PURPOSE: The purpose of this study was to identify factors affecting health promotion behavior among workers with high risk of metabolic syndrome. This study was based on the planned behavior theory. METHODS: The participants were 167 workers at high risk of metabolic syndrome. Data were collected using a structured questionnaire. Surveyed variables were attitude, subjective norm, perceived behavioral control, intention, and health promotion behavior. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and hierarchical regression analysis with SPSS/WIN 22.0. RESULTS: Perceived behavioral control affected the intention of health promotion behavior among the workers with high risk of metabolic syndrome. It explained 62% of variance in the intention of health promotion behavior (F=40.09, p<.001). Perceived behavioral control and occupation affected health promotion behavior among the risk workers with high risk of metabolic syndrome. The two factors explained 16% of variance in health promotion behavior (F=4.95, p<.001). CONCLUSION: The findings of this study suggest that perceived behavioral control is the only factor affecting health promotion behavior when the theory of planned behavior was applied. Therefore, intervention programs for improving health promotion behavior should be focused on strengthening perceived behavioral control.
Health Behavior ; Health Promotion* ; Intention ; Metabolic Syndrome X ; Occupations ; Surveys and Questionnaires

BACKGROUND: The goal of this study was to analyze the process and characteristics of withholding or withdrawal of life support (WLS) in Korean intensive care units (ICUs). METHODS: This was a single-centered retrospective analysis of patients who died in the ICUs of a tertiary hospital in Korea from January to December 2012. WLS informed consents and clinical data were analyzed. RESULTS: Of 285 deaths during the study period, informed consents for WLS were obtained from 228 patients (80.0%). All WLS decisions were made by family members after the patient's loss of decision-making capacity. Decisions were made most frequently by the patient's son (50.6%). Patients in the WLS group were older than those in the non-WLS group, and older age was associated with the WLS decision. Thirty-seven patients (16.2%) died within one hour of WLS approval, and 182 patients (79.8%) died on the day of WLS approval. The most frequently withheld life support modality was chest compression (100%), followed by defibrillation (95.9%) and pacemaker insertion (63.3%). CONCLUSIONS: Aggressive and invasive life support measures were those most frequently withheld or withdrawn by decision-makers in Korean ICUs. The most common proxy was the son, rather than the spouse.
Humans ; Informed Consent* ; Intensive Care Units* ; Korea ; Life Support Care ; Proxy ; Retrospective Studies ; Spouses ; Tertiary Care Centers ; Thorax ; Withholding Treatment

Depression is one of the most common mental disorders. Some characteristics of depression in Korea were elucidated. The tendency to express depressive feeling through somatic complaints is more prominent in Korea than in Western countries. Careful studies on depressive symptoms suggest that guilt and suicidal idea are apparent among Korean depressive patients as well as among Western subjects. But most depressive patients in Korea are reluctant to express suicidal idea, which is hidden under the somatic complaints. We should remember the possibility of research artifacts or cultural bias with regard to the evaluation of depressive symptoms of a country in comparison with other countries. Non-pharmacological treatment of depression includes dynamic psychotherapy, cognitive behavioral therapy, interpersonal psychotherapy, self-care treatment, etc. Some kinds of Korean culture relevant psychotherapies are introduced: Tea therapy, Imago therapy, Tao psychotherapy, and combined approach. Interest in the aged people is growing recently, and the research about the factors which affect the depressive disorders in older patients and treatment strategy for them is ongoing.
Artifacts ; Bias (Epidemiology) ; Cognitive Therapy ; Depression* ; Depressive Disorder ; Guilt ; Humans ; Korea* ; Mental Disorders ; Psychotherapy ; Self Care ; Tea ; Troleandomycin

Purpose: : This study was designed to determine the impact of the ‘Respect Together Program’ for nursing students on their attitudes, awareness, empathy, and interpersonal communication competence toward people with disabilities. Methods: : Among the students participating in the program, data were collected from 28 students who participated in both pre- and post-surveys. The collected data were analyzed using the SPSS/WIN 23.0 program. Results: : Compared to before the implementation of the ‘Respect Together’ program for direct interaction with the disabled, the subjects’ attitude scores toward the disabled, awareness scores toward the disabled, empathy toward the disabled, and interpersonal communication competence scores significantly improved statistically. Conclusion : The ‘Respect Together Program’, which involves meeting disabled people in person and carrying out the program together, improved participants’ attitudes, awareness, empathy, and interpersonal communication competence. This suggests that through the direct experience, trial and error, and role composition included in this program, it is possible to effectively prepare in advance to approach disabled people visiting the hospital in a more humane manner.

Purpose: : This study was designed to determine the impact of the ‘Respect Together Program’ for nursing students on their attitudes, awareness, empathy, and interpersonal communication competence toward people with disabilities. Methods: : Among the students participating in the program, data were collected from 28 students who participated in both pre- and post-surveys. The collected data were analyzed using the SPSS/WIN 23.0 program. Results: : Compared to before the implementation of the ‘Respect Together’ program for direct interaction with the disabled, the subjects’ attitude scores toward the disabled, awareness scores toward the disabled, empathy toward the disabled, and interpersonal communication competence scores significantly improved statistically. Conclusion : The ‘Respect Together Program’, which involves meeting disabled people in person and carrying out the program together, improved participants’ attitudes, awareness, empathy, and interpersonal communication competence. This suggests that through the direct experience, trial and error, and role composition included in this program, it is possible to effectively prepare in advance to approach disabled people visiting the hospital in a more humane manner.

Purpose: : This study was designed to determine the impact of the ‘Respect Together Program’ for nursing students on their attitudes, awareness, empathy, and interpersonal communication competence toward people with disabilities. Methods: : Among the students participating in the program, data were collected from 28 students who participated in both pre- and post-surveys. The collected data were analyzed using the SPSS/WIN 23.0 program. Results: : Compared to before the implementation of the ‘Respect Together’ program for direct interaction with the disabled, the subjects’ attitude scores toward the disabled, awareness scores toward the disabled, empathy toward the disabled, and interpersonal communication competence scores significantly improved statistically. Conclusion : The ‘Respect Together Program’, which involves meeting disabled people in person and carrying out the program together, improved participants’ attitudes, awareness, empathy, and interpersonal communication competence. This suggests that through the direct experience, trial and error, and role composition included in this program, it is possible to effectively prepare in advance to approach disabled people visiting the hospital in a more humane manner.

PURPOSE: To analyze the causes, success rate, and the changes of Jones tube length in endoscopic conjunctivodacryocystorhinostomy (CDCR) reoperation cases. METHODS: The medical records of 40 patients (41 eyes, a total of 52 cases) who underwent reoperation of CDCR with Jones tube reinsertion using an endoscope from January 2013 to December 2018 were retrospectively reviewed. We analyzed the success rate, causes of reoperation, changes in lengths of used tubes, and the average interval times between operations. RESULTS: The most common cause of reoperation was medial tube migration (53.8%). As in other causes, tube loss (17.3%), obstructions related with conjunctival overgrowth or granulation (13.46%), lateral tube migration (11.53%), iatrogenic removal (1.92%), and acute dacryocystitis (1.92%) followed. In patients with medial tube migration, the average tube length used in reoperations decreased by approximately 1.11 mm compared to prior operations. In cases of lateral tube migration, the average tube length increased approximately 1.00 mm after the reoperation. The success rate of reoperations was 78.04%. The average interval time between the initial operation and the first reoperation was 52 months. In cases with several reoperations, the interval time decreased as the number of reoperations increased. CONCLUSIONS Because medial tube migration was found to be the most common cause of reoperations, it should be considered as a potential problem when performing surgery. The changes in the lengths of inserted Jones tubes were related to certain types of complication, which affected the prognoses. In endoscopic CDCR reoperations, the success rate was favorable. In recurrent cases, the average interval time between reoperations decreased as the number of operations increased.

Objective: This study evaluated the health behavior level of urological cancer survivors after surgery.Understand the experience of change and identify the factors that affect it for health. Selection of the best intervention steps and effective intervention adopt a lifestyle. It is intended to contribute to the creation of basic data for development of guidelines. Methods: The study was conducted with patients diagnosed with urological cancer at a hospital in Seoul.Study data were obtained by having 100 patients who agreed to the study self-fill out a questionnaire through interviews, and the 2018 World Cancer Research Fund and American Institute for Cancer Research Score (2018 WCRF/AICR SCORE) was used to estimate the level of health behavior. Results: The study examines health behavior among urolgical cancer survivors based on the 2018 WCRF/AICR SCORE. Higher household income and younger age were associated with better health behavior scores, with those under 60 and earning over 3 million won being more likely to have higher scores. Conclusion Based on these results, this study requires comprehensive data collection considering the missing variables, suggesting that high household income and young age can positively affect healthy behavior. In addition, we conclude that education for cancer survivors and development of strategies to bridge the health gap for low-income and elderly populations are necessary.

Objective: This study evaluated the health behavior level of urological cancer survivors after surgery.Understand the experience of change and identify the factors that affect it for health. Selection of the best intervention steps and effective intervention adopt a lifestyle. It is intended to contribute to the creation of basic data for development of guidelines. Methods: The study was conducted with patients diagnosed with urological cancer at a hospital in Seoul.Study data were obtained by having 100 patients who agreed to the study self-fill out a questionnaire through interviews, and the 2018 World Cancer Research Fund and American Institute for Cancer Research Score (2018 WCRF/AICR SCORE) was used to estimate the level of health behavior. Results: The study examines health behavior among urolgical cancer survivors based on the 2018 WCRF/AICR SCORE. Higher household income and younger age were associated with better health behavior scores, with those under 60 and earning over 3 million won being more likely to have higher scores. Conclusion Based on these results, this study requires comprehensive data collection considering the missing variables, suggesting that high household income and young age can positively affect healthy behavior. In addition, we conclude that education for cancer survivors and development of strategies to bridge the health gap for low-income and elderly populations are necessary.

Objective: This study evaluated the health behavior level of urological cancer survivors after surgery.Understand the experience of change and identify the factors that affect it for health. Selection of the best intervention steps and effective intervention adopt a lifestyle. It is intended to contribute to the creation of basic data for development of guidelines. Methods: The study was conducted with patients diagnosed with urological cancer at a hospital in Seoul.Study data were obtained by having 100 patients who agreed to the study self-fill out a questionnaire through interviews, and the 2018 World Cancer Research Fund and American Institute for Cancer Research Score (2018 WCRF/AICR SCORE) was used to estimate the level of health behavior. Results: The study examines health behavior among urolgical cancer survivors based on the 2018 WCRF/AICR SCORE. Higher household income and younger age were associated with better health behavior scores, with those under 60 and earning over 3 million won being more likely to have higher scores. Conclusion Based on these results, this study requires comprehensive data collection considering the missing variables, suggesting that high household income and young age can positively affect healthy behavior. In addition, we conclude that education for cancer survivors and development of strategies to bridge the health gap for low-income and elderly populations are necessary.