PURPOSE
This study aimed to investigate sleep, fatigue, and the level of health promoting behaviors in Korean army soldiers. The factors influencing on health promoting behaviors of soldiers were also identified.
METHODS
A cross-sectional descriptive survey design was used. Data was collected from 269 soldiers in four military units of Korea in July 2015. Verran and Snyder-Halpern Sleep Scale, Fatigue Severity Scale, and Health Promoting Lifestyle Profile- were used.
RESULTS
The health promoting behaviors were significantly different by perceived health status (p<.001) and presence of fatigue (p<.001). There were significant correlations between quality of sleep, fatigue, and health promoting behaviors of the subjects. In a multiple linear regression analysis, the level of health promoting behaviors were lower in the subjects with high level of fatigue (p<.001) and with fair perceived health status (p=.003).
CONCLUSION
In order to increase health promoting behaviors of soldiers, it takes into account of soldiers' fatigue and perceived health status. Environmental arrangement for soldiers for the break time is needed urgently to decrease their fatigue as well as to improve their sleep quality.

Citations

• The Effectiveness of Acceptance and Commitment Therapy Training on Health Promoting Lifestyle Profile among Soldiers
  Alireza Karimpour Vazifehkhorani, Mohammad Reza Jafari, Fatemeh Rahmati
  ranian Journal of Health Education and Health Promotion.2022; 10(4): 350.     CrossRef
• A Quantile Regression Analysis of Factors Associated with First-Time Maternal Fatigue in Korea
  Jeongok Park, Chang Gi Park, Kyoungjin Lee
  International Journal of Environmental Research and Public Health.2021; 19(1): 215.     CrossRef
• An analysis of health behavior among professional military personnel using propensity score matching
  Hee Jin Moon, Da Seul Kim, Kwang Kee Kim
  Korean Journal of Health Education and Promotion.2021; 38(1): 1.     CrossRef
• Differences in Sleep, Fatigue, and Neurocognitive Function between Shift Nurses and Non-shift Nurses
  Yoo Jin Jung, Seung Wan Kang
  Korean Journal of Adult Nursing.2017; 29(2): 190.     CrossRef

PURPOSE
This study was conducted to identify factors influencing health promotion behavior of the low-income elderly women in urban area.
METHODS
The subjects of this study consisted of 389 the low-income Korean elderly women over 65 years. The data was analyzed using descriptive statistics, t-test, One-way ANOVA, Pearson Correlation Coefficients, Stepwise Multiple Regression with SPSS/Win 12.0.
RESULTS
1) Activity limitation was found to have a statistically significant negative correlation. But self-rated health, self-esteem, and social support were found to have a statistically significant positive correlation with health promotion behavior 2) The factors influencing health promotion behavior were self-esteem, social support, activity limitation, self-rated health, pocket money, and religion. They accounted for 36.8% of the variance for health promotion behavior in the low-income elderly women living in urban area. The most powerful predictor was self-esteem(28.1%).
CONCLUSION
This study showed that making a thorough assessment of the predictors influencing health promotion behavior in the low-income elderly women who remain vulnerable in diverse aspects is very important to minimize their health issues and to contribute their positive health promotion.

PURPOSE
To compare the health promoting behavior in rural elderly people by complementary alternative medicine(CAM) utilization.
METHODS
The data were collected from March 06th to May 26th, 2006. The participants were 207 rural elderly persons in Korea. Data were collected using structured questionnaires and analyzed with the SAS win 8.0 program.
RESULTS
The rate of using CAM was 60.9%. Non-religious, perceived poor health and high concerns about health group used it more. The most common type was oriental medicine(35.7%), the most common motive was body protection(21.2%) and major source of information was other patients(35.9%). Almost all the subjects(90%) were satisfied with using CAM. The average score for the health promoting behavior was 2.67+/-.32(range 1.65-3.71). The average scores for each subscale were, personal communication 2.98, self-actualization 2.79, nutrition 2.78, health responsibility 2.58, exercise 2.40, stress management 2.38. Significant differences in health promoting behavior were found according to CAM utilization: personal communication ,self actualization.
CONCLUSION
There were differences health promoting behavior between the elderly CAM utilization: Systemic guidelines of CAM use are needed.

OBJECTIVE
The purpose of this study were to: (1) describe the individual characteristics, perceived health status, body image, and health promoting behaviors of staff nurses working in a metropolitan hospital and (2) determine the relationship of perceived health status, body image, and health promoting behaviors. METHODS: Data were collected from 311 staff nurses working at one of university affiliated hospitals using a self-administered questionnaire for perceived health status(SF 36 V2), body image(BAQ), and health promoting behaviors (HPLP-II) and using the report of year 2002 employee physical check-up results for health related characteristics. RESULTS: Most of nurses were within the normal range of BMI, total cholesterol, and liver enzymes but 42.2% had systolic BP above 120mmHg and 37.3% hemoglobin below 12g/dL. Although 96.4% of BMI score indicated 'underweight' or 'normal', 'feeling fat' showed the highest. Among health promoting behaviors the most frequently reported one was spiritual growth and the least one was engagement in physical activity. In the correlational analysis, health promoting behaviors had the positive relationships with perceived health status, vitality, mental health, attractiveness, strength and fitness (p=.000 - .004). CONCLUSION: These findings provide information that is relevant in designing interventions to enhance health promoting behaviors among nurses working in a hospital.

PURPOSE
The purpose of this study was to examine the relationship between perceived health state, personality, situational barrier, health promoting behavior, to provide the basic data for health promoting intervention. METHOD: This study was designed as a descriptive correlation study. Data were 396 undergraduate students of one university in Chung-Buk. The instruments for this study were the modified health promoting behavior scale developed by Bak, Insuk(1995), and the modified perceived health state scale developed by Im, Meeyoung (1998), the modified personality scale developed by Park, Youngbae(1998), the modified situational barrier scale developed by Im, Meeyoung(1998). RESULT: The results of this study showed that the mean score for perceived health state 2.72, personality 3.35, situational barrier 2.72 and health promoting behavior 2.67. The health promoting behavior categories, scores for 'sanitary life'(3.08), 'self-actualization and interrelationship'(2.93) were higher than the mean score, whereas scores for 'healthy diet'(2.64), 'rest and sleep'(2.62), 'exercise and stress management'(2.49), and 'diet management' (2.25) were lower than the mean score. This study revealed the negative correlation between perceived health state, personality, situational barrier and health promoting behavior in undergraduate students. CONCLUSION: Perceived health state accounted for 16% and personality accounted for 21.3% of the variance in health promoting behavior in students. Therefore, health promoting programs that increase health state and personality should be developed to promote health behavior and to diminish situational barrier for students in Korea.

PURPOSE
This study is aimed at testing the effect of health promotion program on health promoting behavior and cardiovascular risk factors of middle-aged women.
METHOD
The research design was the nonequivalent control group pre-post test. Twelve middle-aged women were the experimental group and ten were the control group. The 8-week health promotion program was given to the experimental group. There were health promotion theories, flexibility and muscle strength exercise, cardiopulmonary endurance exercise, nutrition, stress management, cancer prevention and early detection, management of menopause and wrap-up in health promotion program for middle-aged women. The measurement tool was Health Promoting Behavior developed by researcher using serum cholesterol, obesity rate, systolic blood pressure, and diastolic blood pressure as cardiovascular risk factors.
RESULT
The experimental group showed a higher score of health promoting behavior than the control group. There were no differences on cardiovascular risk factors(cholesterol, obesity rate, diastolic blood pressure) between the experimental and control groups except systolic blood pressure.
CONCLUSION
Conclusively, this health promotion program for middle-aged women was effective in increasing health promotion behaviors, but wasn't effective in decreasing cardiovascular risk factors except the systolic blood pressure. It seems it's necessary to re-study this using more samples and a longer duration of the program, and smaller mortality rate.

PURPOSE
This study is aimed at showing the effect of work-site health promotion programs for health promoting behavior, cholesterol, and quality of life of middle-aged workers.
METHOD
Thirty-one middle-aged workers were the experimental group and thirty-one were the control group. The 8-week work-site health promotion program was given to the experimental group. After this, health promoting behavior, cholesterol and quality of life were measured by questionnaires for the experimental and control groups. Health promotion theory, flexibility and muscle strength, aerobic exercise, nutrition, stress management, cancer prevention and early detection, smoking and alcohol problems, and summary lecture were all included in the 8-week work-site health promotion program. Health promoting behavior was measured by Park's HPBS, cholesterol was measured by enzyme method, and quality of life was measured by Ro's QOL.
RESULT
The experimental group showed a higher score of health promoting behavior than the control group. There were no differences on cholesterol and quality of life between the experimental and control groups.
CONCLUSION
It is necessary that nurses provide middle-aged workers with work-site health promotion programs to improve health promoting behavior. It's necessary also to re-study this with the pre-post research design.

The purpose of this study was to identify the factors influencing health promoting behavior of college students to develop health promoting interventions of young adults. The subjects of this study were 176 women college students, living in a small city in Korea. The data were collected by interviews and a self-report questionnaire, during the period from September, 1999 to December, 1999. The instruments for this study were the PRQ-II by Weinert(1988), the scale of Locus of Control by Wallstone et al.(1978), the scale of self efficacy by Sherer & Maddux(1982), 10 points visual analogue scale for perceived health status and the importance of health, the health promoting behavior scale by Walker et al.(1987), and the scales developed by the authors for the perceived benefits of health promoting behavior, and perceived barriers to health promoting behavior. Cronbach 's alpha of these scales were .68 ~.89. The data were analyzed using descriptive statistics, Pearson's correlation coefficients, and stepwise multiple regression. The results of this study were as follows: 1. Among cognitive perceptual factors of the Health Promotion Model by Pender(1987), the scores of the importance of health, the perceived internal control of health, self efficacy, the perceived health status, and the perceived benefits had a significantly positive correlation with the scores of the health promoting behavior of college students. In addition, the scores of the perceived barriers had a significantly negative correlation with the scores of the health promoting behavior of college students. 2. Among modifying factors of the Health Promotion Model by Pender(1987), the extent of religious activities of college students and the scores of social support had a significantly positive correlation with the scores of health promoting behavior of college students. 3.Stepwise multiple regression analysis revealed that the most powerful predictor of health promoting behavior was self-efficacy. A combination of self-efficacy, the perceived benefits, the perceived barriers, the perceived health status, and the importance of health accounted for 45.1% of the variance in health promoting behavior in college students From the results of this study, we concluded that the Health Promotion Model by Pender can be used to explain health promoting behavior of college students. In addition, we suggested that the results of this study be considered in developing health promoting programs of young adults.

The purpose of this study was to examine the relationship among perceived health status, self-esteem, self-efficacy and health promoting behavior, and to determine the predictors of health promoting behavior in post-mastectomy patients. The study, a descriptive correlational study, was done with structural questionnaires. A total of 51 post-mastectomy subjects from C university hospital in Kwang-ju, South Korea completed mail-in self-reporting questionnaires during a three month period from March to June, 1999. The data were collected using Lawstone's(1982) perceived health status scale, Rosenberg's(1965) self-esteem scale, the modified self-efficacy scale(Shere et al, 1982), and the modified health promoting lifestyle profile (Walker et al, 1987). The data obtained were analyzed according to percentage, mean and standard deviation, principal component analysis, varimax rotation, t-test, ANOVA, Pearson's correlation, and stepwise multiple regression. The results were as follows: 1. The health promoting behavior measurement resulted in six factors. Each factor was labelled as follows: self-actualization, nutrition, stress management, exercise, health responsibility and interpersonal support. The total percent of variance explained by the six factors was 58.4%. 2. The mean score of health promoting behavior was 85.92(range 58~117). The scores of six factor were nutrition 3.20, self-actualization 2.59, stress management 2.58, interpersonal support 2.58, health responsibility 2.49, and exercise 2.34 on a four point scale. 3. When the score of health promoting behavior factors were compared by general characteristics. FactorI: self-actualization, differed significantly by the frequency of pregnancy (F=3.06, p=.037). FactorII: nutrition differed significantly by drinking experience(t=-2.26, p=.028) and the pre- or post stage of menopause(F=2.69, p=078). FactorIII: stress management differed significantly depending on regularity of mensturation(t=-2.12, p= .042). FactorIV: exercise differed significantly by type of religion (F=2.49, p=.072), marital status(F=5.03, p=.010), and feeding type (F=2.64, p=.036). FactorV: health responsibility differed significantly by regularity of mensturation(t=2.18, p=.037). 4. The total health promoting behavior score was significantly related to self-esteem and perceived health status(r=.610, p.006; r= .378, p=.006). The score of self-actualization also corresponded with self-esteem and perceived health status(r=.556, p=.001; r=.343, p=.013). 5. The predictor to explain the score of health promoting behavior was self-esteem, which accounted for 37.1% of the total variance. The predictor to explain the score of self-actualization was self-esteem, which accounted for 30.9% of the total variance. The score of nutrition was primarily affected by both premenopause and drinking experience, which accounted for 13.1% and 9.5% respectively. Finally, the score of exercise was dictated by marriage, Buddhism, no experience of breast feeding, which accounted for 17%, 9.8%, & 5.2% respectively. In conclusion, self-esteem is the main predictor for health promoting behavior in post-mastectomy women. These findings suggest a need for nursing strategies which promote self-esteem in such patients.

The purpose of this study was to identify the factors influencing health promoting behavior of the elderly for develop health promoting intervention of old people. The subjects of this study were 167 elderly person over the age of 60, living in rural city in Korea. The data were collected by interview and self report questionnaire, during the period from May, 1999 to August. 1999 The instruments for this study were the PRQ-II by Weinert(1988), the scale of Locus of Control by Wallstone et al(1978), the scale of self efficacy by Sherer & Maddux(1982), 10 points visual analogue scale for the perceived health status and the importance of health, the health promoting behavior scale by Walker et al(1987), and the scales developed by authors for the perceived benefits of health promoting behaviors, and the perceived barriers to health promoting behaviors. The Cronbach 's alpha of these scales were .84 ~.97. The data were analyzed using descriptive statistics, Pearson's correlation coefficients, and stepwise multiple regression. The results of this study were as follows: 1. Among cognitive perceptual factors of the Health Promotion Model by Pender(1987), the scores of the importance of health, the perceived internal control of health, the self efficacy, the perceived health status, and the perceived benefits were significantly positive correlation with the scores of the health promoting behavior of the elderly. In addition, the scores of the perceived barriers were significantly negative correlation with the scores of the health promoting behavior of the elderly. 2. Among modifying factors of the Health Promotion Model by Pender(1987), the pocket money of the elderly, the scores of social support were significantly positive correlation with the scores of the health promoting behavior of the elderly. In addition, ages of old people were significantly negative correlations with the scores of the health promoting behavior of the elderly. 3. Stepwise multiple regression analysis revealed that the most powerful predictor of health promoting behavior was the self efficacy. A combination of the self efficacy, the perceived barriers, the social support, the importance of health, and the perceived internal control of health accounted for 56.2% of the variance in health promoting behavior in the elderly. From the results of this study, we concluded that the Health Promotion Model by Pender will be used to explain health promoting behavior of the elderly. We suggested that the results of this study will be considered in developing health promoting programs of elderly.

This study was conducted to investigate the relationship between self-esteem, health promoting behavior and the quality of life of the patients undergoing hemodialysis. The subjects were 86 patients undergoing hemodialysis in H hospital. The data were collected using a questionnaire. Data collection was done from January 11th to June 16th, 1999. The analysis of data was done by use of descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient and Multiple regression using the SPSS/PC+ program. The results are as follows:1.The mean of the level of self-esteem was 25.02, the level of health promoting behavior, 120.04 and the level of QOL, 128.09. 2. Test for hypothesis: Hypothesis 1. "The higher the level of self-esteem of the patients undergoing hemodialysis, the higher the level of quality of life will be." was supported(r=.296, p<.01). Hypothesis 2. "The higher the level of health promoting behavior, the higher the level of quality of life will be." was supported (r=.628, p<.001). 3.Health promoting behavior explained 39.5percent of QOL(R2=.395, F=27.040, p<.001). 4. Monthly income(F=3.85, p<.01) and marital status(F=4.64, p<.05) were significantly related to the quality of life In conclusion, this study showed that self-esteem and health promoting behavior may be important factors that can improve the quality of life of the patients undergoing hemodiaysis. This study identified that nursing plans should include these factors to help physical, psychological and social adaptation of the patients undergoing hemodialysis.

This descriptive correlational study was undertaken to examine the degree of health promoting behavior, and to analyze the factors affecting those health promoting behaviors of middle-aged men. The subjects for this study were 215 men aged by 35-55 from three business enterprises located in Seoul and Inchon. Data collection was conducted through the use of 5 questionnaires and analysis of the data was done by used of descriptive statistics, t-test, ANOVA, Pearson Product Moment Correlation Coefficient and Stepwise Multiple Regression Analysis. The results of this study were as follows: 1. The average score of health promoting behavior was 2.58. And the average scores of the dimensions of health promoting behavior, i.e., self-actualization, interpersonal support, stress management, health responsibility, and exercise and nutrition were 2.92, 2.82, 2.48, 2.38 and 2.31 respectively. 2. There were significant differences in the health promoting behavior according to religion(F=3.58, p=0.0040), educational level (F=3.85, p=0.0104), household income (F=3.81, p=0.0051), smoking(F=3.90, p= 0.0097), alcohol(F=3.57, p=0.0149), check body weight(t=3.32, p=0.0069), and exercise(F= 14.56, p=0.0001). 3. A positive correlation was found between health promoting behavior and all the independent variables of perceived health status(r=0.319, p=0.0001), self-efficacy(r= 0.380, p=0.0001), self-esteem(r=0.487, p= 0.0001) and social support(r=0.474, p= 0.0001). 4. Stepwise Multiple Regression Analysis revealed that the most powerful predictor was self-esteem. Self-esteem, exercise, social support, smoking and alcohol accounted for 44% of the variance in health promoting behavior in middle-aged men. Therefore health professionals firtst need to develop nursing interventions will enhance self-esteem. Above these findings partially support the relationships posited in Pender's health promotion model that individual perceptions influence health promoting behavior.