• Women's Health Nursing
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• v.5 no.2
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• pp.247-261
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• 1999

The purpose of this study was to figure out related factors to the self-reported climacteric symptoms and the relationship among the health promoting behaviors, climacteric symptoms and degree of Sanhujori, the Korean traditional postpartal care. A cross-sectional survey design was employed in this study. The subjects were 108 middle-aged women who were non-hystrectomized and ranged in age from 40 to 60 years. They were selected in seoul and Kyoung-ki province, Korea, Data were collected from Oct.25 Nov. 10, 1997 by a structured questionnaire. The instruments used for this study were the revised health Promotion Lifestyle(HPLP) developed by Walker, Sechrist & Pender, and revised Climacteric Symptoms Scale developed by Chi, Sung Ai. the data were analyzed by the SPSS/$PC^+$ program using t-test, ANOVA and Scheffe test as a post hoc and Pearson Correlation Coefficient. The results of the study were as follows ; 1. The mean score of health promoting behaviors was low($2.42{\pm}0.35$). There were statistically significant differences in the score of health promoting behaviors according to the educational background, family income, marital satisfaction, whether or not taking a restorative food and degree of Sanhujori, especially the period (t=-2.07, F=2.60~7.57, p<0.05). 2. The mean score of score self-reported climacteric symptoms was 1.69%;99% of middle-aged women had symptoms. There were statically significant differences in the score of middle -aged women's self-reported climacteric symptoms according to the age, number of children, educational background, occupation, family income, marital satisfaction, whether or not receiving hormon replacement therapy (HRT) or consultation by a professional, perceived health status and self evaluation of Sanhujori(t=-2.04~3.69, F=2.87~11.63, p<0.05). 3. women's degree of Sanhujori was a positive correlation with health promoting behaviors(r=0.34, p=0.00) and negative correlation with the degree of self-reported climacteric symptoms(r=-0.19,p=0.03). 4. The influencing factors to the climacteric symptoms were self actualization, interpersonal support, and perceived health status among the health promoting behaviors with 57% of variance($R^2$=0.57). 5. The middle-aged women's type of coping pattern for the climacteric symptoms was classified as active behavioral coping, spiritual & psychological coping, and negative coping. In conclusion, to intervene the middle aged women's climacteric symptoms and develop nursing strategies for their health, health promoting behavior, especially ; self actualization, interpersonal support, and perceived health status should be considered. And, as the primary prevention strategy for women's health during the period of childbearing and also middle age, especially for the climacteric symptoms, Sanhujori should be reconsidered.

• International Journal of Advanced Culture Technology
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• v.12 no.2
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• pp.326-333
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• 2024

This is a descriptive correlational study aimed at determining the relationship between SOC strategy, life satisfaction, and successful aging in middle-aged women. The study population was middle-aged women aged 40-65 years living in one metropolitan city, and 295 data collected using a structured questionnaire were used to analyze the results. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, and Pearson's correlation using SPSS WIN/PC 24.0 statistical program. In the results of this study, the general characteristics related to successful aging in middle-aged women were identified as age, occupation, religion, economic status, presence of chronic diseases, and health status perception, menopause as significant influencing variables. In addition, successful aging was positively related to SOC strategy and life satisfaction among the middle-aged women in this study (p<.05). In particular, life satisfaction was highly correlated with successful aging in this study, and in this regard, efforts should be made to develop various programs to help middle-aged women feel satisfied with their lives so that they can transition to successful aging.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.22 no.2
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• pp.300-309
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• 2015

Purpose: This study investigated the effect of depression, life stress and resilience on quality of life among middle-aged women. Methods: A descriptive correlation study design was used with a convenience sample consisting of 201 middle-aged women recruited from an urban area. SPSS 21.0 was used for a descriptive analysis, t-test, ANOVA, Pearson's correlations and multiple-regression analysis. Results: Quality of life had a significant positive correlation with resilience(r=.53, p<.001) and negative correlation with life stress(r=-.27, p<.001). The significant factors for quality of life were resilience (B=.425, p<.001) marital-status (B=.227, p=.001) and health status (B=-216, p=.001). These factors explained 36.8% of the variance in quality of life. Conclusions: In conclusion, to promote quality of life middle-aged women, there is a need to develop an intervention program to improve resilience.

• Journal of Korean Academy of Nursing
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• v.26 no.2
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• pp.387-398
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• 1996

The objective of this study was to clarify whether there are any differences between normal and over-weight middle-aged(40∼59yrs)women in their perceived weight, health status, health conception and health behavior choices. The sample consisted of 39 normal weight and 55 over-weight (11％ above on the Body Index Scale) women who live in Juan, Inchon. The Participants were randomly selected in each weight group considering socio-demographic factors. The findings from this study are summarized below. 1) Among the 55 overweight middle-aged women, 16 were above 20％ on the Body Index Scale and 14 were above 30％. Twenty-five(45.5％) of the overweight group and 12(30.8％) of the normal weight group had one disease, and there were 12(21.8％) in the overweight group and 8(20.5％) in the normal weight group where one of the family members had a disease, but these differences were not statistically significant. The average monthly family income for the overweight group was ￦l,880,000 compared to ￦2,140, 000 for the normal weight group, but this difference was also not significant. The age range for the whole group was between 40 and 59(mean＝46.8 for total, 48.6 for overweight and 45.7 for normal weight group). Again no significant difference found. Occupations were housemaker 53(56.4％), private business(13.8％), salarywoman(9.6％), and teacher (2.1％). Thirty housemaker(54.5％) from the overweight group and 23(59％) from the normal group did not constitute a statistically significant different. For the educational status, 34(61.8％) of the overweight women and 33(84.6％)of the normal weight group finished high school or more educational courses, but there was no significant statistical difference. Eleven(20.0％) of the overweight women and 5(12. 8％) of the normal weight group were single, but again no significant statistical difference was found. 2) A test for difference in health characteristics between two weight groups indicated that two groups do not show statistical differences in their perceived health status, health conception or health behavior choice. That is, the overweight group, also perceive their health status as good as the normal group, and regard ‘Health’ as a state that enables them to carry out social roles and functions rather than as the traditional concept of health as no disease or no symptoms. Moreover. the overweight group selected their health behaviors not for the prevention of diseases or maintenance of health but for promotion of health. To determine if no statistical difference might be related to the overweight group's failure of perceive themselves as overweight, the perceived and objective overweight status were compared by the chi-square analysis, and no difference was found（X/sup²＝49.37, df＝1, p＝.000）. However, 7(17.9％) of the normal group perceived themselves as being overweighted and 7(12.7％) of the overweight group thought they were of normal weight. Even though the overweight group employed in this study perceived themselves as being overweight, they regarded themselves as healthy as those in the normal weight group. It was shown that there was no statistical difference between two groups in health conception, and that they chose health behaviors to promote health status. 3) Perceived health conception was shown to be significantly related to health behavior choice （r＝ .28, p＝.006 for whole group : r＝.33, p＝.014 for overweight group : and r＝.12. p＝.463 for normal group） .There was an indication that the more complicated the perceived health conception was, the more the trend of health behavior choice to promote health. This was especially true for the overweight group. But, the perceived health status did not related to health behavior choice statistically（r＝.13, p＝.202）, and it was thought that reasons for selecting health behaviors were not related to their health status. That is, the overweight group perceive themselves as healthy as the normal weight group or thought that overweight itself does not incur any risk on their health. Data from two groups were combined and analyzed with multiple regression methodology, because the relationship pattern of the two groups was similar. The analysis showed that health behavior has a significant relationship with age and the perceived health conception（r/sup²＝.1517, p=.05, F＝8.133）. It means they come to health behavior along with their health conception and their age rather than their weights, perceived weight, health status or other social characteristics. This study was intended to understand how overweight middle-aged women perceive ‘weight’ and ‘health’, and how they meet their health related needs in comparison with normal weight middle-aged women. Other factors related to the health behavior in overweight middle-aged woman need to be determined through further descriptive studies outlined in the following recommendations. a) Reseach with the study area expanded. b) Reseach with grouping more detailed : much more overweight and underweight group c) Reseach on restricted relationship between overweight and age or profession. d) Reseach on what overweight middle-aged women do to reduce their weight and what factors motivate them to do it

• Korean Journal of Adult Nursing
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• v.19 no.1
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• pp.109-120
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• 2007

Purpose: This study was conducted to investigate factors related to middle-aged women's health beliefs and their intention to practice health behaviors for preventing and improving hypertension. Methods: The participants were 319 middle-aged(40-59 years) women who lived G city. Data was collected from January to February, 2005. Personal interviews were performed. The data was analyzed using t-test, ANOVA, Scheffe's multiple comparison test and hierarchial multiple regression analysis. Results: Perceived susceptibility of health belief was high in those who had higher educational level, disease history and health education experience, significantly(p<0.05). Perceived seriousness was high in those who had higher educational level, middle economic status and health education experience, significantly(p<0.05). Perceived benefits was high in those who had higher educational level and perceived barriers was low in those who had disease history and hypertension, significantly(p<0.05). The subject's intention to practice health behaviors was significantly high in those who were younger, who had higher educational level and menopausal status(p<0.05). In hierarchial multiple regression analysis, the subject's intention was related to perceived seriousness, perceived benefit and educational level, significantly(p<0.05). Conclusion: It is necessary to develope the education programs which can increase the subject's health belief and intention to practice health behaviors towards hypertension in middle-aged women.

• Korean Journal of Adult Nursing
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• v.22 no.6
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• pp.634-643
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• 2010

Purpose: The purpose of this study was to identify the reported factors influencing fatigue of middle aged women. Methods: Two hundred seven middle aged women between 40 and 59 years of age were recruited from five areas in Korea from March 1, 2010, to April 20, 2010. Data were collected by self-reported questionnaires. Data analysis was done using SPSS/WIN 15.0 program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Results: The average score of fatigue was $2.34{\pm}0.40$. There were significant differences in reported fatigue according to economic status and health status. The reported fatigue was significantly correlated with somatic attribution, psychological attribution, normalizing attribution, depression, marital adjustment, stress, and social support. The major factors that affect fatigue in middle aged women were stress, depression, and normalizing attribution, which explained 32.3% of fatigue. Conclusion: The findings can reduce the fatigue by controlling stress and depression. Additionally, this study can understand the attribution of fatigue in middle aged women. More studies are needed to identify other variables that influence on the fatigue of middle aged women.

• The Journal of Korean Academic Society of Nursing Education
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• v.8 no.1
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• pp.120-130
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• 2002

This study was attempted to identify and compare in developing a health promotion program for extending healthy life expectancy of the middle-aged women and protecting health of women in the vulnerable class by comparing and researching life-style and actual conditions of health for the middle-aged women in rural and urban areas. Subjects of this study were 160 middle-aged urban women in Seoul city and chongju city and 155 middle-aged rural women in rural community goisangun. For collecting data, questionnaire was performed with structured questionnaires was used to know their actual conditions of health and life-style. Findings of this study were as follows. 1. In comparing life-style of the urban middle- aged women with the rural community, the percentage of regularly checked-up were higer urban women (46.4%) than the rural women (35%); women who have not checked up were 21.3% and 11.4% in the rural community and cities respectively, but it had a statistically significant difference (p=0.009). For the types of checkup, the rate of uterine cancer checkup than that of breast cancer self-examination or cholesterol test was higher both in the rural community(75.6%) and cities(77.4%). 2. The results of comparing actual conditions of the middle-aged women in the rural urban area were as follows; the recognition of health of the urban women was 'Very healthy (7.2%),' 'Healthy (35.5%),' 'Moderate (46.5%),' and 'Not healthy (10.3%), while the recognition of the rural women was 'Very healthy (2.5%),' 'Healthy (30.0%),' 'Moderate (36.3%),' and 'Not healthy (30.6%)'. These results showed a statistically significant difference (p=.000). Women having any problems in health were 48.1% and 36.8% in the rural and the urban respectively and it had a statistically significant difference (p=.042). For the most of health problems, arthritis accounted for 29.4% in the rural community and arthritis and constipation accounted for 21.3% in the urban. According to findings of this study, it can be concluded that rural women had more health problems, felt they were not healthy themselves and were checked up regularly less than the urban women, and their health care was poor. Therefore, more effective nursing intervention plans should be designed to enhance the performance level of health promotion for rural women.

• Korean Journal of Adult Nursing
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• v.12 no.4
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• pp.584-594
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• 2000

This study was the done to describe health behavior and determine affecting factors in middle aged women. The subjects of this study were 306 middle aged women, living in M city, during the period from June 28th to August. 31st 1999. The instruments for this study were Health Behavior Assesment tool developed by Kim (1998), Self esteem scale developed by Rosenberg(1965), the perceived health status scale by Lawston, et al.(1982), the Quality of life by Ro(1988), the attitude toward Climacteric symptom by Ji(1983). The data were analyzed using descriptive statistics, t-test, Pearson correlation coefficients and stepwise multiple regression. The result of this study are as follows; 1. The total mean score for Health behavior was 2.51(range 1-4). The mean scores on the subscale were 2.83 for nutrition, 2.81 for stress management, 2.71 for limitation of liking in the menstrual group, health behavior was 2.64. The mean scores on the subscale were 2.98 for nutrition, 2.85 for stress management, 2.82 for limitation of liking, 2.80 for energy conservation in the menopausal group, 2. The mean scores for cognitive-perceptual variables in the menstrual group were perception of health status: 2.61, quality of life: 3.17, self-esteem: 2.59, and attitude for climacteric symptom: 3.02. In the menopausal group the scores were perception of health status: 2.41, quality of life: 3.10, self-esteem: 2.62, attitude for climacteric symptom: 3.06. 3. Health behavior and self-esteem(r=.269, p=.000; r=.205, p=.042), attitude for climacteric symptom(r=.192, p=.005; r=.545, p=.000), quality of life(r=.385, p=.000; r= .195, p=.050) and health behavior were correlated positively, and the perception of health status and health behavior were correlated negatively(r=.-135, p=.050; r= -.207, p=.040 ) in the menstrual group and menopausal group. 4. Perception of health status, quality of life, age, self-esteem, job and marital status explained 33.7% of the variance for health behavior in the menstrual group; self-esteem and education explained 33.1% of the variance for health behavior in the menopausal group. In conclusion, health behavior should be considered when developing nursing strategies for middle-aged women, especially when dealing with perception of health status, quality of life, and self-esteem.

• Women's Health Nursing
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• v.15 no.2
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• pp.130-139
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• 2009

Purpose: This study was performed to identify the relationship between belief, knowledge, and practice about oral health care of middle-aged women, and to prepare baseline data for developing a dental health education and promotion program, Method: For the survey, 120 individuals(middle-aged women) were chosen by convenience sampling and agreed to participate in the study. Their belief, knowledge, and practice about oral health care were measured, For descriptive statistics, t-test, ANOVA, Tukey and Pearson's correlation coefficient were used with SPSS Win 14,0. Result: The level of belief and practice about oral health care was middle for the subjects, However, the level of knowledge about oral health care was relatively high. The level of practice about oral health care related to characteristics of subjects showed significant differences according to level of education and oral health status. There was no significant correlation between the level of practice and the belief about oral health care, The practice about oral health care showed a significant positive correlation with knowledge. Conclusion: These findings demonstrate a need for the development of oral health care programs that is effective in improving belief, knowledge, and practice about oral health care reported by middle-aged women.

• Journal of Korean Public Health Nursing
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• v.30 no.1
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• pp.30-41
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• 2016

Purpose: This study was conducted to determine the effects of middle-aged women's social support, self-efficacy, and perceived health status on aging anxiety. Methods: Research subjects were 210 middle-aged women between 40 - 60 years living in G-city. Data were collected from July $21^{st}$ 2014 to August $8^{th}$ using a structured questionnaire and analyzed using t-test, One way ANOVA, and multiple regression analysis using the SPSS/WIN 21.0 program. Results: Aging anxiety showed statistically significant differences in religion (t=2.44, p=.015), satisfaction with married life (F=4.39, p=.014), type of leisure activity (F=8.09, p<.001), and number of friends (F=3.23, p=.024). Aging anxiety showed correlation with social support (r=-.21, p=.003), self-efficacy (r=-.46, p<.001), and perceived health status (r=-.33, p<.001). Factors affecting aging anxiety were self-efficacy (${\beta}=-.33$, p<.001), perceived health status (${\beta}=-.23$, p<.001), leisure activity type (${\beta}=-.16$, p=.010), and religious affiliation (${\beta}=-.17$, p=.038). The predictive power of these variables was 25% (F=18.63, p<.001). Conclusion: Nursing intervention strategies for improving self-efficacy, perceived health status, and leisure activity are required to relieve aging anxiety of middle-aged women.