Theory-based training to promote breast cancer screening among women with breast cancer worries: randomized controlled trial

ABSTRACT BACKGROUND: Breast cancer worries are important determinants in relation to behavior favoring breast cancer screening. OBJECTIVE: To determine the effect of theory-based training to promote breast cancer screening among women with high and low levels of breast cancer worries. DESIGN AND SETTING: Randomized controlled trial, conducted in two family health centers. METHODS: In total, 285 women were recruited. Women with low levels of breast cancer worries were included in the first intervention group (112 women) and the first control group (112 women), while women with high levels of breast cancer worries were included in the second intervention group (37 women) and the second control group (43 women). Theory-based training to promote breast cancer screening was given to intervention groups. The women's willingness to undergo breast cancer screening and breast cancer worry scores were evaluated at 1, 3 and 6 months. RESULTS: The women in the low cancer-worry intervention group performed breast self-examination more in months 1 and 6 following the training, and the women in the high cancer-worry control group performed breast self-examination more in month 3 (P < 0.05). No difference between the women who had low or high levels of breast cancer worries were observed in relation to breast self-examination, clinical breast examination or mammography (P > 0.05). CONCLUSION: The level of worry did not affect the success of theory-based training, and the training was partially effective with regard to willingness to undergo breast cancer screening.

Investigating the Relation Between Health Literacy and Behaviors Promoting Health in Health Ambassadors of Kazeroon City Healthcare Centers 2017

Background: During the past decade, significance and impacts of low level of health literacy on individuals' health status has been greatly noticed. This study was conducted with the aim of determining the relation between health literacy with promoting behaviors in health ambassadors of Kazeroon city healthcare centers. Methods: This study was descriptive – analytical and of cross-sectional type. The research sampling method was multi-stage method. Samples were selected from three urban healthcare centers and three rural health care centers and from each center respectively two bases and two health houses were randomly selected. In the present study, two questionnaires of health literacy and standard questionnaire (HpLp-II) was used. Pearson correlation test, independent t-test and bilateral variance analysis were used for data analysis. Results: 528 health ambassadors completed the questionnaires that from them 79.85 were woman and 20.20% man. The results of the present study showed that there is a significant relation and positive correlation between health literacy rate of ambassadors and general behaviors promoting health and its components like liability, physical activity and nutrition habits (P<0.05). Conclusion: The results of the present study showed that increasing of ambassadors health literacy is effective in increasing their health promoting behaviors and it is recommended that in future with effective interventions, besides promoting health literacy of people in various fields, increase their cooperation and participation for self-care and doing health promoting behaviors

Estilos promotores de salud y funcionamiento familiar: Comuna de Hualpén, Región del Bío Bío, Chile / Styles health workers and family functioning: Hualpén Commune Bío Bío Region, Chile

Estudio correlacional y de corte transversal que buscó conocer las variables del funcionamiento familiar presentes en la adopción de estilos promotores de salud, en la Comuna de Hualpén. El universo estuvo conformado por las usuarias del Programa de Salud de la Mujer de un centro de salud de la Comuna de Hualpén y que se hayan realizado el examen Papanicolaou entre los meses de enero y diciembre de 2011 y que pertenecieran a familias con hijos adolescentes. De las mujeres que cumplían los requisitos se obtuvo una población de estudio compuesta por un total de 141 mujeres. Destacaron correlaciones significativas inversas de estilos de vida saludable; la búsqueda de apoyo social y profesional. A partir de los resultados, se hace necesario fomentar la inclusión de factores determinantes sociales de la salud en las políticas públicas que permitan incentivar a las familias a participar como agente promotor en conductas de salud.

Study correlational and cross-sectional aimed to know the family functioning variables present in the adoption of health promoters styles, in the municipality of Talcahuano. The universe was made by the users of the Health Program for Women of a health center and Hualpén Commune have been performed Pap test between January and December 2011 and who belonged to families with teenage children. Of the women who qualified obtained a study population comprised a total of 141 women. Significant inverse correlations stressed healthy lifestyles, seeking social support and professional. From the results, it is necessary to promote the inclusion of social determinants of health in public policies to encourage families to participate as an advocate on health behaviors.

A Study on the Relationship between Social Support, Health Promoting Behaviors and Depression among Unmarried Pregnant Women / 여성건강간호학회지

PURPOSE: The purposes of this study were to examine the level of social support, health promoting behaviors and depression among unmarried pregnant women and to identify the relationship between social support, health promoting behaviors and depression. METHOD: A descriptive correlational study was conducted. The participants were 102 unmarried pregnant women receiving shelter services from four facilities in two metropolitan cities. Data was collected using a self-administered questionnaire. Descriptive statistics, ANOVA and Pearson correlation were used for data analysis. RESULTS: The level of social support and health promoting behaviors were relatively lower and the level of depression was relatively higher than those of married pregnant women. The participants received especially low social support from their unmarried partner. There was a positive relationship between social support and health promoting behaviors. Moreover, there were negative relationships between social support and depression and between health promoting behaviors and depression. CONCLUSIONS: To promote physical and emotional health of unmarried pregnant women, more attention is necessary to increase their social support. A nursing intervention program to increase social support among unmarried pregnant women in needed.

A Study on the Relationship between Health Perception, Prenatal Care Behaviors and Health Promoting Behaviors in Unmarried Pregnant Women / 여성건강간호학회지

PURPOSE: This study was to examine the relationship between health perception, prenatal care behaviors and health promoting behaviors of unmarried pregnant women. METHOD: The subjects were 97 unmarried pregnant women. The data was collected through personal interviews using a questionnaire. Adjusted instruments were the health perception scale developed by Ware, prenatal care behavior scale developed by Lee, and health promoting behavior scale developed by Pender. Data was analyzed by descriptive statistics, t-test, ANOVA, and the Pearson correlation coefficient with SPSS program. RESULT: The mean score of health perception was 3.3, and Resistance-Susceptibility was the highest. The mean score of prenatal care behaviors was 2.9, while that of health promoting behaviors was 2.5. The relationship between health perception and prenatal care behaviors was significant(r=0.268, p=.008). The relationship between prenatal care behaviors and health promoting behaviors was also significant (r=0.633, p=.000). CONCLUSION: The higher the health perception of unmarried pregnant women, the more they are concerned about good prenatal care behaviors. Unmarried pregnant women did well on health promoting behaviors when they had are high degree of good prenatal care behaviors. Therefore, in order to promote positive health perceptions of unmarried pregnant women, it is necessary to develop and adjust various education and supporting programs.

Health Promoting Behaviors and Related Variables in Students Rewriting College Entrance Examination / 아동간호학회지

PURPOSE: In order to provide basic information for the development of nursing programs, health promoting behavior of students rewriting college entrance examinations was examined and factors related to health promotion were identified. METHOD: Data were collected by questionnaire from 804 examines in Seoul and Gyeonggi Province and were analyzed using the SAS program with t-test, ANOVA, Scheffe's test and Pearson correlation coefficients. RESULT: The mean score for health promoting behavior was 2.50. The highest score for the sub-areas was harmonious relationships and the lowest was, professional health maintenance. There were significant differences in health promoting behavior according to the following general characteristics; religion, frequency of rewriting college entrance examination, economic burden, parents' education level, grade, satisfaction with parents, friends and rewriting of college entrance examinations, parents' health concerns and knowledge of health, need for health education, and health condition and chronic disease over the past year. Correlations between health promoting behavior and family support and self-esteem were positive. The variables that influenced health promoting behavior were family support (24.5%), self-esteem (11.3%), anxiety (2.6%), and stress of studying (0.5%), explaining 38.9% of the total variance. CONCLUSION: These results will help to develop a nursing program that enhances health promoting behavior of students rewriting college entrance examinations.

The Relations among Health-promoting Behaviors, Self-esteem and Depression in the Vulnerable Elderly of Urban Areas

PURPOSE: This study was to identify the relations among health-promoting behaviors. self-esteem and depression in the vulnerable elderly in an urban community. METHOD: The subjects were 185 vulnerable elderly adults aged over 65 in D city, who were selected through convenience sampling. Data were collected by a questionnaire survey. The tools used in this study are the HPLP developed by Walker(1987), the Self-esteem Scale developed by Rosenberg (1965), and the Geriatric Depression Scale developed by Yesavage & Brink(1983). Collected data were analyzed with the SAS program using descriptive statistics. Pearson's correlation coefficient, t-test, ANOVA, Duncan's multiple-range test and stepwise multiple regression. RESULT: Self-esteem and depression was in a negative correlation with each other (r=-0.21), but no significant correlation was observed between HPB and depression. HPB and self-esteem were in a positive correlation with each other (r=0.38). The most powerful predictor of depression was self-esteem and, next, leisure activity and the type of family living together. The three factors accounted for 41.1% of the variance in depression in the vulnerable elderly. CONCLUSION: These results suggest that self-esteem, leisure activity, and the type of family living together can be potential risk factors for old age depression. These findings may give useful information for developing visiting nursing service programs focused on depression in the vulnerable elderly.

A Study on the Relationship between Resourcefulness and Health Promoting Behavior of College Women / 여성건강간호학회지

The purpose of this study was to investigate the relationship between college women's resourcefulness and health promoting behaviors. The subjects were 215 college women students who were non-married and ranged in grade from 1 to 4. Data was collected from Nov. 1 to Nov. 30, 2001 by a structured questionnaires. The instruments, which were modified by researcher and used for this study, were the revised Health Promotion Lifestyle Profile (HPLP) developed by Walker, Sechrist and Pender(1987), the Resourcefulness developed by Rosenbaum(1980) and the general characteristic scale developed by the researcher. The data were analyzed by the SPSS/PC+ program using t-test, ANOVA, Pearson Correlation Coefficient and stepwise multiple regression. The results were as follows : 1. The mean score of resourcefulness was 109.29(range:36~180). 2.There were statistically significant difference in the score of resourcefulness according to the grade(F=2.889, P=.037) and drinking(t=-3.264, P=.002). 3.The mean score of health promoting behaviors was 107.21(range: 44~176). 4.There were statistically significant difference in the score of the health promoting behaviors according to the grade(F=.141, P=.039), smoking(t=-3.314, P=.008) and drinking (t=-4.091, P=.000). 5. College women's degree of resourcefulness showed a positive correlation with the degree of health promoting behavior (r=.573, P=.000). 6. By means of multiple regression analysis, the resourcefulness provided explained 32.9% of health promoting behavior. In conclusion, the resourcefulness should be considered when developing nursing strategies for college women, especially when dealing with the health promoting behaviors. The recommendations from this study necessitate of further studies to investigate how smoking and drinking have an effect on the health promoting behaviors.

A Structural Model for Health Promoting Behaviors in Patients with Chronic Respiratory Disease / 간호학회지

PURPOSE: This study was designed to construct a structural model for health promoting behavior in patients with chronic respiratory disease. A hypothetical model was developed based on the literature review. METHOD: Data was collected by questionnaires from 235 patients with chronic respiratory disease in a General Hospital in Seoul. Data analysis was done using SAS 6.12 for descriptive statistics and the PC-LISREL 8.13 Program for Covariance Structural Analysis. RESULT: The results are as follows : 1. The fit of the hypothetical model to the data was moderate. It was modified by excluding 2 path and including free parameters and 3 path to it. The modified model with path showed a good fitness to the empirical data(X2=80.20, P=0.05, GFI=0.95, AGFI=0.88, NNFI=0.95, NFI=0.96, RMSR=0.01, RMSEA =0.06). 2. The perceived benefits, self-efficacy, and a plan of action were found to have significant direct effects on the health promoting behavior in patients with chronic respiratory disease. 3. The health perception, self-esteem, and activity related to affect were found to have indirect effects on the health promoting behavior in patients with chronic respiratory disease. CONCLUSION: The modified model of this study is considered appropriate in explaining and predicting health promoting behavior in patients with chronic respiratory disease. Therefore, it can effectively be used as a reference model for further studies and suggested direction in nursing practice.

The Resourcefulness and the Health-Promoting Behaviors of Cancer Patients / 성인간호학회지

The purpose of this study was to define the degree of the resourcefulness and the health-promoting behavior of cancer patients, to identify the relationship between the resourcefulness and the health promoting behaviors and to provide the basis for strategic nursing intervention. This study was conducted by an exploratory survey. Data were collected by self-reported questionnaires from 97 cancer patients in a university hospital in Tae-Gu from September to December of 1998. The sample data were collected by using a convenient sampling method. The following instruments were used in the study after some adaptation: Park Chai Soon's Health Promoting Lifestyle Profile, Oh Pok Ja's instrument for health promotion behavior and the Rosenbaum self-control schedule(SCS). The reliability of instruments was tested with Chronbach'alph(.79-.89). Data was analyzed by using the SAS program. T-test, ANOVA, and Pearson's coefficients of correlation. The results of this study were as follows: First, the average score of the resourcefulness variable was 22.20; the range of the score was from -30 to +81 The average score of the performance in the health promoting behavior variable was 96.13; the range of the score was from 39 to 137 Second, the resourcefulness variable was significantly different from such demographic factors as gender and perceived health status, but there was no statistically significant difference between the demographic factors and the health promoting behavior variable, except that of perceived health status. Third, the performance in health promoting behavior of cancer patients was significantly correlated with the resourcefulness of cancer patients(r= .50) In conclusion, resourcefulness was identified to be an important variable that could contribute to promote health-promoting behavior.

A Study of the Relationship Among Health Promoting Behaviors, Climacteric Symptoms and Depression of Middle-Aged Women / 간호학회지

The purpose of this study was to analyze the relationship among the health promoting behaviors, self-reported climacteric symptoms and depression on a cross-sectional survey design. The subjects were 108 middle-aged women who were non-hystrectomized and ranged in age from 40 to 60. They were selected in Seoul and Kyoung-ki province, Korea. Data were collected from Oct. 25 to Nov. 10, 1997 by a structured questionnaire. The instrument used for this study was the revised Health Promotion Lifestyle Profile(HPLP) developed by Walker, Sechrist and Pender, revised Climacteric Symptoms Scale developed by Chi, Sung Ai, and the Beck's Depression Inventory(BID). The data were analyzed by the SPSS/PC+ program using t-test, ANOVA and Scheffe test as a post hoc and Pearson Correlation Coefficient. The results of the study were as follows ; 1. The mean score of health promoting behaviors was low(2.42+/-0.35). There were statistically significant difference in the score of health promoting behaviors according to the educational background, family income, marital satisfaction, and whether or not taking a restorative food(t=-2.07, F=2.60~7.57, p<0.05). 2. The mean score of self-reported climacteric symptoms was 1.69 ; 99% of middle-aged women had symptoms. There were statistically significant difference in the score of middle-aged women's self-reported climacteric symptoms according to the age, number of children, educational background, occupation, family income, marital satisfaction, whether or not receiving hormone replacement therapy(HRT) or consultation experience with a professional, and perceived health status(t=-2.04~3.69, F=2.87~11.63, p<0.05). 3. The mean score of depression was 10.84. There were statistically significant differences in the score of the depression according to the age, number of children, educational background, occupation, marital satisfaction, whether or not receiving menopausal treatment of consultation by a professional, and perceived health status(t=-2.25~3.00, F=3.50~9.24, p<0.05). 4. Women's degree of health promoting behaviors was a negative correlation with the degree of climacteric symptoms(r=-0.19, p=0.03) and the degree of depression(r=-0.23, p=0.01). The degree of climacteric symptoms was a positive correlation with the degree of depression(r=0.64, p=0.01). In conclusion, health promoting behavior should be considered when developing nursing strategies for middle-aged women, especially when dealing with climacteric symptoms and depression.