PURPOSE: The purposes of this study were to examine the relationship between health belief and exercise compliance among elderly adults at senior centers and to identify factors influencing their exercise compliance. METHODS: The subjects of this study were 100 elderly adults who were using senior centers in J City. Data were collected from the 5th of August to the 14th of September in 2014 using a questionnaire about general characteristics, health belief, and exercise compliance. Data analysis included one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple regression using the SPSS/WIN 18.0 program. RESULTS: The mean score for exercise compliance was 3.85 (range 1~5), and for perceived health state 3.17 (range 1~5). The mean score for each of the sub-factors of health belief was 3.89 for benefit, 1.94 for barrier, 3.34 for severity, 2.43 for sensitivity, and 3.65 for exercise self-efficacy (range 1~5). There was a significant correlation between exercise compliance and exercise benefit, and 28% of variance in exercise compliance was explained by exercise benefit in health belief, family history of illnesses, and perceived sensitivity in health belief. CONCLUSION: To promote exercise compliance among elderly adults at senior centers, exercise programs emphasizing exercise benefit should be developed.
Adult* ; Aged* ; Compliance* ; Humans ; Self Efficacy ; Senior Centers* ; Statistics as Topic ; Surveys and Questionnaires

Purpose: The purpose of this study was to examine the effect of laughter therapy on the quality and quantity of sleep in elders with sleep disorders. Methods: This was a quasi-experimental study using a non-equivalent control group pretest-posttest design with 59 participants and included elders with sleep disorders, The Pittsburgh Sleep Quality Index (PSQI) scores of five or more points were: 29 in the experiment group and 30 in the control group. The experimental group participated in laughter therapy sixteen times, twice a week for 50 min per session for 8 weeks. Results: The results showed that laughter therapy was effective according to the PSQI (F=86.13, p<.001), total sleep time (F=9.34, p<.001), sleep efficiency (F=45.34, p<.001), sleep onset latency in the experimental group x2=13.77, p=.001, and in the control group x2=11.95, p=.003), number of awakenings (F=31.21, p<.001), light sleep (F=5.09, p=.008), deep sleep (F=15.13, p<.001), and serum melatonin levels (Z=-3.90, p<.001). but rapid eye movement sleep time did not differ significantly between the groups. Conclusion The results of the study indicate that laughter therapy may be an effective nursing intervention to improve quantity and quality of sleep in community-dwelling elderly.

PURPOSE: The purpose of this study was to investigate the effects of pelvic floor muscle exercise using electric stimulation and biofeedback on maximum pressure of vaginal contraction, vaginal contraction duration and sexual function in women who have had vaginal rejuvenation. METHODS: The research design was a non-equivalent control group non-synchronized design study. Participants in this study were women who had vaginal rejuvenation at C obstetrics and gynecology hospital. The 15 participants in the experimental group were given pelvic floor muscle exercise using electric stimulation and biofeedback and the 15 participants in the control group received self pelvic floor muscle exercise. RESULTS: For maximum pressure of vaginal contraction, the experimental group showed a statistically significant increase compared to than the control group (t=5.96, p<.001). For vaginal contraction duration, the experimental group also showed a statistically significant increase compared to the control group (t=3.23, p=.003). For women's sexual function, the experimental group showed a significant increase when compared to the control group in total sexual function scores (t=3.41, p=.002). CONCLUSION: The results indicate that pelvic floor muscle exercise with electric stimulation and biofeedback after vaginal rejuvenation is effective in strengthening vaginal contraction pressure, vaginal contraction and that it also positively functions to increase women's sexual function.
Adult ; Biofeedback, Psychology ; *Electric Stimulation ; *Exercise ; Female ; Humans ; Middle Aged ; Muscle Contraction/physiology ; Pelvic Floor/*physiology ; Rejuvenation/*physiology ; Sexual Behavior/psychology ; Surveys and Questionnaires ; Vagina/*physiology/surgery

Purpose: This study aimed to identify the factors that influence the wellness of bus drivers by examining the relationships between job stress, physical activity, subjective happiness, and wellness. Methods: Self-report questionnaires were distributed during October 2017. Results: Based on a multiple regression analysis, the significant factors found to affect the wellness of bus drivers were physical activity (β=.48,p<.001), subjective happiness (β=.25, p=.001), and job stress (β=-.17, p=.025). The total explanatory power of the study variables for wellness was 45.7% (F=33.04, p<.001). Conclusion These findings highlight a need to develop workplace wellness programs to reduce job stress and improve physical activity and subjective happiness among bus drivers.

Purpose: This study aimed to investigate the factors affecting cardiovascular disease in middle-aged male workers. Methods: The participants were 137 male office workers over 40 years old and under 60 years old working in small- and medium-sized workplaces from three southern provinces of Korea. Data were collected through self-reported questionnaires and health screening reports from the 2014 National Health Examination. The influencing factors included general characteristics of participants, anger expression style, and occupational stress. Data were analyzed using t-test, ANOVA, and regression analysis with SPSS 22.0. Results: The mean score of risk of cardiovascular disease was 6.73±4.69 and there were significant differences in exercise (t=2.13, p=.035) working time (t=-2.15, p=.034). Logistic regression analysis showed that, when adjusted for exercise and working time, the probability of becoming under a cardiovascular disease risk was 21% higher for those who anger-in (OR=1.21, 95% CI=1.02~1.44, p=.027) and 12% higher for those perceived occupational stress (OR= 1.12, 95% CI=1.01~1.24, p=.030). Conclusion The results suggest developing the strategies for middle-aged male workers to encourage exercise and to decrease occupational stress, as well as an appropriate anger expression style to improve holistic aspect of health considering their demographic characteristics.

BACKGROUND: Given the nature and chronicity of diabetes mellitus (DM), the role of self care and adequate patient education, in addition to the support of medical professional, is essential in its management. The aim of the present study was to compare the effects of positive messages and negative messages in DM education and to identify the superior method of motivation for self care behaviors. METHODS: A total of 99 DM patients (50 positive message group: 49 negative message group) at Gyeongsang National University Hospital participated in the study. The collected data were analyzed by Chi square and t-test. RESULTS: There were no significant differences in the attitude of messages and in the attitude of self care behaviors between the positive and negative message group, though the negative message group had a significantly higher intention of self care behaviors than did the positive message group. CONCLUSION: These results suggest that the negative messages are more effective than positive messages for increasing the intention of self care behaviors in patients with DM.
Diabetes Mellitus ; Humans ; Intention ; Motivation ; Patient Education as Topic ; Self Care

This study was carried out to evaluate meal management behavior of housewives and to improve their behavior by determining what problems exist. The survey was conducted using a questionnaire in Jinju from October to November in 1999. It was shown that 29.1% of housewives didn't plan food budget, whereas only 5.6% of them did. The reasons for not planning food budget were mostly due to not forming a habit(38.8%), irregularity of prices(19.9%) or irregularity of income(13.8%). The characters of planning food budget and the reasons for not planning were not affected by age, education, monthly income, family size or monthly flood cost. Only 17.8% of meal managers recorded their housekeeping in detail and 47.4% of them wrote only the important things. Recording housekeeping records was affected by age and education. It was found that most meal managers(90.8%) didn't set menu planning and they didn't fuel the need for menu planning. The frequency of food shopping was every two days(36.2%), twice a week(20.9%) or randomly(27.4%), and the places for food shopping were supermarket(49.0%) and traditional market(41.3%). Both were affected by education or age. The quality of food was the main reason(54.6%) far the selection of food shopping place. Important consideration for selection of food and meals was preference of family(47.4%) and this character was affected by education. It was shown that the score of nutrition knowledge was 7.36, and it was affected by education. The results of this study suggest that the government, educators and scientists in nutrition make efforts to develop various levels of practical education programs for meal management and nutrition depending on age, education and community using mass media.
Budgets ; Education ; Family Characteristics ; Gyeongsangnam-do* ; Housekeeping ; Mass Media ; Meals* ; Menu Planning ; Surveys and Questionnaires

This study was performed to investigate the correlation between Premenstrual syndrome (PMS) and nutritional intake, blood composition of female students. One hundred and one female students were selected as the experimental subjects at Gyeongsang National University. To assess the PMS symptoms of the subjects, a questionnaire (PAF) score based on the methods of Halbreich, Endicor and Nee was prepared with 34 different items. Dietary survey was conducted by 24-hour recall method for 3 days and nutrient intakes were analyzed by the CAN-Pro. Blood composition of WBC, RBC, Hb, Hct, Ca and Mg was measured. The average height, weight and BMI of subjects were 160.7 +/- 4.6 cm, 54.1 +/- 5.7 kg and 21.2 +/- 1.9, respectively. Average intakes of energy, calcium, iron, zinc, vit B2, and folic acid per day were 1810.2 +/- 344.9 kcal (90.5% of RDA), 621.1 +/- 197.3 mg (88.7% of RDA), 15.9 +/- 4.9 mg (99.3% of RDA), 8.1 +/- 3.4 mg (80.5% of RDA), 1.1 +/- 0.6 mg (88.3% of RDA) and 234.3 +/- 78.6 microgram (93.7% of RDA), respectively. Score of the behavioral symptoms, psychologic symptoms, physical symptoms and other symptoms were recorded 1.79 +/- 0.86, 2.11 +/- 1.08, 2.31 +/- 1.11 and 1.58 +/- 0.86, respectively. The relation between PMS and menstrual cramps was significant. A significant difference was observed for menstruation amount in physical symptoms (p < 0.05) and other score (p < 0.05). The group who drinks alcohol over 30 g per day showed higher scores at total PAF (p < 0.05), psychologic symptoms (p < 0.05), physical symptoms (p < 0.05), and other scores (p < 0.05) than those who don't drink alcohol. Calcium in the blood showed a negative correlation with total PAF score (p < 0.05), behavioral symptoms (p < 0.05), physical symptoms (p < 0.05) and other scores (p < 0.01). Magnesium in the blood showed a negative correlation with physical symptoms (p < 0.05), other score (p < 0.05). WBC was negatively associated with psychologic scores (p < 0.05). Hb and Hct were negatively associated with other scores (p < 0.05). In conclusion, calcium intake showed a level of 88.7% of RDA and this study revealed that there is a correlation between PMS and blood composition in female college students. Therefore, calcium and magnesium supplements can be beneficial to relieve PMS symptoms.
Behavioral Symptoms ; Calcium ; Female* ; Folic Acid ; Humans ; Iron ; Magnesium ; Menstruation ; Muscle Cramp ; Premenstrual Syndrome* ; Zinc

PURPOSE: The purpose of this study was to analyze papers on child rearing in Korea and to suggest future research and nursing practice directions for child rearing. METHODS: An on-line search via 5 web sites yielded 201 research papers. The analysis of key concepts was based on the attributes of parenting and type of knowledge held by the parents. RESULTS: The research papers found in the search were 27.3% experimental and 72.7% non-experimental. Among the participants, 77.0% of parents raising the child were mothers and the children were mostly young children under the age of one year. Types of knowledge related to child rearing varied widely, but explanatory knowledge (55.2%) was the most common, followed by prescriptive knowledge (30.0%) and descriptive knowledge (14.8%). For attributes of parenting, reaction to parenting (49.9%) followed by parenting behavior/practice (43.1%) was most common. CONCLUSION: Findings of this study indicate that further research is necessary regarding fathers and surrogate caregivers and on prescriptive knowledge for health promotion of children at different developmental stages. Also the results suggest a need for research toward developing child care policies.
Caregivers ; Child ; Child Care ; Child Rearing* ; Fathers ; Health Promotion ; Humans ; Korea ; Mothers ; Nursing ; Nursing Research* ; Parenting ; Parents

PURPOSE: The purpose of this study is to clarify mediating effects of self-concept on mental health of children and adolescents who fell victim to violence. METHODS: A survey was conducted on 4th, 5th, and 6th graders from 2 elementary schools and 1st, 2nd, and 3rd year students from 3 middle schools (n=2,391). Data were analyzed using descriptive statistics and AMOS. RESULTS: The mean scores of mental health and self-concept in the subjects were 4.5 and 184.9 respectively. The rate of poor mental health in students who had fallen victim to violence was more than twice as high as that in students who had never experienced it. The self-concept of students who experienced violence had a tendency to decline. Violence experience and self-concept accounted for 47.7%(43.0% for boys and 53.4% for girls) of the changes in mental health. The indirect mediating effects of self-concept were significant. CONCLUSION: Based on the findings, the following is suggested. Schools should offer a self-concept improvement program for students with a distorted self-concept caused by falling victim to violence. It could help such adolescents have a positive self image and improve their mental health.
Adolescent* ; Child* ; Crime Victims* ; Humans ; Mental Health* ; Negotiating* ; Violence*