PURPOSE
This study was designed to explore and compare the self efficacy, social support, and quality of life between middle-aged Korean and Chinese women. METHODS: The sample included 430 (Korean: 220, Chinese: 210) middle-aged women. Study instruments were the Self Efficacy Scale developed by Shere et al (1982), the Social Support Scale modified and based on Interpersonal Support Evaluation List (ISEL) developed by Cohen and Hoberman (1983), and The Quality of Life Scale (SF-36) developed by Ware and Book (1981). Data were analyzed by SPSS/WIN 16 version. RESULTS: Korean women reported more self efficacy and better quality of life than the Chinese women. The quality of life scores between middle-aged Korean and Chinese women showed a statistical significant difference. Self efficacy and quality of life scores reported by middle-aged Korean and Chinese women were below the reported standards of the instruments. In contrast to the other scores, Chinese women reported more social support than Korean women. CONCLUSION: The findings add to the body of literature about Chinese and Korean middle aged women. Additional research is needed to explain the differences among the two groups but the findings can inform the practicing nurse who works with these populations.

PURPOSE
This study was to compare and examine the factors influencing burden of primary family caregivers according to the severity of illness of elderly patients admitted in an intensive care unit.
METHODS
Subjects were the families of elderly patients in intensive care units of K, S and Y hospitals in Seoul. Data were collected from March to October 2007. Subjects were 108 persons over age 65. Data were analyzed by SAS statistics.
RESULTS
First, groups 5 and 3 showed higher burden than that of group 4. Second, high correlation was found between stress and burden, stress and anxiety, and burden and anxiety. Third, factors influencing family burden were found to be stress for group 5, stress, anxiety, and monthly income for group 4, and stress and patient age for group 3.
CONCLUSION
Specific nursing interventions to decrease the stress of primary family caregivers of serious ill elderly patients in an intensive care unit are needed. Additionally, more effective and systematic activation of a long-term medical insurance system for seriously ill seniors is considered necessary to mediate the burden of primary family caregivers.

PURPOSE
This study was a descriptive survey research to compare and to examine the levels of health status, depression, and quality of life between the elderly living with family and the elderly living alone, the relations among the factors.
METHODS
Subjects were the 441 elderly over 65 years old(243 elderly living with family; 198 elderly living alone) in Seoul and Gyung-gi province. Data were collected from January to March, 2007. Collected data were analyzed through SAS/PC 11.0 version.
RESULTS
First, the health status and quality of life in the elderly living with family were higher than them in the elderly living alone. Also depression in the elderly living with family was lower than that in the elderly living alone. Second, in all elderly there was positive correlation between health status and depression. There were negative correlations between health status and quality of life, and between depression and quality of life. Third, the economic environments in all elderly did effect to the health status, depression, and quality of life.
CONCLUSION
In conclusion, it's requested a special attention of the current job level or interpersonal relationship of older people.

PURPOSE
This study was conducted to examine the factors related to quality of life in elderly. METHODS: This was a descriptive correlation study. The subjects were 356 elderly over 65 years old. Data were analyzed by descriptive statistics, Pearson correlation coefficients, and multiple regression with a SAS statistics. RESULTS: The predictors of quality of life in elderly were depression, life satisfaction, self esteem, economic state, family support, perceived health state, and age. These factors explained 71.9% of the total variance. CONCLUSION: These findings suggest the need to develop nursing strategy to improve quality of life in elderly. To improve the quality of life in elderly, the above major influencing factors should be considered.

PURPOSE
This study examined the correlations among family support, morale, and quality of life in the elderly.
METHODS
Descriptive correlational study design was used. The subjects were 131 elderly people 65 and older who have lived in Seoul and other three cities. The data were analyzed with mean, SD, t-test, ANOVA, and pearson's correlation by using the SPSS 11.0 program.
RESULTS
First, the mean of family support was 3.71, morale 3.25, and quality of life 3.02 respectively. Second, the correlation between quality of life and family support was statistically significant(r=.264, p=.00), the correlation between quality of life and morale was also statistically significant(r=.484, p=.00), and the correlation between family support and morale was also statistically significant(r=.430, p=.00).
CONCLUSION
Family support for the elderly in the study was confirmed as the primary important concept which can positively maintain and promote the quality of their life. Also, the correlation between morale and family support was verified as significant. Further study is needed to develop a nursing intervention program for morale improvement with a network of family support with their children, ultimately for quality of life among the elderly.

PURPOSE
This study was conducted to examine the knowledge level and assessment experience of nurses in regards to delirium, and to utilize the study results as baseline data for planning delirium education programs for nurses.
METHODS
Subjects were 465 nurses who were working in a general hospital. A 'delirium related knowledge and assessment experience' questionnaire was used to collect data.
RESULTS
Knowledge levels regarding delirium averaged 70 out of 100, and at each domain, they scored 87 for etiology of delirium, 62 for symptoms, and 69 for nursing management. The knowledge level of delirium was significantly different according to educational level (F=3.851, p=.022), past education related to geriatrics(t=2.471, p=.014), and awareness of need for in-service education on geriatric nursing(F=2.663, p=.032). About 85% of nurses had past experience of dealing with delirious patients and only 7.7% of nurses used delirious state assessment tools.
CONCLUSION
According to the above results, it is necessary, not only to provide delirium related educational programs for nurses, but also to emphasize the usefulness of applying the assessment tool.

PURPOSE
This study is to examine the effect of auricular acupressure therapy on smoking cessation for male adult in rural areas.
METHOD
Research design was nonequivalent control pretest-posttest design. The samples were 90 male adults(Experimental: 40, Control: 40) in a community. Measures were the number of cigarette smoking per day, dependency on nicotine, and need for smoking. Auricular acupressure therapy, experimental treatment was applied for 2 weeks, 2 times/week, 3 day/time. Data were collected from June 2005 to December 2005. Data were analyzed using SPSS PC+ 12 version. Descriptive statistics, independent t-test, chi-square-test, were used for each aim of this study.
RESULTS
The number of cigarette smoking per day (t=-13.230, p=.000), dependency on nicotine (t=-29.743, p=.000), and need for smoking (t=-19.799, p=.000) were significantly decreased in the experimental group by application of the auricular acupressure therapy.
CONCLUSION
Auricular Acupressure Therapy can be a better effective primary nursing intervention on smoking cessation for male adults in rural areas through reverification by a study of repetition.

PURPOSE
This study was to examine the effect of electrical muscle stimulation therapy on chronic knee pain and depression for the aged.
METHOD
Design was one-group pretest-posttest design. Samples were 32 elderly of 60 years old and above with chronic knee pain and depression. Measures were the S-F McGill Pain Questuionnaire for chronic knee pain and the Korean Elderly Depression Scale for depression. Electrical muscle stimulation therapy, experimental treatment, was applied for 12 weeks, 3 times/week, 15 min/time. Data were collected from January 2005 to May 2005. Data were analyzed using SPSS PC+ 12 version.
RESULTS
After receiving electrical muscle stimulation therapy, chronic knee pain (t=-88.034, P=.000) and depression (t=-114.659, P=.000) were significantly decreased.
CONCLUSION
Electrical muscle stimulation therapy can be a better effective primary nursing intervention on chronic knee pain and depression for community dwelling elders.

PURPOSE
The present study was designed to explore and compare attributes of the quality of life between Korean elderly and Korean- American elderly.
METHOD
The research design was a descriptive design and questionaries were used. Studies were done using questionnaires. Data were collected from convenient sample of 163 Korean elderly and 151 Korean-American elderly recruited from senior centers and churches. Collected data were analyzed by using SPSS/WIN 10.0.
RESULTS
There were significant difference between Korean elderly and Korean- American elderly in education and income. Korean-American elderly showed higher self- esteem, self-efficacy, and quality of life than those of Korean elderly. The influencing factors on quality of life in Korean elderly were defined as self-esteem and self-efficacy. And the influencing factor on quality of life in Korean- American elderly was defined as self-efficacy.
CONCLUSION
In conclusion, the results of this study showed that self-efficacy was a very important factor as attribution to the quality of life for both elderly group. Therefore, self-efficacy should be promoted in nursing intervention in order to enhance the quality of life for both Korean and Korean-American elderly.

PURPOSE
This study was to examine the effect of morning stretching on depression and motivation of rehabilitation for stroke patients. METHOD: Design of this study was noneqivalent control pre-test post-test design. Subjects were total 62 patients (Experimental: 30 subjects, Control: 32 subjects) being hospitalized for stroke in a national medical center. Measures were CES-D for depression and PAREMO for motivation of rehabilitation. Data were collected from 1st March to 30th July, 2004. Data have been processed using SPSS/WIN 11.0. RESULTS: The results of this study were as followings: 1) Experimental group was showed lower level of depression than that of control group (t=8.934, P=.000). 2) Experimental group was showed higher motivation of rehabilitation than control group (t=-12.43, P=.000). CONCLUSION: As a result, it was confirmed that morning stretching which was intervened in this study was one of the nursing intervention that lowers the level of depression and promotes motivation of rehabilitation for stroke patients, that helps to improve their psychological and mental problems.

PURPOSE
This study was done to identify the degree that perceived social support effects the self esteem of the elderly. METHOD: A structured questionnaire was administered to 203 elderly subjects from April 2003 to June 2003. The data were analyzed with an SPSS program for descriptive statistics, Pearson`s correlation coefficients, t-test, ANOVA, and stepwise multiple regression. RESULTS: The level of social support was moderate; family support received the highest score among sources of support. In types of support, appraisal support was the highest score and material was the lowest. The level of self esteem was also moderate. The score of social support showed a slightly high positive correlation with self esteem. In general characteristics, several variables were significantly related to self esteem. The most powerful predictor of self esteem was material support by family and the variance explained was 19.6%. A combination of material support by family, informational support by relatives, perceived economic status, perceived health status, and having a subject to depend on accounted for 39.8% of the variance in self esteem of the elderly. CONCLUSION: To increase the self esteem of the elderly, it is necessary to consolidate material support by family.

PURPOSE
The purpose of this study was to identify the influencing factor to self actualization in middle-aged women.
METHOD
The subjects for this study were 191 middle-aged women selected by convenience sampling in three cities. Data collection was done using a questionnaire. The data were analyzed by using descriptive statistics, Pearson Product Moment Correlation coefficient and Stepwise Multiple Regression.
RESULT
The results of this study were as follows: 1. The relationship between self-efficacy, social support, self esteem, motivation for achievement, parental satisfaction with children and self-actualization were found to have statistically significant positive correlations. But the relationship between depression and self-actualization were found to have statistically significant negative correlation. 2. Stepwise multiple regression analysis revealed that the most powerful predictor was social support. Social support, motivation for achievement and self esteem accounted for 38.1% of the variance in self-actualization in middle aged women.
CONCLUSION
According to these results, it is recommended that in order to enhance self-actualization in middle-aged women, empowerment of social support, motivation for achievement and self esteem should be pursued.

PURPOSE
This study was to identify the meaning of the lived experiences, to describe of the meaning structures and to develop the strategies of nursing intervention centering to these meanings of the smoking cessation.
METHOD
This study was derived from a phenomenological analytic method suggested by Giorgi. The participants in this study were five adults who had the previous experience of smoking cessation. The data were collected from September of 2001 to April of 2002 through systemic interviews and participatory observations. Average of five interviews were performed, and each interview lasted an hour and half.
RESULT
The meaning of smoking cessation was categorized with nine components. That is (1) obstinacy of the habit of smoking ; difficulty of endurance, succumb to temptation of smoking, repetition of smoking and smoking cessation, habit-forming. (2) Bring about a symptom of improving ; took place headache, expectoration of sputum, sense of instability. (3) Waver in worthy ; doubts about smoking cessation, ridiculed smoking cessation. (4) Be narrowed social life ; become estranged from friends. (5) Futility ; unnecessary, harm. (6) Self-repression ; occurred indomitable mind, strong will, endurance. (7) Gratification ; self-admiration, receive praise from family. (8) Delightfulness ; clean in body and clothes, be disgusted with the foul order of smoking. (9) Improvement in welfare ; a clear mind and good memory, improve in health, have a good appetite.
CONCLUSION
The nursing intervention must be focused on these concerns to accomplish successful smoking cessation program.

PURPOSE
This study was to identify nursing interventive strategies centering around the meaning structure of elderly women self-esteem.
METHOD
This study is based on a phenomenological approach. The participants were 6 women over the age of 65 selected in Mullae Senior Club or Yeongdeungpo Senior Welfare Center. The data was collected by in-depth and open- ended interviews from May to September, 2001. The analysis of the data was used the phenomenological analytic method suggested by Giorgi(1970).
RESULT
Two essential themes in the self- esteem of relationships the elderly women emerged: (1) Self-identification through human relations: (2) The ability for self-control.
CONCLUSION
There is a variety of programs and social meetings to confirm self and support systems, whether on the governmental level or the personal level, to help the ability for self-control should be expected to live a more qualitative life and successful aging for elderly women. In addition, this study will offer a better understanding of elderly women within the social and cultural context of South Korea.

PURPOSE
This study is aimed to search the lived experiences of the participants and to analyze the contents so that we can be assured about what the elderly wish and find the appropriate nursing intervention for them in real life.
METHOD
This is based on a phenomenological approach. Participants of this study consist of people older than 65 years old. Data was collected from May to August in 2001. Data collection was done through in-depth interviews and observations. The time used in each interview was from 50 minutes to 2 hours. Each participant was interviewed three to five times. Giorgi's phenomenological analysis was used in data analysis.
RESULT
The elder's wishes are 1) a respected life, 2) a happy life, 3) a peaceful life, 4) a independent life, 5) a financially independent life, 6) a satisfactory life, 7) a mind to depend on someone, 8) a serving life, 9) a historic family, 10) a happy-ending life.
CONCLUSION
The study will contribute for the nursing intervention to enhance the quality of life and successful aging of the elderly.

The purpose of this study is to investigate the correlation among the stroke patient family's health, burden and quality of life which is based upon the comparative appreciation of the adult stroke patient's family and elderly stroke patient's family. For this purpose, data were collected from the family care-givers for two groups of stroke patients under sixty years old and over sixty years of age, admitted at K Hospital and H Hospital in Seoul. The instruments for this research are based on the tool for measuring physical health and psychological health developed by Yang, Young-hee(1992), the tool for measuring the sense of burden by Seo, Mee-hae and Oh, Ga-sil(1993), and the tool for the quality of life by Noh, Yoo-ja(1988). The sampling for this study was done from December, 2000 until February, 2001. Questionnaire data were drawn up by personal interviews aided by the staff nurses. The analysis of collected data are based on general characteristics calculated at the rate of 100 percent of the average, t-test, ANOVA(some difference on a level with p<.05 being subsquently confirmed by DMR) for Health Status, Burden, Quality of Life and Pearson Correlation to verify the hypothetical correlation among the subjects. The results of this study are as follows: 1. In the adult stroke patient family, the factors influencing the physical health proved to be age, present occupation and family-formation. Here, the factors influencing psychological health turned out to be age, matrimonial status, present occupation and family-formation. In the elderly stroke patient family, the factors influencing physical health proved to be age, gender, final academic status, matrimonial status, present occupation, and relation with the patient. Here, the factors influencing the psychological health were age, final academic status, matrimonial status, present occupation, relation with the patient and family-formation. In the former case, the influencing factors upon the burden were shown to be age, final academic status, matrimonial status, relation with the patient and family-formation. In the latter case, the influences upon the burden were age, gender, final academic status, matrimonial status, present occupation and relation with the patient. In the former case, the influences on the quality of life were gender, and economic situation. In the later case, the influencing factors on the quality of life were age, final academic status, matrimonial status, present occupation, and relation with the patient. 2. The rate of the physical condition in the former case turned out to be 2.83, and the psychological condition 2.37. The physical condition of the latter case was 2.76, and the psychological condition 2.46. The rate of the burden in the former case was 3.14, and that of the latter case was 3.04. The rate of quality of life in the former case proved to be 2.46, and that of the latter case 2.55. 3. The rate of correlation between the burden and the quality of life appeared to be the high counter-correlation (r= -.573). The rate of correlation between the psychological health and the burden of a simialr (r= -.565). The rate of correlation between the physical health and the psychological health proved to be a moderate correlation (r= .372), The rate of correlation between physical health and the burden turned out to be a low counter-correlation (r= -.276). According to this study, there proved to be a very close correlation among the stroke patient family's health, the burden and quality of life. Thus, it would be necessary to find out various nursing interventions in order to mitigate the stroke patient family's burden in the process of caring for the patients.

This study was conducted with a purpose to evaluate the effect of auricular acupuncture pressure therapy on insomnia of elderly and to suggest the auricular acupuncture pressure therapy as an independent nursing intervention. The study was unequvalance control group pretest-posttest experimental design and the data collection was done from 37 samples of experimetal group and 37 samples of control group which were random-assigned as 60 years-over elderly people who lived in seoul. Data were collected from November, 1999 to February, 2000. The tools used in the study were the auricular acupuncture pressure therapy for decreasing of insomnia, the scale of sleepness and self-satisfaction scale. The auricular acupuncture pressure therapy used in this study is a sort of the auricular acupuncture to decrease insomnia and self-satisfaction of sleep by pressured on applied auricular acupncture of upper auricular blood acupuncture site of insomnia. Data was analied by SPSS stastistics program. Conclusively, sleepness and self-satisfaction of sleep were measured higher in experimental group which applied this auricular acupuncture pressure therapy than control group which not applized(p=.000). Therefore, the auricular acupuncture pressure therapy can decrease frequent insonmia of elderly and increase self satisfaction of sleep, processingly can improve quality of life in the late stage. Futhermore, it can be developed as independent oriental nursing intervention.

The study was done by applying a phenomenological study, which is qualitative research methods, in order to understand the meaning of the lived experiences, to confirm and describe the meaning structure, and to prepare nursing interventive strategies centering around the meanings of the inpatients' families in the intensive care units. In the study, the family members were the main important nursing providers for in the inpatients' who were admitted in the neuro-surgical intensive care unit in K-university hospital and who agreed to participate in the study after being given on explanation about the purpose of the study. The data were collected from the seven participants who had feelings of trust and intimacy favorable toward the researcher as they were families of patients who had been cared for by the researcher in the ICU where the researcher has been assigned. The data were collected from April to October, 1999. The participants described their experiences as candidly as possible. The researcher described closely the lived experiences with their own words and the observations of the researcher. A tape recorder was used with the consent of the participants to prevent nursing information and communication. The analysis of the data was made through the phenomenological analytic method suggested by Giorgi; as an unit of description, which include the participants'expressions and the researcher's observations, the analysis was used based on the data described from the expressions of the participants and the details of observations of the researcher. The conclusions of the study were as follows: The meanings of the lived experience of the inpatients'families in the ICU was confirmed by indepth interviews and observations including these of the participatants: 1. Psychological impact: confusion, impatience, surprise, insensibility; 2. Physical suffering: fatigue, discomfort, indigestion; 3. Psychological suffering: heartbreaking emotion, anxiety, annoyance, fear, compassion, grief; 4. Economical suffering: economical difficulties; 5. Psychological disagreement: escape from reality, personnel avoidance, grudge, powerlessness, carefulness, transposition of life-tract, abandonment, role-crisis, hope, lack of understanding, regret, feeling of ambivalence(progressive process, medical personnel interest); 6. Psychological dependency; self-reliance groupsupport, family support, religious support; 7. Psychological acceptance; acquaintance, gratitude, reassurance; The study will offer better understanding of experiences therefore, based on the experiences confirmed by the study, it may facilitate more appropriate nursing interventive strategies for health maintenance and to prevent occurrence of possible problems with the inpatients'families in the ICUs.

The purpose of this study is to determine the impact of subjects perceived health condition and practiced health promotion life style to their satisfaction with their life. For this purpose, adults were surveyed, and thereby, data were collected to be analyzed. The data were collected during the period of August-September, 1997 and a total of 200 copies of the questionnaire were distributed and 162 copies were returned (return rate : 81%), Finally 57 copies were used for the analysis with 5 inappropriate ones dismissed. The data were analyzed using the SPSS PC+. The 157 subjects consisted of 65 males (41.4%) and 92 females (58.6%), and their average age was 49.39. It appeared that 59.9% of them were living with their spouse only, while 35.7% were living with children. On the other hand, 91.9% had spouses, and the majority of them(59.3) believed in Buddhisam, 35.7% of them graduated from middle school, while 31.2% finished high school. In economic terms, 25.5% of the respondents had an income of 1.01-1.50million won a month. It was disclosed that the demographic factors affecting subjects' health promotion life style were mostly type of the family, spouse, and educational background. The main demographic factor affecting their satisfaction with life was Age, while other variables showed no significant differences statistically. As a result of analyzing the correlation between perceived health condition, health promotion life styles and various factors related to satisfaction with life, it was shown that health promotion life style and perceived health condition were significantly correlated to each other statistically. And age, perceived health condition, health promotion life style, and satisfaction with life were significantly correlated to each other statistically. In conclusion health promotion life style and perceived health condition were identified as important variables in the life satisfaction of adult.