PURPOSE
The purpose of this research was to develop and evaluate a distress nursing intervention for relieving psychosocial distress.
METHODS
We developed a twelve-week non-pharmacological distress nursing intervention to decrease distress. This intervention includes cognitive behavioral therapy, mindfulness based stress reduction, psychoeducation and supportive therapy. The participants were 27 gynecologic cancer patients who agreed to participate in this study, selected by convenience sampling (experimental group-17 and control group-10). The data collection period was performed from November, 8, 2010 to February, 1, 2011. Data were analyzed by using the SPSS/WIN 18.0 program.
RESULTS
There were no difference between the two groups distress score, distress problem and quality of life. The experimental group had significant higher IL-12 and IFN-gamma and lower TGF-beta between before and after the distress nursing intervention.
CONCLUSION
The findings indicate that the distress nursing intervention was an effective intervention in improving immunologic function of gynecological cancer patients.

PURPOSE
The purpose of this study was to measure the quality of life (QOL) and to identify the factors influencing QOL in gynecological cancer patients.
METHODS
The subjects of this study were 242 people who were receiving medical therapy or follow-up after surgery from one general hospital in Daegu. Data were collected from August 1, 2010 to January 31, 2011. A questionnaire including questions on QOL, distress score, distress problem, depression, anxiety, insomnia, perceived health status and body image were completed by the subjects.
RESULTS
The mean score of QOL was 70.68+/-13.40. Religion, job, presence of spouse, level of education, household income, financial compensation, disease stage and recurrence were the significant factors related to QOL. Distress score, distress problem, depression, anxiety, insomnia, perceived health status and body image were also significant factors influencing QOL. Sixty eight percent of the variance in subjective overall QOL can be explained by body image, distress problem, distress score, anxiety, level of education and perceived health status (Cum R2=0.689, F=76.316, p<.001). Body image was the most important factor related to QOL.
CONCLUSION
An integrative care program which includes general, disease-related and psychosocial characteristics of patients is essential to improve QOL in gynecological cancer patients.

PURPOSE
The purpose of this study was to identify the effects of psychosocial intervention on depression, hope and quality of life of home-based cancer patients.
METHODS
The study design was a nonequivalent control group pretest-posttest design. Data were collected from September 21 to November 13, 2009. The subjects consisted of 81 cancer patients randomly selected who were registered at four public health center in Daegu, Korea. The 39 subjects in the experimental group received a psychosocial intervention and the 42 subjects in the control group received the usual nursing care. The weekly psychosocial Intervention protocol was comprised of health education, stress management, coping skill training and support (60 min) for eight weeks. Data were analyzed by using the SPSS/WIN 12.0 program.
RESULTS
Depression (F=23.303, p<.001) scores in the experimental group were significantly less than that of the control group. Further, hope (F=58.842, p<.001) and quality of life (F=31.515, p<.001) scores were significantly higher than those reported by the control group.
CONCLUSION
The findings indicate that the psychosocial intervention was an effective intervention in decreasing depression and increasing hope and quality of life of home-based cancer patients.

PURPOSE
The purpose of this study was to identity the effects of a health promotion program for rural elderly people on self efficacy, health problems, farmers syndrome and quality of life.
METHOD
The study was a nonequivalent control group pre-post experimental design. The data collection was performed from April 12th, 2003 to August 2nd, 2003. The subjects were selected at Mari Myun Geochang Gun in Korea. Forty-four elders were included in the experimental group and 45 elders were included in the control group. The 16-week health promotion program was given to the experimental group. Data were analyzed by descriptive statistics, chi-square-test, t-test, paired t-test with SPSS/Win 10.0 program.
RESULT
The experimental group showed a lower scores of health problems and farmers syndrome than the control group, and higher scores of quality of life than the control group. There were no significant differences in self efficacy.
CONCLUSION
From the above results, it can be concluded that the health promotion program for rural elderly is an effective intervention for improving the rural elderly's quality of life and reducing health problems and farmer's syndrome. Therefore, development of strategy that can spread the health promotion program for rural elderly to the elderly of other rural areas are needed.

The purpose of this study was to identify the major factors affecting performance in health promoting lifestyle of the elderly. The subjects for this study were 244 elderly person over the age of 60, living in K country, Kyongnam. Data were collected from August 31 to September 30, 1998. The collected data were analyzed with an SPSS program using frequency, percent, mean, cronbach alpha, t-test, ANOVA, Pearson' coefficients of correlation, Duncan test, and stepwise multiple regression. The results are summarized as follows. 1) The average score of performance in the health promoting lifestyle was 2.73. The variable with the highest degree of performance was regular diet(3.29), whereas the one with the lowest degree was self-control(2.22). 2) Performance in the health promoting lifestyle was significantly correlated with self esteem(r=.28, p=0.00), internal health locus of control(r=.58, p=0.00), powerful others health locus of control(r=.48, p=0.00), chance health locus of control(r=.25, p=0.00), perceived health status(r=.53, p=0.00). 3) Performance in the health promoting lifestyle was significantly correlated with such demographic variables as education level (F=9.47, P=0.00), marital status(F=2.63, P=0.05) and previous occupation(F=3.85, P=0.00). 4) The combination of internal health locus of control, powerful others health locus of control and perceived health status explained 43.4percent of the variance of health promoting lifestyle On the basis of this study, other factors affecting others health promoting lifestyle should be identified.