• Title/Summary/Keyword: stepwise analysis

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Factors Influencing Sexual Satisfaction in Women who have had a Hysterectomy : A comparative group study (자궁적출술을 받은 부인과 자궁적출술을 받지 않은 부인의 성생활 만족 요인 분석)

  • 장순복
    • Journal of Korean Academy of Nursing
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    • v.20 no.3
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    • pp.357-367
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    • 1990
  • This descriptive study was done to identify factors influencing sexual satisfaction in women who had had a hysterectomy and to compare these with women who had not had a hysterectomy. The purpose was to contribute theoretical understanding on which to base nursing care planning. One group of subjects were 156 women who had had a hysterectomy, between one and 18 months post surgery, living with their spouse, having no complications, and menstruating before surgery. The other group of subjects were 282 healthy women who were living with their husbands and menstruating. The study tool consisted of 108 items including item concerning personal characteristics, characteristics related to the hysterectomy, husband's support, body image, emotions, attitude toward the sexual relationship, knowledge of sexuality, sexual behavior, and sexual satisfaction. Sexual satisfaction was measured by a tool based on Derogatis Sexual Function Inventory. The range of the internal level of the study tool was from. 5208 to .9462. Data collection was done during the period from June 20 to Aug.20, 1989. The same questionnaire was used of data collection for both groups, but a mail survey method was used for the women who had had a hysterectomy, and an interview method was used for the women who had not had a hysterectomy. Data analysis was done using frequency, ratio, mean and S.D. for the characterstics of the subjects and level of sexual satisfaction. t - test or ANOVA was used for the differences between the groups with regard to the general and hysterectomy related characteristics. The relationship between the score for sex life related factors and the level of sexual satisfaction was analyzed using the Pearson Correlation, and the influencing factors on sexual satisfaction were analyzed by stepwise multiple regression. The results of this study were as follows ; 1. Mean age and income level were the only general characteristics for the two groups that were significantly different. The mean age, and income level of the group who had had a hysterectomy were 45years, and 1,150,000 won respectively, and for those who had not had a hysterectomy, 41 years and 999,000 won. 2. There was no statistical difference of the sexual satisfaction score between the two groups. 3. There was differences in the factors influencing sexual satisfaction between the two groups. Factors influencing sexual satisfaction for the group who had had a hysterectomy were husband's support (R=.5793, P=.000) and the women's Knowledge of sexuality(R=.6670, P=.000) (total variance : 33.56). On the other hand, emotional status(R=.4294, P=.000), sexual behavior(R=.4294, P=.000), husband's support(R=.5274, P=.000) and attitude towards sexual relations (R=.5412, P=.000) (total variance : 54.12) were the factors influencing sexual satisfaction in the group who had not had a hysterectomy. Since husband's support and sexuality knowledge were identified as factors influencing sexual satisfaction of women who have had a hysterectomy, it can be concluded that, before a woman who has had a hysterectomy is discharged from hospital, nurses should include strategies in the nursing care plan that will promote husband's support and the women's knowledge of sexuality.

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Determinants of Health-Promoting Behavior in the Elderly (노인의 건강증진행위와 관련된 변인에 관한 연구)

  • Kim Hyo-Jung;Park Young-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.2
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    • pp.283-300
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    • 1997
  • This study was undertaken to grasp health-promoting behavior of the elderly and to identify variables related to them in order to facilitate nursing intervention for health promotion of this population. The subjects for this study were 291 old persons obtained by cluster sampling from twenty general social welfare centers located in Tague. Data were collected by self-reported questionnaires from August 13 to September 13, 1996. Questionnaires were developed based on Sherer and others' Self-Efficacy scale, Rosenberg's Self-Esteem scale, Wallston and other's Multidimensional Health Locus of Control scale, Northern illinois University's Helath Self Rating Scale, Walker and others' Health Promotion Lifestyles Profile. Analysis of the data was done by use of descriptive statistics, stepwise multiple regression, Pearson Correlation Coefficient, MANOVA, t-test, and ANOVA. The results were summarized as follows : 1. For the practice of health-promoting behavior, the mean score was 2.89 and range was 3.59 to 2.09. The factor of the highest mean score was regular diet(M=3.42) and factor of the lowest mean score as stress management(M=2.27). 2. The combination of self-efficacy, internal health locus of control, family number, and average monthly pocket money explained 30.0% of the variance of health-promoting behavior. 3. With regard to the relationship between health-promoting behavior and cognitive perceptual factor, self-efficacy correlated positively with health-promoting behavior(r=.4951, P=.0001), self-esteem correlated positively(r=.3263, P=.0001), internal health locus of control correlated positively(r=.3244, P=.0001), perceived health status correlated positively(r=.1355, P=.0274). 4. According to age(F=2.50, P=.0431), sex(t=2.14, P=.0332), marital status(F=7.85, P=.0005), education(F=5.44, P=.0003), family number(F=11.18, P=.0001), people living together(F=7.21, P=.0009), previous occupation(F=5.83, P=.0001), average monthly pocket money(F=7.27, P=.0001), there were differences of health-promoting behavior. The above findings show that health-promoting behavior are related to demographic characteristics, four cognitive perceptual factors(self-efficacy, self-esteem, internal health locus of control, perceived health status). On the basis of the above findings the following recommendations are made ; 1. Nursing interventions enhancing exercise or activity, accountability for health, stress management of the elderly must be provided. 2. Nursing strategies enhancing self-efficacy which is most significant effect on health-promoting behavior must be developed.

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A Study on Relationship among Positive Psychological Capital, Physical Health Status, Depression, Interpersonal Relationship and Learning Flow in Nursing Students (간호대학생의 긍정심리자본과 신체적 건강상태, 우울, 대인관계 및 학습몰입의 관련성 연구)

  • Kim, Dong-Ok;Lee, Hae Jin;Lee, A Yeong
    • Journal of the Korea Convergence Society
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    • v.11 no.1
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    • pp.349-357
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    • 2020
  • This study is a descriptive study designed to identify the relationships among positive psychological capital, physical health status, depression, interpersonal relationship and learning flow. The subjects were 181 nursing students and the data collection was from May 8 to June 20, 2019. Data analysis methods were descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression, using the SPSS 22.0 program. Positive psychological capital showed statistical differences according to age, grade, motive for major choice, major satisfaction and subjective health status. Positive psychological capital was correlated with depression(r=-.454, p<.001), interpersonal relationship(r=.611, p<.001) and learning flow(r=.452, p<.001). The factors affecting learning flow were positive psychological capital(β=.414, p<.001), major satisfaction(β=.177, p=.014), and grade(β=-.150, p=.026), which explained 24.4% of the variance. Therefore, it is necessary to develop and apply educational programs that can promote positive psychological capital in nursing students.

Korean Asthma Guideline 2014: Summary of Major Updates to the Korean Asthma Guideline 2014

  • Kim, Deog Kyeom;Park, Yong Bum;Oh, Yeon-Mok;Jung, Ki-Suck;Yoo, Ji Hong;Yoo, Kwang-Ha;Kim, Kwan Hyung
    • Tuberculosis and Respiratory Diseases
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    • v.79 no.3
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    • pp.111-120
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    • 2016
  • Asthma is a prevalent and serious health problem in Korea. Recently, the Korean Asthma Guideline has been updated by The Korean Academy of Tuberculosis and Respiratory Diseases (KATRD) in an effort to improve the clinical management of asthma. This guideline focuses on adult patients with asthma and aims to deliver up to date scientific evidence and recommendations to general physicians for the management of asthma. For this purpose, this guideline was updated following systematic review and meta-analysis of recent studies and adapting some points of international guidelines (Global Initiative for Asthma [GINA] report 2014, National Asthma Education and Prevention Program [NAEPP] 2007, British Thoracic Society [BTS/SIGN] asthma guideline 2012, and Canadian asthma guideline 2012). Updated issues include recommendations derived using the population, intervention, comparison, and outcomes (PICO) model, which produced 20 clinical questions on the management of asthma. It also covers a new definition of asthma, the importance of confirming various airflow limitations with spirometry, the epidemiology and the diagnostic flow of asthma in Korea, the importance and evidence for inhaled corticosteroids (ICS) and ICS/formoterol as a single maintenance and acute therapy in the stepwise management of asthma, assessment of severity of asthma and management of exacerbation, and an action plan to cope with exacerbation. This guideline includes clinical assessments, and treatment of asthma-chronic obstructive pulmonary disease overlap syndrome, management of asthma in specific conditions including severe asthma, elderly asthma, cough variant asthma, exercise-induced bronchial contraction, etc. The revised Korean Asthma Guideline is expected to be a useful resource in the management of asthma.

Convergence Relationships among Nutrition Knowledge, Health Beliefs, Self-efficacy, and Diet Management Behaviors in Persons with Hypertension in Sri Lanka (스리랑카 고혈압 환자의 영양지식, 건강신념, 자기효능감, 식이조절행위의 융복합적 관계 연구)

  • Malkanthie, Shiroma;Shin, So Young
    • Journal of Digital Convergence
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    • v.15 no.8
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    • pp.235-245
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    • 2017
  • This study aimed to identify the convergence relationships among nutrition knowledge, health beliefs, diet self-efficacy, and diet management behaviors among Sri Lankans with hypertension (HTN). 91 adults diagnosed with HTN for more than one year participated in this study. A set of interviewer-administered questionnaire was used to assess general characteristics, nutrition knowledge, health beliefs, diet self-efficacy, and diet management behaviors. A stepwise multiple regression analysis was conducted to identify the factors that might influence diet management behaviors. There were statistically significant positive correlations between nutrition knowledge (r=0.26, p=.013), health beliefs (r=0.35, p=.001), diet self-efficacy (r=0.34, p=.001) and HTN diet management behaviors. Three variables, nutrition knowledge, health beliefs, and diet self-efficacy, explained 19.9% of the variance in HTN diet management behaviors (F=8.36, p=.001). Diet self-efficacy was the most significant influencing factor (${\beta}=.29$, t=2.75, p=.007), followed by nutrition knowledge (${\beta}=.25$, t=2.50, p=.014). The findings of this study can be used as valuable data for developing effective interventions to improve diet management behaviors of persons with HTN.

Relationship of Stress and Aggression on Schoolchildren with Physical disability (학령기 지체장애 아동의 스트레스와 공격성 비교연구)

  • Kim, Hee-Jung;Kim, Dong-Hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.6 no.2
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    • pp.31-38
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    • 2016
  • Purpose : The purpose of this study was to know the relationship of stress and aggression of children with physical disability. The study also tried to search the factors affecting aggression and offer the information to the department of occupational therapy for intervention. Method : We distributed questionnaire to 105 children who have disability grades from hospitals in Gyeongsangbukdo, Gyeongsangnamdo, Daegu, and Busan and collected the data. We used descriptives for analysis of general characteristics, t-test and one-way ANOVA for stress and aggression according to characteristics, and Pearson correlation coefficient and stepwise regression for stress and aggression. Result : The first, stress score was 2.65, aggression was 2.53, and physical aggression was 3.01 that is the highest score in the items. The second, there was a significant difference of physical aggression(p=.021) in comparison of the grades. There was a significant difference of stress(p=.048), total aggression(p=.040), and physical aggression(p=.047) in comparison of gender. There was significant difference of stress(p=.035) and total aggression(p=.042) in satisfaction of school. The third, there was a significant correlation of total aggression(r=.475), physical aggression(r=.568), language aggression(r=.311), anger(r=.397), and hostility (r=.491) quantitatively in correlation of stress and aggression. The fourth, the factors affecting aggression of children with physical disability were stress, male, and satisfaction of school(F=61.187, p<.01). Conclusion : We knew that factors affecting aggression of children with physical disability were their stress and some of general characteristics.

Factors Influencing the motivation for Rehabilitaion in Patients with Spinal Cord Injury (척수손상 환자의 재활 동기에 영향을 미치는 요인)

  • Park Yeong Sook;Kim Jung Hee
    • Journal of Korean Public Health Nursing
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    • v.17 no.1
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    • pp.83-95
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    • 2003
  • The purpose of this study was to provide basic data for nursing interventions to promote rehabilitation motivation by identifying the influencing factors of motivating rehabilitation intention in patients with spinal cord injury. The data were collected using self-reported questionnaires and questionnaires by postal mail services, from September 1 through the October 6, 2002. A total of 148 questionnaires were completed and returned. The instrument developed by Han, Hye Sook(2001) was used to measure the rehabilitation motivation, and depression, family support, participation of self-help group, self-esteem, and self-efficacy were measured to test the variables influencing the rehabilitation motivation. Using SPSS WIN 10.0, descriptive statistics, t-test, one-way ANOVA. Turkey inspection, Pearson's correlation coefficient, and stepwise multiple regression analysis was conducted. The results of the study are as follows: The rehabilitation motivation score ranged from 30 to 100, and the average was $76.78(\pm12.40)$. In terms of the types of motivation, mean task-oriented motivation score was $23.28(\pm3.39)$, change-oriented motivation $22.25(pm3.16)$, obligatory motivation $9.90(\pm2.02)$, external motivation $9.85(\pm1.89)$, and mean amotivation score was $11.50(\pm1.94)$. The scores for the rehabilitation motivation was significantly associated with the time elapsed since injury, economic status, and the degrees of disability. Significant correlations were found between the rehabilitation motivation and the time elapsed since injury(r=-0.222, p=0.007), self-efficacy(r=0.204, p=0.013), depression(r=-0.210, p=0.010). and the economic status(r=-0.189, p=0.022). The variables that can predict the rehabilitation motivation included the time elapsed since injury, and self-efficacy. These variables accounted for $12.8\%$ of the variance of the rehabilitation motivation. In conclusion, the factors influencing the rehabilitation motivation in patients with spinal cord injury were found to be the time elapsed since injury, self-efficacy, depression, and the economic status of the patient, Accordingly, nursing interventions which could alleviate patients' depression and enhance self-efficacy should be designed to motivate rehabilitation. Before planning nursing interventions for patients with spinal cord injury, needs assessment should be conducted including the assessment of patients' economic status and time elapsed since injury.

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The effects of Mother's Discipline Style and Preschooler's Emotional Regulation Strategies on Preschooler's Leadership (어머니의 훈육방식 및 유아의 정서조절전략이 유아의 리더십에 미치는 영향)

  • Kim, Kyung Sook;Yang, MI Kyung
    • Korean Journal of Childcare and Education
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    • v.6 no.3
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    • pp.23-44
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    • 2010
  • This study analyzed the relationships mother's discipline style, preschooler's emotional regulation strategies, and preschooler's leadership. The subjects were 180 preschoolers who were 5 years old and their mothers live in Gwang-ju and Jeon-Nam province. Collected data were analyzed by descriptive statistics, Pearson's correlation, and stepwise regression analysis using the program of SPSS. The findings of the study were as follows. (1) there was a difference between the average score of subcategory and the total score of leadership according to the gender of preschooler and mother's employment and her educational background. However, there was no difference from the birth order of preschooler. (2) A correlation was not found between mother's discipline style and preschooler's leadership, but the significant negative correlation showed up between preschooler's emotional regulation strategies and preschooler's leadership. (3) The leadership of preschoolers who use positive coping strategies of a sub-area of emotional regulation strategies appeared strong. And the leadership appeared low with a boy who uses avoidant & supportive strategies, supportive strategies, aggressive strategies and venting strategies more often. Furthermore, the model of explanatory adequacy (R2) of some independent variables from the average scores of subcategory and the total score of leadership was confirmed to be the statistically significant explanatory model.

Development of Site Index Equations and Assessment of Productive Areas Based on Environmental Factors for Major Coniferous Tree Species (환경요인에 의한 주요 침엽수종의 지위지수 추정식 개발과 적지 평가)

  • Lee, Yong Seok;Sung, Joo Han;Chun, Jung Hwa;Shin, Man Yong
    • Journal of Korean Society of Forest Science
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    • v.101 no.3
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    • pp.395-404
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    • 2012
  • This study was conducted to develop site index equations and to estimate productive areas for major coniferous species in Korea such as Pinus densiflora Sieb. et. Zucc, Pinus densiflora for. erect, Larix leptolepis and Pinus koraiensis using environmental factors. Using the large data set from both a digital forest site map and a climatic map, a total of 43 environmental factors including 15 climatic variables were regressed on site index by tree species to develop site index equations. Six environmental factors by species were selected as independent variables in the final site index equations. The result showed that the coefficients of determination for site index equations by species were ranged from 0.36 to 0.56, which seem to be relatively low but good enough for the estimation of forest stand productivity. The site index equations developed in this study were also verified by three evaluation statistics such as the estimation bias of model, precision of model, and mean square error of measurement. According to the evaluation statistics, it was found that the site index equations by species fitted well to the test data sets with relatively low bias and variation. As a result, it was concluded that the site index equations by species were well capable of estimating site quality. Based on the site index equations, the productive areas by species for all forest areas were estimated by applying GIS technique to the digital forest site map and climate map. In addition, the distribution of productive areas by species was illustrated by using GIS technique.

Nitrogen-corrected True Metabolizable Energy and Amino Acid Digestibility of Chinese Corn Distillers Dried Grains with Solubles in Adult Cecectomized Roosters

  • Li, F.;Liu, Y.;Yin, R.Q.;Yang, X.J.;Yao, J.H.;Sun, F.F.;Li, G.J.;Liu, Y.R.;Sun, Y.J.
    • Asian-Australasian Journal of Animal Sciences
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    • v.26 no.6
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    • pp.838-844
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    • 2013
  • This study was conducted to evaluate chemical composition, nitrogen-corrected true metabolizable energy (TMEn) and true amino acids digestibility of corn distillers dried grains with solubles (DDGS) produced in China. Twenty five sources of corn DDGS was collected from 8 provinces of China. A precision-fed rooster assay was used to determine TMEn and amino acids digestibility with 35 adult cecectomized roosters, in which each DDGS sample was tube fed (30 g). The average content of ash, crude protein, total amino acid, ether extract, crude fiber and neutral detergent fiber were 4.81, 27.91, 22.51, 15.22, 6.35 and 37.58%, respectively. TMEn of DDGS ranged from 1,779 to 3,071 kcal/kg and averaged 2,517 kcal/kg. Coefficient of variation for non-amino acid crude protein, ether extract, crude fiber and TMEn were 55.0, 15.7, 15.9 and 17.1%, respectively. The average true amino acid digestibility was 77.32%. Stepwise regression analysis obtained the following equation: TMEn, kcal/kg = -2,995.6+0.88${\times}$gross energy+$49.63{\times}a^*$ (BIC = 248.8; RMSE = 190.8; p<0.01). Removing gross energy from the model obtained the following equation: TMEn, kcal/kg = 57.88${\times}$ether extracts+$87.62{\times}a^*$ (BIC = 254.3, RMSE = 223.5; p<0.01). No correlation was found between color scores and lysine true digestibility (p>0.05). These results suggest that corn DDGS produced in China has a large variation in chemical composition, and gross energy and $a^*$ value can be used to generate TMEn predict equation.