• Women's Health Nursing
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• v.6 no.4
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• pp.606-618
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• 2000

The purpose of this study was to provide basic data for developing a nursing intervention for climacteric women by describing a health promoting lifestyle. Also this study identified the relationship between self-efficacy and family function which are factors affecting the health promoting behaviors. The subjects of this study were 143 women from 40 to 59 years of age. The data was analyzed using SPSS program for t-test, ANOVA, and Pearson's correlation coefficients. The results of the study are as follows; 1. The average score of performance in the health promoting lifestyle was 2.82. The variable with the highest degree of performance was the sanitary environment and reconciliatory relationship(3.31), whereas the one with the lowest degree was the professional health maintenance(2.27). The average score of self-efficacy was 71.44, family function was 68.50, and menopausal symptoms was 60.30. 2. There was a statistically significant difference in performance in health promoting lifestyle according to satisfaction of marital life. Also there was a significant difference between self-efficacy, religion, and family function. 3. Performance in the health promoting lifestyle was positively related to self-efficacy, and family function and negatively related to menopausal symptoms. Self-efficacy was positively related to family function. In conclusion, performance in health promoting lifestyle was related to self-efficacy, family function and menopausal symptoms. These factors were affected by religion, family type, and satisfaction of marital life. Therefore, health promoting programs to increase climacteric women's health should be a planed program based on results of this study.

• Research in Community and Public Health Nursing
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• v.24 no.1
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• pp.87-98
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• 2013

Purpose: This study was conducted for the purpose of a structural model analysis of family health of women who came to Korea for being married to Korean men. Methods: The data were collected from 260 immigrant women at multicultural centers located in C and B cities from May 10th to 30th, 2012. The variance analysis on the samples was conducted by using the maximum likelihood minimization function with AMOS 7.0. The fitness was evaluated by means of the SRMR, RMSEA, CFI, and TLI with a 90% confidence interval. Results: First, immigrant women's self-esteem and acculturative stress were found to have significant direct effects on their family health. Second, their self-esteem and acculturative stress have direct effects on their marital adjustment. Third, their marital adjustment was found to have significant direct effects on their family health. Forth, immigrant women's Korean language ability was found not to have significant direct effects on their marital adjustment and family health. Conclusion: In order to enhance the family health of immigrant women, it is necessary to develop and apply nursing programs in consideration of immigrant women's self-esteem, marital adjustment and acculturative stress.

• 한국노년학
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• v.40 no.1
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• pp.147-161
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• 2020

The purpose of this research is to investigates 10-year trajectories of cognitive functions among older adults in their 70s to understand changes in cognitive functions as a continuum until very late life. This study also examines differences in trajectories of cognitive functions by gender and by changes in marital status, especially widowhood. Among participants of the Korean Longitudinal Study of Ageing(KLoSA), the sample of this study includes 800 older adults in their 70s during the first study wave (2006) and those who reported their cognitive functions for six consecutive study waves (2006, 2008, 2010, 2012, 2014, and 2016). The analyses were conducted in two steps. First, we conducted Latent Class Growth Analyses(LCGA) to investigated heterogeneous trajectories of cognitive functions in 10 years. Then, we performed multinomial logistic regression. Three heterogeneous trajectories of cognitive functions were identified. One group of 48.7% of older adults showed high cognitive function at baseline and maintained it over 10 years. Second group of 14.7% of older adults reported low cognitive function scores at baseline and showed continuous decline over time. Third group of 36.6% were showed mid-level cognitive functions and maintained their functions over time. We also found significant gender differences but not significant differences in marital status when we consider both in our model; however, the we found significant differences in changes in marital status when we did not consider gender in the model. The results suggest that the importance of considering dynamics of gender and changes in marital status to understand changes in cognitive functions in later life.

• Journal of the Korean Home Economics Association
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• v.41 no.8
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• pp.139-158
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• 2003

This study investigated the effects of Korean parents' family-of-origin experiences, marital conflict, open or dysfunctional communication with their children, children's coping behaviors on their behavior problems as a function of a child's sex. Theoretical models for both sexes were constructed based on the results. Two hundred and nine boys and one hundred and ninety six girls of 4th and 5th grades from two elementary schools filled out the questionnaires to assess their communication with the parents, their problem-focused coping behaviors, and their internalizing and externalizing behavior problems. Four hundred five parents of these children answered the questionnaires to assess differentiation for the family-of-origin and the marital conflict. The results were as follows. Boys' path pattern showed that the fathers' differentiation from the family-of-origin effected their sons' internalizing and externalizing behavior problems through parent-child dysfunctional communication. Girls' path exhibited two different patterns. One is that the mothers' differentiation from the family-of-origin effected their daughters' internalizing and externalizing behavior problems through parent-child dysfunctional communication. Another one is that the mothers' differentiation from the family-of-origin influenced children's internalizing behavior problems through daughters' problem-focused coping behaviors as well as parent-child dysfunctional communication.

• Journal of the Korean Home Economics Association
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• v.45 no.5
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• pp.121-133
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• 2007

The purpose of this study was to investigate the psychological wellbeing as applied to the bioecological family life welfare model, concerning individual attributes, family backgrounds, and family processes across the family life cycles. Based on Bronfenbrenner's bioecological perspective, the "bioecological family welfare model", which includes person (individual attributes), context (family background), process (mechanism - family process), and time (the family life cycles), was applied as a research paradigm for this study. The sample for the questionnaire study comprised for 900 families, considering the family life cycle in Busan and the Kyungnam area. The families were categorized into 6 family life cycles based on Duvall and Hill's family life cycle. For the final analysis, 628 families were used. According to the path analysis results, the length of commitment before marriage and self-esteem had significant effects on the stress coping ability. Several individual attributes and family backgrounds such as age, length of marriage, family life cycle, self-esteem and stress coping ability had significant effects on marital adjustment. The family life cycle and age were significant variables on family function. The significant variables on psychological wellbeing were monthly income, length of commitment before marriage, stress coping ability and marital adjustment. The regression model showed that the variables of the individual attributes, context and family process accounted for 51% of the psychological wellbeing. The results show that the suggested research model was significant and effective to explain the mechanism of psychological wellbeing. Individual attributes and family context have an impact on stress coping, marital adjustment, and family function, which in turn affect psychological wellbeing.

• Journal of Korean Academy of Nursing
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• v.20 no.1
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• pp.5-15
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• 1990

The purpose of this study was to identify the degree of family function and to determine factors influencing family function. The subjects for this study were 451 adults and high school students among the general population from J city. Data were collected by questionnaire from Sept. 1 to Nov. 30, 1989. The measurement tool was the Family Function Questionnaire(APGAR) developed by Smilkstein. Data were analysed by statistical methods including Mean, S.D. t-test and ANOVA. The following results were obtained : 1. The mean Family APGAR score was 5.70$\pm$0.11, in a range from 0-10. 2. Scores from 0 to 6, which fall into the dysfunctional family range, were recorded for 266 families(59.6%) 3. Significant variables among general characterisics influencing family function were age, sex, marital status, educational levels. monthly income and occupation(p＜.001). 4. Significant variables among family characteristics influencing family function were family life cycle (p＜.01), utilization of family resources(p＜.01) and family atmosphere( p＜.001).

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.1
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• pp.386-395
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• 2014

Sexual satisfaction depends a lot of various factors. The study was conducted to understand middle-aged women's sexual function, sexual communication, and sexual satisfaction and to determine factors influencing sexual satisfaction. As a descriptive correlation study, data was collected during Oct. in 2012 to Jan. in 2013 from 126 middle-aged women in Korea. Sexual function, sexual communication, and sexual satisfaction were averaged 25.02 (range of score 2~36), 3.12 (out of 5), and 2.36 (out of 4), respectively. Sexual satisfaction had a positive correlation with sexual function and sexual communication. Sexual function, sexual communication, and last formal education were influencing factors on sexual satisfaction. Sexual satisfaction of middle-aged women was considered their physical and psychological aspects. Nurses should become aware of the wider consideration that need to be made in relation to the general and sexual quality of life when caring for middle-aged women.

• 한국노년학
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• v.27 no.2
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• pp.371-392
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• 2007

Marital status has drawn much attention as previous studies have been pointed it out as a key factor of health. Nonetheless, systematic studies on elderly marital status and health have been quite limited, for most researches have neglected the varying effects of marital status on health over the lifespan and mainly focused on midlife. This study, using nationwide survey on elderly population, attempts to discover the health differentials between widowed and married elderly and explain the differences though the structure and function of their social network. The results reveal that the magnitudes of marital status effects were differed by dimensions of health. The widowed were more likely to be unhappy than married, even after controlling the socio-demographic characteristics. In physical health, however, the health differences between widowed and married were less noticeable or disappeared, as sex, age and other structure factors were considered. Furthermore, the strength of social network factors affecting the physical and mental health of elderly turned out to be different between married and widowed: widowed were more likely than married to be affected by the contact with children and less likely to be affected by contact with friends/relatives. Such results had both positive and negative impact on physical and mental health of widowed. This may imply the difference in pathways of regulating health among the married and widowed elderly.

• Asian Oncology Nursing
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• v.12 no.2
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• pp.156-165
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• 2012

Purpose: This study was to identify predictors of sexual function in gynecologic cancer patients. Methods: The participants were 154 patients treated at a university medical center in A city, Korea. The data collection was performed through a structured questionnaire from July to December, 2010. The instruments used in this study were Female Sexual Function Index (FSFI) perceived health status scale, Eastern Cooperative Oncology Group (ECOG) performance status, body image, and depression. Data were analyzed using descriptive statistics, Mann-Whitney test, Kruskal-Wallis test and stepwise multiple regression with the SPSS 18.0. Results: The mean score of perceived health status was 8.42 and sexual function was 8.42. The lowest score among sexual function was lubrication. The scores of sexual function was significantly different by age, job, marital status, period after diagnosis of cancer and diagnosis. There were significant correlations between sexual function, perceived health status, ECOG performance, body image and depression. In multiple regression analysis, predictors were identified as ECOG performance, age, diagnosis and period after diagnosis of cancer (Adj.$R^2$=.28). The most powerful predictor of female sexual function was ECOG performance (19.0%). Conclusion: The above findings indicate that it is necessary to develop a more effective and personalized sexual function improvement program for gynecologic cancer patient.

• Journal of Korean Academy of Nursing
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• v.38 no.5
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• pp.639-648
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• 2008

Purpose: This study was designed to construct and test a structural equation model on sexual function in women with gynecologic cancer. Methods: The model was constructed and tested under the hypotheses that women's physical changes in sexual function after gynecologic cancer treatment did not automatically lead to sexual dysfunctions. Women's psychosocial factors were considered to be mediating variables. Two hundred twelve women with cervical, ovarian, and endometrial cancer were recruited and asked to complete a survey on their physical factors, psychosocial factors and sexual function. Data was analyzed using SPSS WIN 12.0 and Amos WIN 5.0. Results: Predictors of sexual function in the final model were sexual attitude affected by physical distress and couple's age, sexual information affected by physical distress and couple's age, depression affected by physical distress, and marital intimacy affected by physical distress. Tumor stage and time since last treatment directly affected women's sexual function without any mediating psychosocial variables. However, body image did not affect women's sexual function. Conclusion: Nursing professionals should develop a tailored educational program integrating both physical and psychosocial aspects, and apply it to women and their spouses in order to promote sexual function in women with gynecologic cancer.