The purpose of this study is to develop and evaluate the health promotion program to increase the functional status of the in-house stroke patients. The subjects for the experiment are 38 in-house stroke patients in a health center and welfare centers suffering from hemiplegia. The experimental group consists of 19 stroke patients and the control group consists of another 19 stroke patients. The program was applied to the experimental group for 8 weeks. The subjects were given health education at the first week. At the second and the fifth week they were given counselling on health by home visit. At the third, the fourth, the sixth and the seventh week they were interviewed by phone about health, and at the last week they shared their experiences through group meeting. The results of the study are as follows: 1. The degree of ADL in the experimental group increased significantly, compared with that of the control group. 2. In the experimental group the degree of Range of Motion in shoulder abduction, elbow flexion, hip flexion and ankle dorsiflexion increased significantly, compared with that of the control group. 3. In the experimental group the degree of muscle strength in elbow flexion, knee extension, and ankle dorsiflexion increased significantly, compared with that of the control group. 4. Systolic pressure, diastolic pressure in the experimental group decreased significantly, compared with that the control group. 5. HWR in the experimental group didn't decreased significantly, compared with that the control group. 6. The degree of depression in the experimental group decreased significantly, compared with that the control group. 7. The degree of social adaptation in the experimental group increased significantly, compared with that the control group. The results above show that the health promotion program for this study was effective in promoting the performance of lifestyle for health improvement of the in-house stroke patients. Therefore, it is considered that the program can be used as an efficient nursing intervention for the in-house stroke patients who need continuous health-improving behaviors.
The purpose of this study was to find factors affecting health of the rural residents. The data were collected from a sample of 2,587 people aged from 40 to 70 in the year 2005-2006, Wonju City and Pyeongchang County, Gangwon-do, Korea. The theoretical model adopted in this study was the Lalonde's health field(human biology, environment, lifestyle, and health care organization). SF-12 was used to measure subjective health status. In the category of human biology, men were healthier than women. Age and BMI showed negative relation to health status. Income, education and social support showed positive relation to health status in the environment category. In the category of life style, stress showed negative relation to health status. Medical expenses showed negative relation to health status in the category of health care organization. After converting SF-12 score to percentage score, the health determinants portions were 47% lifestyle, 26% environment, 18% human biology and 9% health care organization. These findings suggest that life style, environment and biology are main factors in determinants of health. Especially stress in the life style category is more focused for the community health promotion. We also may be able to improve income, education and social support in the environment category with self empowerment efforts, community supports and government helps. Finally greater attention must be payed to life style in the future health planning and budget allocation priority in the healthcare area.
Objectives : The aim of this study was to introduce the development process of Korean medicine health aging program for the older that is suitable for applied at public health center. Methods : For the development of the draft of health promotion program, we conducted a literature review of previous studies through searching international and domestic databases. The opinions of several experts were also colleted. Results : The details of 8-week of Korean medicine healthy aging program are as follows: 8-week of taking herbal medicines (Yukmijihwang-tang or Palmijihwang-tang, or Jaeumganghwa-tang) based on counseling with Korean medicine doctor, qigong, acupuncture on head, abdominal hotpack, taking nuts, and health education Conclusions : This healthy aging program can help to develop the healthy lifestyle habits and increase the general health status of community seniors.
The purposes of this study were to understand health-promoting behavior of client visiting health-promoting center, to identify the major subscales affecting performance in health promoting behavior to facilitate nursing intervention for health promoting of this population and to test Pender's Health Promotion Model. The subjects for this study were 177 sampled among clients from health-promoting center in General Hospital at Teajon. Data was collected by self-reported questionnaires from February 11 to May 22, 1998. Analysis of the data was done by frequency, t-test, ANOVA, Pearson Correlation Coefficient, Stepwise multiple regrssion using SPSS-PC. The results of the study were summarized as follows : 1. The mean score of performance in the health-promoting behavior was 109.22 and range was 71 to 170. The subscale of the highest mean score was self-actualization(30.77) and the subscale of the lowest mean score was exercise(10.50). 2. The most important variable in the health promoting behavior was the perceived self-efficacy. The perceived self-efficacy explained 15.8% of the variance in health promoting behavior. The combination of perceived self-efficacy, perceived barriers, religion, perceived benefits, perceived symptom, and age explained 43.5% of the variance in health promoting behavior. 3. In the relationships between individual characteristics and experience and health promoting behavior, age, religion, the significant differences in the subscale of the health promoting behavior ; sex, educational state, previous occupation, monthly income, marrital state, perceived symptom, and visiting plan of health-promoting center. 4. The health promoting behavior was statistically significant correlated with perceived benefits, perceived barriers, affect related to action, and perceived self-efficacy.
Objectives: The purpose of this study was to provide basic data to develop a future health promotion program through the comparison of health promoting behavior and perceived health status between Koreans and Korean-Americans. Methods: The subjects of this study were 411 adults recruited from religious organizations located in the Yongnam area, Korea, and Chicago, U.S.A. The instruments used in the study were Health Promoting Lifestyle Profile II (HPLP) developed by Walker, Sechrist & Pender (1995), and the Health Self Rating Scale designed by North Illinois University. The data were analyzed using descriptive statistics, Pearson correlation coefficient, ANCOVA, ANOVA and Duncan test with the SPSS program. Results: 1) The mean HPLP score was 2.26 in Koreans and 2.43 in Korean-Americans, showing a significant difference between the two groups. 2) In subscales of HPLP, both groups showed the highest practices in 'interpersonal relationship' and the lowest practices in 'physical activity'. 3) The mean score of perceived health status was 2.26 in Koreans and 2.43 in Korean-Americans, showing a significant difference between the two groups. 4) Health promoting behavior was significantly different by family income in Koreans, but significantly different by age and family income in Korean-Americans. 5) Perceived health status was significantly different by family income and marital status, but significantly different by age, education, and family income. 6) The HPLP was not correlated with perceived health status in Koreans, but positively correlated with perceived health status in Korean-Americans. Conclusion: The study findings suggest a need to develop a health promotion program, in which physical activity and stress management for Koreans and Korean-Americans are emphasized, and cultural and environmental elements are considered, for better understanding of their health related issues.
We have witnessed several kinds of new discourses and practices in health and medicine since the 1970s, such as popular concerns with alternative or complementary medicine, inordinate attention to the promotion of 'healthy' living, rapid resurrection of traditional medicine and ecological management of health. Four structural and situational factors are discussed to underlie these new trends:(i) as 'crisis' in health care of the 1970s was translated into health care reform of the 1980s backed up by neo-liberal political philosophy, the state responsibility for nation's health is being transferred to the individual ;(ii) it resulted from the limits of biomedical paradigm in dealing with chronic diseases;(iii) medico-scientific knowledge of disease is transformed into the subjective discourses and technologies of health in postmodern society ; and (iv) it is deeply associated with the considerable increase in environmental risk perception of health and disease. There are some inherent countervailing forces in these new discourses and practices. First, while they derive from lifestyle-oriented behavioral change, medicalization of life and death is still consolidated in the new trends. Second, inasmuch as new tides are reliant upon science, they. are likely to be remote from techne that means not the practical application of theoretical knowing but a special form of practical knowing. Third, as new discourses and activities accomplished'in the name of health'increasingly occupy important strategies in forming the self-identity, they serve as moral apparatus which involves prescriptions about how we should live our lives and conduct our bodies, both individually and collectively. Therefore, two points are suggested to consider seriously whether these streams will succeed in improving the‘healthy’living of all the people. Instead of limiting tile perspective to medicine, healing and health care, a new matrix that interweave welfare, ecology and labor along with them is timely needed for enhancing the health for all. In addition, as the World Health Report fm strongly shows, inequality in health heavily depends upon socio-economic development of a society, and it is not the richest countries that have the best health status, but those that have the smallest income differences between rich and poor.
The purpose of this study was to identify the relationship between perceived stress, sleep quality and subjective happiness on wellness lifestyle among adults. A cross-sectional survey was conducted with a convenience sample of 390 adults in Gyeung-gi province. The structured questionnaire included such factors measuring perceived stress, sleep quality, subjective happiness and wellness lifestyle. The factors that affecting wellness lifestyle among adults are subjective happiness, sleep quality, age and perceived stress, which explained 34% of the variances. The score of each category measuring level of wellness lifestyle were like this: spiritual wellness 3.60, intellectual wellness 3.58, social wellness 3.51, emotional wellness 3.41, physical wellness 2.94. Therefore, subjective happiness was found to be the predictor for wellness lifestyle. It needs to develop and operate intervention program for health maintenance and promotion for adults.
Purpose. This study was done to determine the effects of weight management program using self-efficacy in middle-aged obese women. The study also attempted to measure the effects of the program on the weight efficacy lifestyle, body composition, and depression. Method. The research design of this study was a nonequivalent control group pretest-posttest design. The experimental group consisted of 21 middle-aged obese women and another 21 middle-aged obese women in the control group. The women in the experimental group participated in the weight management program for 12 weeks using self-efficacy. The weight management program using self-efficacy included education on effects of exercise for weight control, aerobic exercise program, muscle training and counseling through the telephone. Results. After 12 weeks of participation in the program, BMI (p <.0001), body fat % (p <.0001), abdominal fat (p <.0001), in the experimental group were significantly decreased compared to the control group. Weight self-efficacy lifestyle (p <.0001) and depression (p =.006) in the experimental group were significantly improved after the program compared to the control group. According to these findings, weight management program self-efficacy for middle-aged obese women could increase weight efficacy lifestyle, and decrease depression, BMI, body fat, and abdominal fat. Conclusion. The result also suggested that the increasing weight efficacy and lifestyle help the obese women to perform and continue exercise. This program could be used in the community such as public health center for weight care and mental health promotion of middle-aged obese women.
We compared three nations' diets on Year 2000 Korean, American and Mediterranean in the aspect of contribution of each to the development of cardiovascular diseases. We searched all the available evidences published. Korea has a very low incidence of cardiovascular diseses compared to the other countries even though they are increasing recently. In addition to many risk factors to these defenerative diseases such as diabetes millitus, hypertension, smoking, hyperlipidemia, sedentary lifestyle, etc., dietary factors are also contributing a lot to their development. High calorie, trans fatty acids, cholesterol, saturated fatty acids, alcohol, salt intakes are examples. Korean diet has superiority of low calorie, low fat, good fat proportion, high omega-3 fatty acids, vegetables, beans, and garlic and onions These are believed to contribute to low incidence of cardiovascular diseases in Korea. Korean diets was also found to have some issues for improvement such as high salt, low calcium, and higher use of barbequed meats. We concluded Korean people stay better off with Korean diet with some modifications.
Journal of Korean Academy of Fundamentals of Nursing
/
v.21
no.2
/
pp.123-130
/
2014
Purpose: The purpose of this study was to identify quality of sleep and health-promoting behaviors in rotating-shift nurses and to explore the influence of health promoting behaviors on quality of sleep. Method: Participants were 161 staff nurses working in an irregular three shift system in one of three general hospitals located in Kyungpook province. Data were collected using the Pittsburgh Sleep Quality Index and the Health Promoting Lifestyle Profile-IIand were analyzed using hierarchical multiple regression analysis. Results: The majority of the participants had very poor quality of sleep and performed a low level of health promoting behaviors. In terms of health promoting behaviors, nutrition and stress management significantly influenced quality of sleep of these nurses. Conclusion: Results indicate the importance of encouraging rotating-shift nurses to enhance their health promoting behaviors in order to improve quality of sleep.
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