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Post Traumatic Stress and Related Factors in Some Hand Replantation Patients.

San Hui LEE ; Mi Ah HAN ; Jong PARK ; So Yeon RYU

Korean Journal of Health Promotion.2016;16(1):67-75. doi:10.15384/kjhp.2016.16.1.67

BACKGROUND: The risk for a hand injury was increased according to industrial structure and lifestyle change. This study investigated the post traumatic stress (PTS) and related factors in some hand replantation patients. METHODS: Total 150 hand replantation patients in one hospital were selected using convenience sampling methods. General characteristics of patients, characteristics of injured hand, self-esteem and PTS were collected using self-reported questionnaires. And clinical characteristics of injured hand were obtained from a review of medical records. Descriptive analysis, t-test, ANOVA and multiple regression analysis were performed to determine the associated factors with the score of PTS. RESULTS: Among 150 patients, 80% were male and 94% had a job. The mean score of PTS was 22.2±16.9. In simple analysis, PTS score were associated with smoking status, injury day of the week, pain score and self-esteem. Finally, the subjects who injured in weekdays had significantly higher PTS score compared to subjects who injured in weekend (β=0.185, P=0.021) and pain score was positively associated with PTS score (β=0.181, P=0.027) in multiple regression analysis. CONCLUSIONS: Injury day of the week and pain score were associated with PTS score in some hand replantation patients. Considering these results will help to management and improve quality of life of hand replantation patients.
Amputation ; Hand Injuries ; Hand* ; Humans ; Life Style ; Male ; Medical Records ; Quality of Life ; Replantation* ; Risk Factors ; Smoke ; Smoking

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Health Group and Disease Group's Perceptions of Health and Health-related Quality of Life: a Focus Group Study and In-depth Interviews.

Hyeon Jeong LEE ; Minsu OCK ; Soo Young KIM ; Seon Ha KIM ; Sun Hee KIM ; Min Woo JO

Korean Journal of Health Promotion.2016;16(1):56-66. doi:10.15384/kjhp.2016.16.1.56

BACKGROUND: This study aimed to understand and explore perception of healthy adults and chronically ill adults on health and health-related quality of life (HRQoL). METHODS: Data were collected by open questions using a focus group discussion for healthy adults (N=6) and in-depth interviews for chronically ill adults (N=6). Previously developed 34 HRQoL items also were offered and participants were asked to select the five most important HRQoL items among them. RESULTS: Findings were elicited along the following themes: health, HRQoL, health maintenance strategies, and elements affecting health. The definition on "being healthy" by healthy participants had a variety of standards and required several conditions to be fulfilled. Whereas chronically ill adults have more flexible perception about the coexistence of health and disease. Health dimensions were thought to affect each other, and physical and mental health dimension were selected as the most important items. As for the five most important HRQoL items, both group participants selected mental health dimension than physical or social health dimensions. Health maintenance strategies were similar in both groups except more healthcare service use in chronically ill adults. CONCLUSIONS: This study shows the difference of perception on health and HRQoL between health group and disease group in Korea. It can be used for developing the HRQoL assessment tool reflecting the perception of Korean people.
Adult ; Chronic Disease ; Delivery of Health Care ; Focus Groups* ; Humans ; Korea ; Mental Health ; Quality of Life*

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Predictors of Fall Prevention Behaviors in Elderly Inpatients.

Sun Young HWANG ; Su Jin SHIN

Korean Journal of Health Promotion.2013;13(2):76-85.

BACKGROUND: The purpose of this study was to identify predictive factors for preventive behaviors of falls in elderly inpatients. METHODS: Data on 200 elderly inpatients at one university hospital were collected. Descriptive analysis, independent t-test, analysis of variance, and stepwise multiple regression analysis were done to analyze the data. RESULTS: The high risk group, scoring higher than 5.0 in the degree of self-awareness of fall risk, scored low in knowledge about falls while subjects with activity limitations and not using hearing aids scored significantly high in the same area. Subjects with no training regarding falls and the high risk group scored low in fall efficacy while subjects with activity limitations and using hearing aids scored significantly high in the same area. The degree of self-awareness of fall risk, knowledge about falls, and fall efficacy were significant factors affecting fall prevention activities. CONCLUSIONS: These findings suggest that self-awareness of the risk of falls, knowledge about falls, and fall efficacy are significant factors in preventing falls. These factors should be considered when developing nursing assessment tools and intervention programs for elderly inpatients.
Accidental Falls ; Aged ; Hearing Aids ; Humans ; Inpatients ; Nursing Assessment

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Effect of EuroQol-5 Dimension on Visual Analogue Scale in Korean Population.

Seon Ha KIM ; Soo Jin JO ; Min Woo JO

Korean Journal of Health Promotion.2013;13(2):69-75.

BACKGROUND: The EuroQol-5 Dimension (EQ-5D) is the most frequently used questionnaire in cost-utility studies such as the quality-adjusted life year measure. Nevertheless, little attention has been paid to the relationship between an individual's visual analogue scale (VAS) score and EQ-5D dimensions. The objective of this study was to assess the relationship between the EQ-5D and VAS quality of life measures after adjusting for socio-demographic factors in the Korean general population. METHODS: The Fourth Korea National Health and Nutrition Examination Survey, which is a national representative sample, was used to analyze the impact of the EQ-5D dimensions on the VAS. The known-group construct validity of the VAS was assessed by factors that included age, income and comorbidities. The ordinary linear regression models were applied to test for the effect of the EQ-5D dimensions after adjusting for socio-demographic and clinical factors. RESULTS: We found that the VAS showed good construct validity. The VAS significantly declined as age increased, and as education and income levels decreased. VAS scores decreased for all EQ-5D dimensions as the response level rose. The explanatory power of the VAS increased from 23.0% in the first model, which included only the EQ-5D dimensions and levels, to 25.0% in the full model, which included socio-demographic and clinical factors. CONCLUSIONS: While the EQ-5D dimensions were significant factors in determining the VAS, they did not, however, explain a sufficient amount of variance in the VAS. Further research is required on adding more dimensions to the EQ-5D preference-based instrument.
Comorbidity ; Korea ; Linear Models ; Nutrition Surveys ; Quality of Life ; Quality-Adjusted Life Years

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Association Between Hypertension Management and Blood Pressure Screening Among Adults in 30s and 40s.

Myoung Un OH ; Mona CHOI ; Gwang Suk KIM ; Sung SUNWOO

Korean Journal of Health Promotion.2013;13(2):61-68.

BACKGROUND: Although adults in 30s and 40s are at risk for hypertension management due to low rates of awareness, treatment, and control of hypertension, there has been a lack of study on hypertension management for this population. Thus, the purpose of this study is to examine blood pressure screening and other associated factors with hypertension management in terms of awareness, control, and treatment. METHODS: Secondary data analysis was performed on the data from the Fourth Korea National Health and Nutrition Examination Survey in 2007-2009. To examine whether blood pressure screening affects hypertension management in 929 subjects aged 30s and 40s with hypertension. Other factors, such as socio-demographics, health status, and health behaviors, were also included for data analysis. Chi-square test and multiple logistic regression analysis were carried out using SAS 9.1. RESULTS: Hypertension awareness rates were high in those who had diabetes mellitus (odds ratio [OR] 2.23; 95% confidence interval [CI] 1.27-3.90), self-rated their health status as poor (OR 2.89; 95% CI 1.82-4.58), and received a blood pressure check up (OR 5.96; 95% CI 2.90-12.25). Hypertension treatment rates were high in women (OR 2.50; 95% CI 1.47-4.27), and high in those who had diabetes mellitus (OR 2.59; 95% CI 1.49-4.47), self-rated their health status as poor (OR 2.53; 95% CI 1.54-4.14), self-reported as past smoker (OR 2.01; 95% CI 1.22-3.29), and received a blood pressure check up (OR 12.64; 95% CI 4.87-32.77). Hypertension control rates were high in women (OR 2.47; 95% CI 1.29-4.72), and high in those who self-reported as past smoker (OR 2.46; 95% CI 1.35-4.50), and received a blood pressure check up (OR 9.24; 95% CI 3.15-27.15). CONCLUSIONS: For effective hypertension management in 30s and 40s, we should encourage this population to have a regular blood pressure screening.
Adult ; Aged ; Blood Pressure ; Diabetes Mellitus ; Female ; Health Behavior ; Humans ; Hypertension ; Korea ; Logistic Models ; Mass Screening ; Nutrition Surveys ; Phenothiazines ; Statistics as Topic

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Relationship Between Bone Mineral Density and Body Composition in Pre- and Post-menopausal Korean Women.

Eun Young CHOI

Korean Journal of Health Promotion.2013;13(2):52-60.

BACKGROUND: To investigate the relationship between body composition and bone mineral density (BMD) in preand post-menopausal women in Korea. METHODS: The data of 4,334 pre- and post-menopausal women older than 20 years from the Korea National Health and Nutrition Examination Survey conducted in 2008-2009 were assessed. BMD and body composition were measured by dual-energy X-ray absorptiometry. All analyses except stepwise multiple linear regression analysis were performed using the KNHANES sample weights to account for the complex survey design. RESULTS: After adjusting for confounding variables, lean mass and fat mass were positively correlated with BMD at both L1-4 spine and femur neck in both pre- and post-menopausal women (P<0.001). For the pre-menopausal women, lean mass was the most important determinant of BMD at both sites (R2=0.156 for L1-4 spine BMD, R2=0.168 for femur neck BMD), and the impact of fat mass were minimal. For the post-menopausal women, fat mass had a greater influence on the BMD at L1-4 spine than lean mass (R2=0.016 vs. R2=0.077), but lean mass had a greater impact than fat mass on the BMD at the femur neck (R2=0.077 vs. R2=0.007). After adjusting for confounding variables, post-menopausal osteoporosis increased as both lean mass and fat mass decreased (P(trend)<0.001). CONCLUSIONS: In Korean pre- and post-menopausal women, both lean mass and fat mass had positive correlations with the BMD at both sites and decreased the risk of osteoporosis. Lean mass had a greater influence on premenopausal BMD at both sites and postmenopausal BMD at the femur neck, whereas fat mass had greater influence on post-menopausal BMD at L1-4 spine.
Absorptiometry, Photon ; Body Composition ; Bone Density ; Confounding Factors (Epidemiology) ; Female ; Femur Neck ; Humans ; Korea ; Linear Models ; Nutrition Surveys ; Osteoporosis ; Osteoporosis, Postmenopausal ; Spine ; Weights and Measures

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Prevalence of Snoring and Factors Affecting Habitual Snoring in Korean Adults.

Seong Joon KIM

Korean Journal of Health Promotion.2013;13(2):43-51.

BACKGROUND: Snoring is a risk factor for cardiovascular disease. There has been little research done on the factors associated with snoring among adults by sex in Korea. The purpose of this study was to assess the prevalence of habitual snoring in the Korean population and to evaluate its related factors by sex. METHODS: The study subjects were 2,007 volunteers aged 40-69 years who participated in regular health check-ups (male: 434, female: 1,573) from May to December in 2012. Standard interviews, anthropometrics and biochemical studies were conducted. Habitual snoring was defined as snoring more than 4 days per week. RESULTS: The prevalence of snoring in our sampling pool was 52.9% (male 61.6%, female 47.1%) and habitual snoring was 13.7% (male 21.1%, female 11.5%). Multiple logistic regression analysis revealed that habitual snoring was independently associated with sex, age, hypertension and body mass index (P<0.05). Fatty liver was independently associated with habitual snoring in males whereas age, waist circumference and body mass index were independently associated with habitual snoring in females. CONCLUSIONS: Snoring and habitual snoring may be predisposing factors for cardiovascular disease. There are significant associations between habitual snoring and sex, age, alcohol use, hypertension and body mass index.
Adult ; Aged ; Body Mass Index ; Cardiovascular Diseases ; Fatty Liver ; Female ; Humans ; Hypertension ; Korea ; Logistic Models ; Male ; Prevalence ; Risk Factors ; Sex Factors ; Snoring ; Waist Circumference

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Is Yoga Beneficial for Improving Physical Fitness, Autonomic Nervous Functions, and Psychosocial Health in Older Female Adults?.

Young Sun CHOI ; Kee Chan JOO ; Jin Hong PARK

Korean Journal of Health Promotion.2012;12(4):211-217.

BACKGROUND: The purpose of this study is to identify the benefits of yoga in improving fitness and psycho-physiologic functions in females over 65 years, and to explain the mechanism of yoga's mind-body effect. METHOD: Participants were recruited from a senior welfare center in C city and randomly assigned to either the yoga group or the control group. The yoga group attended classes 3 days per week for 12 weeks while the control group continued with their regular daily activities. Senior fitness tests were performed, heart rate variability measured, and depression and quality of life (QOL) scores were obtained through a questionnaire before and after the 12 weeks. RESULTS: Overall, health-related physical fitness, except cardiorespiratory endurance, improved significantly in the yoga group. Likewise, parasympathetic nervous tone (high frequency power [HF]/low frequency power+HF) increased in this group, possibly due to meditation and yogic breathing. Depression and QOL scores significantly decreased and increased, respectively. CONCLUSIONS: Yoga can be considered beneficial, improving health-related fitness, autonomic functions, and psychosocial health. Carefully planned yoga classes are an appropriate form of exercise for the elderly.
Aged ; Depression ; Female ; Heart Rate ; Humans ; Meditation ; Physical Fitness ; Quality of Life ; Respiration ; Yoga ; Surveys and Questionnaires

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Effects of Acute Aerobic Exercise on Circulating Adiponectin and Inflammatory Makers in Obese Middle-Aged Women.

Kang Il LIM ; Min Hwa SUK ; Yun A SHIN

Korean Journal of Health Promotion.2012;12(4):203-210.

BACKGROUND: Exercise intensity may induce changes in inflammatory markers and adipocytokines. However, it is not clear whether acute exercise-induced change to adiponenctin is associated with inflammatory markers and other adipocytokines in obese middle-aged individuals. The aim of this study was to investigate the effects of acute aerobic exercise on circulating adipocytokines and inflammatory markers in obese middle-aged women. METHODS: Using a crossover design, 10 obese middle-aged women (aged 48.4+/-5.1 years; body mass index 29.6+/-2.9 kg/m2) exercised on the treadmill at different durations and velocities at 60% and 80% maximum oxygen consumption (VO2max) in order to equalize energy expenditure (400 kcal). Blood samples were drawn to measure glucose, insulin, fibrinogen, high-sensitive C-reactive protein, leptin, tumor necrosis factor-alpha (TNF-alpha), and adiponectin concentrations. RESULTS: Glucose, fibrinogen, and hsCRP increased significantly (P<0.05) after exercise whereas homeostasis model assessment-insulin resistance decreased significantly (P<0.05). Adiponectin, leptin, and TNF-alpha levels did not change significantly at immediate postexercise, and there were also no significant time x intensity interactions for all variables. The percentage change in adiponectin concentration from baseline to the end of exercise correlated with the percentage change in leptin concentration (r=-0.642, P<0.05) with 60% VO2max exercise. CONCLUSIONS: Our results indicated that, in obese middle-aged women, neither 60% nor 80% VO2max exercise alters adiponectin concentration, in spite of the changes to insulin resistance and inflammatory markers. However, after acute moderate exercise, adiponectin concentration may be associated with the change in leptin levels.
Adipokines ; Adiponectin ; Body Mass Index ; C-Reactive Protein ; Cross-Over Studies ; Energy Metabolism ; Exercise ; Female ; Fibrinogen ; Glucose ; Homeostasis ; Humans ; Inflammation ; Insulin ; Insulin Resistance ; Leptin ; Obesity ; Oxygen Consumption ; Tumor Necrosis Factor-alpha

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The Effectiveness of Short Term Mobile Phone Text Reminders in Improving Compliance among Hypertensive Patients.

Jung Ah LEE ; Woo Sang KIM ; Moon Jung BAE ; Young Sik KIM ; Han Jin OH ; Sang Yeoup LEE ; Chul Min KIM ; Dong Hyeok SHIN ; Seong Ho HAN ; Kyung Hwan CHO

Korean Journal of Health Promotion.2014;14(1):1-8. doi:10.15384/kjhp.2014.14.1.1

BACKGROUND: For the effective management of hypertension, drug adherence and life style modification are important. We investigated the effects of mobile phone text-message reminders on compliance and life style modification in patients with hypertension. METHODS: The study was performed at family medicine outpatient clinics at 15 hospitals in South Korea from July 2008 to June 2010. Study subjects included 1,449 patients who were all prescribed candesartan cilexetil. Patients were randomly divided into two groups- mobile phone text-message reminder group and control group. In the reminder group, contents of text messages were recommendations for antihypertensive adherence, exercise, low salt diet, and reduction of weight and alcohol. In the control group, the date of next visit was sent at 10 week. Mobile phone text-messages were sent at 2, 4, 6, 8 and 10 weeks by the coordinating center. Thereafter, they were followed up for 12 weeks. Chi-square test was performed to compare compliance and performance indexes of the two groups. RESULTS: The reminder group had 719 (49.6%) patients vs. 730 (50.4%) patients in the control group. Attendance rate were 92.8% for the reminder group and 94.7% for the control group (P=0.14). 94.7% of the reminder group and 94.0% of the control group took their medication regularly (P=0.59). The target blood pressure was attained in 75.8% of the reminder group and 75.4% of the control group (P=0.87). Similarly, rates of weight loss, decreased alcohol use, increased physical activity and a low salt diet showed no significant differences between the two groups. CONCLUSIONS: In our study, mobile phone text reminders did not show to have any significant positive effect on the management of hypertension.
Ambulatory Care Facilities ; Blood Pressure ; Cellular Phone* ; Compliance* ; Diet ; Humans ; Hypertension ; Korea ; Life Style ; Motor Activity ; Text Messaging ; Weight Loss

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