• Journal of Korean Academy of Nursing
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• v.35 no.2
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• pp.239-251
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• 2005

Purpose: This study was designed to construct a structural model for explaining mental health status in middle - aged women. Methods: The data was collected by self - reported questionnaires from 206 middle - aged women in Seoul. Data analysis was done with the SAS pc program for descriptive statistics and a PC - LISREL Program for finding the best fit model which assumes causal relationships among variables. Results: The overall fit of the hypothetical model to the data was good, but paths and variables of the model were modified by considering theoretical implications and statistical significances of parameter estimates. Thus it was modified by excluding 3 paths, The modified model showed was good fit to the data($x^2=177.55$, p=.00), GFI=0.908, AGFI=0.860, RMR=0.013, NFI=0.972, NNFI=0.982). Perceived stress, anger expression method, and self -esteem were found to have direct effects on mental health status in middle - aged women. These predictive variables of mental health status explained $66.6\%$ of the model. Conclusion: Programs to enhance mental health status in middle - aged women should include stress management skill, anger expression skill, and self -esteem enhancement skills to be effective.

• Journal of Home Health Care Nursing
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• v.25 no.1
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• pp.96-104
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• 2018

Purpose: This study compared factors related to fear of falling among women in the early phase of old age based on hand grip strength. Methods: Researchers obtained data of 1,071 women who had participated in the 4th Korean Longitudinal Study of Aging. Data were analyzed using multiple regression analysis. Results: In both groups, fear of falling was positively correlated with falling experience within two years, osteoarthritis-related leg pain, depression, and instrumental daily life abilities; however, self-rated health was negatively correlated. In the low hand grip strength group, self-rated health, osteoarthritis-related leg pain, and hand grip strength accounted for 21.3% of the variance regarding fear of falling. In the normal hand grip strength group, age, self-rated health, fall experience within two years, osteoarthritis-related leg pain, and depression significantly accounted for 16.6% of the variance regarding fear of falling. Conclusion: In applying interventions to prevent falling in women in the early phase of old age, health care workers must verify if women have low hand grip strength and determine whether to focus on fitness improvement through exercise interventions or consider psychological interventions for depression.

• Research in Community and Public Health Nursing
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• v.29 no.1
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• pp.41-53
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• 2018

Purpose: This study was conducted to identify the factors affecting on unmet healthcare needs of married immigrant women, especially who are working in South Korea. Methods: It is designed as a cross-sectional descriptive study. We analyzed data from 8,142 working married immigrant women to the 'National Survey of Multicultural Families 2015.' Based on Andersen's health behavior model, logistic regression was conducted to determine the predictors of unmet healthcare need. Results: The prevalence of unmet healthcare needs among the subjects was 11.6%. In multivariate analysis, significant predictors of unmet needs included existence of preschooler, country of origin, period of residence in predisposing factors, monthly household income, helpful social relationship, social discrimination, Korean proficiency, working hour per week in enabling factors, and self-rated health, experience of grief or desperation in need factors. Conclusion: The association between labor-related factors and unmet healthcare needs of marriage immigrant women currently working was found from nationally representative sample. Support policies for immigrant women working more than legally defined hours and having preschooler should be supplemented to reduce unmet healthcare needs. In addition, eradicating discrimination in workplace, enlarging social relationship, and developing culturally competent nursing services tailored to health problems caused by labor are needed.

• Women's Health Nursing
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• v.16 no.1
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• pp.1-9
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• 2010

Purpose: The study addressed the adaption of middle- aged Korean women to menopause, including the use of Yangsaeng, a traditional health care regimen that incorporates specific principles and methods to promote health and prevent illness, with the aim of improving health and longevity of life. Methods: Middle-aged women (40~59 years, n=171) residing in Seoul and Gyeong-Gi Province. Data was collected by using a self-reported questionnaire. Menopausal period adaptation was measured by 29 items in four categories (physical, self-concept, role function, and inter-dependent). Yangsaeng was measured by 31 questionnaire items in eight categories (morality, mind, diet, activity and rest, exercise, sleep, seasonal, and sexuality). Results: Significant differences in menopausal adaptation were evident on the basis of participant education and income. There were significant differences in Yangsaeng in terms of participant education, nature of employment, and income. Menopausal adaptation positively correlated to use of Yangsaeng. Physical adaptation, self-concept adaptation, role function adaptation, and inter-dependent adaptation positively correlated to morality Yangsaeng, mind Yangsaeng, and activity and rest Yangsaeng. Conclusion: Middle-aged Korean women who practice Yangsaeng may be better positioned to adapt to menopause. Yangsaeng may be an advantageous nursing intervention in this population.

• Journal of Korean Academy of Nursing
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• v.32 no.5
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• pp.694-705
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• 2002

The purpose of this study is to describe the health behavior experience of middle-aged Korean women in rural areas, and to help understand their health practice, perceive their nursing needs and provide guidelines to developing appropriate nursing interventions. Method: The participants were 18 healthy middle-aged women living in rural areas, with no serious illness that require hospitalization. The data was collected through interviews and participant observation, analyzed by the grounded theory methodology of Strauss & Corbin(1997). The data collection period was from April to November of 2001. Result: Depending on the paradigm model, the central phenomenon was family-oriented pursuing of yangsaeng. The causal condition was less confidence on one's own health, responsibilities in caring for family. The contexts were cultural system. The intervening condition was information system, support system, limitation of approaching a medical institution. The action/ interaction strategies were yangsaeng through dietary practice, yangsaeng through promoting clothing and housing, yangsaeng through exercise, practice of folk therapy, yangsaeng through mental hygiene, and use of medical institution. The consequences were stabilization of body and mind, and stabilization of family. Conclusion: It is recommended for nurses to understand health behavior experience of middle-aged women, and provide nursing intervention with theoretical scheme and practical principles so that these women can pursue the family-oriented process of yangsaeng.

• Journal of Korean Academy of Nursing
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• v.34 no.1
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• pp.141-149
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• 2004

Purpose: To identify the status of regular cervical cancer screening practices among middle-aged women, the associations between regular practice and research factors, and the predictive model and factors effecting such behavior was studied. Method: Two hundred women, aged 40 to 60, were selected by convenience in one urban area of Seoul. They were asked about their regular attendance for screening, knowledge of cancer and screening, health belief, health self-determination index and certain personal factors. Result: Approximately 54.5% of the women had periodic screening tests every 6 months to 2 years. Their knowledge of cervical cancer and health belief were at the medium level of each scale, but their health self-determination scores (HSDI) were low. Some influencing factors, and their cancer odds ratio were identified through univariate regression analysis. These variables were included in a predictive model, and this model proved to have enough fit and classification power (83.5%). In this model, the financial state, self-belief and self-determination scores were found to be significant. Conclusion: Middle-age women's intrinsic motivation for healthy behavior was found to be low in those who felt to be in a poor financial state, had higher perceived barriers, lower perceived benefits and a lower prevalence of undergoing regular screening test.

• Journal of Korean Academy of Nursing
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• v.35 no.3
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• pp.565-574
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• 2005

Purpose: The purpose of this study was to develop a Dan Jeon Breathing Model and to identify effects of the developed Dan Jeon Breathing Model for maintenance and promotion of health and improvement of health problems in middle-aged women. Method: This study was constructed with two procedures. The first procedure was to develop appropriate movements for middle-aged women, performing a focus group discussion and developing a Dan Jeon Breathing Model in qualitative research. The collected data from focus group discussions was categorized for fitting movements. The second procedure was to verify and conclude a Hypothetic Dan Jeon Breathing Model through a quasi-experimental nonequivalent control group pre-post test design. Result: The developed Dan Jeon Breathing Model was composed of 28 preparation movements to accept Ki comfortably, 10 breathing movements to accumulate Ki for activation of metabolic function in organs and 14 finishing movements to transmit activated Ki to organs. It took 40 minutes to do them. In the Second procedure, the score of physical health (t=4.205, p=.000), psycho-social health(t=3.292, p=.002) and physical strength of the experimental group(t=5.905, p=.000) was higher than that of the control group. Conclusion: The Dan Jeon Breathing Model developed in this study is the correct health promotion model for middle-aged women, their demand, developmental traits and health problems.

• Korean Journal of Occupational Health Nursing
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• v.29 no.4
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• pp.235-246
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• 2020

Purpose: In Korea, the proportion of female workers among occupational injury is steadily increasing. The purpose of this study was to identify the workplace risk factors that threaten the safety and health of the female workers. Methods: Qualitative study was conducted, using focus group interview. Data were collected from five focus groups of eighteen female workers who were working in the manufacturing, health service, and educational service industries. Results: The seven themes of occupational safety and health risks of women workers are as follows: 1) Workplace with various risks; 2) Sliding, falling, burning, and cutting accidents; 3) Chronically lasting musculoskeletal symptoms; 4) Chemicals that may be harmful to workers; 5) Unprotected infectious disease; 6) Psychological safety accidents(Relationship conflict and emotional labor); 7) Loud, hot, stuffy, scary, and tired. Conclusion: The Occupational Safety & Health (OSH) Act should be rearranged gender sensitively and women's participation in the OSH decision-making process should be guaranteed. OSH education should be properly implemented in the field, and support should be provided for women workers in small businesses. A supportive organizational culture for marriage, pregnancy and childbirth should be established, and the working environment should be provided safely, taking into account gender differences.

• Korean Journal of Adult Nursing
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• v.17 no.2
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• pp.200-207
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• 2005

Purpose: The purpose of this study was to examine the effects of family function, self-esteem, and loneliness on subjective health status in middle-aged women. Methods: A five-item family APGAR was used to measure family function. Self-esteem was measured by the Rosenberg's Self-esteem scale, and the level of loneliness was measured using RULS. One-item was used to investigate subjective health status. Result: In this study, the level of family function was moderate. The mean score of self-esteem was 29.06, and subjects revealed moderate loneliness. Subjects rated their health status as 'fair'. There were differences in subjective health status according to education and economic status. Through multiple regression, it was found that self-esteem was a variable predicting subjective health status in middle-aged women. Conclusion: Facilitating self-esteem of the middle-aged women can be one of the important nursing interventions in maintaining subjective health status as good.

• Journal of Korean Academy of Nursing
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• v.48 no.5
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• pp.506-520
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• 2018

Purpose: To compare the effects of the Interaction Model of Client Health Behavior (IMCHB)-based oral health program (OHP) and walking exercise program (WEP) on oral health behaviors, periodontal disease, physical activity, and psychological indicators (depression, stress, and quality of life) in pregnant women. Methods: A nonequivalent control group pretest-posttest design was adopted to compare the effects of a 12-week OHP and WEP on pregnant women (n=65). Pregnant women were randomly assigned to the oral health group (OHG; n=23), walking exercise group (WEG; n=21), or control group (CG; n=21). Data were analyzed by the ${\chi}^2-test$, Fisher's exact test, Scheffe test, and repeated measures ANOVA, using the Statistical Package for the Social Sciences for Windows (version 21.0). Results: The OHG and WEG showed significant improvements in oral health behaviors, periodontal disease, and psychological indicators as compared to the CG. The WEG showed significant improvement in physical activity as compared to the OHG and CG. Conclusion: These findings indicate that the IMCHB-based OHP and WEP were effective in improving periodontal disease, physical activity, and psychological indicators. However, further studies are needed to identify the positive effects of the OHP and WEP on birth outcomes.