PURPOSE: This study was conducted to investigate the school related stress and the need of mental health education among adolescents. METHOD: The subjects were selected by convenient sampling comprising of 1,049 high school students. The instrument of the study was the modified School Stress Scale by Kim (2002) and the Scale of Mental Health Education Need developed by Hyun et al.(2005). RESULTS: School-related stress and the need of mental health education were higher in female students than male ones. Among the types of stress, stress related to academic activities was highest for all students. The need of stress management was highest, which was followed by the need of self-management. As for the need of mental health education and school-related stress according to general characteristics, the need was significantly different according to the gender, grade, and experience in mental health education, and school-related stress was significantly different according to gender and grade. CONCLUSION: This study revealed that there was a correlation between school-related stress and the need of mental health education in high school students. This study also suggested the basic information and framework for planning, developing, and providing the school based mental health promotion education for the high school students.
Adolescent ; Education* ; Female ; Humans ; Male ; Mental Health* ; Self Care

PURPOSE: The purpose of this study was to explore gender-role identity and cyber delinquency in high school students. METHODS: Data were collected through self-administered questionnaires and analyzed by descriptive statistics, t-test, and ANOVA. The data survey was conducted with 1,208 conveniently selected high school students in Seoul, Gyung-gi and Chung-chung province. RESULTS: The cyber delinquency score was 38.94 and androgyny gender role identity was most common (34.0%). There were significant differences in cyber delinquency by academic year, gender, school record, economic status, educational background of parents, experiences of smoking, drinking, runaway, and gender-role identity. According to gender-role identity, the masculinity group showed highest cyber delinquency and the undifferentiated, androgyny, and femininity groups followed respectively. CONCLUSION: These findings are expected to make a contribution to creation of ideal interventions and to help discover early stage cyber delinquency in high school students as approached by gender role identity.
Adolescent ; Child ; Drinking ; Educational Status ; Femininity ; Gender Identity ; Homeless Youth ; Humans ; Juvenile Delinquency ; Masculinity ; Parents ; Surveys and Questionnaires ; Seoul ; Smoke ; Smoking

PURPOSE: The purpose of this study was to explore gender-role identity and cyber delinquency in high school students. METHODS: Data were collected through self-administered questionnaires and analyzed by descriptive statistics, t-test, and ANOVA. The data survey was conducted with 1,208 conveniently selected high school students in Seoul, Gyung-gi and Chung-chung province. RESULTS: The cyber delinquency score was 38.94 and androgyny gender role identity was most common (34.0%). There were significant differences in cyber delinquency by academic year, gender, school record, economic status, educational background of parents, experiences of smoking, drinking, runaway, and gender-role identity. According to gender-role identity, the masculinity group showed highest cyber delinquency and the undifferentiated, androgyny, and femininity groups followed respectively. CONCLUSION: These findings are expected to make a contribution to creation of ideal interventions and to help discover early stage cyber delinquency in high school students as approached by gender role identity.
Adolescent ; Child ; Drinking ; Educational Status ; Femininity ; Gender Identity ; Homeless Youth ; Humans ; Juvenile Delinquency ; Masculinity ; Parents ; Surveys and Questionnaires ; Seoul ; Smoke ; Smoking

PURPOSE: This study was to analyze the trend of research on intervention for patients with metabolic syndrome. METHOD: Using Pubmed, Medline, and CINAHL search engines, a randomized controlled trial(RCT) researching titles such as "metabolic syndrome", "intervention", "lifestyle modification", or "community-based" were collected. A total of 16 researches were analyzed based on the guidelines of the National Cholesterol Education Program-Adult Treatment Panel(NCEP-ATP III). RESULTS: 1) The total period of the intervention was from 12 to 24 weeks, the frequency was 3 to 5 times per week, and the duration of each session was from 45 to 60 minutes. The types of intervention included exercise, diet, and medication. Among these types, diet was performed most frequently. 2) The outcomes of the intervention was measured with physical aspects such as anthropometric measures, body composition, or biological markers. No studies have evaluated psychosocial outcomes such as quality of life. 3) In terms of effectiveness of the intervention, anthropometric indicators, body composition, or serological markers showed positive effects, whereas results on endothelial or urine indicators were inconsistent. CONCLUSION: Methodological research developing comprehensive therapeutic lifestyle modification programs and intervention studies are needed for patients with metabolic syndrome. In addition, effects should be evaluated with multidimensional perspectives.
Humans ; Life Style ; Metabolic Syndrome X/*nursing ; *Nursing Methodology Research ; Randomized Controlled Trials as Topic ; Statistics, Nonparametric

PURPOSE: This study was aimed at exploring the current status of graduate programs for an advanced practice nurse(APN) to recommend future directions of APN education. METHODS: A total of 142 students enrolled in seven APN specialty programs, 67 professors who were involved in APN education, and nine nurse administrators participated in the study. Data was collected by questionnaires and focus group interviews. RESULTS: The current definition of APN was found not to be specific enough to represent expected roles of APN in regards to knowledge, attitudes, roles, and skills. Standard curricula employed regardless of the area of APN specialty, lack of qualified clinical practice settings, as well as prepared instructors were found to be problematic. CONCLUSION: The following needs to be addressed: 1. redefining of APN roles, 2. tailoring specialty areas of APN, 3. consolidating educational programs, and 4. ensuring APN role models and faculty. Suggesting a CNS role in Korean APN, areas of APN should be rearranged toclarify their roles and educational programs need to be further developed to meet the expectations and quality of APNs. It is necessary to ensure APN's employment in the health care system by laws and policies to perform advanced nursing roles.
Adult ; Curriculum ; Education, Nursing, Continuing ; Education, Nursing, Graduate ; Educational Measurement ; Focus Groups ; Humans ; Interviews as Topic ; Middle Aged ; Nurse Clinicians/*education ; Nurse Practitioners/*education ; Nursing Evaluation Research ; Questionnaires ; Societies, Nursing ; Specialties, Nursing/*education

PURPOSE: This study was to identify knowledge, perception and health behavior about metabolic syndrome for an at risk group in a rural community area. METHODS: A descriptive cross-sectional survey design was used. A total of 575 adults with hypertension, diabetes mellitus, dyslipidemia, and/or abdominal obesity were recruited from 11 rural community health care centers. A questionnaire was developed for this study. Anthropometric measures were measured and blood data was reviewed from the health record. RESULTS: Knowledge about the metabolic syndrome was low as evidenced by only a 47% correct answer rate. Only 9% of the subjects ever heard about the disease, and 87% answered they do not know the disease at all. 87% of the subjects were not performing regular exercise, 31% drank alcohol more than once a month, 12.5% were current smokers, and 33.6% are did not have a regular health check-up. CONCLUSION: Development of systematic public health care programs are needed to prevent future increases in cardiovascular complications and to decrease health care costs. These might include educational programs for the primary health care provider and an at risk group, a therapeutic lifestyle modification program, and a health screening program to identify potential groups.
Aged ; Anthropometry ; Awareness ; Blood Chemical Analysis ; Cross-Sectional Studies ; Female ; *Health Behavior ; Health Care Surveys ; Health Knowledge, Attitudes, Practice ; Humans ; Life Style ; Male ; Metabolic Syndrome X/etiology/*psychology ; Middle Aged ; *Perception ; Risk Factors ; *Rural Health ; Rural Health Services/organization & administration

"Journal of Korean Academy of Adult Nursing" has been published since 1989 and more than 330 articles have been published up 2000. We reviewed all the articles published in this journal to analyze the contents and trend of published articles and to find out the way of improvement both in quantity and quality of studies in this area. The results are as follows; 1) Ninety percent of articles were quantitative studies. Experimental design was used in 16.1% and quasi-experimental design was adapted in 73.6% of articles. Qualitative research were 10.3% of total articles reviewed. 2) Only 5.1% of articles described theoretical framework and 73.6% of experimentally designed articles included research hypotheses. 3) Among experimental studies, only one was true experimental studie design. Eighty nine point three persent had descriptive survey method among non-experimental studies. Amog the thirty four qualitative studies, phenomenologic(73.5%), grounded theory(14.7%), and ethnographic (11.8%) design were used. 4) Most of research subject were patients and few healthy people, healthcare worker, and patient family. 5) Psychosocial data collection method which used questionnaire were 53.7% and interview, physical measurement, observation were used in 22.8%, 8.2%, 5.4% of articles respectively. 6) Total number of keywords were 692, and average number of key words per article was 2.2. Health-related keyword was the most frequently used according to four metaparadigm of nursing (human, health, nursing, and environment). Environment related keyword was rarely appeared. The number and quality of nursing research in "Journal of Korean Academy of Adult Nursing" have been improved continuously. It is difficult to find out special trend or characteristics which is unique in this journal because of relatively short history of adult nursing studies. This review study was performed to analyze adult nursing studies only in the view of quantitative aspect, but it is needed to analyse qualitatively to find philosophical or theoretical trend in nursing.
Adult* ; Surveys and Questionnaires ; Delivery of Health Care ; Humans ; Nursing Research* ; Nursing* ; Qualitative Research ; Research Design ; Research Subjects

Background/Aims: The optimal treatment (Tx) for epidermal growth factor receptor (EGFR)-mutant non-small cell lung cancer (NSCLC) patients with brain metastasis (BM) remains to be determined. Methods: A retrospective review was conducted on 77 NSCLC patients with synchronous BM who underwent first-line EGFR-tyrosine kinase inhibitor (TKI) Tx. The outcomes of patients were analyzed according to the clinicopathological characteristics including local Tx modalities. Results: Fifty-nine patients underwent local Tx for BM (gamma knife surgery [GKS], 37; whole brain radiotherapy [WBRT], 18; others, four) concurrently or sequentially with EGFR-TKI. Patients treated with TKI alone showed significantly lower incidence of central nervous system (CNS) symptoms. The median progression-free survival (PFS) and overall survival (OS) after the initiation of EGFR-TKI for all patients were 9 and 19 months, respectively. In 60 patients with follow-up brain imaging, the median time to CNS progression was 15 months. Patients with EGFR exon 19 deletion had a significantly longer median OS than those with other mutations including L858R (23 months vs. 17 months). Other clinical characteristics, including CNS symptoms, number of BM, and the use of local Tx were not associated with OS, as well as PFS. In terms of the local optimal Tx modality, no difference was found between GKS and WBRT in the OS and PFS. Conclusions This study suggests that EGFR-TKI may result in a favorable outcome in NSCLC patients with synchronous BM, especially in deletion 19 mutant, regardless of the extent of BM lesions or local Tx modalities. Patients with asymptomatic BM can be treated with EGFR-TKI and careful surveillance.