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"Health Behavior"

Original Articles

Association between Coping Profiles and Cardiac Health Behavior among Patients with Coronary Artery Disease: A Latent Profile Analysis
Yesul Lee, Yoonju Lee, Jeong Cheon Choe, Hyesun Jeong, Sunyoung Jung
Korean J Adult Nurs 2024;36(3):228-240.   Published online August 31, 2024
DOI: https://doi.org/10.7475/kjan.2024.36.3.228
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.
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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

Citations to this article as recorded by  
  • Analysis of the Domestic Research Trends on Spiritual Health
    Gyeong-Hye Choi
    Journal of Korean Association for Qualitative Research.2023; 8(2): 189.     CrossRef
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Conceptual Analysis of Health Behavior in Tuberculosis Patients
Hye-Jin Kim, Myung Kyung Lee
Korean J Adult Nurs 2022;34(3):280-294.   Published online June 30, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.3.280
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.
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Gender Difference in Health-Related Behaviors associated with Metabolic Status-Obesity Phenotypes among Korean Adults
Ji Hyunju, Lee Kyung Hee, Yeonsoo Jang, Hankil Lee
Korean J Adult Nurs 2022;34(2):149-157.   Published online April 30, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.2.149
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

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  • 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
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Factors Affecting Health-Promoting Behaviors among Vietnamese Students in Korea
Tran Thi Quynh Anh, Minkyung Kang, Nahyun Kim
Korean J Adult Nurs 2021;33(4):349-359.   Published online August 31, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.4.349
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.
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Lived Experiences of Environmental Health Behavior among Pregnant Women: A Phenomenological Study
Nam Young Yang, Hyun Kyoung Kim
Korean J Adult Nurs 2021;33(2):114-124.   Published online April 30, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.2.114
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

Citations to this article as recorded by  
  • 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
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Factors Affecting Health Behavior of Patients with Stroke: Focusing on Health Literacy of Patients and Family Caregivers
Jimin Jeong, Jieun Cha
Korean J Adult Nurs 2020;32(6):632-641.   Published online December 31, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.6.632
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

Citations to this article as recorded by  
  • 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
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Factors Affecting Particulate Matter-Related Health Behaviors of Patients with Pulmonary Disease
Joo hee Ham, Seung Hye Choi, S mi Choi-Kwon
Korean J Adult Nurs 2020;32(5):504-514.   Published online October 31, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.5.504
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

Citations to this article as recorded by  
  • 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
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A Structural Model Explaining the Health Behaviors among Adults with Metabolic Syndrome: Theory of Planned Behavior Approach
Taejeong Jang, Rhayun Song
Korean J Adult Nurs 2020;32(1):98-108.   Published online February 29, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.1.98
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

Citations to this article as recorded by  
  • 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
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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

Citations to this article as recorded by  
  • 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
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Factors Influencing the Improvement in Lifestyle Among Patients with Colorectal Cancer
Song Ok Lim, Sangeun Jun
Korean J Adult Nurs 2019;31(3):325-336.   Published online June 30, 2019
DOI: https://doi.org/10.7475/kjan.2019.31.3.325
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

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  • 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
  • 61 View
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  • 4 Scopus

Review Article

Associations among Health Literacy, Psychosocial Factors, and Cancer-related Health Actions: A Systematic Literature Review
Eun Jin Kim, Su Hyun Kim
Korean J Adult Nurs 2018;30(6):565-576.   Published online December 31, 2018
DOI: https://doi.org/10.7475/kjan.2018.30.6.565
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

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  • 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
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  • 2 Scopus
Original Articles
Motivation Factors for Stages of Behavioral Change among Individuals with Metabolic Syndrome
Rhayun Song, Moonkyoung Park
Korean J Adult Nurs 2018;30(1):60-69.   Published online February 28, 2018
DOI: https://doi.org/10.7475/kjan.2018.30.1.60
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

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  • 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
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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

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  • 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
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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.

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  • 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
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A First-year Cohort Study based on Health Behaviors of Older Adults in an Urban City: Gender and Age Differences
Ji Yeon Ha, Belong Cho, Misoon Song, Jaeyoung Lim, Ga Hye Kim, Young soon Jung, Yeon Hwan Park
Korean J Adult Nurs 2017;29(5):505-516.   Published online October 31, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.5.505
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.

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  • 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
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Impact of Stroke Knowledge, Fear of Recurrence on Health Behavior in Patients with Ischemic Stroke
Yun Ok Choi, JuHee Lee
Korean J Adult Nurs 2017;29(3):302-312.   Published online June 30, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.3.302
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.

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  • 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
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    Eun Jeong Choi, Hye Young Kim
    Nursing & Health Sciences.2022; 24(3): 764.     CrossRef
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    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
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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.

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  • 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
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Knowledge on Cardio-cerebrovascular Disease and Health Behaviors among Middle-aged Postmenopausal Women at Risk
Kyung Ae Kim, Seon Young Hwang
Korean J Adult Nurs 2016;28(4):424-435.   Published online August 31, 2016
DOI: https://doi.org/10.7475/kjan.2016.28.4.424
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.

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  • The Effects of Health Status and Social Support on Happiness in Middle­Aged Women
    Bok Hui Baek, So Young Choi
    Journal of Korean Public Health Nursing.2024; 38(1): 16.     CrossRef
  • 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
  • Blood Pressure Awareness and Knowledge of Cardio-Cerebrovascular Diseases in South Korean Women with Hypertension
    Yeo Won Jeong
    Healthcare.2021; 9(3): 360.     CrossRef
  • Factors related to the Identification of Middle-Aged Women Who are Disadvantaged by Cardio-cerebrovascular Disease
    Moon Jung Kang, Jee Seon Yi, Chang Seung Park
    Korean Journal of Women Health Nursing.2018; 24(2): 185.     CrossRef
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Health Status and Factors related to Health Behaviors of Older Adults Using a Senior Center
Ji Yeon Ha, Yeon Hwan Park
Korean J Adult Nurs 2015;27(4):428-437.   Published online August 31, 2015
DOI: https://doi.org/10.7475/kjan.2015.27.4.428
PURPOSE
The aim of this study was to describe health status and to identify the factors related to health behavior in older adults in South Korea.
METHODS
A cross-sectional survey was conducted with a convenience sample of 186 older people (mean age =68.2yrs, 65.1% Female) registered at one senior center. Data were collected by self-report questionnaires or through face to face interview. The instruments were the Modified Health Behavior Assessment Scale, Stanford Research Instruments for Chronic Disease, Self-Efficacy, SOF Frailty Index and Quality of life questionnaire. The data were analyzed using t-test, ANOVA, Pearson's correlation, and stepwise multiple regression.
RESULTS
58.6% older adults perceived their health status positively. Education level and economic status were significantly related to health behaviors of older adults. Self-rated health, sleep, stress, quality of life, health distress, depression, and frailty were significantly correlated with the health behaviors of older adults. Frailty, education level, and sleep disturbance were the significant factors predicting the health behaviors.
CONCLUSION
The findings from this study suggest that nurses should take into consideration education level of older adults to promote their health behaviors and health promotion program which focuses on maintaining the quality of sleep and preventing frailty.

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  • Mediating Effect of Health Behavior between Meaning in Life and Happiness Related to Aging among Commuity-dwelling Older Adults During COVID-19: A Cross-Sectional Study
    Eun-Ju Mun, Jin-Hwa Park
    Journal of Korean Gerontological Nursing.2022; 24(3): 311.     CrossRef
  • Development and validation of the geriatrics health behavior questionnaire (GHBQ)
    Maryam Bakhshandeh Bavarsad, Mahshid Foroughan, Nasibeh Zanjari, Gholamreza Ghaedamini Harouni, Zahra Jorjoran Shushtari
    BMC Public Health.2022;[Epub]     CrossRef
  • Daily Time Use by Activity of Community-Dwelling Older Koreans: Focus on Health Management
    Hana Ko
    International Journal of Environmental Research and Public Health.2021; 18(4): 1688.     CrossRef
  • Factors Influencing Health Behavior Related to Particulate Matter in Older Adults
    Min Kyung Park, Gwang Suk Kim
    Journal of Korean Academy of Nursing.2020; 50(3): 431.     CrossRef
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Health Literacy and Health Behavior Compliance in Patients with Coronary Artery Disease
Eun Young Jung, Sun Kyung Hwang
Korean J Adult Nurs 2015;27(3):251-261.   Published online June 30, 2015
DOI: https://doi.org/10.7475/kjan.2015.27.3.251
PURPOSE
The aim of this study was to identify the levels of and the related factors to health literacy and health behavior compliance in patients with coronary artery disease.
METHODS
A cross-sectional survey was conducted with a convenience sample of 121 hospitalized patients with coronary artery disease. The structured questionnaires were used to measure the levels of health literacy and health behavior compliance.
RESULTS
The average linguistic health literacy score was 32.23+/-21.46, the functional health literacy score was 6.51+/-5.08, and the health behavior compliance score was 61.66+/-15.53. The levels of education (beta=.35), income (beta=.27), and perceived health status (beta=.21) were found significant, explaining 41.8% of the variance in linguistic health literacy. The levels of education (beta=.23), income (beta=.27), age (beta=-.24), and family support (beta=.22) were found to be significant, explaining 50.9% of the variance in functional health literacy. The levels of education (beta=.27), family support (beta=.20), and linguistic health literacy (beta=.40) were found to be the significant factors, which explained 45.1% of the variance in health behavior compliance. Linguistic health literacy specifically explained 9.5% of health behavior compliance.
CONCLUSION
Health literacy was associated with health behavior compliance, influencing the factors of health behavior compliance. These findings suggest that the interventions for improving health literacy are necessary to enhance health behavior compliance in patients with coronary artery disease.

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    Eunhee Jo, Su-Jin Lee, Sun Hee Han
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 325.     CrossRef
  • Impact of Type D Personality and Health Literacy on Resilience of Inpatients with Cardiovascular Diseases: A Cross-Sectional Study
    Da Eun Kim, Seon Young Hwang
    Korean Journal of Adult Nursing.2023; 35(1): 23.     CrossRef
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    Heeran Chun, Ju Yul Lee
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  • 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
  • Factors Influencing Health Behavior Adherence in Middle and Old Aged Men Who Underwent Percutaneous Coronary Intervention
    Lee, Kyung Sim, Kyung Mi Sung
    The Korean Journal of Rehabilitation Nursing.2019; 22(2): 87.     CrossRef
  • The necessary tasks for activating health literacy in Korea
    Ju Yul Lee
    Korean Journal of Health Education and Promotion.2019; 36(2): 23.     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
  • Factors related to Coronary Artery Disease in Korean Adults: Based on the Korean National Health and Nutrition Examination Survey 2013~2015
    Sook Young Kim
    The Korean Journal of Rehabilitation Nursing.2018; 21(1): 33.     CrossRef
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    Korean Journal of Adult Nursing.2017; 29(2): 166.     CrossRef
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The Health Behavioral Experience of Patients with Myocardial Infarction during the Recovery Period
Kyung Ja Kang, Moon Jeong Kim
Korean J Adult Nurs 2014;26(2):203-213.   Published online April 30, 2014
DOI: https://doi.org/10.7475/kjan.2014.26.2.203
PURPOSE
The purpose of this study was to understand and describe the every day life experience of patients with acute myocardial infarction (AMI) during the recovery period after Percutaneous Coronary Intervention (PCI) using a qualitative approach.
METHODS
Twelve patients with AMI participated in this study. Their age ranged from 42 to 75. The data were collected by individual in-depth interviews and all interviews were audio-taped and transcribed verbatim. The transcribed data were analyzed using traditional qualitative content analysis.
RESULTS
Six sub-themes emerged from the data as follows: Getting to know about illness, getting motivated for health behavior, putting an effort into health behavioral change, having difficulties maintaining health behavior, setting up coping strategies for health behavior and having a need for a tailored education. The results of this study showed how the health behaviors of patients with AMI are related to their every day life experiences.
CONCLUSION
The results of this study could help health professionals to better understand patients with AMI and design effective educational interventions to improve their health behaviors.

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  • The Relationship among Death Anxiety, Knowledge and Attitudes toward Advance Directives in Middle-Aged Patients with Acute Myocardial Infarction
    Mi Young Suh, Jeong Sun Kim
    Journal of Korean Gerontological Nursing.2021; 23(3): 226.     CrossRef
  • Factors influencing health behavior practice in patients with coronary artery diseases
    Ho Gi Jung, Ya Ki Yang
    Health and Quality of Life Outcomes.2021;[Epub]     CrossRef
  • Lifestyle and Quality of Life in Patients with Coronary Artery Disease: A Propensity-Matched Comparison with a Healthy Control Group
    Seong Hui Choi, Seon Young Hwang
    Korean Journal of Adult Nursing.2020; 32(2): 199.     CrossRef
  • A Health Behavior Prediction Model for Patients With Coronary Artery Disease
    Jiyoung Kim, Oksoo Kim
    Clinical Nursing Research.2019; 28(2): 217.     CrossRef
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Effects of a Peer Cervical Cancer Prevention Education Program on Korean Female College Students' Knowledge, Attitude, Self-efficacy, and Intention
Hyun Suk Mo, Keum Bong Choi, Jin Sun Kim
Korean J Adult Nurs 2013;25(6):736-746.   Published online December 31, 2013
DOI: https://doi.org/10.7475/kjan.2013.25.6.736
PURPOSE
The purpose of this study was to evaluate the effectiveness of a peer cervical cancer prevention education program on Korean female college students' knowledge, attitude, self-efficacy, and intention.
METHODS
A quasi-experimental pretest-posttest design with a non-equivalent control group was used. The participants were 58 female college students in a metropolitan city in Korea. The sample consisted of an intervention group (n=28) that participated in a peer education program and a control group (n=30). Data were measured using self-administered questionnaires at two time points: prior to the intervention and after the intervention.
RESULTS
Compared to the control group, the experimental group reported significantly positive changes for knowledge, attitude, self-efficacy, and intent to practice cervical cancer prevention behaviors.
CONCLUSION
The findings of this study indicated that a peer education program developed for Korean female college students was a useful and effective intervention strategy to promote cervical cancer prevention behaviors in Korean sociocultural contexts.
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Influencing and Mediating Factors in Health Behaviors among Stroke Patients
Min Kyeong Kim, Hye Ryun Lee, Ju Yeon Kwon, Hyun Soo Oh
Korean J Adult Nurs 2013;25(6):610-621.   Published online December 31, 2013
DOI: https://doi.org/10.7475/kjan.2013.25.6.610
PURPOSE
The study was designed to identify influencing and mediating factors of health behaviors of stroke patients based on the hypothetical model constructed in this study.
METHODS
Non-experimental correlational research design was used. One hundred and five stroke patients were conveniently selected from one university hospital located in Incheon. Data were collected with survey and analyzed by path analysis to examine the significant influencing and mediating factors of health behaviors in stroke patients.
RESULTS
Age, diagnosis, disability in ADL, knowledge related to health behavior, and self-efficacy had significant direct causal influences on health behavior. And it was shown that knowledge and self-efficacy mediated influence of cohabitation status with family (whether or not living together with family) on health behavior. Self-efficacy also mediated influence of knowledge on health behavior.
CONCLUSION
From the results, it was proposed that providing knowledge related to health behavior and enhancing self-efficacy by educating skill necessary for health behaviors and promoting health related beliefs might increase health behavior particularly for stroke patients living together with family.
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Sexual Behavior, Health Risk Behaviors Related to Reproductive Health, and Sexual Experiences among Korean College Students
Kyung Rim Shin, Hyo Jung Park, Kyung Eui Bae, Chiyoung Cha
J Korean Acad Adult Nurs 2010;22(6):624-633.   Published online December 31, 2010
PURPOSE
The purpose of this study was to describe the sexual behavior, health risk related to reproductive health, and characteristics of sexual experience among college students in Korea.
METHODS
Six thousands college students were selected through proportional quota sampling based on region, college, and gender. Structured questionnaires were used for data collection. Descriptive statistics and chi-square test were used to describe the data.
RESULTS
Thirty eight percent (N=2,285) of the participants reported sexual intercourse. The mean age of first time sexual intercourse was 19.3 years old. Respondents reported the following health risks such as smoking, drinking, not exercising, no regular meal patterns, chronic disease status, and weight loss over 10 kg in the past three months showed significant differences by sexual intercourse experience (p<.01). Among those who had sexual intercourse experiences, 7.1% of them reported having a history of STDs and 11.6% reported a pregnancy or pregnancy of one's partner.
CONCLUSION
The findings of this study reflect the current trends of sex behaviors among college students and correlations between health risks related to reproductive health and sexual intercourse experiences. Developing reproductive health education programs based on the findings and providing the programs to college students through a school nurse is suggested.
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A study on the Difference of Disease Related Knowledge Level, Compliance of Health Behavior, and Educational Needs according to Time in Percutaneous Coronary Intervention Patients
Kyung Ja Kang, Hyun Jung Yoo, Hee Joo Lee
J Korean Acad Adult Nurs 2010;22(2):190-199.   Published online April 30, 2010
PURPOSE
The purpose of this study was to determine the differences in the level of disease related knowledge, compliance of health behavior, and educational needs in relation to time (at discharge and 6 months after discharge) among patients underwent percutaneous coronary intervention (PCI).
METHODS
Data were collected from January 1, 2006 to September 30, 2006 and a total of 60 patients participated in the study. The survey was conducted in patients underwent PCI at the time of discharge right after discharge education was provided and at a follow up visit which was 6 months after discharge.
RESULTS
The level of disease related knowledge (p<.001), the compliance of health behavior (p<.001), educational need (p=.496), the sub-item of sexual life (p<.001), follow up (p<.001), diet (p=.021), stress (p<.001) in compliance of health behavior, and the sub-item of specific character of disease in educational needs (p=.015) were significantly different between discharge and 6 months after discharge.
CONCLUSION
The results of this study suggested that further education should be provided to the patients underwent PCI regarding medication, smoking cessation, daily life and exercise at a time of 6 months after discharge in order to increase patient compliance of health behavior.
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Health Promoting Behaviors and Influencing Factors of University Students: Optimism and Coping Skills
Nam Sun Kim
J Korean Acad Adult Nurs 2007;19(5):719-728.   Published online December 31, 2007
PURPOSE
The purpose of this descriptive study was to identify predictors on health promoting behaviors of university students.
METHODS
The participants were 310 students by convenience sampling in G city. The data were collected through a questionnaire given to the students between September 10 to November 6, 2006. Descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression were used to analyze the data.
RESULTS
The mean score for the level of health promoting behaviors and optimism was 2.60(+/-.31) and 2.70(+/-.55) respectively. The most frequently used coping skill was the pursuit of social support. There were positive correlations between health promoting behaviors and optimism, between health promoting behaviors and active coping skill, and between health promoting behaviors and passive coping skill. In stepwise multiple regression analysis, the most powerful predictor of health promoting behaviors was active coping skill.
CONCLUSION
The results suggest that coping skills with optimism can be considered when developing a health promotion program for university students.
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Analysis of Korean Nursing Studies Applied for the Transtheoretical Model
Eun Hyun Lee, Jin Sun Kim, Young Hae Jung
J Korean Acad Adult Nurs 2007;19(4):567-582.   Published online September 30, 2007
PURPOSE
The purpose of this study was to explore the utilization of the Transtheoretical Model(TTM) for Korean nursing studies on health behaviors and identify the strategies for improvement of further studies.
METHODS
From a main and seven branch journals on the Korean Society of Nursing Science, a total of 26 studies, which had been conducted based upon the TTM, were selected. The selected studies were analyzed from the September of 2006 to the February of 2007 by the criteria; name of journal, year of publication, health behavior, population, sampling, sample size, research design, instrument (translation process, reliability and validity), and statistical analysis.
RESULTS
TTM on the Korean nursing studies was mainly applied for smoking cessation or exercise with elderly or middle aged women. The research findings could not be generalized with the limitation of the use of non representative samples. The most frequently used research design was a cross-sectional survey. Some studies had a lack of reliable and valid instruments, so that the internal validity of the study findings may be threatened. Statistically related problems increased type I error and decreased power.
CONCLUSION
Korean nursing studies based on TTM can be the beginning stage in quality and quantity.
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PURPOSE
The purposes of this study were to compare the motivation for health behavior, health behaviors practices, and ADL of institutionalized elderly women with those of non-institutionalized elderly women.
METHODS
A cross-sectional descriptive survey was conducted in convenience samples of 144 aged women(80 institutionalized and 64 non-institutionalized) using structured questionnaires. Descriptive statistics, chi-square-test, and ANCOVA were used for data analysis with SPSS program.
RESULTS
The institutionalized elderly reported significantly higher motivation than the non-institutionalized elderly. In subcategories of motivation, self-efficacy of the institutionalized elderly was significantly lower than that of the non-institutionalized elderly. The non-institutionalized elderly reported significantly lower perceived benefits and significantly higher perceived barriers than institutionalized elderly. The institutionalized elderly reported significantly lower health behaviors in exercise and nutrition than the non-institutionalized elderly. Among health behaviors of the non-institutionalized elderly women, stress management marked the lowest score.
CONCLUSION
To enhance motivation of institutionalized elderly women, interventions for building self-efficacy are needed. To promote the health behavior of the non-institutionalized elderly, stress management programs are needed. All elderly women need exercise.
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The Relationships among Gender, Information Seeking Style and High Risk Behavior in Korean Adults
Dong Suk Lee
J Korean Acad Adult Nurs 2007;19(2):217-224.   Published online June 30, 2007
PURPOSE
The aim of this study was to investigate the relationships among gender, information-seeking styles, and high risk behavior in Korean adults.
METHODS
A survey utilizing a structured questionnaire was used to examine the relationships of the study variables. Eight hundred fifty six adults were recruited and this group consisted of 403 females and 453 males. Information seeking style and high risk behavior were measured by Miller Behavioral Style Scale revised by Zurren and Wolfs, and High Risk Behaviors checklist developed by Lee, respectively.
RESULTS
Differences between gender were significant in information-seeking styles and high risk behavior. Monitoring and blunting scores were both higher in female than male, and high risk behavior was higher in males than females. The blunting style was positively related to high-risk behavior and the monitoring style was negatively related to high risk behavior.
CONCLUSION
To intervene with high risk behavior effectively, individual differences such as gender and information seeking style should be considered. In addition, the research about well-designed health information support is needed in the future.
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