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

PURPOSE
The aim of this study was to evaluate the effects of a computerized cognitive training on older adults affected by mild cognitive impairment (MCI) in terms of cognitive function, depression, self-esteem, and activities of daily living (ADL).
METHODS
This study used a non-equivalent control group non-synchronized design. A total of 53 older adults who reside in long-term care facilities were recruited, 26 subjects for an experimental group and 27 subjects for a control group. A computerized cognitive training was performed for 20~40 minutes/day, three days/week for ten weeks. Data were analyzed using SPSS/WIN 21.0 with x² test, Fisher's exact test, and t-test.
RESULTS
Scores of MMSE (t=3.30, p=.002), depression (t=-2.15, p=.036), and self-esteem (t=2.76, p=.008) were significantly better in the experimental group than the control group. However, the difference in ADL (t=-1.01, p=.316) was not significant between the two groups.
CONCLUSION
These findings suggest that the computerized cognitive training can be used as an effective nursing intervention to improve cognitive function and self-esteem and lower depression among older adults with MCI.

Citations

• Efficacy of smartphone application-based multi-domain cognitive training in older adults without dementia
  Jinju Cho, Dayeong An, Eunhye Cho, Daeun Kim, Ingyu Choi, Jihyun Cha, JongKwan Choi, Duk L. Na, Hyemin Jang, Juhee Chin
  Frontiers in Aging Neuroscience.2023;[Epub]     CrossRef
• A Feasibility Study of Two Cognitive Training Programs for Urban Community-Dwelling Older Adults
  Sara Benham, Kelly Otchet, Diana Senft, Ann Marie Potter
  Journal of Ageing and Longevity.2022; 2(2): 74.     CrossRef
• Effects of activities of daily living-based dual-task training on upper extremity function, cognitive function, and quality of life in stroke patients
  Hee-Su An, Deok-Ju Kim
  Osong Public Health and Research Perspectives.2021; 12(5): 304.     CrossRef
• Can Use of Digital Technologies by People with Dementia Improve Self-Management and Social Participation? A Systematic Review of Effect Studies
  David Neal, Floor van den Berg, Caroline Planting, Teake Ettema, Karin Dijkstra, Evelyn Finnema, Rose-Marie Dröes
  Journal of Clinical Medicine.2021; 10(4): 604.     CrossRef

PURPOSE
This study aimed at understanding the correlation between self-esteem, death anxiety, and spiritual wellbeing in university students.
METHODS
Cross-sectional method was used 671 students in South Korea. This study used the Self-esteem developed by Rosenberg, the Fear of Death Scale revised by Lester and Abdel-Khalek, and Spiritual wellbeing developed by Paloutzian and Ellison.
RESULTS
Relationships between self-esteem, death anxiety, and spiritual wellbeing revealed an inverse correlation between self-esteem and death anxiety, and a direct correlation between self-esteem and spiritual wellbeing.
CONCLUSION
In order for students of establishing identity to lead a healthy life, there is a need for studies aiming at developing, implementing, and evaluating the results of consultation and education programs for maintaining spiritual wellbeing such as psychological counseling and logotherapy at the university or regional community level.

Citations

• THE EFFECT OF SPIRITUALITY ON DEATH-RELATED DEPRESSION, DEATH ANXIETY, AND LONELINESS AMONG YOUNG ADULTS
  Zafer Korkmaz, İlhan Çiçek, Rıdvan Söğüt
  İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi.2024; 12(3): 872.     CrossRef
• Spiritual Wellbeing of International Students: A New Zealand Case Study
  Mandeep Bhullar, Qilong Zhang, Ke Jiang
  Journal of Studies in International Education.2024; 28(3): 482.     CrossRef
• Prevalence of death anxiety and its related factors in the population of eastern Iran: a cross-sectional study in the era of COVID-19
  Hossein Bakhtiari-Dovvombaygi, Mohammadreza Askari, Mohammad Rahimkhani, Mahboobeh Abdollahi, Mohammadreza Baladastian, Amir Alipour, Mohammad Namazinia
  Frontiers in Public Health.2024;[Epub]     CrossRef
• Examining nurses’ death anxiety and attitudes toward caring for dying patients: a cross-sectional study in Turkey
  Figen İncİ, Kezban Koraş Sözen
  Psychology, Health & Medicine.2024; 29(8): 1437.     CrossRef
• “Do Not Protect Us, Train Us.”—Swiss Healthcare Students’ Attitudes Toward Caring for Terminally Ill Patients
  Typhaine Maïko Juvet, Marc-Antoine Bornet, Jean-François Desbiens, Diane Tapp, Pauline Roos
  OMEGA - Journal of Death and Dying.2023; 86(4): 1190.     CrossRef
• The Relationship Between Authenticity and Death Anxiety in Cancer Patients
  Faezeh Nazari, Zohreh Khoshnood, Parvin Mangolian Shahrbabaki
  OMEGA - Journal of Death and Dying.2023; 86(3): 966.     CrossRef
• Psychometric Characteristics of the Persian Version of the Revised Fear of Personal Death Scale
  Azadeh Saffarzadeh, Abbas Rahiminezhad, Hadi Bahrami Ehsan, Azam Noferesti, Nazila Shahmansouri, Keyvan Salehi
  Iranian Journal of Psychiatry and Behavioral Sciences.2023;[Epub]     CrossRef
• How do digital lives affect resident mental health in the digital era? Empirical evidence based on Chinese general social survey
  Yan Chen, Mengyang Wei, Jaime Ortiz
  Frontiers in Public Health.2022;[Epub]     CrossRef
• The relationship between death anxiety and attitudes toward the care of dying patient in nursing students
  Eylem Pasli Gurdogan, Ezgi Kınıcı, Berna Aksoy
  Psychology, Health & Medicine.2019; 24(7): 843.     CrossRef
• Factors Influencing the Death Anxiety of the Elderly Living Alone
  Young-Eun Kwon, Seon-Young Kim
  Journal of the Korea Academia-Industrial cooperation Society.2016; 17(3): 262.     CrossRef

PURPOSE
The purpose of this study was to examine the levels of resilience, depression, and self-esteem of hemodialysis(HD) patients, and to find out the factors influencing resilience.
METHODS
The subjects of this descriptive correlational study was 83 outpatients in H hospital in Seoul, Korea, who receive hemodialysis regularly. Data was analyzed by SPSS/WIN 18.0 program.
RESULTS
The resilience of HD patients were statistically different by gender, job, economical state, most supportive person, and recent condition. Self-esteem had positive correlation, while depression had moderate negative correlation with the resilience of HD patients. In regression analysis, depression had significant explanation power, which accounted for 25.4% of the resilience.
CONCLUSION
The results of this study provide basic data for developing a resilience promoting program. Since health-related conditions of HD patients affect their levels of resilience, individualized assessment and management of complications are necessary. Also, as the resilience is related to family support, activating support groups for HD patients and their spouses would be helpful to promote their resilience.

Citations

• Factors associated with resilience among patients with end-stage kidney disease receiving hemodialysis in a teaching hospital: a cross-sectional study
  Bimala Poudel, Rekha Timalsina
  BMC Nephrology.2025;[Epub]     CrossRef
• Factors Associated with Sarcopenia among Hemodialysis Patients
  Hye Yun Shin, Hye Sook Min
  Journal of Korean Critical Care Nursing.2022; 15(1): 24.     CrossRef
• Factors Affecting Quality of Life of Hemodialysis Patients - with Focus on Resilience, Symptom Experience and Self-management
  Hyun-Young Jung, Yong-Kyung Park, Soon-Rim Suh
  Journal of Health Informatics and Statistics.2021; 46(4): 429.     CrossRef
• Perceptions of resilience in patients undergoing peritoneal dialysis: A Q‐methodology study
  Mi Young Chon, Eun Ja Yeun, Kyoung Hee Jung, Young‐il Jo, Kyeong Ryong Lee
  Nursing & Health Sciences.2020; 22(1): 108.     CrossRef
• Relationship between Self-efficacy and Resilience among Patients with Colorectal Cancer with Stoma: Mediating Effects of Family Support and Medical Staff Support
  Mi Na Yun, Kyoung Mi Kim
  Korean Journal of Adult Nursing.2020; 32(6): 599.     CrossRef
• Association Between Spiritual Well-Being and Resilience Among Turkish Hemodialysis Patients
  Songul Duran, Dilek Avci, Funda Esim
  Journal of Religion and Health.2020; 59(6): 3097.     CrossRef
• Factors Influencing Sick Role Behavior Compliance in Patients on Hemodialysis
  Hyun Mi Jeon, Hye Sook You
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(1): 23.     CrossRef
• Resilience as a Moderator and Mediator of the Relationship between Symptom Experience and Quality of Life in Hemodialysis Patients
  Yeon Hee Cho, Yun Mi Lee
  Korean Journal of Adult Nursing.2019; 31(1): 68.     CrossRef
• Factors Influencing Self-Care Behaviors of Renal Dialysis Patients
  Yoonjung Kim, Sanggeon Park
  STRESS.2019; 27(4): 320.     CrossRef
• Factors Influencing Resilience in Hospitalized Patients with Stroke
  Jong Kyung Lee, Ji Yeong Yun
  Korean Journal of Adult Nursing.2018; 30(4): 385.     CrossRef

PURPOSE
This study examined the effects of a yoga exercise program on stress response, physical fitness and self-esteem among middle-aged women.
METHODS
Participants were 39 middle-aged females from District Y in Seoul who were assigned to either a treatment (N=19) or to a control group (N=20). The treatment participated three times a week in a yoga exercise program which included classes and practices. Data collection instruments included the Symptoms of Stress Inventory (1977), the Rosenberg's self-esteem scale (1965) and measurements of grip strength, flexibility and balance. The data were analyzed using the SPSS-WIN 12.0 program.
RESULTS
The treatment group had significantly lower score for stress response (t=-6.18, p<.001) and higher scores on grip strength (t=2.52, p=.018), balance (t=3.24, p=.003), and self-esteem (t=4.46, p<.001). There was no significant difference in flexibility (F=0.51, p=.479).
CONCLUSION
The yoga exercise program can be used as a nursing intervention for middle-aged women to reduce stress and improve self-esteem.

Citations

• Yoga fitness with middle-aged women: benefits for physical and mental health
  A. Yefremenko, O. Nasonkina, Ya. Aleksenko, M. Marchenkov, H. Poltoratska, T. Fedorina
  Scientific Journal of National Pedagogical Dragomanov University Series 15 Scientific and pedagogical problems of physical culture (physical culture and sports).2024; (10(183)): 109.     CrossRef
• Navigating Societal Stressors Through Yoga in Korea
  Jasmyn Kim, Sua Im, Rokbit Sanghee Lee, Jinmoo Heo
  Leisure Sciences.2024; : 1.     CrossRef
• 중년여성 요가참여자의 객체화된 신체의식과 요가만족 간의 구조적 관계 연구*
  예진 이, 용수 이
  The Korean Journal of Physical Education.2023; 62(5): 265.     CrossRef
• Effects of Forest Therapy on Psychological Improvement in Middle-aged Women in Korea
  Bum-Jin Park, Won-Sop Shin, Chang-Seob Shin, Poung-Sik Yeon, Chung-Yeub Chung, Si-Hyung Lee, Dong-Jun Kim, Youn-Hee Kim, Chang-Eun Park
  Journal of Preventive Medicine and Public Health.2022; 55(5): 492.     CrossRef
• Influence of Comprehensive Lifestyle Intervention (LSI) Program on Health, Fatigue, and Quality of Life in Middle-Aged Women
  Su-Jin Jung, Seung-Ok Lee, Min-Jun Choi, Jun Heo, Soo-Wan Chae, Baik-Hwan Cho
  Journal of Lifestyle Medicine.2022; 12(3): 127.     CrossRef
• Effects of Forest Therapy on Health Promotion among Middle-Aged Women: Focusing on Physiological Indicators
  Bum-Jin Park, Chang-Seob Shin, Won-Sop Shin, Chung-Yeub Chung, Si-Hyung Lee, Dong-Jun Kim, Youn-Hee Kim, Chang-Eun Park
  International Journal of Environmental Research and Public Health.2020; 17(12): 4348.     CrossRef

PURPOSE
This study has aimed to examine the relationship among self-esteem, Activities of Daily Living (ADL) and depression reported by hospitalized elderly patients with chronic diseases.
METHODS
A descriptive correlation study by means of a self-report questionnaire or face-to-face interview was used to collect data from 119 elderly patients who were hospitalized in a General Hospital from January 5 to February 25, 2010. Their levels of depression was measured using Short-Form Geriatric Depression Scale, self esteem using Jeon's, and activities of daily living using K-ADL.
RESULTS
80.7% of the subjects experienced depression. Depression correlates with self-esteem (r=-.67) and ADL (r=.45). The influencing factors on depression were self-esteem, ADL, subjective health status, and family support satisfaction (R2=.57), while self esteem in itself explained 45% of variance in depression.
CONCLUSION
These findings indicate the importance of early detection of depression, which starts from the admission of patients and the continuing evaluation/management in daily life after discharge to ensure their well-being and quality of life. The development of program empowering self esteem, ADL and subjective health status with adequate family support during hospitalization and in daily life is indispensible.

PURPOSE
This study was designed to identify effects of self-esteem and health status on adaptation of elderly residents in facilities.
METHODS
The sample consisted of 151 elderly residents. The data collected from January to April 2010 were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. Using instruments were self-esteem scale (SES) (Rosenberg, 1965), Korean health status measure for the elderly (KoHSME) (Shin et al, 2002), and nursing home adaptation scale (Lee, 2007).
RESULTS
The mean scores of self-esteem (2.90+/-0.71), health status (2.15+/-0.53) and adaptation (2.98+/-0.44) of elderly residents in facilities were above the average. Self-esteem was significantly varied according to religion, economic status and living expenses. Health status was significantly different according to age, disease and motivation of getting into the facilities. Adaptation was significantly different according to religion, satisfaction of facilities and decision maker of getting into the facilities. Significant correlations were found between self-esteem, health status and adaptation. Self-esteem and health status were influencing factors of adaptation (22.6%).
CONCLUSION
These findings indicate that perceived self-esteem and health status may be requirements for promoting adaptation of elderly residents in facilities. These results could be utilized in the development of supportive programs for elderly adaptation.

PURPOSE
This study was performed to identify the relationship between Sense of Humor, Coping Humor, Perceived stress and self-esteem in the middle-aged women. METHODS: Data were collected from the 20th of June to the 30th of August in 2009 from 145 middle-aged women living in Seoul. Data analysis was done with SPSS/WIN 12.0 program for descriptive statistics and Pearson correlation. RESULTS: The mean score of the humor sense was 55.94+/-6.52, coping humor was 21.11+/-3.82, perceived stress was 22.21+/-3.03 and self-esteem was 27.50+/-2.88. Subcategories of sense of humor were that emotional expressiveness was average 20.75+/-2.70, meta-message sensitivity was average 20.12+/-2.74 and liking of humor was average 15.13+/-3.44. Sense of humor was difference according to the economic status(t=2.000, p=.047), coping humor was difference according to the on medication use(t=2.227, p=.027). There was a significant correlation between the coping humor, perceived stress and the self-esteem. When the coping humor was higher, perceived stress was lower and the self-esteem was higher. CONCLUSION: This study showed that medication and economic status influences the humor scores and the sense of humor and coping humor were related to perceived stress and self-esteem in middle-aged women Therefore, these findings can provide the basis for the development of nursing intervention to increase the ability to coping with stress.

PURPOSE
The purpose of this study was to identify predictors on drinking problems of university students.
METHODS
The participants were 359 students by convenience sampling in P city. Data were collected from October 15 to December 20, 2007 using drinking problems questionnaire, Global assessment of recent stress scale, CES-D and self-esteem scale. The collected data were analyzed by descriptive statistics, Pearson's correlation coefficient, and stepwise multiple regression.
RESULTS
There were positive correlations between stress and drinking problems, between depression and drinking problems. Also, there were negative correlations between stress and self-esteem, between depression and self-esteem. In stepwise multiple regression analysis, the most powerful predictor of drinking problems was depression.
CONCLUSION
The results suggest that effective management of depression and stress can be considered when developing a prevention program of drinking problems for university students.

PURPOSE
This study was conducted to evaluate successful aging (SA) in elderly individuals and to determine the factors that influence SA.
METHODS
The subjects included 207 elderly individuals from D city, Korea. The data were obtained between July 1 and August 30, 2008. The participants were assured of anonymity and confidentiality. For the evaluation, Kim & Shin's SA scale, Lawton's instrumental activities of daily living (IADL) scale, Jon's self-esteem scale, Kee's geriatric depression scale short form-Korean (GDSSF-K), and Hong's productive activities scale were used. The data were analyzed using descriptive statistics, the t-test, analysis of variance (ANOVA), and Pearson correlation coefficients; multiple regression analysis was performed using the SPSS/WIN 10.0 program.
RESULTS
The maximum score for SA was 34, and the mean score was 22.62. It was found that SA was significantly correlated to IADL, self-esteem, depression, and productive activity. Depression was the most powerful predictor of SA and it accounted for 40.6% of the total variance in SA. Self-esteem, productive activity, living situation, economic status, and age together accounted for 62.1% of the total variation in SA.
CONCLUSION
Depression, self-esteem, and productive activity were identified as variables that influence SA. On the basis of these results, we conclude that nurses should assist elderly individuals in order to facilitate SA. Moreover, individualized nursing management strategies must be developed in order to facilitate SA.

PURPOSE
This study was conducted to develop and evaluate a dementia prevention intervention program for the elderly with mild cognitive disorder.
METHODS
The study was nonequivalent control group pretest-posttest design. The subjects of the study were a total of 68 elderly who ranged from 21 to 24 of total scores of K-MMSE, aged over 65, in home. The program consisted of music therapy, humor therapy, art therapy, dancing therapy, recreation, and health education to enhance brain function. The program was applied to the experimental group twice a week, ninety minutes per session for eight weeks. The data were analysed by using chi-square test and t-test.
RESULTS
The variables measured in the experimental group and the control group before the intervention were not significantly different in the homogeneity test. The dementia prevention program improved the cognition(t=9.243, p<.001), self-esteem(t=.4.336, p<.001), quality of life(t=8.375, p<.001) and reduced depression(t=-3.913, p<.001).
CONCLUSION
These findings confirmed that the dementia prevention program made a contribution to improving cognitive function, self-esteem, and quality of life and also to reduce depression in the elderly with mild cognition disorder. Therefore, it is recommended that this program could be used in clinical practice as an effective nursing intervention for the elderly with mild cognitive disorder.

PURPOSE
The purpose of this study was to examine internet addiction, self-esteem and loneliness in adolescents.
METHOD
Subjects were middle and high school students in Daegu (N=486). Self-rating questionnaire included demographic data, the Korean version of Young internet addiction scale, self-rating self-esteem and loneliness scale. We have received the consent from teachers and students.
RESULTS
Among the subjects, 34% was addicted and internet addiction was significantly different according to gender, record at school, economic status, attitude of mother, father, teacher and friend about internet. There were significant differences in self-esteem and loneliness according to internet addiction. Internet addiction, self-esteem and loneliness were related to each other.
CONCLUSION
These results indicate that internet addiction would be changed according to gender, record at school, economic status, attitude of mother, father, teacher and friend about internet. Therefore, further studies are needed to generalize these results and examine widely the related variables of internet addiction.

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

PURPOSE
The purpose of this study was to examine the effects of family function, self-esteem, and loneliness on subjective health status in middle-aged women. METHODS: A five-item family APGAR was used to measure family function. Self-esteem was measured by the Rosenberg's Self-esteem scale, and the level of loneliness was measured using RULS. One-item was used to investigate subjective health status. RESULT: In this study, the level of family function was moderate. The mean score of self-esteem was 29.06, and subjects revealed moderate loneliness. Subjects rated their health status as 'fair'. There were differences in subjective health status according to education and economic status. Through multiple regression, it was found that self-esteem was a variable predicting subjective health status in middle-aged women. CONCLUSION: Facilitating self-esteem of the middle-aged women can be one of the important nursing interventions in maintaining subjective health status as good.

PURPOSE
the purposes of this study were: to contribute to maintaining and promoting health for female college students by identifying their body weight control behaviors and the Affecting factors; and, to serve as a basis for the development of weight control programs to orient their weight management to a desirable direction specifically for those who have low or normal body weight but still practice body weight control in a way that is neither useful nor desirable. METHOD: The data were analyzed by the SPSS/PC 10.0 statistical program using frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson's correlation coefficient, and the Stepwise multiple regression. RESULT: The main predictive factors affecting body weight control was 'between - meal snack', 'family support', 'satisfaction with their diet', 'possession of secret method for weight loss', 'body image', 'satisfaction with university life', and 'interest in weight control'. CONCLUSION: It may be necessary to develope educational programs on weight control for female collegians in consideration of affecting body weight control behavior.

PURPOSE
The purpose of this study was to identify an influence of self-esteem and family- support on powerlessness of hospitalized elderly patients with chronic disease. METHOD: The subjects were 151 hospitalized elderly patients, age over 60, with chronic disease and admitted for at least 1 week. The data were collected by individual interview using a tructured questionnaire during the period from July 10th to August l0th, 2003 from three general hospitals in Busan. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation, hierarchical multiple regression. RESULT: The level of self-esteem, family support, and powerlessness was 38.00, 38.26, and 38.38, respectively. There was a significant positive correlation between self-esteem and family support and a negative correlation between self-esteem and powerlessness and between family support and powerlessness. Self-esteem and family support were each significant predictor of powerlessness. CONCLUSION: This study showed the hospitalized elderly patients need greater family-support and higher self-esteem to relieve the level of powerlessness. I suggest to study for replication in a larger sample size and considering the lengths of hospitalization for generalization of this study and to develop individual intervention programs for increasing family support and self esteem and testify their effects on the relief of powerlessness of the elderly.

PURPOSE
This study was designed to analyze the correlation on body image, self-esteem and self-efficacy of Female Students in College.
METHOD
The research population included convenience sample of 696 subjects composed of Female Students in College. Data collection was done from July, 2002 to October, 2002 using a written inquiry. The data were analyzed by using t-test, ANOVA and Pearson correlation coefficient.
RESULT
The results of this study were as follows: 1. The relationship among body image, self-esteem and self-efficacy were found to have statistically significant positive correlations. 2. The difference of body image, self-esteem and self-efficacy according to the characteristics in subjects were found to have statistically significancy of grade, age, personality and degree of adaptation. The difference of body image according to the monthly income of the family was found to be statistically significant.
CONCLUSION
There is a significant correlation between grade, age, personality, and monthly income. Further study needs to be done to validate this study and develop degrees of adaptation to improve body image, self-esteem and self-efficacy.

PURPOSE
This study was to identify nursing interventive strategies centering around the meaning structure of elderly women self-esteem.
METHOD
This study is based on a phenomenological approach. The participants were 6 women over the age of 65 selected in Mullae Senior Club or Yeongdeungpo Senior Welfare Center. The data was collected by in-depth and open- ended interviews from May to September, 2001. The analysis of the data was used the phenomenological analytic method suggested by Giorgi(1970).
RESULT
Two essential themes in the self- esteem of relationships the elderly women emerged: (1) Self-identification through human relations: (2) The ability for self-control.
CONCLUSION
There is a variety of programs and social meetings to confirm self and support systems, whether on the governmental level or the personal level, to help the ability for self-control should be expected to live a more qualitative life and successful aging for elderly women. In addition, this study will offer a better understanding of elderly women within the social and cultural context of South Korea.

The purpose of this study was to provide fundamental data for nursing intervention by assessing self-esteem and quality of life(QL) in patients on hemodialysis and peritoneal dialysis. The subjects of this study were 60 patients on hemodialysis at H university medical center in Seoul and 56 patients on peritoneal dialysis at B company. The analysis was done by using t-test, ANOVA, Scheffe and Stepwise multiple regression. The results were as follows: 1. The average self-esteem score was signifi-cantly higher in patients on hemodialysis (27.98) than in patients on peritoneal dialysis (25.64). And there were no statistically significant differences between patients on hemodialysis(128.45) and patients on peritoneal dialysis(122.83) in the scores on QL. Among four factors of QL, hemodiaysis patients showed higher score than peritoneal dialysis patients in all factors. But, only family had statiscally significant differences. Also family showed the highest score in both groups, but psychomental showed the lowest score. 2. In patients on hemodialysis, self-esteem was significantly different by occupation(t=3.122, p=.003) and in patients on peritoneal dialysis by age(F=4.450, p=.007), education level(F=7.458, p=.001) and occupation (t=2.491, p=.017). Also in patients on hemodialysis, QL was significantly different by occupation(t=2.223, p=.033) and in patients on peritoneal dialysis by education level(F=4.007, p=.024), and occupation (t=2.806, p=.007).3. Self-esteem accounted for 36.3% of variance in QL and monthly income accounted for an additional 6.1% of QL in hemodialysis patients by means of stepwise multiple regression analysis. In peritoneal patients, self-esteem accounted for 65.1% and monthly income accounted for an additional 2.7% in QL.

The purpose of the study was to investigate Body Mass Index (BMI), the perception of weight problem and the level of self-esteem and depression in high school and college females. The convenience sample consisted of 303 high school females and 481 college females. Data were collected between November 1999 and December 1999. Subjects ranged in age from 15 years and 26 years. BMI was calculated based on the subject's self-reported body weight and height. Self-perception of having a weight problem was evaluated by a single item question. The Rosenberg's Self-Esteem Scale and the Center for Epidemiologic Studies Depression Scale were utilized to measure the level of self-esteem and depression symptoms. BMI mean scores were 19.92 and 19.83 in high school females and college females, respectively. Based on BMI, 79.2 percent of high school females and 85.2 percent of college females were in a normal weight range. Only 2.6 percent of high school females and 1.5 percent college females were obese. Both high school and college females perceived their body weight problem as moderately severe. The mean scores of depression were 20.33 in high school females and 21.69 in college females. Sixty percent of high school females were depressed and 73.4 percent of college students. There was no significant difference between two groups in BMI. However, high school females perceived their weight problem more severe than college females. College females had higher levels of self-esteem and depression than high school females. BMI and perceptions of weight problem revealed a positive relationship in both groups. Results of the study revealed that a perception of weight problem contributed significantly to predict the level of self-esteem and depression in both groups. BMI score had significant effect on only college females' self-esteem. In the study, even though the mean score of BMI was in a normal range, subjects perceived their weight problems as moderatley severe. Since the perception of a weight problem influenced the level of self-esteem and depression, health care providers need to teach them about the normal weight range in BMI criteria.

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 study was designed and undertaken to find out the degree of powerlessness, self-esteem and family support of elderly home residents and to determine the relationship between powerlessness, self-esteem and family support. The data were collected from October 1st to 20th, 1998. The subjects in this study were 271 elderly home residents over the age 60 living in Taejon city. The study tool for measuring powerlessness was developed by S.E.Chung(1998), the other for measuring self-esteem, was a self-esteem scale developed by Rosenberg, and the tool for measuring family support was developed by Choi(1983), Cobb(1976) and Kang(1984). Data were analysed for percentage, mean, t-test, ANOVA and Peason-correlation coefficients using the SPSS program. The results of this study were as follows ; 1. The degree of powerlessness, self-esteem and family support was scored avove the median. 2. The relationship between powerlessness and self-esteem revealed a no significant inverse correlation, but powerlessness and family support, showed a significant inverse correlation, and self-esteem and family support, registered a very statistically significant correlation. 3. The general characteristics showing the differences of the elderly' powerlessness were sex, one' s health of state compared to other elderly' and living expense load. These yielded statistically very significant results. 4. The general characteristics showing the differences of the elderly' self-esteem were sex, state of ownership of a house, age, religion, one's health of state compared to other elderly'. Among these, sex and state of ownership of a house revealed statistically very significant differences, also age, religion and one's health of state produced statistically significant differences. 5. The general characteristics showing the differences of the elderly' family support were sex, state of ownership of a house, having some diagnosed diseases or not and one's health of state compared to other elderly' health. These also showed statistically significant differences. In conclusion, the factors influencing the elderly' powerlessness, self-esteem and family support generally were age, sex, their economic independence and health of state(which included especially having a diagnosed disease). Also, the family support was needed to reduce their powerlessness and to have their self-esteem highly.

This study was designed to provide basic data for planning nursing interventions. This was done to help them adapt effectively by examining correlations between the perceived family support and the self-esteem of the aged. The subjects for this study were the 103 aged who lived in one city located in Chonbuk. The data was collected during the period from February 20 to March 13, 1999 through an interview with a structured questionnaire. The instruments used for this study are as follows: The family support instrument was the Family Support Scale developed by Kang Hyeon-Sook(1985), used with reference to the preceding research and partially amended by the author of this study. The self-esteem instrument was the Rosenberg Scale of Self-Esteem that was translated and proof-read by Jon Byong-Je(1974) and partially amended by the author of this study. The collected data was analyzed by descriptive statistics, ANOVA, the Scheff test, Pearson's Correlation Coefficients, and Stepwise Multiple Regression using the SPSS program. The results of this study are as follows: Hypothesis 1: "The higher perceived family support, the higher the self-esteem of the aged" was supported(r=.405, p<.01). Hypothesis 2: "The degree of perceived family support of the aged will differ depending on the demographic characteristics of the aged" was partially supported-religion (F=5.428, p=.000), monthly pocket money(F=2.517, p=.035), level of pocket money(F=7.016, p=.001). Hypothesis 3: "The degree of perceived self-esteem of the aged will differ depending on the demographic characteristics of the aged" was partially supported-sex(F=6.302, p=.014), religion (F=5.697, p=.019), health perception(F=5.154, p=.007). Stepwise Multiple Regression Analysis indicated that the five variables-the perceived family support, sex, obligation to support one's family, health perception, and religion-were significantly predictive of the self-esteem of the aged. These five variables explained 42.3% of the variance in self-esteem. In conclusion, this study revealed that the perceived family support is an important factor related to the self-esteem of the aged. Therefore, when nurses plan the nursing of the aged they must include their family in order to increase the self-esteem.

The purpose of this study was to identify the relationships between self-efficacy, self-esteem, health locus of control and sick-role behavioral compliance in diabetic patients and to identify the influencing factors for sick-role behavioral compliance. The subjects for study were 244 NIDDM patients from 2 hospitals, who were visiting the outpatient clinic in Taegu. Data were collected from Sep. 18.th to Oct. 5th 1996. In data analysis, SPSS/PC+ programs were utilized for descriptives, as well as Pearson correlation coefficient, t-test, ANOVA and stepwise multiple regression. The results were as follows : 1. The average score for the sick-role behavioral compliance was 50.38, for the self-efficacy was 1337.17, for the self-esteem was 27.81, for the internal health locus of control was 28.79, for the chance health locus of control was 20.55, for the powerful others health locus of control was 28.70. 2. The relationships between self-efficacy, self-esteem, health locus of control and sick-role behavioral compliance were significant. Sick-role behavioral compliance were significantly related to self-efficacy(r=0.36, 0.000), to self-esteem (r=0.19, p=0.001), to internal health locus of control(r=0.28, p=0.000), to powerful others health locus of control (r=0.28, p=0.000). 3. In the relationship between general characteristics and sick-role behavioral compliance there were significant differences in a job (t=-2.01, p=0.045), experience of diabetic education(t=2.32, p=0.022). 4. Stepwise multiple regression analysis was performed to identify the influencing factors for sick-role behavioral compliance. Self-efficacy, self-esteem, internal health locus of control, having or not having a job and experience of diabetic education accounted for 24% of the variance in sick-role behavioral compliance. The self-efficacy was the most predictive factor (R2=13%) followed by internal health locus of control, job, self-esteem and experience of diabetic education. The results suggest that self-efficacy is an important variable in the compliance of diabetic patients. For improvement in sick-role behavioral compliance nursing intervention needs to be directed at promoting self-efficacy.