No abstract available.
Education*

In chronic illness patients, promotion and self-care are important strategies for maintaining and improving health. Self-care behavior of hypertensive patient are affected by various variables. The purpose of this study was to investigate the relationships between three cognitive-perceptual resources-self efficacy, hardiness and perceived barriers and self-care in hypertensive patients. The subjects for the study were 102 patients who admitted to K medical center or visited to out-patient ward. The instruments used for this study included a survey of general characteristic. self-care, self efficacy, health related hardiness and perceived barriers. Analysis of data was done by use of mean, t-test, ANOVA, Person correlation coefficient and multiple regression The results of this study are summarized as follows: 1)The average score for the self-care was 56.18, for the hardiness was 120.90, for the self efficacy was 59.46 and for the perceived barriers was 34.60. 2)The relationships between the variables of self-care and cognitive-perceptual resource-self efficacy, hardiness, perceived barriers were significant. Self-care was significantly related to hardiness(r=.47, p<.001), suggesting that the person with high hardiness got higher self care scores. Self-care was significantly related to perceived barriers(r=-.41, p<.001), suggesting that the person with high perceived barriers got higher self care scores. A slight but significant correlation was also found between self-care and self efficacy(r=.26, p<.01). 3)In the relationships between general characteristics variables and self-care there were significant differences in gender(t=2.46, p<.05), job(t=3.72, p<.05), duration of illness(t=4.92, p<.05). 4)Stepwise multiple regression analysis was performed to examine the relationship between self-care and independent variables(self-efficacy, hardiness, perceived barriers) and selected general characteristics variables-job, duration of illness. These variables accounted for 36% of the variance in self-care score(F=13.34, p<.000). The hardiness was the most predictive factor(R2=19%) followed by job and perceived barriers. The finding of this study have implications for education of hypertensive patients and health care providers. For chronically ill patients adhere to self-care, we should focus on determining their personal resources such as hardiness and perceived barriers.
Chronic Disease ; Education ; Health Personnel ; Humans ; Hypertension* ; Outpatients ; Self Care* ; Self Efficacy

The purpose of this study is to compare sexual concerns and adjustment between men and women with spinal cord injuries. A total of 108 persons (67 men and 41 women), registered to the Spinal Cord Injury Organization or admitted at rehabilitation unit from February 1999 to February 2000, were selected as subjects of the study, Participants answered the questionnaires concerning importance of life events, sexual concern, sexual adjustment, relationship with a sex partner, and depression. The results are as follows 1) There were no significant differences between men and women in the general characteristics except sexual dysfunction. 2) With respect to eleven different life areas, sex life ranked the fifth among men, whereas it occupied the lowest position for women among the 11 areas. However economic status was the most highly-ranked for both sex. 3) Men took much interest in the methods and techniques for achieving sexual satisfaction, He]ping a partner cope emotionally with limitations on sexual activity, whereas women were interested in Helping a partner cope emotionally with limitations on sexual activityand ''Ability to have children 4) The means of sexua] adjustment, relationship with a sex partner, and depression among men were higher than women. But there was no significant difference between two groups. As a result, the study suggests that there are no significant differences in the general characteristics between men and women with spinal cord injuries except sexual dysfunction. Men evaluated the sexual events highly compared to women, and differences were also shown in terms of sexual concerns between men and women. Therefore differential approaches to sexual rehabilitation are required in both socio-psychological and physical aspects for men and particularly in socio-psychological respect for women.
Child ; Depression ; Female ; Humans ; Male ; Surveys and Questionnaires ; Rehabilitation ; Sexual Behavior ; Spinal Cord Injuries* ; Spinal Cord*

Sexual life is one of the most important things for the quality of living, which nobody can ignore. Especially, spinal cord injury is one of the most typical disabilities, which can cause abrupt changes of sexuality. Hence, sexual adjustment and its subordinate problems have to be dealt with among various problems caused by spinal cord injury. The purpose of this study was to comparative sexual interest and adjustment between the married and the unmarried people with SCI. A total of 134 persons who were registered members of SCI organization and admitted rehabilitation unit between February and June 1999 were included in the study. The sample consisted of 69 unmarried and 64 married people with SCI. Participants answered the 15 items concerning sexual interest. sexual adjustment. The results are as follows: 1) The mean score of sexual interest for the unmarried was 16.4. From seven topics related to sexuality, the greatest interest was to cope emotionally with changes in sexual functioning. For the married. mean score of sexual interest was 13.8 and the greatest interest was to help a partner cope emotionally with limitation on sexual dysfunction. There were significant difference sexual interest between two groups(t= 3.75. p=.00). 2) Each mean score for sexual adjustment in the married and the unmarried was 20.0, 19.6. There were no significance difference sexual interest between two groups(t= .24, p= .811). However, there was a statistically significant difference of sexual interest. 3) Sexual interests and adjustments are not correlated in case of the unmarried that have r score=.224. while they are corrlated in case of the married that have r=.398. Because the average age of the SCI becomes lower and lower. sexual rehabilitation programs should be given the unmarried as well as the married with SCI. In conclusion, the spinal injured's major concerns about their sexual life are different between the married and the unmarried - the unmarried are interested in practical problems such as methods and techniques to achieve sexual satisfaction and their fertility, while the married give priority to considerations about their spouse. Paying attention to different sexual interest according to marital status. we should make two different sexual rehabilitation programs for each group. One program including support groups with their sposes for the married, the other program to give a chance to solve problems of sexuality for the unmarried with SCI.
Fertility ; Humans ; Marital Status ; Rehabilitation ; Self-Help Groups ; Sexuality ; Single Person* ; Spinal Cord Injuries* ; Spinal Cord* ; Spouses

PURPOSE: This exploratory study was to identify the use of complementary and alternative medicine(CAM) in women with breast cancer and to analyze which factor influence CAM use. METHODS: 114 patients with breast cancer were identified and approached. The instrument used to gather data were the common types, main reasons and effects as well as stress, mood states and fatigue. RESULTS: 42.7% of all participants reported the use of CAM. The most common types of CAM used were Phellinus linteus, elm tree, and vitamin C. The main reasons for CAM use were to boost the immune system and to prevent recurrence. Prayer, massage, Shitake mushroom, and Ganoderma lucidum were, identified as being more effective than others. 93.6% of the respondents informed their physicians of their use of CAM. Logistic regression analysis determined that stress, mood states, and duration after diagnosis were factors significantly associated with CAM use. CONCLUSION: CAM use is increasing among patients with breast cancer. Health care professionals are in the main position to identify what treatments patients are using and implement CAM therapies that can be helpful to relieve patient symptoms related to treatment and psychological distress.
Agaricales ; Ascorbic Acid ; Breast Neoplasms* ; Breast* ; Complementary Therapies* ; Surveys and Questionnaires ; Delivery of Health Care ; Diagnosis ; Fatigue ; Female ; Humans ; Immune System ; Logistic Models ; Massage ; Recurrence ; Reishi ; Religion ; Ulmus

PUPPOSE: The purpose of this study was to compare the effect of breast self-examination (BSE) education between at education and three months. METHOD: The study subjects were consisted of 30 women chosen from those in a Catholic church in Seoul. The data was collected by using questionnare at two different times: immediately after the BSE education and 3 momths after. RESULT: At three months, women who performed BSE was 50.0% and the number of BSE practce was 2.53. There was statistically significant change on the score of the knowledge, barrier and practice between at education and three months later. Susceptibility was increased after three month, but wasn't significant different. Confidence, motivation after three months were decreased from the time of initial BSE education and wasn't significantly changed. It was found that motivation about BSE explained 44.2% of variance. CONCLUSION: The findings showed that the knowledge of BSE, and attitudes and practice were change between at the time of the first survey and at three months. Therefore, the intensive education about BSE can be effective to enhance women's health belief and practice to perform BSE for early detection of breast cancer.
Breast Neoplasms ; Breast Self-Examination* ; Breast* ; Education* ; Female ; Humans ; Motivation ; Seoul ; Women's Health

PURPOSE: This study was to identify predictors of quality of life in breast cancer patients. Physical and pscyhological factors like stress, mood, and fatigue with sociodemographic factors like education, income, job and stage of disease were used to predict quality of life. METHODS: One hundred eleven patients with breast cancer participated in this study? The functional Assessment of Cancer Therapy-Breast(FACT-B) was used to assess quality of life. RESULTS: The mean age of the patients was 46.7 years. The FACT-B mean score was 89.89 (SD:17.31) Education, income, job and stage of disease were significantly associated with QOL. In a regression analysis, mood, income, and fatigue were significant predictors for QOL: where as, stress was not significant. Among the subscales of QOL, physical well-being, functional well-being, emotional well-being, and the breast cancer subscale were included as predictors of QOL CONCLUSION: Physical and psychological factors were strong predictors of QOL. These results demonstrate the need for interventions to improve QOL in breast cancer survivors.
Adaptation, Psychological ; Adult ; Aged ; Breast Neoplasms/*psychology/therapy ; Female ; Health Status Indicators ; Humans ; Middle Aged ; Personal Satisfaction ; Predictive Value of Tests ; *Quality of Life ; Sickness Impact Profile

Stroke is a major cause of death and long-term disability. Because muscle weakness is one of the most prominent consequences of stroke, it was considered important to determine whether exercise if order to improve muscle strength and range of motion could have an effect in limiting the learned disuse of the affected side. The purpose of the study was to identify the effects of an 8 week rehabilitation program on physical and cognitive ability in stroke patients. A total of 18 patients who were admitted to the oriental medicine unit of a K medical center in Seoul were recruited : Ten for the experimental group and eight for the control group. The rehabilitation program consisted of three level's of active and passive exercises for prevention of muscle contracture and at range of motion. Muscle strength, flexibility of the upper and lower extremity, perceived balance, functional independence, depression, and quality of life for the two groups were compared at the pretest and 4 and 8 weeks after the rehabilitation program. The results are as follows: 1) When measuring muscle strengths of shoulder abduction and elbow flexion, hip flexion and knee extensor, ankle dorsi-flexor and muscle strength of knee flexor. Muscle strength of knee flexor for the experimental group was significantly higher than the comparison group at the 4 weeks. 2) Muscle strength and flexibility of the ankle dorsi-flexor for the experimental group was significantly better than for the control group at 8 weeks. 3) Functional independence, perceived balance, and Tinetti balance for the experimental group as measured at 4 and 8 weeks were better than for the control group. Also, there were changes over time in physical balance and functional ability, but there was no significant differences between the groups. 4) The experimental group showed a higher quality of life and lower depression than the control group at 8 weeks. 5) Muscle strength and flexibility of ankle dorsi-flexor were significantly changer over time and an interaction between group and time. The findings suggested that the rehabilitation program would improve the physical and psychological status of the stroke patients. Thus, the gains in actual or perceived ability to perform physical activities was marked.
Ankle ; Cause of Death ; Contracture ; Depression ; Elbow ; Exercise ; Hip ; Humans ; Knee ; Lower Extremity ; Medicine, East Asian Traditional ; Motor Activity ; Muscle Strength ; Muscle Weakness ; Pliability ; Quality of Life ; Range of Motion, Articular ; Rehabilitation* ; Seoul ; Shoulder ; Stroke*

The history of rehabilitation of disabilities in Korea began with the foreigners and missionaries who were interested in it after Korean War. In 1981. Disabled Persons Welfare Act was enacted and the 88 Paralympics brought the nations attention to the welfare and rehabilitation of persons with disabilities. Since then, the facilities and the services for the disabled persons have expanded rapidly and the rehabilitation treatment and nursing intervention are drawing more attention. Against this background, the survey on the current status of disabilities, welfare service, facilities, and rehabilitation nursing was conducted. The results of this survey are as follows 1. According to the 2000 census of disabilities. the number of persons with disabilities in Korea is estimated at 1.449.500. or 3.09% of the entire Korean population, 0.74% up from 2.35% in 1995. 2. Disability Types in 2000 The 2000 census showed that the persons with disabilities numbered 1.449, 496 out of the total population and 1.024,371 persons are registered for disability. making up 70.7% of the estimated disabled population. Among them, physically disabled persons accounted for the largest 41. 7% (605.127) and mentally retarded persons stood at the smallest 9% (13.481). 3. Percentage of Disability Presence The survey showed that more than 90% of disability were acquired. However, 44.8% of mental disability and 61.4% of hearing /speaking disability were not acquired after birth. This means that these disabilities happened by congenital cause or birth accident. 4. Yearly Figure of Registered Disabled Persons In 1989. 218,601 persons registered for disability and, in 2000, the number increased by 4.7 times to 1.024.371. These figures are different from the actual number of disabled persons. According to the 1995 census. 1.053.486 were disabled persons but only 378,323 registered for disability. And. in the 2000 census. 1.024,371 out of the 1.449.496 of disabled persons registered for disability. 5. Welfare Service for Persons with Disability 62.6% of the total disabled people are registered and physically disabled persons accounted for the highest percentage of 96.7%. 26.5% of non-registered disabled people said that they didn't know the registration procedure. The rest of them replied that they didn't think they were disabled or that registration didn't seem to give any benefits 6. Welfare Policies for Disabled Persons The welfare benefits given to the disabled are as follows: Issuance of disabled sign for car drivers. Permission to use LPG fuel. Reduction of public facility fees. Household allowance. Tax reduction or exemption, Medical allowance and education subsidy for children, and Housing. 7. Current Condition of Welfare Facilities by Disability Type. The welfare institutions for disabilities numbered 188i in total and they can accommodate 16,823 persons. Categories of these institutions are physical disability(37), visual disability(10). hearing/speaking disability(l4). mental retardation(59), and sanatoriums(68). 6. Human Resource of Rehabilitation of Disabilities Advanced education programs include rehabilitation nursing in its curriculum and this was selected as the program of Korean Academic Society of Nursing in 1990. In November 1997, Korean Academic Society of Rehabilitation Nursing was launched and many academic meeting and seminars were held. This organization is also making efforts to develop the education program for qualified rehabilitation nursing professionals and to develop the standards of rehabilitation nursing practice. In the professionals of the rehabilitation there are rehabilitation specialist, physical therapist, speech therapist, occupational therapist. It is needed to come up with the measures to supply stable human resources following the demand of disabled persons and to recognize the private certificates for rehabilitation professionals as official ones after reviewing the education and training programs of private institutions. 9. Rehabilitation Nursing 1) Rehabilitation nursing was taught as an independent subject in 11 undergraduate programs and 9 graduate programs. 2) Research on rehabilitation nursing in Korea were 24 experimental research and 11 non-experimental research. The intervention of experimental research were mostly education and exercise rehabilitation programs. 3) In the three rehabilitation hospitals, nursmg IS divided into two categories, direct nursing and education & counseling. Direct nursing includes tracheostomy or nasogastric tube care, urination and defication, skin care, pain control, complication, prevention and care, prevention of injury from a fall. etc.
Censuses ; Child ; Counseling ; Curriculum ; Disabled Persons ; Education ; Emigrants and Immigrants ; Family Characteristics ; Fees and Charges ; Hearing ; Housing ; Humans ; Korea* ; Korean War ; Mentally Disabled Persons ; Missions and Missionaries ; Nursing ; Parturition ; Penicillin G Benzathine ; Physical Therapists ; Public Facilities ; Rehabilitation Nursing* ; Rehabilitation* ; Skin Care ; Specialization ; Taxes ; Tracheostomy ; Urination

The purpose of this study was to test psychometric properties Health-Related Hardiness Scale(HRHS) for Korean elderly. HRHS has been developed by Pollock to measure the effect of hardiness in individuals with actual health problems. Items were generated to measure dimensions based on theoretical definitions of health-related control, commitment, and challenge. In 1990, Pollcok and Duffy revised HRHS to be 34 items. In this study, 34-item HRHS(Pollock & Duffy, 1990) was translated into Korean and administered to 193 elderly involving in 95 hospitalized patients and 98 outpatients or healthy people. The subjects were 80 women and 112 men with an age range of 65 to 95 years(M=71 years) in whom 82.6% classified themselves as moderate or pretty active. Most subjects(80.2%) had education of elementary school or less. The 34-item HRHS consists of three subscales: control, commitment, and challenge, and was measured with 1(strongly disagree) to 6(strongly agree) Likert scale. The higher the score is, the higher people's hardiness. Factor analysis was performed to confirm whether the scale represents three sub-areas as suggested in the literature. Two factors were isolated, using principle components analysis. Two factor solution was accepted for the study since Pollock described the possibility of classifying sub-areas into two divisions. These two factors, commitment/challenge and control accounted for 31.9% of variance of the scale. Factor loadings were string, ranging from .41 to .77. The moderate correlation with task self-efficacy scale also supported the validity(r=.35, p<.05). The scale was found to be internally consistent, showing Cronbanch;s alpha of .90 for the total items with the range of .82 and .90 for three subscales. The findings revealed the potential applicability of HRHS to nursing intervention studies for elderly.
Aged* ; Clinical Trial ; Education ; Female ; Humans ; Clinical Trial ; Male ; Nursing ; Outpatients ; Psychometrics*