PURPOSE: This study aimed to determine the influence of injury and/or injured area classification on depression in patients with industrial injuries. METHODS: The participants comprised438 patients who consented to participate and completed self-reported questionnaires. Data were analyzed using SPSS/WIN version 22.0 for descriptive statistics, χ² test, fisher's exact test, ANOVA, and post-hoc Scheffé test. A stepwise multiple regression analysis was used to identify factors influencing depression. RESULTS: The results indicated that the effect of disease classification and injured areas on depression were significantly different in patients with industrial injuries. The results further showed that severe depression was significantly higher in cardiovascular patients and patients with an injured area of the head and waist. The most powerful predictor was age (50~59 years), return to work (reemployment), disease classification (cardiovascular), and injured area (head, including vascular disease). CONCLUSION This study showed that the most influential variable of depression in patients with industrial injuries were cardiovascular issues, injury areas of the head and waist, being aged 50~59 years, and reemployment. To reduce depression in these patients, it is important to develop and implement a psychiatric rehabilitation program that helps patients to formulate a concrete plan and goal for recovery, enabling patients to actively engage in their rehabilitation.

PURPOSE: The purpose of this study was to investigate the difference in serum ferritin and leukocyte regarding overweight and obese South Korean adults. METHODS: This study was conducted on 5,281 subjects older than 19, according to data from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-3), 2015. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, and stepwise multiple regression analysis (SPSS 24.0). RESULTS: First, serum ferritin and leukocyte were higher regardubg obesity, followed by being overweight and within normal weight. Second, body mass index (BMI) was positively correlated with serum ferritin and leukocyte. Third, factors affecting serum ferritin were gender, and being obese and overweight. Explanatory power of the model was 26.2%. Factors affecting leukocyte were gender, obesity, being overweight, and weight change over the past year (weight gain). Explanatory power of the model was 10.2%. CONCLUSION: Obesity and being overweight were factors affecting serum ferritin and leukocyte, and obesity was more affected than being overweight in Koreans older than 19. In conclusion, serum ferritin was a marker of inflammation, rather than iron status, in overweight and obese Korean adults.
Adult ; Body Mass Index ; Ferritins ; Humans ; Inflammation ; Iron ; Korea ; Leukocytes ; Nutrition Surveys ; Obesity ; Overweight

PURPOSE: This study aimed to investigate sex differences in the effect of body mass index (BMI) and stress on high-risk diabetes mellitus (DM). METHODS: Secondary analysis of data from 4,271 male and female adults participating in the Sixth Korea National Health and Nutrition Examination Survey 2015 was performed. The participants were evaluated using questionnaires and blood tests. Data were analyzed using descriptive statistics, t-test, χ2-test, and multiple logistic regression analysis (SPSS 24.0). RESULTS: To identify sexspecific effects, interaction variables were included. Hemoglobin A1c (HbA1c) level was higher in men than in women, and the risk of DM decreased 0.31 times in women compared to that in men. As age increased, the odds of risk DM increased 1.03. The risk of DM increased 1.99 times in overweight individuals and 2.79 times for obese individuals compared to that in individuals with normal weight. Stress levels were higher in women than in men, but stress is not an influential factor in high-risk DM. In age-sex interaction, the odds of risk DM increased 1.02 in women compared to that in men as age increased. CONCLUSION: HbA1c level was affected by age-sex interaction, and age and sex should be considered in the application of HbA1c in the diagnosis of DM.
Adult ; Body Mass Index ; Diabetes Mellitus ; Diagnosis ; Female ; Hematologic Tests ; Humans ; Korea ; Logistic Models ; Male ; Nutrition Surveys ; Overweight ; Sex Characteristics ; Stress, Psychological

PURPOSE: This study aimed to determine the influence of injury and/or injured area classification on depression in patients with industrial injuries. METHODS: The participants comprised438 patients who consented to participate and completed self-reported questionnaires. Data were analyzed using SPSS/WIN version 22.0 for descriptive statistics, χ² test, fisher's exact test, ANOVA, and post-hoc Scheffé test. A stepwise multiple regression analysis was used to identify factors influencing depression. RESULTS: The results indicated that the effect of disease classification and injured areas on depression were significantly different in patients with industrial injuries. The results further showed that severe depression was significantly higher in cardiovascular patients and patients with an injured area of the head and waist. The most powerful predictor was age (50~59 years), return to work (reemployment), disease classification (cardiovascular), and injured area (head, including vascular disease). CONCLUSION: This study showed that the most influential variable of depression in patients with industrial injuries were cardiovascular issues, injury areas of the head and waist, being aged 50~59 years, and reemployment. To reduce depression in these patients, it is important to develop and implement a psychiatric rehabilitation program that helps patients to formulate a concrete plan and goal for recovery, enabling patients to actively engage in their rehabilitation.
Accidents, Occupational ; Classification ; Depression ; Head ; Humans ; Occupational Diseases ; Psychiatric Rehabilitation ; Rehabilitation ; Return to Work

BACKGROUND/OBJECTIVES: Obesity is globally a major public health issue. Evidence suggests that elevated ferritin levels are associated with obesity, dyslipidemia, insulin resistance, and metabolic syndrome. This study was undertaken to examine the relationship between the serum ferritin level and depression in Korean male adults with respect to classification of the prevailing obesity. SUBJECTS/METHODS: This was a case-control study; subjects were classified into obese group (≥ 25.0 kg/m2, 28 subjects) and normal group (18.5–22.9 kg/m2, 27 subjects). A survey was conducted to assess the depression levels as per the guidelines suggested by the Center program for Epidemiological Studies-Depression (CES-D). Blood was collected from each group for assessing biomarkers, and isolated plasma was evaluated for fasting glucose, insulin, quantitative insulin sensitivity check index, and ferritin levels. Data were analyzed, and groups were compared with respect to Body Mass Index (BMI), depression scale and biomarkers. RESULTS: The average depression score of the obesity group was 16.86, which was higher than the normal group (12.56). Subjects scoring more than 16 points comprised 53.6% of the population in the obese group, which was more than double that in the normal group, as assessed by the CES-D program. Furthermore, the serum ferritin level of the obesity group was 207.12 ng/mL, which was higher than that of the normal group (132.66 ng/mL). Lastly, the BMI appeared to be significantly correlated with both depression (r = 0.320, P = 0.017) and elevated ferritin levels (r = 0.352, P = 0.008). CONCLUSION: This study provides evidence of existing correlation between ferritin and depression with obesity.
Adult ; Biomarkers ; Body Mass Index ; Case-Control Studies ; Classification ; Depression ; Dyslipidemias ; Fasting ; Ferritins ; Glucose ; Humans ; Insulin ; Insulin Resistance ; Male ; Obesity ; Plasma ; Public Health

PURPOSE: This study was undertaken to develop directions for research on nursing practice education and also for standardization of contents of Fundamental Nursing Practice (FNP) by identifying and analyzing the present content and inconsistency in FNP textbooks. METHOD: Eleven FNP textbooks published between 2007 and 2013 were selected and itemized nursing contents were compared and analyzed. Nursing professors and practicingnurses prioritized contents identified from an actual condition survey based on theoretical reason and clinical guides for each item. RESULTS: Inconsistencies were found for 34 domains with 219 sub items and of them, 21 domains and 84 items needed to be standardized. Number of items that showed consistency between professors and nurses (ICC > or = .800) was 29 (34.5%) and for complete consistency (ICC=1), 4 (4.8%). Number of items that showed inconsistency between the groups (ICC< .600) was 30 (35.7%) and very low consistency (ICC=0), 10 (11.9%). CONCLUSION: The results indicate a difference between understood validity of content by professors and by nurses and technical differences among FNP textbooks. Therefore confirmation of the items needing to be standardized and differences in understanding content by professors and by nurses shows a need for standardization of practice education between course and clinical practice. These results provide basic data for developing standardized form of FNP education.
Education* ; Education, Nursing ; Nursing*

PURPOSE: The purpose of this study was to identify factors influencing nicotine dependency among college students intending to quit smoking, and to provide data for the construction of programs that will be successful in helping the students quit smoking. METHOD: In this study a cross-sectional survey to analyze was used. The data were collected between April 22 and April 24, 2013 from 218 college students who had unsuccessfully tried to quit smoking in the past but were now intending to try and quit smoking again. Data were analyzed using frequency, independent t-test, one-way ANOVA and multiple regression with the SPSS 21.0. RESULTS: Factors influencing nicotine dependency were self-efficacy for smoking abstinence (t=-6.60, p=<.001), length of time since beginning to smoke (t=5.39, p<.001), level of carbon monoxide intake (t=2.38, p=.018), and withdrawal symptoms as reasons why the students failed to quit smoking (t=2.22, p=.028). These 4 variables accounted for 35.0% of the variance with regard to nicotine dependency. CONCLUSIONS: To conduct a successful program for students who intend to quit smoking, self-efficacy for smoking abstinence, length of time since beginning to smoke, level of carbon monoxide, and withdrawal symptoms as reasons for failing to quit smoking should be considered.
Carbon Monoxide ; Cross-Sectional Studies ; Humans ; Nicotine* ; Smoke* ; Smoking Cessation ; Smoking* ; Substance Withdrawal Syndrome

PURPOSE: The purpose of this study was to verify prevalence rates of atopic dermatitis (AD) in middle school students in Korea and to define AD and associated factors. METHODS: This study was conducted using secondary analysis of raw data from the 'The 6th Korean National Adolescent Health Behavior Survey, 2010' conducted by the Korea Centers for Disease Control. The participants were 37,570 students. General characteristics and health behavior-related characteristics were analyzed using descriptive statistics, chi2-test and logistic regression analysis. RESULTS: Results are as follows. 1. There were 8,494 middle school students (22.6%), who had been diagnosed with AD during the last 12 months. 2. Factors associated with AD in middle school students were gender (p<.001), grade level (p=.001), father's education (p<.001), mother's education (p=.032), regular dietary habits (breakfasts, p=.025; lunches; p=.003), stress (p<.001), recognition of subjective awareness of one's health conditions (p<.001), hand washing before meals at school (p=.013), and cessation education for both smoking (p=.002) and alcohol (p=.031). CONCLUSION: Results of the study indicate that in order to alleviate AD symptoms in these students, there is a need to develop nursing interventions and education programs taking into consideration these variables and verifying the effects of interventions and programs.
Adolescent ; Adolescent Behavior ; Asian Continental Ancestry Group ; Cross-Sectional Studies ; Dermatitis, Atopic/*epidemiology/psychology ; Female ; Health Behavior ; Humans ; Logistic Models ; Male ; Mental Health ; Prevalence ; Republic of Korea/epidemiology ; Risk Factors ; Sex Factors ; Smoking ; Students/*psychology

PURPOSE: This study was done to identify the impact of resourcefulness and communication style on nursing performance in nurses working in hospitals. METHOD: Though a convenience sampling method 312 nurses were recruited between from July 4 and 17, 2011. Data were collected using a questionnaire, which included items on work related characteristics, resourcefulness, communication style, and nursing performance. Data were analyzed using t-test, ANOVA, Scheffe test, Pearson correlation coefficient and hierarchical regression analysis. RESULTS: The major findings of this study were as follow; 1) There were significant relationships between nursing performance and resourcefulness (p<.001), informative communication style (p<.001), affiliativeness communication style (p<.001), and dominance communication style (p<.001). 2) The nursing performance was significantly associated with career in current department, resourcefulness, informative communication style, affiliativeness communication style, and dominance communication style in capability which explained 45.6% of variance in nursing performance. CONCLUSION: The results of this study demonstrate a relationship between resourcefulness, communication style, and nursing performance in hospital nurses indicating the need to use the study results to plan programs to prompt nurses in their use of resourcefulness and communication style in nursing care.
Hospital Administration ; Nursing Care ; Surveys and Questionnaires ; Task Performance and Analysis

PURPOSE: The study was done to influence of family function and degree of depression on impulsive behavior in adolescents. METHOD: Using convenience sampling 780 adolescents were recruited from October 29 and November 9, 2011. Data were collected using self-report questionnaires which included items on general characteristics, family function, depression, and impulsive behavior. Data were analyzed using t-test, ANOVA, Scheffe test, Pearson Correlation Coefficient, and hierarchical regression analysis. RESULTS: The major findings of this study were as follow; 1) There was a significant negative relationship between family function and impulsive behavior (r=-.236, p<.001) and a positive relationship between depression and impulsive behavior (r=.342, p<.001). 2) Factors with a significant negative association with impulsive behavior were higher school records (beta=-.112, p<.001) and family function: positive resolution of family problems (beta=-.213, p=.008), while a significant positive association was found for unsatisfactory school life (beta=.103, p=.016), family function: emotional reactivity (beta=.159, p=.028), and depression (beta=.301, p<.001). These variables explained 20.1% of variance for impulsive behavior. CONCLUSION: The results of this study identify a relationship between family function, depression, and impulsive behavior in adolescents indicating variables to be addressed to reduce impulsive behavior. These variables can be used in developing intervention programs.
Adolescent ; Depression ; Family Characteristics ; Family Relations ; Humans ; Impulsive Behavior ; Surveys and Questionnaires