys' smoking behavior. In girls, peer smoking (OR = 26.50) and parent smoking (OR = 5.48) were significantly associated with smoking behavior. Conclusions. Consistent with previous findings, peer smoking is a significant factor on adolescent smoking. Specifically, boys would be more influenced from peers than girls. Therefore, smoking prevention programs for adolescents might be focused on the social context such as, resisting to peer pressure and enhancing the self-efficacy to control.

• Journal of Korean Public Health Nursing
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• v.35 no.2
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• pp.224-238
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• 2021

Purpose: This study aimed to identify factors associated with the self-rated health of married immigrant women in South Korea. Methods: Data, collected in August 2018, were derived from the 2018 National Multicultural Family Survey. Study subjects were 9,230 married immigrant women. Data were analyzed using logistic regression. Results: Of the study subjects, 23.2% rated their health as poor. Results showed that individual factors (age, ethnic affiliation, duration in South Korea, and depressive symptoms); social and community networks (relationship with spouse, parenting efficacy, Korean proficiency, perceived discrimination, social support, and social activities); and living and working conditions (life satisfaction and unmet heath needs) were associated with health. Married immigrant women in their 50s or older, living in Korea for more than 15 years, experiencing depressive symptoms, low life satisfaction, and having unmet health needs were especially at high risk of poor health. Conclusion: More detailed health policy that considers age, length of stay, and country of origin. To prevent the rapidly deteriorating health of married immigrant women after middle age, mental health support should be given priority, and systematic improvement is needed to increase accessibility healthcare services.