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A Survey for the Construction of Nursing Theory According to Korean Culture -Traditional View of Human and Expectation of Sick Role- (한국문화에 따른 간호정립을 위한 기초조사연구 I -전통적인 인간관과 환자역할기대를 중심으로-)

  • 박정숙
    • Journal of Korean Academy of Nursing
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    • v.26 no.4
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    • pp.782-798
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    • 1996
  • This study was a survey done for the purpose of constructing a nursing theory according to Korean culture and to identify the traditional Korean view of humans and the expectations of the sick role, and to confirm changes from the traditional view of humans and expectations of the sick role according to general characteristics of the population. The subjects were all adults over 18 years old. 517 who lived in six large cities and 191 who lived in five rural communities. Data collection was done from November 19th, 1994 to January 19th, 1995 using a tool to measure the traditional view of humans and expectations of the sick role which was developed by the investigator through a literature review. Collected data were analyzed using frequency, percent, Cronbach alpha, 1-test, F-test and Scheffe post hoc contrasts, with the SAS program. The results of this study are summerized as follows : 1. The Traditional view of human score for all subject was 49.92, which shows that Korean traditional view of human is moderate. High scored items were "human need to live by making harmony with nature, not by overcoming the nature" (3.44), "Filial duty to parents and elders is important" (3.31), "Think of family more than a individual" (2.96). 2. The differences in the traditional view of humans between residential districts showed that the residents of Chungbuk(56.00), Kyungbuk(55.26), Chonbuk(51.32), Taegu(50.59) had a more traditional view of humans than those in Pusan(45.42) and Seoul (47.27). 3. The differences in the traditional view of humans according to general characteristics showed that rural community residents, males, older people, people with lower levels of education, married and house-resident groups had a significantly higher traditional view of humans than urban residents, females, younger people, people with a higher levels of education, single and apartment-resident groups. There were differences according to religion and job. Buddhism had a higher traditional view of humans than those of atheism, Christianity and Catholicism and physical workers, a significantly highers score, than technicians and professional workers. 4. Daily expected task performance during illnesses was lowest for patients with stroke (2.16) and psychosis(2.40), in which case almost no daily general tasks were expected, followed by arthritis 4.06, peptic ulcer 4.79, headache 4.99 and cough 5.58. The amount of expected role exemption during illnesses was also highest for stroke(2.25), followed by psychosis(2.08), arthritis(1.64), peptic ulcer(1.29), headache(1.16) and cough(1.09). The amount of daily task performance in the acute stage(3.05) was significantly lower than that of convalescent stage(4.95). 5. Total expectation of role exemption according to general characteristics showed that there was no significant differences in urban /rural community, marriage, level of education and religion. By sex, women showed higher expectation of role exemption during illnesses than men. By age, the 31-40 year old group showed lower expectation of role exemption than the 41-50 year old group or over the 61 year old group.or over the 61 year old group.

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Stomach Cancer Screening and Repeat Screening Behaviors among Adults in an Urban Area (부산시 일개구 지역주민의 위암선별검사 수검 및 반복수검 실태 및 관련요인조사)

  • Jeong, Ihn-Sook;Bae, Eun-Sook;Chen, Dong-Hwan;Chun, Jin-Ho;Lee, Hwa-Ja;Park, Nam-Hee
    • Korean Journal of Health Education and Promotion
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    • v.20 no.1
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    • pp.91-109
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    • 2003
  • The importance of repeat screening for stomach cancer is well known to decrease deaths from stomach cancer. This study was aimed at assessing practice behaviors and to identify related factors in the aspects of demographic factors, health status and cancer risk recognition, attitude to cancer screening, health behaviors, and inhibiting or facilitating factors to stomach cancer screening in an urban area. Data was collected through self-administered questionnaires from 403 people aged 40 to 69 years from April 23th to May 15th, 2002. Practice behaviors were classified as : "ever" or "never", and "repeat" or "not repeat" grouped based on a recent 5 year screening history. The results were as follows: 1. Among the 403 subjects: "the ever group" was 23.8% and "the repeat group" was 4.0%, The rates of screening were 20.5% for men, 27.8% for those women, and 27.3% for aged 40-49, 24.5% for those aged 50-59, 19.0% for those aged 60-69. The rates of repeat screening were 4.0% for men, 4.1% for women, and 2.9% for those aged 40-49, 6.3% for aged 50-59, 2.5% for those aged 60-69. 2. The main factors associated with adherence to gastric cancer screening were education(post high school vs below : OR=2.44), previous cancer screening(yes vs no : OR=2.61), belief in personal health(no vs yes : OR=2.72), health status(unhealthy vs healthy : OR=3.40), possibility of cancer compared to others(low vs not low : OR=2.56), and regular exercise(yes vs no : OR=2.94). The main factor associated with adherence to gastric cancer repeat screening was other cancer screening(yes vs no : OR=6.33). Consequently, there is a need to change the recognition of the importance and necessity of stomach cancer screening in healthy conditions through health education, and to perform multiple screening tests each visit.

A Study on the Relationship between Images of Colors Derived from Plants and Color Names

  • Masuda, Kinuko;Iwasaki, Yutaka
    • Proceedings of the Korean Institute of Landscape Architecture Conference
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    • 2007.10b
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    • pp.78-83
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    • 2007
  • The colors have a close to our life and there are many color names derived from plants in Japan. This study aimed to analyze relationship people and plants and investigated what the images of colors derived from plants related to the color names. Surveys on color images of abstract and concrete were conducted with adults who lived in the metropolitan area and in urban areas. The subjects were surveyed about images of similar colors derived from plants(3 type of similar two colors; pink, green and yellow) and asked to select a pair of color names(momo or pink, midori or green, yamabuki or lemon) corresponding to the color. The subjects were simultaneously presented with two similar colors and asked to give their perceptions of each color against 13 polar opposite pairs of terms or phrases using a Semantic Differential Scale, and asked to select the number of the 16 items concerned with life such as clothes and food. With the pink colors, many subjects did not feel opposite abstract images between these two similar colors and felt the same concrete images such as 'cosmetics' and 'clothes', and these color names such as momo and pink are confused. With the green colors and the yellow colors, many subjects felt opposite abstract images between these two similar colors such as 'natural - artificial' and 'rural - urban' and different concrete images such as 'plants' and 'plastics', and these two similar colors are distinguished by the color names such as 'midori - green' and 'yamabuki - lemon'. The results revealed that there are two patterns in the relationship colors derived from plants, color images and color names. In the pattern which images of colors derived from plants are connected with artificial things irrelevant to plants, the color names corresponding to the two similar colors are confused. On the other hand, in the pattern which images of colors derived from plants are connected with plants and artificial things, the two similar colors are distinguished by their color names. So demographics influenced the images of color, younger subjects compared with older tend to obviously distinguish images of colors derived from plants, and there are images of color influenced by the environment as a child. In both patterns, images of colors derived from plants are influenced by artificial things and natural colors are limited among many people. These results indicate that there are a few opportunities to see colors of plants which are full of variety. These results suggest that it is necessary to recognize colors derived from plants in relation to plants and to educate regarding the nature of plants, therefore landscape architecture focused on colors of plants is required.

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Analysis of Vitamin $B_{12}$ in the Korean Representative Foods and Dietary Intake Assessment for Koreans

  • Choi, Youn-Ju;Kim, Ji-Yung;Lee, Haeng-Shin;Kim, Cho-Il;Hwang, In-Kyeong;Park, Hye-Kyung;Kim, Tae-Hwa;Oh, Chang-Hwan
    • Food Science and Biotechnology
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    • v.17 no.2
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    • pp.262-266
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    • 2008
  • This study was conducted to provide a vitamin $B_{12}$ database for the representative Korean food items and to assess the dietary intake assessment of vitamin $B_{12}$ for Koreans. The vitamin $B_{12}$ content of 106 foods had been determined by high performance liquid chromatography (HPLC) using column switching method. Rich sources of vitamin $B_{12}$ were meats, milk, and egg ($0.3-3.4\;{\mu}g/100g$). Vegetables and fruits contained vitamin $B_{12}$ below limit of detection (LOD). The major food sources for vitamin $B_{12}$ intake were milk (72.0%), meats (22.3%), egg (3.6%), and fishes & shellfishes (2.1%). Mean vitamin $B_{12}$ intake of Koreans was $3.16\;{\mu}g$/person/day. The proportion of population with intake below estimate average requirement (EAR) and above recommended intake (RI) of vitamin $B_{12}$ was 60.7 and 36.5%, respectively. The vitamin $B_{12}$ intake level of young children with 1-2 years which was 834.6% of RI while the intake level of the older adults 50 years and older was only 70.0% of RI. Also, there were regional differences between urban and rural area. The population with intake below RI was larger than that with intake above RI in Korea.

A Study on the Physical Health Status, Depression and Health Behaviors of the Elderly (노인의 신체적 건강상태, 우울, 건강행위에 관한 연구)

  • Park, Jeong-Mo;Sim, Mi-Kyung
    • Research in Community and Public Health Nursing
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    • v.15 no.3
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    • pp.438-449
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    • 2004
  • Purpose: The purpose of this study was to examine the levels of and relationships between physical health status, depression and health behaviors and the factors affecting health behavior in the elderly. Method : The subjects of this study were 118 elderly people aged over 60 living in urban and rural areas. The data were collected by interview through questionnaires from December 1. 2003 to January 30, 2004. The data were analyzed by descriptive statistics. t-test. ANOVA. Pearson correlation coefficient, and stepwise multiple regression. Results: The results of the study are as follows. 1. The mean score of the physical health status was 63.88 out of a total of 78 and the mean score of depression 42.71 out of 80. The mean score of health behaviors was 126 out of 165 and 3.83 point out of 5. In terms of sub-domains of health behaviors, emotional areas showed the highest mean score (3.98). 2. There was a significant positive correlation between health behaviors and the physical health status (r=.491, P<.001), while there was a significant negative correlation between depression and physical health status(r=.626, P<.001), and depression and health behavior(r=.784. P<.001). 3. Stepwise multiple regression analysis revealed that the most powerful predictor of health behaviors was psychological health. namely depression. A combination of depression. perceived health status and religion accounted for 65% of the variance in health behaviors of the elderly. Conclusion: From the results of the study, we recommend that the development of a nursing intervention program for the health behaviors including the factors affecting the elderly. It suggests the need to focus more on psychological and spiritual health and the development of nursing interventions for health promotion among older adults.

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Relationship between Weight Perception and Lifestyle According to the Demographic Socioeconomic Factors in Korean Adults (우리나라 성인의 인구사회학적 특성에 따른 주관적 체형인식 및 주관적 체형인식과 생활습관과의 관련성)

  • Kim, Eun-Kyung;Hwang, In-Young;Song, Yeon-Yi
    • Journal of Korean Academy of Rural Health Nursing
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    • v.7 no.2
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    • pp.51-58
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    • 2012
  • Purpose: to investigate the relationship of between socioeconomic characteristics, and weight perception and lifestyle on body mass index (BMI) in Korea. Method: Participants were 2,405 people recruited from the 2007 Fourth Korea National Health and Nutrition Examination Surveys. Data included weight perception, BMI, and lifestyle factors and was analyzed using ${\chi}$ 2-test, logistic regression Results: Perception of weight was significantly different according to gender, age, education and residence. In the obesity group 21.6% perceived their weight as normal whereas 29.6% of the normal group perceived their weight as obese. In the obesity group, men who were over 70 years old, rural residents and only had elementary education perceived their weight range as normal. In the normal weight group, women who were urban residents and university graduates more frequently perceived their weight as obese. Logistic regression analysis of lifestyle factors, indicated that misperceived obesity was associated with walking (OR=0.703, 95% CI=0.553-0.896), weight control (OR=2.693, 95% CI=2.080-3.485), and health exam (OR=0.730, 95% CI=0.567-0.940) whereas misperceived normal weight was associated with walking (OR=0.696, 95% CI=0.497-0.975), weight control (OR=0.523, 95% CI=0.363-0.749). Conclusion: Results indicate differences in self-perceived weight and life style and provide information that can be used for health promotion program development.

Ecological Studies of Maternal-Infant Nutrition and Feeding in Urban Low Income Areas (도시 저속득층 지역의 모자 영양 및 섭식에 관한 생태학적 연구 -I. 임산부의 인체 계측, 식이 섭취 및 혈청 지질/지방산 조성 -)

  • 안홍석;박윤신;박성혜
    • Korean Journal of Community Nutrition
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    • v.1 no.2
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    • pp.201-214
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    • 1996
  • This study was aimed at evaluating the lipid status of 122 pregnant women, who were attending peripheral community clinics in low-income areas and were vulnerable in terms of public health, by anthropometric measurements, estimating dietary intakes and analyzing serum lipids content and fatty acids composition. Regarding the skinfold thickness, it has increased more significantly in suprailliac than in triceps, biceps, subscapular, which means body fat has been accumulated in central parts more than in distal parts of the pregnants. It is found that intakes of energy, protein, lipid and carbohydrate are desirable while calcium, zinc and copper are low and sodium is excessive. Regarding dietary fat intake, the energy $\%$ of fat was within the same range as RDA(20%) for adults, but energy $\%$ intake from each fatty acid was usually low, especially energy % of monoun-saturated fatty acid intake was below RDA for adult women. And intake ratio of $\omega$6$\omega$3 fatty acids was desirable. Accordingly, it is thought that dietary fat intake was balanced in quality. Serum lipids concentrations were increased with the length of pregnancy and were higher as compared with non-pregnant women. Polyunsaturated fatty acids, especially $\omega$6 fatty acids, have gradually decreased with the length of pregnancy. Serum lipids content and fatty acids composition were not greatly influenced by dietary fat but serum free fatty acid level was negatively related to energy, carbohydrate, fatty acids and cholesterol intake. On the basis of the above results, it can be predicted that lipid metabolism for mother and fetus is changed by pregnant status and multilateral research on maternal nutrition in terms of areas and income levels will have to be made. (Korean J Community Nutrition 1(2) : 201-214, 1996)

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Awareness, Treatment, Control, and Related Factors of Hypertension in Gwacheon (과천시민의 고혈압 인지, 치료, 조절과의 관련요인)

  • Choi, Youn-Hee;Nam, Chung-Mo;Joo, Mi-Hyun;Moon, Ki-Tae;Shim, Jee-Seon;Kim, Hyeon-Chang;Suh, Il
    • Journal of Preventive Medicine and Public Health
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    • v.36 no.3
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    • pp.263-270
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    • 2003
  • Objectives : To identify the factors related to awareness, treatment, and control of hypertension in a Gwacheen population. Methods : This study surveyed 1,176 Gwacheon residents older than 40 years, and measured blood pressure using a standardized guideline in 1999. The study subjects were 473 adults (175 males, 295 females) with hypertension defined as a systolic blood pressure $\geq$140 mmHg, diastolic blood pressure $\geq$90 mmHg or reported treatment with antihypertensive medication. Information on awareness, treatment, and control of hypertension, and sociodemographic and health-related factors .was collected through person-to-person interviews with a structured questionnaire. Results : Overall, 252 (53.3%) of hypertensive subjects were aware of their condition, of whom as many as 193 (76.6%) were being treated, and 81 (42.0%) had their blood pressure controlled at the recommended level (<140/90 mmHg). However, of the 473 subjects found to have hypertension, only 40.8% were being treated, and 17.1% were under control. There were no significant differences in the proportions of awareness, treatment, and control of hypertension. In multiple logistic regression models, awareness of hypertension was positively associated with age and family history of hypertension in females. Control of hypertension was also positively associated with haying a partner and marital status in females.. Conclusion : These findings demonstrate that much greater efforts on improving awareness, treatment, and control of hypertension are needed, even in urban community settings, considering related factors such as a9e, family history, and marital status. However, these factors should be further investigated for their causal relationship.

Life Styles and the Blood Cadmium Concentration in Korean Adults (한국 성인에서의 생활행태와 혈중 카드뮴 농도)

  • Lee, Sang-Hyuk;Choi, Byung-Sun;Park, Jung-Duck
    • Environmental Analysis Health and Toxicology
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    • v.24 no.3
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    • pp.193-202
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    • 2009
  • In this study, we analyzed the blood cadmium concentration in general population of Korea, and followed the analyses the relations with epidemiologic factors, life-style and body iron store. The geometric mean concentration of blood cadmium was 1.20 ${\mu}g/L$ in study subject, the level of blood cadmium was higher in female (1.27 ${\mu}g/L$) than in male (1.11 ${\mu}g/L$). The mean concentration of blood cadmium was the highest in coastal area (1.80 ${\mu}g/L$) and followed in urban (1.01 ${\mu}g/L$) and rural area (0.90 ${\mu}g/L$). The cadmium concentration in whole blood was increased with age-dependent pattern, such as 0.64 ${\mu}g/L$ in the below 30 years, 0.95 ${\mu}g/L$ in the 30~44 years, 1.28 ${\mu}g/L$ in the 45~59 years and 1.31 ${\mu}g/L$ in the over 60 years. The level of blood cadmium was higher in smokers than in non-smokers, but was not significant by alcoholic habit. The blood cadmium level was different from occupations, which was the highest in the fishers as 1.87 ${\mu}g/L$. The inversed relation was observed between blood cadmium and serum Fe, while was correlated positively with the ferritin level. In summary, the environmental exposure to cadmium in Korean is not so much compared to other countries, and the blood cadmium is influenced by genetic factors (age and sex), life-styles (dietary habit, occupation and smoking habit) and nutrition such as serum iron.

Trends in Nasopharyngeal Carcinoma Mortality in China, 1973-2005

  • Huang, Tian-Ren;Zhang, Si-Wei;Chen, Wan-Qing;Deng, Wei;Zhang, Chun-Yan;Zhou, Xin-Juan;Zhai, Ri-Hong
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.6
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    • pp.2495-2502
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    • 2012
  • Nasopharyngeal carcinoma (NPC) is a disease with distinct ethnic and geographic distribution. The incidence of NPC in Chinese residing in Asia has declined over the last few decades, but NPC mortality trends in the entire Chinese population over time have not been systematically evaluated. In this study, we examined NPC mortality at the national level in China between 1973-2005. Mortality rates were derived from the databases of national retrospective surveys on cancer mortality conducted in the periods of 1973-1975, 1990-1992, and 2004-2005, respectively. NPC was classified according to the International classification of diseases. Age-adjusted mortality rates were calculated by direct standardization according to the world standard population. Trends in rates were evaluated by age, gender, geographic areas, and socioeconomic status. From 1973 to 2005, there was a general trend of decrease in NPC mortality in China, with higher rates in the south on a downward trend in the north. The age-standardized NPC mortality rates were 2.60 per 100,000 in 1973-1975, 1.94 per 100,000 in 1990-1992, and 1.30 per 100,000 in 2004-2005, respectively. The trend was similar in both men and women, in both urban and rural areas, but the declining rates in females were more remarkable than in males. The mortality rates were higher for the age groups above 50 years than those less than 50 years of age, both showing downward trend over 30-year period. In summary, the overall NPC mortality has consistently decreased in China over the past three decades, particularly in women and in old adults.