• Korean Journal of Adult Nursing
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• v.13 no.1
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• pp.82-95
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• 2001

The purpose of this study was to examine the relationship among perceived health status, self-esteem, self-efficacy and health promoting behavior, and to determine the predictors of health promoting behavior in post-mastectomy patients. The study, a descriptive correlational study, was done with structural questionnaires. A total of 51 post-mastectomy subjects from C university hospital in Kwang-ju, South Korea completed mail-in self-reporting questionnaires during a three month period from March to June, 1999. The data were collected using Lawstone's(1982) perceived health status scale, Rosenberg's(1965) self-esteem scale, the modified self-efficacy scale(Shere et al, 1982), and the modified health promoting lifestyle profile (Walker et al, 1987). The data obtained were analyzed according to percentage, mean and standard deviation, principal component analysis, varimax rotation, t-test, ANOVA, Pearson's correlation, and stepwise multiple regression. The results were as follows: 1. The health promoting behavior measurement resulted in six factors. Each factor was labelled as follows: self-actualization, nutrition, stress management, exercise, health responsibility and interpersonal support. The total percent of variance explained by the six factors was 58.4%. 2. The mean score of health promoting behavior was 85.92(range 58~117). The scores of six factor were nutrition 3.20, self-actualization 2.59, stress management 2.58, interpersonal support 2.58, health responsibility 2.49, and exercise 2.34 on a four point scale. 3. When the score of health promoting behavior factors were compared by general characteristics. Factor I: self-actualization, differed significantly by the frequency of pregnancy (F=3.06, p=.037). Factor II: nutrition differed significantly by drinking experience(t=-2.26, p=.028) and the pre- or post stage of menopause(F=2.69, p=078). FactorIII: stress management differed significantly depending on regularity of mensturation(t=-2.12, p= .042). FactorIV: exercise differed significantly by type of religion (F=2.49, p=.072), marital status(F=5.03, p=.010), and feeding type (F=2.64, p=.036). Factor V: health responsibility differed significantly by regularity of mensturation(t=2.18, p=.037). 4. The total health promoting behavior score was significantly related to self-esteem and perceived health status(r=.610, p.006; r= .378, p=.006). The score of selfactualization also corresponded with selfesteem and perceived health status(r=.556, p=.001; r=.343, p=.013). 5. The predictor to explain the score of health promoting behavior was self-esteem, which accounted for 37.1% of the total variance. The predictor to explain the score of self-actualization was self-esteem, which accounted for 30.9% of the total variance. The score of nutrition was primarily affected by both premenopause and drinking experience, which accounted for 13.1% and 9.5% respectively. Finally, the score of exercise was dictated by marriage, Buddhism, no experience of breast feeding, which accounted for 17%, 9.8%, & 5.2% respectively. In conclusion, self-esteem is the main predictor for health promoting behavior in post-mastectomy women. These findings suggest a need for nursing strategies which promote self-esteem in such patients.

• Journal of Korean Academy of Nursing
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• v.25 no.4
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• pp.681-695
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• 1995

It has been noted that a genetic alteration of cells influenced by unhealthy lifestyle In addition to a series of other carcinogens increases various neoplasmic diseases. Therefore the importance of lifestyle that minimizes such impact on health should be emphasized. Since stomach cancer, the most common neoplasmic disease in Korea, is re-lated to the Korean lifestyle and as there's a possibility of its recurrence, people with stomach cancer need to lead a healthy lifestyle. The purpose of this study is to provide a basis for nursing intervention strategies to promote health promoting behaviors that are constructive to a healthy lifestyle. A multivariate model was constructed based on the fender's health promotion model and Booker's health belief model by including influential factors such as hope. The sample was composed of 164 patients with stomach cancer who visited outpatient clinics of a university hospital in Seoul. The following instruments were used in the study after some adaptation : Wallston and others' multidimensional health locus of control scale Laffrey's health conception scale, Lawston and others' health self- rating scale, Walker and others' health promotion lifestyle profile and Rogenberg's self esteem scale. In addition Moon's health belief scale was used with some modification. For self efficacy, the present author constructed a self-efficacy scale based on previous research. The above mentioned instruments were tested in a pilot study with 24 patients with stomach cancer. The reliabilities of instruments were tested with Cronbach's alpha(0.574∼0.949). Data were analyzed using a SAS program (or Pearson correlation coefficients, descriptive correlational statistics and stepwise multiple regression. The results are as follows : 1. The scores on the health promoting behavior scale ranged from 55 to 145 with a mean of 107.91 (S. D : 16.50). The mean scores(range 1-4) on the different dimensions were nutrition 3.14, exercise 2.48, stress management 2.69, health responsibility 2.65, interpersonal relationship 2.878E self actualization 2.85. 2. There were significant correlations among all the predictive variables & the health promoting behavior (r=.20-.55, p〈.01) 3. Stepwise multiple regression analysis showed that : 1) Hope was the main predictor and accounted for 29.8％ of the total variance. 2) Self efficacy, perceived barriers & self esteem accounted for an additional 14.6% of the total variance. 3) Hope, self efficacy, perceived barriers & self esteem altogether accounted for 44.3％ of the total variance. In conclusion, hope, self efficacy, perceived barriers & self esteem were identified as important variables that contributed to promote health promoting behavior.

• Journal of the Korean Society for Library and Information Science
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• v.49 no.1
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• pp.405-421
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• 2015

This study investigated the current status and problems of medical librarian qualification system and measured medical librarians' self-efficacy and self-esteem. 49.4% of the respondents acquired medical librarian qualification and 82.9% of them are willing to re-acquire the qualification. To obtain publishing activity point was the most difficult of all evaluation items. Average self-efficacy score was 3.42, and self-esteem score was 3.89, and women's self-efficacy and self-esteem scores are higher than those of men. Medical librarian qualification system has been managed in a stable manner, yet the system has to be consolidated and developed into a national qualification system so that it can contribute to the improvements in proficiency of medical librarians.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.2 no.2
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• pp.105-116
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• 2007

Objectives : Physical activity is known as beneficial to mental health like decreasing depression and stress. In this study, we tried to find out the relationship between body composition, stress, depression, and self-esteem with physical activity level. Methods : International Physical Activity Questionnaire(IPAQ)-short form, SRRS(Social readjustment rating scale), SRI(Stress response index), and BDI(Beck's depression index), SES(Self-esteem scale) were given to peri-menopausal women aged 45-55 and BMI$\geq$23kg/m2. They were given written consent and this study is performed under the permission of institutional review board of Kyung Hee East-west Neo Medical Center. Results : The mean of physical activity of total subjects was 2406MET-min/week(n=42). The physical activity of overweight(23kg/m2$\leq$BMI<25kg/m2) and obese(BMI$\geq$25kg/m2) permimenopausal women was 1428MET-min/week and 2970MET-min/week(p<0.05) respectively. When three levels of physical activity pattern(inactive, minimally active, and HEPA(Health-enhancing physical activity) active) was analyzed, all of them were heavily relied on the activity intensities of walking. The scores of BDI, SRRS, and SRI were lower and that of SES were higher in HEPA active group, not showing statical significance. Anger(subscale of SRI) measures were lower and SES measures were higher in HEPA active group than others among overweight women(p<0.05). Conclusions : The level of physical activity of peri-menopausal women was on the average, but the vigorous activity is thought to be necessary. The HEPA active group showed lower depression, stress and higher self-esteem than minimally active and inactive group.

• Journal of Digital Convergence
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• v.16 no.4
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• pp.277-288
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• 2018

This study investigated the correlations of the AIDS knowledge, self-esteem, sense of control, optimistic bias toward AIDS, and condom use in the Chinese male college students. A cross-sectional survey was used, and 307 male students were recruited from anonymous universities in cities of two provinces in China. The data were analyzed according to descriptive statistics, ANOVA, Pearson's correlations. The Chinese male college students had an optimistic bias toward AIDS. The score of AIDS knowledge was 73%, and the self-esteem and sense of control scores were all rated higher than the median. The difference among groups according to grade and age were statistically significant in this study. The self-esteem, sense of control, and optimistic bias toward AIDS showed significant positive correlations, but AIDS knowledge, optimistic bias, and condom use have no correlations. The studies that examine psychological variables with condom use among various groups should be followed in the Chinese context.

• Journal of dental hygiene science
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• v.17 no.5
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• pp.405-412
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• 2017

The purpose of this study was to examine whether a gratitude training program for preservice dental hygienists affects their gratitude disposition, self-esteem, and happiness. Dental hygiene students were recruited from a college in D and administered a pretest. The 76 selected participants were primarily those who had never written a gratitude journal. Participants were then randomly divided into an experimental group and a control group. Three participants failed to complete the program, leaving 73 subjects in the final analysis. Data were analyzed using the ${\chi}^2$ test, independent sample t-test, and analysis of covariance. The mean gratitude disposition score improved from $31.11{\pm}5.55$ in the pretest to $34.41{\pm}4.38$ in the posttest in the experimental group and from $31.44{\pm}4.41$ to $32.06{\pm}4.63$ in the control group. The mean self-esteem score improved from $31.22{\pm}4.03$ to $33.16{\pm}3.44$ in the experimental group and from $30.53{\pm}4.42$ to $30.97{\pm}3.80$ in the control group. The mean happiness score improved from $19.54{\pm}2.64$ to $21.78{\pm}2.43$ in the experimental group and from $19.64{\pm}3.32$ to $20.08{\pm}2.91$ in the control group. All of the participants improved their gratitude disposition, self-esteem, and happiness scores while participating in the gratitude training program, and it is expected that if such positive emotions can be sustained, they will naturally acquire the basic requirements of dental hygienists and build a better vocational consciousness and a higher sense of duty, as well as have a further positive effect on the quality of dental medical service. Further studies should be conducted to propose a concrete plan to expand and operate this gratitude training program more effectively.

• Korean Journal of Adult Nursing
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• v.28 no.6
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• pp.691-700
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• 2016

Purpose: The aim of this study was to evaluate the effects of a computerized cognitive training on older adults affected by mild cognitive impairment (MCI) in terms of cognitive function, depression, self-esteem, and activities of daily living (ADL). Methods: This study used a non-equivalent control group non-synchronized design. A total of 53 older adults who reside in long-term care facilities were recruited, 26 subjects for an experimental group and 27 subjects for a control group. A computerized cognitive training was performed for 20~40 minutes/day, three days/week for ten weeks. Data were analyzed using SPSS/WIN 21.0 with $x^2$ test, Fisher's exact test, and t-test. Results: Scores of MMSE (t=3.30, p=.002), depression (t=-2.15, p=.036), and self-esteem (t=2.76, p=.008) were significantly better in the experimental group than the control group. However, the difference in ADL (t=-1.01, p=.316) was not significant between the two groups. Conclusion: These findings suggest that the computerized cognitive training can be used as an effective nursing intervention to improve cognitive function and self-esteem and lower depression among older adults with MCI.

• Child Health Nursing Research
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• v.22 no.1
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• pp.1-10
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• 2016

Purpose: Purpose of this study was to investigate factors influencing wellness, and provide basic data for development of intervention programs to improve wellness in mothers of children with disabilities. Methods: Participants were 147 mothers of children with disabilities from an elementary school and kindergarten for children with disabilities located in J and C cities in G province. Data were collected from February 24 to April 24, 2015 using questionnaires. Results: Mean scores were $3.24{\pm}0.38$ of 5 for wellness, $2.40{\pm}0.41$ of 4 for self-esteem, and $2.87{\pm}0.36$ of 4 for family function. There were significant differences in wellness according to religion, education, and type of education program for the children. There were positive correlations between self-esteem, family function, social support, and wellness. Factors influencing wellness were selfesteem (${\beta}$ =.450), family function (${\beta}$ =.313), type of education program for the children (${\beta}$ =.140), and religion (${\beta}$ =.127). These factors explained 42.7% of the variance in wellness. Conclusion: Findings show that levels of wellness in these mothers are not sufficient to allow them to care for their children and to maintain their own overall health. Therefore to increase wellness of mothers of children with disabilities, intervention strategies that focus on improving self-esteem and family functioning need to be developed.

• Journal of Digital Convergence
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• v.16 no.12
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• pp.467-475
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• 2018

The purpose of this study is to investigate the relationship andropause symptoms, stress, self-esteem and quality of life among middle-aged men. The data were collected from Jun to August 2017. The subjects were 40 to 60 year old males residing in Y city and 198 questionnaires were analyzed. A menopausal man's quality of life was significantly different according to final education, monthly income, exercise status, the scores of quality of life was negatively correlated with those of andropause symptoms and stress, but positively correlated with those of self-esteem. The result of adding six variables that have significantly different quality of life, factors influencing quality of life are self-esteem, stress, andropause symptoms, monthly income and analysis result, explaining 52.3% of the variance. Therefor, The results of this study through repeated research in the future, it will contribute to the development and application of a nursing arbitration program to improve the quality of life for men in menopause.

• Journal of the Korean Home Economics Association
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• v.38 no.2
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• pp.41-56
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• 2000

This study focused on the effects of family, individual characteristics of adolescents and coping behaviors on adolescent runaway. The major findings were as follows: 1. Adolescent who had higher level of family violence, lower level of communication with parent, family cohesion and adaptability, and resource adequacy perception reported higher scores in runaway. 2. Adolescents who had higher level of emotional distress, lower level of self-esteem and self-control tended to have higher scores in runaway. 3. There was a significant difference in adolescent runaway according to coping behavior styles. 4. Maladaptive coping behaviors were significantly associated with the runaway adolescent group. 5. Adaptive coping behaviors were not associated with both runaways and non-runaways group. 6. Communication with father had a direct effect on adolescent runaway and also indirect effects through emotional stress and maladaptive coping behavior. 7. Maladaptive coping behaviors had a direct effect on adolescent runaway but adaptive coping behavior had no effect. 8. Emotional stress had an indirect effect through maladaptive coping behavior on adolescent runaway. 9. Communication with father had a direct effect and an indirect effect through self-esteem of adolescents on the adaptive coping behavior. 10. Family adaptability had a direct effect on the adaptive coping behavior.