PURPOSE: The purpose of this study was to investigate the relationships among fatigue, patient safety culture and safety care activities of hospital nurses, and to identify and explain factors influencing safety care activities. METHODS: The research participants were 187 nurses from a urban general hospital located in Korea. Self-evaluation questionnaires were used to collect the data. Data collection was done from January 10 to 31, 2019. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Pearson correlation coefficients and multiple regression with the SPSS 24.0 program. RESULTS: There were significant negative relationships between fatigue and safety care activities (r=−.22, p=.003), and significant positive relationships between patient safety culture and safety care activities (r=.22, p=.003). Factors influencing safety care activities in hospital nurses were identified as type of unit (ICU) (β=.28), patient safety culture (β=.24) and fatigue (β=−.19). The explanation power of this regression model was 16% and it was statistically significant (F=8.29, p<.001). CONCLUSION: These results suggest the need to develop further management strategies for enhancement of safety care activities in hospital. To improve the levels of patient safety, education programs on patient safety should be developed and provided to nurses in hospitals.
Data Collection ; Diagnostic Self Evaluation ; Education ; Fatigue ; Hospitals, General ; Korea ; Nursing ; Patient Safety

PURPOSE: The purpose of this study was to evaluate the effectiveness of a health promotion program utilizing action planning strategy for young adults. METHODS: A non-equivalent control group pre-post-test design was used. One hundred three university students participated in the study. Participants in the experimental group (n=51) were provided the health promotion program utilizing action planning strategy for five weeks. The program consisted of weekly sessions that included action planning and group feedback. The control group (n=52) was provided with health information every week for 5 weeks. Program outcomes, including self-efficacy, physical activity health behaviors, total exercise time per week, daily cigarette consumption, frequency of alcohol drinking per month, nutritional health behaviors, and subjective health status, were assessed at baseline and at follow-up after 5 weeks. RESULTS: The participants in the experimental group demonstrated significant increases in self-efficacy, physical activity health behaviors, weekly exercise time, and nutritional health behaviors and significant decreases in daily cigarette consumption than those in the control group. CONCLUSION: The health promotion program utilizing action planning strategy is a brief and effective intervention to promote health behaviors among young adults. Further investigation is warranted to assess the program's effectiveness among other age groups and populations at high risk for chronic illness.
Alcohol Drinking ; Chronic Disease ; Diagnostic Self Evaluation ; Follow-Up Studies ; Health Behavior ; Health Promotion ; Humans ; Motor Activity ; Self Efficacy ; Tobacco Products ; Young Adult

This study examined the subjective health recognition, motivation, selection property, consumption realties, and generalities of elderly people eating out. The ratio of women eating out in those over 60 years of ages was high and people in that age group ate out most actively. The score of convenience-oriented, gourmet-oriented, and dignity-oriented of the selection property for eating out increased with increasing frequency and expenditure for eating out. With increasing age, a negative (−) relationship with a decrease in the safety-oriented score of the selection property for eating out was predicted. As the number of days eating out increased, a positive (+) relationship with an increase in the safety-oriented score of the selection property for eating out was observed. As the scores of physical and social health perception increased, a positive (+) relationship with an increase in the gourmet oriented score was observed. Based on the results, various research on the relationship between the health recognition and eating out behavior of those over 60 years of age are required.
Aged ; Diagnostic Self Evaluation ; Eating ; Female ; Health Expenditures ; Humans ; Motivation ; Regression Analysis

PURPOSE: Recently, considering the large number of adolescents suffering from chronic illness, it is important to identify the factors affecting the quality of life (QoL) in order to develop intervention programs. METHODS: Data were analyzed using IBM SPSS 21.0. The general characteristics, psychosocial health status, and life satisfaction distributions of the participants were analyzed using frequency, percentage, mean, and standard deviation. Cronbach's alpha coefficients were calculated to test the reliability of the instrument. The differences in psychosocial health status and life satisfaction according to gender were tested with t-test and Chi-square test. Additionally, multiple regression analysis was used to examine the effect of psychosocial health status on life satisfaction. RESULTS: The multiple regression analysis revealed that depression, ego resilience, and self-esteem were associated with the QoL in both male and female participants. Economic status, subjective health, peer attachment, and smart phone addiction were associated with the QoL in male participants, while exercise time during physical education classes, social withdrawal, and school adaptation were associated with the QoL in female participants. CONCLUSION: The findings suggest that a health promotion program should be developed, which reflects gender differences, to improve the QoL of adolescents with chronic illness.
Adolescent ; Chronic Disease ; Depression ; Diagnostic Self Evaluation ; Ego ; Female ; Health Promotion ; Humans ; Male ; Physical Education and Training ; Quality of Life ; Smartphone ; Social Class

PURPOSE: The purpose of this study was to identify the relationships among nutritional supplement intake, subjective health status, health control level and health promotion behaviors and to investigate factors affecting health promotion behaviors in pregnant women. METHODS: A total of 153 pregnant women was recruited from a university hospital in J city in Korea. Data were collected using self-reported questionnaires. RESULTS: Most participants (91.5%) took nutritional supplements. Health promotion behavior had positive correlations with subjective health status (r=0.313, p < 0.001), internal control (r=0.229, p=0.004), powerful others locus of control (r=0.162, p=0.046), and doctors locus of control (r=0.215, p=0.008). There was a negative correlation between health promotion behavior and chance locus of control (r=−0.273, p=0.001). Health status (β=0.25, p=0.001), chance locus of control (β=−0.28, p < 0.001), doctors locus of control (β=0.20, p=0.009), and powerful others locus of control (β=0.16, p=0.033) were significant predictors for health promotion behavior. These variables explained 25.8% of the variance in health promotion behavior. CONCLUSION: The study results indicate that it is necessary to develop a nutrition education program and nursing intervention in order to promote health for pregnant women.
Diagnostic Self Evaluation ; Education ; Female ; Health Promotion ; Humans ; Internal-External Control ; Korea ; Nursing ; Pregnant Women

OBJECTIVES: This study aimed to identify the individual and regional characteristics that influence suicidal ideation among the Korean elderly population.METHODS: Using data collected from the 2013 Korea Community Health Survey, a multilevel analysis was performed to establish an understanding of individual behavioral patterns and regional influences on suicidal ideation.RESULTS: Among the 77,407 individuals sampled, 11,236 (14.5%) elderly people over 60 years of age experienced suicidal ideation. Among individual factors, age, frequency of communication with friends, religious activity, social activity, leisure activity, trust in neighbors, subjective stress level, depressive symptoms, and subjective health status were significantly associated with suicidal ideation. The results showed that the lower the regional deprivation level, the higher the suicidal ideation odds ratio. In terms of regional size, the most significant effects were found in rural areas.CONCLUSIONS: This study suggested that suicidal ideation in the elderly is associated with community factors, such as the regional deprivation index, as well as personal factors.
Age Factors ; Aged ; Depression ; Diagnostic Self Evaluation ; Friends ; Health Surveys ; Humans ; Korea ; Leisure Activities ; Multilevel Analysis ; Odds Ratio ; Socioeconomic Factors ; Suicidal Ideation

OBJECTIVES: Previous studies have shown that marital status is associated with household composition and living arrangements, which partially explain observed differences in health status according to marital status. However, due to the rapid socioeconomic and demographic transformations of the last few decades, the distribution of marital status among middle-aged adults has become more diverse. Therefore, this study aimed to obtain up-to-date information on the associations between marital status and health and to investigate the implications of these findings for conventional explanations of the health effects of marriage.METHODS: The data for this study were obtained from the 2015 Korean Community Health Study. We compared 4 modifiable lifestyle behaviors—smoking, alcohol consumption, physical activity, and self-rated health status—as outcome variables in association with marital status in Korean middle-aged men (age 40-44) living in Seoul and other regions.RESULTS: Married men showed the lowest cigarette smoking prevalence and the highest subjective health status both before and after adjusting for education and income. The odds of engaging in vigorous physical activity did not show a major difference before and after adjustment for income and education.CONCLUSIONS: In married men, the prevalence of cigarette smoking was lowest and subjective health status was highest, similar to previous studies. However, the prevalence of engaging in physical activity was highest in divorced/widowed/separated men. The health behaviors and health status of Korean middle-aged adults should be more closely followed, since they are representative of demographic changes in the Korean population.
Adult ; Alcohol Drinking ; Diagnostic Self Evaluation ; Education ; Family Characteristics ; Health Behavior ; Humans ; Korea ; Life Style ; Male ; Marital Status ; Marriage ; Motor Activity ; Prevalence ; Residence Characteristics ; Seoul ; Smoking

PURPOSE: This study was done to verify relationships among occupational stress, labor intensity, fatigue and musculoskeletal disorder symptoms, and especially to identify factors influencing musculoskeletal disorder symptoms among hemodialysis nurses in tertiary hospitals.METHODS: A cross-sectional design was used, with a convenience sample of 125 hemodialysis nurses from 13 tertiary hospitals. Data were collected through self-evaluation questionnaires during July and August, 2018. Data were analyzed using t-test, χ² test, factor analysis and binary logistic regression analysis with SPSS/WIN 25.0 program.RESULTS: Of the hemodialysis nurses 96 (76.8%) were in the musculoskeletal symptomatic group and 29 (23.2%) in asymptomatic group. Occupational stress (p < .001), labor intensity (p < .001), and fatigue (p=.011) were higher in the symptomatic group compared to the asymptomatic group. Logistic regression analysis showed that occupational stress (OR=1.13, 95% CI: 1.03~1.25), labor intensity (OR=5.60, 95% CI: 1.25~24.97), no leisure life or hobbies (OR=4.67, 95% CI: 1.48~14.80), hemodialysis unit career 2~4 year (OR=4.58, 95% CI: 1.04~20.78), and hemodialysis unit career 8+ year (OR=14.10, 95% CI: 2.53~78.64) were effect factors for the musculoskeletal symptomatic group.CONCLUSION: For effective improvement of musculoskeletal disorder symptoms in hemodialysis nurses, multidimensional intervention programs are needed. Programs should include occupational stress, labor intensity and strategies to reduce symptoms.
Diagnostic Self Evaluation ; Fatigue ; Hobbies ; Leisure Activities ; Logistic Models ; Musculoskeletal Diseases ; Renal Dialysis ; Tertiary Care Centers

BACKGROUND: This study aimed to investigate the dietary habit problems related to sleep duration by analyzing health behaviors and dietary habits in Korean adults.METHODS: Adults aged ≥19 years who participated in the 2013-2015 Korea National Health and Nutrition Examination Survey were included in the study. Subjects were classified into the insufficient, appropriate, and excessive sleep groups. Subsequently, patient characteristics, health status, obesity and metabolic syndrome, dietary habits, and nutrient intake were analyzed.RESULTS: The subjective health status was worse in the insufficient and excessive sleep groups than that in the appropriate sleep group. Body mass index and obesity and abdominal obesity rates were higher in the insufficient and excessive sleep groups than in the appropriate sleep group. The insufficient and excessive sleep groups had an irregular diet, and the excessive sleep group had significantly lower vitamin and mineral intake than insufficient and excessive sleep groups.CONCLUSIONS: Subjects in the insufficient and excessive sleep groups were less healthier than those in the appropriate sleep group. Further, subjects in the excessive sleep group had an unbalanced diet and nutritional status.
Adult ; Body Mass Index ; Diagnostic Self Evaluation ; Diet ; Food Habits ; Health Behavior ; Humans ; Korea ; Miners ; Nutrition Surveys ; Nutritional Status ; Obesity ; Obesity, Abdominal ; Vitamins

BACKGROUND: The growth of Korean adolescents' average height has slowed over the past 10 years. The objective of this study was to investigate the association between height and mental health in Korean male adolescents.METHODS: This study used data from the 2015 Korea Youth Risk Behavior Web-based Survey (34,152 male school students). The male adolescents were divided into the below-average height and above-average height groups according to age. The association between height and mental health was analyzed by multivariate logistic regression.RESULTS: The above-average height group had significantly higher subjective health (P=0.003) and significantly lower depression than the belowaverage height group (P=0.031). In multivariate logistic regression, the odds ratio of subjective health wass 1.13 (P=0.043), but no significant difference in subjective happiness, depression, stress and suicidal ideation (P>0.05) at both group.CONCLUSION: It was confirmed that height is associated with subjective health in Korean male adolescents.
Adolescent ; Depression ; Diagnostic Self Evaluation ; Happiness ; Humans ; Korea ; Logistic Models ; Male ; Mental Health ; Odds Ratio ; Risk-Taking ; Suicidal Ideation