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8 "Self Esteem"
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Research Paper
The Influence of Parental Self-Esteem on Late School-Aged Children’s Media Device Addiction: The Mediating Effect of Marital Conflict and Children’s Self-Esteem
Heo, Dayeon , Kim, Suk-Sun
J Korean Acad Nurs 2022;52(4):421-434.   Published online August 31, 2022
DOI: https://doi.org/10.4040/jkan.22036
AbstractAbstract PDF
Purpose
This study aimed to examine the effect of parental self-esteem on late school-aged children’s media device addiction by mediating marital conflict and children’s self-esteem.
Methods
This study used data from the 11th (2018) Panel Study on Korean Children. The participants consisted of 1,082 family triads (fathers, mothers, and children). Data were collected using the Rosenberg Self-Esteem Scale, Marital Conflict Scale, and K-Internet Addiction Scale. The data were analyzed using structural equation modeling with SPSS/WIN 27.0 and Mplus 8.7.
Results
The final model showed a good fit for the data. Children’s media device addiction was directly related to mothers’ self-esteem, mothers’ marital conflict, and children’s self-esteem. Fathers’ self-esteem had a significant indirect effect on children’s media device addiction by mediating both fathers’ and mothers’ marital conflict. In addition, mothers’ self-esteem had a significant indirect effect on children’s media device addiction by mediating mothers’ marital conflict.
Conclusion
The findings indicates that self-esteem and marital conflict for both fathers and mothers have a significant effect on children’s media device addiction. It suggests that more attention might be given to fathers and mothers in developing interventions to prevent children’s media device addiction.
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Original Articles
The Effects of Stage Based Exercise Program on the Physical and Psychological Variables in Stroke Survivors
Nam Sook Seo
Journal of Korean Academy of Nursing 2003;33(7):954-964.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.7.954
AbstractAbstract PDF
Purpose

The purpose of this study was to develop the exercise program based on the Transtheoretical Model, and to identify it's effects on physical and psychological variables in stroke survivors.

Method

The subjects of this study were 42 stroke survivors in the preparation and action stages. The stage based exercise program was conducted in the experimental group 8 times for 8 weeks. For data collection, physical conditioning and psychological state were measured and decisional balance and exercise specific self-efficacy were compared within groups.

Result

For the physical conditioning, there were significant improvements in shoulder's range of motion and walking speed. For the psychological state, the mean score of self esteem for the experimental group significantly increased in both stages. The pros of decisional balance increased in the preparation stage and the cons of decisional balance increased in the action stage, but the exercise specific self-efficacy scores were not significantly changed in both stages.

Conclusion

The stage based exercise program using the Transtheoretical Model influenced on the physical and psychological variables positively for the stroke survivors. It was demonstrated that subjects became more active during the intervention.

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Development and Effects of Assertiveness Training applying Dongsasub Training for Nursing Students in Clinical Practice
Myoungsuk Kim
J Korean Acad Nurs 2016;46(4):490-500.   Published online August 31, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.4.490
AbstractAbstract PDF
Purpose

This study was conducted to develop assertiveness training applying Dongsasub training for junior nursing students, and to verify effectiveness of the training on assertiveness behavior, self-esteem, clinical practice stress, and clinical competence.

Methods

The study design was a non-equivalent control group non-synchronized design. Participants were 63 nursing students in clinical training (31 students in the experimental group and 32 students in the control group). The assertiveness training applying Dongsasub training consisted of four sessions. Outcome variables included assertiveness behavior, self-esteem, clinical practice stress, and clinical competence. Data were analyzed using Chi-square, Fisher's exact test and independent samples t-test with SPSS/WIN 21.0.

Results

Scores of assertiveness behavior (t=-2.49, p=.015), self-esteem (t=-4.80, p<.001) and clinical competence (t=-2.33, p=.023) were significantly higher and clinical practice stress (t=4.22, p<.001) was significantly lower in the experimental group compared to the control group.

Conclusion

Results indicate that the assertiveness training applying Dongsasub training can be used as a nursing intervention to lower clinical practice stress and improve the clinical competence of nursing students.

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Effect of Smartphone Apps Applying BodyThink Program on Obesity in Adolescent Girls
Min-Kyung Jun, Ju-Young Ha
J Korean Acad Nurs 2016;46(3):390-399.   Published online June 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.3.390
AbstractAbstract PDF
Purpose

The purpose of this study was to determine the effects of smartphone apps applying BodyThink program on BMI, percentage of body fat, skeletal muscle rate, body image, and self-esteem of adolescent girls.

Methods

Sixty-eight high school girls with a BMI of over 25kg/m2 were recruited to participate in this study. Girls from four schools were divided into two groups: the experimental group, which used the smartphone apps applying BodyThink program, and the control group, which used smartphone apps and small group counseling. The experimental group received the BodyThink program 6 times, scheduled once a week, with each session lasting 40~50 minutes. Test measures were completed before and after the 6 week intervention period for all participants. Collected data was analyzed using Shapiro-Wilk test, descriptive statistics, χ2 test, independent t-test, Mann-Whitney U test with the SPSS/WIN 18.0 program.

Results

The girls in the experimental group significantly improved their results in BMI(Z=-1.67, p=.042), percentage of body fat (Z=-3.01, p=.001), skeletal muscle rate (t=-3.50, p<.001), and self-esteem (t=2.66, p=.005) after the program, compared to the girls in the control group.

Conclusion

Mobile applications applying psychological and emotional intervention programs have the potential to be effective alternative methods to improve the body composition and self-esteem of obese adolescent girls.

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Factors Influencing Resilience of Adult Children of Alcoholics among College Students
Hee Kyung Kim, Mi Hyoung Lee
J Korean Acad Nurs 2011;41(5):642-651.   Published online October 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.5.642
AbstractAbstract PDF
Purpose

The purpose of this study was to explore the resilience of adult children of alcoholics (ACOA) who are college students, and examine factors contributing to their resilience.

Methods

A total of 459 college students from a university in Incheon, participated in this study. Data were collected between April 6 to 30, 2010 using the Korean version of the Children of Alcoholics Screening Test (CAST-K), CAGE, Social Support, Self-Esteem, Family Adaptability and Cohesion, and Resilience measurements. Data were analyzed using the SPSS/WIN 18.0 program.

Results

Overall, ACOA group showed lower scores of resilience, social support, self-esteem and family adaptability and cohesion compared to non-ACOA group. Resilience among the ACOA group showed significant relationships with self-esteem (r=.53, p<.001), social support (r=.43, p<.001), and family adaptability and cohesion (r=.25, p<.013). Multiple regression analysis showed that 45% of the variance for resilience in the ACOA group was accounted for by age, gender, social support, self-esteem, and religion.

Conclusion

The results of the study show that self-esteem and social support are important determinants of resilience in ACOA, thus it is recommend that further resilience training programs for ACOA be developed to enhance their social support and self-esteem, and ultimately to increase their resilience.

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Factors Influencing Yangsaeng in Elders (Yangsaeng; Traditional Oriental Health Promotion)
Yeong Sook Park, Duk Sun Seo, Yunhee Kwon
J Korean Acad Nurs 2011;41(1):72-79.   Published online February 28, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.1.72
AbstractAbstract PDF
Purpose

The study was done to identify factors influencing Yangsaeng in elders.

Methods

Data were collected by questionnaires from 907 elders in D metropolitan city. Measures were Yangsaeng, perceived health status, self-efficacy, and self esteem. Data were analyzed using frequencies, means and standard deviation, t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS/WIN 13.0 version.

Results

The mean score for Yangsaeng the participants was 3.56, out of a possible 5. There were significant differences in Yangsaeng according to age, education level, monthly income, marital status, family structure, and periodic health examination. Yangsaeng correlated positively with perceived health status, self-efficacy and self-esteem. According to the research, factors influencing Yangseng in elders were self-esteem, perceived health status, self-efficacy, family structure, and marital status.

Conclusion

The positive correlation between Yangsaeng and health promotion behavior and perceived health status, self-efficacy, and self-esteem identified in this study can have an impact on strategies to improve the health of Korean elders. Therefore, the results can be used as a reference for future studies.

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Factors Influencing Depression in Elderly People Living at Home
Myeong Ja Moon
J Korean Acad Nurs 2010;40(4):542-550.   Published online August 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.4.542
AbstractAbstract PDF
Purpose

This study was done to identify the factors which influence depression for elderly people who live at home.

Methods

The participants were 134 elderly people living at home in M city. Data were collected from April 2 to 30, 2009 and analyzed using SPSS/WIN 12.0 and AMOS 5.0 program. I assumed path coefficients by doing path analysis to understand synthetically causal relationship which influences on depression.

Results

Social support, sleep pattern and self esteem had significant direct effects on life satisfaction and accounted for 50% of the total variance in life satisfaction. Physical symptoms, sleep pattern and life satisfaction also had significant direct effects on depression and accounted for 59% of the variance in depression. But social support, self assertiveness and self esteem were not significant for depression.

Conclusion

These results provide guidance for designing useful strategies to reduce depression in elderly people living at home.

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A Structural Equation Model on Mental Health of Korean Immigrants in Canada
Jeongyee Bae, Youngsuk Park
J Korean Acad Nurs 2010;40(3):389-399.   Published online June 30, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.3.389
AbstractAbstract PDF
Purpose

The aim of this study was to construct a structural equation model that would further explain the mental health status of Korean immigrants living in Canada.

Methods

Survey using a structured questionnaire was conducted with 386 people in Canada (Vancouver and Toronto). Six instruments were used in this model. The analysis of data was done with both SPSS 14.0 for descriptive statistics and AMOS 5.0 for covariance structure analysis.

Results

Based on the constructed model, physical health status, immigrant life stress, self esteem, and quality of life were found to have significant direct effect on mental health. In addition, factors such as physical health status, immigrant life stress, quality of life, English proficiency, family cohesion and social support were found to indirectly affect mental health. The final modified model yielded Chi-square=34.79 (p<.001), df=13, χ2/df=2.68, GFI=0.98, AGFI=0.94, NFI=0.95, PNFI=0.44, PGFI=0.35, RMSE=0.07 and exhibited good fit indices.

Conclusion

This structural equation model is a comprehensive theoretical model that explains the related factors and their relationship with mental health in Korean immigrants. Findings of this study can contribute to the designing of an appropriate prevention strategy to further improve the mental health of immigrants in Canada.

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