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8 "Yeon Hee Choi"
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Original Articles
Effects of a Strength Based I-Change Smoking Cessation Program for Smoking Middle School Boys
Jung Hee Kim, Yeon Hee Choi
J Korean Acad Nurs 2017;47(2):164-177.   Published online April 28, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.2.164
AbstractAbstract PDF
Purpose

This study was done to develop a strength based I-change smoking cessation program for middle school boys and identified its effects.

Methods

The study design was a nonequivalent control group pre-post test design. The participants were 97 middle school students from D city, who were in school from April 6 to September 25, 2015. The experimental group participated in the strength based I-change smoking cessation program, while the comparative group participated in a general smoking cessation program. The control group did not participate in any program. Data analyses involved χ2-test, Fishers' exact test, Bonferroni test, and Repeated measures ANOVA, with the IBM SPSS for Windows (version 20.0) program.

Results

Compared to the comparison and control groups, the experimental group showed significant improvement in knowledge, attitude, self-efficacy, behavior change. Also cotinine in urine and modeling of social influence in the experimental group significantly decreased after the strength based I-change smoking cessation program.

Conclusion

These findings indicate that the strength based I-change smoking cessation program is an effective intervention for middle school boys who smoke. The findings suggest that such programs can be used at public health centers or through school health education to decrease smoking in adolescents.

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A Study on the Relationship of Perceived Self-efficacy and Sick-role behavioral Compliance in Diabetic children
Yeon Hee Choi
Journal of Nurses Academic Society 1996;26(1):127-137.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.1.127
AbstractAbstract PDF

This study was designed to identify the relationship of perceived self-efficacy and sick-role behavioral compliance in diabetic children. The forty-two diabetic children participating in this study were selected from outpatients. The period of data collection was August 8 to December 9, 1994. Collected data were analyzed by means of chi-square test, t-test, Pearson correlation using SPSS/PC+. The result are summarized as follows: 1. The mean score of perceived self-efficacy was 3. 21 that of sick-role behavioral compliance 3.17. 2. Perceived self-efficacy and sick-role behavioral compliance had a positive correlation which was statistically significant (r=0.77, P<0.001). 3. There were statistically significant difference in perceived self-efficacy according to age(p<0. 01) and acknowledgment of prescribed calories in the diabetic diet (p<0.001). 4. There were statistically significant difference in sick-role behavioral compliance according to age(p<0.01) and acknowledgment of prescribed calories in the diabetic diet (p<0.001). These results suggest that perceived self-efficacy is an important variable in the compliance of diabetic children. Nursing intervention needs to be directed at promoting perceived self-efficacy to maintain sick ?role behavioral compliance for diabetic children. Therefore programs of nursing intervention should be revised in order to promote perceived self ?efficacy in diabetic children.

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A Study on the Relationship of Perceived Social Support on Self-esteem and Hopelessness in Patients with Chronic Renal Failur
Yeon Hee Choi
Journal of Nurses Academic Society 1995;25(3):549-561.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1995.25.3.549
AbstractAbstract PDF

This study was designed to identify the relationship of perceived social support on self-esteem and hopelessness in patients with chronic renal failure who are hemodialysis. The subjects of this study were the 50 patients who were registered in the hemodialysis department of the two hospitals. The data were colleced using a questionnaire and The period of the data collection was from August 9 to 16,1993. The instruments for this study were the perceived social support scale designed by Park Ji-Won, the self-esteem scale designed by Rosenberg and the hopelessness scale desinged by Beck et al. The data were analyzed using frequencies, percentages, t-test, ANOVA, and Pearson correlation coefficient. The results are summarized as follows; 1. The degree of support according to the type of perceived social support ranged down in the following order from high to low: the mean emotional support 21.12, the mean informational support 19.58, the mean appraisal support 17.00, the mean material support 15.22, the mean self-esteem was 32.00 and the mean hopelessness was 60.48. 2. Test for hypothesis; Hypothesis 1, "The higher the level of perceived social support in patients on hemodialysis, the higher their level of self-esteem will be." was not supported(r=.05, p=0.74). Hypothesis 2, "The higher the \evel of perceived social support in patients on hemodialysis, the lower their level of hopelessness will be." was supported(r=-0.53, p=0.00). 3. The relations between general characteristics and the level of perceived social support, self-esteem, and hopelessness; (1) The 'Gender'(P=0.04), 'Occupation'(P=0.04), 'Education'(P=0.00), 'Married state'(P =0.00) 'Duration of Hemodialysis'(P=0.00) and 'Income' (P=0.00) of the subjects were related to perceived social support and showed a statistically significant difference. (2) No general characteristics of the subjects were related self-esteem in a statistically significant way. (3) The 'Education'(P=0.00), 'Income'(P=0.00) of the subjects were related to hopelessness and showed a statistically significant difference. Thus, it is concluded that social support must be included in nursing interventions for patients with chronic renal failure on hemodialysis.

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The Factors Influencing the Compliance of Breast Self-Examination of Middle-Aged Womem
Yeon Hee Choi
Journal of Korean Academy of Nursing 2005;35(4):721-727.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.4.721
AbstractAbstract
Purpose

This cross-sectional survey was conducted to described the compliance of Breast Self-Examination of middle-aged women using a convenient sample, and to examine relationships between the compliance of BSE and Health Beliefs, and the influencing factors on the compliance of BSE.

Methods

The subjects were 373 literate volunteers who were from 41 to 60 years of age who visited 6 public health centers. From June 7, 2004 to August 20, 2004, data were collected by 5 research assistants using a self-report questionnaire. The questionnaire was used to obtain information on the general characteristics, knowledge, health beliefs, and compliance of BSE.

Results

The findings of this study suggested that there were significant differences in the scores of the perceived susceptibility and severity between compliers and non-compliers of the BSE. BSE compliance was significantly correlated with knowledge, perceived susceptibility, and perceived severity. The most powerful predictor of BSE compliance was the perceived susceptibility. The perceived susceptibility, the perceived severity, the knowledge and educational level accounted for 41.8% of the variance in middle aged women's BSE compliance.

Conclusion

Increase in knowledge about breast cancer, with a concomitant increase in both perceived susceptibility and perceived severity could produce a subtle cue or motivating force sufficient to affect a behavior change. Further research is needed to examine the qualitative difference between BSE and other early detection behaviors.

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Effectiveness of the Self-determination Theory based a Motivational Interviewing YOU-TURN Program for Smoking Cessation among Adolescents
Young Sun Ha, Yeon Hee Choi
J Korean Acad Nurs 2015;45(3):347-356.   Published online June 30, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.3.347
AbstractAbstract PDF
Purpose

In this study, the effectiveness of a motivational interviewing smoking cessation YOU-TURN program for adolescents was examined. The program was based on the self-determination theory.

Methods

The study was carried out with a nonequivalent control group pretest-posttest design. Participants in the present study were 136 high school students living in D city. The students were assigned to the experimental group (n=52) who participated in the motivational interviewing smoking cessation YOU-TURN program based on self-determination theory, or to the control group (n=84) who participated in a general smoking cessation program. Data were collected from September 1, 2013 through April 30, 2014. Collected data were analyzed using SPSS PC+ 21.0 with Chi-square test, Fisher's exact test, t-test, Mann-Whitney U test, Repeated Measures ANOVA, and MANOVA-Wilk's Lambda.

Results

The experimental group had a significant increase in basic psychological needs, and duration of quitting-smoking in comparison with the control group. The experimental group had a significant decrease in cigarettes smoked per day and cotinine in urine in comparison with the control group.

Conclusion

The motivational interviewing YOU-TURN program, when delivered to adolescents who smoked, was effective in discouraging smoking, and can be utilized as an effective nursing intervention for adolescents who smoke.

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Effects of a Recreational Combination Gymnastics Program for Old-old Women
Yeon Hee Choi, Choon Ji Lee
J Korean Acad Nurs 2012;42(6):843-852.   Published online December 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.6.843
AbstractAbstract PDF
Purpose

In this study a recreational combination gymnastics program was provided for women 75 years of age or older and the effects on physical fitness (grip strength, static balance, ability to do complex movement), depression, cognitive function and quality of life were examined.

Methods

A quasi-experimental study employing a nonequivalent control group, pre-post design was conducted. Participants included 53 women elders whose cognitive function was within the normal range. The women were assigned to an experimental group (27) or a control group (26). The intervention was conducted twice a week for a period of 12 weeks. Chi-square test, t-test, paired t-test, Wilcoxon rank sum test and Wilcoxon signed rank test were used for data analysis.

Results

Following completion of the program, left grip strength (t=2.17, p=.035), right grip strength (t=2.04, p=.046), static balance (t=-2.18, p=.030), depression (z=-2.88, p=.004), cognitive function (t=3.96, p<.001), and quality of life (t=-3.19, p=.002) were significantly better in the experimental group.

Conclusion

Findings from this study indicate that recreational combination gymnastics programs are effective in enhancing physical fitness, cognitive function, and quality of life and in decreasing depression for female elders and could therefore be regarded as positive programs for promotion of physical and mental health for older women.

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Effectiveness of a Motivational Interviewing Smoking Cessation Program on Cessation Change in Adolescents
Young Sun Ha, Yeon Hee Choi
J Korean Acad Nurs 2012;42(1):19-27.   Published online February 29, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.1.19
AbstractAbstract PDF
Purpose

This study examined the effectiveness of an Adolescent Motivational Interviewing Cessation program on smoking cessation change. The study was done with a nonequivalent control group pretest-posttest design.

Methods

The participants were 39 high school students from G city, who were in school from September 1 to October 30, 2009. The students were assigned to the experimental group (20) and participated in the motivational interviewing cessation program or to the control group (19) who did not participate. Data analyses involved χ2-test, independent t-test, Repeated Measures ANOVA, and utilized the SPSS program.

Results

The experimental group had significantly less daily smoking, nicotine dependence and smoking temptation in comparison to the control group. The experimental group had significantly higher stage of change in comparison to the control group.

Conclusion

The results of the study indicate that a motivational interviewing cessation program delivered to adolescents who smoke is an effective method of encouraging cessation, and can be utilized as an effective nursing intervention for adolescents who smoke.

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Factors Affecting the Health-related Quality of Life According to Age in Vulnerable Aged Men
Eun Young Jeon, Yeon Hee Choi
J Korean Acad Nurs 2010;40(3):400-410.   Published online June 30, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.3.400
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the factors that influenced the health-related quality of life of young-old (65-74 yr) men, old-old (75-84 yr) men, and oldest-old (85 yr or above) men in vulnerable aged received home care from public health center.

Methods

The participants for this study were 318 aged Korean men living in D city. The data was collected from August to October, 2009 using structured questionnaires. Chi-square, One way ANOVA, Duncan test, Pearson's Correlation Coefficient and multiple regression with the SPSS WIN 14.0 program were used to analyze the data.

Results

There were statistically significant differences among young-old, old-old, and oldest-old men regarding the health-related quality of life, health promoting behavior, IADL (Instrumental Activities of Daily Living), rehabilitation, depression, and social support. The model including variables related to physical, psychological, and social aspects of life, explained variance of the health-related quality of life of aged men differently, such as 39.6% of young-old, 35.4% of old-old, and 47.0% of oldest-old. Finally, IADL and social support were predictors in explaining the level of health-related quality of life among vulnerable old men regardless of age.

Conclusion

Based on the findings of the study, nursing interventions should be developed to improve health-related quality of life of vulnerable aged men according to age differences.

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