Factors affecting Cancer Preventive Behavior in Middle-aged People / 기본간호학회지

PURPOSE: This study was done to examine factors affecting cancer preventive behavior in middle-aged people. METHOD: The research design for this study was a descriptive survey design using convenience sampling. Data collection was done using self-questionnaire with 203 middle-aged people in Seoul and G city. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression with the SPSS Win 20.0 Program. RESULTS: The mean score of cancer preventive behavior was 3.43+/-.14 out of 5. Cancer preventive behavior showed a significantly positive correlation with knowledge about cancer (r=.24, p<.001). In the multiple regression analysis, gender, perceived health status and knowledge about cancer were significant predictors and explained 14.5% of cancer preventive behaviors. CONCLUSION: Findings of this study allow a comprehensive understanding of cancer preventive behavior and related factors by middle-aged people. However, further study with a larger random sample from various living environment is necessary.

Effect of Body Composition and Osteoporosis Self-efficacy on Bone Mineral Density of Female Nursing Students / 기본간호학회지

PURPOSE: This study was done to identify the relationship among bone mineral density (BMD), body composition and osteoporosis self-efficacy and to identify predictors of BMD in female nursing students. METHOD: Participants were 154 nursing students. Osteoporosis self-efficacy was determined by a self-report questionnaire. BMD was measured by ultrasound bone densitometry and body composition by a body composition analyzer. Data were collected between April 1 and 27, 2013 and analyzed using descriptive statistics, ANOVA, Scheffe test, Pearson correlation coefficient, and multiple regression with SPSS 18.0. RESULTS: Mean BMD at the calcaneus site was 0.58+/-1.31 (T-score). Incidence of osteopenia was 11.7%. Percentage of body fat (PBF)-defined obesity had higher prevalence than body mass index (BMI)-defined obesity. BMD had significant positive correlations with skeletal muscle mass (r=.226, p=.005) and fat free mass (r=.225, p=.005). The factor predicting BMD was skeletal muscle mass with 4.7% of explained variance. CONCLUSION: Study results indicate that of body composition components, skeletal muscle mass is the prime predicting factor for BMD. Thus to promote healthy bones, it is important to strengthen the muscles using a program, based on balanced development of all muscles.

Gender differences in factors affecting Hwa-byung symptoms with middle-age people / 기본간호학회지

PURPOSE: This study was done to examine differences in the factors affecting Hwa-byung symptoms in middle-aged men and women. METHOD: There search design for this study was a descriptive survey design using a convenience sampling. Data collection was done using self-report questionnaires with 381 middle age people (169 men and 212 women) in Seoul and G city. ANOVA, t-test, Pearson correlation coefficients and stepwise multiple regression were used to analyze the data with SPSS Win 18.0 Program. RESULTS: There were significant differences in Hwa-byung symptoms and life stress between men and women. However anger rumination and mood states were not significantly different by gender. In multiple regression analysis, mood states, religion, and employment were significant predictors and explained 36% of Hwa-byung symptoms for men. In women, mood states, life stress, anger rumination and employment were significant predictors and explained 41% of Hwa-byung symptoms. CONCLUSION: Findings of this study provide a comprehensive understanding of Hwa-byung symptoms and related factors between men and women in Korea. However, further study with a larger random sample from various living environment is necessary.

Development and Application of Sexual Rights Awareness Scale for Female Adults / 여성건강간호학회지

PURPOSE: This study aimed to develop a sexual rights awareness scale for female adults and to further examine the differences after educational sessions for sexual rights awareness with female adults. METHODS: Convenient sampling was employed to recruit 152 participants. A self administered questionnaire was developed to explore adult females' understanding of sexual rights awareness. In the next phase, education was provided over 3 consecutive sessions to 28 female university students. Factor analysis and Cronbach's alpha were performed in order to test validity and reliability of the educational sessions. The Wilcoxon rank test was used to identify the differences between pretesting of sexual rights awareness knowledge and post testing after educational sessions was provided. RESULTS: After conducting factor analysis, 5 factors explained 63.3% of the total variance, namely: I) sexuality education, II) prejudice & biasaberration, III) sexual satisfaction, IV) safe & equal sexuality, and V) sexual autonomy. A Cronbach's alpha of 17 items was 0.80. After the education sessions, there was a significant increase in sexual rights awareness. CONCLUSION: The Sexual rights awareness questionnaire is acceptable as a tool for measuring the level of education in studies. Future research should aim at conducting comparison studies of sexual rights awareness between sexes and cultural differences with larger populations which will further help to develop and to strengthen the rigor with in methodologies.

Direction for Development of the Journal of Korean Academy of Adult Nursing through Analysis of Accepted and Rejected Papers (2007~2009) / 성인간호학회지

PURPOSE: The purpose of this study was to explore the direction for development of the Korean Journal of Adult Nursing toward becoming an international journal through analysing the accepted and rejected papers during the last three years (2007-2009). METHODS: Two hundred and ten accepted papers were analyzed focusing on research methodology and key words using descriptive statistics. In addition, rejected papers were reviewed to analyze their study designs and key words. RESULTS: The proportion of quantitative research was 86.4% while the proportion of qualitative research was 9.5%. The majority of the qualitative research design was survey (71.8%). Sixty percent of the research had verbal consent and 32.7% had written consent from the participants. The prevailing data collection settings were hospitals (52.1%), and community (22.7%). The most frequently used research domain was health. It was noted that theoretical framework was rarely presented. The paper rejection rate was 31.5% and among the rejected paper, 75.3% was survey. CONCLUSION: The results of this analysis suggest that published studies have been improved and diversified compared with the papers published before the year 2007. However, translation research, clinical trials by nurses, and more detailed evaluation process for ethics in research need to be facilitated.

Health Promoting Behaviors and Influencing Factors of University Students: Optimism and Coping Skills / 성인간호학회지

PURPOSE: The purpose of this descriptive study was to identify predictors on health promoting behaviors of university students. METHODS: The participants were 310 students by convenience sampling in G city. The data were collected through a questionnaire given to the students between September 10 to November 6, 2006. Descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression were used to analyze the data. RESULTS: The mean score for the level of health promoting behaviors and optimism was 2.60(+/-.31) and 2.70(+/-.55) respectively. The most frequently used coping skill was the pursuit of social support. There were positive correlations between health promoting behaviors and optimism, between health promoting behaviors and active coping skill, and between health promoting behaviors and passive coping skill. In stepwise multiple regression analysis, the most powerful predictor of health promoting behaviors was active coping skill. CONCLUSION: The results suggest that coping skills with optimism can be considered when developing a health promotion program for university students.

Ways of Coping and Health-Related Hardiness in University Students / 기본간호학회지

PURPOSE: The purpose of this descriptive study was to explain the relationship between ways of coping and health-related hardiness in university students at G city. METHOD: The participants were a convenience sample of 250 students. The data were collected by a questionnaire given to the students between June 1 to June 10, 2006. Descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and stepwise multiple regression were used to analyze the data. RESULTS: The most frequently used method of coping was pursuit of social support. The mean score for level of health-related hardiness was 3.34+/-0.55. There were significant differences in ways of coping according to satisfaction with college life (F=4.036, p=.008). There were significant differences in health-related hardiness according to smoking or not (F=6.237, p=.002). There were positive correlation between problem focused coping and hardiness (r=.357, p=.000), between social support and hardiness (r=.345, p=.000), between hope seeking thought and hardiness (r=.247, p=.000). In regression analysis, ways of coping was significantly influenced by hardiness(16.6%). CONCLUSION: The results suggest that programs for strengthening hardiness can be considered as significant nursing interventions for helping university students cope with stress.

Attitudes and Knowledge toward Koryo Hand Therapy(KHT) by the Experienced People / 성인간호학회지

PURPOSE: The purpose of this study was to identify the current attitudes and knowledge toward Koryo Hand Therapy(KHT) by the experienced people. METHOD: The Subjects for this study included 3,351 people living in Korea who experienced KHT. The data were collected from April 6 to November 25, 2004 using a structured questionnaire. The data were analyzed through the SAS 8.1 Windows Program using frequency, percentage, t-test, ANOVA and Pearson's correlation coefficient. RESULTS: The results of the study are as follows: 1) Families and relatives were a main source of information about Koryo Hand Therapy. The subjects were very satisfied with therapeutic and preventive effects of the therapy. Sujichim was the most preferable choice in the KHT. Most of the subjects thought that KHT could be applied to modern medicine. 2) Those who experienced KHT had a high level of knowledge and very positive attitudes toward KHT. 3) There were statistically significant differences in the attitude toward KHT according to age, gender, educational level, religion, income, place of residence, marital status and experience which studied KHT. 4) There were significant differences in the knowledge of KHT according to age, educational level, income, marital status and experience which studied KHT. 5) The data showed positive correlation between attitude and knowledge. CONCLUSION: According to the above findings, it can be concluded that KHT needs to be actively informed and more easily approached by general peoples. Nursing protocols of KHT needed to be developed.

Prostatic Hypertrophic Symptoms, Activities of Daily Living, Satisfaction of Sexual Activities and Well-Being between Subjects with Prostatic Hypertrophic Symptoms and General Persons / 성인간호학회지

PURPOSE: This study was designed to explore and compare the prostatic hypertrophoc symptoms, activities of daily living, satisfaction of sexual activities and well-being among subjects with prostatic hypertrophic symptoms and the general population. METHOD: One hundred subjects with prostatic hypertrophic symptoms and one hundred general persons were recruited in K medical center. The data were collected from October 20, 2001 to March 30, 2002 by structured questionnaire. RESULT: The results were the following; 1. The percentage of mild(0~7), moderate(8~19) and severe(20~35)symptoms between subjects with prostatic hypertrophic symptoms and general persons were 6% : 60%, 54% : 39%, 40% : 1%. 2. There was a significant difference in prostatic hypertrophic symptoms(t=12.82, p<.001), in activities of daily living(t=-7.77, p<.0001), in satisfaction of sexual activities (t=-4.80, p<.0001), in well-being(t=-4.80, p<.0001) between subjects with prostatic hypertrophic symptoms and general persons 3. There was a significant difference in activities of daily living(F=16.28, p<.0001), satisfaction of sexual activities(F=3.98, p<.05) according to prostatic hypertrophic symptoms in subjects with prostatic hypertrophic symptoms. CONCLUSION: According to the above findings, prostatic hypertrophic symptoms influence activities of daily living, satisfaction of sexual activities, well-being of subjects with prostatic hypertrophic symptoms negatively.

The Effect of Sexuality Course on Sex - Role Stereotypes and Sexual Attitude in University Students / 여성건강간호학회지

PURPOSE: The purpose of this study was 1) to classify university student's attitudes toward sex, 2) to confirm the effects of sexuality course on sex-role stereotypes and sexual attitude in university students. METHOD: The subjects in this study were 212 K university students in Kangwon Province between 3/7/2001 ~ 6/13/2001. The instruments used for this study were the general characteristics, sexual attitude and sex-role stereotypes. The data was analyzed by frequency, percentage, mean, standard deviation, paired t-test, ANOVA, Pearson correlation coefficients, Factor analysis and Cronbach's alpha using the SPSS program. RESULT: 1.University students' attitude toward sex are divided into three types. Type I are called open mined : 16, 33, 28, 10, 18, 2, 30, 25, 26, 27, 22, 19, 29, 21, 9, 5 items. Type II are supporters of virginal purity: 8, 6, 31, 17, 14, 33 items. Type III express love through sexual intercourse: 20, 24, 7, 3, 15, 32 items. 2.There was a significant difference in the appearance and occupational characteristics of sex-role stereotypes before and after the sexuality course(t=2.562, p<.05). 3. In Type III, there was a significant difference in sexual attitude before and after the sexuality course(t=3.576, p<.0001). 4.The data showed the relationships between type III of sexual attitude and sex-role stereotypes(r=-.315, p<.0001). 5.Sex-role stereotypes according to the demographic characteristics before sexuality course were significantly different by age, gender, experience of military service, experience of sex education and experience of sexual intercourse. Sex-role stereotypes according to the demographic characteristics after sexuality course were significantly different by gender and experience of sexual intercourse. 6.Sexual attitude according to the demographic characteristics before sexuality course were significantly different by major(type I), age, grade, experience of military service and experience of sexual intercourse(type II), age, grade, gender, experience of military service, experience of sex education and experience of sexual intercourse. Sexual attitude according to the demographic characteristics after sexuality course were significantly different by religion and major(type I), age and grade(type II), age, grade, gender, religion and experience of sexual intercourse. CONCLUSION: This study showed that a sexuality course was effective in changing the sex-role stereotypes and sexual attitude of university students.

A Study on Nursing Needs of Patients in the Recovery Room / 기본간호학회지

PURPOSE: The purpose of the study was done to identify the nursing care needs of patients in the recovery room. METHOD: The subjects in this study were 127 patients in a recovery room between 6/9/2001 and 24/9/2001. The instrument used for this study was the descriptive questionnaire developed by Shin Hyun-Jin (1999). The data was analysed by frequency, percentage, mean, standard deviation, t-test, ANOVA, and factor analysis using the SPSS program. RESULT: 1) Kaiser-Meyer-Olkin sample appropriateness was 0.799 and Bartlett's test of sphericity significant probability was 0.000. 2) The mean score for nursing care need of patients in the recovery room was 4.17+/-.51 of a total possible score of 5. The score of nursing need for different parameters was as follows: Educational need (4.31+/-.49), physical need (4.27+/-.47), emotional need (4.11+/-.52), environmental need (3.99+/-.56). 3) Differences in the needs for nursing care according to the demographics were significant for gender, marital status, operation experience, and departments consulted. General characteristic variables significantly related to nursing need were as follows: Physical need significantly related to the departments consulted (F=2.23, p=.036). Educational need significantly related to the marital status (F=2.55, P=.012), departments consulted (F=2.30, p=.031). Emotional need significantly related to the marital status (F=2.22, p=.028). Environmental need significantly related to the gender (t=-2.44, p=.016), marital status (F=2.01, p=.046), operation experience (t=-1.99, p=.048). CONCLUSION: Nursing care needs of patients in the recovery room are significantly related to educational need, physical need, emotional need and environmental need. Intervention plans and program need to be developed to improve strategies to meet nursing needs of patients in the recovery room.

A Study on the Sasang Constitution and Type A/B Personality in Kangwon Province / 기본간호학회지

PURPOSE: The purpose of this study was to identify the association between Sasang constitution and type A/B personality. METHOD: The subjects for this study were 113 Korean adults living in Kangwon Province, the northeastern part of Korea. The data were collected from March 10 to April 13, 2002 using a structured questionnaire. The instrument for this study were QCSS II (Questionnaire for Sasang Constitution Clsssification II) by Kim et al.(1996), and the Revised Type A/B personality by Eysenck & Fulker(1983). The data were analyzed through the SPSS 10.0 for Windows program using frequency, percentage, x2-test, ANOVA, and Pearson correlation coefficient. RESULTS: The results of the study are as follows: 1. Of 113 Korean adults, the portion who were Taieum-in, Soeum-in, Soyang-in was 39.8%, 34.5%, 25.7% respectively. 2. For type A/B personality, mixed type was most common, 19.4% of the participants were of type B and 8.0%., type A. 3. For type A/B behavior, mixed type was most common at 47.8% and type A was 2.7%. 4. There were statistically significant differences in the Sasang constitutional type according to BMI (F=14.542, P<.001), and alcohol consumption (F=4.256, P<.018). 5. There were significant difference between type A/B personality and BMI (F=3.592, P<.032). 6. The data shows correlations between BMI and amount smoked per day (r=2.74, P<.004), between BMI and alcohol consumption (r=-.303, P<.008), between BMI and Sasang constitutional type (r= -0.592, P<0.0001), between BMI and type A/B personality (r=285, P<.011), between amount smoked per day and alcohol consumption (r=.-361, P<.001), between alcohol consumption and Sasang constitutional type (r=-.306, P<.019), between perceived health state and type A/A personality (r=.246, P<.011). CONCLUSION: According to the above findings, it can be concluded that further research is need to understand the Sasang constitution for the discipline of Nursing and for nurses to prepare nursing protocols relevant to Sasang constitutional care. Also, Sasang constitution has to be considered in research and practice in the health care delivery system.

Smoking Behavior and Hardiness in University Students / 기본간호학회지

The purpose of this study was to explain the relationship between smoking status, smoking behavior and hardiness in university students in Gangnung City. The subjects were a convenience sample of 315 students. The data were collected by a questionnaire given to the students between May 22 to June 2, 2000. An instrument developed by Akers & Gang(1996) and translated by Sohn, Jung- Nam(1999) was used in this study to measure definition of smoking, differential reinforcement of smoking and smoking behavior. The differential peer association scale developed Krohn et al.(1982) and translated by Sohn, Jung-Nam(1999), and the hardiness scale developed by Pollock (1984) and translated by Suh, Mun-Sa (1988) were also used. The data were analyzed using the SAS/PC+ Program and included descriptive statistics, t-test, ANOVA, and Spearman correlation coefficients. The results of this study are as follows : 1. The smoking rate for university students was 50.5% of which 44.7% started smoking in high school. 2. The mean score for level of hardiness was 3.14+/-0.43 3. The mean score for smoking behavior was as follows: 1) The mean score for the neutralizing definition was 2.16+/-0.57 2) The mean score for the negative definition was 2.37+/-0.71 3) The mean score for the positive differential reinforcement was 1.89+/-0.63 4) The mean score for the negative differential reinforcement was 2.96+/-0.64 5) The mean score for the differential peer association was 2.67+/-1.05 4. The data showed positive correlations between hardiness and the neutralizing definition(r=.1951, P<.001), between hardiness and the positive differential reinforcement(r=.1128, P<.05), between hardiness and the amount of smoking per day(r=.1452, P<.05) between the neut- ralizing definition and positive differential reinforcement(r=.4212, P<.0001), between the neutralizing definition and differential peer association(r=.1856, P<.001), between the neutralizing definition and age at smoking initiation(r=.1582, P<.05), between the negative definition and negative differential reinforcement(r=.2985, P<.0001), between the positive differential rein- forcement and differential peer association (r=.3451, P<.0001), between positive differential reinforcement and the amount of smoking per day(r=.4431, P<.0001), between differential peer association and the duration of smoking(r=.2789, P<.0001), between differential peer association and the amount of smoking per day(r=.5410, P<.0001), between the duration of smoking and the amount of smoking per day(r=.4245, P<.0001). The data showed negative correlations between the neutralizing definition and the negative definition(r=-.2065, P<.001) between the neutralizing definition and negative differential reinforcement(r=-.3943, P<.0001), between the neutralizing definition and duration of smoking(r=-.1957, P<.05), between the negative definition and positive differential reinforcement(r=-.2093, P<.001), between the negative definition and the amount of smoking per day(r=-.2282, P<.001), between positive differential reinforcement and negative differential reinforcement(r=-.5555, P<.0001), between negative differential reinforcement and differential peer association(r=-.3653, P<.0001), between negative differential reinforcement and the amount of smoking per day(r=-.4570, P<.0001), between the age at smoking initiation and the duration of smoking(r=-.4594, P<.0001).

Differences in Health Behaviors among the Social Strata in Korea / 예방의학회지

OBJECTIVES: To analyze differences in health behaviors among the social strata in Korea by using the 1995 National Health and Health Behavior Survey Data. METHODS: Study participants numbered 2,352 men and 1,016 women aged between 15-64 years old, with housewives, students and non-waged family workers excluded. Health behaviors in this study were defined according to the recommendations of the Alameda 7 study. The measure of health behaviors was based on the Health Practices Index(HPI; 0-5 range, with the exclusion of snacking between meals and regularly eating breakfast) developed by the Alameda County research. The significance of the relationship between social strata and HPI was assessed by considering the adjusted means from the multi-variate model. RESULTS: For men, incidence rates of never having smoked, no/moderate use of alcohol, regular exercise, and regular 7-8 hours sleep per night were higher in the upper social strata. Meanwhile, for women, incidence rates of never having smoked, no/moderate use of alcohol, appropriate weight, regular exercise, and regular 7-8 hours sleep per night were higher in the upper strata. HPI varied significantly among social strata in both sexes (p<0.001), a result which held true when adjusted for age, education, income, social insurance type, marital status and region. CONCLUSIONS: Health behaviors assessed by Health Practices Index(HPI) varied significantly among social strata for both sexes. Therefore, the existing gap in health behaviors among social strata can be corrected more effectively by target oriented health promotional activities.

The Effects of Chu-ma Therapy on Decreasing Blood Pressure in Essential Hypertension / 간호학회지

The purpose of this study is to evaluate the effects of Chu-ma therapy and to suggest that the therapy is an effective nursing intervention tool to reduce blood pressure. The research design employed was the non-synchronized research method with non- equivalent control group. A total of 30 people with essential hypertension, who were from forty to sixty five years old, participated in the study. The Chu-ma therapy was administered by every day for ten or fifteen minutes for eight weeks from 19, April to 13, June in 1999. In order to evaluate the effects of Chu-ma therapy, blood pressure of the two groups were measured once a week, and physiological parameters (epinephrine, norepinephrine, total cholesterol, HDL-cholesterol, triglycerides) were measured before and after the treatment. Collected data was analyzed by SAS package. The results of this study can be summarized as follows: 1) There were significant decrease in systolic blood pressure and diastolic blood pressure in the experimental group. 2) There were no significant changes in epinephrine, norepinephrine of the two groups. 3) There were significant decrease in total cholesterol and triglycerides, and HDL- cholesterol increased significantly in the experimental group. 4) The effect of Chu-ma therapy on the measured time on the blood pressure in experimental group was as follows: Both of systolic and diastolic blood pressures were significantly decreased after 5weeks. The result proved that Chu-ma therapy is an effective nursing intervention tool for clients with essential hypertenion. However further research is still necessary to compare the effect with the different periods and number of times for Chu-ma therapy.