1.Structural Equation Modeling of Health Promotion Behavior on Migrant Workers: A Multi-Group Analysis Based on the Period of Residence
Journal of Korean Academy of Nursing 2024;54(1):73-92
Purpose:
This study developed and tested a hypothetical model of health promotion behavior on migrant workers based on the Health Promotion Model and the Health Literacy Skills Framework.
Methods:
Data were collected from 298 migrant workers in 9 regions across the country from December 2020 to March 2021. The exogenous variables were e-health literacy, occupational stress, acculturation, and social support. The endogenous variables were perceived benefits of action, self-efficacy, and health promotion behavior. Data were analyzed using SPSS/WIN 25.0, AMOS 20.0, and R-4.0.3 program.
Results:
The model fit was appropriate. Social support had the most significant direct impact on the health promotion behavior of migrant workers. Perceived benefits of action and self-efficacy played a mediating role in the relationship among e-health literacy, social support, and health promotion behavior. Based on multi-group analysis, the migrant worker group with less than 5 years of residency had a more statistically significant effect on the relationship between perceived benefits of action and health promotion behavior than those with over 5 years.
Conclusion
Providing social support as a critical administrative strategy to enhance the health promotion behavior of migrant workers is necessary. Furthermore, when developing an intervention program utilizing the internal mechanism between social support and health promotion behavior, a self-efficacy-enhancing strategy is considered to be more effective. Additionally, educating migrant workers with short-term residence of less than 5 years about the benefits of health behaviors is essential.
2.Factors Influencing the Quality of Life of Prostate Cancer Patients.
Asian Oncology Nursing 2017;17(4):237-245
PURPOSE: The purpose of this study was to identify the effects of erectile capacity, lower urinary tract symptoms, self-esteem, and resilience on the quality of life of prostate cancer patients. METHODS: Data were collected using a self–reported questionnaire survey. Participants were 140 patients diagnosed and treated for prostate cancer in hospitals in Busan and Daegu cities. Measured variables were erectile capacity, lower urinary tract symptoms, self-esteem, resilience and quality of life. RESULT: Erectile capacity, lower urinary tract symptoms, self-esteem, and resilience all had significant effects on quality of life. Explained variance for quality of life was 40.6% and lower urinary tract symptoms was the most significant factor affecting the quality of life of prostate cancer patients. CONCLUSION: The results from this study suggest that erectile capacity, lower urinary tract symptoms, self-esteem, and resilience should be considered the main influential factors when developing intervention strategies to increase the quality of life of prostate cancer patients.
Busan
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Daegu
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Humans
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Lower Urinary Tract Symptoms
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Prostate*
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Prostatic Neoplasms*
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Quality of Life*
;
Self Concept
3.The experiences of depressed pregnant women participating in a cognitive behavioral therapy program via video communication: an exploratory qualitative study
Eunjoo LEE ; Mijung KIM ; Youngsuk PARK
Korean Journal of Women Health Nursing 2022;28(4):275-285
This study explored the experiences of pregnant women with depressed mood participating ina group cognitive behavioral therapy (CBT) program using video communication, based on Beck’s cognitive theory.Methods: The participants were six pregnant women out of 13 women who had participated in an 8-session group CBT program using video communication for women with depressed mood (EdinburghPostnatal Depression score of ≥9). Data were collected from February 20 through March 25, 2021. Indepth individual interviews were conducted through a video conferencing platform at 1 month post-baseline. Thematic analysis was done.Results: Three themes, 10 subthemes, and 38 concepts were derived from experiences of participating inthe 4-week group CBT program (twice a week). The first theme, entitled “continuing realization” hadsubthemes of “a negative and instable self,” “a selfish judgment that excludes others,” and “a strong beliefin self-control.” The second theme, entitled “attempt to change for restoration” had subthemes of “shift torational thinking,” “freedom from suppressed beliefs,” “tolerance of other people,” and “courage for self-expression.” The third theme, entitled “departure for a positive life,” had subthemes of “emotional healing,”“faith in oneself,” and “reestablishing the criteria for happiness.”Conclusion: Pregnant women with depressed mood expressed that continuing realizations and attemptsto change supported their transition toward a positive direction of healing. Thus, they were able to changetheir distorted thinking into rational thinking through CBT using video communication. These findingssupport the use of group CBT using video communication with pregnant women who have depressedmood.
4.Influential Factors of Psychological Well-Being of Migrant Workers
Journal of Korean Academy of Community Health Nursing 2020;31(1):54-64
Purpose:
This study aims to identify related factors of psychological well-being of migrant workers in Korea.
Methods:
The subjects were 138 migrant workers residing legally in K or B Cities. Data were collected from July 1 to August 31, 2018, using self-report structured questionnaires that were translated into English, Chinese, Vietnamese, and Korean, and were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and multiple regression.
Results:
The most important influencing factors on the psychological well-being of migrant workers were social support (β=.36, p<.001), followed by perceived health status (β=.25, p=.001), education (β=−.18, p=.015), and spouse support (β=.16, p=.032). The overall explanatory power was 28.9%.
Conclusion
In order to improve the psychological well-being of migrant workers, it is required to develop a nursing approach that may promote the social support, health status, and spouse support, and consider the educational level of migrant workers.
5.Influence of Depression and Social Support on Health-related Quality of Life among Migrant Workers: The Mediating Effect of Health Promoting Behavior
Journal of Korean Academy of Community Health Nursing 2020;31(3):360-374
Purpose:
This study aims to identify the mediating effect of health promoting behavior in the relationship between depression and health-related quality of life, and between social support and health-related quality of life among migrant workers.
Methods:
Data were collected from 152 migrant workers working at companies in K and B metropolitan cities. The study conducted a survey from August 1 to September 30, 2019, and used self-report structured questionnaires that were translated into English and Korean. The data were analyzed using descriptive statistics, Pearson correlation coefficient, simple and multiple regression, Baron and Kenny’s method, and Sobel test.
Results:
Depression was significantly negatively correlated with social support (r=-.29, p<.001), health promoting behavior (r=-.30, p<.001) and health-related quality of life (r=-.44, p<.001). And social support was significantly positively correlated with health promoting behavior (r=.50, p<.001) and health-related quality of life (r=.44, p<.001). And health promoting behavior was significantly positively correlated with health-related quality of life (r=.51, p<.001). Furthermore health promoting behavior showed partial mediating effects in the relationship between depression and health-related quality of life (Z=3.26, p<.001), and showed partial mediating effects in the relationship between the social support and health-related quality of life (Z=3.98, p<.001).
Conclusion
In this study, depression and social support were shown to mediate health promotion behavior to improve health-related quality of life. Therefore, in order to improve the health-related quality of life of migrant workers, it is necessary to focus on the health promotion behaviors, and effective strategies are needed to reduce depression, and support social support.
6.Effective vaccination strategies to control COVID-19 in Korea: a modeling study
Youngsuk KO ; Kyong Ran PECK ; Yae-Jean KIM ; Dong-Hyun KIM ; Eunok JUNG
Epidemiology and Health 2023;45(1):e2023084-
OBJECTIVES:
In Korea, as immunity levels of the coronavirus disease 2019 (COVID-19) in the population acquired through previous infections and vaccinations have decreased, booster vaccinations have emerged as a necessary measure to control new outbreaks. The objective of this study was to identify the most suitable vaccination strategy for controlling the surge in COVID-19 cases.
METHODS:
A mathematical model was developed to concurrently evaluate the immunity levels induced by vaccines and infections. This model was then employed to investigate the potential for future resurgence and the possibility of control through the use of vaccines and antivirals.
RESULTS:
As of May 11, 2023, if the current epidemic trend persists without further vaccination efforts, a peak in resurgence is anticipated to occur around mid-October of the same year. Under the most favorable circumstances, the peak number of severely hospitalized patients could be reduced by 43% (n=480) compared to the scenario without vaccine intervention (n=849). Depending on outbreak trends and vaccination strategies, the best timing for vaccination in terms of minimizing this peak varies from May 2023 to August 2023.
CONCLUSIONS
Our findings suggest that if the epidemic persist, the best timing for administering vaccinations would need to be earlier than currently outlined in the Korean plan. It is imperative to continue monitoring outbreak trends, as this is key to determining the best vaccination timing in order to manage potential future surges.
7.Analysis of Psychiatric Nursing Activity and Time for Development of Nursing Cost.
Sook Bin IM ; Whasoon CHANG ; Moon Hee KO ; Youngsuk PARK ; Eun Kyung KIM
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2012;21(1):41-54
PURPOSE: Purpose of this research was to identify nursing activities and the time required in the psychiatric ward to provide basic knowledge for development of cost of psychiatric nursing. METHODS: In this research 'a list of psychiatric nursing activities' was used to identify the issues. A list of psychiatric nursing activities was developed by a professional psychiatric nursing panel, and 138 nursing activities in 15 domains were identified. RESULTS: The result of this research showed that the average number of work hours per duty was 515.1 minutes and the average number of minutes per patient per nurse while on duty was 35.7 minutes. Also the results showed that the nurses used the majority of their time in 'Nursing care and information management' (528.0 minutes/day, 33.6%), followed by 'communication and coordination' (209.2 minutes, 13.3%), 'safety care' (185.3 minutes, 11.8%), and 'medication' (120.9 minutes, 13.3%). CONCLUSION: The result of this research indicate that the number of nursing staff is insufficient for the performance of necessary therapeutic activities. Nursing practices such as counseling, activity therapy, and psychiatric treatment and specific therapy need to be developed and nursing care fees need to be included in psychiatric nursing fields.
Counseling
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Fees and Charges
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Humans
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Nursing Care
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Nursing Staff
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Psychiatric Nursing
8.Ebola virus disease outbreak in Korea: use of a mathematical model and stochastic simulation to estimate risk
Youngsuk KO ; Seok-Min LEE ; Soyoung KIM ; Moran KI ; Eunok JUNG
Epidemiology and Health 2019;41():e2019048-
OBJECTIVES:
According to the World Health Organization, there have been frequent reports of Ebola virus disease (EVD) since the 2014 EVD pandemic in West Africa. We aim to estimate the outbreak scale when an EVD infected person arrives in Korea.
METHODS:
Western Africa EVD epidemic mathematical model SEIJR or SEIJQR was modified to create a Korean EVD outbreak model. The expected number of EVD patients and outbreak duration were calculated by stochastic simulation under the scenarios of Best case, Diagnosis delay, and Case missing.
RESULTS:
The 2,000 trials of stochastic simulation for each scenario demonstrated the following results: The possible median number of patients is 2 and the estimated maximum number is 11 when the government intervention is proceeded immediately right after the first EVD case is confirmed. With a 6-day delay in diagnosis of the first case, the median number of patients becomes 7, and the maximum, 20. If the first case is missed and the government intervention is not activated until 2 cases of secondary infection occur, the median number of patients is estimated at 15, and the maximum, at 35.
CONCLUSIONS
Timely and rigorous diagnosis is important to reduce the spreading scale of infection when a new communicable disease is inflowed into Korea. Moreover, it is imperative to strengthen the local surveillance system and diagnostic protocols to avoid missing cases of secondary infection.
9.Development of Strategies to Improve the National Nutrition Survey System
Narae YANG ; Seungmin LEE ; Youngsuk LIM ; Haeryun PARK ; Kirang KIM
Korean Journal of Community Nutrition 2018;23(5):444-455
OBJECTIVES: The current survey environment is changing and participation rates in national nutrition surveys are decreasing. Therefore, the purpose of this study was to develop strategies for improving the nutrition survey system in the Korea National Health and Nutrition Examination Survey (KNHANES). METHODS: To develop an alternative system for conducting the KNHANES nutritional survey, we conducted focus group interviews with stakeholders of the survey, SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis, and expert reviews. In addition, spatial analysis of potential sites for conducting surveys instead of relying on household visits was performed, and the perception of nutritional surveys in the population eligible for KNHANES was evaluated. RESULTS: Based on the results of the focus group interviews, SWOT analysis, and expert reviews, we propose two options for survey sites: vehicles specifically prepared for nutritional surveys and public facilities such as community service centers or public health centers. Among public facilities, community service centers were found to be more appropriate sites than public health centers because they were considered more accessible. About 90% of respondents would participate in the survey in public facilities and about 74% would in vehicles. CONCLUSIONS: Conducting national nutrition surveys in specially designed vehicles and public facilities could be a viable alternative to home visits. Next, the validity of these newly proposed nutrition survey methods needs to be compared to the results of the current national nutrition survey.
Family Characteristics
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Focus Groups
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House Calls
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Korea
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Nutrition Surveys
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Public Facilities
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Public Health
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Social Welfare
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Spatial Analysis
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Surveys and Questionnaires
10.Development of Strategies to Improve the National Nutrition Survey System
Narae YANG ; Seungmin LEE ; Youngsuk LIM ; Haeryun PARK ; Kirang KIM
Korean Journal of Community Nutrition 2018;23(5):444-455
OBJECTIVES: The current survey environment is changing and participation rates in national nutrition surveys are decreasing. Therefore, the purpose of this study was to develop strategies for improving the nutrition survey system in the Korea National Health and Nutrition Examination Survey (KNHANES). METHODS: To develop an alternative system for conducting the KNHANES nutritional survey, we conducted focus group interviews with stakeholders of the survey, SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis, and expert reviews. In addition, spatial analysis of potential sites for conducting surveys instead of relying on household visits was performed, and the perception of nutritional surveys in the population eligible for KNHANES was evaluated. RESULTS: Based on the results of the focus group interviews, SWOT analysis, and expert reviews, we propose two options for survey sites: vehicles specifically prepared for nutritional surveys and public facilities such as community service centers or public health centers. Among public facilities, community service centers were found to be more appropriate sites than public health centers because they were considered more accessible. About 90% of respondents would participate in the survey in public facilities and about 74% would in vehicles. CONCLUSIONS: Conducting national nutrition surveys in specially designed vehicles and public facilities could be a viable alternative to home visits. Next, the validity of these newly proposed nutrition survey methods needs to be compared to the results of the current national nutrition survey.
Family Characteristics
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Focus Groups
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House Calls
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Korea
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Nutrition Surveys
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Public Facilities
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Public Health
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Social Welfare
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Spatial Analysis
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Surveys and Questionnaires