• Journal of East-West Nursing Research
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• v.25 no.2
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• pp.183-192
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• 2019

Purpose: This study aimed to examine the mediating effect of illness perception on the relationship between family function and health behavior of patients with risk factors for metabolic syndrome. Methods: This is a cross-sectional correlational study. Data were collected from 160 patients using self-administered questionnaires including the Illness Perception Questionnaire-Revised, Family APGAR, and the Health Behavior Scale. The data were analyzed using Pearson's correlation coefficients, independent t-test and multiple linear regression analysis by the SPSS 23.0 program. Results: Health behavior was significantly correlated with family function (r=.30, p<.001) and illness perception of controllability by treatment (r=-.21, p=.007). Family function was a significant predictor of health behavior and illness perception, and the influence of family function on health behavior was partially mediated by illness perception of controllability by treatment. Conclusion: The findings of this study indicate that family function is a critical factor affecting health behavior and illness perception, and illness perception of controllability by treatment mediates the influence of family function on health behavior. It is necessary to develop a psycho-cognitive intervention program for enhancing supportive family function and for modifying negative illness perceptions to improve health behavior in patients with risk factors for metabolic syndrome.

• Health Policy and Management
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• v.31 no.1
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• pp.46-55
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• 2021

Background: Patients with the chronic physical illness are more likely to experience depression, and the accompany of chronic physical illness and depression is particularly high in middle-aged and elderly women. Considering that depression is associated with somatization and the decline of therapeutic compliance when accompanied by chronic physical illness, middle-aged and elderly women who experience depression among chronic physical illness may increase their use of medical services. This study is to identify the effect of depression on the use of medical services, especially among middle-aged and elderly women with chronic physical illness. Methods: This study used the 2016 Korean Health Panel. For analysis, it used T-test, negative binomial regression, and multivariate regression combining propensity score matching. Results: First, depressive groups had a higher number of medical service utilization and total medical expenditure than the non-depressive group. Second, depression significantly increased medical service utilization (β=0.17, p=0.04) at the 5% significance level. Also, depression significantly increased total medical expenditure (β=0.37, p=0.08) at the 10% significance level. Conclusion: For those who have chronic physical illness among middle-aged and elderly women, the experience of depression was confirmed to be a factor affecting the use of medical services. In the end, it is important to come up with policy countermeasures for middle-aged and elderly women accompanied by depression and chronic physical illness.

• Archives of Plastic Surgery
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• v.48 no.4
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• pp.353-360
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• 2021

Background Despite evidence supporting the safety of breast implants, some women associate their implants with adverse health effects and have called this syndrome "breast implant illness." We sought to characterize breast implant illness symptoms and to report how implant removal affects their symptoms. Methods An anonymous 20 question survey was administered to the Facebook group: "UTAH Breast Implant Illness" to characterize the symptoms these women attributed to their breast implants. Several questions allowed us to evaluate how implant removal affected women's symptoms. Results Of the 182 respondents, 97% report that implants negatively affect their health and 95% identify these symptoms with breast implant illness. Ninety-six percent of respondents had implants placed for cosmetic reasons and 51% had silicone implants. The most common symptoms associated with breast implant illness are brain fog (95%), fatigue (92%), joint pain (80%), and hair loss (74%). Sixty percent of respondents learned about breast implant illness from family/friends and/or social media platforms (56%), 40% of respondents had their implants removed, and 97% report relief of their symptoms post-removal (23% complete, 74% partial). Following explantation, there was a significant improvement in all but one reported symptom. An association was found between the number of symptoms reported prior to explantation and the number of symptoms resolving following explantation. Conclusions Breast implant illness is a syndrome characterized by fatigue, decreased focus, hair loss, and joint pain after the placement of breast implants. Nearly all patients report improvement of symptoms after implant removal. Significant efforts should be made to better understand breast implant illness and its etiology.

• Journal of Korean Academy of Nursing
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• v.32 no.2
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• pp.165-175
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• 2002

The purpose of this descriptive study was to identify the nursing needs of patients with chronic illness. Method: The subjects of this study were 636 patients with chronic illness, 323 general nurses, and 106 public health nurses. The instruments used for this study were questionnaires including perceived functions of nursing from the center for chronic illness, preference to placement, intention to use, needs to receive services from the center for chronic illness, strategies management for nursing, and nursing needs of chronically ill patients. Results: The mean of perceived functions for nursing from the center were 3.1(0.5) in public health nurses, 2.9 (0.59) in general nurses, and 2.4(1.33) in chronically ill patients. Regards of needs to receive on services of the nursing centers were, the regularly physical examination, for health educational services which was perceived highest request amongst chronically ill patients. We found the means of each specific need as 2.2(0.6), for physical health, 2.1(0.7), for psychosocial health, and 1.8(0.6) for spiritual health. Conclusion: From the results of this study, it is suggested that establishing a nursing center for chronically ill patients consider physical, psychosocial, for spiritual health needs of chronically ill patients. It is also a consideration that direct care for symptom management and health education in the nursing center be implemented.

• Korean Journal of Adult Nursing
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• v.23 no.1
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• pp.31-39
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• 2011

Purpose: A descriptive study was conducted to examine the relationship of illness perception, self-efficacy, and self-care of patients who were diagnosed pulmonary tuberculosis. Methods: The study was conducted using a convenient sample from two hospitals in Incheon and Seoul. One hundred forty four patients completed a questionnaire which included questions on general characteristics, a Brief Illness Perception Scale, a Self-efficacy Scale and a Self-care Scale. Data were analyzed by using descriptive statistics, t-test, ANOVA, Pearson Moment Correlations and stepwise multiple regression analysis. Results: There was a statistically significant positive correlation between illness perception and self-care (r=.335, p=.000) and between self-efficacy and self-care (r=.687, p=.000). Stepwise multiple regression analysis revealed that among the three variables the most powerful predictor was self-efficacy. Self-efficacy and illness perception were significant factors and accounted for 54.2% of the variance of self care in pulmonary tuberculosis patients. Conclusion: Self-efficacy and illness perception were influencing factors in self care among patients with pulmonary tuberculosis. Hence further interventional researches are needed that consider these two variables.

• Korean Journal of Adult Nursing
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• v.17 no.5
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• pp.793-801
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• 2005

Purpose: This study was to identify the relationship between family support, self-efficacy and self-care performance in patients with chronic illness. Methods: The subjects were 100 in-and out-patients who were diagnosed with chronic illness at university hospital in Cheonan. The data analyzed using descriptive statistics, Pearson correlation coefficient and stepwise multiple regression with SPSS WIN 12.0. Results: The level of family support, self-efficacy and self-care performance were high. The family support in patients with chronic illness indicated a significant positive correlation to self-care performance but no significant correlation to self-efficacy. The self-efficacy in patients with chronic illness indicated a significant positive correlation to self-care performance. Family support and self-efficacy account for 24.4% of variance of the self-care performance. The most significant predictor which influenced self-care performance in patients with chronic illness was family support. Conclusion: The results of this study showed that family support and self-efficacy are very important variables in explaining the self-care performance. Therefore, these variables should be considered in nursing intervention development and education.

• Journal of Korean Academy of Nursing
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• v.15 no.2
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• pp.5-15
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• 1985

This study was conducted for the purpose of fin-ding out the variance explaining the medical facilities utilization behavior, which is defined adaptation behavior Process by focal, contextual, residual stimuli in Roy's Adaptation Model. What kinds of characteristics can explain adaptation behavior in Roy's Model? And which is the relative importance of input variables? For this analysis, stepwise multiple regression and path analysis was used. The data come from the 1981 Baseline Household Interview Survey in remote rural area. The findings of the analysis can be summarized as follows: First, Total variance of independant variables for adaptation behavior, that is medical facilities utilization including clinic, drug store, health center, herb medicine was shown 16.2 percent. The most important variable which explain the dependent variable was the occurance of illness with the Ra of value 0.112. The illness symptom, living level, regular care source was shown important variables with relatively high the R²value and significant beta coefficient. Second, in the path analysis of variables which is selected important variables, the occurance of illness was shown variable which has the highest direct effect which 0.297 path coefficient. Also the education level of household was shown variable which has the highest indirect effect through living level and the occurance of illness in causal model. Third, This analysis suggests that the occurance of illness belonging focal stimuli are more influenced than others. To sum up, It is seem to the occurance of illness, illness symptom belonging focal stimuli have high explanation ability through direct effect, education level of household among contextual stimuli have explanation ability through indirect effect.

• Child Health Nursing Research
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• v.6 no.3
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• pp.291-304
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• 2000

The purpose of this study was to explore the health and illness concepts of hospitalized preschoolers. The subjects were 52 hospitalized preschoolers from 3 to 6 grade in one general hospital. Data were collected through semistructured interviews by author. this study was conducted from Mar 2, 2000 to Jun. 30, 2000. Data were coded and categorized by content analysis. The results were as follows : 1. Hospitalized preschoolers's answers about health concepts were coded and then classificated to 7 categories(physical well-being, food, powerfulness, exercise, obedience to authority, cleanliness, sleep.) 2. Hospitalized preschoolers's answers about health behavior to maintenance health were coded and then classificated to 8 categories (food, obedience to authority, treatment, exercise, cleanliness, powerfulness, sleep, psychological stability). 3. Hospitalized preschoolers's answers about prevention of illness were coded and then classificated to 9 categories(food, treatment, obedience to authority, powerfulness, emotional stability, psychological stability, exercise, physical well-being, ability of social adaption). 4. Hospitalized preschoolers's answers about cause of illness were coded and then classificated to 3 categories(illness, trauma, food). 5. Hospitalized preschoolers's answers about treatments of illness were coded and then classificated to 9 categories(treatment, rest, emotional stability, sleep, psychological stability, food, obedience, exercise, powerfulness). 6. The levels of health and illness concepts in this sample were higher than those of the physical causality.

• Journal of muscle and joint health
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• v.3 no.2
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• pp.151-165
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• 1996

The purpose of this study is to describe the acknowledgement of the cause of the illness in the patients with RA. I used naturalistic inquiry as a research methodology. The purposive sampling was conducted. 23 subjects who experienced RA, lived in middle-sized city in Korea, and 19 women and 4 men. I collected data using indepth structured interview, "What is the acknowledgement of the cause of the illness?" I used inductive data analysis-such as unitizing and categorizing. This process is used constant comparative method. Summerising the results of this study, the acknowledgement of the cause of the illness are composed of physical constitution, fatalism, the attribution of physical overload, the attribution of stress, the lack of nutrition. The factors which affect the acknowledgement of the cause of the illness are composed of internal factors, external factors, environmental factors. The internal factors are the weakness of the childhood, the illness experience in the family members, juvenile rheumatoid arthritis, personality, lack of nutrition. The external factors are pregnancy, delivery, role burden and conflict, economic problem. The environmental factors are humid condition, abrupt environmental change. It is needed to explaine the coping pattern according to the acknowledgement of the cause of the illness in the next research.

• Korean Journal of Health Education and Promotion
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• v.32 no.1
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• pp.23-32
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• 2015

Objectives: The main objectives of this research is to reveal the mediating effects of subjective health rates on the relationship between stress and life satisfaction of the persons with mental illness. Methods: This study used the data from 2011 Disabled survey by Ministry of health and welfare. The study subjects were 98,801 persons with mental illness. Mediating effects of subjective health rate was analyzed using regression analysis and sobel test. Results: The stress was negatively correlated with the subjective health rates and life satisfaction. And the subjective health rates was positively correlated with life satisfaction. Second, the subjective health rates worked as partial mediators on the relationship between stress and life satisfaction of the persons with mental illness. The implication and limitations of this study were discussed, and suggestions for further study were proposed. Conclusion: This study highlights that the mediating effects of subjective health rates on the relationship between stress and life satisfaction of the persons with mental illness. Health and welfare policy encouraging subjective health rates and reducing level of the stress to improve life satisfaction of the persons with mental illness should be considered.