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PURPOSE: The purpose of this study was to investigate the relationships among variables of transtheoretical model for exercise in the elderly. METHOD: A hypothetical model explaining the stage of change was constructed based on a transtheoretical model. Empirical data for testing the hypothetical model was collected from 246 old adults over 65 years old in a community settings in Seoul, Korea in June and July, 2000. Data were analyzed by descriptive statistics and correlational analysis using pc-SAS program. The Linear Structural Modeling(LISREL) 8.0 program was used to find the best fit model which explain causal relationship of variables. RESULT: The fitness of modified model to the data was X2= 96.75(df=49, p=.00005), GFI= .98, NFI=.99, AGFI=.95, NNFI=.99. The the predictable variables of stage of change explained 64% of stage of change for exercise. CONCLUSION: Results are consistent with the studies of application of the transtheoretical model, which has been used to understand how people change health behaviors. The findings of this study give useful informations to construct exercise intervention program for the elderly about relationships among variables influencing to the stage of change of exercise.

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• Effect of Exercise Stage-Matched Intervention for Elderly Women with Chronic Back Pain in the Contemplation and Preparation Stage
  Hyun-Ju Oh, Soon-Rim Suh, Mihan Kim
  Korean Journal of Adult Nursing.2019; 31(4): 414.     CrossRef
• Factors Influencing Exercise Behavior of the Male Manual Worker and Office Worker based on Health Promotion Model
  SeungKyoung Yang, Yeongmi Ha, Mi-Ra Jung
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• Influence of exercise self efficacy and perceived health status according to the stage of change for exercise behaviors in older adults
  Woo-Cheol Kim
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• Discriminating Factors of Stages of Change for Exercise among Patients with Metabolic Syndrome
  Hyun Ju Hwang, Eun Nam Lee, Eun Jung Choi
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• Construction of a Physical Activity Model for the Elderly
  Nam-Hee Kim, Hyoung-Sook Park, Myunghan Choi
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• Factors Associated with Stages of Exercise Behavior Change of Residents in a Community
  Kyung-Shin Paek
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PURPOSE: The purpose of this descriptive study was to identify the nursing needs of patients with chronic illness. METHOD: The subjects of this study were 636 patients with chronic illness, 323 general nurses, and 106 public health nurses. The instruments used for this study were questionnaires including perceived functions of nursing from the center for chronic illness, preference to placement, intention to use, needs to receive services from the center for chronic illness, strategies management for nursing, and nursing needs of chronically ill patients. RESULTS: The mean of perceived functions for nursing from the center were 3.1(0.5) in public health nurses, 2.9 (0.59) in general nurses, and 2.4(1.33) in chronically ill patients. Regards of needs to receive on services of the nursing centers were, the regularly physical examination, for health educational services which was perceived highest request amongst chronically ill patients. We found the means of each specific need as 2.2(0.6), for physical health, 2.1(0.7), for psychosocial health, and 1.8(0.6) for spiritual health. CONCLUSION: From the results of this study, it is suggested that establishing a nursing center for chronically ill patients consider physical, psychosocial, for spiritual health needs of chronically ill patients. It is also a consideration that direct care for symptom management and health education in the nursing center be implemented.

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PURPOSE: This study was designed to construct a structural model for health promoting behavior of patients with chronic disease. The hypothetical model was developed based on the literature review and Pender's health promotion model.
METHOD
Data was collected by questionnaires from 1748 patients with chronic disease in General Hospital from December 1999 to July 2000 in Seoul. The disease of subject were cardiac disease included hypertension peptic ulcer, pulmonary disease included COPD and asthma, DM, and chronic kidney disease. Data analysis was done with SAS 6.12 for descriptive statistics and PC-LISREL 8.13 Program for Covariance structural analysis.
RESULTS
1. The fit of the hypothetical model to the data was moderate, it was modified by excluding 4 path and including free parameters to it. The modified model with path showed a good fitness to the empirical data (x2=591.83, p<.0001, GFI=0.97, AGFI= 0.94, NNFI=0.95, RMSR=0.01, RMSEA=0.05). 2. The perceived benefits, perceived barriers, self-efficacy, self-esteem, and the plan for action were found to have significant direct effect on health promoting behavior of chronic disease. 3. The health concept, health perception, emotional state, social support were found to have indirect effects on health promoting behavior of chronic disease.
CONCLUSION
The derived model in this study is considered appropriate in explaining and predicting health promoting behavior of patients with chronic disease. Therefore, it can effectively be used as a reference model for further studies and suggested implication in nursing practice.

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• Factors affecting the health promoting behaviors of office male workers during the COVID-19 pandemic: Using Pender’s health promotion model
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• The intervention effects of the Clean Diet program on the health promotion attitudes and the physiological indices of an elderly
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• Implementation of U-Healthcare System for Chronic Disease Management
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• Factors Influencing Health-Promoting Behaviors in People Living with HIV
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• A Predictive Model on Health Promotion Behavior in Women who Immigrate for Marriage
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  Journal of Korean Academy of Nursing.2010; 40(5): 695.     CrossRef
• A Predictive Model of Health Promotion Behavior in Obese School-Age Children
  Mi Suk Jeon, Hyeon-Ok Kim
  Journal of Korean Academy of Nursing.2010; 40(2): 264.     CrossRef
• Testing and Developing the Health Promotion Model in Low-Income, Korean Elderly Women
  Kyung Rim Shin, Younhee Kang, Hyo Jung Park, Myoung Ok Cho, Margaret Heitkemper
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• Test of the health promotion model as a causal model of commitment to a plan for exercise among Korean adults with chronic disease
  YunHee Shin, SangKyun Yun, Nola J. Pender, HeeJung Jang
  Research in Nursing & Health.2005; 28(2): 117.     CrossRef

PURPOSE: This study aims at confirming exercise effects on obesity, mobility, self-efficacy, process of change, and decisional component by stage based exercise motivational intervention program for the elderly. The stage based exercise intervention program was constructed based on Transtheoretical Model.
METHODS
The design of this study is nonequivalent control group with repeated measuring by quasi-experimental study. The subjects of this study, composing of experimental group of 32 and control group of 28 were selected at one institution for the aged in Seoul.
RESULTS
1) The body fat (weight, BMI and circumference of waist), of the intervention group was significantly decreased than the control group. 2) The mobility of the intervention group was not significantly increased than control group. 3) The self-efficacy, Pros, Process of Change for exercise of the intervention group was not significantly increased than the control group. 4) The Cons for exercise of intervention group was not significantly decreased than the control group.
CONCLUSION
The above result have informed us that a stage-based exercise motivational intervention program for the elderly has the effect of decreasing old persons' body fat and has value as an effective means of nursing for the elderly.

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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.

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• A Predictive Model of Health Promotion Behavior in Obese School-Age Children
  Mi Suk Jeon, Hyeon-Ok Kim
  Journal of Korean Academy of Nursing.2010; 40(2): 264.     CrossRef
• Exercise self-efficacy, exercise benefits and barriers, and commitment to a plan for exercise among Korean women with osteoporosis and osteoarthritis
  Yun Hee Shin, Hea Kung Hur, Nola J. Pender, Hee Jung Jang, Moon-Sil Kim
  International Journal of Nursing Studies.2006; 43(1): 3.     CrossRef
• Test of the health promotion model as a causal model of commitment to a plan for exercise among Korean adults with chronic disease
  YunHee Shin, SangKyun Yun, Nola J. Pender, HeeJung Jang
  Research in Nursing & Health.2005; 28(2): 117.     CrossRef
• Using methodological triangulation for cultural verification of commitment to a plan for exercise scale among Korean adults with chronic diseases
  YunHee Shin, Nola J. Pender, SangKyun Yun
  Research in Nursing & Health.2003; 26(4): 312.     CrossRef

The purpose of this study was to investigate the factors influencing social adaptation of chronic mental illness. The subjects of this study were 190 patients, over the age of 20 with chronic mental illness diagnosed by a physician, and living in Seoul, Korea during May, 2000 to December 2000. The instruments for this study were the social adaptation scale by Wallace (1979), the self-esteem scale by Rogenberg (1965), social support scale by ParkJiWon (1985), coping behavior scale by Shirley Zeitlin (1978), self efficacy scale by Sherer et. al (1982), and Rand mental health inventory(1979). The data were analyzed using descriptive statistics, pearson correlation coefficients, and stepwise multiple regression. The results of this study are as follows: 1. The level of social adaptation showed moderate (M=3.43). 2. The social adaptation showed significant positive correlation with self-esteem (r=0.39, p=0.00), self-efficacy (r=0.31, p=0.00), social support (r=0.47, p=0.00), self-productive coping (r=0.14, p=0.05), self-flexible coping (r=0.22, p=0.00), environment-active coping (r=0.21, p=0.00), and environment-flexible coping (r=0.14, p=0.04). The social adaptation showed significant negative correlation with anxiety (r=-0.16, p=0.02), and emotional problems (r=-0.18, p=-0.00). 3. The stepwise multiple regression analysis revealed that the most powerful predictor of social adaptation was social support (21%). A combination of social support, depression, behavioral controllability, self-efficacy, and environmental coping behavior accounted for 39% of the variance in social adaptation in chronic mental illness. From the results of this study, it is suggested to develop and apply a social adaptation training program for chronic mental illness.

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• A Survey on Community dwelling Mentally Ill Patients Who could not be Accessed by a Community Health Center
  Jeong-Suk Reu, Myung-Hee Kim, Chu-Young Jeong
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This study was designed to construct a structural model for quality of life of chronic gastric disease. The hypothetical model was developed based on the literature review and Pender's health promotion model. Data were collected by questionnaires from 459 patients with chronic gastric disease in a General Hospital from July 1999 to August 2000 in Seoul. Data analysis was done with SAS 6.12 for descriptive statistics and PC-LISREL 8.13 Program for Covariance structural analysis. The results are as follows : 1. The fit of the hypothetical model to the data was moderate, thus it was modified by excluding 1 path and including free parameters and 2 path to it. The modified model with path showed a good fitness to the empirical data (Chi2=934.87, p<.0001, GFI=0.88, AGFI=0.83, NNFI=0.86, RMSR =0.02, RMSEA=0.07). 2. The perceived barrier, health promoting behavior, self-efficacy, and self-esteem were found to have significant direct effects on the quality of life. 3. The health concept, health perception, emotional state, and social support were found to have indirect effects on quality of life of chronic gastric disease. In conclusion, the derived model in this study is considered appropriate in explaining and predicting quality of life of chronic gastric disease. Therefore it can effectively be used as a reference model for further studies and suggested direction in nursing practice.

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  YunHee Shin, Nola J. Pender, SangKyun Yun
  Research in Nursing & Health.2003; 26(4): 312.     CrossRef

The purpose of this study was to identify the influencing factor on Symptoms of Stress of Middle Aged Women. The subjects of this study were 35 middle aged women who lives in Seattle, Washington in U.S, and 74 middle aged women who lives in Seoul. Data collection was performed at the University of Washington and Seoul from Oct. 1998 to May. 1999. Data collected through 4 types of questionnaires : SOS, Ways of Coping, Mood Status, Perceived Stress. The results of this study are as follows: 1. The stress symptoms showed positive correlation with emotion-oriented coping, mood status, and perceives stress. 2. Stepwised multiple regression analysis revealed that most powerful predictor of Stress Symptoms was mood status. A combination of perceived stress, mood status and ways of coping account for 64% of the variance in Symptoms of stress in Middle aged women. From the results of the study, the following recommendations are presented as follow: 1. It is necessary to replicate this study with a larger sample. 2. It is necessary to develop a stress management program focused on ways of coping, mood status, perceived stress for middle aged women.

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• The relationship between psychological distress, depressive symptoms, emotional eating behaviors and the health-related quality of life of middle-aged korean females: a serial mediation model
  Jihyun Oh, Sunghee Kim
  BMC Nursing.2023;[Epub]     CrossRef
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  Bum-Jin Park, Chang-Seob Shin, Won-Sop Shin, Chung-Yeub Chung, Si-Hyung Lee, Dong-Jun Kim, Youn-Hee Kim, Chang-Eun Park
  International Journal of Environmental Research and Public Health.2020; 17(12): 4348.     CrossRef
• The Effect of walking exercise on the improvement of housewives' Self-esteem, Stress, Depression in terms of convergence
  Hae-Mi Kim
  Journal of Digital Convergence.2015; 13(12): 453.     CrossRef
• Development of the Perceived Stress Inventory: A New Questionnaire for Korean Population Surveys
  Eon Sook Lee, Ho Cheol Shin, Jun Hyung Lee, Yun Jun Yang, Jung Jin Cho, Gwiyeoroo Ahn, Yeong Sook Yoon, Eunju Sung
  Korean Journal of Family Medicine.2015; 36(6): 286.     CrossRef
• Study of on Academic Stress Responses According to Sasang Constitutions of Oriental Medicine College Students
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Purpose: This study was performed to identify the factors that change exercise behave. This study will also classify and identify the characteristics of excercise stages to which the elderly belong Also, to identify the processes of change which influence on the changes in exercise performed by the elderly.
Methods
Convenient samples of 198 subjects over the age 60 in Seoul Korea(mean age=70) were selected from elderly communities and were all mentally conpetant older adults. The data were collected from April 1,1999 to May 30, 1999. The research instruments were measured the change in exercise (Marcus et al., 1992b), such as Stage of Change measure(Marcus et al,1992a). The data were analyzed by SAS Program.
Results
1. According to the measure of change without missing data, 191 subjects were distributed each stage of change for exercise: 50 subjects (26.1%), 7 subjects (3.6%), 52 subjects (27.2%), 4 subjects (2%), and 78 (40.8%) belonged to the precontemplation stage, the contemplation stage, the preparation stage, the action stage and the maintenace stage. 2. According to the factor analysis, 6 factors of change were identified as appropriate processes of change and were named by the researchers. The names were; 'Supportive helping relationship', 'Self cognitive determination', 'Environmental reinforcement', Consciousness raising', Reinforcement of negative condition and 'Conversion of negative condition'. 3. According to the stage of change, there were significant mean differences in the 'Supportive helping relationship(F=22.04, p=.0001)', 'Self cognitive determination (F=50.87, p=.0001)', 'Reinforcement of negative condition(F=7.84,p=.0006)'. 4. Through the discriminant analysis, it was found that Self cognitive determination is the most influential variable as one of the processes of change which can discrimiate the three stages of change (precontemplation, preparation, and maintenance). Also the next significant variable was Reinforcement of negative condition.
Conclusion
The process of the dey change is one of concepts of The transtheoretical model known as strategies and the techniques people use as they go through the different stages of change. Even though this study is cross- sectional not longitudinal study, the finding of this study gives useful information for exercise intervention, by using this strategy of exercise for elderly in different stages of change in exercise.

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• Influence of exercise self efficacy and perceived health status according to the stage of change for exercise behaviors in older adults
  Woo-Cheol Kim
  Journal of Digital Convergence.2015; 13(11): 549.     CrossRef

The purpose of this study was to identify causal relationships among variables of transtheoretical model for exercise in the elderly. A predictivel model explaining the stage of change was constructed based on a transtheoretical model. Empirical data for testing the hypothetical model was collected from 198 old adults over 60 years old in a community setting in Seoul, Korea in April and May,1999. Data were analyzed by descriptive statistics and correlational analysis using pc-SAS program. The Linear Structural Modeling (LISREL) 8.0 program was used to find the best fit model which predicts causal relationship of variables. The fit of the hypothetical model to the data was X2=132.85. (df=22, p=.000). GFI=.88, NNFI=.35, NFI=.77, AGFI=.59 which was not favorable but the fit of modified model to the data was X2=46.90. (df=27, p=.01).GFI= .95, NNFI=.91, NFI=.92, AGFI=.87) which was more than moderate. The predictable variables of stage of change for exercise of the Korean elderly were helping relationship, self cognitive determination, conversion of negative condition in process of change and efficacy for exercise . These variables explained 68% of stage of change for exercise of the Korean elderly.

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• Factors Associated with Stages of Exercise Behavior Change of Residents in a Community
  Kyung-Shin Paek
  Journal of Korean Academy of Community Health Nursing.2012; 23(3): 316.     CrossRef
• Mediating Effects of Self-Efficacy in the Transtheoretical Model Among Adolescent Male Smokers in Korea
  Ok Kyung Ham, Jae Bok Yoo
  Asian Nursing Research.2009; 3(1): 15.     CrossRef
• Korean adolescents' exercise behavior and its relationship with psychological variables based on stages of change model
  Y KIM
  Journal of Adolescent Health.2004; 34(6): 523.     CrossRef

Breathing is essential for life and at the same time takes a role as a antidote for stress. In the Orient, it was recognized early that respiration, mind, and body have a relation that is inseparable and therefore proper breathing is so important. However, since the mechanism of therapeutic effect by breathing have not been verified, the treatment has been continued till recent years. From that which originated in the Orient, several techniques in the west have been developed to regulate breathing, and have been applying to the clinical situation and to studies, however scientific studies are still lacking. Recently, relaxed breathing has been used as an efficient strategy for breathing therapy as it has an effect on reducing physiological tension and arousal, and, therefore can be used as a basic technique to control or manage stress. In this study, in order to provide basic information and guidelines for clinical application, which will aid in the application of the theoretical basics of breathing therapy and its technique, a review of the literative was conducted. The findings are as follows: 1. Since proper breathing not only has, physically, the important function in supplying oxygen to the body but also gives a good emotional, or pleasant state of mind, it is the first step in controlling physical and mental health. 2. The basic types of breathing can be classified into two types; 'diaphragmatic breathing(relaxed breathing)' and 'chest breathing(stress breathing)'. In yoga type breathing, there are four kinds of breathing, 'upper breathing', 'mid breathing', 'down breathing', and 'complete breathing'. 3. The theoretical explanation of the positive thera peutic effect of breathing therapy techniques exemplifies good brain function, sufficient air flow through the nasal passages, diaphragmatic movement, light vagal stimulation, CO2 changes and cognitive diversion but in most studies, the hypothesis of CO2 is supported. 4. The technique of breathing is designated with many names according to the muscles and techniques used for breathing, and for control of stress, diaphragmatic breathing(relaxed breathing) is explained as a basic technique best used to manage of stress. 5. The relaxed-breathing includes slow diaphragmatic breathing, breath meditation, nasal breathing, yogic abdominal breathing, Benson's relaxed response, and quiet response.

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  Soon-Bok Chang, Hee-Sook Kim, Yun-Hee Ko, Choon-Hee Bae, Sung-Eun An
  Korean Journal of Women Health Nursing.2009; 15(1): 32.     CrossRef

The purpose of this study was to investigate the relationship between the burdent on families who live with an elderly person suffering from senile dementia, and the degree of their depression. There were 400 participants in this study, staying in the Seoul and Kyonggi areas from August, 1, 1997 to February 28, 1998. Among the group, 100 participants took care of their patients at home, and another 300 participants left 100 patients at a day-care center, 100 sanatorium for senile dementia(asylum for helpless elderly people), 100 an infirmary for elderly people. Eventually 242 subjects out of the 400 were selected for the data analysis. The Zarit(1980) tool was employed to measure the degree of burden and Zung's(1965) "Self-Rating Depression Scale" was employed for the data analysis. The data was analyzed, and the percentage, t-test, ANOVA, and Pearson's Correlation Coefficient were calculated. The results are as follows. 1. The average degree of burden that care-giving families felt was 49.13, which is somewhat high. 2. The average degree of depression that-giving families felt was 51.95, which is relatively high. 3. The degree of burden was directly affected by the relation with the patient(F=2.48, P<.05), and the socio-economic status of the family(F=5.17, P<.05). It's also affected by the patient's educational status(F=2.17, P<.05). 4. The degree of depression of the family was significantly dependent on sex(t=-2.05, P<.05), age(F=2.99, P<.05), the relationship with the patient(F=3.65, P<.01), socio-economic status(F=7.74, P<.001), occupation(t=2.82, P<.01), health status(F=4.42, P<.01), and the place of residence(F=4.30, P<.01). The patient characteristics was significantly dependent on his/her educational status(F=3.85, P<.01), the period of suffering from senile dementia(F=2.47, P<.05), and smoking habit(F=6.17, P<.001). 5. The relationship between the degree of burden and that of depression reads r=0.43, which is statistically positive correlation in the high significant level. Upon analyzing the entire summation, most care-giver for elderly patients suffering from senile dementia lack time in caring for themselves. They also experience chronic fatigue and mental discomfort caused by the isolation from society, curtailment of certain activities, a sense of responsibility of certain activities, a sense of responsibility for their patients, and limits of their endurance in taking care of their patients over time. In conclusion, this study emphasizes the necessity for the following propositions : 1. In order to measure the degree of burden that Korean care-giving families undergo, a new tool must be developed on the basis of Korean culture. 2. An educational program based on the demands that care-giving families undergo must e developed, and its clinical effect also has to be examined.

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  Youngsam Oh, Eunyoung Han
  International Social Work.2019; 62(2): 529.     CrossRef
• The Burden of Aged Parents Caring for Adult Children with Disabilities
  Min-Hyun Suk, Eunhye Kim
  Journal of Korean Academy of Community Health Nursing.2010; 21(4): 439.     CrossRef
• Comparison in Care Burden, Fatigue, and Life Contentment of Caregivers by Gender Relationship with Demented Elders
  Young Whee Lee, In Sook Cho, Hwa Soon Kim
  Korean Journal of Women Health Nursing.2009; 15(3): 196.     CrossRef
• Family Caregiver Burden by Relationship to Care Recipient with Dementia in Korea
  Gwi-Ryung Son Hong, Hyojeong Kim
  Geriatric Nursing.2008; 29(4): 267.     CrossRef
• Factors Affecting Burden of Family Caregivers of Community-Dwelling Ambulatory Elders with Dementia in Korea
  Young Mi Lim, Gwi-Ryung Son, Jun-Ah Song, Elizabeth Beattie
  Archives of Psychiatric Nursing.2008; 22(4): 226.     CrossRef
• A thematic analysis of Korean family caregivers' experiences in making the decision to place a family member with dementia in a long‐term care facility
  Myonghwa Park, Howard Karl Butcher, Meridean L. Maas
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The purpose of this study was to investigate the factors influencing health promoting behavior and quality of life in the elderly, to provide the basic data for health promoting intervention in order to improve quality of life. The subjects of this study were 51 elderly person over the age of 65, living in Seoul, Korea, during the period from November, 1997 to January, 1998. The instruments for this study were the health promoting behavior scale developed by Walker et (1987), the quality of life scale by RoyouJa(1988), the health concept scale by Laffrey(1986), the perceived health states scale by Lawston et al. (1992), the health value scale by Walston et al.(1978), the self esteem scale by Rogenberg(1965) and self efficacy scale by Sherer(1982). The instruments of this using descriptive statistics, t-test, Person correlation coefficients ANOVA and stepwise multiple regression. The results of this study are as follows; 1. The health promoting behavior showed significant positive correlation with health concept perception of health status, self esteem, internal health locus of control, self efficacy and quality of life in the elderly. 2. The quality of life showed significant positive correlation with health concept, perception of health status, self esteem, internal health locus of control, self efficacy in the elderly. 3. Stepwise multiple regression analysis revealed that the most powerful predictor of health promoting behavior was quality of life. A combination of quality of life, health concept, perceived health status, self esteem, internal health locus of control, and self esteem, internal health locus, and self efficacy accounted for 46% of the variance in health promoting behavior in the elderly. 4. Stepwise multiple regression analysis revealed that the most powerful predictor of quality of life in the elderly was self esteem. A combination of self esteem. health concept, perceived health status, health promoting behavior and self efficacy account for 56% of the variance in quality of life in the elderly. From the results of the study, the following recommendations are presented as follow : 1. Development of a health promoting program to improve quality of life in the elderly. 2. In developing the health promoting, the above major influencing factors be considered. 3. It is suggested that an education specialist in practice in the community be include in the program development.

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  Angela Guarino, Cristina Polini, Giuseppe Forte, Francesca Favieri, Ilaria Boncompagni, Maria Casagrande
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• The Impact of Poverty on Self-Rated Health in Philippines: A Mediated Moderation Model of Health Behaviors and Family and Friend Support
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  Sook‐Young Kim, Eun‐Young Jeon, Sohyune R. Sok, Kwuy‐Bun Kim
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The purpose of this study was to examine nurses' perceptions of medication treatment for psychiatric patients and to compare these perceptions with the perceptions held by the patients. The methodology used in this study was a descriptive design with semi-structured and open-ended interviews. This study used a convenience sample of 112 nurses who worked in, and 209 patients who were under psychiatric treatment, in four hospitals attached to a university and one national mental hospital in the city of Seoul. The collected data were analyzed by SAS, using percentages for descriptive purposes, and t-test or x2 for comparing the variables. The results were as follows: 1. There was no significant differences between nurses' and patients' perceptions on the extent to which patients complied with their medication treatment. Generally speaking, the mean compliance scores for both nurses and patients was high (nurse: x=3.70, Patient: x=3.76). 2. There was a significant difference in nurses' and patients' perceptions on the reasons why patients do not take medication. The nurse group indicated that the patients did not take medication because of the "worry about side effects or habitu-ation(49.53%)", "boredom from long-term use of medication(26.17%)" and "distrust toward medical staff (12.15%)", but the patient group indicated that they "did not want to be dependent on medication (25%)", "forgot to take medication(19.7%) and "worried about side effects or habituation( 15.91%). 3. As for the necessity of medication, both groups showed some different responses. Even though both groups were aware of the necessity of taking medication, the patient group(21.53%) showed a more negative response. As for the effects of medication, both groups (nurses and patients) showed positive responses. However, the nurse group showed a higher positive response(91.07%) than the patient group(74.16%). 5. Both the patient and nurse group indicated that the most helpful element for the patient's life under psychiatric treatment was interviews and conversations with therapists and nurses. However, the nurse group showed a higher response (70.15%) than the patients group(47.15%). According to the patient group, family support for the patient was another important factor for psychiatric treatment and daily struggles. In conclusion, as there were differences between the perception of nurses and patients, the nurse must consider the patients' subjective perceptions first. They should also revaluate their false belief and prejudice concerning the patients' perceptions. Such information can provide a base to be applied by the nurses in devloping effective mutual relationships with patients which can in turn help in compliance with medication regimen. As it was confirmed that medication was the most important factor in the patients' recovery, a thorough education program on the therapeutic effect of medication and the necessity of their continued use after discharge is also needed.

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• The Effects of Group Motivational Interviewing Compliance Therapy on Drug Attitude, Medicine Application Self-efficacy and Medicine Application in Psychiatric Patients
  Dawoon Lee, Sungjae Kim
  Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(4): 391.     CrossRef

The purpose of the study was to find out the relationship between experienced stressful events and its coping behavior within mentally wellness and illness, and to define the effective coping method under the stressful situation. By doing so, during the period of April, 1978- to March, 1979 the objects of this study were 100 persons who were under the psychiatric facilities in their first hospitalization, and who were registered in psychiatric out patient department in the form general hospitals located at Seoul selected as a experimental group. As a control group 100 persons who never experienced psychiatric treatmcntd who were not under the current medical treatment, and who were earring appropriate social roles in their community were selected, and in both groups utilized questimaires for Social Readjustment Pating Scale and Coping Scale. This study was tested by X2 examinationand by F-ratio (analysis of variance). Results were as follows : Hypothesis 1 . The actually experienced life events were expected to be higher in the experimental group than in the control group, but they did not show the significant difference between the groups. (p> 0.05) Thus hypothesis 1 was rejected. Hypothesis : 2 . The stress scores were expected to be higher in the experimental group than in the control group, and also did show the significant difference between the groups (p<0.05) . Therefore hypothesis 2 was supported. Hypothesis 3 . The non-effective coping behavior were expected to be higher in the experimental group than in the control group, and also did show the significant difference between the two groups(p< 0.001). Also hypothesis 3 was supported. Hypohthesis 4 . The higher stress score groups (above 250 LCU) were expected to utilize non-effective coping method more frefuently than in the lower stress score groups (below 249 LCU), and not only they showed high in utilizing non-effective coping method but also showed high in utilizing effective coping method. Thus hyphothesis 4 was partially supported, (p < 0.001) The following are drawn out based on the result of this study that the stress scores were higher, and more utilized non-effective coping method in the emotionally disturbances than in the emtionally healthies.

Suicides have been considered to be one of the grave problems of modern societies. According to recent police statistics of Republic of Korea, 28.6 suicides in every 100,000 were reported. Psychiatric patients are believed to be predisposed to suicidal tendencies. This study was performed to investigate the characteristics of suicidal attempts and to analyse the environmental factors involved in the suicidal accidents of patients admitted to psychiatric hospitals. Records of 66 suicidal accidents from three psychiatric hospitals during the period of January 1971 through June 1976 were sampled. Data were analysed by perceritile score. Results are as follows; 1. The age group of 21~30yrs. was revealed to be the highest in frequency of suicidal attempts (50.0%) Among the succesful suicides; the age group of 3l~40 yrs. in men and the age group of 21 -30 yrs. in women revealed to be the highest in frequency, Among the unsuccesful suicides; the age group of 21-30yrs. in both sex revealed to be the highest in frequency. 2. Suicidal accidentsoecurred more frequently to the unmarried(63. 6%). Among the succesful suicides; higher frequency was shown ro unmarried in men and the frequency is contrasted in women. Among the unsuccessful; the unmarried in both sex were revealed to be highest in frequency. 3. Schizophrenia was revealed the highest of suicidal attempts in frequency (81. 8%). 4. Suicides were most frequently attempted in the spring(46. 9%). Among the successful suicides; highest frequencies were shown in men in the winter and in women in the summer sesaon. Among the unsuccessful suicides; highest frequencies were shown in men in the winter and in women in the spring. 5. Suicidal attempts were most frequently occurred in hospital wards (40.9%). In women, unsussesful attempts were found to be the highest on authorized leave at their home. 6. The hanging was revealed to be the most frequently adopted methods for suicidal atte mpts (31. 8%). Among the successful suicides;hanging was the most frequent method adopted in men while in women the drug over-dose. Among the unsuccessful suicides; stabbing by sharp devices while in women drug-overdosage was adopted as well.

It is the purpose of this study to make clear the way in which people can lead a more desirable human life, that is, to ascertain the method of achieving therapeutic change through transaction between nurses and psychiatric patients. The various problems proposed by the above-stated aims of study can be shown, such as: What kind of influences does the method of a nurse's communication have upon the response of psychiatric patiants? 1) What are the general methods of communication used by the nurses? 2! Are there any differences between the control group and experimental group in the patients' "Child" response? 3) Are there any differences between the control group and experimental group in the Patients-"Adult" response? 4) What is the most desirable method of communication for therapeutic change in the patients? In an effort to solve the above questions this study attempted and managed to draw a random sampling of 200 patients being accommodated in the National Mental Hospital by dividing them into two groups, experimental groups and conrol groups, and recording the transactions between nurses and patients. In the course of carrying out this study, the experimental group was interviewed by the nurses specially trained in the P.A.C theory, and the control group interviewed at random by the nurses with no special training in communication. Further, the communication between nurses and patients in a free, relaxed atmosphere was allowed only for 15 minutes, whereupon the nurses were requested to make process-recording according to her memory of nurse- patient transaction. The process-recording which recorded a series of transactions between the nurses and the patients-was analyzed according to Berne and Harris' transactional Analysis Standard. Through this standard, the writer of this study examined the significance of difference to compare the transactions brought forth between the experimental group and the control group. The following is a summary of the study which the writer of this thesis undertook. Hypothesis I. The method of communication which the nurses usually apply to the patients will be higher in "Parent" than in "Adult". The communication which the nurses carried out in the control group turned out fo be not significant between "Adult" and "Parent" Accordingly hypothesis 1. came to be rejected. Hypothesis 2. The patients "Adult" response will be higher in the experimental group than in the control group. According to the result of a CR examination, as the communication showed a significant difference on P<.01 level' hypothesis 2 became affirmative. Hypothesis 3. The patients' "Child" response will be higher in the control group than in the experimental group. Hypothesis 3 proved affirmative since it showed an significant degree on P<.01 level according to the result of a CR examination. Hypothesis 4 "Adult" response of the patient will be higher in frequency by nurses' "Adult" stimulus than nurse's "Parent" stimulus Chi-square examination revealed significant differenne on P<.05 level. H-ypo. 4 is affirmed. The following conclusions are drawn out based on the result of this study. 1) The generally used method of communication stimulus used by nurses for patients proved to be "Adult" and "Parent" in similar proportion. 2) The group in which the nurses could increase pthe atients' "Adult" response proved to be higher in the experimental group than in the control group. Therefore, the communication (or stimulus) which has been applied in the experimental group can be said to be possible method of achieving therapeutic change. 3) Since the patients' "Child" response were higher in the control group than in the experimental group the communication method used in the control group was suggested as the less agreeable method of achieving therapeutic change than that used in the experimental group. 4) "Adult" response of patient was elicited in significantly greater percentage when the "Adult" stimulus was used by the nurse. Therefore, the most desirable method of - communication to give therapeutic change definitely was shown to be the "Adult" stimulus. Recommendations for further studies are as follows: 1) Studies on nurses' role perception in nurse-patient relationships. 2) Studies on patients' response to the method of cammunication used by nurses according to variables such as sex, social status, educational background, state of health. 3) Application of T.A. method to various groups of patients. 4) Study of various methods to improve student skill in use of process recording.