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A Prediction Model for the Quality of Life in Mothers of Children with Nephrotic Syndrom (신증후군 환아 어머니의 삶의 질에 관한 예측모형)

  • Paik Seung-Nam
    • Child Health Nursing Research
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    • v.7 no.3
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    • pp.280-297
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    • 2001
  • The purpose of the study was to develop and test the model for the quality of life in mothers of children with nephrotic syndrome. A hypothetical model was constructed on the basis of previous studies and a review of literature. The conceptual framework was built around ten constructs. Exogenous variables included in this model were mother's health, father's health, marital intimacy, mother's attitude on children, economic state, side effect of steroid, severity of illness and social support. Endogenous variables were mother's burden and quality of life. Empirical data for testing the hypothetical model were collected by using a self-report questionnaire from 152 mothers of children with nephrotic syndrom at the outpatient clinics and in the hospital. The data was collected from May, 1999 to August, 1999.Reliability of the seven instruments was tested with Cronbach's alpha which ranged from 0.71 - 0.92.For the data analysis, SPSS 8.0 WIN program and LISREL 8.20 WIN program were used for descriptive statistics and covariance structural analysis. The results of covariance structural analysis were as follow :1. The hypothetical model showed a good fit with the empirical data. [x2 = .56, df = 3, p = .90(p>.05 ), GFI = .99, AGFI = .99, RMSR = .005.] 2. For the parsimony of model, a modified model was constructed by deleting 1 variable and excluding 2 paths according to the criteria of statistical significance and meaning.3. The modified model also showed a good fit with the data[x2 = 2.83, df = 7, p = .90( p>.05 ), GFI = 1.00, AGFI = .97, RMSR = .011].The result of the testing of the hypothesis were as follows : 1. Mother's health(γ21 = .26, t = 4.16), father's health(γ22 = .19, t = 2.92), marital intimacy(γ23 = .26, t = 4.13) and social support(γ28 = .12, t = 2.03) had a significant direct effect on the quality of life.2. Mother's burden(β21 = -.20, t = -3.10) had a significant negative direct effect on the quality of life.3. Mother's attitude on children(γ14 = -.34, t = .-4.57), mother's health(γ11 = -.22, t = -2.96) and side effect of steroid (γ16 = -.23, t = .-2.69) had a significant direct negative effect on the burden. The result of this study showed that mother's health, marital intimacy, mother's burden, father's health, and social support had a significant direct effect on the quality of life. Mother's attitude on children, mother's health, and side effect of steroid had a significant direct effect on mother's burden. These six variables, mother's health, marital intimacy, father's health, social support, mother's attitude on children and side effect of steroid were identified as relatively important variables. The results of this study suggest, it needed to determine the nursing intervention will alleviate mother's burden and promote a greater quality of life in mothers of children with nephrotic syndrom.

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Validation of a Path Model on Elderly Women's Yangsaeng (Yangsaeng; 養生; traditional oriental health promotion) (여성노인의 양생행위 경로모형 분석)

  • Park, Yeong-Sook;Lee, Hwa-Yean;Kwon, Yun-Hee
    • Research in Community and Public Health Nursing
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    • v.22 no.3
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    • pp.325-332
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    • 2011
  • Purpose: This study examined the fitness of a path model on the relationship among perceived health status, self-esteem, self-efficacy, and Yangsaeng for elderly women. Methods: The subjects consisted of 633 aged women. Data were collected through self.report questionnaires. The data were analyzed with the SPSS and AMOS programs. Results: Perceived health status, self-esteem, and self-efficacy showed a direct effect on elderly women's Yangsaeng while perceived health status and self-esteem showed an indirect effect on their Yangsaeng. Perceived health status and self-esteem showed a direct effect on elderly women's self-efficacy. The hypothetical path model of elderly women's Yangsaeng was proven correct. Conclusion: These results suggest that elderly women's Yangsaeng can be enhanced by increasing their perceived health status, self-esteem and self-efficacy. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes the enhancement of perceived health status, self-esteem and self-efficacy in order to improve elderly women's Yangsaeng.

A Study of nursing process by Neuman's systems model in Primary Health Care (Neuman 모델에 의한 일차보건의료에서의 간호과정 적용연구)

  • Han Myung Hwa
    • Journal of Korean Public Health Nursing
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    • v.12 no.1
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    • pp.90-102
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    • 1998
  • The primary health care(PHC) movement officially began in 1977 when the 30th World Health Oranization(WHO) Assembly adopted a resolution accepting the goal of attaining a level of health that permitted all citizens of the world to live socially and economically productive lives. As a WHO member nation, Korea has endorsed primary health care as a strategy for achieving the goal of Health For All by the Year 2000. However, PHC, with its empasis on broad strategies, community participation, self reliance, and a multidisciplinary health care delivary team, is not the primary strategy for improving the of Korean. The Neuman's systems model has been described as a grand nursing theory. A grand nursing theory consists of a comprehensive conceptual framework that defines broad perspectives for practice. This model is an example of a conceptual framework that provides structure for development and analysis of an individual or group of patients in the community or in an oranization. One of the model's strength is that it can be useed ina variey of setting. So The Neuman's model is used a nursing process format for community health nursing. The Neuman's model is fully congruent with concept and philosophy of today's PHC.

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A study of Priority-setting in Korean National Dental Health Insurance Scheme (치과 건강보험 우선순위 설정을 위한 고찰)

  • Han, Ji-Hyoung;Hwang, Yoon-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.6 no.3
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    • pp.243-261
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    • 2006
  • Priority setting in national health insurances in major advanced countries and the nation was investigated to draw the criteria for priority setting and suggest the most rational criteria for dental insurance so as to help secure the efficiency of medicare financing and individual's health right and also elevate medical consumers' satisfaction with health insurance. 1. Priorities in national health insurance are different from country to country, depending on the medical security systems, priority introducing conditions, and social environment, but have many common factors. 2. The priority setting criteria for national health insurance in those countries include the following in common: the efficiency, equity, and cost effect of treatment, emergency of treatment, consumption of expense, efficacy of treatment, patient's receptiveness, patient's demand, severity of disease, and patient's responsibility for the disease. 3. In oral diseases, severe diseases including oral cavity cancer are low in rate, and in-hospital treatments are few. From the above findings, it is suggested that dental insurance should establish discriminative criteria for priority setting by reflecting the aspects of dental diseases and system difference between dental and other health insurances and taking account of efficiency of treatment through prevention, cost effect, prevalence and incidence of generalized diseases, and individual's financing burden.

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The Role of Major Donors in Health Aid to the Democratic People's Republic of Korea

  • Lee, Haewon;Ahn, Deborah Y.;Choi, Soyoung;Kim, Youngchan;Choi, Hyunju;Park, Sang Min
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.3
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    • pp.118-126
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    • 2013
  • We investigated the major trends in health aid financing in the Democratic People's Republic of Korea (DPRK) by identifying the primary donor organizations and examining several data sources to track overall health aid trends. We collected gross disbursements from bilateral donor countries and international organizations toward the DPRK according to specific health sectors by using the Organization for Economic Cooperation and Development creditor reporting system database and the United Nations Office for the Coordination of Humanitarian Affairs financial tracking service database. We analyzed sources of health aid to the DPRK from the Republic of Korea (ROK) using the official records from the ROK's Ministry of Unification. We identified the ROK, United Nations Children's Fund (UNICEF), World Health Organization (WHO), United Nations Population Fund (UNFPA), and The Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) as the major donor entities not only according to their level of health aid expenditures but also their growing roles within the health sector of the DPRK. We found that health aid from the ROK is comprised of funding from the Inter-Korean Cooperation Fund, private organizations, local governments, and South Korean branches of international organizations such as WHO and UNICEF. We also distinguished medical equipment aid from developmental aid to show that the majority of health aid from the ROK was developmental aid. This study highlights the valuable role of the ROK in the flow of health aid to the DPRK, especially in light of the DPRK's precarious international status. Although global health aid from many international organizations has decreased, organizations such as GFATM and UNFPA continue to maintain their focus on reproductive health and infectious diseases.

Effects of Health Diet Lifestyle and Health Improvement Motivation on the Healing-Experience Demand (건강식생활 유형 및 건강증진 동기가 힐링체험 욕구에 미치는 영향)

  • Lee, Sang-Min;Yoon, Jiyoung;Jeong, Hee Sun
    • Korean journal of food and cookery science
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    • v.31 no.4
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    • pp.413-422
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    • 2015
  • The purpose of this study was to examine the effects of a lifestyle consisting of a health oriented diet and personal motivation toward health improvement on an individual's desire to participate in condolence or "healing" -workshops and programs. In order to examine the influence of the "health diet" and motivation, the "health diet" lifestyle was classified into nutrition pursuit factors, psychological factors, food safety factors, and health conscious consumption factors. Personal motivation was categorized into perceived benefits, environmental factors and the individual's desire for happiness. Empirical analysis showed that nutrition pursuit factors had an impact on perceived benefits and the desire for happiness. Psychological aspect factors had a significant influence on perceived benefits, environmental factors and the desire for happiness. However, food safety factors and health conscious consumption factors did not have an effect on individual motivation to improve health. Regarding personal motivation toward health improvement on the desire for "healing", perceived benefits and environmental factors had significant influence. However, the individual's desire for happiness did not influence the demand for "healing". Regarding the effect of a "health diet" on the desire for "healing", only the psychological aspects of a "health diet" had any significant effects on the desire for "healing". The results from this study can help local organizations or service companies that provide "healing" programs with developing effective marketing strategies that could lead to greater customer satisfaction. Especially, the significant influence of psychological aspects of a "health diet" on the demand for "healing" is noteworthy in that this could play a key role in establishing a more effective marketing strategy to attract increasing numbers of consumers using health conscious diets.

The correlations among oral health education experience, oral health behavior, self-efficacy and subjective oral health level of elderly in some area (일부지역 노인의 구강보건교육 경험과 구강건강행위, 구강건강관리 자기효능감 및 주관적 구강건강수준과의 관련성)

  • So, Mi-Hyun;Cho, Youn-Young
    • The Journal of Korean Society for School & Community Health Education
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    • v.19 no.2
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    • pp.53-63
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    • 2018
  • Objectives: This study was intended to provide resources for the development and operation of the elderly's oral health education programs by comparing the difference of oral health behavior, oral health care self-efficacy and oral health levels according to their oral health education experiences and by researching the correlation of oral Health Behavior, self-efficacy, subjective oral health level and oral health education experience. Methods: An interview survey using structured questionaries was done on 180 senior citizens older than 65 years old residing in some areas of Gyeonggi-do from April 19 to May 25, 2018. The data was analyzed with Chi-square, t-test, spearman correlation coefficient with the use of SPSS 20.0. Results: 1. Those who are older than 75 years old and have higher levels of education and finance have more experiences of oral health education. 2. Those who have experiences of oral health education brush their teeth more than three times a day, use more oral health care items and get more regular preventive treatments such as oral examination and scaling. 3. As they has experiences of oral health education, their oral health behaviors, oral health care self-efficacy(tooth care, dietary control, regular checkup) and subjective oral health levels are high. Conclusion: It is necessary to try to improve the elderly's oral health levels by motivating the importance of oral health care and changing their oral health behaviors positively with the implement of oral health education on the elderly. Especially, oral health education programs that are operated on the elderly should be planned with practical programs that can cause the change of their oral health behaviors and should be processed to reinforce oral health care self-efficacy. Furthermore, preventive treatments for the elderly such as oral health education, oral examination and scaling should be implemented systematically and continuously by policy.

Evaluation of a Virtual Class on Lifelong Health Care for Women (여성의 평생건강관리 가상강좌 평가연구)

  • Park, Jeong-Sook;Yang, Jin-Hyang
    • Journal of Korean Academy of Nursing
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    • v.36 no.7
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    • pp.1265-1273
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    • 2006
  • Purpose: This study was to evaluate a virtual class, 'lifelong health care for women', for female university students. Method: The research design was one group pre-post design. A pretest and posttest were conducted to measure CMI, perceived health status, health promoting lifestyle, and knowledge related to women's health. The subjects of this study were 74 female students in 3 universities, and they were provided with the virtual class by K university consortium for 16 weeks. Data was analyzed by descriptive and paired t-test. Results: There were statistically significant differences in CMI (t=3.367, p=.001), perceived health status (t=-2.788, p=.007), and knowledge related to women's health (t=-10,432, p=.000) between the pretest and posttest. However, there was not a statistically significant difference in a health promoting lifestyle (t=-1.431, p=.157) between the pretest and posttest. Conclusion: These results suggest that a virtual class on lifelong health care for women is aneffective method in decreasing health problems, and improving perceived health status and knowledge related to women's health by female university students.

Women's Health and Sexuality (여성건강과 성)

  • Lee, Kyung-Hye
    • Korean Parent-Child Health Journal
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    • v.2
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    • pp.53-63
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    • 1999
  • The purpose of this study is to describe how what influence sexuality has on women's health. Sex is determined by the sex chromosome: but sociocultural norms have much influence on the sex role of a woman or man. Women's sexuality has had a negative impact on them in a male-dominated society, which destroyed women's health, put women in a powerless position and forced them to live as dependent persons. Sociocultural perception of the sex role has not been very open, and very strict rules have controlled those perceptions; but currently these perceptions have been changing dramatically. Especially, women's sex role has changed, bringing about many problems: the number of women engaging in premarital sex, the number of unwed mothers, the number of pregnancies without marriage, the divorce rate, and the number of dysfunctional families have all increased. Those kinds of problems have negative effects on women, children and members of the whole family. Sexually transmitted disease because of free sex is a serious health issue for women: the number of women with AIDS has increased rapidly. Another big issue is sexual abuse, which is insulting to women, decreases women's self-esteem, increases depression, puts women in a powerless position and eventually causes women to get sick. Male-preference (among newborns) ideology raises health issues for women, such as artificial abortion. In the area of sex differentiation, therefore, we have to change people's thinking from male-preference ideology to equal sex preference. Finally, we have to use a holistic approach for women's health and increase awareness of the fact that the sex role and women's health are very important for the family, society and nation. Women's health is the nation's power.

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