Purpose
The aim of this study was to identify the coping profiles of patients with coronary artery disease and to examine their associations with cardiac health behavior.
Methods
In this cross-sectional study, data from 203 patients undergoing percutaneous coronary intervention for coronary artery disease were analyzed. Data collection occurred between September 2020 and June 2021, utilizing self-report questionnaires and electronic medical records at a cardiology outpatient clinic. Descriptive statistics, latent profile analysis, and logistic regression were employed for data analysis.
Results
The Type I coping profile was characterized by the greater use of most coping strategies, particularly problem-focused approaches, relative to the other profiles. The Type II coping profile exhibited below-average use of all coping strategies, except for substance use. The Type III coping profile displayed higher tendencies toward venting, self-blame, denial, behavioral disengagement, and substance use compared to the other profiles. Patients with the Type I coping profile displayed greater engagement in cardiac health behavior than those with Type II and Type III, as indicated by odds ratios of 2.57 (95% confidence interval=1.31~5.07) and 7.19 (95% confidence interval=2.10~24.56), respectively.
Conclusion
Participation in cardiac health behavior varies according to the coping profiles of patients with coronary artery disease. Healthcare providers should recognize and support appropriate coping strategies in these patients to promote healthy behaviors. A longitudinal study investigating how changes in coping profiles relate to cardiac health behavior could assist patients with coronary artery disease in maintaining such behaviors.

Purpose
The purpose of this study was to construct and test a hypothetical model of self-management behavior in patients with chronic low back pain based on the results of previous studies and a literature review.
Methods
Data from 218 outpatients with spinal disease who visited a university hospital from January 21 to August 3, 2021 with chronic back pain that had lasted for more than 3 months were collected and analyzed.
Results
The goodness-of-fit of the final model satisfied recommendations (RMR=.01, RMSEA=.07, GFI=.97, NFI=.95, TLI=.92, CFI=.97). Negative illness perception directly and negatively influenced self-management behavior (β=-.15, p=.021), and also indirectly affected self-management behavior through self-efficacy (β=-.07, p=.007). Positive illness perception directly exerted a positive impact on self-management behavior. Active participation, internal health control, and self-efficacy all directly influenced self-management behavior.
Conclusion
In order to improve self-management behavior in patients with chronic low back pain and spinal diseases, it is crucial to first determine whether the patient's perception of their illness is positive or negative. Patients should be encouraged to adopt a positive attitude towards their condition and to persist with self-management.

Purpose
Cancer survivors face a high risk of developing secondary cancers; thus, they should consider their primary cancer experiences as signals to adopt secondary cancer-preventive behaviors. This study examined the mediating effect of perceived threat in the relationship between cue to action and such behaviors and identified the gender effect as a moderator in breast and colorectal cancer survivors. Methods: A total of 505 cancer survivors (253 with breast cancer and 252 with colorectal cancer) participated in this study. These participants were involved in cancer-related physical activities at the outpatient oncology clinic of a tertiary teaching hospital in Korea. Participants completed structured, self-administered questionnaires, and a PROCESS macro was utilized to analyze the mediating effect of perceived threat. Results: Cue to action positively affected perceived threat (B=0.38, p <.001). Additionally, both cue to action (B=0.20, p=.047) and perceived threat (B=1.28, p<.001) positively influenced secondary cancer-preventive behaviors. In the relationship between cue to action and these behaviors, perceived threat explained 30.0% of the variance. Gender was supported as a moderator in the relationship between cue to action and perceived threat. A bootstrap analysis confirmed the mediating effect of perceived threat. Conclusion: Perceived threat can help cancer survivors understand the risk and seriousness of secondary cancer, thereby strengthening the relationship between cue to action and secondary cancer-preventive behaviors. Healthcare providers should provide accurate information as a cue to cancer survivors, enabling them to recognize the risk of secondary cancer.

Citations

• Factors impacting breast cancer survivors' performance of annual follow-up mammograms: A nationally representative study.
  Safa Elkefi, Alicia K. Matthews
  Patient Education and Counseling.2025; 130: 108428.     CrossRef
• Chinese undergraduates' mental health help-seeking behavior: the health belief model
  Haojing Wang, Zhuowen Feng, Zitong Zheng, Jiachen Yang
  Frontiers in Psychology.2024;[Epub]     CrossRef

Purpose
This study aimed to identify nursing graduate students’ perception and behavior related to climate change and health and the factors affecting them. Methods: This secondary analysis used research data on the development of a Korean version of Climate Health and Nursing Tool. The participants were 220 graduate nursing students who were currently working. The dependent variable, which is the climate-health related perception and behavior, consisted of 20 items on awareness, concern, motivation, behaviors at home, and behaviors at work related to climate change. Results: The mean score on the climate-health related perception and behavior was 73.52, which ranged from 41 to 100. Multiple linear regression showed that climate-health related perception and behavior were predicted by an optimistic attitude toward climate change response (β=.20, p=.002), experience in climate change- related extreme events (β=.18, p=.010), number of exposure pathways for climate change-related information (β=.17, p=.008), education level (β=.16, p=.015), and current work area (β=.15, p=.027). Conclusion: An optimistic attitude toward climate change response was identified as the most influential factor that explained nursing students’ climate-health related perception and behavior. Interventions that reinforce positive feelings about climate change-related behaviors and an optimistic attitude that climate change can be adapted to and mitigated through appropriate behaviors would significantly improve climate-health related perception and behavior.

Citations

• Climate change perceptions and behaviors among Korean nurses: The role of organizational initiatives
  Dukhyun Back, Kihye Han, Jieun Kim, Hyang Baek
  Nursing Outlook.2025; 73(3): 102383.     CrossRef
• Factors related to perceptions of climate health impact and climate action: Focusing on the Health Belief Model
  Hansol Lee, Jaehee Kim, Yuri Lee
  Korean Journal of Health Education and Promotion.2024; 41(2): 31.     CrossRef
• Nurses' Perceptions and Behaviours Regarding Climate Change and Health: A Quantile Regression Analysis
  Min Kyung Park, Seoyoung Baek, Da Woon Jeong, Gwang Suk Kim
  Journal of Advanced Nursing.2024;[Epub]     CrossRef

Purpose
This study investigated the effects of spiritual well-being on the cognitive function of elderly people, focusing on the mediating effects of health-promoting behaviors and depression.
Methods
Using convenience sampling, 136 elderly people were recruited from October 2018 through February 2019 for a cross-sectional survey. Data were collected through the Spiritual Well-Being Scale, Health-Promoting Lifestyle Profile, Geriatric Depression Scale, Everyday Cognition, and Montreal Cognitive Assessment and analyzed using descriptive statistics and correlation. Mediation analysis was also conducted using Hayes’ PROCESS macro (Model 4).
Results
The mean scores for spiritual well-being, health-promoting behaviors, depression, objective cognitive function, and subjective cognitive function were 60.96, 108.09, 18.58, 19.49, and 63.35. The mediation effects in step 1 indicated that spiritual well-being had a statistically significant positive effect on health-promoting behaviors (B=0.32, p<.001) (R² =32.0%) and a significant negative effect on depression (B=-0.09, p=.001) (R² =31.0%). In step 2, spiritual well-being had a significant negative effect on subjective cognitive function (B=-0.12, p=.007) (R² =23.0%). In step 3, the direct effect of spiritual well-being on subjective cognitive function was not significant when the mediating variables (healthpromoting behaviors and depression) were introduced. Health-promoting behaviors (B=-0.18, p=.047) and depression (B=0.41, p=.008) had complete mediating effects on the relationship between spiritual well-being and subjective cognitive function.
Conclusion
These findings suggest that there is a need to develop and implement nursing strategies that can improve spiritual well-being, and to develop a holistic nursing intervention that considers depression and health-promoting behaviors, when applicable, to improve cognitive function in elderly people.

Citations

• Analysis of the Domestic Research Trends on Spiritual Health
  Gyeong-Hye Choi
  Journal of Korean Association for Qualitative Research.2023; 8(2): 189.     CrossRef

Purpose
The treatment of chronic kidney disease aims to delay dialysis and prevent progression to end-stage health complications. This study aimed to validate the Korean version of the Chronic Kidney Disease Self-Care (CKDSC-K) scale, which is used to measure self-care behaviors in patients with chronic kidney disease. Methods Data from 285 participants were collected between August and November 2020. Validity was assessed in terms of content, construct, and concurrence through the content validity index and exploratory and confirmatory factor analyses. The reliability of the CKDSC-K was examined using internal consistency. Results The final instrument consisted of 15 items across five factors (medication adherence, diet control, exercise, smoking behaviors, and blood pressure monitoring). The content validity index of the CKDSC-K was ≥.80. Confirmatory factor analysis indicated that factor loadings for the five factors ranged from .41 to .99, which explains the total variance of 75.3%. The internal reliability of the instrument was .81. Conclusion The CKDSC-K scale has demonstrated acceptable reliability and validity and can be utilized to assess self-care behaviours in patients with chronic kidney disease. Additional research is recommended to expand the psychometric evaluation of the CKDSC-K.

Citations

• LITERASI KESEHATAN BERHUBUNGAN DENGAN SELF CARE MANAGEMENT PASIEN PENYAKIT GINJAL KRONIK YANG MENJALANI HEMODIALISIS
  Ferlan Ansye Pondaag, Dina Mariana, Musfirah Ahmad
  JURNAL KEPERAWATAN TROPIS PAPUA.2024; 7(1): 8.     CrossRef

Purpose
Health behavior is important for the treatment of tuberculosis patients. This study aims to clarify the concept of health behavior in tuberculosis patients.
Methods
We used Rodger's evolutionary concept analysis method. A literature search was performed using the NDSL, NAL, RISS, PubMed, ProQuest, CINAHL, Web of Science and Cochrane Library published in Korean and English language from January 2015 to April 2021. After applying inclusion and exclusion criteria, a total of 69 articles were selected for final analysis.
Results
The analysis showed that five attributes determine health behavior concepts: willpower, the choice for every moment, counterbalance, overcoming, and multi-level multi-causal processes.
Conclusion
This study shows that health behavior in tuberculosis patients has evolved into a patient-centered approach in an evolutionary context. The results of this study will contribute to the development of intervention access and management programs for health care providers, including nurses.

Purpose
This study aimed to examine the effects of health-related behaviors on metabolically healthy non-obese or obese groups and to analyze gender differences.
Methods
This study was a secondary descriptive study. A total of 14,277 adults from the Korea National Health and Nutrition Examination Survey 2013~2015 were classified as: metabolically healthy non-obese; metabolically unhealthy non-obese; metabolically healthy obese; or metabolically unhealthy obese. Five health-related behaviors (amount of alcohol consumption, smoking status, physical activity, daily energy intake, and sleep duration) were included as independent variables.
Results
The health-related behaviors associated with metabolic status in non-obese participants were drinking and smoking, whereas those of obese individuals were associated with physical activity. Subgroup analysis showed that more metabolically healthy non-obese men were light drinkers and former smokers than metabolically unhealthy non-obese men. Metabolically healthy non-obese women were more likely to engage in physical activity than metabolically unhealthy non-obese women. Among the obese men, light drinking and physical activity were associated with metabolic status.
Conclusion
Evidence-based interventions promoting health-related behaviors are needed to support metabolic health, considering the metabolic status and obesity phenotypes of the participants and their gender.

Citations

• Health Characteristics, Nutrient Intake, and Associated Risk Factors According to the Metabolic Health and Obesity Status in Korean Adults : Based on the Korea National Health and Nutrition Examination Survey 2015
  Jounghee Lee, Seonghyun Lim, Young-Min Lee
  Korean Journal of Human Ecology.2023; 32(6): 845.     CrossRef

Purpose
This study aimed to examine health-promoting behaviors among Vietnamese students in Korea and identify the factors affecting these behaviors. Methods: A survey using self-administered questionnaires was employed. Data were collected between October 2020 and May 2021 from 260 Vietnamese students whose stay in Korea has been for longer than six months and who agreed to participate in the study. Variables included health-promoting behaviors (physical activity, nutrition, stress management, and health risk behavior), self-esteem, acculturative stress, and social support. A multiple regression analysis was performed to assess the factors that might influence health-promoting behaviors. Results: Of the total participants, 56.9% were women, and the mean age was 24.60±2.58 years. The mean score of the participants on total health-promoting behaviors was 2.64±0.36, on self-esteem 2.96±0.35, on acculturative stress 2.39±0.15, and on social support 2.53±0.24. Self-esteem, acculturative stress, social support, length of stay in Korea, and education level were found to affect healthpromoting behaviors, and these variables explained 76.2% of the variance. Conclusion: There is a need to develop intervention strategies for promoting self-esteem and social support programs and coping strategies for managing acculturative stress to increase health-promoting behaviors among Vietnamese students.

Purpose
The purpose of this study was to construct and test a hypothetical model of exercise behavior in patients with Heart Failure (HF) based on the Information-Motivation-Behavioral skills (IMB) model, and the IMB model including depression (IMBD). Methods: Data collection was conducted from February 1 to March 15, 2019. A total of 306 patients who were diagnosed with HF and were receiving outpatient treatment at the D University hospital and S hospital located in B city were included in the final analysis. The collected data were analyzed using SPSS 24.0 and AMOS 25.0 program. Results: The IMB model (x² /df=2.45, SRMR=.07, RMSEA=.07, GFI=.98, AGFI=.94, TLI=.93, CFI=.97) and IMBD model (x² /df=0.79, SRMR=.02, RMSEA=.003, GFI=.99, AGFI=.97, TLI=.98, CFI=.97) were a good fit for the data. In the exercise behavior IMB model, exercise behavior was explained by 55.1% by information, personal motivation, and behavioral skills. In the exercise behavior IMBD model, exercise behavior was explained by 60.4% by information, personal motivation, behavioral skills, and depression. Conclusion: The IMBD model showed high predictive power of exercise behavior. Therefore, in order to improve HF patients’ exercise behavior, it is necessary to identify and manage patients who experience depression. The development and application of integrated interventions to provide appropriate information, motivation, and confidence in exercise can be an effective strategy in increasing exercise compliance, and ultimately contribute to improving the health outcomes of patients with HF.

Citations

• Exercise and adults with hemophilia: a systematic review and meta-analysis
  Doo Young Kim, Mi Yang Jeon, Young Eun, Da In Jeong
  Journal of Korean Biological Nursing Science.2024; 26(1): 1.     CrossRef
• Factors Affecting Health-promoting Behavior of Nurses in Small and Medium-sized Hospitals based on the IMB Model
  Jin Hee Jeong, Hye Kyung Lee
  The Korean Journal of Rehabilitation Nursing.2022; 25(2): 102.     CrossRef
• Factors Influencing Performance of Exercise Behavior of Middle-Aged Men with Chronic Disease Based on the Information–Motivation–Behavioral Skill-Revealed-Related Variables (IMBR) Model
  Hee-Kyung Kim, Hyoungtae Kim, Jeong-Hyo Seo
  Healthcare.2022; 11(1): 100.     CrossRef

Purpose
This study aimed to obtain insights into the meaning and nature of the lived experiences of environmental health behavior among pregnant women. Methods: The hermeneutic phenomenology framework developed by Max van Manen informed this study, which included 17 pregnant women as participants. Data were collected using in-depth interviews of the participants between July and September 2020. Results: The key themes identified were: “fear of health threats to the mother and baby”, “patience with inconveniences for fetal health”, “movement for the environment”, and “generativity embodied from pregnancy”. Participants expressed that they had deeper experiences with regard to their environmental health behavior during pregnancy than they did before, and recognized that communal environmental behaviors impact future environmental pollution. They had a negative perspective towards environmental pollution involving plastics and chemicals, and wanted to protect their children's health by making the best possible behavioral choices. Conclusion: This study revealed the meanings of environmental health perceptions and behavioral experiences in the participants' sociocultural context. These findings have implications for health care providers' prenatal care practices that focus on environmental health from an ecological perspective.

Citations

• The protocol of DECO-MOM: a clinical trial testing the effectiveness of a mobile application for an environmental health intervention among pregnant women
  Hyun Kyoung Kim
  BMC Medical Informatics and Decision Making.2023;[Epub]     CrossRef
• The effects of environmental prenatal program on environmental health perception and behavior using internet-based intervention in South Korea: A non-randomized controlled study
  Hyun Kyoung Kim, Geum Hee Jeong, Hye Young Min, George Vousden
  PLOS ONE.2022; 17(11): e0277501.     CrossRef

Purpose
This study aimed to identify how health literacy in patients with stroke and their family caregivers influences their health behavior. Methods: A total of 95 patient-family caregiver dyads were recruited from March to September 2018. Health literacy was measured using the newest vital sign and the health behavior scale was used to identify the health behavior of patients. Data were analyzed using descriptive statistics, independent t-tests, one-way analysis of variance, Pearson’s correlation, and multiple regression. Results: The mean age of patients with stroke and family caregivers was 69.44±8.25 and 54.01±14.42 years, respectively. The proportion of women in the family caregivers was 72.6%. The average health literacy score of patients with stroke and their family caregivers was 2.26±1.75 and 3.03±1.97, respectively. The multiple regression analysis revealed that patients’ interest in health (p<.001), health literacy (p=.037), age (p=.001), and caregivers’ gender (p=.028) were the significant factors influencing health behavior of patients with stroke. Conclusion: In providing optimal care, nurses must ensure that information is provided to both patients and their family caregivers in a clear and effective manner. To improve health behavior in patients with stroke, various strategies are needed to increase their interest in health while considering their age and health literacy.

Citations

• Stroke knowledge and health-promoting behaviors: Mediating effect of patient self-esteem
  GyeongChae MUN, JaeLan SHIM
  Patient Education and Counseling.2024; 129: 108398.     CrossRef
• Evaluation of the health literacy in patients with stroke and relationship between health literacy and functional status on quality of life in patients with stroke
  Pınar Özge Başaran, Ayşe Gülşen Doğan
  Journal of Health Sciences and Medicine.2024; 7(1): 32.     CrossRef

Purpose
Patients with pulmonary disease are more vulnerable to Particulate Matter (PM). It is important to promote health behaviors to minimize negative effects. This study aims to investigate risk perception, knowledge, and PM-related health behaviors in patients with pulmonary disease and identify the factors affecting PM-related health behaviors.
Methods
Participants were 201 patients with pulmonary disease who visited the outpatient clinic in a hospital. Data were collected using self-administered questionnaires and medical records from December 2019 to February 2020. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and multiple regression analysis.
Results
The average score of PM-related health behaviors was 22.79±4.43. In multiple regression analysis, factors affecting PM-related health behaviors were participants with higher risk perception of PM (,p<.001) and with longer pulmonary disease (p=.006). Moreover, participants who smoked previously but not currently (p<.001) and had never smoked (p=.001) had higher level of health behaviors than those who smoke.
Conclusion
Patients with pulmonary disease reported to have high level of overall PM-related health behaviors, but their performance on health behaviors that required knowledge was reported to be insufficient. Therefore, a patient-tailored educational program is needed to improve PM-related health behaviors by emphasizing risk perception related to PM. Special attention should be given to smokers and patients who experience a short disease period to improve PM-related health behaviors.

Citations

• Development and Validation of the Dust Exposure Reduction Behavior Scale
  Sung Woo Hwang, Hyun Kyoung Kim
  Sage Open.2024;[Epub]     CrossRef
• Development and Effectiveness of the School‐Based Education Program for Coping With Particulate Matter
  Soo Hyun Cho, Won‐Oak Oh, Minhyun Suk, Soo Kyung Park
  Journal of School Health.2023; 93(11): 1016.     CrossRef
• An Exploratory Study on the Policy for Facilitating of Health Behaviors Related to Particulate Matter: Using Topic and Semantic Network Analysis of Media Text
  Hye Min Byun, You Jin Park, Eun Kyoung Yun
  Journal of Korean Academy of Nursing.2021; 51(1): 68.     CrossRef

Purpose
The purpose of this study was to examine lifestyle behaviors, mental health, and Health-Related Quality of Life (HRQoL) and identify the effects of lifestyle behaviors and mental health on the HRQoL of cancer survivors and general adults.
Methods
Secondary data analysis was conducted. The data used in the study were drawn from the Korea National Health and Nutrition Examination Survey VII-2 (January 1, 2017, to December 31, 2017). A sample of 190 cancer survivors (mean age, 65.12 years; women, 63.7%) and 1,815 general adults (mean age, 52.67 years; women, 52.6%) was used, focusing on demographic characteristics, lifestyle behaviors (including tobacco smoking, alcohol drinking, physical activity, and eating behavior), and mental health (including sleeping hours, stress, and depressive symptoms). Descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and hierarchical stepwise multiple regression were performed to analyze the data.
Results
The overall mean of HRQoL for all the participants was 0.96±0.08 (0.93±0.11 for cancer survivors and 0.97±0.08 for general adults). For cancer survivors, age, depressive symptoms, and moderate intensity physical activity were associated with HRQoL (adjusted R 2 =.180, p<.001). For general adults, age, education level, economic activity, income level, walking, sodium intake, depressive symptoms, and stress were associated with HRQoL (adjusted R 2 =.165, p<.001).
Conclusion
Cancer survivors had lower HRQoL than general adults. Differences were found in the factors associated with HRQOL in cancer survivors and general adults. Therefore, customized health programs and policies should be developed and provided for each group to improve their HRQoL.

Citations

• Factors Associated With Quality of Life Among Posttreatment Cancer Survivors in Korea
  Soo Hyun Kim, Yu Hyeon Choe, Jingyeong Choi, Ji Young Park, Eun Yi
  Cancer Nursing.2025; 48(1): E47.     CrossRef
• Analysis of Educational Needs Related to Chemotherapy among Patients with Solid Tumors
  Se-Na Lee
  Asian Oncology Nursing.2025; 25(2): 89.     CrossRef
• Mediating Effect of Vitamin Intake on the Relationship Between Depression and Health-related Quality of Life in Cancer Survivors (Using the Korea National Health and Nutrition Examination Survey in 2020)
  Min Ho Yun, Jong Eun Oh
  Information.2024; 27(2): 131.     CrossRef
• The Influence of Uncertainty in Illness and Coping on Quality of Life in Colorectal Cancer Patients Receiving Chemotherapy
  Jin Ah Kim, Juyoun Yu
  Asian Oncology Nursing.2024; 24(2): 63.     CrossRef
• Factors associated with health-related quality of life on mental and oral health in patients with cancer and cancer survivors using the Korea National Health and Nutrition Examination Survey (2005–2018)
  Min-young Lee, Insil Jang, Yeunhee Kwak
  Asia-Pacific Journal of Oncology Nursing.2024; 11(4): 100398.     CrossRef
• Effects of Physical and Mental Health on the Quality of Life of People with Spinal Cord Injury
  Hyun Ji Kim
  The Korean Journal of Rehabilitation Nursing.2023; 26(2): 77.     CrossRef
• Factors Associated with Stress among Employed Korean Cancer Survivors: A Cross-sectional Descriptive Study Based on National Data
  Kisook Kim, Booyoung Oh
  Korean Journal of Adult Nursing.2023; 35(3): 254.     CrossRef
• Factors Affecting the Occurrence of Mental Health Problems in Female Cancer Survivors: A Nationwide Cohort Study
  So Young Kim, Yeonju Lee, Sang Baek Koh
  International Journal of Environmental Research and Public Health.2022; 19(14): 8615.     CrossRef
• Long COVID-19 and Health-Related Quality of Life of Mild Cases in Korea: 3-Months Follow-up of a Single Community Treatment Center
  Hi Sun Soh, BeLong Cho
  Journal of Korean Medical Science.2022;[Epub]     CrossRef
• Priority Analysis of Educational Needs of Forest Healing Instructors Related to Programs for Cancer Survivors: Using Borich Needs Assessment and the Locus for Focus Model
  Kwang-Hi Park, Min Kyung Song
  International Journal of Environmental Research and Public Health.2022; 19(9): 5376.     CrossRef
• The Influencing Factors on Health-Related Quality of Life in Childbearing Women Based on the Korea National Health and Nutrition Examination Survey (KNHANES) 2019 Data
  Jeongim Lee
  Journal of The Korean Society of Maternal and Child Health.2021; 25(4): 282.     CrossRef
• Factors Influencing Quality of Life among Cancer Survivors: Based on the Korean National Health and Nutrition Examination Survey (KNHANES) for 2019
  Hee Jung Kim
  The Korean Journal of Rehabilitation Nursing.2021; 24(2): 109.     CrossRef

Purpose
The purpose of this study was to review non-pharmacologic intervention programs designed to alleviate symptoms in adults with overactive bladder syndrome.
Methods
A systematic search using Korean and English keywords was conducted in nine electronic databases. Ten studies were included in the sample for the systematic review. The Risk of Bias (RoB) and the Risk of Bias Assessment tool for Non-randomized Study (RoBANS) were used to assess methodological rigor and quality of scientific evidence.
Results
Randomized Controlled Trials (RCTs) were used in eight studies and quasi-experimental designs were used in two studies. Non-pharmacological interventions included education, acupuncture, Tibial Nerve Stimulation (TNS), exercise (pelvic muscle exercise, Tai-chi), and Heart Rate Variability (HRV) biofeedback. The majority of the literature has been evaluated to have a low risk of bias. Nine out of 10 studies applied interventions on women only. It was shown that education, TNS, exercise, and HRV biofeedback were effective in alleviating overactive bladder syndrome symptoms, but acupuncture’s efficacy depended on the frequency and intensity of the intervention.
Conclusion
The results provide a basis for developing an intervention program to improve the symptoms of overactive bladder syndrome. Future studies should also include men as subjects. The results of the intervention should be generalized by confirming the consistency and effectiveness of the aforementioned based on its frequency and intensity.

Citations

• Effectiveness of Fluid and Caffeine Modifications on Symptoms in Adults With Overactive Bladder: A Systematic Review
  Jeongok Park, Hyojin Lee, Youngkyung Kim, Christine Norton, Sue Woodward, Sejeong Lee
  International Neurourology Journal.2023; 27(1): 23.     CrossRef

Purpose
The purpose of this study was to investigate caring self-efficacy and social support, and their mediating effects on the relationship between caring burden and caring behavior in family caregivers of elderly with dementia in the community-dwelling.
Methods
A sample of 210 participants was used in a cross-sectional study. Data were collected from July 15th to November 22nd, 2019 through structured questionnaires and analyzed using descriptive statistics, multiple linear regression analysis, and the bootstrapping method with SPSS/WIN 25.0 and PROCESS macro program.
Results
The mean score for caring behavior was 3.14±0.81 (range 1~5). Caring behavior was significantly associated with caring burden (r=-.54, p<.001), caring self-efficacy (r=.68, p<.001), and social support (r=.69, p<.001). Using Baron and Kenny's approach and PROCESS macro model 4, caring behavior was found to be directly affected by caring burden (β=-.55, p<.001). Caring self-efficacy (β=-.36, p<.001) and social support (β=-.34, p<.001) were directly affected by caring burden. The partial mediating effects of caring self-efficacy (β =-.18, p=.007, 95% confidence interval -0.44~-0.14) and social support (β=-.23, p<.001, 95% confidence interval -0.38~-0.13) on the impact of caring burden on caring behavior were confirmed.
Conclusion
The impact of caring burden on caring behavior was mediated by caring self-efficacy and social support in family caregivers of elderly with dementia in the community-dwelling. The results suggest that caring self-efficacy and social support need to be considered in developing nursing interventions to reduce caring burden and improve caring behavior for family caregivers of elderly with dementia.

Citations

• Care burden, depression, quality of life, and institutionalization factors among family caregivers of long-term care recipients: A secondary data analysis
  Eun-Jeong Han, Yeongwoo Park, Heejung Kim, Myonghwa Park
  Journal of Korean Gerontological Nursing.2025; 27(1): 57.     CrossRef
• Factors influencing the caring behaviors of primary family caregivers of older adults with dementia: A cross-sectional study
  Da-Mi Kim, Hye-Young Jang
  Journal of Korean Gerontological Nursing.2024; 26(2): 146.     CrossRef
• Effect of perceived chronic illness management support, health literacy, and social support on the care burden of families caring for older people with multiple chronic conditions at home: A cross-sectional study
  Eun Sil Lee, Mi Young Kim
  Journal of Korean Gerontological Nursing.2023; 25(1): 76.     CrossRef
• Influence of Gratitude and Sense of Meaning in Life on Caregiving Self-Efficacy of Family Caregivers of Persons With Mental Illness
  Won Hee Jun
  Western Journal of Nursing Research.2023; 45(12): 1104.     CrossRef
• Resilience of family caregivers of people with dementia in South Korea: protocol for a scoping review
  Hyun-Ju Seo, Min-Jung Choi, Song-I Park, Jeong-hwan Park
  BMJ Open.2022; 12(7): e056739.     CrossRef
• Positive Changes in Caregiving Experiences of Family Caregivers for Long-Term Care Recipients after a Family Counseling Support Program
  Eun-Jeong Han, Myonghwa Park, Jihye Jung
  Journal of Korean Gerontological Nursing.2022; 24(1): 85.     CrossRef
• Health Promotion Behavior among Older Korean Family Caregivers of People with Dementia
  Aram Cho, Chiyoung Cha
  International Journal of Environmental Research and Public Health.2021; 18(8): 4123.     CrossRef

PURPOSE
This study aimed to identify the factors explaining the performance of health behaviors among adults with metabolic syndrome based on the theory of planned behavior.
METHODS
A total of 218 adults with metabolic syndrome were recruited for the study from September to December, 2017. Data were analyzed using SPSS/WIN 22.0 and AMOS 24.0.
RESULTS
The hypothetical model appeared to fit the data with χ²/df=2.65, SRMR (Standardized Root Mean Residual)=.07, PNFI (Parsimonious Normed Fit Index)=.67. Attitude toward health behavior, subjective norm and perceived behavioral control explained 32.3% of variance in intention toward health behavior. Perceived behavioral control showed significant direct effects and mediating effect through intention on health behavior (γ=.57, t=5.85). Family support also had significant direct effects on health behavior (γ=.38, t=4.75). Attitude toward health behavior, subjective norm, perceived behavioral control, and family support were the significant factors explaining 56.3% of variance in the performance of health behaviors among patients with metabolic syndrome.
CONCLUSION
Health promotion programs for behavioral modification in this population should focus on these factors to lead to better health outcomes. Further studies are warranted to test the health promotion strategies based on theory of planned behavior for long-term change toward a healthy lifestyle among individuals with metabolic syndrome.

Citations

• Factors Affecting Radiation Protective Behaviors in Perioperative Nurses Applying the Theory of Planned Behavior: Path Analysis
  Se Young Jang, Hee Sun Kim, Seok Hee Jeong, Young Man Kim
  Journal of Korean Academy of Nursing.2023; 53(2): 222.     CrossRef
• Factors Associated with Prevention of Metabolic Syndrome Among Middle-Aged Postmenopausal Korean Women: A Study Based on the Information, Motivation, Behavioral Skills (IMB) Model
  Yoonjung Kim, Sooyeon Park
  Patient Preference and Adherence.2023; Volume 17: 2279.     CrossRef
• Predictors of Health Promotion Behaviors Among Working Adults at Risk for Metabolic Syndrome
  Sungwon Park, Min Kyeong Jang, Chang Gi Park, Oi Saeng Hong
  Nursing Research.2022; 71(4): 275.     CrossRef
• Development and Evaluation of an Integrated Health Management Program for Psychiatric Patients with Metabolic Syndrome
  Yun Bock Kwak, Ji Young Kim
  Journal of Korean Academy of Nursing.2022; 52(3): 261.     CrossRef
• An Analysis and Evaluation of the Theory of Planned Behavior Using Fawcett and DeSanto-Madeya's Framework
  Sungwon Park, Hyewon Shin
  Advances in Nursing Science.2021; 44(4): E141.     CrossRef

PURPOSE
This study was conducted to identify cardiovascular risk factor cluster types in early middle-aged male workers in their 30s and 40s, and to identify differences in awareness of mobile health and preventive health behaviors by cluster type.
METHODS
This study adopted a cross-sectional descriptive design. Male workers aged 30~49 years with cardiovascular risk factors (n=166) at three medical device manufacturers in June, 2019 were recruited. Self-reported questionnaires were administered. K-means cluster analysis was performed using four measurement tools: e-health literacy, behavior of seeking health information on the internet, intent to use mobile health, and preventive health behavior.
RESULTS
Three cluster groups were identified based on 7 risk factors: "unhealthy behavior (51.8%)", "chronic disease (28.9%)", and "dyslipid · family history (19.3%)". In the "unhealthy behavior" group where more than 70% of the participants were smoking and drinking heavily, the awareness of mobile health utilization such as behavior of seeking information on the internet and intent to use mobile health, especially usefulness, was significantly lower than that in the other two groups. The preventive health behavior was also the lowest among the three groups.
CONCLUSION
We suggest that when planning for mobile-use cardiovascular prevention education for early middle-aged male workers, it is necessary to consider a cluster of risk factors. Strategies for raising positive awareness of the use of mobile health should be included prior to cardiovascular health education for workers with unhealthy lifestyles such as smoking and excessive drinking alcohol.

Citations

• The Moderating Effect of Mental Health on the Relationship Between Cardiovascular Disease Awareness and Health Behaviors of Middle-Aged Korean Chinese Workers With Cardiovascular Risk Factors in Korea
  Yu Zhu Zhang, Seon Young Hwang
  Journal of Transcultural Nursing.2023; 34(2): 131.     CrossRef
• Comparison of Factors Related to Health Behavior for Cardiocerebrovascular Disease Prevention in Middle-Aged Women with and without Depression
  Eun Ko, Hyukjoon Kim
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 543.     CrossRef
• Comparison of Stroke Knowledge, Health Beliefs, and Stroke Prevention Behavior between Early and Middle-Aged Adults
  Eun Ko
  STRESS.2022; 30(2): 98.     CrossRef
• The Impact of Cluster-Type Risk Factors on Adverse Clinical Prognosis in Patients with Coronary Artery Disease: A Secondary Data Analysis
  In Ae Uhm, Seon Young Hwang
  Korean Journal of Adult Nursing.2020; 32(2): 156.     CrossRef

PURPOSE
This study aimed to investigate the improvement in lifestyle of patients with Colorectal Cancer (CRC) by examining their lifestyle before and after diagnosis, and to identify the factors influencing lifestyle improvement to prevent the recurrence of CRC.
METHODS
The participants were 125 patients with CRC who visited the outpatient clinic of Kyungpook National University Chilgok Hospital in Daegu from December 2017 to March 2018. Questionnaires consisted of items on CRC-related lifestyle, knowledge of lifestyle risks for CRC, beliefs of lifestyle improvement (perceived benefits and barriers), self-efficacy, and fear of cancer recurrence. Lifestyle improvement referred to the score given to the improved lifestyle through the score difference in the measure of lifestyle related to CRC before and after diagnosis. The collected data were analyzed using SPSS/WIN 21.0 program.
RESULTS
The factors influencing lifestyle improvement were gender (β=.46, p<.001), age (β=.31, p<.001), knowledge of lifestyle risks for CRC (β=.20, p=.005), perceived benefits of lifestyle improvement (β=.19, p=.008), and number of discomforts(symptoms) that impede lifestyle improvement (β=.17, p=.016). These variables explained 38% of CRC patients' lifestyle improvement.
CONCLUSION
These findings suggest that we need to find ways to provide knowledge of the lifestyle risks for CRC to patients with CRC and improve their perceptions of the benefits of lifestyle improvement to promote lifestyle improvement and help prevent the recurrence of CRC after CRC diagnosis.

Citations

• Health-promoting lifestyle among Chinese patients with colorectal polyps: a cross-sectional study
  Jingru Zhou, Yanjun Liu, Fang Yang, Yanfen Wang, Yan Liu, Wenwen Ming, Sisi Guo, Dan Zhou, Lin He, Xiaoli Zhong
  Scientific Reports.2025;[Epub]     CrossRef
• The Proliferation Inhibitory Effect of Postbiotics Prepared from  Probiotics with Antioxidant Activity against HT-29 Cells
  Yeeun Kim, Hak Jun Kim, Keunho Ji
  Applied Sciences.2022; 12(24): 12519.     CrossRef
• What is the prevalence of fear of cancer recurrence in cancer survivors and patients? A systematic review and individual participant data meta‐analysis
  Yvonne L. Luigjes‐Huizer, Nina M. Tauber, Gerry Humphris, Nadine A. Kasparian, Wendy W. T. Lam, Sophie Lebel, Sébastien Simard, Allan Ben Smith, Robert Zachariae, Yati Afiyanti, Katy J. L. Bell, José A. E. Custers, Niek J. de Wit, Peter L. Fisher, Jacquel
  Psycho-Oncology.2022; 31(6): 879.     CrossRef
• Convalescent Hospital Use among Young and Older Female Cancer Survivors
  Hyesun Park, Kisook Kim
  International Journal of Environmental Research and Public Health.2021; 18(5): 2744.     CrossRef

PURPOSE
The purpose of the study was to systematically review the associations among health literacy, psychosocial factors, and cancer-related health actions.
METHODS
PubMed, CINAHL, PsycARTICLES, KISS, RISS, and KoreaMed were searched for articles published between January 2000 and March 2018. Fourteen studies were identified and reviewed for the associations among the variables based on Von Wagner's framework on health literacy and health actions. Two researchers reviewed the articles independently using the Mixed Methods Appraisal Tool.
RESULTS
Of the 14 relevant studies, five studies analyzed all of the associations among health literacy, motivational or volitional factors, and cancer-related health actions. Eleven studies investigated the association between health literacy and motivational factors, including knowledge (n=11) and attitudes (n=6). Four studies investigated the association between health literacy and volitional factors, including self-efficacy (n=4) and efforts to search cancer-related information (n=1).
CONCLUSION
The possible paths between health literacy and cancer-related health actions mediated through the psychosocial variables were identified. Further research is warranted to substantiate the mediating pathways of the associations between health literacy and cancer-related health actions.

Citations

• Determining global trends in health literacy research using topic modeling
  Su Hyun Kim, Woojin Kang, Eunhye Yoon, Jongwook Lee
  Korean Journal of Health Education and Promotion.2023; 40(2): 79.     CrossRef
• Health literacy measures in South Korea: A scoping review
  Heeran Chun, Su Hyun Kim, Eunja Park
  Korean Journal of Health Education and Promotion.2022; 39(4): 39.     CrossRef
• Validity and Reliability of the Korean Version of Assessment of Health Literacy in Breast and Cervical Cancer Screening
  Hye Sook Shin, Eunlim Chi, Hae-Ra Han
  Journal of Korean Academy of Nursing.2021; 51(6): 769.     CrossRef
• The Impact of Sleep Quality and Education Level on the Relationship between Depression and Suicidal Ideation in Parents of Adolescents
  Ji Yeon Shim, Sook Lee, Il Hyun Lee, Yoo Mi Jeong
  Healthcare.2021; 9(9): 1171.     CrossRef

PURPOSE
The study aims were to examine motivation factors for behavioral modification among individuals with metabolic syndrome at each stage of behavioral change.
METHODS
The correlational research design was used to explore motivation factors of self-efficacy, perceived benefits, perceived barriers, and emotional salience to explain health behaviors. Total of 239 patients with metabolic syndrome completed the structured questionnaire and the data were analyzed by SPSS/WIN 22.0 for ANOVA and multiple regression analysis.
RESULTS
The average age of participants were 59 years old, and 52.3% perceived their health relatively worse than others. The motivation and health behaviors except for smoking cessation were significantly different at each stage of planning, preparation, and action-maintenance. The motivation factors explained 25% of variance in health behavior at planning stage, 38% at preparation stage, and 31% at action-maintenance stage. Self-efficacy and perceived barriers were significant predictors at the planning and action-maintenance stages, while self-efficacy was a significant predictor at preparation stage.
CONCLUSION
The performance of health behaviors was significantly different at the stages of change along with a different set of motivation factors. Nursing strategies should focus on cognitive and emotional motivation factors to lead initiation and maintenance of behavioral modification in individuals with metabolic syndrome.

Citations

• Factors Related to the Dementia Prevention Behavior among Community-dwelling Older Adults based on the Health Belief Model: A Cross-sectional Descriptive Study
  Jin Young Lee, Eun Ko
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 263.     CrossRef
• Cognitive and Emotional Motivation to Explain Infection-Prevention Behaviors with Social Support as a Mediator During the COVID-19 Pandemic: A Nationwide Cross-Sectional Study in Korea
  Myonghwa Park, Keunyeob Oh, Hyungjun Kim, Xing Fan, Thi-Thanh-Thnh Giap, Rhayun Song
  Patient Preference and Adherence.2023; Volume 17: 1063.     CrossRef
• Motivational Factors for Smoking Behaviors in Individuals with Metabolic Syndrome
  Moonkyoung Park, Baram Kang, Ahyun Ryu, YueLin Li, Rhayun Song
  Patient Preference and Adherence.2021; Volume 15: 2847.     CrossRef
• The Relationship between Meal Regularity and Oral Health and Metabolic Syndrome of Adults in Single Korean Households
  Jin-Ah Jung, Hye-Won Cheon, On-Ju Ju
  Journal of Dental Hygiene Science.2021; 21(3): 185.     CrossRef
• Effects of BeHaS Program on Health Behavior, Physiologic Index and Self-Esteem of the Elderly Living Alone with Metabolic Syndrome Based on Community Based Participatory Research
  Jong Im Kim, Sun Ae Kim, Keumok Park, Jiyoung Kim, Lina Lee, Si Wan Choi, Bon Jeong Ku
  Journal of Korean Academy of Nursing.2020; 50(4): 571.     CrossRef

PURPOSE
The aim of the study was to examine effects of a fall prevention education program among inpatients over 65 years old.
METHODS
A quasi- experimental study with two intervention groups and a comparison was used. One hundred and forty-three participants recruited from one university hospital were assigned to one of three groups: Video-only education (n=49), video plus leaflet education (n=45), and a comparison group who received a routine education (n=49). The data collection period was from March to August 2016.
RESULTS
The two intervention groups reported higher scores in fall prevention behaviors than the comparison group (F=19.83, p < .001). Participants who viewed the video and received the leaflet education reported higher scores than those with video only education. The scores of attitudes toward falls (F=16.05, p < .001), and satisfaction with education (F=40.02, p < .001) in both intervention groups were also significantly higher than the comparison group, with no significant difference between the two intervention groups.
CONCLUSION
The fall prevention program was effective in improving fall-related attitude and satisfaction among elderly inpatients. Since the video plus leaflet education was most effective in improving prevention behaviors, it might be included in routine orientation on admission for the elderly.

Citations

• Development and Effectiveness of Emergency Medical Service Guidance Video
  Eun Joo Lee, Mi Young Choi, Kyung Mi Kim, Eun Jin Kim
  Quality Improvement in Health Care.2025; 31(1): 88.     CrossRef
• The Impact of a Fall Prevention Education Program on Falls-related Knowledge, Prevention Behavior, and Falls Efficacy
  Jieun Oh, Taeyoung Lee, Joohyun Kim, Hyeonsuk Park, Suyeong Park, Jihye Jeong, Yeongeun Lee, Sujin Son, Ju Young Park
  Quality Improvement in Health Care.2024; 30(2): 62.     CrossRef
• The Effectiveness of Multimedia Education on Patients' Knowledge and Behavior on Fall Prevention
  Shamsi Nasiri, Samira Daneshvar, Habib Emami, Fatemeh Nasiri, Dina Batebi, Fatemeh Bahrambeygi
  Journal of Preventive, Diagnostic and Treatment Strategies in Medicine.2023; 2(1): 33.     CrossRef
• Development and effectiveness of an integrated medication management program centered on senior welfare centers for older adults with hypertension: A cross-sectional study
  Heuijeong Moon, Dukyoo Jung
  Journal of Korean Gerontological Nursing.2023; 25(3): 297.     CrossRef
• Comparative Study of the Accuracy of At-Point Clinical Frailty Scale and Morse Fall Scale in Identifying High-Risk Fall Patients among Hospitalized Adults
  Sunghwan Ji, Hee-Won Jung, Jeounghee Kim, Younghye Kwon, Yeonmi Seo, Semin Choi, Hyoun Jin Oh, Ji Yeon Baek, Il-Young Jang, Eunju Lee
  Annals of Geriatric Medicine and Research.2023; 27(2): 99.     CrossRef
• A comparative study on the training method that mixed face-to-face/non-face-to-face education for apprentice engineers in the training ship
  Jung-Ho Noh, Eun-Seok Jeong, Jin-Uk Lee, Sae-Gin Oh, Kyoung-Kuk Yoon, Jong-Su Kim, Hyeon-Min Jeon, Jae-Jung Hur
  Journal of Advanced Marine Engineering and Technology.2022; 46(2): 93.     CrossRef
• A comparative study on video training and lecture-style training for apprentice engineers of training ships
  Ki-Young Han, Jun-Soo Kim, Hong-Beom Kim, Jae Jung Hur
  Journal of Advanced Marine Engineering and Technology.2021; 45(6): 459.     CrossRef
• Development and Effect of a Fall Prevention Program Based on King’s Theory of Goal Attainment in Long-Term Care Hospitals: An Experimental Study
  Bom-Mi Park
  Healthcare.2021; 9(6): 715.     CrossRef
• The Effect of Video Education on Cancer Patient Advance Directive Writing
  Ji Su Kang, Hyeon Ok Kim
  Asian Oncology Nursing.2020; 20(1): 39.     CrossRef
• The Effects of Venous Thromboembolism Prevention Education for Elderly Patients with Total Knee Arthroplasty
  Mi Hee Lee, Mee Ock Gu
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 269.     CrossRef
• Physical Attributes of Housing and Elderly Health: A New Dynamic Perspective
  Zan Yang, Yuqi Fu
  International Journal of Environmental Research and Public Health.2019; 16(24): 4961.     CrossRef
• Effects of Video-centered Nursing Education Program on Anxiety, Uncertainty, and Self-care among Cataract Surgery Patients
  Hyang Hee Jeon, Soo Jin Lee
  Korean Journal of Adult Nursing.2018; 30(5): 482.     CrossRef

PURPOSE
This study was conducted to construct and test a hypothetical model for alcohol abstinence behavior of patients with chronic liver diseases (CLD). The model was based on the theory of planned behavior.
METHODS
Participants consisted of 240 adult patients with CLD who had regular visits to Busan medical center and Kyungsang universisty hospital from February 12 to March 14, 2014. Data were collected using self-report questionnaires. Collected data were analyzed using SPSS 18.0, AMOS 21.0 programs.
RESULTS
The modified model was a good fit for the data. The model fit indices were χ²/df=1.78, GFI=.86, AGFI=.90, RMR=.08, RMSEA=.05, NFI=.88, TLI=.92, CFI=.87, PNFI=.70. Alcohol abstinence intention (β=.56) had significant direct effects on alcohol abstinence behavior in patients with CLD. This variable explained 32% of the variance in alcohol abstinence behavior. Attitude (β=.47), perceived behavioral control (β=.41) and subjective norms (β=.25) had direct effects on alcohol abstinence intention. These variables explained 46% of the variance in alcohol abstinence intention.
CONCLUSION
Findings suggest that the intention of alcohol abstinence is important for patients with CLD to engage in alcohol abstinence behavior. It provides the basis for developing an intervention program to induce alcohol abstinence in patients with CLD.

Citations

• Perioperative patient safety management activities: A modified theory of planned behavior
  Nam Yi Kim, Sun Young Jeong, Camelia Delcea
  PLOS ONE.2021; 16(6): e0252648.     CrossRef
• A Structural Model Explaining the Health Behaviors among Adults with Metabolic Syndrome: Theory of Planned Behavior Approach
  Taejeong Jang, Rhayun Song
  Korean Journal of Adult Nursing.2020; 32(1): 98.     CrossRef

PURPOSE
The purpose of this study was to identify the mediating effects of self-efficacy and family support in the relationship between illness perception and health behaviors among patients with tuberculosis.
METHODS
A descriptive, cross-sectional study was conducted with 219 patients with tuberculosis from one general hospital in D city in Korea. The participants took medication over a two months period. Data were collected from four self-reported questionnaires including Health behaviors Questionnaire and Family Support Questionnaire. Of the four questionnaires, Venereal Disease Education Health Belief Model Scales and Health Belief Model Scales were modified for this study population with tuberculosis. Data were analyzed by descriptive statistics, Pearson's correlation coefficients, and multiple regression analysis using SPSS statistics 23.0 program.
RESULTS
A positive correlation existed between health behaviors and illness perception (r=0.80, p < .001), self-efficacy (r=0.66, p < .001), and family support (r=0.73, p < .001). Self-efficacy and family support had partial mediating effect on the relationship between illness perception and health behaviors.
CONCLUSION
Theses results indicated that in order to improve the health behaviors of patients with tuberculosis, it is necessary to develop a management plan that focuses not only on the illness perception but also on the self-efficacy and the role of the family support.

Citations

• Effects of illness perception on negative emotions and fatigue in chronic rheumatic diseases: Rumination as a possible mediator
  Yanxia Lu, Xia Jin, Li-Wei Feng, CSK Tang, Michelle Neo, Roger C Ho
  World Journal of Clinical Cases.2022; 10(34): 12515.     CrossRef
• Self-care Efficacy and Health-related Quality of Life among Patients on Primary Treatment for Pulmonary Tuberculosis: The Mediating Effects of Self-Care Performance
  Hyun Ju Lee, Jiyoung Park
  Korean Journal of Adult Nursing.2020; 32(3): 305.     CrossRef
• Qualitative Analysis of the Disease Experience of Korean Older Men With Chronic Obstructive Pulmonary Disease
  Kisook Kim, Ji Woon Ko, Sangbong Choi
  Journal of Gerontological Nursing.2020; 46(2): 49.     CrossRef
• Emotional Intelligence, Problem Solving Ability, Self Efficacy, and Clinical Performance among Nursing Students: A Structural Equation Model
  Mi Sook Kim, Sue Kyung Sohn
  Korean Journal of Adult Nursing.2019; 31(4): 380.     CrossRef

PURPOSE
Korean elderly women residing in rural areas still appear to be marginalized from health services for cancer prevention. The purposes of this study were to measure the degrees of colorectal cancer (CRC) knowledge, health literacy, and self-management behaviors among the elderly women in rural areas and to identify the influences of their CRC knowledge and health literacy on self-management behaviors.
METHODS
Total 121 elderly women aged 65 or older living in rural areas were recruited for this descriptive study and answered survey questionnaires.
RESULTS
The participants' mean age was 78.2±7.51 years old. Of participants, 49.6% completed CRC screening and age of non-screening group was significantly older than that of screening group (χ²=35.31, p < .001). The screening group showed higher levels of CRC knowledge (t=3.76, p < .001) and cancer preventive behaviors (t=2.68, p=.008) than non-screening group. Age (B=0.15) and CRC knowledge (B=-0.36) were identified as influencing factors on the CRC screening. Health literacy (β=.37) and CRC knowledge (β=.30) were found as the most influencing factors on the cancer preventive behaviors.
CONCLUSION
The results of this study could be used as a basis for developing educational interventions and effective strategies specifically for the elderly women residing rural areas in Korea.

Citations

• Structural Equation Modeling Analysis on Health Literacy and Cancer Prevention Behaviors among Medically-Underserved, Low-Income Populations
  Eun Jin Kim, Su Hyun Kim
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 83.     CrossRef
• Factors Influencing the Self-management Behaviors of the Elderly with Hypertension in the Local Community
  Jeongju Hong
  Journal of Korean Academy of Community Health Nursing.2021; 32(3): 303.     CrossRef
• Associations among Health Literacy, Psychosocial Factors, and Cancer-related Health Actions: A Systematic Literature Review
  Eun Jin Kim, Su Hyun Kim
  Korean Journal of Adult Nursing.2018; 30(6): 565.     CrossRef

PURPOSE
The aim of this study was to identify gender and age differences in health status and health behaviors of community-dwelling older adults in an urban city.
METHODS
A convenience sample of 500 older people were recruited. Participants completed eight study instruments by face to face interview. The instruments were the Korea Instrumental Activities of Daily Living (K-IADL), Short Physical Performance Battery (SPPB), Body Mass Index (BMI), Mini Nutritional Assessment-Short Form, Stanford Research Instruments for Chronic Disease, Geriatric Depression Scale Short Form Korea version, EuroQol-5 Dimensions scale (EQ-5D), and the Study of Osteoporotic Fracture Frailty Index.
RESULTS
71.6% were females and mean age of all participants was 74.4 years. Participants were divided into three age groups: 60 to 74 years (n=263, 52.6%), 75 to 84 years (n=207, 41.4%), and ≥85 years (n=30, 6.0%). Significant gender differences were found in educational level, marital status, family type, religion, perceived economic status, K-IADL, SPPB, grip strength, BMI, fatigue, smoking, drinking, communication with physicians and nurses, and EQ-5D. There were significant differences among the three age groups on educational level, marital status, family type, SPPB, grip strength, regular health check-up, communication with physicians and nurses, and frailty.
CONCLUSION
Gender difference should be taken into consideration more than age when policy and preventive programs for community-dwelling older adults in an urban city is developed.

Citations

• Factors Affecting Happiness Among Rural Residents: A Cross Sectional Survey
  Hae Kyung Jo, Hyun Kyoung Kim, Ji Na Jeong
  Community Mental Health Journal.2020; 56(5): 915.     CrossRef
• Validity and Reliability of the Korean Version of the Basic Physical Capability Scale for Older Adults
  Eun-Ok Song, Gwi-Ryung Son Hong
  Korean Journal of Adult Nursing.2020; 32(1): 21.     CrossRef
• Older Adults' Perceptions of Age-friendliness with an Emphasis on Community Supports and Health Services in a City in South Korea
  Chi-Young Lee, Belong Cho, Youngtae Cho, Yeon-Hwan Park
  Journal of Korean Academy of Community Health Nursing.2019; 30(2): 234.     CrossRef

PURPOSE
This study was designed to assess the effects of skill teaching of oral liquid medication on the dose loss and caregivers' administering behavior.
METHODS
A nonequivalent control group no-synchronized design was used. 104 participants were assigned to one of two groups. A intervention group received a skill teaching and the control group received the conventional teaching about oral medication.
RESULTS
The mean amount of the dose loss by all participating caregivers was 23.3% of the prescribed dose and 61.5% of the caregivers showed dose loss more than 20% of the prescribed dose. Caregivers' age (Exp=3.56, p=.017) and time taken for administration (Exp=7.97, p < .001) were related to more dose loss. Toddlers' posture sitting in a stroller upon medication (Exp=.14, p=.009) and re-administering the remains after checking the medication bottle (Exp=.22, p=.040) influenced on reduction in dose loss. Before and after the skill teaching, a significant decrease in the dose loss was found in the high-viscous liquid medication only (t=−4.95, p < .001). The difference in the dose loss between the two groups were significant in the high-viscous liquid medication (t=4.95, p < .001). Also, caregivers' administration behavior were significantly improved in the intervention group.
CONCLUSION
The findings of this study showed that the skill teaching of oral liquid medication designed for toddlers' caregivers was effective in reduction of dose loss and improvement in administering behaviors with confidence.

Citations

• Caregiver Views on Prospective Use of Robotic Care in Helping Children Adapt to Hospitalization
  Meiling Jin, Hanna Choi
  Healthcare.2022; 10(10): 1925.     CrossRef

PURPOSE
The purpose of this study was to identify the following: knowledge of stroke, fear of recurrence and health behaviors among patients with ischemic stroke. Further, factors influencing health behavior will be described.
METHODS
Data were collected from 180 patients with ischemic stroke at a general hospital. The study instruments included items about general and health related characteristics, a Stroke Knowledge Scale, a Stroke Fear of Recurrence Scale, and a Health Behavior Scale. Hierarchical regression method was conducted to examine predictors of health behavior.
RESULTS
The mean age of the participants was 63.62±11.10 years, and 57.8% of the sample was men. The mean score for stroke knowledge (possible range=0~17) was 14.99±1.76, the mean score for fear of recurrence (possible range=0~32) was 23.16±3.75, and the mean score for health behavior (possible range=20~80) was 54.69±6.46. Stroke knowledge and fear of recurrence were associated with health behavior in patients with ischemic stroke (F=9.98, p < .001, Adjusted R²=.43).
CONCLUSION
The results demonstrated that stroke knowledge and fear of recurrence impacts the health behavior among patients with ischemic stroke. Thus, nursing interventions which focused on fear of recurrence as well as enhancing stroke knowledge could help health behavior in patients with ischemic stroke.

Citations

• Prevalence and factors influencing fear of disease progression in stroke patients: a systematic review and meta-analysis with a focus on China
  Zilin Yang, Congying Chen, Meichang Wang, Yanxia Yang, Liping Xu
  BMJ Open.2025; 15(6): e091605.     CrossRef
• Stroke knowledge and health-promoting behaviors: Mediating effect of patient self-esteem
  GyeongChae MUN, JaeLan SHIM
  Patient Education and Counseling.2024; 129: 108398.     CrossRef
• A scoping review of factors associated with self-management in young adults with stroke
  Zifang Zhou, Xiaoqun Fang, Youhong Huang, Jiangyu Hu, Kaibing Zhang, Shulei Jia
  Patient Education and Counseling.2024; 125: 108308.     CrossRef
• Predictive Model of Self-management in Patients With Stroke Based on the Information-Motivation-Behavioral Skills Model
  Sung Reul Kim, Sunho Kim, Hye Young Kim, Kyung-Hee Cho
  Journal of Cardiovascular Nursing.2023; 38(2): 158.     CrossRef
• Comparison of Stroke Knowledge, Health Beliefs, and Stroke Prevention Behavior between Early and Middle-Aged Adults
  Eun Ko
  STRESS.2022; 30(2): 98.     CrossRef
• Relationship between multidimensional stressors and quality of life in people with stroke
  Eun Jeong Choi, Hye Young Kim
  Nursing & Health Sciences.2022; 24(3): 764.     CrossRef
• A prediction model of health‐related quality of life in young adult patients with stroke
  Susie Yoon, Hye Young Kim, Sung Reul Kim
  Journal of Clinical Nursing.2021; 30(13-14): 2023.     CrossRef
• Factors Influencing Unawareness of Warning Signs of Stroke among Hypertensive Diabetic Patients at a High Risk for Stroke: The 2017 Nationwide Community Health Survey in Korea
  Mirae Jo, Heeyoung Oh, Suk-Yong Jang, Ahra Jo
  Korean Journal of Adult Nursing.2019; 31(4): 403.     CrossRef
• Factors Influencing the Improvement in Lifestyle Among Patients with Colorectal Cancer
  Song Ok Lim, Sangeun Jun
  Korean Journal of Adult Nursing.2019; 31(3): 325.     CrossRef
• Effects of the Health Literacy and Knowledge on Adherence to Self-care Behavior among Elderly with Ischemic Stroke Visiting Local General Hospitals
  Young-Nam Park, Chul-Gyu Kim
  Korean Journal of Adult Nursing.2019; 31(5): 573.     CrossRef

PURPOSE
The aim of this study was to identify levels of health literacy and reported health behaviors among older adults with cardio-cerebrovascular disease residing in rural areas.
METHODS
A cross-sectional survey was conducted with a convenience sample of 134 older people (mean age=75.5 years, 71.6% Female) registered at seven health centers. The structured questionnaires were used to measure levels of health literacy and health behaviors.
RESULTS
The average functional health literacy score was 6.08±3.04, and the health behavior score was 62.92±6.45. Respectively health behavior was positively associated with health literacy. Education, economic status, number of family members, number of social activities and health literacy were contribution factors explaining 40.64% of the variance in health behavior. Health literacy specifically explained 12.5% of health behavior.
CONCLUSION
These findings suggest that strategies for improving health behaviors and reducing health inequalities may benefit from adopting a stronger focus on health literacy within prevention, patient education, and other public health interventions. Further longitudinal studies are needed to help confirm that improving health literacy in the elderly may be effective in changing health behaviors.

Citations

• Factors associated with health literacy in older adults aged 65 and over: a secondary data analysis of the 2021 Korea Health Panel applying the Andersen behavioural model
  Yeong Eun Kim, Ol Han, Chang Sun Moon
  BMJ Open.2025; 15(3): e085696.     CrossRef
• Patterns of health literacy and influencing factors differ by age: a cross-sectional study
  Da Hae Kwon, Young Dae Kwon
  BMC Public Health.2025;[Epub]     CrossRef
• The Development of a Physical Literacy Instrument for Rural Elderly
  Jin-Yeong Park, Ji-Youn Kim, Ae-Rim Seo, Ki-Soo Park
  Journal of Health Informatics and Statistics.2024; 49(3): 270.     CrossRef
• The Impacts of Digital Literacy, Attitudes towards Internet Health Information, and e-Health Literacy on Health Promotion Behavior among Adults: A Cross-Sectional Study
  HeeJin Shin, JaeHee Jeon
  Korean Journal of Adult Nursing.2023; 35(4): 367.     CrossRef
• Development of a Quality Assessment Tool for Hypertension Management by Public Healthcare Providers: A Cross-Sectional Survey
  Youngshin Song, Kawoun Seo
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(4): 437.     CrossRef
• Health Literacy and Anxiety Among Hemodialysis Patients During the Coronavirus Disease Pandemic
  In Ju Yoon, Su Jung Lee
  Psychology Research and Behavior Management.2023; Volume 16: 1051.     CrossRef
• Relationship between Health Literacy and Knowledge, Compliance with Bowel Preparation, and Bowel Cleanliness in Older Patients Undergoing Colonoscopy
  Minju Gwag, Jaeyong Yoo
  International Journal of Environmental Research and Public Health.2022; 19(5): 2676.     CrossRef
• Factors Influencing the Self-management Behaviors of the Elderly with Hypertension in the Local Community
  Jeongju Hong
  Journal of Korean Academy of Community Health Nursing.2021; 32(3): 303.     CrossRef
• Factors Affecting Health Behavior of Patients with Stroke: Focusing on Health Literacy of Patients and Family Caregivers
  Jimin Jeong, Jieun Cha
  Korean Journal of Adult Nursing.2020; 32(6): 632.     CrossRef
• Concept Analysis of Health Literacy for Patients with Cardiovascular Disease using Hybrid Model
  Jeong Eun Sim, Seon Young Hwang
  Journal of Korean Academy of Community Health Nursing.2019; 30(4): 494.     CrossRef
• Relationship between Uncertainty in Illness, Subjective Health Status, and Compliance with Sick Role Behavior according to Levels of Health Literacy in Hemodialysis Patients
  Young-Mun Cho, Yon-Hee Seo, Mee-Jeong Park
  Korean Journal of Adult Nursing.2018; 30(4): 437.     CrossRef

PURPOSE
This study examined knowledge about cardio-cerebrovascular disease (CVD) and its relationship to health behaviors among middle-aged postmenopausal women with CVD risk factors.
METHODS
The study was a cross-sectional descriptive study. One hundred and thirty-six postmenopausal women were recruited from outpatient departments of four hospitals. The women were 60.69±6.5 years old. Self-reported questionnaires were administered, and waist-hip ratios (WHR) were measured.
RESULTS
Among the women, 72.8% reported hypertension, 19.1% reported diabetes, 33.8% reported hypercholesterolemia, and 24.2% reported angina pectoris. Moreover, 73.9% of the women reported not knowing of CVD prevention, and only 26.1% reported exercising regularly. A majority of the women (80.9%) had a WHR > 0.85. Multiple linear regression analysis after adjusting for age and marital status indicated that the risk of myocardial infarction and stroke increased (p<.001). Waist-hip ratio≤0.85 (p=.022) and living with family members (p=.006) were significant predictors of healthier behaviors (R²=0.21, p<.001). Knowledge of CVD and health behaviors were not correlated.
CONCLUSION
Obese women and women who live alone are no more likely to practice health behaviors aimed at CVD prevention than their counterparts in the sample. Education and exercise interventions are needed, especially for obese women, to promote healthy behaviors among middle-aged postmenopausal women with CVD risk factors.

Citations

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• Blood Pressure Awareness and Knowledge of Cardio-Cerebrovascular Diseases in South Korean Women with Hypertension
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• Factors related to the Identification of Middle-Aged Women Who are Disadvantaged by Cardio-cerebrovascular Disease
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  Korean Journal of Women Health Nursing.2018; 24(2): 185.     CrossRef