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Research Papers
Examination of Predicting Factors for COVID-19 Vaccination Behaviors of University Students Utilizing the Theory of Planned Behavior
Yeon Jeong Heo, Hye-Jin Hyun
J Korean Acad Nurs 2024;54(2):178-192.   Published online May 31, 2024
DOI: https://doi.org/10.4040/jkan.24020
AbstractAbstract PDF
Purpose
This study aimed to examine the predictive factors of COVID-19 vaccination behavior by evaluating the moderating effect of perceived behavioral control on the theory of planned behavior.
Methods
Data were collected from August 6 to August 31, 2022 from 235 college students (aged 20~29 years) across 12 universities using a structured web-based survey. Statistical analyses were conducted using the SPSS and AMOS software.
Results
Attitudes toward COVID-19 vaccination, subjective norms, and intention to be vaccinated significantly influenced COVID-19 vaccination behavior. Attitudes and subjective norms indirectly affected COVID-19 vaccination behavior through intention to vaccinate, whereas intention to vaccinate had a direct effect. The moderating effect of perceived behavioral control on the relationship between subjective norms and intention to vaccinate was significant.
Conclusion
Interventions that foster a positive attitude toward COVID-19 vaccination and bolster subjective norms and perceived behavioral control can boost the intention to be vaccinated and facilitate the uptake of COVID-19 vaccination.
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Influence of Illness Uncertainty on Health Behavior in Individuals with Coronary Artery Disease: A Path Analysis
Hyesun Jeong, Yesul Lee, Jin Sup Park, Yoonju Lee
J Korean Acad Nurs 2024;54(2):162-177.   Published online May 31, 2024
DOI: https://doi.org/10.4040/jkan.23136
AbstractAbstract PDF
Purpose
This study aimed to investigate the influence of uncertainty-related factors on the health behavior of individuals with coronary artery disease (CAD) based on Mishel’s uncertainty in illness theory (UIT).
Methods
We conducted a cross-sectional study and path analysis to investigate uncertainty and factors related to health behavior. The study participants were 228 CAD patients who visited the outpatient cardiology department between September 2020 and June 2021. We used SPSS 25.0 and AMOS 25.0 software to analyze the data.
Results
The final model demonstrated a good fit with the data. Eleven of the twelve paths were significant. Uncertainty positively affected danger and negatively affected self-efficacy and opportunity. Danger had a positive effect on perceived risk. Opportunity positively affected social support, self-efficacy, perceived benefit and intention, whereas it negatively affected perceived risk. Social support, self-efficacy, perceived benefit and intention had a positive effect on health behavior. We found that perceived benefit and intention had the most significant direct effects, whereas self-efficacy indirectly affected the relationship between uncertainty and health behavior.
Conclusion
The path model is suitable for predicting the health behavior of CAD patients who experience uncertainty. When patients experience uncertainty, interventions to increase their self-efficacy are required first. Additionally, we need to develop programs that quickly shift to appraisal uncertainty as an opportunity, increase perceived benefits of health behavior, and improve intentions.

Citations

Citations to this article as recorded by  
  • Health uncertainty: Scale development and its effect on health behaviors
    Rui Ren, Su Tao, Yuhua Ouyang, Wenchong Du
    Journal of Health Psychology.2026;[Epub]     CrossRef
  • Self-Care, Resilience, and Uncertainty in Patients After Coronary Artery Bypass Graft Surgery
    Eun-Hye Park, JiYeon Choi, Phill Ja Kim, Jiyeon Lee
    Journal of Cardiovascular Nursing.2025;[Epub]     CrossRef
  • Association between Coping Profiles and Cardiac Health Behavior among Patients with Coronary Artery Disease: A Latent Profile Analysis
    Yesul Lee, Yoonju Lee, Jeong Cheon Choe, Hyesun Jeong, Sunyoung Jung
    Korean Journal of Adult Nursing.2024; 36(3): 228.     CrossRef
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  • 163 Download
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Effects of a Health Partnership Program Using Mobile Health Application for Male Workers with Cardiovascular Risk Factors in Small and Medium Enterprises: A Randomized Controlled Trial
Eun Jin Kim, Seon Young Hwang
J Korean Acad Nurs 2024;54(1):44-58.   Published online February 29, 2024
DOI: https://doi.org/10.4040/jkan.23090
AbstractAbstract PDF
Purpose
This study aimed to apply a health partnership program using commercially available mobile health apps to improve cardiovascular risk factors in male employees and verify its effectiveness.
Methods
Using a randomized control group pretest-posttest design, male employees with cardiovascular risk factors from five small and medium-sized workplaces were randomly assigned to an experimental group (n = 32) and a control group (n = 31). The experimental group was encouraged to use three mobile health apps for 12 weeks to acquire the necessary cardiovascular disease-related information and practice strengthening training, walking, and diet management appropriate to their level. They also received feedback on their weekly activities and motivational text messages from health partners. Hypotheses were tested using the SPSS WIN 22.0.
Results
The experimental group showed a significant difference compared to the control group in terms of their perception of mobile health app (p < .05), self-efficacy for exercise and diet, self-management partnership, and cardiovascular disease prevention health behavior (p < .001). In particular, there were significant decreases in the body mass index, ratio, serum fasting blood sugar, total cholesterol, and triglyceride in the experimental group (p < .001); however, there was no significant difference in high-density lipoprotein-cholesterol.
Conclusion
Intervention using mobile apps based on partnership with health managers is effective in improving the objective cardiovascular risk index in male employees; therefore, such intervention should be continuously used as a useful lifestyle modification strategy in the workplace.

Citations

Citations to this article as recorded by  
  • Adherence to a Heart-Healthy Lifestyle
    Yura Shin, Jina Choo, Songwhi Noh
    Journal of Cardiovascular Nursing.2025;[Epub]     CrossRef
  • 3,518 View
  • 205 Download
  • 1 Crossref
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Exploring Spatial Variations and Factors associated with Walking Practice in Korea: An Empirical Study based on Geographically Weighted Regression
Eunjoo Kim, Yeongseo Lee, Ju Young Yoon
J Korean Acad Nurs 2023;53(4):426-438.   Published online August 31, 2023
DOI: https://doi.org/10.4040/jkan.23045
AbstractAbstract PDF
Purpose
Walking practice is a representative indicator of the level of physical activity of local residents. Although the world health organization addressed reduction in prevalence of insufficient physical activity as a global target, the rate of walking practice in Korea has not improved and there are large regional disparities. Therefore, this study aimed to explore the spatial variations of walking practice and its associated factors in Korea.
Methods
A secondary analysis was conducted using Community Health Outcome and Health Determinants Database 1.3 from Korea Centers for Disease Control and Prevention. A total of 229 districts was included in the analysis. We compared the ordinary least squares (OLS) and the geographically weighted regression (GWR) to explore the associated factors of walking practice. MGWR 2.2.1 software was used to explore the spatial distribution of walking practice and modeling the GWR.
Results
Walking practice had spatial variations across the country. The results showed that the GWR model had better accommodation of spatial autocorrelation than the OLS model. The GWR results indicated that different predictors of walking practice across regions of Korea.
Conclusion
The findings of this study may provide insight to nursing researchers, health professionals, and policy makers in planning health programs to promote walking practices in their respective communities.
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Moderating the Effects of Health Behaviors on Sexual Intercourse among Adolescents: A CrossSectional Study Using the 2020 Adolescent Health Behavior Survey
Eunmi Lee, Youngran Yang
J Korean Acad Nurs 2022;52(5):499-510.   Published online October 31, 2022
DOI: https://doi.org/10.4040/jkan.22080
AbstractAbstract PDF
Purpose
This study investigated the association between adolescent health behaviors (drinking, smoking, and drug use) and sexual intercourse, as well as the moderating effects of economic status, cohabitation with parents, and school type, among adolescents in Korea.
Methods
Secondary data from the 16th Adolescent Health Behavior Survey (2020) were used. A total of 395 schools and 54,948 middle and high school students participated in the study. Complex sample frequency analysis, the Rao–Scott test, and complex sample logistic regression analyses were performed.
Results
Sexual intercourse rates for men and women were 5.8% and 3.3%, respectively. Approximately 7.3% of high school students and 1.8% of middle school students reported having had sexual relations. Drinking (odds ratio [OR] = 3.15, 95% confidence interval [CI] = 2.82~3.52), smoking (OR = 6.75, 95% CI = 5.90~7.71), and drug use (OR = 3.03, 95% CI = 2.23~4.11) significantly increased the risk of sexual intercourse. Economic status and school type had moderating effects on the association between drinking and sexual intercourse.
Conclusion
Adolescent drinking, smoking, and drug use are associated with a higher risk of sexual experience. Thus, to reduce this risk, controlling alcohol consumption, smoking, and drug use is necessary. In addition, programs for healthy lifestyles and sexual intercourse should be differentiated according to the school type and the economic conditions of the adolescents’ households.

Citations

Citations to this article as recorded by  
  • Public discourse on substance use behavior as a driver of public policy: a scoping review of South Korean academic and official literature
    Meekang Sung, Jihye Han, Carrie G. Wade, Vaughan W. Rees
    Addiction Research & Theory.2025; 33(4): 312.     CrossRef
  • 3,132 View
  • 16 Download
  • 1 Web of Science
  • 1 Crossref
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Development and Evaluation of an Integrated Health Management Program for Psychiatric Patients with Metabolic Syndrome
Yun Bock Kwak, Ji Young Kim
J Korean Acad Nurs 2022;52(3):261-277.   Published online June 30, 2022
DOI: https://doi.org/10.4040/jkan.21222
AbstractAbstract PDF
Purpose
This study developed an integrated health management program for metabolic syndrome in psychiatric patients and examined its effects on self-efficacy, healthy lifestyle, physiological indicators, knowledge of metabolic syndrome, attitudes toward healthy behavior, and social support.
Methods
A non-equivalent control group pretest posttest design was used. The participants were 65 psychiatric patients with metabolic syndrome in psychiatric rehabilitation centers, with 33 in the experimental group and 32 in the control group. The experimental group participants engaged in daily mobile application and walking exercises three times a week for more than 40 minutes over 8 weeks, while those in the control group were provided education booklets. The outcomes were measured using self-report questionnaires, anthropometrics, and blood analyses. Intervention effects were analyzed using the independent t-test, Mann—Whitney U test, ANCOVA, and Ranked ANCOVA.
Results
The experimental group showed a significant increase in self-efficacy (F = 8.85, p = .004, ηp2 = .13) and knowledge of metabolic syndrome (t = 2.60, p = .012, d = 0.60) compared to the control group. Additionally, the experimental group demonstrated a significant decrease in waist circumference (Z = - 2.34, p = .009, d = 0.58) and body mass index (Z = - 1.91, p = .028, d = 0.47) compared to the control group.
Conclusion
The integrated health management program for psychiatric patients with metabolic syndrome is effective in improving self-efficacy and knowledge of metabolic syndrome and decreasing physiological indicators such as waist circumference and body mass index.

Citations

Citations to this article as recorded by  
  • User evaluation of a mobile education application for the management of metabolic syndrome among cancer survivors
    Ji-Su Kim, Minhae Kim, Yeji Seo
    European Journal of Oncology Nursing.2023; 63: 102276.     CrossRef
  • Development and Evaluation of a Web-Based Self-Management Program for Korean Adult Patients with Irritable Bowel Syndrome Based on the Information–Motivation–Behavioral Skills Model
    Seohyeon Hwang, Woori Na, Dayoung Oh, Cheongmin Sohn
    Applied Sciences.2023; 13(12): 6915.     CrossRef
  • Effect of Patient Safety Training Program of Nurses in Operating Room
    Peijia Zhang, Xin Liao, Jie Luo
    Journal of Korean Academy of Nursing.2022; 52(4): 378.     CrossRef
  • 2,543 View
  • 100 Download
  • 4 Web of Science
  • 3 Crossref
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A Prediction Model of Exercise Level in Patients with Ankylosing Spondylitis
Moon Ja Kim, Eun Nam Lee
J Korean Acad Nurs 2022;52(2):157-172.   Published online April 30, 2022
DOI: https://doi.org/10.4040/jkan.21238
AbstractAbstract PDF
Purpose
This study aimed to construct and test a hypothetical model to explain the predictive factors and causal pathways for exercise levels in patients with ankylosing spondylitis based on the self-determination theory. A conceptual framework was constructed assuming that autonomy support by health care providers would satisfy the three basic psychological needs of patients, which would increase their autonomous motivation for exercise, resulting in its initiation and continuation.
Methods
This cross-sectional study included 221 patients with ankylosing spondylitis who were visiting rheumatology clinics in two tertiary hospitals. Health Care Climate Questionnaire-exercise regularly, Basic Psychological Needs Satisfaction scale, Behavior Regulation in Exercise Questionnaire-2, and exercise level were used to collect data.
Results
The fitness of the hypothetical model met the recommended level (χ2/df ≤ 3, SRMR ≤ .08, RMSEA ≤ .08, GFI ≥ .90, AGFI ≥ .85, NFI ≥ .90, TLI ≥ .90, CFI ≥ .90). The model effect analysis revealed that autonomy support by health care providers had a positive effect on patients' autonomy, competence, relatedness, autonomous motivation, and exercise level. Competence and relatedness had positive effects on autonomous motivation and exercise level, respectively. Autonomous motivation had a positive effect on exercise level.
Conclusion
The predictive factors of exercise level in patients with ankylosing spondylitis were autonomous motivation, health care providers' autonomy support, competence, and relatedness. Considering these factors, we recommend the development of an effective program for improving exercise levels in these patients.

Citations

Citations to this article as recorded by  
  • A Structural Equation Model for Low Back Pain Management Behavior in Patients With Spinal Disease
    Raewan Kim, Aekyung Kim
    Pain Management Nursing.2025; 26(1): e107.     CrossRef
  • Exercise and adults with hemophilia: a systematic review and meta-analysis
    Doo Young Kim, Mi Yang Jeon, Young Eun, Da In Jeong
    Journal of Korean Biological Nursing Science.2024; 26(1): 1.     CrossRef
  • 1,242 View
  • 28 Download
  • 1 Web of Science
  • 2 Crossref
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Factors Influencing Health Behavior Compliance in Adult Moyamoya Patients
Bo Eun Kim, Ju-Eun Song
J Korean Acad Nurs 2021;51(1):80-91.   Published online February 28, 2021
DOI: https://doi.org/10.4040/jkan.20222
AbstractAbstract PDF
Purpose
The purpose of this study was to identify factors influencing health behavior compliance in adult patients with moyamoya.
Methods
A descriptive correlation study was conducted to investigate the factors influencing health behavior compliance. Participants were 142 adult patients diagnosed with moyamoya disease who were hospitalized or visited an outpatient clinic in the Gyeonggi province. Data were collected from December 16, 2019 to April 14, 2020 using self-report questionnaires and analyzed using the IBM SPSS 26.0 Win software.
Results
The hierarchical multiple regression analysis demonstrated that self-efficacy (β = .60, p < .001), social support (β = .13, p = .032), and age (β = .21, p = .005) affected the health behavior of adults with moyamoya disease. These 3 variables explained 62.0% of the variance of health behavior compliance, and the most influential factor was self-efficacy.
Conclusion
Based on the results of this study, it concludes that nursing interventions should be focused on self-efficacy and social support to improve health behavior compliance with adult patients diagnosed with moyamoya disease. For that, various strategies to enhance self-efficacy and social support should be developed and actively applied in the clinical setting for adult moyamoya patients.

Citations

Citations to this article as recorded by  
  • Predictors of self-care performance in patients with unruptured intracranial aneurysms
    Hae-Na Woo, Yong-Cheol Lim, Joo Hee Lee, Sun Hyoung Bae
    Scientific Reports.2024;[Epub]     CrossRef
  • 1,399 View
  • 28 Download
  • 1 Web of Science
  • 1 Crossref
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An Exploratory Study on the Policy for Facilitating of Health Behaviors Related to Particulate Matter: Using Topic and Semantic Network Analysis of Media Text
Hye Min Byun, You Jin Park, Eun Kyoung Yun
J Korean Acad Nurs 2021;51(1):68-79.   Published online February 28, 2021
DOI: https://doi.org/10.4040/jkan.20213
AbstractAbstract PDF
Purpose
This study aimed to analyze the mass and social media contents and structures related to particulate matter before and after the policy enforcement of the comprehensive countermeasures for particulate matter, derive nursing implications, and provide a basis for designing health policies.
Methods
After crawling online news articles and posts on social networking sites before and after policy enforcement with particulate matter as keywords, we conducted topic and semantic network analysis using TEXTOM, R, and UCINET 6.
Results
In topic analysis, behavior tips was the common main topic in both media before and after the policy enforcement. After the policy enforcement, influence on health disappeared from the main topics due to increased reports about reduction measures and government in mass media, whereas influence on health appeared as the main topic in social media. However semantic network analysis confirmed that social media had much number of nodes and links and lower centrality than mass media, leaving substantial information that was not organically connected and unstructured.
Conclusion
Understanding of particulate matter policy and implications influence health, as well as gaps in the needs and use of health information, should be integrated with leadership and supports in the nurses’ care of vulnerable patients and public health promotion.

Citations

Citations to this article as recorded by  
  • Online community users’ perceptions of particulate matter in South Korea through topic modeling and semantic network analysis
    Hansol Choi, Yong Pyo Kim, Yungwook Kim, Ji Yi Lee, Hyemi Lee
    Environmental Advances.2025; 20: 100641.     CrossRef
  • Changes in Public Sentiment under the Background of Major Emergencies—Taking the Shanghai Epidemic as an Example
    Bowen Zhang, Jinping Lin, Man Luo, Changxian Zeng, Jiajia Feng, Meiqi Zhou, Fuying Deng
    International Journal of Environmental Research and Public Health.2022; 19(19): 12594.     CrossRef
  • 1,389 View
  • 17 Download
  • 1 Web of Science
  • 2 Crossref
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Original Articles
Effects of BeHaS Program on Health Behavior, Physiologic Index and Self-Esteem of the Elderly Living Alone with Metabolic Syndrome Based on Community Based Participatory Research
Jong Im Kim, Sun Ae Kim, Keumok Park, Jiyoung Kim, Lina Lee, Si Wan Choi, Bon Jeong Ku
J Korean Acad Nurs 2020;50(4):571-582.   Published online August 31, 2020
DOI: https://doi.org/10.4040/jkan.19261
AbstractAbstract PDF
Purpose
This study aimed to determine the effects of a 12-week metabolic syndrome BeHaS (Be Happy and Strong) program in elderly people with metabolic syndrome living alone, based on a community-based participatory research (CBPR).
Methods
A nonequivalent control group pre-posttest design was used, and the participants were 43 elderly people living alone (experimental group 24, control group 19). The experimental group received a one-hour program per week and two individual health consultations during 12 weeks. The control group received two sessions about the metabolic syndrome and two individual health consultations. The effects of health behavior, blood pressure, blood sugar levels, abdominal circumference, triglycerides, and self-esteem were evaluated. The data were analyzed using the independent t-test and Mann-Whitney U test.
Results
The health behavior with respect to the metabolic syndrome in the experimental group increased significantly (t = - 3.19, p = .002). Both diastolic blood pressure and abdominal circumference decreased in the experimental group (t = 2.00, p = .028 and t = 3.91, p < .001). No significant differences were observed between the groups in systolic blood pressure, fasting blood sugar levels, triglycerides, and self-esteem.
Conclusion
The 12-week metabolic syndrome BeHaS program using community resources improves the health of elderly people with metabolic syndrome living alone. Based on these findings, further studies on the effectiveness of the metabolic syndrome BeHaS program and the experiences of those who participated in the CBPR are warranted.

Citations

Citations to this article as recorded by  
  • Development and effects of a customized integrated health management program for older adults living alone: A nonequivalent control-group pre-posttest design
    Mooyong Cho
    Journal of Korean Gerontological Nursing.2025; 27(3): 295.     CrossRef
  • Exploring the Impact of Smart Mobility and ICT Solutions on Older Adults’ Mobility: A Systematic Literature Review
    Chengyuan An
    IEEE Access.2024; 12: 159056.     CrossRef
  • 노인 대사증후군에 효과적인 중재: 체계적 문헌고찰과 메타분석
    서현 이, 슬 구, 유미 서, 선화 반
    Public Health Weekly Report.2023; 16(48): 1633.     CrossRef
  • Comparison of the Effects of Education Only and Exercise Training Combined with Education on Fall Prevention in Adults Aged 70 Years or Older Residing in Elderly Residential Facilities
    Chahwa Hong, Haejung Lee, Misoon Lee
    Journal of Korean Academy of Nursing.2021; 51(2): 173.     CrossRef
  • 1,391 View
  • 34 Download
  • 2 Web of Science
  • 4 Crossref
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Factors Influencing Health Behavior Related to Particulate Matter in Older Adults
Min Kyung Park, Gwang Suk Kim
J Korean Acad Nurs 2020;50(3):431-443.   Published online June 30, 2020
DOI: https://doi.org/10.4040/jkan.19201
AbstractAbstract PDF
Purpose
This study aimed to investigate health behavior related to particulate matter (PM) in older adults and examine the factors affectingit.
Methods
A cross-sectional survey design was used. Data were collected from 150 voluntary older adult participants from Songpa-gu inSeoul. The survey questions measured service perception and experience related to PM, risk perception related to PM, attitude toward riskof PM, and health behavior related to PM.
Results
The average score for health behavior related to PM was 79.37, ranging from 51 to 115.There was a significant positive correlation between health behavior related to PM and risk perception related to PM (r=.58, p <.001) as wellas between health behavior related to PM and attitude toward risk of PM (r=.70, p<.001). Multiple linear regression revealed that healthbehavior related to PM was predicted by levels of the existence of disease related to PM (β=.14, p=.019), service experience related to PM(b=.20, p=.021), risk perception related to PM (b=.20, p=.019), and attitude toward risk of PM (b=.44, p<.001). The model including thesevariables accounted for 47.0% of health behavior related to PM.
Conclusion
Korean older adults have the low level of health behaviorrelated to PM. The findings of this study emphasize that risk perception and attitude toward risk of PM should be evaluated, and theunderlying diseases related to PM and their service experience should be considered in developing intervention to improve health behaviorrelated to PM.

Citations

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  • Development and Validation of the Dust Exposure Reduction Behavior Scale
    Sung Woo Hwang, Hyun Kyoung Kim
    Sage Open.2024;[Epub]     CrossRef
  • Factors Influencing Nursing Graduate Students’ Perception and Behavior Related to Climate Change and Health: A Secondary Data Analysis
    Min Kyung Park, Seoyoung Baek, Da Woon Jeong, Gwang Suk Kim
    Korean Journal of Adult Nursing.2023; 35(1): 71.     CrossRef
  • The association between depression and non‐compliance with COVID‐19 preventive behaviors in South Korean older adults stratified by sex
    Jae Jun Lee, Namhee Kim, Min Kyung Park, Hyunju Ji, Gwang Suk Kim
    International Journal of Geriatric Psychiatry.2023;[Epub]     CrossRef
  • Comparative Evaluation between Particulate Matter Concentrations in Rural Villages in Wanju-gun and the Air Pollution Monitoring Network
    Minji Lee, Dongphil Choi, Kyungsu Kim
    The Korean Journal of Community Living Science.2022; 33(1): 139.     CrossRef
  • Effectiveness of Augmented Reality-Based Education on Fine Dust for the Elderly
    Jung-Rim Huh, Kon-Joon Bhang
    Journal of Digital Contents Society.2021; 22(6): 979.     CrossRef
  • An Exploratory Study on the Policy for Facilitating of Health Behaviors Related to Particulate Matter: Using Topic and Semantic Network Analysis of Media Text
    Hye Min Byun, You Jin Park, Eun Kyoung Yun
    Journal of Korean Academy of Nursing.2021; 51(1): 68.     CrossRef
  • Environmental Factors Related to Non-compliant Health Behaviors in Urban-Dwelling Elderly
    Minkyung Park, Jisu Park, Sunhye Moon, Heejung Kim
    Journal of Korean Gerontological Nursing.2021; 23(4): 361.     CrossRef
  • Factors Affecting Particulate Matter-Related Health Behaviors of Patients with Pulmonary Disease
    Joohee Ham, SeungHye Choi, Smi Choi-Kwon
    Korean Journal of Adult Nursing.2020; 32(5): 504.     CrossRef
  • 1,292 View
  • 27 Download
  • 5 Web of Science
  • 8 Crossref
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Effects of Spouse-Participated Health Coaching for Male Office Workers with Cardiocerebrovascular Risk Factors
So Hee Kang, Seon Young Hwang
J Korean Acad Nurs 2019;49(6):748-759.   Published online December 30, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.6.748
AbstractAbstract PDF
Purpose

This study aimed to examine the effect of spouses participating in health coaching on stage of the change, health behaviors, and physiological indicators among male office workers with cardiocerebrovascular disease (CVD) risk factors and compare the findings with trainers who provided health coaching only to workers.

 Methods

A quasi-experimental pretest-posttest design was used. Convenience sampling was used to recruit participants from a manufacturing research and development company in the city of Gyeonggi province. The health coaching program for the experimental group (n=26) included individual counseling sessions according to workers' stage of change, and provision of customized health information materials on CVD prevention to workers and their spouses for 12 weeks through mobile phone and email.

 Results

After 12 weeks of intervention, the total score for health behavior, and scores on the sub-areas of exercise and health checkups significantly improved in the experimental group, but there were no significant differences in the scores of stage of the change and physical indicators. The results of a paired t-test showed a significant decrease in the body mass index, abdominal circumference, systolic blood pressure, diastolic blood pressure, total cholesterol and triglyceride values, and a significant increase in the high-density lipoprotein cholesterol value in the experimental group after the intervention.

 Conclusion

To improve the health of male workers with CVD risk factors in the workplace, sharing health information with their spouses has proven to be more effective than health coaching for only workers. Therefore, it is important to develop strategies to encourage spousal participation when planning workplace health education for changing health-related behaviors.

Citations

Citations to this article as recorded by  
  • Effects of a Health Partnership Program Using Mobile Health Application for Male Workers with Cardiovascular Risk Factors in Small and Medium Enterprises: A Randomized Controlled Trial
    Eun Jin Kim, Seon Young Hwang
    Journal of Korean Academy of Nursing.2024; 54(1): 44.     CrossRef
  • Effects of a Remote Physical Activity Improvement Program on Male Office Workers with Metabolic Syndrome in Their 30s and 40s with Sedentary Behavior: A Randomized Controlled Trial
    Kyong Sil Park, Seon Young Hwang
    Asian Nursing Research.2024; 18(2): 81.     CrossRef
  • An intervention study of a combined intervention of positioning and hand massage in patients undergoing radiofrequency catheter ablation
    Yun Kyeong Lee, Mihae Im, Haeryun Cho
    Nursing Open.2023; 10(3): 1404.     CrossRef
  • 985 View
  • 5 Download
  • 3 Web of Science
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Effects of a Daily Life-Based Physical Activity Enhancement Program for Middle-Aged Women at Risk for Cardiovascular Disease
Kyung Ae Kim, Seon Young Hwang
J Korean Acad Nurs 2019;49(2):113-125.   Published online April 30, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.2.113
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the effects of a daily life-based physical activity enhancement program performed by middle-aged women at risk for cardiovascular disease.

 Methods

This study used a randomized control group pretest-posttest design. Middle-aged women aged 45 to 64 were recruited from two outpatient cardiology departments, and randomly assigned to an experimental group (n=28) and a control group (n=30). For the experimental group, after providing one-on-one counseling and education, we provided customized text messages to motivate them in daily life. To monitor the practice of physical activity, they also used an exercise diary and mobile pedometer for 12 weeks. Subjects' physical activities (MET-min/week) were measured using the International Physical Activity Questionnaire (IPAQ). Their physiological data were obtained by blood tests using a portable analyzer, and the data were analyzed using the SPSS 21.0/WIN program.

 Results

There were significant differences in exercise self-efficacy, health behavior, IPAQ score, body fat, body muscle, and fasting blood sugar between the two groups. However, there were no significant differences in total cholesterol, hemoglobin A1c, high-density lipoprotein cholesterol, and waist-to-hip ratio.

 Conclusion

Strengthening physical activity in daily life without being limited by cost burden and time and space constraints. Therefore, it is essential to motivate middle-aged women at risk for cardiovascular disease to practice activities that are easily performed in their daily lives.

Citations

Citations to this article as recorded by  
  • Development and effectiveness of a mobile-based autonomy support program for the prevention of metabolic syndrome in middle-aged women
    Miseon Seo, Eun-Young Jun, Hyunjin Oh
    Frontiers in Public Health.2024;[Epub]     CrossRef
  • Effects of a Remote Physical Activity Improvement Program on Male Office Workers with Metabolic Syndrome in Their 30s and 40s with Sedentary Behavior: A Randomized Controlled Trial
    Kyong Sil Park, Seon Young Hwang
    Asian Nursing Research.2024; 18(2): 81.     CrossRef
  • Effects of Breathing Exercises Using Virtual Reality and Schroth Breathing Exercises on the Lung Function of Adults in Their 20s
    Byung-Kon Kim, Wook-Jin Lee
    The Journal of Korean Physical Therapy.2024; 36(2): 67.     CrossRef
  • Effectiveness of physical activity monitors in adults: systematic review and meta-analysis
    Rasmus Tolstrup Larsen, Vibeke Wagner, Christoffer Bruun Korfitsen, Camilla Keller, Carsten Bogh Juhl, Henning Langberg, Jan Christensen
    BMJ.2022; : e068047.     CrossRef
  • Trajectories of subjective health status among married postmenopausal women based on the ecological system theory: a longitudinal analysis using a latent growth model
    Eun Jin Kim, Ju-Hee Nho
    Korean Journal of Women Health Nursing.2022; 28(2): 123.     CrossRef
  • Effect and mechanism of tai chi on blood pressure of patients with essential hypertension: a randomized controlled study
    Bo LIN, Qiu JIN, Chunhua LIU, Wenhui ZHAO, Runyuan JI
    The Journal of Sports Medicine and Physical Fitness.2022;[Epub]     CrossRef
  • The effect of behaviour change interventions on changes in physical activity and anthropometrics in ambulatory hospital settings: a systematic review and meta-analysis
    Stephen Barrett, Stephen Begg, Paul O’Halloran, Owen Howlett, Jack Lawrence, Michael Kingsley
    International Journal of Behavioral Nutrition and Physical Activity.2021;[Epub]     CrossRef
  • Factors related to the Identification of Middle-Aged Women Who are Disadvantaged by Cardio-cerebrovascular Disease
    Moon Jung Kang, Jee Seon Yi, Chang Seung Park
    Korean Journal of Women Health Nursing.2018; 24(2): 185.     CrossRef
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The Effects of Utilizing Smartphone Application Peer Support on Health Behavior and Body Mass Index among Breast Cancer Survivors
Gaeun Park, Haejung Lee, Hyun Yul Kim
J Korean Acad Nurs 2019;49(5):550-561.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.5.550
AbstractAbstract PDF
Abstract Purpose

This study aimed to identify the effects of utilizing Smartphone Application Peer Support (SAPS) on health behavior and body mass index (BMI) among overweight or obese breast cancer survivors (BCS).

 Methods

A nonequivalent control group with a non-synchronized design was utilized and 36 participants (experimental group 14, control group 22) were recruited from August 2017 to September 2018. Participants were 40~65 years old, overweight or obese, had completed primary cancer treatment within the 12 months prior to the study, and had not done regular exercise during the last 6 months. The 3-month SAPS consisted of exercise and diet education (once p/2 weeks), peer support (once p/week), and self-monitoring using smartphone applications (5 times p/week). All participants underwent assessments at baseline, right after SAPS, and at 3 months after SAPS. Data were analyzed using repeated measures ANOVA.

 Results

At the completion of SAPS significant differences were found between groups in motivation for exercise (t=-3.24, p=.005), physical activity (t=-4.15, p<.001), total calorie intake (t=3.42, p=.002), calories from fat (t=-3.01, p=.005), intake of vegetables (t=-2.83, p=.008), and BMI (t=5.21, p<.001). Significant differences in BMI (t=4.13, p<.001) remained up to 3 months after SAPS completion. No significant differences was shown between groups in self-efficacy for exercise, either immediately after or 3 months after SAPS.

 Conclusion

The SAPS has the potential to improve motivation for exercise, health behavior, and BMI of BCS. However, special efforts are required to encourage participants to complete the intervention and maintain long-term effects for future trials.

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  • Efficacy of Mobile App–Based Dietary Interventions Among Cancer Survivors: Systematic Review and Meta-Analysis
    Krista Ching Wai Chung, Naomi Takemura, Wendy Wing Tak Lam, Mandy Man Ho, Antoinette Marie Lee, Wynnie Yuen Yee Chan, Daniel Yee Tak Fong
    JMIR mHealth and uHealth.2025; 13: e65505.     CrossRef
  • Development and Evaluation of an App-Based Self-Management Program for Exercise Practice of Breast Cancer Survivors: A Non-Randomized Controlled Trial
    Suyoun Maeng, Jungok Yu
    Journal of Korean Academy of Nursing.2024; 54(2): 250.     CrossRef
  • Effects of an integrated lifestyle intervention for overweight and obese breast cancer survivors: A quasi-experimental study
    Su Jin Seo, Ju-Hee Nho
    European Journal of Oncology Nursing.2024; 73: 102714.     CrossRef
  • User evaluation of a mobile education application for the management of metabolic syndrome among cancer survivors
    Ji-Su Kim, Minhae Kim, Yeji Seo
    European Journal of Oncology Nursing.2023; 63: 102276.     CrossRef
  • Effectiveness of Digital Health on the Quality of Life of Long-Term Breast Cancer Survivors: A Systematic Review
    Gustavo Adolfo Pimentel-Parra, M. Nelia Soto-Ruiz, Leticia San Martín-Rodríguez, Paula Escalada-Hernández, Cristina García-Vivar
    Seminars in Oncology Nursing.2023; 39(4): 151418.     CrossRef
  • Effectiveness of a virtual reality application‐based education programme on patient safety management for nursing students: A pre‐test–post‐test study
    Jae Woo Oh, Ji Eun Kim
    Nursing Open.2023; 10(12): 7622.     CrossRef
  • Effects of smart-care services program for breast cancer survivors
    Bok Yae Chung, Sung Jung Hong
    The Journal of Korean Academic Society of Nursing Education.2021; 27(2): 95.     CrossRef
  • The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea
    Su-Jin Seo, Ju-Hee Nho, Youngsam Park
    Korean Journal of Women Health Nursing.2021; 27(3): 243.     CrossRef
  • Peer‐supported lifestyle interventions on body weight, energy intake, and physical activity in adults: A systematic review and meta‐analysis
    Siew Lim, Wai Kit Lee, Andy Tan, Mingling Chen, Chau Thien Tay, Surbhi Sood, Stephanie Pirotta, Lisa J. Moran, Meena Daivadanam, Ljoudmila Busija, Helen Skouteris, Mamaru A. Awoke, Briony Hill
    Obesity Reviews.2021;[Epub]     CrossRef
  • Application and evaluation of mobile nutrition management service for breast cancer patients
    Ji Hee Choi, Seon-Joo Park, Hee Kwon, Hae-Jeung Lee
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Effectiveness of Health Promotion Program Using Action Planning Strategy for Young Adults
Su Hyun Kim, Min Ji Kim, Sang Hee Kim, So Yeon Kim, Chae Yeon Park, Jee Yun Bang
J Korean Acad Nurs 2019;49(4):461-471.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.4.461
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to evaluate the effectiveness of a health promotion program utilizing action planning strategy for young adults.

 Methods

A non-equivalent control group pre-post-test design was used. One hundred three university students participated in the study. Participants in the experimental group (n=51) were provided the health promotion program utilizing action planning strategy for five weeks. The program consisted of weekly sessions that included action planning and group feedback. The control group (n=52) was provided with health information every week for 5 weeks. Program outcomes, including self-efficacy, physical activity health behaviors, total exercise time per week, daily cigarette consumption, frequency of alcohol drinking per month, nutritional health behaviors, and subjective health status, were assessed at baseline and at follow-up after 5 weeks.

 Results

The participants in the experimental group demonstrated significant increases in self-efficacy, physical activity health behaviors, weekly exercise time, and nutritional health behaviors and significant decreases in daily cigarette consumption than those in the control group.

 Conclusion

The health promotion program utilizing action planning strategy is a brief and effective intervention to promote health behaviors among young adults. Further investigation is warranted to assess the program's effectiveness among other age groups and populations at high risk for chronic illness.

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  • Meta-Analysis of Implementation Intentions Interventions in Promoting Physical Activity among University Students
    Sanying Peng, Ahmad Tajuddin Othman, Ahmad Zamri Khairani, Zhuang Zhou, Xiaogang Zhou, Fang Yuan, Jinghong Liang
    Sustainability.2023; 15(16): 12457.     CrossRef
  • Validation of Types of Body Pain Areas and Related Factors in the Korean Aged Using Latent Class Analysis
    Sang Ye Shin, Eun Suk Lee
    Research in Community and Public Health Nursing.2023; 34: 22.     CrossRef
  • E-Questionnaire on health knowledge, attitudes and practices (KAP-Health) for Brazilian students in distance learning
    Jane Biscaia Hartmann, Amanda Tribulato Rego, Julia Vieira Khoury, Marcelo Picinin Bernuci, Mirian Ueda Yamaguchi
    Global Health Action.2023;[Epub]     CrossRef
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Structural Equation Modeling of Self-Care Behaviors in Kidney Transplant Patients Based on Self-Determination Theory
Hye Won Jeong, Hyang Sook So
J Korean Acad Nurs 2018;48(6):731-742.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.6.731
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to test a hypothesis explaining direct and indirect relationships among the factors affecting self-care behaviors of kidney transplant patients, based on self-determination theory.

 Methods

Data were collected from 222 outpatients with kidney transplantation. The endogenous and exogenous variables of the hypothetical model consisted of healthcare provider's autonomy support, duration after kidney transplantation, basic psychological need satisfaction, autonomous and controlled motivation, depression, and self-care behaviors. Collected data were analyzed using SPSS/WIN 24.0 and AMOS 24.0.

 Results

The hypothetical model demonstrated a good fit: RMSEA=.06, SRMR=.04, TLI=.94, CFI=.97. Statistically significant explanatory variables for the self-care behaviors of kidney transplant patients were duration after transplantation and basic psychological need satisfaction. Healthcare provider's autonomy support was indirectly significant, while autonomous motivation, controlled motivation and depression were not statistically significant for self-care behaviors. The variables accounted for 59.5% of the self-care behaviors of kidney transplant patients.

 Conclusion

It is necessary to develop an autonomy support program for healthcare providers to enhance the self-care behaviors of kidney transplant patients. Preventing the deterioration of self-care behaviors will be possible by conducting this program at one year and six years post-transplantation. In addition, the results suggest the need to developing personalized autonomy support programs for healthcare providers that can meet the basic psychological need satisfaction of kidney transplant patients.

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  • The Influence of Sleep Disorder, Depression, and Resilience on Self-care Performance in Hemodialysis Patients: A Cross-Sectional Study
    Eun-Young Hong, Hun Ha Cho
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2025; 34(3): 287.     CrossRef
  • Associations between Health Literacy, Autonomy Support, and Health Behavior Adherence in Premature Coronary Artery Disease Patients: A Cross-Sectional Survey
    Seong Rae Cho, Yeojin Yi
    Korean Journal of Adult Nursing.2025; 37(4): 436.     CrossRef
  • Predictors of self-care in kidney transplant patients according to preoperative dialysis: A comparative study
    Hyeiyeon Im, Hye-Young Jang
    Heliyon.2024; 10(24): e40237.     CrossRef
  • Validation of the Korean Version of the Health Care Climate Questionnaire among Cancer Survivors
    Hyun-E Yeom, Jungmin Lee, Young-Joo Kim
    Healthcare.2024; 12(3): 323.     CrossRef
  • Causal Model of Autonomous Motivation to Modify Dietary Behavior among People with Early-stage Chronic Kidney Disease
    Anucha Taiwong, Tipaporn Wonghongkul, Chiraporn Tachaudomdach, Chomphoonut Srirat
    Pacific Rim International Journal of Nursing Research.2024; 28(2): 280.     CrossRef
  • Factors influencing the self-management of kidney transplant patients based on self-determination theory: a cross-sectional study
    Mi Kyung Sim, Sun Young Son, Man Ki Ju
    Korean Journal of Transplantation.2022; 36(1): 37.     CrossRef
  • Factors associated with health-related quality of life in kidney transplant recipients in Korea
    Younghui Hwang, Misook Kim, Kyoungok Min, Frank JMF Dor
    PLOS ONE.2021; 16(3): e0247934.     CrossRef
  • A Predictive Model of Sleep Quality of the Older Adults with Low Back Pain
    Misoon Lee, Haejung Lee, Sookyung Hyun, Seon-Hwa Ban
    Korean Journal of Adult Nursing.2021; 33(4): 305.     CrossRef
  • Feasibility and preliminary effects of a theory-based self-management program for kidney transplant recipients: A pilot study
    Hye Won Jeong, Chi Eun Song, Minjeong An, Lucy E. Selman
    PLOS ONE.2021; 16(6): e0248947.     CrossRef
  • Factors Influencing Self-Care Behaviors of Renal Dialysis Patients
    Yoonjung Kim, Sanggeon Park
    STRESS.2019; 27(4): 320.     CrossRef
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Development of Health Behavior Assessment Tool of the Korean Elders
Young Hee Choi, Soon Yi Kim
Journal of Nurses Academic Society 1997;27(3):601-613.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.3.601
AbstractAbstract PDF

This project was conducted using a survey method and through interviewing with four persons aged 60 years and over. An interview with an open-ended questionnaire was also used for elderly persons, families, oriental medicine doctor and nurses. topic-related literature review was also done. In total, 382 statements were derived. For content validity, nursing professionals were involved in this study. From that 48 items are developed. The subjects were 340 elderly persons over 60 years old. Data were collected during February and March 1997 and analyzed using the SPSS package The result are as follows. 1. Items with low Cronbach Coefficient alpha which means low correlation with total items were removed. 2. Factor analysis was done in order to confirm construct validity and eight factors were obtained from the results. The first factor, 'positive cognition of the aging process', the second factor, 'relationship network' the third factor, 'maintenance of physical functioning, the fourth factor', 'maintenance of peaceful mind' the fifth factor, 'keeping up with daily tasks' the sixth factor, 'continuous adequate body movement' the seventh factor, 'involvement of religion in the elderly person's life and the eight factor', 'appropriate resting'. Cronbach Coefficient alpha for the 33 items was .9127 Based on the result, the following is suggested 1. It is anticipated that the fundamental health of elderly person could be promoted by assessing healthy behaviors of elderly person with this assessment tool. 2. Further studies could be derived from this research. 3. Validity of this assessment tool should be further tested with and a larger sample of elderly person including in-patient elderly persons as well as nursing home residents.

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  • Mediating Effect of Health Behavior between Meaning in Life and Happiness Related to Aging among Commuity-dwelling Older Adults During COVID-19: A Cross-Sectional Study
    Eun-Ju Mun, Jin-Hwa Park
    Journal of Korean Gerontological Nursing.2022; 24(3): 311.     CrossRef
  • Study of the Successful Aging of the Elderly Women in Rural Area
    So Hee Shin, Keum Seong Jang, On Choi
    Journal of Health Informatics and Statistics.2019; 44(2): 198.     CrossRef
  • HEALTH-PROMOTING BEHAVIORS OF Older Adults Compared to Young and Middle-Aged Adults in Korea
    Mee Ock Gu, Young Eun
    Journal of Gerontological Nursing.2002; 28(5): 46.     CrossRef
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College Women's Health Concept and Health Behavior
Shin Jeong Kim, Eun Sook An
Journal of Nurses Academic Society 1997;27(2):264-274.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.2.264
AbstractAbstract PDF

The purpose of this study was to explore the health concept of college women and their pattern of health behavior. The research was a descriptive method using a self-report questionnaire which include open-ended questions. The subjects were 195 college women ages from 19 to 25 years. The results of this study were as follows : 1. Perceived health Concepts by College women were physical well - being, powerfulness, ability of role performance, ability of social adaptation, emotional stability, satisfactory life, harmony. 2. Health behaviors cleanliness by college women were : taking food selectively, maintaining cleanliness, making an effort to be healthy, avoiding stimulants, living positively, relaxing physically, endeavoring to maintain physical function.

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Perceived Weight and Health Behavior Characteristics Normal and Over-weight Middle-aged Women
Hyun Sook Jo
Journal of Nurses Academic Society 1996;26(2):387-398.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.2.387
AbstractAbstract PDF

The objective of this study was to clarify whether there are any differences between normal and over-weight middle-aged(40~59yrs)women in their perceived weight, health status, health conception and health behavior choices. The sample consisted of 39 normal weight and 55 over-weight (11% above on the Body Index Scale) women who live in Juan, Inchon. The Participants were randomly selected in each weight group considering socio-demographic factors. The findings from this study are summarized below. 1) Among the 55 overweight middle-aged women, 16 were above 20% on the Body Index Scale and 14 were above 30%. Twenty-fivc(45.5%) of the overweight group and 12(30.8%) of the normal weight group had one disease, and there were 12(21.8%) in the overweight group and 8(20.5%) in the normal weight group where one of the family members had a disease, but these differences were not statistically significant. The average monthly family income for the overweight group was won 1,880,000 compared to won 2,140,000 for the normal weight group, but this difference was also not significant. The age range for the whole group was between 40 and 59(mean=46.8 for total, 48.6 for overweight and 45.7 for normal weight group). Again no significant difference found. Occupations were housemaker 53(56.4%), private business(13.8%), salarywoman(9.6%), and teacher(2.1%). Thirty housemaker(54.5%) from the overweight group and 23(59%) from the normal group did not constitute a statistically siganificant different. For the educational status, 34(61.8%) of the overweight women and 33(84.6%)of the normal weight group finifished high school or more educational courses, but there was no significant statistical difference. Elven(20.0%) of the overweight women and 5(12. 8%) of the normal weight group were single, but again no significant statistical difference was found. 2) A test for difference in health characterisics between two weight groups indicated that two groups do not show statistical differences in their perceived health status, health conception or health behavior choice. That is, the overweight group, also perceive their health status as good as the normal group, and regard 'Health' as a state that enables them to carry out social roles and functions rather than as the traditional concept of health as no disease or no symtoms. Moreover, the overweight group selected their health behaviors not for the prevention of diseases or maintenance of health but for promotion of health. To determine if no statistical difference might be related to the overweight group's failure of perceive themselves as overweight, the perceived and objective overweight status were compared by the chi-square analysis, and no difference was found(X2=49.37, df=l, p=.000). However, 7(17.9%) of the normal group perceived themselves as being overweighted and 7(12.7%) of the overweight group thought they were of normal weight. Even though the overweight group employed in this study perceived themselves as being overweight, they regarded themselves as healthy as those in the normal weight group. It was shown that there was no statistical difference between two groups in health conception, and that they chose health behaviors to promote health status. 3) Perceived health conception was shown to be significantly related to health behavior choice (r= .28, p=.006 for whole group: r=.33, p=.014 for overweight group: and r=.12, p=.463 for normal group). There was an indication that the more complicated the perceived health conception was, the more the trend of health behavior choice to promote health. This was especially true for the overweight group. But, the perceived health status did not related to health behavior choice statistically(r=.13, p=.202), and it was thought that reasons for selecting health behaviors were not related to their health status. That is, the overweight group perceive themselves as healthy as the normal weight group or thought that overweight itself does not incur any risk on their health. Data from two groups were combined and analyzed with multiple regression methodology, because the relationship pattern of the two groups was similar. The analysis showed that health behavior has a significant relationship with age and the perceived health conception(r2=. 1517, p=.05, F=8.133). It means they come to health behavior along with their health conception and their age rather than their weights, perceived weight, health status or other social characteristics. This study was intended to understand how overweight middle-aged women perceive 'weight' and 'health', and how they meet their health related needs in comparison with normal weight middle-aged women. Other factors related to the health behavior in overweight middle-aged woman need to be determined through further descriptive studies outlined in the following recommendations, a) Reseach with the study area expanded. b) Reseach with grouping more detailed: much more overweight and underweight group c) Reseach on restricted relationship between overweight and age or profession. d) Reseach on what overweight middle-aged women do to reduce their weight and what factors motivate them to do it.

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  • Characteristics of the Health Factors in 45~60 Year Old Korean Women related to Menopausal Stages - Based on 2008~2009 Korean National Health and Nutrition Examination Survey -
    Hye-Jin Lee, Kwang-Hyun Cho, Kyung-Hea Lee
    Korean Journal of Community Nutrition.2012; 17(4): 450.     CrossRef
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Social Support, Stressful Life Events, and Health Behaviors of Korean Undergraduate Students
Young Joo Park, Sook Ja Lee, Ka Sil Oh, Kyoung Ok Oh, Jeong Ah Kim, Hee Soon Kim, Sang Soon Choi, Sung Eun Yi, Choo Ja Chung, Hoa Yun Jun
Journal of Korean Academy of Nursing 2002;32(6):792-802.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.6.792
AbstractAbstract PDF

PURPOSE: This cross-sectional study was designed to explore the relationship among social support, experienced stressful life events and health behaviors of Korean undergraduate students, and validate the mediator effect of social support. METHOD: One thousand four hundred fifty-three undergraduate students were randomly selected from five universities located in the middle area of Korea. RESULT: The health behaviors of Korean undergraduates tend to have unhealthy patterns. In the case of the students living without family, experiencing more stressful life events and perceiving lower social support, health behaviors are poor. The relationship between perceived social supports, the frequency of the experienced stressful life events and the score of health behavior patterns is statistically significant. After controlling the effect of social support, the correlation coefficient between the frequency of experienced stressful life events and the score of health behavior patterns was slightly lower. The score of health behaviors between the group with an extremely high score of social support and the group with an extremely low score were statistically significantly different. CONCLUSION: Future studies need to be pursued to develop various strategies such as a health education programs and counseling programs for health maintenance and health promotion of undergraduates.

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    Mi-Kyoung Cho, Mi Young Kim, Gisoo Shin
    The Open Nursing Journal.2021; 15(1): 55.     CrossRef
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    Min Jung Kim, Yong Soon Shin
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    Jiah Yoo, Yuri Miyamoto
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    Mi Young Kim, Yu Jeong Kim
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    Sun-Jung KIm, Eun-Young Jung
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  • An Influencing Health Promoting Behavior of Perceived Health Status and Self-Efficacy according to major of college students
    Hee-Joo Lee
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    Goo-Churl Jeong
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  • Factors Influencing Health Promotion Behaviors of College Students
    Hwanhui Sim, Misook Kim, Kyeongsook Jeong, Jeeun Heo, Eunjung Choi
    Korean Journal of Health Education and Promotion.2014; 31(3): 97.     CrossRef
  • Factors Affecting Depression of Korean Female University Students
    Kyung-Sook Lee, Chin-Kang Koh, Joo Hyun Kim, Haeng-Mi Son, Mi Ryeong Song, Su Jeong Yu, Kyung Sook Cho
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    Mi-Ok Kim, Mi Yu, Se-Jin Ju, Kyeong-Suk Kim, Jung-Hyun Choi, Hee-Jeong Kim
    Korean Journal of Health Education and Promotion.2013; 30(3): 35.     CrossRef
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A Study on Health Behavior Experience of Middle-aged Women in Rural Area
Jin Hyang Yang
Journal of Korean Academy of Nursing 2002;32(5):694-705.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.5.694
AbstractAbstract PDF

PURPOSE: The purpose of this study is to describe the health behavior experience of middle-aged Korean women in rural areas, and to help understand their health practice, perceive their nursing needs and provide guidelines to developing appropriate nursing interventions. METHOD: The participants were 18 healthy middle-aged women living in rural areas, with no serious illness that require hospitalization. The data was collected through interviews and participant observation, analyzed by the grounded theory methodology of Strauss and Corbin(1997). The data collection period was from April to November of 2001. RESULT: Depending on the paradigm model, the central phenomenon was family-oriented pursuing of yangsaeng. The causal condition was less confidence on one's own health, responsibilities in caring for family. The contexts were cultural system. The intervening condition was information system, support system, limitation of approaching a medical institution. The action/ interaction strategies were yangsaeng through dietary practice, yangsaeng through promoting clothing and housing, yangsaeng through exercise, practice of folk therapy, yangsaeng through mental hygiene, and use of medical institution. The consequences were stabilization of body and mind, and stabilization of family. CONCLUSION: It is recommended for nurses to understand health behavior experience of middle-aged women, and provide nursing intervention with theoretical scheme and practical principles so that these women can pursue the family-oriented process of yangsaeng.

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  • An Ethnographic Study on the Health related Lifestyles for Sea Women of Jeju
    김필환, Kim,Yeong-Kyeong
    Qualitative Research.2017; 18(1): 114.     CrossRef
  • Evaluation of Anthropometric Characteristics, Bone Density, Food Intake Frequency, Nutrient Intakes, and Diet Quality of Preand Postmenopausal Women : Based on 2008∼2011 Korean National Health and Nutrition Examination Survey
    Soon Nam Choi, Kwang Hyun Jho, Nam Yong Chung
    Journal of the East Asian Society of Dietary Life.2017; 27(5): 500.     CrossRef
  • Content Analysis of Hwa-byung Awareness in Middle-Aged Women
    Sun-Jung Park, Eun-Young Choi
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(2): 1304.     CrossRef
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    Eun-Hyun Lee, Young Whee Lee, Kwan-Woo Lee, Moonsuk Nam, Yong Seong Kim, Seung Jin Han
    Journal of Transcultural Nursing.2015; 26(3): 270.     CrossRef
  • The relationship between Intake of Health Foods and Dietary Behavior in Middle-Aged Women
    Mi-Hee Kim, Hye-Jin Lee, Mi-Jeong Kim, Kyung-Hea Lee
    Korean Journal of Community Nutrition.2014; 19(5): 436.     CrossRef
  • Evaluation of Diet Quality according to Self-Rated Health Status of Korean Middle-Aged Women -Based on 2008~2009 Korean National Health and Nutrition Examination Survey-
    Hye-Jin Lee, Kyung-Hea Lee
    Journal of the Korean Society of Food Science and Nutrition.2013; 42(9): 1395.     CrossRef
  • The Related Factors Influencing on Self-rated Health Level of Middle-aged Women
    Hyejin Lee, Kyung-Hea Lee, Eunkyung Kim, Mi-Jung Kim, Suk-Man Hwang
    Korean Journal of Community Nutrition.2012; 17(3): 290.     CrossRef
  • Effects of Aroma Self-Foot Reflexology Massage on Stress and Immune Responses and Fatigue in Middle-Aged Women in Rural Areas
    Ja Ok Kim, In Sook Kim
    Journal of Korean Academy of Nursing.2012; 42(5): 709.     CrossRef
  • Climacteric and Menopausal Women's Beliefs on Daily Meals and Food Supplements - A Focus Group Interview Study -
    Jeong-Soon Pyun, Mi Jeong Kim, Kyung-Hea Lee
    Korean Journal of Community Nutrition.2011; 16(2): 239.     CrossRef
  • Effects of Self-Efficacy Promotion Program on Self-Efficacy, Self-Care Behavior, and Quality of Life in Breast Cancer Patients Receiving Radiotherapy
    Hea-Kyoung Ko, Geum Ja Park
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    Hyun Kyung Kim, Mi Ja Kim, Chang Gi Park, Hyeon Ok Kim
    Journal of Advanced Nursing.2009; 65(4): 836.     CrossRef
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The Relationship between Bathing and Health Status
Hee Jung Choi, Eun Ok Lee
Journal of Korean Academy of Nursing 2002;32(4):519-528.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.4.519
AbstractAbstract PDF

PURPOSE: The purpose of this study was to test the relationship between health status and bathing. METHOD: The population of this study consisted of females, above age 20 in urban areas in order to control the effects of extraneous variables, resident areas, gender, and age. Four hundred and twenty-eight (428) women were interviewed with a structured questionnaire. Medical Outcomes Study Short Form (SF)-36 Health Survey assessed individual health status. Bathing behavior and attitudes toward bath have been measured with questionnaires designed by the authors. RESULT: The most popular bathing type was shower (46.8%). The preferred type of bath was related to health status. A common purpose of the tub-bath was relieving fatigue and hygiene, but the other purposes were different on the subjects health status. Persons with low health status took frequently tub-baths for health. Attitudes toward bath were related to health status. Women with low scores in physical health recognized more physical effects of bath than psychological effects or hygenic effects. CONCLUSION: Bathing included physical and psychological dimensions and was related to health status.

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Effects of Cardiac Rehabilitation Teaching Program on Knowledge Level and Compliance of Health Behavior for Patients with Myocardial Infarction
Hye Sun Jeong, Hee Seung Kim, Yang Sook Yoo, Jung Soon Moon
Journal of Korean Academy of Nursing 2002;32(1):50-61.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.1.50
AbstractAbstract PDF

PURPOSE: The purpose of this study was to investigate the effects of cardiac rehabilitation teaching program on knowledge level and compliance of health behavior for the patients with myocardial infarction.
METHOD
The subjects were 47 patients 23 were assigned to the experimental group and 24 were for the control. The cardiac rehabilitation teaching program is a individualized teaching program which was delivered to the experimental group during hospitalization period by present researcher. Data were collected through questionnaire surveys for knowledge level and compliance of health behavior from September 15, 1999 to December 31, 2000. The collected data was analyzed by using the SAS program.
RESULTS
1. With regard to the knowledge scores 1) The total knowledge level in the experimental group was significantly higher than in the control group. 2) As to the knowledge domains, nature of disease, risk factors, diet, medication, exercise, and daily activities were significantly higher in score in the experimental group than in the control group. 2. With regard to the compliance of health behavior 1) The average compliance with good health behavior was significantly higher in the experimental group than in the control group. 2) As to the health behavior domains smoking cessation, diet, stress management, regular exercise, and other measures for lifestyle modification were significantly higher in score in the experimental group than in the control group. 3. The pre-treatment knowledge score was positively correlated to the post-treatment knowledge score and post-treatment knowledge score was positively correlated to the post-treatment compliance of health behaviors.
CONCLUSION
The above findings indicate that the cardiac rehabilitation teaching program for the experimental group was effective in increasing level of knowledge and improvement f compliance with good health behavior of patients with myocardial infarction.

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    Ho Gi Jung, Ya Ki Yang
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    Hyun Hee Park, Gye Seon Jeong
    Korean Journal of Adult Nursing.2021; 33(2): 102.     CrossRef
  • The Effects of Smart Program for Patients Who Underwent Percutaneous Coronary Intervention (SP-PCI) on Disease-Related Knowledge, Health Behavior, and Quality of Life: A Non-Randomized Controlled Trial
    Jueun Lee, Haejung Lee
    Journal of Korean Academy of Nursing.2017; 47(6): 756.     CrossRef
  • Effects of an Individualized Cardiac Rehabilitation Education Program on Knowledge about Coronary Artery Disease, Compliance of Sick Role, and Vascular Health Status in Patients of Percutaneous Coronary Intervention
    Kyung Sim Lee, Kyung Mi Sung
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  • Development and Application of a Self-management Program based on Prothrombin INR Monitoring for Patients with Cardiac Valve Replacement
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The Influencing Factors on Health Behavior of Patients with Coronary Artery Disease
Young Whee Lee, Hwa Soon Kim, Eui Young Cho
Journal of Korean Academy of Nursing 2002;32(1):40-49.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.1.40
AbstractAbstract PDF

PURPOSE: The purpose of this study was to investigate the influencing factors on health behavior among patients with coronary artery disease.
METHOD
The subjects were 95 patients who visited the out-patient department of a university hospital for follow-up. The four health belief concepts (motivation, benefit, barrier, seriousness), general self-efficacy, health behaviors on medication, diet, exercise, stress management, smoking, and drinking were measured.
RESULT
There were significant differences in the health behavior scores of subjects according to family support and the experience of surgical procedure. Subjects were found to have a high degree of compliance in taking medication. However subjects reported the lowest degree of compliance in regular exercise. In the multiple regression analysis, surgical procedure and motivation were significant predictors to explain diet. Motivation and barrier were significant predictors to explain exercise. Self-efficacy, motivation and family support were significant predictors to explain stress management. Family support and seriousness explained 16% of variance in drinking. Also, family support explained 30% of variance in smoking.
CONCLUSION
Since predicting factors on each health behavior indicator were different, then nurses should consider these differences to construct strategy enhancing patient's recovery.

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    Hyoung Sook Park, Yun Seo Jung, Young Mi Kim, Jae Hyun Hwang
    Journal of Korean Academy of Fundamentals of Nursing.2020; 27(1): 64.     CrossRef
  • Influence of Disease-related Knowledge, Depression, and Family Support on Health Behaviors in Older Patients with Coronary Artery Disease
    Ji Mi Mun, So Young Shin
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    So Hee Kang, Seon Young Hwang
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    Soonhee Kim, Sunhee Lee
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    Hye Jin Yang, Hee-Young Kang
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A Study on Physiological Parameters, Health Perception, and Health Behavior of Adults in Kyungi Province Area
Ae Kyung Han, Dong Sook Cho
Journal of Korean Academy of Nursing 2001;31(4):631-640.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.4.631
AbstractAbstract PDF

PURPOSE: The purpose was to investigate the physiological parameters and health perception of adults in Kyungi province area, and the correlation between these variables. The subjects were 95 adults who participated voluntarily in the health examination program.
Methods
The instruments for this study were physiological parameters, which were composed of blood pressure, blood sugar, and body fat. The health perception scale developed by Ware (1976), and the health practice performance scale developed by Chang et al. (1999). Results: The average blood pressure was 137/85mmHg, the average blood sugar was 108.56mg/dl, and the average body fat arm sunt was 27.08% in males, and 30.07% in females. There were significant negative correlation between health perception and blood sugar (r=-2.36, p=.01), and body fat (r= -2.77, p=.001). There were significant positive correlations between blood pressure and health behavior (r=2.76, p=.001). However a significant correlation between health perception and health behavior was not found. Of the sociodemographic characteristics, sex (F=5.42, p=.01), and marital status (F=3.29, p=.04) were related to blood pressure. Also sex (F=4.17, p=.04) was related to body fat, and sex (t=4.04, p=.03) was related to health perception and disease status (t=4.33, p=.040). Thus having a relationship with health behavior.
CONCLUSION
It is suggested that health perception provide important information about health status. However, this study has not shown a correlation between health perception and health behavior. Therefore further research is needed to find the other variables related to health behavior.

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Development of a Health Behavior Assessment Scale of Patients with Rheumatoid Arthritis
Kae Hwa Jo, Won Oak Oh, Jung Yoon Choe
Journal of Korean Academy of Nursing 2000;30(5):1333-1346.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.5.1333
AbstractAbstract PDF

This study is a methodical research to develop a health behavior assessment scale for patients with rheumatoid arthritis, and to test the validity and reliability of the instrument. The research procedure was as follows; 1) The first step was to develop conceptual framework based on a comprehensive review of the literature, in-depth interviews patients with rheumatoid arthritis. This conceptual framework was organized in eight dimensions; pain management, exercise, rest, diet control, active committment, self-management, positive thinking, interpersonal maintenance. Initially 56 items were selected from 164 statement. 2) These items were reviewed by panel of eight specialists and the Index of Content validity (CVI) was calculated, and forty six items were selected which met more than 70% on the CVI. 3) 174 rheumatoid arthritis pateints were interviewed, and data was gathered from Jan. 25 to Feb. 18, 1999 for test reliabilities and validities of the scale. The item analysis was carried out and 40 items were selected. Factor analysis by varimax rotation was carried out to test construct validity. The internal consistency by chronbach's alpha was calculated. The findings were as follows; 1) Item analysis and factor analysis were carried out to test the validity of the health behavior assessment scale. The item analysis was based on the corrected item`s to total correlation coefficient (.30 or more), and information about the alpha estimate. However, this was only if this item was deleted from the scale. As a result of the item analysis, forty items were selected. Thirty items were selected by a initial factor analysis by varimax rotation, and ten items were deleted because of factor complexity. In the secondary factor analysis, eight factors were labled as 'positive thinking', 'exercise', 'rest', 'pain management', 'active committment', 'self-management', 'diet control', and 'interpersonal maintenance', each similar with the conceptual framework. 2) Chronbach's alpha coefficient to test reliability of the scale was. 903 for total the thirty items. The Scale for assessing health behavior developed in this study was identified to be a tool with a high degree of reliability and validity. Therefore this scale can be effectively utilized for assessment in the health behaviors of the patients with rheumatoid arthritis.

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    Young-il Kim, Jeong Sook Park
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    Journal of muscle and joint health.2011; 18(2): 270.     CrossRef
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The Analysis of the Effects of Comprehensive Health Promotion Program for RA on Changes in Health Promotion Strategies, Knowledge, and Health Status
Hyun Soo Oh
Journal of Korean Academy of Nursing 2000;30(3):619-631.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.3.619
AbstractAbstract PDF

This study was conducted to test whether a comprehensive health promotion program for rheumatoid arthritis (CHPRRA) affected patients' health promotion strategies and knowledge about the disease, thus leading to the improvement of health status by using repeated measure of quasi- experiment design. Eighteen RA patients who visited the RA clinic of an university hospital located in Inchon were invited to participate in the CHPPRA. According to the study results, it was shown that the CHPPRA had significant effects on the patients' health status such as pain, depression, and functional disability. Also, that the improvement of health status was achieved by a positive change in the four health promotion strategies, which consisted of goal setting, positive thinking, exercise, and knowledge about the disease. Goal setting, positive thinking, and knowledge about the disease could also affect the patients' depression. Thus it can be interpreted that the improvement of these strategies may result in a remarkable decrease of depression. In addition, alleviation of functional disability may be due to increase of exercise. However although the strategies which were directly associated with pain management were not significantly improved, pain was significantly reduced. On the other hand, the study result showed that the other health promotion strategies included in CHPPRA such as pain management, positive thinking, stress management, asking for assistance and communication were not significantly increased. although the health status such as pain, depression, and functional disability, which are final goals of the program, were significantly improved through the exposition of patients to those health promotion strategies.

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The Effects of a Cardiac Rehabilitation Program on Health Behavior Compliance, Cardiovascular Function, and Quality of Life for the Patients with Ischemic Heart Disease
Hyun Sook Jo, Kwang Joo Kim
Journal of Korean Academy of Nursing 2000;30(3):560-570.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.3.560
AbstractAbstract PDF

This study is aimed at developing a cardiac rehabilitation program and enlightening the effects of the program on patient's health behavior compliance, cardiovascular functional capacity, and quality of life. Using a quasi-experimental approach the nonequivalent control group pretest - posttest design was accepted for this study. The subjects of this study consisted of 55 patients with ischemic heart disease at the Cardiac Center of 'G' Hospital located in Inchon from May 1, 1998 to April 30, 1999. The patients were divided into two groups: the experimental group, which participated in the cardiac program with 30 patients and 25 patients of a control group were not involved in the program. There were two phases in the cardiac rehabilitation program: the first phase was a team approach education. It focused on reducing the risk of ischemic heart problems. The second phase was individual training by using a home based exercise program, which was comprised of 8 weeks, three sessions per week, 40-60 minutes per session, and followed by consultation. Every session involved 20-40 minutes of aerobic exercise at 40-60% of heart rate reserve, 11~13 RPE and 10 minutes of warm-up and 10 minutes of cool-down exercises. The experimental tools for the study were the health behavior compliance scale developed by Lee, Yoon-hee (1992), and quality of life scale developed by McGirr et al.(1990). RPPsubmax were measured by the treadmill. The collected data was processed by SPSS and analyzed by X2test and t-test. The results of this study were as follows: 1. The health behavior compliance in experimental group was significantly increased (t=5.091, p=.000) when compared to the control group. 2. RPPsubmax also decreased significantly in the experimental group when compared to the control group(t=-2.109, p=.040). 3. The quality of life significantly improved in the experimental group (t=3.853, p=.000) as compared to the control group. As the above results of this study revealed, the effectiveness of the cardiac rehabilitation program of the study was confirmed. It increased the health behavior compliance for reducing the risk of further coronary events, enhanced the cardiovascular functional capacity, and eventually improved the patient's quality of life.

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  • Development and Application of a Self-management Program based on Prothrombin INR Monitoring for Patients with Cardiac Valve Replacement
    Hyun Rye Jeon, Jeong Sook Park
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  • Development and Evaluation of a Web-based Education Program to Prevent Secondary Stroke
    Chul-Gyu Kim, Hyeoun-Ae Park
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    In Sook Park, Rhayun Song, Sukhee Ahn, Hee Young So, Hyun Li Kim, Kyung Ok Joo
    Journal of Korean Academy of Nursing.2008; 38(6): 866.     CrossRef
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Effects of the Inpatient Cardiac Rehabilitation Program on Behavioral Modification and Quality of Life in Patients with Coronary Artery Disease
Rha Yun Song, Hae Jung Lee
Journal of Korean Academy of Nursing 2000;30(2):463-475.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.2.463
AbstractAbstract PDF

The purpose of the study was to identify the effects of inpatient cardiac rehabilitation programs on motivation, the performance of health behavior, and quality of life in patients with coronary artery disease. The subjects consisted of 31 patients who participated in the rehabilitation program during their hospital stay, and were compared with 34 patients who did not participate. The study results are as follows: 1. The mean of cardiac risk factor scores for the subjects was 22.5 (SD = 5.5) at the level of low to moderate risk with some possibility to improve. The physiological and behavioral risk factors for the subjects were also in the normal range or slightly above the normal range. 2. The motivation level to preform health behaviors for both groups was improved after discharge. Also, perceived self-efficacy was significantly higher for the program participants than for the comparison group at the post-test. 3. The performance of cardiac related health behaviors improved for both groups after discharge, but there were no significant differences between the two groups. The program participants reported better performance in most health behaviors at the post-test, but the results failed to reach a statistical significant level. 4. As for motivation and health behavior, the subjects in the both groups showed an improved quality of life after the discharge. In addition, the program participants produced significantly higher scores in health and functioning dimension than the comparison group during the post-test. In conclusion, the study partially supported the effects of the inpatient cardiac rehabilitation program to motivate and improve the quality of life, and provide the need to apply early rehabilitation interventions for the patients after cardiac events. Further study with a longitudinal design is also suggested to verify the effect of cardiac rehabilitation program from hospitalization to discharge and subsequently to fully recover to the level of pre-hospitalized state.

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    Hwasoo Goong, Seungmi Ryu, Lijuan Xu
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    Hailian Zhang, Hyunli Kim
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    Jung-Hun Lee, Kyeong-Soo Lee, Tae-Yoon Hwang
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    Ji-Soon Kang, Hyun-Sook Kang, Eun-Kyoung Yun, Hyun-Rim Choi
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    Yeoungsuk Song
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    In Sook Park, Rhayun Song, Sukhee Ahn, Hee Young So, Hyun Li Kim, Kyung Ok Joo
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Health Belief and Performance of Health Behaviors of some University Students in Korea
Byung Sook Lee, Mi Young Kim, Mi Hyun Kim, Sun Kyung Kim
Journal of Korean Academy of Nursing 2000;30(1):213-224.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.1.213
AbstractAbstract PDF

Health belief is an important factor influencing the performance of health behaviors. Young adulthood is a critical period to establish health beliefs and behaviors for a healthy life. As health professionals, nurses can help young people establish more positive health beliefs and carry out health behaviors more effectively. But before attempting to help them, it is necessary to identify their health beliefs and behaviors. The purpose of this study was to identify the health beliefs and health behaviors of university students in Korea. Subjects for this study were 2000 students from 10 universities, but data from only 1605 subjects was included in the analysis. Data were collected from May 5th, 1998 to June 21th, 1998. Instruments used in this study were two tools to measure 'health beliefs' and 'performance of health behaviors' that had been developed and used in previous research. Cronbach's alphas were .8737 for the tool for health beliefs and .8385 for the tool for health behaviors. The results of this study are as follows. (1) Average score of the subjects was 117.68 for health belief and 95.15 for performance of health behaviors. (2) There was a significant correlation between the health belief and the performance of health behaviors(r= .419). (3) School year, major, health status, and experience of disease in the students were important factors in the explanation of health belief(28.8%). (4) Health belief, major, health status, school year, sex, age, experience of disease in family members were important factors in the explanation of the performance of health behaviors (21.2%).

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    Eunok Park
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The Study on Health Behavior among Korean Adults
Ae Kyung Kim
Journal of Korean Academy of Nursing 1998;28(4):931-940.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.4.931
AbstractAbstract PDF

This study was done to describe health behavior and determine affecting factors in Korean adults, based on the Health Behavior Assessment tool. The subjects were sample of 298 adults from five cities. The instrument for this study were Health Behavior Assessment tool(30 items, 4scale). Frequency, percentage, t-test, ANOVA, cluster analysis with SPSS program were used to analyze the data. The results of the study are as follows; 1) The average item score for health behavior was 2.56, the highest score on the subscale was limitation of liking(M=3.16), followed by stress management(M=2.98), nutrition(M=2.82), energy conservation(M=2.67). 2) A significant difference between age, sex, perception of health, and health behavior were found. 3) Pattern of health behavior among Korean adults focused on stress management in order to obtain emotional stability, and balance and harmony in dietary life, and energy conservation. Patterns of health behavior in Korean adults is unique in each individual. Therefore nursing intervention skill for health promotion have to be developed based on the health behavior in each individual.

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  • Health Behaviors by Job Stress Level in Large-Sized Company with Male and Female Workers
    Hyunju Park, Hye-Sun Jung
    Journal of Korean Academy of Nursing.2010; 40(6): 852.     CrossRef
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Predicting and Understanding School-Age Children's Health Behavior
Hee Sun Shin, Yun Jung
Journal of Korean Academy of Nursing 1998;28(4):846-855.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.4.846
AbstractAbstract PDF

The purpose of the study was to investigate the level of health behavior of school-age children and to identify the predicting variables of the school-age children's health behavior. The subject were 467 children in grades four to six, enrolled in two elementary schools located in two cities. The mean age of the subject was 10.03(SD=1.33). The data were analyzed using t-test, ANOVA, correlation analysis, and stepwise multiple regression. The result are as follows: 1. The mean of the score of health behavior of the school-age children was 154.6, showing thar they are practicing health behavior relatively well. 2. There were significant differences in the mean scores of health behavior according to grade(F=6.53, p=.001), sex(t=-3.70, p=.000), educational level of the parents(F=4.92, p=.002; F=4.47, p=.004), occupation of the patients(F=3.31, p=.003;F=4.76, p=.000), and socioeconomic status(F=11.87, p=.000). 3. There were significant correlations between health behavior and health motivation(r=.53, p=.000). self-concept(r=.32, p=.000), perceived health status(r=.16, p=.000), and health locus of control(r=.15, p=.001). 4. Health motivation, self-concept, grade, socioeconomic status, and health locus of control were identified as predictor variables of health behavior of the school-age children from the stepwise multiple regression analysis. The total percent of variance accounted for by these five variables was 35.0%. From the result, it is suggested that in the development of a school health education program, the effect of health motivation and self-concept to promote student's health behavior in school-age children should be considered.

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  • Mental health and health behaviors in multicultural families: The impact of parents’ cultural background
    Yoora Hwang, Mijeong Kwon, Jimin Kim, Hyekyeong Kim
    Korean Journal of Health Education and Promotion.2024; 41(2): 1.     CrossRef
  • A Comparative Study of Youth Health Risk Behaviors by Region: Focused on Metropolitan Areas, Medium Sized and Small City Areas, and Rural Areas
    Eunok Park
    Journal of Korean Academy of Nursing.2010; 40(1): 14.     CrossRef
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Development of Health Behavior Assessment Tool of the Korean Adults
Ae Kyung Kim
Journal of Korean Academy of Nursing 1998;28(3):540-549.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.3.540
AbstractAbstract PDF

This study has been designed to develop a health behavior scale. Data were collected through a survey over a period of two period. Subjects who participated in the study were 298 Korean adults. The author used a convenience sampling method. The analysis of the data was done with SPSS PC for descriptive statistics and factor analysis. Initially 34 items were generated from the interview data of twenty one adults and from literature review and survey. This preliminary scale was analyzed for a reliability and validity. The results are as follow: 1. Crombach Coefficient alpha for the 30 items was .7909. 2. Factor analysis was done in order to confirm construct validity and nine factor were extracted from the results. These contributed 54.4% of the variance in the total score. 3. Nine factor label were 'exercise' stress management' 'energy conservation' 'limit in liking' 'selection of food' 'ingestion of natural food' ' health examination' 'relaxation' and 'nutrition'. The author suggest that this scale could be adequately applied in assessing the health behavior of Korean adults. The results of using this scale in a study can contribute to designing an appropriate health promotion strategy.

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Relationships Between Sex Role Identity, Health Promoting Behaviors, and Premenstrual Symptoms Among Female University Students
Hae Won Kim
Journal of Korean Academy of Nursing 2007;37(6):1003-1012.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.6.1003
AbstractAbstract PDF

PURPOSE: The role of sex role identity types and health promoting behaviors in relation to premenstrual symptoms and interrelatedness among the three variables were examined. METHODS: A cross sectional descriptive study was employed with 327 female university students. KSRI, HPLP, and MDQ were used as measurement tools. RESULTS: Four types of sex role identities were classified; undifferentiated(33.7%), androgyny (32.7%), masculinity(16.8%), and femininity(16.8%) in order. Premenstrual symptoms(F=3.11, p= .027) and health promoting behaviors(F=12.74, p= .000) were significantly different by sex role identity types. As determinants of premenstrual symptoms, health promoting behaviors for all subjects, stress coping for the feminine type, and interpersonal relationships for the undifferentiated type were identified. In discriminating between the feminine type and undifferentiated type, premenstrual symptoms and self responsibility were shown as significant factors. CONCLUSION: Interrelatedness among sex role identity, health promoting behaviors and premenstrual symptoms imply the importance of a psychosocial aspect in premenstrual symptoms. Therefore, these three variables should be applied more specifically for nursing assessment and management of women having premenstrual symptoms.

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  • Relationship between Life Style, Menstrual Distress and Coping Method in Nursing Students
    Yoon-Goo Noh, Young-Sook Lee
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(2): 1118.     CrossRef
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    Euna Park, Sung Hee Ko
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2015; 24(4): 236.     CrossRef
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    Hye Seon Choi, Eun Dong Lee, Hye Young Ahn
    Korean Journal of Women Health Nursing.2013; 19(4): 265.     CrossRef
  • Menstrual Attitudes and Maternal Child Rearing Attitudes in Middle School Female Students
    Kyoung Ja Hong, Hae Won Kim, Hye Young Ahn
    Journal of Korean Academy of Nursing.2008; 38(5): 748.     CrossRef
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Knowledge, Perception and Health Behavior about Metabolic Syndrome for an at Risk Group in a Rural Community Area
Eui Geum Oh, So Youn Bang, Sa Saeng Hyun, Sang Hui Chu, Justin Y Jeon, Myung Sook Kang
Journal of Korean Academy of Nursing 2007;37(5):790-800.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.5.790
AbstractAbstract PDF
Purpose

This study was to identify knowledge, perception and health behavior about metabolic syndrome for an at risk group in a rural community area.

 Methods

A descriptive cross-sectional survey design was used. A total of 575 adults with hypertension, diabetes mellitus, dyslipidemia, and/or abdominal obesity were recruited from 11 rural community health care centers. A questionnaire was developed for this study. Anthropometric measures were measured and blood data was reviewed from the health record.

 Results

Knowledge about the metabolic syndrome was low as evidenced by only a 47% correct answer rate. Only 9% of the subjects ever heard about the disease, and 87% answered they do not know the disease at all. 87% of the subjects were not performing regular exercise, 31% drank alcohol more than once a month, 12.5% were current smokers, and 33.6% are did not have a regular health check-up.

 Conclusion

Development of systematic public health care programs are needed to prevent future increases in cardiovascular complications and to decrease health care costs. These might include educational programs for the primary health care provider and an at risk group, a therapeutic lifestyle modification program, and a health screening program to identify potential groups.

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    Guna Lee, Sook Ja Yang, Yeon Kyung Chee
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    SoYoun Bang, IlGu Cho
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    So Youn Bang
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    Yang-Hee Kim, Hee-Seung Kim
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    Hyun-Hee Park, Kwang-Ok Lee
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    In Ae Chun, So Yeon Ryu, Hyeon Hui Park, Jong Park, Mi Ah Han, Seong Woo Choi
    Journal of agricultural medicine and community health.2013; 38(4): 217.     CrossRef
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    Ji-Soon Kang, Hyun-Sook Kang, Eun-Kyoung Yun, Hyun-Rim Choi
    Korean Journal of Adult Nursing.2012; 24(2): 191.     CrossRef
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    Mee Young Im, Young-Ran Lee, Suk Jung Han, Chung-Min Cho
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    Jae-Ryoung Seo, Sang-Soo Bae
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    Hee-Gerl Kim, Hye-Kyung Nam, Yun-Jeong Yi
    Korean Journal of Occupational Health Nursing.2011; 20(3): 328.     CrossRef
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    Ji-Soo Yoo, Jeong In Jeong, Chang Gi Park, Se Won Kang, Jeong-Ah Ahn
    Journal of Korean Academy of Nursing.2009; 39(4): 594.     CrossRef
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Effects of a Sun-style Tai Chi Exercise on Arthritic Symptoms, Motivation and the Performance of Health Behaviors in Women with Osteoarthritis
Rhayun Song, Eun Ok Lee, Paul Lam, Sang Cheol Bae
Journal of Korean Academy of Nursing 2007;37(2):249-256.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.2.249
AbstractAbstract PDF
Purpose

Tai Chi exercise, an ancient Chinese martial art, has drawn more and more attention for its health benefits. The purpose of the study was to identify the effects of a Sun-style Tai Chi exercise on arthritic symptoms (joint pain and stiffness), motivation for performing health behaviors, and the performance of health behaviors among older women with osteoarthritis.

 Methods

Total of 72 women with the mean age of 63 years old were recruited from outpatients clinic or public health centers according to the inclusion criteria and assigned randomly to either the Tai Chi exercise group or the control. A Sun-style Tai Chi exercise has been provided three times a week for the first two weeks, and then once a week for another 10 weeks. In 12 weeks of study period, 22 subjects in the Tai Chi exercise group and 21 subjects in the control group completed the posttest measure with the dropout rate of 41%. Outcome variables included arthritic symptoms measured by K-WOMAC, motivation for health behavior, and health behaviors.

 Results

At the completion of the 12 week Tai Chi exercise, the Tai Chi group perceived significantly less joint pain (t=-2.19, p=0.03) and stiffness (t=-2.24, p=0.03), perceived more health benefits (t=2.67, p=0.01), and performed better health behaviors (t=2.35, p=0.02), specifically for diet behavior (t=2.06, p=0.04) and stress management (t=2.97, p=0.005).

 Conclusion

A Sun-style Tai Chi exercise was found as beneficial for women with osteoarthritis to reduce their perceived arthritic symptoms, improve their perception of health benefits to perform better health behaviors.

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An Explanatory Model for Health-Promoting Behaviors in Patients Living at Home who have Post Stroke Hemiplegia
Mi Hee Kim
Journal of Korean Academy of Nursing 2006;36(6):1065-1075.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.6.1065
AbstractAbstract PDF
Purpose

A structural equation model was analyzed to explore the determinants of health-promoting behaviors in patients living at home in Korea who had post stroke hemiplegia.

 Method

Demographic characteristics, activities of daily living, religiosity, family support, self-efficacy, acceptance of disability, perceived barriers to health-promoting activities, depression, and health-promoting behavioral data was collected from 239 patients using self-report questionnaires.

 Result

Variables that have a direct effect on health-promoting behaviors were self-efficacy and family support. Depression, acceptance of disability, perceived barriers, activities of daily living and religiosity also influenced health-promoting behaviors in an indirect way.

 Conclusion

It is imperative to explore strategies for patients with post stroke hemiplegia to identify and maximize their resources, develop their self-efficacy, improve their emotional state, and enhance their physical activity and spiritual growth, which would maximize health-promoting behaviors.

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  • A Prediction Model of Rehabilitation Motivation in Middle-Aged Survivors of Stroke in Rehabilitation Facilities in Korea
    Soo Yong Oh, Seon Young Hwang, Misook L. Chung, Terry A. Lennie
    Journal of Cardiovascular Nursing.2020; 35(5): 475.     CrossRef
  • Health Knowledge, Health Promoting Behavior and Factors Influencing Health Promoting Behavior of North Korean Defectors in South Korea
    Myoung-Ae Choe, Myungsun Yi, Jung-An Choi, Gisoo Shin
    Journal of Korean Academy of Nursing.2012; 42(5): 622.     CrossRef
  • Development and Evaluation of a Web-based Education Program to Prevent Secondary Stroke
    Chul-Gyu Kim, Hyeoun-Ae Park
    Journal of Korean Academy of Nursing.2011; 41(1): 47.     CrossRef
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The Factors Influencing Korean Health Behavior
Yea Li A Song, Kyu Sik Lee
Journal of Korean Academy of Nursing 2006;36(2):330-340.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.2.330
AbstractAbstract PDF
Purpose

This study was performed to investigate the factors influencing health behavior.

 Method

Data used in this study was drawn from a 2001 National Health survey done by Korea Institute for Health and Social Affairs. Number of samples were 5,085 people between age 20 years and 69 years in whole country. In this study, we modified Green and Kreuter's Precede-Proceed model to analyse influence of factors in health behavior. Hierarchical regression were used in the analysis.

 Result

1) Factors that had statistically significant positive relation with overall health behavior were age, educational level, income level, disease in the family, medical examination, subjective weight, and concern about health, 2) Factors that had statistically significant negative relation with overall health behavior were sex, subjective health, stress, and degree of physical activity.

 Conclusion

1) It would be necessary to set the target group for the health promotion in advance. 2) It was very important to adopt easy and efficient methods to change the health behavior of target group, for example, ability to control stress.

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    Hye-Jin Kim, Myung Kyung Lee
    Korean Journal of Adult Nursing.2022; 34(3): 280.     CrossRef
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    Eunyoung Jeon, Taehi Ha
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  • The Status Analysis of Health Education for Adolescents: Using Data from Korea Youth Risk Behavior Web-based Survey of 2005, 2010 and 2015
    Jae Young Lee, Hyeon Ok Ju, So Yeon Park
    Journal of the Korean Society of School Health.2017; 30(1): 59.     CrossRef
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    Kyung-Ae Park
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Predictors of Mammography Participation Among Rural Korean Women Age 40 and Over
Hea Kung Hur, Gi Yon Kim, So Mi Park
Journal of Korean Academy of Nursing 2005;35(8):1443-1450.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.8.1443
AbstractAbstract PDF
Purpose

The study was conducted to identify predictors of mammography screening for rural Korean women according to ‘Stage of Change’ from the Transtheoretical Model which, along with the Health Belief Model, formed the theoretical basis for this study.

 Methods

A cross-sectional descriptive design was utilized. Through convenience sampling 432 women were selected from 2 rural areas. Data were collected by survey. Health beliefs constructs were measured with Champion's HBM Scale-Korea version. Mammography participation was measured using the Stage of Mammography Adoption Scale developed by Rakowski, et al. (1992).

 Results

The most frequent stage of mammography adoption was ‘contemplation’ (40.5%). Predictors of stage of mammography adoption included ‘mammogram recommended by health professional’ (beta=0.59, t=16.12, p=.000), ‘perceived benefits’ (beta=0.09, t=2.21, p=.050), ‘perceived susceptibility’ (beta=0.09, t=1.98, p=.050), and ‘perceived barriers’ (beta= 0.07, t= -2.05, p=.041). ‘Mammogram recommended by health professional’ demonstrated the greatest association with having a mammogram.

 Conclusion

Health professionals play key roles in improving mammography participation and should recognize the importance of their role in cancer prevention and be more actively involved in education and counseling on prevention of breast cancer.

Citations

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  • Knowledge and Factors Associated with Breast Cancer Self-Screening Intention among Saudi Female College Students: Utilization of the Health Belief Model
    Nasser Shubayr, Rola Khmees, Ali Alyami, Naif Majrashi, Nada Alomairy, Siddig Abdelwahab
    International Journal of Environmental Research and Public Health.2022; 19(20): 13615.     CrossRef
  • Predictors of mammography based on Health Belief Model in Khorramabad women
    Zahra Khazir, Mohammad Ali Morrowati Sharifabad, Ali Akbar Vaezi, Behnaz Enjezab, Hossein Fallahzadeh, Fatemeh Yari
    Journal of Education and Health Promotion.2019;[Epub]     CrossRef
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    Shayesteh Shirzadi, Haidar Nadrian, Mohammad Asghari Jafarabadi, Hamid Allahverdipour, Hadi Hassankhani
    Health Care for Women International.2017; 38(9): 956.     CrossRef
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    Alireza Didarloo, Bahram Nabilou, Hamid Reza Khalkhali
    BMC Public Health.2017;[Epub]     CrossRef
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    Gulengul Mermer, Meral Turk
    Asian Pacific Journal of Cancer Prevention.2015; 15(24): 10749.     CrossRef
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    Hanju Lee, Jiyun Kim, Hae‐Ra Han
    Journal of Advanced Nursing.2009; 65(12): 2574.     CrossRef
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    Eunjung Ryu, Okhee Ahn, Sun‐Sook Baek, Mi‐Soon Jeon, Seung‐Eui Han, Young‐Rye Park, Mi‐Young Ham
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Structural Equation Model for the Health Behaviors of University Students in Korea
Sung Eun Yi, Ka Sil Oh, Young Joo Park, Jeong Ah Kim, Hee Soon Kim, Kyoung Ok Oh, Sook Ja Lee, Hoa Yun Jun, Choo Ja Chung, Sang Soon Choi, Hyun Chul Kang
Journal of Korean Academy of Nursing 2004;34(6):903-912.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.6.903
AbstractAbstract PDF
Purpose

A structural equation model was analysed to explore the determinants of health behaviors of university students in Korea.

 Metnod

Nine hundred sixty nine university students were selected by random cluster sampling from five universities located in the central area of Korea.

 Data Collection

The data was collected by questionnaires about demographic characteristics, stressful life events, perceived social support, perceived health status and health behaviors.
RESULTS
1. Gender showed indirect effect on health behaviors. 2. Living together with(out) family had a direct effecton health behaviors: students living with family showed more positive health behaviors. 3. Stressful life events had an indirect effect on health behaviors via perceived health status;a higher score of stressful life events was the predictor for negative health behaviors. 4. A higher score of perceived health status predicted positive health behaviors.

 Recommendation

Each university should be encouraged to develop a health behavior control program and health promotion program for their own university students. It would be more effective to develop health programs separately according to the demographic or social characteristics of the students. It is also necessary for the Ministry of Education to reform the School Health Act and school health policy to strengthen a health promotion program for university students. In conclusion, following studies should identify and promote the validity and reliability of perceived health status and health behaviors measurements.

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    Kyeng Jin Kim, Yeon Kyung Na
    Korean Journal of Occupational Health Nursing.2016; 25(3): 199.     CrossRef
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    Su Ho Park, Sul Hee Lee, Eun Mi Ham
    Journal of Korean Academy of Nursing.2008; 38(3): 403.     CrossRef
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Health Problems and Health Behaviors of Preschoolers
Hee Soon Kim, Chung Yul Lee, Tae Wha Lee, Ok Kyung Ham
Journal of Korean Academy of Nursing 2004;34(1):182-190.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.1.182
AbstractAbstract PDF
Purpose

This study was conducted to understand the health status and health behaviors of preschoolers to provide baseline data for developing health promotion programs.

 Method

Parents of children attending day-care centers were recruited for the study. Participating day-care centers were selected using a stratified sampling method. Data was collected from June to August 2002 using a questionnaire.

 Result

Among 754 preschoolers, 17.3% were overweight, while 18.2% were underweight. The most frequent infectious diseases that children have had previously were hand-foot-mouth disease (20.2%) and chicken pox (18.7%). Current health conditions that children have frequently are respiratory disease (28%) and atopic dermatitis (23.8%). Only 61% brush their teeth everyday at bedtime, 54.3% wash their hands every time after returning home, 8.8% wear bicycle helmets, 9.3% use a child car seat, and 8.1% eat fruits and vegetables five times a day. Children residing in the metropolitan area were more likely to have positive health behaviors, and children of parents with an advanced college level education were more likely to have positive health behaviors than those with only a high school level education.

 Conclusion

Based on the study results, health professionals could plan and develop health promotion programs to change unhealthy behaviors of preschoolers targeting high-risk groups.

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    Suchang Ham, Hanyi Lee
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    Angela Dongmin Sung, Hyun-Kyung Sung, Haemo Park, Sundong Lee
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    Younkyoung Kim, Chong Mi Lee, Jong Park
    Journal of Korean Academy of Nursing.2016; 46(2): 183.     CrossRef
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    Sunghee Park
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    Jin Suk Ra, Sun Mi Chae
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    Young Sil Kang, In Soo Kwon
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    Ji Ye Yoon, Hyun Ah Park, Jae Heon Kang, Kyung Woo Kim, Yang Im Hur, Jin Joo Park, Ran Lee, Hyun Hye Lee
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    Shin-Jeong Kim, Jung-Eun Lee, Soon-Ok Yang, Kyung-Ah Kang, Eun Yong Chang, Kyung-Sook Oh, Won-Kyung Seo, Seung-Hee Lee, Sung-Hee Kim
    Journal of Korean Academy of Child Health Nursing.2011; 17(1): 10.     CrossRef
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    Na Young Choi, Mi Yang Jeon, Hyun Mi Seo, Jeong Won Seok, Mi Seon Kim, Hyeon Cheol Jeong
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    Mi Hye Cho, In Soo Kwon
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    Ji Soo Kim
    Journal of Korean Academy of Nursing.2010; 40(2): 213.     CrossRef
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    Nam Ok Jeong
    Journal of Korean Academy of Child Health Nursing.2009; 15(2): 236.     CrossRef
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    Aewha Ha
    Nutrition Research and Practice.2007; 1(4): 321.     CrossRef
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Factors Influencing on the Compliance of Breast Self-Examination of Nurses in a Local Area
Eun Kyeung Kim, Hae Jung Lee, Suk Hee Ahn, Eun Soon Chung
Journal of Korean Academy of Nursing 2003;33(7):1047-1056.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.7.1047
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the influencing factors on the compliance of breast self-examination (BSE) among nurses who work at three general hospitals in Kyung-Nam areas.

 Method

258 hospital nurses were included in the study. Data were collected using structured self-administered questionnaires and analyzed by descriptive statistics, t-test, x2 test and logistic regression analysis.

 Result

Nurses reported medium levels of knowledge, self efficacy and health believes about breast cancer and BSE, and 26% of the nurses performed the BSE at least once during the last 6 months. Compliers of BSE perceived significantly higher levels of self-efficacy, susceptability and health motivation, and lower level of barrier compared to non-compliers. Significant influencing factors on BSE compliance were ‘experience of getting recommendation for breast self-examination’, ‘susceptibility’, ‘barrier’, and ‘self-efficacy’ and those variables explained 22.5% of variance in compliance of BSE.

 Conclusion

Nurses, who must play as a role model for health promoting behaviors, did not have enough knowledge of breast cancer and BSE. Also, their performance rate of BSE was quite low. Thus, it is essential to provide an educational program for breast cancer and BSE to nurses in order to enhance nurses' performance rate of BSE.

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  • Intrinsic Motivation Factors Based on the Self-Determinant Theory for Regular Breast Cancer Screening
    Su Mi Jung, Heui-Sug Jo
    Asian Pacific Journal of Cancer Prevention.2015; 15(23): 10101.     CrossRef
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    Myungsun Yi, Eun Young Park
    Journal of Advanced Nursing.2012; 68(5): 1100.     CrossRef
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    Eun Sil Min, Myung-Haeng Hur
    Journal of Korean Academy of Fundamentals of Nursing.2012; 19(4): 474.     CrossRef
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    Miok Kim, Youngmi Park
    Korean Journal of Women Health Nursing.2011; 17(1): 88.     CrossRef
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    Kyung-Yeon Park, So Hee Kim
    Korean Journal of Women Health Nursing.2010; 16(1): 37.     CrossRef
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    Suk Ok Lee, Eun Soon Sim, Sukhee Ahn
    Korean Journal of Women Health Nursing.2010; 16(4): 390.     CrossRef
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The Effects of Self-Efficacy Promoting Cardiac Rehabilitation Program on Self-Efficacy, Health Behavior, and Quality of Life
Kyung Ja Song
Journal of Korean Academy of Nursing 2003;33(4):510-518.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.4.510
AbstractAbstract PDF
Background

Ischemic heart disease results from athesclerotic changes of the coronary artery. These changes are aggravated by hypercholesterolemia, smoking, obesity, lack of exercise, coronary-prone personality, and stress. Because these risk factors affect not only the prevalence of the ischemic heart disease but also recurrence of the disease, cardiac rehabilitation programs were introduced to help patients with ischemic heart disease reduce risk factors. Diverse cardiac rehabilitation programs are needed to motivate participation in cardiac rehabilitation and to enhance patients' quality of life.

 Objectives

To examine the effect of a self-efficacy promoting cardiac rehabiltation program on self-efficacy, health behavior and quality of life of patients with ischemic heart disease.

 Methods

Data were collected from 45 hospitalized ischemic heart disease patients. Medical records were reviewed to obtain demographic and clinical characteristics. Data regarding self-efficacy, health behavior, and quality of life were obtained from interviews using structured questionnaires. The nonequivalent control group non-synchronized design was used to conduct this study. One session of conventional group education was given to patients in the control group while they were in the hospital. Patients in the experimental group participated in a newly developed cardiac rehabilitation program. It focused on strengthening selfefficacy with four self-efficacy sources - performance accomplishment, vicarious experiences, verbal persuasion and physical status using two individualized in-hospital education sessions and four weekly telephone counseling follow-up calls after discharge.

 Results

Four weeks after discharge, the increment of total self-efficacy score was significantly higher in the experimental group than in the control group (p<.01). There was also a significant difference in the total quality of life scores increments between the two groups (p<.01). However, no significant changes were noted in the increments of total health behavior scores between the two groups.

 Conclusion

A cardiac rehabilitation program focusing on promoting self-efficacy was effective in improving self-efficacy, and quality of life of patients with ischemic heart disease.

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    Qian Cao, Yue Hu, Wan-Ting Cai
    Asian Nursing Research.2025; 19(4): 371.     CrossRef
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    Rukhsana Perveen, Muhammad Saqib Rabbani, Samina Kausar, Kainat Asmat
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    Su-Jin Kim, Jeong-soo Kim
    Journal of Korean Gerontological Nursing.2024; 26(4): 403.     CrossRef
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    Miaoxuan Hong, Rong Zhang, Jin Zhu, Wenxuan Tan
    Frontiers in Psychiatry.2023;[Epub]     CrossRef
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    In Ae Uhm, Seon Young Hwang
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    Marina Wasilewski, Abirami Vijayakumar, Zara Szigeti, Sahana Sathakaran, Kuan-Wen Wang, Adam Saporta, Sander L Hitzig
    Journal of Multidisciplinary Healthcare.2023; Volume 16: 2361.     CrossRef
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    A Ram Kil, Yong Soon Shin
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 57.     CrossRef
  • Effect of Educational intervention based on Health Belief Model on promoting preventive behaviours of urinary tract infections in mothers with children under 6-Years of age
    Zahra Bazargani, Fatemeh Sarikhani, Sadegh Karami Darenjani, Mehdi Amirkhani, Pooyan Afzali Harsini, Ali Khani Jeihooni
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    Wantiyah Wantiyah, Mochamad Riko Saputra, Fitrio Deviantony
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  • The Effects of Smart Program for Patients Who Underwent Percutaneous Coronary Intervention (SP-PCI) on Disease-Related Knowledge, Health Behavior, and Quality of Life: A Non-Randomized Controlled Trial
    Jueun Lee, Haejung Lee
    Journal of Korean Academy of Nursing.2017; 47(6): 756.     CrossRef
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    Jae Lan Shim, Seon Young Hwang
    BMC Nursing.2017;[Epub]     CrossRef
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    So-Yeon Kim, Min Young Kim
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    Seon Young Hwang, Jin Shil Kim
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Structural Equation Modeling of Self-Management in Patients with Hemodialysis
Jieun Cha
J Korean Acad Nurs 2017;47(1):14-24.   Published online February 28, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.1.14
AbstractAbstract PDF
Purpose

The purpose of this study was to construct and test a hypothetical model of self-management in patients with hemodialysis based on the Self-Regulation Model and resource-coping perspective.

 Methods

Data were collected from 215 adults receiving hemodialysis in 17 local clinics and one tertiary hospital in 2016. The Hemodialysis Self-management Instrument, the Revised Illness Perception Questionnaire, Herth Hope Index and Multidimensional Scale of Perceived Social Support were used. The exogenous variable was social context; the endogenous variables were cognitive illness representation, hope, self-management behavior, and illness outcome. For data analysis, descriptive statistics, Pearson correlation analysis, factor analysis, and structural equation modeling were performed.

 Results

The hypothetical model with six paths showed a good fitness to the empirical data: GFI=.96, AGFI=.90, CFI=.95, RMSEA=.08, SRMR=.04. The factors that had an influence on self-management behavior were social context (β=.84), hope and cognitive illness representation (β=.37 and β=.27) explaining 92.4% of the variance. Self-management behavior mediated the relationship between psychosocial coping resources and illness outcome.

 Conclusion

This research specifies a more complete spectrum of the self-management process. It is important to recognize the array of clinical resources available to support patients' self-management. Healthcare providers can facilitate self-management through collaborative care and understanding the ideas and emotions that each patient has about the illness, and ultimately improve the health outcomes. This framework can be used to guide self-management intervention development and assure effective clinical assessment.

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    Sung Reul Kim, Hye Young Kim, Eun Ko, No Eul Kang, Kang Sun Lee
    Nursing & Health Sciences.2025;[Epub]     CrossRef
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    Mi Yeon Kim, So Young Yun
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    Moonja Kang, Younhee Jeong, Hyungran Lee
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    Jun Wang
    International Journal of Research Studies in Management.2023;[Epub]     CrossRef
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    Jinhyang Yang, Myung-Ok Cho, Haeok Lee
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    Rui Wu, Sifang Feng, Hongli Quan, Yun Zhang, Rong Fu, Hong Li, Mohammad Farukh Hashmi
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    Hyun-E Yeom, Jee-Won Shin
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    Jieun Cha
    Journal of Health Informatics and Statistics.2018; 43(3): 159.     CrossRef
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    Jieun Cha, Jiyoung Kang
    Journal of Health Informatics and Statistics.2017; 42(2): 153.     CrossRef
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The Effects of Smart Program for Patients Who Underwent Percutaneous Coronary Intervention (SP-PCI) on Disease-Related Knowledge, Health Behavior, and Quality of Life: A Non-Randomized Controlled Trial
Jueun Lee, Haejung Lee
J Korean Acad Nurs 2017;47(6):756-769.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.6.756
AbstractAbstract PDF
Abstract Purpose

To identify the effects of a smart program for the patients who underwent percutaneous coronary intervention (SP-PCI) on coronary disease-related knowledge, health behaviors, and quality of life.

 Methods

A nonequivalent control group with a non-synchronized design was utilized and 48 participants (experimental=22, control=26) were recruited from a university hospital in Gyeongsang area from May to December, 2016. The 12-week SP-PCI consisted of self-study of health information using smart phone applications (1/week), walking exercise (>5/week) using smart band, feedback using Kakao talk (2/week), and telephone counseling (1/week). Patients in the control group received usual care from their primary health care providers and a brief health education with basic self-management brochure after the PCI. Data were analyzed using the SPSS 21.0 program through descriptive statistics, c2 test, and t-test.

 Results

After the 12-week SP-PCI, the experimental group showed higher levels of coronary disease-related knowledge (t=2.43, p=.019), heart-related health behaviors (t=5.96, p<.001), regular exercise (Z=-4.47, p<.001), and quality of life-MCS (t=3.04, p=.004) and showed lower levels of stress (Z=-3.53, p<.001) and sodium intake (t=-4.43, p<.001) than those in the control group. There were no significant group differences in medication adherence and food intake in total energy, lipids, and cholesterol.

 Conclusion

The suggested SP-PCI provided easy access and cost-effective intervention for patients after PCI and improved their knowledge of the disease, performance of health behaviors, and quality of life. Further study with a wider population is needed to evaluate the effects of SP-PCI on disease recurrence and quality of life for patients after PCI.

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    A Ram Kil, Yong Soon Shin
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 57.     CrossRef
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Structural Equation Modeling of Self-Management of Liver Transplant Recipients
Mi-Kyeong Jeon, Yeon-Hwan Park
J Korean Acad Nurs 2017;47(5):663-675.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.5.663
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to construct and test a structural equation model of self-management of liver transplant recipients based on self-determination theory.

 Methods

Participants were 275 outpatients who received liver transplantation. A structured self-report questionnaire was used to assess health care providers’ autonomy support, transplant-related characteristics, illness consequence perception, autonomy, competence, family relatedness, depression and self-management. Collected data were analyzed using SPSS/WIN 24.0 and AMOS 24.0 program.

 Results

The modified model showed a good fitness with the data: GFI=.96, RMSEA=.06, CFI=.96, NFI=.93, TLI=.93, PGFI=.43, PNFI=.49. The health care providers’ autonomy support, competence, family relatedness and depression were factors with a direct influence on the self-management of liver transplant recipients. The health care providers’ autonomy support and illness consequence perception had an indirect influence through competence, family relatedness and depression. However, the transplant-related characteristics and autonomy did not have a significant effect on self-management. This model explained 59.4% of the variance in self-management.

 Conclusion

The result suggests that continuous education must be done to promote the competence of liver transplant recipients and to encourage the patient to positively perceive their current health condition with a view that enhances one's self-management. Additionally, the liver transplant recipients should be screened for depression, which would affect self-management. Most of all, health care providers, who have the most influence on self-management, should improve therapeutic communication and try to form a therapeutic relationship with the liver transplant recipients.

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  • Mediating Role of Hope Between Social Support and Self-Management Among Chinese Liver Transplant Recipients: A Multi-Center Cross-Sectional Study
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    Korean Journal of Transplantation.2022; 36(1): 37.     CrossRef
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    Hye Won Jeong, Hyang Sook So
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Structural Equation Modeling on Self-Care Behavior and Quality of Life in Older Adults with Diabetes Using Citizen Health Promotion Centers
Songheun Lee, Hyunli Kim
J Korean Acad Nurs 2017;47(4):514-525.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.4.514
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to construct and test a structural equation model for Diabetes self-management (DSM) behavior and Quality of life (QoL) in older adults with diabetes who use Citizen Health Promotion Centers. The theory used this study was a combination of the Information-Motivation-Behavioral Model (IMB) and Self-Determination Theory (SDT) to reflect autonomous characteristics of participants.

 Methods

Data were collected from April 20 to August 31, 2015 using a self-report questionnaire. The sample was 205 patients with type 2 Diabetes who regularly visited a Citizen Health Promotion Center. SPSS 22.0 and AMOS 22.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factor affecting the participants’ DSM behavior and QoL.

 Results

The supported hypotheses were as follows; 1) The variable that had a direct effect on QoL was health behavior adherence (γ=.55, p=.007). 2) The variables that had a direct effect on DSM behavior were DSM information (γ=.15, p=.023), DSM confidence (γ=.25, p<.001), and autonomous motivation (γ=.13, p=.048). 3) The variable that had a direct effect on DSM confidence was autonomy support (γ=.33, p<.001).

 Conclusion

The major findings of this study are that supporting patient's autonomous motivation is an influential predictor for adherence to DSM behavior, and integrative intervention strategies which include knowledge, experience and psychosocial support are essential for older adults with diabetes to continue DSM behavior and improve QoL.

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    Eun Jin Kim, Ju-Hee Nho, Hye Young Kim
    Women's Health Nursing.2025; 31(1): 66.     CrossRef
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    Na-Young Park, Sarang Jang
    Nutrients.2024; 16(13): 2099.     CrossRef
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    Bukyung Kim, Mi-Hae Sung
    Korean Journal of Women Health Nursing.2023; 29(2): 91.     CrossRef
  • Understanding health‐related quality of life trajectories among older adults with diabetes mellitus: Mixed methods research
    Sunhee Park, Taewha Lee
    Nursing Open.2023; 10(10): 6945.     CrossRef
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    Ju‐Hee Nho, Hye Young Kim, Eun Jin Kim
    Worldviews on Evidence-Based Nursing.2022; 19(3): 201.     CrossRef
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    Epilepsia.2022; 63(3): 573.     CrossRef
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    Kang Sun Lee, Hye Young Kim, Heung Young Jin
    Journal of Clinical Nursing.2022; 31(9-10): 1285.     CrossRef
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    Health and Quality of Life Outcomes.2018;[Epub]     CrossRef
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Health Promoting Behavior in Pregnant Couples: Actor-Partner Interdependence Model Analysis
Ju Hee Kim, Young-A Song
J Korean Acad Nurs 2017;47(4):467-475.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.4.467
AbstractAbstract PDF
Abstract Purpose

This study aimed to identify the actor and partner effects of self-efficacy, marital adjustment, and social support on the health promoting behavior of Korean pregnant couples.

 Methods

Participants were 132 couples who met the eligibility criteria. Data were collected from June to November, 2016 at a community health center. The Actor-Partner Interdependence Model was used for analyzing the actor and partner effects of self-efficacy, marital adjustment, and social support on health promoting behavior.

 Results

The fitness indices for the model were GFI=0.90, NFI=0.92, CFI=0.91, TLI=0.90, and RMSEA=0.04, which satisfied the criteria. Self-efficacy had actor and partner effect on health promoting behavior of wives, but had only actor effect of on health promoting behavior of husbands. Marital adjustment showed actor and partner effect on the health promoting behavior of pregnant couples. Social support only had an actor effect on the health promoting behavior of wives. And, marital adjustment and social support had a mutual effect.

 Conclusion

This study indicates that the partner involvement is needed to develop health promotion programs for pregnant couples.

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  • Serial mediation effects of social support and antepartum depression on the relationship between fetal attachment and anxiety in high-risk pregnant couples of South Korea
    Mihyeon Park, Sukhee Ahn
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The Effect of Health Coaching Programs on Self-Efficacy, Health Behaviors, and Quality of Life in Hypertensive People Living in Poverty
Sun Ok Eom, Insook Lee
J Korean Acad Nurs 2017;47(3):380-391.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.3.380
AbstractAbstract PDF
Abstract Purpose

This study was designed to determine the effects of health coaching and mediating variables on quantitative aspect of health in low-income hypertensive people.

 Methods

The experimental group for the current study consisted of 21 clients who received health coaching services, and the control group consisted of 22 clients who received home-visiting nursing services. Two groups received health coaching or home-visiting nursing services once a week for 8 weeks. The evaluation variables were self-efficacy, nutrition management, health behaviors, self-rated health, and quality of life.

 Results

The results revealed that the level of nutrition management was significantly higher in the experimental group than the control group (F=10.33, p=.005).

 Conclusion

These results confirm that health coaching is a useful strategy that encourages clients to continuously maintain their own health behaviors. Thus, the findings of the current study provide useful data for establishing measures for the health management of those afflicted with chronic disease, such as hypertension. Furthermore, health coaching may be developed into useful intervention strategies for dealing with chronic diseases and improving home-visiting nursing.

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    See M. Tan, Emeline Han, Rina Yu Chin Quek, Shweta R. Singh, Montserrat Gea‐Sánchez, Helena Legido‐Quigley
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    HeyJean Lee, Jung Min Kim, Ji Young Moon
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    Kontakt.2019; 21(1): 14.     CrossRef
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Effects of Web-based Preconception Health Promotion Program for Couples about to be Married
Nam Joo Je, So Young Choi
J Korean Acad Nurs 2016;46(5):720-732.   Published online October 31, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.5.720
AbstractAbstract PDF
Purpose

This study was done to develop a Web-based preconception health promotion program to improve preconception health promotion awareness, perceived benefits, perceived self-efficacy and health behavior, and to reduce perceived barriers in couples about to be married.

 Methods

Participants were assigned to the experimental group (n=26 couples) or control group (n=25 couples). This program was comprised of a six hour Web-based lecture series which was given to the experimental group over a four week period.

 Results

Results for the two groups showed: 1) a significant difference in preconception health promotion awareness in men (self-perception: z=-3.62, p <.001 content: F=18.49, p <.001) and in women (self-perception: z=-2.89, p =.004 content F=36.93, p <.001), 2) a significant difference in perceived benefits in men (z=-3.09, p =.002), and in women (F=6.38, p =.004), 3) a significant difference in perceived barriers in men (F=3.64, p =.030), and in women (F=11.36, p <.001), 4) a significant difference in perceived self-efficacy in men (F=12.16, p <.001), but no significant difference in women (F=1.93, p =.166), 5) a significant difference in health promoting behavior in men (F=16.31, p <.001), and in women (F=10.99, p =.001).

 Conclusion

The results of this study show that the program is an effective nursing intervention in couples about to be married. Therefore, this program can be useful in encouraging health-promoting behavior for couples about to be married.

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  • Internet-Based Interventions for Preventing Premature Birth in Preconceptional Women of Childbearing Age: Systematic Review
    Sun-Hee Kim, Sun-Young Jung, Jin-Hwa Park, Jennie C De Gagne
    Journal of Medical Internet Research.2025; 27: e60690.     CrossRef
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    Sun-Hee Kim
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    Hwayoung Kwen, Pok-Ja Oh
    Asian Nursing Research.2022; 16(5): 265.     CrossRef
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    Jummi Park, Nayeon Shin
    INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2021;[Epub]     CrossRef
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