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Self-Care and Associating Factors in Hemodialysis Patients (혈액투석 환자의 자기관리 수행도와 이에 영향을 미치는 요인)

  • 전진호;강혜경
    • Korean Journal of Health Education and Promotion
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    • v.16 no.1
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    • pp.149-166
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    • 1999
  • Self-care and the performance of their own role might be important for the prevention of complications and improvement of quality of life in hemodialysis patients with chronic renal failure(CRF). To improve well-being and quality of life for the patients, the author estimated the level of self-care and associating factors through a questionnaire. The information was composed of the knowledge for hemodialysis and renal disease, the level of self-care, health belief, supports from the family, disease-related stresses, personal characteristics, medical history, relationships with medical personnel, etc. The data was gathered from 126 hemodialysis patients who were undergoing hemodialysis in one university hospital and five hospitals in Kyungsangnam-Do area from December 1997 to January 1998, and was analyzed by PC SAS program(version 6.12) with the level of significance($\alpha$=0.05). The mean age of subjects was 47.0$\pm$13.5years with no significant difference in gender distribution. The mean duration of hemodialysis was 39.0 months, and their frequencies of hemodialysis were more than three times per week(77.0%). Only 21.4% had the specific education on hemodialysis and CRF. In the level which was expressed as the score out of 100, the mean of knowledge was 90.7$\pm$9.1 and the mean of self-care was 73.9$\pm$12.7, that means, they only partially carried their knowledge into practice. They showed a significant correlation between knowledge and health belief($\gamma$=0.282); self-care and health belief($\gamma$=0.357), family supports and knowledge($\gamma$=0.221), self-care($\gamma$=0.402), health belief($\gamma$=0.431); and health belief and stress($\gamma$=-0.361). Age, religion, marrital status, education, and relationships with medical personnel showed positive correlations, and smoking showed negative correlation with self-care. In the multiple regression with the level of self-care as dependent variable, and each of the characeristics as independent variables, supports from the family($\beta$=6.615=0.158), the experience of disease specific education($\beta$=4.959), relationships with medical personnel($\beta$=6.615), current smoking($\beta$=-6.986), and current drinking ($\beta$=-7.095) were detected as significant factors. The value of R-square was 34%. In summary, to promote the level self-care and to improve the well beings and Quality of life for the hemodialysis patients, it would be emphasized that they terminate smoking and drinking, and it would be recommended that the education programs and supports from the family be strengthened. And, because there was a considerable difference between the level of knowledge and self-care, it would also be emphasized to propose the education programs which focused on execution. In addition to that, there is a need to improve relationships between the patients and medical personnel through positive changes in the attitudes of the medical personnel.

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The Determinants of a Health Promoting Lifestyle in High school students (고등학생의 건강증진 생활양식과 관련 요인)

  • Hong, Woi-Hyun;Kim, Chung-Nam
    • Research in Community and Public Health Nursing
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    • v.10 no.2
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    • pp.330-346
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    • 1999
  • This descriptive correlational study was conducted to identify the variables related to a health promoting lifestyle in high school students. 304 high school students and 189 vocational high school students living in Taegu city were selected by a convenience sampling method. The data were collected by self-reported questionnaires from August 24 to September 4, 1998. Pender and others' Health Promoting Lifestyle Profile, Shere et al's. Self-Efficacy scale, Wallston et al.'s Internal Health Locus of Control scale, Wares' Health self rating scale and Cohen & Hoberman's Social support scale were used. The data were analyzed by using descriptive statistics, Pearson correlation coefficient, t-test, MANOVA, ANOVA. Tukey verification and Stepwise multiple regression with an SAS program. The results of this study were as follows: 1. The average score of a health promoting lifestyle performance was 2.38(SD=.36) of a 4 point scale .Self-actualization (mean = 2.80. SD = .60). interpersonal support(mean = 2.73, SD=.47), health responsibility (mean=1.53, SD=.47), nutrition(mean=2.64, SD=.63), exercise(mean=2.71. SD=.72) and stress management(mean=2.37, SD=.58) were also analyzed. 2. The combination of self-efficacy, social-support, internal health locus of control. father's educational level and perceived health status explained 37.97% of the variance in health promoting lifestyles. 3. A Health promoting lifestyle showed significant positive correlations with self efficacy(r=.5173. p=.0011), perceived health status(r=.254, p=.001) and internal health locus of control(r=.321. p=.001). 4. According to sex(t=7.38. p=.006). economic state(F=6.62, p=.00l), Father's educational level(F=4.25, p=.005), mother's educational level(F=6.94. p=.000l), the grade of educational performance(F=3.74, p=.024), sleeping hours(F=3.47. p=.032) and social support(F=40.76, p=.0001). there were significant differences and modifying factors in health promoting lifestyles. On the basis of the above findings. self-efficacy in cognitive factors, and social support in modifying factors were identified as the variables which explained most of Pender's health-promotion model. Nursing strategies enhancing self-efficacy and social support which have a more significant effect on health promoting lifestyles should be developed. Further research is required to find out the factors influencing health pormoting lifestyle of high school students.

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Prevalence of Distress and Its Influence on Quality of Life in Breast Cancer Patients (유방암 환자에서의 디스트레스의 유병률 및 디스트레스가 삶의 질에 미치는 영향)

  • Chun, Soo-Yeon;Shim, Eun-Jung;Hwang, Jun-Won;Hahm, Bong-Jin
    • Korean Journal of Psychosomatic Medicine
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    • v.18 no.2
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    • pp.72-81
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    • 2010
  • Objectives : Early detection and proper management of distress are known to be important for efficient care in cancer patients. The aim of this study was to investigate the prevalence of distress and to evaluate its influence on quality of life in subjects with breast cancer. Methods : A total of 95 patients were recruited from a breast cancer patient community of a general hospital in Seoul. The Hospital Anxiety and Depression Scale(HADS), the Insomnia Severity Index(ISI), the Impact of Event Scale-Revised(IES-R) and the Functional Assessment of Cancer Therapy-Breast(FACT-B) were measured. Results : The prevalence of anxiety, depression, insomnia and posttraumatic stress disorder symptom among breast cancer patients was 26.3%, 26.3%, 13.7%, 24.3%, respectively. Nearly half(47.4%) of total subjects were under one or more significant distress, and they showed significantly lower mean FACT-B total score than patients without distress(82.91 vs. 107.20, p<0.001). Distress was negatively correlated with the quality of life to a significant level even in patients who were in normal range of distress scale scores. Conclusion : These results support the importance of regular screening and proper management of distress for breast cancer patients.

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The Effects of Emotional Labor and Health Promotion Behavior on Premenstrual Syndrome in Clinical Nurses (임상간호사의 감정노동과 건강증진행위가 월경전증후군에 미치는 영향)

  • Koo, Jung Sun;Kim, Seonho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.5
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    • pp.225-235
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    • 2018
  • This study was conducted to investigate the relationship among clinical nurses' emotional labor, health promoting behaviors and premenstrual syndrome (PMS), as well as to clarify factors that affect nurses' PMS. This was a descriptive study of 195 clinical nurses working in one university hospital and two general hospitals in the C region. Data collection was conducted from Jul 3 until Jul 21, 2017. T-test, ANOVA, Pearson's correlation coefficient and multiple regression were used for analysis. The mean score of emotional labor was $3.35{\pm}0.63$ out of 5, that of health promoting behavior was $2.08{\pm}0.40$ out of 4 and that of PMS was $2.94{\pm}1.09$ out of 6. Premenstrual syndrome was significantly positively correlated with emotional labor (r=0.292, p<0.001) and interpersonal relationships in health promotion behavior (r=0.208, p=0.004). Factors influencing PMS were interpersonal relationships (${\beta}=0.54$, p=0.001), emotional labor (${\beta}=0.40$, p=0.001) and degree of menstrual pain (${\beta}=0.14$, p<0.001), which explained 30.0% of PMS (F=9.33, p <0.001). The results of this study suggest that intervention strategies may be necessary to decrease PMS by reducing menstrual pain, emotional labor and interpersonal relationship stress.

Factors affecting on Health-Related Quality Of Life Among Cancer Survivors: Focusing on Gender Difference (암생존자의 건강관련 삶의 질에 대한 영향 요인 -성차를 중심으로)

  • Lee, In-Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.2
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    • pp.497-507
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    • 2018
  • Objectives: The purpose of this article was to evaluate the health related quality of life (HRQoL) of cancer survivors and to identify its predictors according to gender. Methods: The research was conducted with the data for 203 (cancer survivors?) taken from the 6th wave of the Korea National Health and Nutrition Examination Survey and the EQ-5D index score was used for the measurement of the health-related quality of life (HRQoL). The independent variables inluded socio-demographic data, health related factors (survival duration, disability, subjective health recognition), and psychosocial factors (stress, unmet medical needs). The data were analyzed by the t-test, ANOVA, and hierarchical multiple regression analysis. Results: the HRQoL of the female cancer survivors was significantly worse than that of the males in terms of their mobility, usual activities, pain/discomfort and anxiety/depression quality of life. The only statistically significant factor affecting the HRQoL of the male cancer survivors was their subjective health recognition. In the case of the female cancer survivors, the statistically significant factors were their age, subjective health recognition and unmet medical needs. Conclusions: the results of this study showed a different pattern of predictors according to the gender of the cancer survivors. Therefore, gender should be considered when assessing and addressing the individual care needs of cancer survivors, in order to obtain optimal treatment outcomes.

Analysis of Educational Needs for Career Anchor and Career Development of Nursing Students (간호대학생의 커리어앵커와 경력개발을 위한 교육요구 분석)

  • Lee, Ji-An;Park, Su-Hong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.4
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    • pp.293-300
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    • 2018
  • The purpose of this study is to investigate the educational needs for career development according to the job type of nursing college students. In order to achieve the purpose of the study, 146 nursing college students from K and P universities in the Busan and Kyungnam areas were analyzed using a career anchor questionnaire. In addition, 28 nursing college students who showed a higher level of tendency among job types were selected and divided into 4 teams, and a focus group interview was conducted based on the contents of the created map. Its purpose is to investigate the educational needs of nursing college students to enhance their career development. First, the career anchor types of the nursing college students showed the highest score in the areas of lifestyle, security and stability, while the lowest types of career anchor were pure challenge and general managerial competence. Second, the educational needs for career development were categorized into four areas, namely major competence, practical competence, personality competence, and resource management competence. The major competences are nursing expertise and skills. The practical competences consisted of ward task management, communication, crisis coping ability and personality competence and these were divided into cooperation and responsibility recognition. The resource management competence consists of time management ability and stress management ability. The results of this study are meaningful in that they can be used as the basic educational data for the career development of nursing college students in the future. In addition, it is expected that they can be applied to the development of a curriculum for the improvement of nursing practice.

Assessment of external corrosion deterioration of large diameter metallic water pipes buried in reclaimed land (간척지대에 매설된 대구경 금속관의 외면 부식손상 평가)

  • Lee, Ho-Min;Choi, Tae-Ho;Kim, Jung-Hyun;Bae, Cheol-Ho
    • Journal of Korean Society of Water and Wastewater
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    • v.34 no.5
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    • pp.373-383
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    • 2020
  • The purpose of this study was to evaluate the corrosion damage of large diameter metallic pipes buried in reclaimed land due to the corrosion effect by soil, and to propose a method of installing metal pipes in the reclaimed land. The results are as follow. First, the soil of the reclaimed land was gray clay, the soil specific resistance indicating soil corrosiveness was at least 120 Ω-cm, the pH was weakly acidic(5.04 to 5.60), the redox potential was at least 62 mV, the moisture content was at most 48.8%, and chlorine ions and sulfate ions were up to 4,706.1 mg/kg and 420 mg/kg. Therefore, the overall soil corrosivity score was up to 19, and the external corrosion effect seems to be very large. Second, the condition of straight part of pipes was in good condition, but most of KP joints were affected by corrosion at a severe level. The reason for this seems to be that KP joints accelerated corrosion due to stress and crevice corrosion in addition to galvanic corrosion in the same environment. Third, as a result of evaluating correlations of each item that affects the corrosion on the external part, the lower the soil resistivity and redox potential, the greater the effect on the KP joints corrosion, and the moisture content, chloride ion, and sulfate ion, the higher the value, the greater the effect on the corrosion of KP joints. In addition, among soil corrosion items, the coefficient of determination of soil resistivity with corrosion of KP joints was the highest with 0.6439~0.7672. Fourth, when installing metal pipes or other accessories because the soil of the reclaimed land is highly corrosive, it is necessary to apply a corrosion preventive method to extend the life of pipes and prevent leakage accidents caused by corrosion damage to the joint.

The Perceptions and Purchase Intentions of Health Food Consumers (건강기능식품에 대한 인식 및 구매의도 연구)

  • Lee, Jeung-Yun;Chae, Soo-Kyu;Kim, Kyu-Dong
    • Food Science and Preservation
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    • v.18 no.1
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    • pp.103-110
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    • 2011
  • We investigated consumer perceptions of and purchase intentions for health foods. Data were collected from 454 adults over the age of 20 years living in Seoul and Gyeonggi province, from May 10 to June 5, 2010. Those that "hardly ever drink" (41.4%) were most prevalent in terms of drinking activity, whereas 80.8% of respondents did not smoke. Also, those who responded "hardly ever exercise" ranked highest; although 43.8% in fact exercised frequently. Of all respondents, 44.5% admitted to suffering slightly from stress. A total of 59.5% of respondents opined "I am healthy but I do worry about health", and "exercise" topped the list of approved (37.2% of respondents) health care methods. We also found that 83.5% of respondents claimed to have tried health foods, whereas in the case of having no taking experience, 60% had not purchased such foods because, in their view, this was unnecessary. The extent of concerns about health foods scored 3.09, and the level of purchase intentions for health food was high, with a score of 3.40. Therefore, all of government, producers, distributors, and academic researchers must provide consumers with accurate and complete information, and need to collaborate in the development of consumer education programs on health foods. This will enhance consumer interest in such foods, and empower logical choices.

A Study on the Health Promoting Behaviors Depending on the Response Patterns of HLOC in Korean Adults (한국 성인의 건강통제위 반응유형별 건강증진행위)

  • Gu, Mee-Ock;Eun, Young
    • Journal of Korean Academy of Nursing
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    • v.28 no.3
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    • pp.739-750
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    • 1998
  • The purpose of this study was to identify the response patterns of Health Locus of Control (HLOC) and to analysis of the health promoting behaviors depending on the response patterns of HLOC in Korean adults. The sample was composed of 300 healthy adults ranged from twenties to seventies. In data analysis, SPSS PC/sup +/ program was utilized for descriptive statistics, pearson correlation, ANOVA and cluster analysis. The results of the study were as follows : 1. The average scores of HLOC in Korean were HLOC-I : 24.12(range 6-30), HLOC-P : .21.72, HLOC-C : 17.46. 2. The total mean score of the health promoting behavior scale was 2.50 (range 1-4), and the mean scores on the subscales were ; self actualization 2.60, health responsibility 2.14, exercise 2.28, nutrition 3.16, interpersonal support 2.74, stress management 2.15. 3. The HLOC-I and health promoting behavior were correlated positively(r =0.184, p=0.001), and the HLO-C and the health promoting behavior were correlated negatively(r=-0.102, p=0.039). The HLOC-P and the health promoting behavior weren't correlated in the level of statistical significance. 4. The response patterns of HLOC in Korean adults were identified 6 types, such as pure internal, pure chance, believers in control, yea sayer, nay sayer, and complex control. The type of believers in control and the type of yea sayer were subdivided in two different types. The believers in control was the largest group(33.67%), and yea sayer was the next large group(26.33%). The pure chance and the complex control type was the smallest groups. 5. There was a significant difference in health promoting behavior depending on the response patterns of HLOC(F=2.67, p=0.010). There were also significant differences in 4 subscales of health promoting behavior : self actualization(F=3.12, P=0.003), health responsibility(F=2.15, P=0.038), nutrition(F=5.08, p=0.000), and interpersonal support(F=2.26,p=0.029). These results suggest that the response patterns of HLOC is the important factor to predict the level of health promoting behavior in Korean adults.

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Factors Affecting Clinical Competency of Dental Hygiene Students (치위생(학)과 학생들의 임상수행능력에 영향을 미치는 요인)

  • Jang, Kyeung-Ae
    • Journal of the Korea Convergence Society
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    • v.6 no.6
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    • pp.35-42
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    • 2015
  • This study was done to explore clinical competence and factors related to competence in dental hygiene students. This study performed a survey on such an issue from March 2 to June 12, 2015 for 329 dental hygiene students who were residing in Busan and Ulsan. In the result by the satisfaction of the major, there is the highest score in the satisfaction of the critical thinking, self-leadership, satisfaction in clinical practice and ability of clinical performance. The critical thinking reveals the positive relationship with the self-leader ship(r=0.884) and the ability of clinical performance(r=0.845). Whereas the self-leader ship show the negative relation with stress in clinical practice(r=-0.796). The most important factor affecting on the clinical competence among dental hygiene students was critical thinking(p<0.001), followed by self-leadership(p<0.01) and satisfaction of clinical practice(p<0.01). In results, the critical thinking, the self-leader ship and the satisfaction of clinical practice have an effects on the ability of clinical performance of the dental hygiene students. The teaching learning strategy and the educational programs to enhance the critical thinking and self-leader ship should be developed. Furthermore, the present study can be used as the base data for the systematic and convergence program to improve the satisfaction of clinical practice and the ability of clinical performance.