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

• 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 purpose of this study was to investigate the relationships between a experience of falling, fear of falling, depression, and perceived health status in urban areas.
METHODS
After obtaining Institutional Review Board (IRB) approval, a one-time, face-to-face, and private interview was conducted with each participant who was eligible and agreed to participate in this study from May 2007 to August 2007 by trained graduate-level nursing students. The questionnaires consisted of Fall Efficacy Scale, K-GDS, and SF-36. The collected data were analyzed with SPSS/PC 12.0 program, which was used for frequency, percentage, mean, standard deviation, t-test, and hierarchical regression.
RESULTS
The major findings of this study were as follows; 1) approximately 9% of participants had fallen within one year. Study participants reported moderate fear of falling(M=43.80); moderate physical health (M=42.31) and mental health(M=46.05); and low depression status(M=10.38). 2) there were significant differences in fear of falling according to gender, experience of falling, exercise, and depression. 3) significant factors influencing on fear of falling were experience of falling and physical health status.
CONCLUSION
The results of this study indicate that nurses working closely with older adults should be taught the impact of previous falls and physical health status on fear of falling and need to reinforce exercise behavior for older adults who are vulnerable to fear of falling.

PURPOSE
The aim of this study was to identify the age-related differences in risk perception of breast cancer and the age-related differences in predictors of risk perception. METHOD: The subjects were 553 women aged from 15 to 64 who lived in Seoul, Kwang-Ju, Jeon-nam province. Data was collected by self-reported questionnaire surveys using convenience sampling. The collected data was analyzed using descriptive statistics, F-test with Scheffe test, and stepwise multiple regression with SPSS-Win 10.0 version. RESULT: Risk perception of breast cancer was different by age group. Especially, risk perception in teenagers and the 50~64 years group was lower than the other groups. Additionally, general fear of breast cancer, information seeking style, experience, and knowledge were different between the age groups. The results of multiple regression analyses predicting risk perception indicated the following significant predictors: general fear and knowledge in all the subjects, general fear and experience in the 20~29 years group, and general fear in the other age groups. CONCLUSION: These results suggested that the construction of educational messages for breast cancer prevention and early detection should be designed differently for each age group.

PURPOSE
The purposes of this study were to examine 1) functional status at 2 months after hip fracture surgery 2) health care utilization after a fall episode and 3) fear of falling experienced during first 2 months after a fall episode.
METHOD
With a convenient sample of 99 elderly from six university or general hospitals with hip fracture from a fall, data were collected at 2-3 days before discharge and at 2 months after hip fracture surgery.
RESULT
1) At 2 months after hip fracture from a fall, significant proportion (25.3%) of elderly was not able to walk indoors. 2) Average length of hospital stay was 27.6 days with a range of 8 to 86 days. About 51% subjects received physical therapy during hospital stay, and only 6.1% subjects received physical therapy following discharge from the hospital. 3) Significant proportion (72.7%) had fear of falling after the fall episode. About 51% reported that they restricted their activities because they had fear of falling.
CONCLUSION
Fall is a dreaded event which result in loss of independence and restriction of activity. Development and application of fall prevention program is critical especially for those with risk factors of fall.