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14 "Lifestyle"
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Review Article
Prevalence of Menstrual Disorders according to Body Mass Index and Lifestyle Factors: The National Health Insurance Service-National Health Screening Cohort in Korea, 2009~2016
Park, SoMi , Yoon, Tae Woong , Kang, Dae Ryong , Chung, ChaeWeon
J Korean Acad Nurs 2020;50(3):401-410.   Published online June 30, 2020
DOI: https://doi.org/10.4040/jkan.20054
AbstractAbstract PDF
Purpose
This study was performed to identify the prevalence of menstrual disorders in Korean women based on body mass index (BMI)and lifestyle factors, by utilizing the Korean National Health Insurance Database.
Methods
A retrospective observational study designwas used for the secondary data analysis. Data of women aged 15 to 49 years who were diagnosed with menstrual disorders were extractedfrom The National Health Insurance Service-National Health Screening Cohort in Korea from 2009 to 2016. The age-standardizedprevalence rate of menstrual disorders was calculated using SAS version 9.4, and a Chi-square test and Cochran-Armitage test were performed.
Results
In total, 2,219,445 cases were extracted from the database. The prevalence of menstrual disorders significantly increasedfrom 8.6% to 11.6% (Z=135.16, p for trend <.001) over the past eight years. In particular, it was higher in underweight womenthan in women with normal weight across all years (Z=-4.18~-14.72, p <.001). Moreover, statistically significant differences in the prevalenceof menstrual disorders were found to be associated with drinking and smoking in all years and with physical activity levels in part(p <.05~.001).
Conclusion
These findings present compelling evidence on the prevalence of menstrual disorders based on a national database.Since the prevalence of menstrual disorders has steadily increased and differs based on BMI and lifestyle factors, educational andclinical interventions are necessary to promote risk awareness and appropriate behavioral changes among Korean women.
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Original Articles
Effect of Lifestyle Intervention Program for Overweight and Obesity Pregnant Women
Choi, Hye Kyung , Kim, Hyeon Ok
J Korean Acad Nurs 2020;50(3):459-473.   Published online June 30, 2020
DOI: https://doi.org/10.4040/jkan.19228
AbstractAbstract PDF
Purpose
This study was conducted to identify the effects of a lifestyle intervention program on weight gain, dietary habits, fatigue andpregnancy stress, blood pressure, and neonatal birth weight, using Cox’s interaction model of client health behavior for overweight andobese women.
Methods
This was a quasi-experimental research with a non-equivalent control group pre-post test design. A total of 52patients who met the selection criteria, including 25 in the experimental group and 27 in the control group, were the subjects of the study;they comprised overweight and obese pregnant women who were receiving prenatal care at A and B women’s hospital in J province. Thelifestyle intervention program ran for 12 weeks in total and consisted of interactions involving affective support, health information, andprofessional/technical competencies. The data collection period was from February 1, 2017 to August 31, 2017.
Results
This study showeddifferences in the appropriate weight gain rate (x2=6.17, p=.013), suppression of an increase in fatigue (t=-2.32, pp =.012), and an increasein pregnancy stress (t=-1.87, p=.034). Yet, no differences in physical activity, dietary habits change, blood pressure, and neonatal birthweight (p>.05) were found.
Conclusion
The study findings indicate that this program could be an effective intervention for the control ofappropriate weight gain, fatigue, and pregnancy stress. Therefore, a lifestyle intervention program based on Cox’s interaction model of clienthealth behavior could be an efficient strategy for a positive health outcome of overweight and obesity pregnant women.
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An Ethnography on the Healthy Life of the Aged Women Participating the Senior Centers
Eunha Kim, Jinhyang Yang
J Korean Acad Nurs 2018;48(3):349-361.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.3.349
AbstractAbstract PDF
Abstract Purpose

This ethnography was performed to explore patterns and meanings of healthy life among aged women using senior centers.

Methods

The informants were 21 individuals aged 65 years and older at 2 community-based senior centers. Data were collected from iterative fieldwork through in-depth interviews and participant observations and analyzed using text analysis and taxonomic methods developed by Spradley. Field notes were used with follow-up interviews and dialogue between authors to enhance interpretation.

Results

Patterns of healthy life among aged women using senior centers were categorized by age groups within the context of the four cultural elements of taking care of the body, relationality, temporality, and spatiality: active and passive control, maintenance of interdependence and individuality, expansion and maintenance of the daily routine, unity of peer relations and sustenance of family relations, spending time productively and tediously, and complementary and alternative space of the family relations.

Conclusion

The informants in this study demonstrated healthy life by maintaining and strengthening continuous relationships developed in the senior centers without being isolated from the family and society. Patterns of their healthy life differed across age groups within the socio-cultural context. Therefore, interventions should be tailored to address age groups and community needs.

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The Study on Health Promoting Lifestyle of the Elderly
Young Shin Song, Mi Ra Lee, Eun Kyong Ahn
Journal of Nurses Academic Society 1997;27(3):541-549.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.3.541
AbstractAbstract PDF

This study was done to describe health promoting lifestyle and determine affecting factors in elderly based on the Heath Promotion Model by Pender. Cognitive-perceptual factors that were included in this study were self-efficacy and hardiness. Modifying factors were demographic characteristics(sex, age, partner, previous illness, education level, income and religion). The specific purpose of this study was to examine the relationships of self-efficacy, hardiness and the demographic chasteristics to health promoting lifestyle and to determine causal factors affecting the elderly. The subjects were a volunteer sample of 98 elderly in one city in? The instruments for this study were Health Promoting Lifestyle Profile(47items, 4scale), Health Related Hardiness Scale(22items, 6scale), general Self-Efficacy Scale((13items, 5scale). Frequency, percentage, t-test, ANOVA, Pearson's correlation coefficient and Stepwise Multiple regression technique with SAS program were used to analyze the data. The Results of the study are follows ; 1) The average item score for the health promoting lifestyle was 2.63, the highest score on the subscales was interpersonal support(M=3.3), followed by self-actualization(M=2.9), nutrition (M=2.8), stress management(M=2.7), health responsibility(m=2.1) with the lowest being exercise(M=2.0). 2) A significant difference between education level, income, religion and health promoting lifestyle were found. 3) All of the subscales on health promoting lifestyle were positively related to total hardiness(r=0.330, p<0.001). The hardiness subscale of control was positively related to self-actualization(r=0.276, p<0.01), and commitment was positively related to self-actualization(r=0.315, p<0.001), exercise/nutrition(r=0.245, p<0.01), interpersonal support(r=0.278, p<0.01), stress management(r=0.250, p<0.01). Challenge was positively related to self-actualization(r=0.315, p<0.001), exercise/nutrition((r=0.245, p<0.01). There was no significant correlation between self-efficacy and all of the subscales of health promoting lifestyle. Self-efficacy showed a significant correlation only with control(r=0.469, p<0.001), committment(r=0.507, p<0.001), Challenge(r=0.489, p<0.001). 4) Committment, self-efficacy and income explained 25.01% of the variance for the total health promoting lifestyle. The results of this study show that commitment, self efficacy and income predicted the health promoting lifestyle of the elderly. So health promoting programs that increase committment and self-efficacy should be developed to promote a healthy lifestyle of the elderly, especially those who have low income.

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Predictors of health Promoting Lifestyle for the Korean Immigrants in the U.S.A
Myung Ja Kim, Hyo Jeong Song
Journal of Nurses Academic Society 1997;27(2):341-352.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.2.341
AbstractAbstract PDF

The study was to examine the relationships among health promoting lifestyle, level of anxiety, and perceived health status and to reveal those variables affecting health promoting lifestyle in Korean immigrants in the United States. The subjects were 425 adults chosen from Korean religious and social organizations located in New York from April 25th through July 5th, 1996. Data analyses were conducted by using pearson correlation coefficients, t-test, ANOVA, and stepwise multiple regression. The results were as follows : Health promoting lifestyle was significantly different according to age, religion, occupation, and the length of residence in the US. Those insured and those with no chronic conditions revealed a significantly higher score in health promoting lifestyle. Significant differences in the level of anxiety were found according to education, marital status, occupation, family income, and the length of residence. Those with no chronic conditions experienced a significantly lower level of anxiety. In the subscales of the health promoting lifestyle profile, self-actualization and interpersonal relationship revealed higher scores, whereas the scores of stress management, health responsibility, and exercise were lower. Those subjects whose perceived health status was very good, showed the lowest level of anxiety and the highest score on the health promoting lifestyle profile. Negative correlations were observed between the health promoting lifestyle profile and the level of anxiety, and between the perceived health status and the level of anxiety. Health promoting lifestyle was significantly predicted by the level of anxiety(22.0%), age(2.0%), health insurance(1.1%), respectively.

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Determinants of Health Promoting Lifestyle of College Students
Mi Ra Lee
Journal of Nurses Academic Society 1997;27(1):156-168.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.1.156
AbstractAbstract PDF

This study was undertaken in order to examine the relationship of self-efficacy, control, perceived health status, self-esteem, social support, and demographic characteristics to health promoting lifestyle of college students, and to determine factors affecting health promoting lifestyle of college students. The subjects were 92 students of one university in Taejon. The instruments used for this study were a survey of general characteristics, health promoting lifestyle(44 items), self-efficacy (28 items), self-esteem(10 items), control(8 items), perceived health status( 1 item), and social support(12 items) Analysis of data was done by use of mean, percentage, t-test, ANOVA, Pearson correlation coefficient and stepwise regression with SAS program. The results of this study are as follows. 1) The average item score for the health promoting lifestyles was low at 2.30. n the sub-categories, the highest degree of performance was interpersonal support(2.90), and the lowest degree was exercise(1.67). 2) Male students showed a significant higher score in exercise subscale than female students. Students who had more income had higher scores in self actualization subscale. Students who's family had experienced severe disease had higher scores in health responsibility and interpersonal support subscale. Students who had experienced exercise had higher scores interpersonal support, and stress management subscale. 3) Significant correlation between perceived health status and self-efficacy, perceived health status and self-esteem, control and self-efficacy, control and self-esteem, control and social support, self-esteem and self-efficacy was found. 4) Self-efficacy and control revealed significant correlations with total health promoting lifestyle and all subscales of health promoting lifestyle except self actualization. A significant correlation between perceived health status and self actualization subscale was found. Self-esteem revealed significant correlations only with self actualization and interpersonal support subscale. 5) Significant correlations were found between most of the subscales of total health promoting lifestyle. 6) Self-efficacy was the highest factor predicting health promoting lifestyles of college students (30.55%). Self-efficacy and control accounted for 36.55% in health promoting lifestyle of college students.

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An Analytical Study on Health-Promoting Lifestyle Patterns and Associated Variables of Korean Immigrant Elderly in Seattle
Kyeong Yae Sohng, Hye A Yeom
Journal of Korean Academy of Nursing 1999;29(5):1058-1071.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.5.1058
AbstractAbstract PDF

Although healthy lifestyle have been proved as an effective way of improving higher well-beings for individuals, researches on health -promoting behaviors of minority elderly with a specific ethnic heritage have been sparsely tried. This study was designed to explore health-promoting lifestyle patterns of Korean immigrant elderly living in Seattle. USA and its relationships with two associated elderly were recruited from two senior centers and interviewed with a structured questionnaire. Data were collected from October 1998 to January 1999, and analyzed using SPSS program through which t-test, ANOVA, and Pearson Correlation Coefficients were tested. As the results, the mean HPLP score of the Korean immigrant elderly was 2.54 (SD =.36), showing significant differences by education (F=3.61, P=.016), economic status (F=3.01, P=.034), and current health status (F=3.69, P=.008). In self-esteem, two socioecomic variables showed statistical association with self-esteem; martial status (t= 2.47, P=.015) and living situation (F= 4.03, P= .021). The HPLP subscales that showed higher mean scores were nutrition (M=3.01, SD= .52) and interpersonal support (M= 2.65, SD= .47) while lower mean scores were detected in the domain of excercise (M= 1.92, SD= .74) and stress management (M= 2.26, SD= .47). Perceived health status revealed significant positive correlation with health-promoting lifestyle patterns (r= .19, P=.043) and self-esteem (r= .19, P= .043) and self-esteem (r= .32, P= .001) in the present study. It is concluded that engagement in health-promoting lifestyle patterns should be actively encouraged to enhance personal health of Korean immigrant elderly. Developing health promotion programs focused on exercise and stress management is also imperatively suggested not only for better health practices of Korean immigrant elderly population but also for enhancing their level of well-beings and life satisfaction.

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A Study about promoting Health Lifestyles and Relating Variables on the Life-cycle of Women
Eun Hee Lee, Ae Young So, Song Soon Choi
Journal of Korean Academy of Nursing 1999;29(3):700-710.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.3.700
AbstractAbstract PDF

Promoting women's health lifestyles are important due to their connection to family health. The purpose of this study was to analyse women's health lifestyles(HLP) and their effects on women's life-cycle, so in order to develop a program in a women's health care center. The subjects included were 1080 women over 18 years old living in Wonju city, and were selected by stratified and purposive sampling. The data were collected through a questionnaire and interview. The Cronbach alpha, %, mean, ANOVA, Pearson's correlation, and regression in SPSS PC Win. package was used to analyze the data. The sample was sepernted into three groups premarital group 20.2%(premarital women between 18 and 40 years old), delivery and children rearing group 49.9%(marital women between 18 and 40 years old), over middle agedelderly group 29.9%(women over 41 years old). Significant difference were found in the HPL according to group. Also, relating variables, such as self-efficacy, family functions, health locus of control and gender role perception that were considered relating variables to HPL significantly differed among the tree groups. HLP significantly correlated with self-efficacy, family functions, HLOC and gender role perception in all participants and at all groups. The regression analysis of HPL was interpreted 40.6% with relating variables, self-efficacy, health attention, family functions, and internal locus of control, health perception, power other locus of control and chance locus of control in all participant. Self-efficacy, family functions, health attention were considered important variables in premarital group, self-efficacy, family functions, internal locus of control, health attention, health perception and power of control were important in delivery-rearing group. Self-efficacy, health attention, internal locus of control, family functions and health perception were important in middle aged-elderly group. As a result, we found the differences HPL scores and relating variables according to life-cycle groups. Therefore, we should prepare health promoting education programs for women according to women's life cycles. Also we suggest that women's health care centers based on communities was needed for proper management of women's health.

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An Attitudinal Study on Health Lifestyle of College Women
Hye Sook Shin
Journal of Korean Academy of Nursing 1998;28(4):992-1002.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.4.992
AbstractAbstract PDF

This study measures the subjectivity(opinions attitudes)of college women. Identifying the schemata(structure of subjectivity) would be a basic step for the women's health education and the promotion to alternative strategies of women's health nursing. More concretely, these following research questions are focused. 1) The subjective schemata: find out typologies based on the opinions and attitudes toward the health lifestyle. 2) Applications: describe the characteristics of each type. 3) Alternatives: provide suggestion of the promotion to alternative strategies for women's health nursing. Q-Methodological method was used for that purpose. As for the research method, Q-statements were preliminary collected in the study fro through in-depth interviews and a literature review. For the study 36 Q-statements were selected. 33 college women were used as subjects for research. the 33 college women sorted the 36 statements using the principle of forced Normal distribution. The principle of forced Normal Distribution, which has nine scales to measure the individual opinions, was called. Q-Factor Analysis by using PC Quanl Program to supply the material. According to the outcomes of this study, there were three categories of special opinions about the health lifestyle in college women. The first type is called Initiatived Health Management Type. the second type is called Social Activity Centered Type. the third type is called Positive Outlook Type. Through the result of this study, the health lifestyle could be identified by 3 types, therefore the nurses needed to understand each women's meaning to health lifestyle so they could develop the appropriate nursing intervention based the typology of the health lifestyle this study explore. Finally, the result of the study will provide clues for developing a nursing interventional program and alternative strategies for the health promotion lifestyle in college women.

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Predictors of Coronary Heart Disease Risk in Healthy Men and Women
Kyeung Ae Kim, Jung Soon Kim, Myoung Soo Kim
Journal of Korean Academy of Nursing 2007;37(7):1039-1048.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.7.1039
AbstractAbstract PDF

OBJECTIVES: The purpose of this study was to identify predictors of coronary heart disease risk factors in healthy men and women. METHOD: The subjects of this study were 346 people (173 men and women aged 20 years and over) who received health screenings. Data was collected from December 1, 2005 to February 28, 2006. The FANTASTIC Lifestyle Assessment Inventory except smoking and the Framingham risk score of subjects were investigated. Data was analyzed by descriptive analysis, t-test, ANOVA, pearson correlation coefficients and stepwise multiple regression using the SPSS 10.0 program. RESULTS: The mean score of the lifestyle of the women (64.24) was higher than that of the men (59.12). The mean score of the risk of coronary heart disease of the men (5.28%) was higher than that of the women (0.28%). The framingham risk for men was significantly related to lifestyle such as dietary habit, use of caffeine and drugs, anxiety and depression, job satisfaction, and closeness with family. The main predictors of framingham risk for men and women were 'use of caffeine and drugs', and 'menopause' which explained 16.5%, and 30.7% respectively. CONCLUSION: Since lifestyles can be changed with effort, coronary heart disease can be prevented while people are healthy.

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Effects of Lifestyle Intervention on Fatigue, Nutritional Status and Quality of Life in Patients with Gynecologic Cancer
Hyunjin An, Ju-Hee Nho, Sunyoung Yoo, Hyunmin Kim, Minji Nho, Hojeong Yoo
J Korean Acad Nurs 2015;45(6):812-822.   Published online December 15, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.6.812
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to examine the effect of lifestyle intervention on the development of fatigue, nutritional status and quality of life of patients with gynecologic cancer.

Methods

A nonequivalent control group quasi-experimental design was used. Participants were 49 patients with gynecologic cancer. They were assigned to the experiment group (n=24) or the control group (n=25). The lifestyle intervention for this study consisted of physical activity, nutritional education, telephone call counseling, health counseling, monitoring for lifestyle, and affective support based on Cox's Interaction Model of Client Health Behavior and was implemented for six weeks.

Results

Significant group differences were found for fatigue (p=.037), nutritional status (p=.034) and social/family well-being (p=.035) in these patients with gynecologic cancer.

Conclusion

Results indicate that this lifestyle intervention is effective in lessening fatigue, and improving nutritional status and social/family well-being. Therefore, nurses in hospitals should develop strategies to expand and provide lifestyle interventions for patients with cancer.

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Effects of a Coaching Program on Comprehensive Lifestyle Modification for Women with Gestational Diabetes Mellitus
Jung Mi Ko, Jong Kyung Lee
J Korean Acad Nurs 2014;44(6):672-681.   Published online December 31, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.6.672
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the effects of using a Coaching Program on Comprehensive Lifestyle Modification with pregnant women who have gestational diabetes.

Methods

The research design for this study was a non-equivalent control group quasi-experimental study. Pregnant women with gestational diabetes were recruited from D women's hospital located in Gyeonggi Province from April to October, 2013. Participants in this study were 34 for the control group and 34 for the experimental group. The experimental group participated in the Coaching Program on Comprehensive Lifestyle Modification. The program consisted of education, small group coaching and telephone coaching over 4weeks. Statistical analysis was performed using the SPSS 21.0 program.

Results

There were significant improvements in self-care behavior, and decreases in depression, fasting blood sugar and HbA1C in the experimental group compared to the control group. However, no significant differences were found between the two groups for knowledge of gestational diabetes mellitus.

Conclusion

The Coaching Program on Comprehensive Lifestyle Modification used in this study was found to be effective in improving self-care behavior and reducing depression, fasting blood sugar and HbA1C, and is recommended for use in clinical practice as an effective nursing intervention for pregnant women with gestational diabetes.

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The Lifestyle Modification Coaching Program for Secondary Stroke Prevention
Heejeong Kim, Oksoo Kim
J Korean Acad Nurs 2013;43(3):331-340.   Published online June 28, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.3.331
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the effects of the lifestyle modification coaching program on self efficacy, lifestyle and physiologic indexes related to the recurrence of stroke in patients with stroke.

Methods

Sixty-one patients with stroke registered with a stroke center participated in this study. Of the participants, 32 were assigned to the experimental group and 29 to the control group. Self efficacy, alcohol drinking, smoking, physical activity, BMI (body mass index), WHR (waist-hip ratio), blood lipid level, and blood pressure were measured both for the baseline, as well as after intervention. The lifestyle modification coaching program consisted of an 8-week telecoaching session following face-to-face education. The control group received only the face-to-face education.

Results

There were significant differences in physical activities, WHR, blood pressure within and between groups after intervention. The lifestyle modification coaching program had significant influences on blood pressure even after gender, age, and physical activity had been adjusted.

Conclusion

The results of the study indicate that lifestyle modification coaching program is effective for physical activity, abdominal obesity and blood pressure. Therefore it can be used by nurses in hospitals and communities as one of the secondary stroke prevention programs for patients with stroke.

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Comorbidity and Health Habits of Seoul City Elders with Dementia
Yoon Kyoung Lee, Mi Ra Sung, Dong Young Lee
J Korean Acad Nurs 2011;41(3):411-422.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.411
AbstractAbstract PDF
Purpose

The aim of this study was to clarify the actual condition of elders with dementia who were registered in the Seoul Dementia Management Project.

Methods

Data were collected from 5,312 elderly patients with dementia. Demographic included characteristics, comorbidity, and healthy lifestyle habits; data from the Seoul Dementia Management Project.

Results

First, demographic characteristics were as follows; mean age at the time of definite diagnosis was 78.0 yr. There were slightly more women (69.3%), and 4.55 yr was the average length of education with 41.4% being illiterate or uneducated patients. Second, there were several comorbidities including hypertension (61.7%), diabetes mellitus (31.8%), hypercholesterolemia (10.2%), heart disease (11.1%), obesity (4.2%), and stroke (21.4%). Third, alcoholic history was found in 11.8% of the patients, and smoking in 9.8%. Regular exercise was done by only 29.1% of the patients with dementia. Finally, significant differences between men and women were found for the following; age, education, medical security, hypertension, diabetes mellitus, stroke, alcoholic consumption, smoking, and regular exercise.

Conclusion

Authors expect that the present data will be used for establishment of dementia associated projects and policies.

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