• Korean Journal of Adult Nursing
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• v.14 no.2
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• pp.233-243
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• 2002

Purpose: This study is aimed at testing the effect of health promotion program on health promoting behavior and cardiovascular risk factors of middle-aged women. Method: The research design was the nonequivalent control group pre-post test. Twelve middle-aged women were the experimental group and ten were the control group. The 8-week health promotion program was given to the experimental group. There were health promotion theories, flexibility and muscle strength exercise, cardiopulmonary endurance exercise, nutrition, stress management, cancer prevention and early detection, management of menopause and wrap-up in health promotion program for middle-aged women. The measurement tool was Health Promoting Behavior developed by researcher using serum cholesterol, obesity rate, systolic blood pressure, and diastolic blood pressure as cardiovascular risk factors. Result: The experimental group showed a higher score of health promoting behavior than the control group. There were no differences on cardiovascular risk factors(cholesterol, obesity rate, diastolic blood pressure) between the experimental and control groups except systolic blood pressure. Conclusion: Conclusively, this health promotion program for middle-aged women was effective in increasing health promotion behaviors, but wasn't effective in decreasing cardiovascular risk factors except the systolic blood pressure. It seems it's necessary to re-study this using more samples and a longer duration of the program, and smaller mortality rate.

• Korean Journal of Adult Nursing
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• v.14 no.4
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• pp.602-611
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• 2002

Purpose: The purpose of this study was to identify the influencing factor to self actualization in middle-aged women. Method: The subjects for this study were 191 middle-aged women selected by convenience sampling in three cities. Data collection was done using a questionnaire. The data were analyzed by using descriptive statistics, Pearson Product Moment Correlation coefficient and Stepwise Multiple Regression. Result: The results of this study were as follows: 1. The relationship between self-efficacy, social support, self esteem, motivation for achievement, parental satisfaction with children and self-actualization were found to have statistically significant positive correlations. But the relationship between depression and self-actualization were found to have statistically significant negative correlation. 2. Stepwise multiple regression analysis revealed that the most powerful predictor was social support. Social support, motivation for achievement and self esteem accounted for 38.1% of the variance in self-actualization in middle aged women. Conclusion: According to these results, it is recommended that in order to enhance self-actualization in middle-aged women, empowerment of social support, motivation for achievement and self esteem should be pursued.

• The Journal of Korean Society for School & Community Health Education
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• v.21 no.1
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• pp.15-31
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• 2020

Background and objectives: One-person households are the fastest growing family type in Korea. They bring social concerns such as weakened social integration, increasing poverty and social isolation. They are not homogeneous but heterogeneous groups depending on their socio-demographic characteristics including generation. This study compared the life satisfaction level as well as factors affecting it among the three one-person household generations Methods: The 13th wave of the Korea Welfare Panel dataset with 1,187 respondents was utilized. For data analysis Chi-square test, analysis of variance and hierarchical regression analysis were employed. Generations are divided into three, namely young adult (20-39), the middle-aged (40-64) and the elderly (65 and over). Result: The life satisfaction level was highest among the young adult one-person household generation, followed by the middle-aged and the elderly generation. The common factors affecting life satisfaction of the three generations were physical as well as mental health, including self-esteem and depression. However, there were more factors different from generation to generation. As for the young adult, age, religion, and smoking were significant. As for the middle aged and the elderly, gender (male) and income were significant. Additionally, age, home-ownership and drinking were significant to the elderly generation. Conclusions: As there are differences as well as similarities among the three generations, policies for one-person households need to be devised considering these findings. For all generations, both physical and mental health policies are needed. For young adult strengthening social relations, providing decent jobs, and promoting anti-smoking policy are major agenda, and for the middle-aged and the elderly, assisting in social capital accumulation (for male), providing stable jobs and diverse leisure activities, and securing income. Additionally, for the elderly, expanding the social security system and housing support are needed.

• Korean Journal of Child Studies
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• v.29 no.4
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• pp.15-26
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• 2008

This study analyzed the portrayal of adult characters in 176 picture books published in Korea by variables of character's external condition(sex, name, age and occupation), type(3-dimensional or flat), conflicts, and image. Standards for analysis of the picture books were devised by the researcher. Results showed that (1) adult male characters appeared much more frequently than female; they appeared most often without names and in order of older, middle aged, young adult. They appeared most often without occupations. (2) 3-dimensional characters appeared much more than flat ones. (3) Adult conflict situations were rare and were mostly interpersonal. They often resolved their conflicts by themselves. (4) The 20 kinds of images of the adult characters were mostly humorous, warm-hearted and attentive.

• Journal of Korean Dental Science
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• v.11 no.1
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• pp.32-41
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• 2018

As the adult population continues to increase, orthodontic treatment for adult patients is becoming more common. This case report describes comprehensive orthodontic treatment of a middle-aged patient with closure of the extraction space without prosthetic restoration. A 55-year-old woman with her maxillary left first premolar extracted because of a periodontal problem, wanted to close the space with orthodontic treatment. Since she had generalized crowding and mild skeletal discrepancy, we planned comprehensive orthodontic treatment, including closure of the extraction space by protraction of the left maxillary molars using miniscrews and aesthetic alignment of anterior teeth. The total treatment period was 28 months. As a result of these treatments, the extraction space was successfully closed, good tooth alignment and satisfactory occlusion were achieved.

• Korean Journal of Adult Nursing
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• v.26 no.3
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• pp.372-381
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• 2014

Purpose: This study investigated the prevalence of hypertension, explored sleep duration, and examined the related factors to hypertension in Korean middle-aged adults. Methods: Using raw data from the Korean National Health and Nutritional Examination Survey (KNHANES) conducted from 2008 to 2010, a secondary analysis was performed with data from 13,230 adults aged 30~64 years. ${\chi}^2$-test and multiple logistic regressions was used for the data analysis. Results: The prevalence of hypertension among Korean middle-aged adults was 21.8% and 40.3% among participants reported that their average sleep duration was below six hours a night. Risk factors for hypertension include: female (the odds ratio (OR) 1.66 for male), 50~64 years age group (OR 3.66 for 30~49 years age group), education level of elementary school (OR 1.84 for university level), low household income (OR 1.27 for upper), obesity (OR 2.41), high risk drinking (OR 1.64), and sleep duration${\leq}6$ hrs (OR 1.16 for 8 hrs of sleep). Conclusion: High risk population of hypertension could be male, aged, low education, and low income. Obesity, high risk drinking, and short sleep duration should be considered as risk factors for hypertension. Interventions for obesity management, adequate alcohol drinking and sleep duration could be considered for preventing hypertension.

• Journal of Korean Academy of Nursing
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• v.48 no.5
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• pp.521-533
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• 2018

Purpose: The aims of this study are to provide a theoretical framework for improving the self-care of adults with severe hypertension and to examine the practical suitability of a middle-range theory of self-care for chronic illness by validating the structural model. Methods: Data were collected at a university hospital in D metropolitan city from July 1 to August 14, 2015. A total of 224 Korean adult patients with severe hypertension were recruited. Data were analyzed using SPSS 22.0 and AMOS 22.0. Results: The results show that the fit index of the hypothetical model meets the recommended level; 7 out of 8 hypothetical model paths were statistically significant. Motivation, self-efficacy, support from others, and accessibility to care showed statistical significance and explained 67.3% of the self-care process. The self-care process explained 45.3%, 63.6%, and 26.5% of quality of life, health, and illness stability, respectively. Conclusion: This model can be used as a theoretical framework for improving self-care among adult Korean patients with severe hypertension. Moreover, the practical suitability and validity of the middle-range theory of self-care for chronic illness is secured.

• Korean Journal of Adult Nursing
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• v.19 no.3
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• pp.413-421
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• 2007

Purpose: The purpose of this study was to explain the relationship between fatigue and other variables(perceived health status, marital adjustment and stress), and define the main factors influencing fatigue in middle aged women. Methods: Data were collected by self-reported questionnaires from 212 middle aged women. Data analysis was done with the SPSS 11.0 pc+ program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Results: The mean score of fatigue was 2.30(${\pm}0.46$), perceived health status was 2.82(${\pm}0.68$), marital adjustment was 2.86(${\pm}0.44$), and stress was 2.43(${\pm}0.61$). There were significant correlations between fatigue and the other variables(r=.56-.21, p=.00). The major factors that affect fatigue in middle aged women were stress, perceived health status, and marital adjustment, which explained 35.2% of fatigue. Conclusion: These variables have an effect on middle aged women's fatigue. Therefore, these findings can provide the basis for the development of nursing interventions to manage fatigue.

• Korean Journal of Adult Nursing
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• v.13 no.4
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• pp.610-619
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• 2001

Purpose: The purpose of this study was to verify the effectiveness of the model based on the TPB, behavior-related theories, and exercise-related empirical studies in predicting exercise intention and behavior. Methods: The subjects who participated in this study were 152 middle-aged women. The data were analyzed by use of SAS PC program and LISREL 8.12a program. Results: 1) The overall fit of the hypothetical model to the data was acceptable ($\chi^2$ 24.01(p=0.0043), $\chi^2/df$ 2.67, RMSEA 0.11, standardized RMR 0.04, GFI 0.97, AGFI 0.84, NFI 0.95, NNFI 0.85). 2) Affect, subjective norm, perceived behavioral control and habit were significant determinants of the exercise intention. Attitude and facilitating conditions were not significant determinants. These six variables explained 43% of the total variance of the exercise intention. 3) Perceived behavioral control and habit were significant determinants of the exercise behavior. Intention and facilitating conditions were not significant determinants. These four variables explained 95% of the total variance of the exercise behavior. Conclusion: This study shows the model's applicabiltiy in explaining exercise behavior of middle-aged women, and suggests that we should focus on perceived behavioral control and habit rather than intention to improve exercise behavior of middle-aged women.

• Korean Journal of Adult Nursing
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• v.18 no.3
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• pp.446-456
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• 2006

Purpose: The purpose of this study is to provide basic data for nursing programs in order to reduce depression among middle aged adults by looking at gender differences. Method: A comparative descriptive design was used. Subjects were 315 adults from February. 15 to March. 2, 2005, using a structured questionnaire. The data was analyzed using $\chi^{2}$-test, Pearson correlation analysis and stepwise multiple regression. Results: $\chi^{2}$-test revealed significant gender differences in socio-demographic variables for career, drinking, smoking, and satisfaction with the spouse. The factors that influenced depression for men were stress, fatigue, job satisfaction and self-efficacy. For women, those factors were stress, family support, coping skills, and well-being. Conclusions: The results show that gender differences existed in terms of depressions, in terms of factors influencing depression. As a result, when middle aged adults are provided nursing programs, gender differences should be considered. To decrease the depression of men, nursing interventions are needed to decrease their stress and fatigue, and to improve their job satisfaction and self- efficacy. To decrease the depression of women, it is also needed to decrease their stress, to elevate their family support and coping skills, and to support them so that their well-being is perceived good.