Level of Self-leadership in Pregnant Women / 여성건강간호학회지

PURPOSE: This study was to provide preliminary data for degree of self-leadership in pregnant women. METHOD: Participants were 148 pregnant women who visited 2 university hospitals in Taegu city. Data collection was done from April 16 to May 22, 2005 by self administered questionnaires. RESULTS: The mean score for self-leadership of pregnant women was 3.27 and the thought self-leadership of subconcept was the highest score. The highest mean score in self- leadership was found in 'When I'm faced with a problem during the pregnancy period' and 'I tend to look for the opportunity it contains rather than drawbacks'. The lowest mean score in self-leadership was found in 'I often practice health management before I actually do them'. There was the highest positive correlation between self-leadership and natural reward. CONCLUSION: This study had highest positive correlation between self-leadership and natural reward. Considering this, self-leadership is an effective nursing strategy to promote natural reward. Further studies are necessary to identify the level of self-leadership in pregnant women.

A Study of Dietary Behavior and Serum Leptin Levels of Obese Children / 대한지역사회영양학회지

The purpose of this study was to investigate the relationship among serum leptin, nutritional status, and the obesity indices of 55 obese children in Daegu and Kyungpook area. Obesity was defined as fat percentage that exceed 25% of body fat mass. Energy and nutritional status were tended to be low, and dietary intake of calcium and iron were less than any other nutrients in all the subjects. Especially, beverage intake of obese group was more than non-obese group. The leptin level were significantly correlated with %RDA of energy (0.41, p < 0.001), protein (0.44, p < 0.001), phosphate (0.40, p < 0.001), iron (0.37, p < 0.001), vitamin A (0.31, p < 0.01), thiamin (0.40, p < 0.001), riboflavin (0.26, p < 0.05), niacin (0.51, p < 0.001), and vitamin C (0.24, p < 0.05). The leptin level were significantly correlated with MAR (mean adequacy ratio, r = 0.43, p < 0.001) and INQ (index of nutrient quality) of thiamin (r = 0.22, p < 0.05). Multiple regression analysis showed that %RDA of niacin in obese group (R2 = 0.208, p = 0.001) and total subjects (R2 = 0.257, p = 0.000), MAR (p = 0.003) and INQ (p = 0.048) of niacin in obese group (R2 = 0.255) and MAR (p = 0.000) and INQ of Ca (p = 0.024) in total subjects (R2 = 0.231) may be important independent predictors to leptin level. MAR showed a significantly positive correlation with %fat (r = 0.42, p < 0.01), BMI (r = 0.46, p < 0.01), RW (r = 0.44, p < 0.01), WHR (r = 0.39, p < 0.01) and, %RDA (p < 0.05, p < 0.01). These data indicated relationships among leptin level, nutrient intake, %RDA, MAR, and INQ in children.

Common Functional Problems during Pregnancy and Association with Nutritional Status and Weight of Newborns / 대한지역사회영양학회지

Morning sickness during pregnancy is a very common functional problem with different kinds of symptom, but little data are available concerning the nutrition intervention program for pregnant women in local area. A total of 152 pregnant women who had experienced morning sickness were surveyed to investigate the relationships between morning sickness, nutrient intakes and pregnancy outcome. The results showed that prevalent symptoms were nausea (68.4%), heartburn (59.2%), morning sickness (48.7%), vomiting (42.1%), and constipation (44.7%). The onset of the symptom occurred during the first 3 months (9.3 +/- 2.3 weeks); 21.1% of the subjects was experienced two symptom at the same time. This significantly correlated with vomiting (p < 0.01), nausea (p < 0.001), morning sickness (p < 0.001), and heartburn (p < 0.01) with pregnancy weight. There were also correlations between the four symptoms and nutrient intakes. Mean birth weight of 21 newborns was 3.06 +/- 0.42 kg, and the one and five minutes of Apgar scores were 7.74 +/- 0.99 and 8.84 +/- 0.69, respectively. There were negative correlations between vomiting and pregnancy outcomes (p < 0.05). Our data support that morning sickness, especially vomiting during pregnancy is associated with Apgar score and body weight of newborn.

A Study of Dietary Behavior and Serum Leptin Levels in Obese Children: The Relationship between the Obesity Index and the Serum Leptin Levels Based on Eating Habits and Eating Behaviors / 대한지역사회영양학회지

The purpose of this study was to investigate the relationship among eating habits, eating behaviors, obesity indices and serum leptin levels of 97 school children in the Daegu and Kyungpuk areas. The subjects consisted of 42 boys and 55 girls from the 4th and 5th grades. The prevalence rate of obesity was 63.6% in the males and 36.4% in the females. The nutritional status of the subjects was assessed using 24-hour dietary recalls and blood analyses. The mean serum leptin levels of the obese group (12.84 +/- 6.97 ng/ml) were significantly higher than those of the non-obese group (2.43 +/- 1.53 ng/ml)(p < 0.001). The mean eating behavior scores and MAR were significantly different in the two groups. Nutrient intakes were low and fell short of the RDA. Serum leptin levels showed a significant negative correlation with eating habit (r = -0.24) and eating behavior scores (r = -0.40)(p < 0.05, p < 0.001). It was speculated that nutritional intervention and education about the appropriate nutrient intake requirements of developing children might be necessary.

Existential Spiritual Well-Being and Self-Empowerment in Pregnant Women / 여성건강간호학회지

The purpose of this study was to identify the relationship between self-empowerment and a existential spiritual well-being in pregnant women, and to provide the basic data for nursing intervention.The subjects were 182 women who visited 2 OBGY hospitals in Taegu, Korea and ranged in age from 21 to 40.The data was collected during the period from May 6th toMay 24th, 2002.The instruments were the revised existential spiritual well-being scale developed by Paloutzian and Ellison(1982). Originally the instruments were developed by Spreitzer(1995) and Jung Hea Joo(1998), who translated it into Korean.The data was analyzed using t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression.The results of this study were as follows :1. Mean score of total empowerment was 3.72 and the subcategory 'meaning', had the highest score at 4.15.2. Mean score of existential spiritual well- being was 4.16.3. Existential spiritual well-being was positively related to self-empowerment (r=.400, P=000).4. A significant statistical difference between education, religion and self-empowerment was found.5. A significant statistical difference between hope of pregnancy and a existential spiritual well-being was found.6. The most important variable affecting the existential spiritual well-being was meaning which accounted for 15% of the total variance in stepwise multiple regression analysed. Three variables, competence and hope of pregnancy accounted for 22% in existential spiritual well-being. From the results of the study, the following ecommendations are presented :1) Indeed, we should identify existential spiritual well-being for real meaning of spiritual well-being in future.2) It is required to check the effect of existential spiritual well-being and self-empowerment through the repeated studies.3) We need to take a serious view of the meaning affecting existential spiritual well-being in pregnant women.

Health Promoting Lifestyle and Self-Empowerment in Climacteric Women / 여성건강간호학회지

The purpose of this study was to identify the relationship between self-empowerment and a health promoting lifestyle in climacteric women, and to provide the basic data for health promoting intervention. The subjects were 246 women who visited the sports center in Taegu, Korea and ranged in age from 40 to 59. The data was collected during the period from December 2nd to December 15th, 2001. The instruments were the revised health promoting lifestyle scale developed by Park, In Suk(1997) Originally the instruments were developed by Spreitzer(1995) and Jung Hea Joo(1998), who translated it into Korean. The data was analyzed using t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. The results of this study were as follows : 1. Mean score of total empowerment was 3.76 and the subcategory 'meaning', had the highest score at 4.08. 2.Mean score of total health promoting lifestyle was 2.83 and in the subcategory, the highest degree of performance was 'sanitary life', followed by 'harmonious relationships' and 'self actualization'. The lowest degree was 'professional health management'. 3. A significant statistical difference between age, education and self-empowerment was found. 4. A significant statistical difference between age, marital status, leisure time activity (hobbies /community service) and a health promoting lifestyle was found. 5. Health promoting lifestyle was positively related to self-empowerment(r=.4592). A health promoting lifestyle was the highest positively related to the subcategory 'impact' (r=.4329). 6. The most important variable affecting the health promoting life style was impact which accounted for 19% of the total variance in stepwise multiple regression analysed. Five variables, impact, age, meaning, marital status and leisure time activity(hobbies/community service) accounted for 26% in promoting a healthy life style. From the results of the study, the following recommendations are presented : 1) Adopting the concept of self-empowerment is required in broad nursing fields. 2) Using and making a self-empowerment promoting program which can cause positive effects on a health promoting lifestyle are required. 3) It is required to check the rank of the subcategories such as meaning, competence, self determination and impact according to the subjects. 4) It is required to check the effects of all variances of self-empowerment, self- efficacy and self-esteem variances through the repeated studies.

Comparisons of Food Preference and Nutrient Intake of Students of Elementary School and Middle School Providing School Food Service in Nam Jeju Gun

The purpose of this study was to investigate differences of food preference and nutrient intake of students between elementary school and middle school in the same area and to provide data for better school food service. The subjects were 486 students, third to sixth grade of 3 elementary schools and first to second grade of 1 middle school in Nam jeju gun, Jeju, and the survey was conducted during June 1999. Food preference was assessed using questionnaires and 24-hour food intake was assessed using dietary record method. Data of weight and height were obtained from annual physical examination conducted at schools in May 1999. All the variables were compared among 3 groups in each gender: third and fourth grade elementary school(ES3,4), fifth and sixth grade elementary school(ES5,6), and first and second grade middle school(MS1,2). The results were summarized as follows. The average height, weight and BMI for the 3th grade boys in elementary schools met the national averages, but those of the others are below the national averages. Although general pattern of food preference looked similar among groups, food preference scores were significantly different among groups in 38 kinds foods for boys, and 27 kinds of foods for girls. MS1,2 group showed significantly lower food preference scores for most of foods as compared to those of ES3,4 and ES5,6 in both genders. Students of higher grade took more starch foods such as instant noodle, stewed rice cake and snacks. Average energy intakes of all the groups except MS1,2 girls were lower than recommended dietary allowances(RDA), and average intakes of protein, vitamins B1 and C met RDA, but the other nutrients were taken less than RDA and especially the intakes of iron, calcium and vitamins B2 were poor. Most of nutrients taken by school food service meal provided a major proportion of intakes. In conclusion, students of middle school were more particular about their foods served at school food service and marked lower food preference score than elementary school children and more conscious about their weight and appearance. These points should be reflected in planning food service menu at middle school.

Influence of Food Behavior and Life-Style Behavior on Health Status in Male Industrial Workers / 대한지역사회영양학회지

The aim of this study was to investigate the effects of food behavior and life-style behavior on the health-status of male industrial workers in the Masan region. The average age of the 173 male subjects was 42.9 years and 59% of the subjects were labor workers, 25% office workers, and 70% of them earned 1 - 1.5 million won monthly. The subjects were categorized into one of three groups : normal group, health-concerned group, and disease-suspected group classified by the criteria of the data (blood pressure, blood glucose, blood hemoglobin, serum total cholesterol, and serum triglyceride) obtained from a health examination. Forty seven belonged to the normal group, 71 to the health-concerned group, and 55 to the disease-suspected group. The health-concerned group, and disease-suspected group had significantly higher systolic and diastolic blood pressure, blood glucose, and serum total cholesterol than the normal group, and the disease-suspected group showed a significantly higher serum triglyceride level than the normal and health-concerned groups. The disease-suspected group consumed carbohydrate foods, such as cereals more frequently and protein foods such as beans and eggs less frequently than the normal group and health-concerned group. However, there was no difference in nutrient intakes among the three groups. The disease-suspected group and health-concerned group smoked more cigarettes and drank more frequently than the normal group, and the disease-suspected group exercised less as compared to the normal group. The kinds of diseases diagnosed in the disease-suspected group were hypertension, hyperlipidemia, liver disease, and neurological disease. The results of this study indicate that nutrition education and monitoring should be implemented for industrial workers to prevent chronic diseases and to reduce medical cost for the treatment of disease.

A Study on the Food Behaviors and Nutritional Status of Industrial Workers / 대한지역사회영양학회지

This study inrestigated the dietary behavior, nutritional intake, and health status of industrial workers. Two hundred seventy workers(165 men and 105 women) in Masan, who were provided food services were selected as survey subjects. They were given questionnaires on nutrition knowledge, food frequency questionnaires, and blood analysis were conducted through an annual health examination from May to August 1998. The average age of the subjects was 35.7+/-11.8 years, and 80% the of women were in their teens and 20's and 80% of men were in their 30's and 40's. The nutrition knowledge score was higher in women than in men, while food habit score was higher in men than in women. As age increase, the degree of life stress became lower and food habit score was higher in men than in women. As age increases, the degree of life stress became lower and food habit was improved. In women, all nutrient intakes were avobe the recommended dictary allowances(RDA), and in men intakes of only vitamin E and calcium were under RDA. Levels of serum total cholesterol, triglyceride, and blood glucose, blood pressure, body mass index were positively related to age. The number of subjects suspected of havins chronic disease was the highest for those in their 40's. The results indicate that nutritional status of industrial workers in the present study was fairly good probably due to food services, but their health status should be supervised as their age increases.

A Study on Factors Related to Recovery from Cerebrovascular Accidents / 대한지역사회영양학회지

This study was designed to investigate factors related to recovery from cerebrovascular accidents(CVA). Medical charts of 100 CVA patients(40 males and 60 females) who had been treated at Bul-Guang hospital in Teagu from June to December 1994 were reviewed to assess their recovery from CVA. Not only types of CVA, blood pressure and serum cholesterol and triglyceride were factors affecting recovery from CVA, but also smoking and drinking status and food preference seemed to be important factors. The percentages of recovered patients were higher in the order of cerebral thrombosis(83.3%), subarachnoid hemorrhage(57.1%), cerebral embolism(50.0%), and cerebral hemorrhage(26.7%). Recovery rates of patients with serum cholesterol below 200mg/dl, 200-239mg/dl, over 240mg/dl were 81.8%, 66.6%, and 16.6% respectively. Recovery rates of patients with serum triglyceride below 160mg/dl, 160-209mg/dl, and oover 210mg/dl were 84.6%, 72.8%, and 35.7% respectively. Patients with standard weight recovered better than those with overweight or obesity. Recovery rates of underweight, standard weight, overweight and obesity patients were 73.3%, 85.7%, 45.8%, and 31.6% respectively. Smoking and drinking seemed to be important factors which inhibited recovery from CVA. Patients preferring spiced foods were recovered better than those preferring salty or pungent foods.