• 대한지역사회영양학회지
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• 제17권5호
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• pp.623-636
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• 2012

Health Belief Model is a socio-psychological theory of decision making to individual health-related behaviors. This study was aimed to develop an effective education program for hypertension based on health belief model. The main factors of health belief model were investigated by focus group interview (FGI) with 23 hypertensive or prehypertensive subjects aged over fifty years. 'Perceived susceptibility' to hypertension was family history, neglect of health care, preference for salty food, broth of soup and stew. Lifelong medication, complications, and medical costs were reported as 'perceived severity' of hypertension. 'Perceived benefits' of hypertension management were decrease of medicinal dose, reduction of medical costs, and healthy eating habits of the family, while 'perceived barriers' were lack of palatability of low salt diet, convenience-oriented dietary habits, and limited choice of foods when eating out. Subjects mentioned TV health programs, public health center programs, and advice from doctors and family as 'cues to action' of hypertension management. These qualitative information provided basis for developing a nutrition education program for hypertension which could be implemented in the public health center. Eight week program was composed of understanding hypertension, risk factor management (eating habits, weight), low salt diet (principles, cooking), advanced management for healthy diet in 2 sessions, and summary. Each session was designed to alert the susceptibility and severity, to emphasize the benefits, and to reduce the barriers by providing dietary monitoring, practical advice, and action tips.

• 지역사회간호학회지
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• 제16권4호
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• pp.446-457
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• 2005

Purpose: The purpose of this study was to analyse researches on nursing intervention for elderly health promotion. Method: A literature review of 38 researches was carried out using guidelines developed by the present researchers. Result: The research papers studied in this research were theses written for doctoral or master's degree and published between 1994 to 2004. These researches applied nursing intervention for health promotion of elders and used experimental study design. The average period of nursing intervention was about 9 weeks and the average frequency was three times per week. As for major characteristics of subject groups, most of them were over 65 years old (76.3%) and resided in community (65.8%), and each group consisted of 10 to 29 elders. The dependent variables used in these studies included physiological variables (blood pressure, blood cholesterol level, pulmonary function, fasting blood sugar, blood cortisol level, body mass etc.), psychologic variables (depression, quality of life, life satisfaction, loneliness, anxiety etc.), cognitive variables (perceived benefits, perceived barriers, self-efficacy, self-concept, subjective health status etc.), activities of daily livings, health promotion behavior, pain, risks of fall, and variables related to Trans Theoretical Model. The majority of these studies (78.9%) applied exercise programs for health promotion including exercise motivating programs (15.8%). Conclusion: We suggest that more various nursing interventions must be applied to promote elders' health and to take care of their chronic diseases.

• 대한가정학회지
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• 제42권12호
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• pp.77-92
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• 2004

The purpose of this study was to investigate the selected predictors of the health promotion behavior of the elderly in Kangseo-ku, Kangnam-ku, Seoul. The study used an ecological perspective approach in that a microsystem (i.e. self-esteem, locus of control, introversion-extraversion and socio-demographic characteristics), and the environment such as a mesosystem (i.e. marriage satisfaction) and a macrosystem (i.e. social support, participation of social activities, social image of the elderly, social attitude of the elderly) were explored. A structured questionnaire was used to interview a sample of 188 elderly. Hierarchicai regression analysis yielded the results that the magnitude of the importance of the microsystem was found to be larger than any other systems investigated. The most powerful predictor of the health promotion behavior of the elderly was 'age', followed by 'participation of social activities', 'education', 'social support', 'locus of control', 'marriage satisfaction', and 'sex'. The research model accounted for $55\%$ of the health promotion behavior of the elderly.

• 보건교육건강증진학회지
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• 제32권1호
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• pp.45-55
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• 2015

Objectives: This study is aimed at exploring the temporal developmental relationship of adolescent depression and parents' child-rearing attitudes, and to examine gender differences in the relationship. The middle school students of the 2011-2013 1st Korea Children and Youth Panel data were used for analysis and the sample consisted of 2.073 individuals. Methods: Research questions were answered through the Latent Growth Model and Autoregressive Cross-Lagged Model. Results: As the results of the Latent Growth Model show, adolescent depression declines as time goes by and there are differences in the depression felt by individuals. An autoregressive cross-lagged model and multiple group analysis were executed by gender. The results show significant gender differences in the relationship between depression and Parents' child-rearing attitudes. Parental neglect has shown differences influencing adolescents depression between males and females. However, in case of parental abuse, no differences between males and females were observed. Conclusion: The results of this study imply that the policy on depression should be carefully considered when preparing for interventions targeting adolescents by gender.

• 한국보건간호학회지
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• 제12권2호
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• pp.89-106
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• 1998

The Health Promotion Model by Pender(l987) was used as the conceptual framework for analyzing the health promotion behaviors. The purposes of this study were to describe health promoting life style behaviors in 245 women between the ages of 35 and 59 living in Seoul and other cities and to find their predictive factors. Data were collected from 1st to 23th. June. 1998. The tool used for this study was structured questionnaire with consisted of 8 items on general characteristics. 5 items on health related characteristics. 43 items on health promoting life style. 28 items on menopausal symptoms. 5 items on family support. and 28 items on self-efficacy. The collected data were analyzed using the SAS. yielding descriptive statistics. ANOVA. Pearson's Correlation. stepwise multiple regression. The findings of this study are as follows. 1) The mean score of health promotion behavior(3.25) is not high. The mean scores of this self actualization (3.73). interpersonal support (3.68). and nutrition (3.57). regulation of stress (3.22) in domains are higher than health responsibility (2.90). exercise (2.63). 2) The results of the comparison between the health promotion behaviors and general variables showed a statistically significant difference in education (P=.0061), domestic economy status(P=.0001). perception of health status(P=.0001) but. age. state of menstruation. perception of weight is not significant difference. 3) The correlation between health promoting life style and self-efficacy(P=.0001). family support(P=.0001) is significant. But. there is no correlation between health promoting life style and age. number of family. perception of weight. 4) In the cognitive-perceptual factors. self-efficacy (P=.0001) is very significant predictor (accounted for $39.7\%$) and in the modifying factors. family support(P=.0001) is very significant (accounted for $9.0\%$). It is same to other research results.

• 보건교육건강증진학회지
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• 제10권2호
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• pp.11-21
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• 1993

Recently the structure of disease is changing its form into chronic disease. Taking into consideration this, the health care system doesn't cope with this tendency. With the health care system for acute disease, it is difficult to decrease medical care cost. At this point, Health education like primary health care can reduce risk factors and possibilities of occurrence of disease. This can cut off the medical insurance finance further more cuts off the rates of insurance cost. This is why health education is the principle part of medical insurance service. Though the law shows health education must be executed in the field of Medical insurance, still it is not enough. In order to carry out health education in the medical insurance organization, the efforts we should make are as follows: 1. Recognize the importance of health education. 2. Set the clear goals in health education. 3. Organize health education system. 4. Train health workers. 5. Systematize health education service. 6. Reform the medical insurance system. 7. Evaluate the effect of health education and practice the model.

• 보건교육건강증진학회지
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• 제32권4호
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• pp.47-57
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• 2015

Objectives: This study reviews literature on health literacy and provides communication guidelines and policy implications for addressing health literacy for the Korean population. Methods: EBSCOHost, JSTOR, ProQuest, Web of Science, and PubMed were searched using the term "health literacy." The present study also reviewed reports and publications released by governments and healthcare agencies. Results: By reviewing existing articles and reports, the present study provides following suggestions : (a) implementation of a national health literacy survey on a regular basis, (b) development of tailored health literacy interventions for different target segments, (C) development of an appropriate model to evaluate the effectiveness of health literacy programs, and (d) development of health literacy guidelines for distributing health information and educating healthcare professionals. Conclusions: Health literacy issues must be addressed through establishment of appropriate policies and guidelines as well as collaboration between government and healthcare organizations.

• 대한간호학회지
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• 제34권5호
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• pp.781-790
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• 2004

Purpose: The purpose of this study was to develop a model of an elderly health promotion center after witnessing the effect of a social support program on dependent variables in older adults at a local community health center. Method: The subjects were 60 female adults over 65 years dwelling in a rural area, and they were divided into experimental and control groups each with 30 people. A social support program was implemented 6 hours a day, 3 times a week, for 4 months in the experimental group. Included was health assessment, health education, counseling, consultation, exercise, physical & occupational therapy, primary care, recreation, lunch & transfer service. Data was collected from May 1stto September 14th, 2002 by questionnaires, and analyzed by $x^2$-test, t-test, Pearson's correlation coefficient and stepwise multiple regression using SAS. Result: The social support program in the elderly was very effective on all dependent variables of physical health (t=4.68, p=.001), health knowledge (t=3.60, p=.001), life satisfaction (t=8.65, p=.001), and health promoting behaviors (t=5.23, p=.001). Conclusion: The Social Support Program at a Community Health Center was effective on health promoting behaviors in the elderly.

• Journal of health informatics and statistics
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• 제41권3호
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• pp.318-323
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• 2016

Objectives: Except the known risk factors for stroke, few studies have identified novel metabolic markers that could effectively detect stroke at an early stage. In this study, we explored the dose-response relationship between serum metabolites and the incidence of stroke. Methods: We studied 213 adults in the Korean Cancer Prevention Study-II (KCPS-II) biobank and estimated dose-response relationship between serum metabolites and stroke (42 cases and 171 controls). Three serum metabolites (Acetylcholine, HexadecylAcetylGlycerol, and 1-acetyl-2-formyl-sn-glycero-3-phosphocholine) were used in this study. The analysis included (1) exploratory nonlinear analysis, (2) estimation of flexion points and slopes at below and above the points. In the model to estimate risk of incidence of stroke, we controlled for conventional risk factors such as age, sex, systolic blood pressure, type 2 diabetes, triglyceride, and smoking status. Results: The relationship between incidence of stroke and log-transformed 1-acetyl-2-formyl-sn-glycero-3-phosphocholine was non-linear with flexion point around intensity score of 8.8, whereas other metabolites, log-transformed Acetylcholine and HexadecylAcetylGlycerol, showed negative linear patterns. Conclusions: The study suggests that metabolic markers are associated with incidence of stroke, particularly, at or above the flexion point. The study result may contribute to developing a novel system for precise stroke prediction.

• 보건교육건강증진학회지
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• 제7권2호
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• pp.22-31
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• 1990

The Purpose of this study was to define the School Health Education Concepts, to establish the learning objectives and contents for school health education, and to diagnose the phenomenal aspects related to current school health Education in Korea. The results of its diagnosis indicated that the Education Ministry had never had any open opportunities for the teachers to get health education licence, and. universities had never issued health education teacher′s licence to the perspective students in Korea. Under such condition, there was "Korean nursing teacher′s association" for school health education, which had lectures, for two to three years, in order to learn how to develop, teach and evaluate the school health program. Currently, School boards in cities recommended that all nursing teachers should teach school health education in classes for six hours in a week without any fixed health program. Also, There was only "Korean Society for Health Education" for the purpose of dealing with school health education, which had been publishing annual journal. This study demonstrated how to develop school health education curriculum, which composed of the methods for needs assessment and PRECEDE Model(Predisposing, Reinforcing, and Enabling Causes in Educational Diagnosis and Evaluation).