• Title/Summary/Keyword: Self-reported health

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Effects of a Symptom Focused Self-Management Program on Symptom and Functional status, Health Perception, and Quality of Life of Patients with Chronic Heart Failure (인지적 의사결정에 근거한 증상별 자기관리프로그램이 만성 심부전 환자의 신체·기능상태, 건강지식 및 삶의 질에 미치는 영향)

  • Kim, Gi Yon
    • Korean Journal of Adult Nursing
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    • v.19 no.1
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    • pp.132-143
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    • 2007
  • Purpose: The purpose of this study was to identify effects of a self-management program on symptom and functional status, health perception, and quality of life(QOL) of patients with CHF. Methods: Patients with CHF as defined through clinical judgment using the Framingham criteria and EF<50% were enrolled in the study (experimental: 21, control: 20). The symptom focused self-management program consisted of coping behaviors for symptoms including dyspnea, chest discomfort/pain, dizziness, ankle edema, and basic self-management including medications, diets, activity, lifestyle changes. Experimental group received an educational booklet after survey, and periodic telephone follow-up by a trained nurse. Data were collected the 3rd day after admission and at 1 month, 3 months, and 6 months after discharge using questionnaires. Results: Significant differences were found in the presence of symptoms, health perception, and QOL between groups during follow-up. Although no significant difference was found in functional status, the experimental group reported better functional status than the control group. Conclusion: By facilitating self-management of CHF using tailored interventions including education programs and telephone monitoring, it is expected that patients will be able to monitor their symptoms routinely, adhere to therapeutic regimen, and have a better QOL.

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Impact of chronic disease on oral health behavior (만성질환이 구강건강 행동에 미치는 영향)

  • Kang, Yu-Min;Lee, In-Sook;Kim, Na-Yeon
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.6
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    • pp.1093-1104
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    • 2016
  • Objectives: The purpose of this study was to examine the impact of chronic disease on oral health behavior. Methods: The subjects were 317 adults over 30-years old living in urban and rural areas. They were selected by convenience sampling method and filled out the self-reported questionnaire. The questionnaire consisted of general characteristics, dental treatment, chronic disease, and oral health behavior including oral health self-care behavior and professional oral health care. Results: The self-care oral health behavior and the professional oral health care had a negative correlation with the chronic diseases. Especially, the self-care oral health behavior and the professional oral health care had a statistically significant negative correlation with hypertension and osteoporosis. Multiple regression analysis was performed after including general characteristics, dental treatment, chronic disease. Meanwhile the presence of chronic disease had a significant influence on the self-care oral health behavior and the professional oral health care. Hypertension and Osteoporosis were the most influential factors of chronic diseases and had a significant influence on the oral health behavior. In conclusion, the chronic diseases aggravated the oral health behavior practice. Conclusions: presence of chronic disease affects oral health behavior. Therefore, the effective intervention and education programs related to oral health care are necessary to enhance adult's oral health behavior and total health. The continuous follow-up study will determine the causal relationship between oral health behavior and the presence of chronic disease.

Factors Influencing the Experiences of Sexual Violence Victims while Dating as College Students (대학생의 데이트 성폭력 피해경험에 영향을 미치는 요인)

  • Lee, Eun-Sook;Kang, Hee-Sun
    • Women's Health Nursing
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    • v.16 no.3
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    • pp.266-275
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    • 2010
  • Purpose: This study was conducted to identify the factors influencing the experience of sexual violence victims while dating as College Students. Methods: With a correlational survey design, data was collected by self-report questionnaires from 560 college students who had reported sexual violence during a date. The data was analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: College students while on date who reported sexual violence showed a significantly negative correlation with self-esteem, dating sexual assault recognition, sexual assertiveness, and significantly positive correlations with the gender role stereotypes, sexual violence permissiveness, date sexual violence inflictions, and family violence. A combination of date sexual violence inflictions, self-esteem, sexual violence permissiveness, sexual assertiveness all accounted for 41% of the variance in date sexual violence among college students. Conclusion: Self-esteem and sexual assertiveness must be progressively uplifted in order to prevent date sexual violence. A specific program established to reduce sexual violence permissiveness would be useful in order to reduce the number of sexual violence victims for college students who are dating.

Determinants of Health-Promoting Behavior in the Elderly (노인의 건강증진행위와 관련된 변인에 관한 연구)

  • Kim Hyo-Jung;Park Young-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.2
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    • pp.283-300
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    • 1997
  • This study was undertaken to grasp health-promoting behavior of the elderly and to identify variables related to them in order to facilitate nursing intervention for health promotion of this population. The subjects for this study were 291 old persons obtained by cluster sampling from twenty general social welfare centers located in Tague. Data were collected by self-reported questionnaires from August 13 to September 13, 1996. Questionnaires were developed based on Sherer and others' Self-Efficacy scale, Rosenberg's Self-Esteem scale, Wallston and other's Multidimensional Health Locus of Control scale, Northern illinois University's Helath Self Rating Scale, Walker and others' Health Promotion Lifestyles Profile. Analysis of the data was done by use of descriptive statistics, stepwise multiple regression, Pearson Correlation Coefficient, MANOVA, t-test, and ANOVA. The results were summarized as follows : 1. For the practice of health-promoting behavior, the mean score was 2.89 and range was 3.59 to 2.09. The factor of the highest mean score was regular diet(M=3.42) and factor of the lowest mean score as stress management(M=2.27). 2. The combination of self-efficacy, internal health locus of control, family number, and average monthly pocket money explained 30.0% of the variance of health-promoting behavior. 3. With regard to the relationship between health-promoting behavior and cognitive perceptual factor, self-efficacy correlated positively with health-promoting behavior(r=.4951, P=.0001), self-esteem correlated positively(r=.3263, P=.0001), internal health locus of control correlated positively(r=.3244, P=.0001), perceived health status correlated positively(r=.1355, P=.0274). 4. According to age(F=2.50, P=.0431), sex(t=2.14, P=.0332), marital status(F=7.85, P=.0005), education(F=5.44, P=.0003), family number(F=11.18, P=.0001), people living together(F=7.21, P=.0009), previous occupation(F=5.83, P=.0001), average monthly pocket money(F=7.27, P=.0001), there were differences of health-promoting behavior. The above findings show that health-promoting behavior are related to demographic characteristics, four cognitive perceptual factors(self-efficacy, self-esteem, internal health locus of control, perceived health status). On the basis of the above findings the following recommendations are made ; 1. Nursing interventions enhancing exercise or activity, accountability for health, stress management of the elderly must be provided. 2. Nursing strategies enhancing self-efficacy which is most significant effect on health-promoting behavior must be developed.

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Factors related to Smartphone Overdependence by Gender in Middle School Students (중학생의 성별에 따른 스마트폰 과의존 관련요인)

  • Kyung-A Do;Su-Jin Kwak;Jee-Seon Yi
    • Journal of the Korean Society of School Health
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    • v.36 no.3
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    • pp.82-91
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    • 2023
  • Purpose: This study aims to identify gender-based differences in factors related to smartphone overdependence among middle school students. Methods: The subjects of the study were middle school students who participated in the 16th Korea Youth Risk Behavior Survey (2020). Frequency analysis, the Rao-Scott χ2 test, and multiple logistic regression were performed using SPSS 27.0. Results: Identified risk factors were grade level, self-reported health, self-reported happiness, loneliness, smoking, drinking, poor sleep quality, physical activity, and generalized anxiety disorder, which were commonly found in all participants. Additionally, stress was found related only in boys, while the residential area and depression showed associations only in girls. In particular, the more severe was the level of generalized anxiety disorder, the higher was the risk ratio of the high-risk group, compared to the potential-risk group. Conclusion: Based on the findings of the study, a customized strategy that considers gender differences should be developed in order to prevent smartphone overdependence in middle school students.

Factors Influencing Health Risk Behaviors in Early Adolescents (초기 청소년의 건강위험행위에 영향을 미치는 요인)

  • Yoo, Jae-Soon
    • Research in Community and Public Health Nursing
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    • v.20 no.3
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    • pp.296-306
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    • 2009
  • Purpose: This study was to identify variables influencing health risk behaviors in adolescents on the basis of the PRECEDE model. Methods: Data were collected from 434 middle school students in Chungbuk Province for two weeks in July 2008. The instrument for this study was a self-reported questionnaire. The SPSS/WIN 12.0 program was used for data analysis, which included t-test, one way ANOVA, Scheffe's test, Pearson's correlation coefficients, and stepwise multiple regression analysis. Results: Adolescents' level of health risk behaviors ($47.32{\pm}7.98$) was below medium. Physical inactivity ($6.73{\pm}2.23$) and Internet addictive behavior ($6.36{\pm}2.11$) were major health risk behaviors. The perceived level of school health education ($30.74{\pm}9.84$) was low. Family function and general self efficacy explained 14.3% of variance in health risk behaviors. Family function was a major predictor of health risk behaviors ($R^2$=.108, p=.000). However, the perceived level of school health education was not a significant predictor of health risk behaviors. Conclusion: For the prevention of health risk behaviors in adolescents, it is necessary that the family and the school collaborate with each other in educational strategies in order to strengthen influential factors such as family function and general self-efficacy.

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Describing Physical Activity Patterns of Truck Drivers Using Actigraphy

  • Brad Wipfli;Sean P.M. Rice;Ryan Olson;Kasey Ha;Caitlyn Trullinger-Dwyer;Todd Bodner
    • Safety and Health at Work
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    • v.14 no.3
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    • pp.340-346
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    • 2023
  • Background: Truck driving is a highly sedentary occupation that places workers at risk for chronic health conditions, such as obesity and high blood pressure. The primary purpose of this study was to objectively describe truck drivers' typical physical activity (PA) patterns. Methods: We used ~7-10-day baseline PA actigraphy data samples from drivers in the Safety & Health Involvement For Truckers (SHIFT) study (n = 394). Driver PA patterns (e.g., average number of ≥10 minute Freedson bouts per week, time in bouts, and common days/times for PA) were summarized with descriptive analyses. We also compared objective accelerometer data to self-reports. Results: Drivers' weekly PA averaged 14.4 minutes (SD = 37.0), and most PA occurred between 5-6 pm on Tuesdays and Wednesdays. Drivers overestimated self-reported weekly exercise by over 60 min/week compared to accelerometer data. Conclusion: Our results suggest that objective PA assessment may be warranted over self-report when possible, and timing may be key in future PA intervention work with truck drivers.

A study on the correlation between self-perceived oral health status and periodontal diseases in elderly Koreans (한국 노인의 본인인지 구강건강상태와 치주질환 관련성)

  • Jung, Eun-Seo;Lee, Kyeong-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.6
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    • pp.1135-1145
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    • 2017
  • Objectives: The objective of the study was to review the correlation between self-perceived oral health status and periodontal diseases in elderly Koreans, using data from the $6^{th}$ (2nd year) Korea National Health and Nutrition Examination Survey (2014). Methods: The subjects for this study were a total of 1,454 elderly people aged 65 years or older who responded to the health questionnaires of the $6^{th}$ (2nd year) Korea National Health and Nutrition Examination Survey conducted in 2014. Their general characteristics were analyzed using frequency analysis, while a cross-tabulation analysis (${\chi}^2-test$) was performed to understand the correlation with periodontal diseases. To clarify any effect of self-perceived oral health status on periodontal diseases, the selected variables were controlled and subsequently analyzed according to the logistic regression analysis. Results: In terms of the difference between elderly people with periodontal disease and those without periodontal disease, higher prevalence rates of periodontal diseases were found in women, those of younger age, those with lower educational and income levels, those with poorer subjective oral health status, those in the presence of chewing discomfort, those who had a toothbrushing frequency of twice per day, and/or those who had received no oral examination over the previous one year. Regarding the effect of self-perceived oral health status on periodontal diseases, 1.78-fold and 1.74-fold higher prevalence rates of periodontal diseases were shown with poorer subjective oral health status and in the presence of chewing discomfort, respectively. Conclusions: Based upon the results above, it is considered that a better understanding of self-perceived oral health status is necessary for a healthy life of the elderly. Furthermore, constant relevant studies and effective prevention programs intended to moderate the progress of or prevent periodontal diseases in the elderly in communities should be performed and implemented for the sake of better quality of life and oral health.

Factors Affecting Nurses' Web-based Learning Achievement in Schoolwork (학업병행간호사의 웹강의 수강에 따른 학업성취도에 영향 미치는 요인)

  • Kim, Young Im;Kim, Tae Yoon
    • Korean Journal of Occupational Health Nursing
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    • v.22 no.1
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    • pp.57-65
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    • 2013
  • Purpose: The purpose of this study was to evaluate the factors that affected self efficacy, social support and learning achievement in the web-based learning of graduate school students. Methods: The data were collected from 79 nurses in a web-based learning. A self-reported questionnaire was used to assess the level of self-efficacy, social support and learning achievement. Results: The learning achievement was significantly improved to 4.05 points after web-based learning compared to 2.69 points before web-based learning, and all other items were also improved. Self-efficacy was improved to 3.91 points from 3.66 points after web-based learning and so was social support to 4.18 points from 3.94 points. Fatigue and stress among health behavior characteristics were significantly decreased after web-based learning. Conclusion: This study shows that the web-based learning improved self-efficacy and social support of the students. And self-efficacy was an important factor in learning achievement. It is necessary to develop a strategy to improve self-efficacy as well as to manage social support for increasing interactions among the nurses in a web-based learning.

Self-Disclosure of Breast Cancer Diagnosis by Iranian Women to Friends and Colleagues

  • Najmabadi, Khadijeh Mirzaii;Azarkish, Fatemeh;Latifnejadroudsari, Robab;Shandiz, Fatemeh Homaei;Aledavood, Seyed Amir;Kermani, Ali Taghizadeh;Esmaily, Habib Ollah
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.6
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    • pp.2879-2882
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    • 2014
  • Background: Breast cancer (BC) is the most common form of cancer in Iranian women, and it remains a major health problem. An increasing number of young women are being diagnosed with BC, and therefore, there is an increasing likelihood that more women will survive breast cancer for many years. Many opine that self-disclosure of BC diagnosis is important because talking about cancer helps people to make sense of their experiences; in fact, self-disclosure appears to play an important role in many health outcomes. However, this has not yet been studied in BC patients in Iran. Therefore, this study aimed to explore the status of self-disclosure of BC diagnosis by Iranian women to friends and colleagues. Materials and Methods: All BC records for 2001-2011 of employed women were studied at five hospitals in Mashhad. Data about the self-disclosure of BC diagnosis were gathered through telephone interviews, and the participants filled out a questionnaire about their status of self-disclosure of BC diagnosis to various groups of people. Results: The mean age of employed women at the time of diagnosis was $44.3{\pm}6.7$ years. Over 60% self-disclosed to work colleagues and over 90% to bosses/managers. Seventy per cent reported that they had support from their family and husband's family, while 95% reported that they had support from parents, siblings, children and friends. Conclusions: Most employed women self-disclosed freely to family, friends, colleagues and bosses/managers. Apparently, self-disclosure of breast cancer diagnosis may have negative effects at work. About half of patients reported that they had support from family, managers and colleagues; however, for nearly 28% of employed women, disclosure had less positive effects. In particular, it altered their perception of others, produced difficulties with work and family and diminished closeness with the people who were told. However, the stigma of BC is far less than it once was.