PURPOSE
This study was conducted to evaluate the effects of foot reflexologic massage on blood pressure and sleep of elderly with essential hypertension. METHOD: This study was employed non-equivalent control group pretest-posttest quasi-experimental design. The subjects were divided into two groups: 20 elders for experimental group and 18 elders for control group. For experimental group, foot reflexologic massage was done three times at three-day intervals. The data analyzed by SPSS version 10.0 program. RESULT: The systolic and diastolic blood pressure after foot reflexologic massage did not show a significant difference between the two groups. In experimental group, there was a significant difference in the systolic(t=3.559, p=.001) and the diastolic blood pressure(t= 3.048, p=.004) that measured after foot reflexologic massage. There was a significant difference(t=2.665, p=.011) in sleep between the two groups. CONCLUSIONS: The results suggest that foot reflexologic massage was partially effective to reduce the degree of blood pressure and improve sleep of the elderly with essential hypertension. A follow up research is needed to compare and confirm its long-term effects.

PURPOSE
This study was to test some effects on pain, depression and ego integrity of the elderly by adapting group reminiscence therapy with mugwort fragrance to the elderly with chronic pain. METHOD: The research was executed from April 2001 through September 2001, and research participants were male and female olderly people randomly assigned from 3 environmentally similar day care centers. They were divided into experimental group A and B, and a control group; The control group was divided into a daily care group and a regularly visiting group, and the experimental group A was for group reminiscence therapy with mugwort fragrance inhalation and the group B for group reminiscence therapy. RESULT: The group reminiscence therapy with mugwort fragrance inhalation showed significant effects on decrease of pain and depression, and improvement of ego integrity, and for 2 weeks after the treatment proved its continuous effect. CONCLUSION: The result above explains the fact the mugwort fragrance stimulates reminiscence and shows curing effects. In further researches, it is necessary to adapt various health problems of the elderly, not only to the aged with chonic pain.

PURPOSE
This study was to explore the predictors of subjective well-being of Korean older adults. METHOD: Data were collected through the structured interview using questionnaire with 199 older adults over 60 years. To identify the most effective predictor of the SWB, a stepwise regression analysis was conducted on each subscale of SWB measure. RESULTS: The results showed that receiving support from family was the effective factor of life satisfaction. Receiving support from family, health, optimism, economy, positive reappraisal, and giving support to family were the effective factors of emotional well-being. CONCLUSION: This study found that family support was the most important predictor on SWB among Korean older adults.

PURPOSE
This study was conducted to explore the degree of depression, perceived health status, chronic disease and quality of life(QOL) among rural elderly and to determine the factors related to their QOL. METHOD: The design of this study was a correlational study. The subjects were 423 elderly consisted of 157(37.1%) men and 266(62.9%) women dwelling in a rural area of N City. Data were collected from May to December, 2003 using a structured questionnaire. A stepwise multiple regression analysis was performed to identify the factors related to the QOL. RESULT: It was found that the mean score of QOL was in total with 2.15 out of 5.00 and women elderly's score was significantly lower than men(t=2.20, p=.028). Perceived health status showed statistically significant positive relationship with QOL(r=.608, p<.05), while depression(r=-.751, p<.01) and chronic illness(r=-.336, p<.01) showed statistically significant negative relationship. Depression was found to have the highest correlation with QOL among the subjects. Depression score explained QOL at the most, accounting for 36.8% of the variability, followed by perceived health(8.2%) and the number of chronic illness(.7%). Other factors related to the QOL were economic status and absence of spouse. CONCLUSION: In order to increase the QOL of rural elderly, it is necessary to decrease the depression, to increase their perceived health status and to decrease the number of chronic illness. We suggest the implementation of a program not only to promote physical health status and self-care ability but to take care of mental health for the rural elderly.

PURPOSE
This study aims to explore general perception types about the life of institutionalized elderly and thus to provide the basic data for nursing intervention for them. METHOD: This study used a Q methodology. A Q sample was developed through a review of related literature and descriptions of ordinary people about the life of institutionalized elderly. Thirty-eight statements made up the finalized Q sample. RESULTS: The results revealed three different types of the general people's perception about the life of institutionalized elderly. Type 1 is an optimistic group which expects modernized institutions. This group focuses on social relationships enjoying a variety of cultural life. Type 2 is a positive group which pursues independence. They are open-minded about the use of the institution and are not ashamed of the life in the institution. Type 3 is a conservative group which disapproves institutionalization. The members of this group strongly disapprove the institution itself and have negative views on institutionalization. These three types share certain common features while having distinctive characteristics showing individual views and traits about the life of the institutionalized elderly. CONCLUSION: This study will provide us the basic data to understand institutionalized elderly and to develop nursing intervention for them.

PURPOSE
The purpose of this study is to examine the relationship between the living arrangement, life satisfaction and depression in the elderly. METHOD: The subjects consisted of 371 elderly who has at least one adult child classifying two groups(living with children and not living with children). The data were collected by a structured questionnaire that included general characteristics, Geriatric Leisure Activity Scale, Geriatric Life Satisfaction Scale, Geriatric Depression Scale, from March to December, 2004. The collected data were analyzed by SPSS program including descriptive statistics, chi2-test, t-test, Pearson Correlation Coefficient and Hierarchical Regression. RESULT: In hierarchical regression, the elders who live with their children showed more life satisfaction than elders who lived by themselves. However, living arrangement showed no effect on the level of depression of the elderly parents. Significant leisure activity interaction effect was found on the depression among the elderly: The elderly with no leisure activity reported lower levels of depression when they lived with their adult child. CONCLUSION: It is necessary to explore further the various relationship among living arrangement and life satisfaction of the elderly, their preferences and expectations regarding inter-generational obligations and living arrangements.

PURPOSE
The purpose of this study was to develop and evaluate e-EBPP(Evidence-based Practice Protocol) system for nursing care for patients with dementia to facilitate the best evidence-based decision in their dementia care settings. METHOD: The system was developed based on system development life cycle and software prototyping using the following 5 processes: Analysis, Planning, Developing, Program Operation, and Final Evaluation. RESULT: The system consisted of modules for evidence-based nursing and protocol, guide for developing protocol, tool for saving, revising, and deleting the protocol, interface tool among users, and tool for evaluating users' satisfaction of the system. On the main page, there were 7 menu bars that consisted of Introduction of site, EBN info, Dementia info, Evidence Based Practice Protocol, Protocol Bank, Community, and Site Link. In the operation of the system, HTML, JavaScript, and Flash were utilized and the content consisted of text content, interactive content, animation, and quiz. CONCLUSION: This system can support nurses' best and cost-effective clinical decision using sharable standardized protocols consisting of the best evidence in dementia care. In addition, it can be utilized as an e-learning program for nurses and nursing students to learn use of evidence based information.

PURPOSE
To examine the effects of the aerobic exercise program on changing the body composition, blood lipids and self-esteem of the obese elderly women. METHOD: A total of 26 obese elderly women(%body fat: over 30%) have been selected for this research[Experimental Group(EG):13, Control Group(CG):13). Walking at a 50% intensity was administered 4 days a week for 14 weeks. The data was analyzed using the SPSS program. RESULT: The level of % body fat, TC, LDL-C, and %TC/HDL-C in EG was significantly lower than those of the CG after 14 weeks. In addition, the level of HDL-C and self-esteem in EG was significantly higher than those of the CG after 14 weeks. However, TG, body weight between groups didn't appear significant at the end of 14 weeks. CONCLUSION: The results showed that the aerobic exercise program was effective in changing body composition, blood lipids and self-esteem of the obese elderly women.

PURPOSE
This study investigated the degree of fatigue of hemodialysis patients, and finds the relationship between fatigue and self-efficacy, family support, and sleep factor. Also, this study was purposed to provide fundamental data to help set up a nursing plan and intervention for recovery and mitigation of hemodialysis patient's fatigue. METHOD: The subjects in this study were patients treated as hemodialysis patients in Kwangjoo City. Data, subjects are 143 patients. Fatigue was measured using Lee's scale(1991), Self-efficacy using Kim's scale(1995), and Family support using Kim's scale(1993). For the analysis of collected data, Cronbach alpha, descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, Stepwise multiple regression were used for statistical analysis by SPSSwin(version 11.0) program. RESULT: Fatigue degree of hemodialysis patients averaged 4.22. Among 143 hemodialysis patients, 70.63% patients answered that they had felt fatigue as noted in this study. The weariest time was after hemodialysis for 21.0% patients. There was significant difference according to the diagnosis period. The patients who were diagnosed over one year had felt more fatigue than ones who were diagnosed within one year. Fatigue was significantly associated with self-efficacy, family support, and sleep factor. Self-efficacy could explain 14.6% of fatigue. CONCLUSION: The fatigue degree relates with all, self-efficacy, family support, and sleep factor. Especially, it is affected by self-efficacy among them. Thus, the program should be developed to mitigate fatigue as the self-efficacy of hemodialysis is enhanced.

PURPOSE
The purpose of this study was to evaluate whether the effect of the Internet diabetic education on plasma glucose in people with hyperglycemic diabetes. METHOD: A randomized design with control and experimental groups being assessed pre- and post-intervention was used. Twenty-two patients were randomly assigned to an intervention group and 21 to a control group. Participants were requested to input the blood glucose level weekly in http://www.biodang.com by cellular phone or wire Internet for 3 months. The researcher sends optimal recommendations to each patient using short message service(SMS) of cellular phone and wire Internet weekly. RESULTS: Patients in the intervention group had a mean decrease of 1.3% in glycosylated haemoglobin (HbA1c) levels and those in the control group had no significant difference. There was a significant mean change in 2-hour postprandial blood glucose(2HPPG) for the intervention group, with a mean change of -75.2mg/dl. The mean change in the control group was, however, not significant. CONCLUSION: These findings indicated that a web-based intervention using SMS of cellular phone improved HbA1c and 2HPPG.

PURPOSE
The purpose of the present study was to analyze and evaluate prior studies published in Korea on the cardiovascular disease-related quality of life, in order to make recommendations for further research. METHODS: A total of 15 studies were selected from four databases(Digital library of Research Information Center for Health, Korea Medical Database, MedRic, and National Assembly Library). The selected studies were analyzed according to criteria, such as diagnosis/operation, used instrument, generic/specific instrument, dimension of quality of life, translation/ back-translation, sample size, reliability, validity, responsiveness, number of items, type of scale, time required, and independent variables. RESULTS: Of the 15 cardiovascular disease-related quality of life studies, approximately half of them were conducted with hypertension or ischemic heart disease patients. All studies asserted that the concept of quality of life had multidimensional attributes. With respect to the questionnaire used for measuring the quality of life, only one study used a cardiovascular disease specific- instrument and most studies did not consider whether or not the validity of their instrument had been established. In addition, when using questionnaires developed in other languages, only one study employed a translation/ back-translation technique. The types of variables tested for their influence on quality of life were quite limited. CONCLUSION: It is recommended to develop a reliability and validity established cardiovascular disease specific- quality of life for Korean patients and to identify associated new variables.

PURPOSE
The purpose of this study was to evaluate and compare the predictive ability of three mortality scoring systems; Acute Physiology and Chronic Health Evaluation(APACHE) III, Simplified Acute Physiology Score(SAPS) II, and Mortality Probability Model(MPM) II in discriminating in-hospital mortality for intensive care unit(ICU) patients with spontaneous intracerebral hemorrhage. METHODS: Eighty-nine patients admitted to the ICU at a university hospital in Daejeon Korea were recruited for this study. Medical records of the subject were reviewed by a researcher from January 1, 2003 to March 31, 2004, retrospectively. Data were analyzed using SAS 8.1. General characteristic of the subjects were analyzed for frequency and percentage. RESULTS: The results of this study were summarized as follows. The values of the Hosmer-Lemeshow's goodness-of-fit test for the APACHE III, the SAPS II and the MPM II were chi-square H=4.3849 p=0.7345, chi-square H= 15.4491 p=0.0307, and chi-square H=0.3356 p=0.8455, respectively. Thus, The calibration of the MPM II found to be the best scoring system, followed by APACHE III. For ROC curve analysis, the areas under the curves of APACHE III, SAPS II, and MPM II were 0.934, 0.918 and 0.813, respectively. Thus, the discrimination of three scoring systems were satisfactory. For two-by-two decision matrices with a decision criterion of 0.5, the correct classification of three scoring systems were good. CONCLUSION: Both the APACHE III and the MPM II had an excellent power of mortality prediction and discrimination for spontaneous intracerebral hemorrhage patients in ICU.

PURPOSE
This descriptive study was undertaken to explore the distribution of stages of mammography adoption and identify benefits and barriers perceived by women according to the stage of mammography adoption. METHODS: A total of 227 women aged between 30-60 was selected by the convenient sampling in W city. The instrument developed by the researcher based on the scales of Champion(1993), Champion & Skinner(2003), and Rakowski et al (1992) was used. RESULTS: The distribution of stages of mammography adoption was as following; precontemplation 30.7%, contemplation 23.8%, relapse 20.2%, action 14.4%, and maintenance 10.8%. Women in maintenance and actors showed high scores in benefits and low scores in barriers. Those in relapse reported high scores in both benefits and barriers, while precontemplators and contemplators showed high score in barriers and low scores in benefits. CONCLUSION: Despite the rate of mammography participation has increased, the proportion of maintenance stage is still low and that of relapse is high. For those in relapse, strategies to eliminate barriers hindering regular and continuous mammography are necessary. For precontemplators and contemplators, detail information including purpose, procedure and benefits of mammography should be given primarily.

PURPOSE
This study was undertaken to identify the effect of providing information on anxiety, knowledge and compliance in permanent pacemaker patients. METHOD: A quasi experimental design with non-equivalent control group and non-synchronized design was used. The subjects of this study were 50 patients who had received permanent pacemaker implantation at a university hospital in Seoul. They were divided into an experimental group of 22 patients who received education and a control group of 28 patients. The education was composed of group education(twice) and individualized reinforcement education(once) using an education booklet. RESULTS: Anxiety decreased in the experimental group. Knowledge significantly increased in the experimental group compared to that in the control group. Compliance significantly increased in the experimental group. CONCLUSION: It can be concluded that providing information is effective for reducing anxiety, increasing knowledge and improving compliance of the permanent pacemaker patients.

PURPOSE
To investigate the effects of foot reflexology massage on sleep and fatigue of elderly women. METHOD: The study was performed from April thru July of 2004 on the nonequivalent control group non-synchronized quasi-experimental design. Fifty elderly women were selected for each group. The foot reflexology massage was performed for 45 minutes every three days for experimental group. The data were analyzed using the Cronbach's alpha, Chi-Square test, t-test and Repeated measures ANOVA and Bonferroni. RESULT: 1. The sleep score of the experiment group is significantly higher than that of the control group(t=-5.944, p=.000). 2. For the experiment group, it is seen that the sleep score increases as the frequency of the foot reflexology massage increases(F=96.362, p=.000). 3. The fatigue score of the experiment group is significantly lower than that of the control group(t=4.356, p=.000). 4. For the experiment group, the fatigue is relieved gradually as the frequency of the foot reflexology massage increases(F= 118.444, p=.000). CONCLUSION: Based on the results described above, it is considered that the foot reflexology massage is effective for elderly women in promoting a good sleep and relieving the fatigue.