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Woi-Hyun S. Hong 한국간호과학회 2010 Asian Nursing Research Vol.4 No.4
Purpose This paper is a report of the results of a literature review conducted with the goal of identifying the nursing process components: assessment, diagnoses, interventions and outcomes related to health promotion in adults with hypertension in primary settings. Methods A search of MEDLINE, CINAHL, and PantherCat Online Catalogue of UWM database,PsycInfo, Cochrane Database, and Social Services Abstracts was conducted to retrieve literature published from 1988 to 2006. Results A total of 115 articles were reviewed. Overall, 70 relevant studies were selected on health promotion in adults with hypertension in primary settings. A total of 39 nursing process components (nursing diagnoses outcomes and interventions) related to health promotion with adults with high blood pressure were identified in primary healthcare settings. Conclusions Research-based evidence material provides an evidence-based nursing practice guideline with specific nursing process components on the topic. The evidence-based nursing practice guideline developed from this referential study for promoting health of adults with hypertension should be reflected in nursing practice in primary healthcare settings. For a future study, focus groups and key informant interview are recommended with nurses who actually provide nursing services in primary healthcare settings to clients who are diagnosed with high blood pressure. [Asian Nursing Research 2010;4(4):227–245]
Relationship between Spiritual Well-Being and Life Satisfaction for Canadian Middle-Aged Adults
Woi-Hyun S. Hong 한국기독교교육정보학회 2011 Journal of Christian education information tech Vol.0 No.20
The aim of this study was to examine the relationship between spiritual well-being and life satisfaction for middle-aged adults who are between 35 to 64 years of age. A descriptive co-relational design was utilized in this study. The study involved the completion of a self-report questionnaire and the sample consisted of 62 subjects selected through convenience sampling. The spiritual well-being consists of two subscales: the religious well-being and the existential well-being. The Satisfaction with Life Scale was used to assess one aspect of subjective overall life satisfaction. The results showed that the relationship between spiritual well-being and life satisfaction for the middle-aged adults was strongly correlated (r=.373, p=001). There was no significant result in demographic characteristics with multiple regression analysis, but spiritual well-being significantly contributed to life satisfaction as a predictor that explained 13.9% of the variance among middle-aged adults. The research suggests spiritual wellbeing is a factor when examining strategies for life satisfaction toward successful aging in middle-aged adults.
홍외현,김정남,Hong, Woi-Hyun,Kim, Chung-Nam 한국지역사회간호학회 1999 지역사회간호학회지 Vol.10 No.2
This descriptive correlational study was conducted to identify the variables related to a health promoting lifestyle in high school students. 304 high school students and 189 vocational high school students living in Taegu city were selected by a convenience sampling method. The data were collected by self-reported questionnaires from August 24 to September 4, 1998. Pender and others' Health Promoting Lifestyle Profile, Shere et al's. Self-Efficacy scale, Wallston et al.'s Internal Health Locus of Control scale, Wares' Health self rating scale and Cohen & Hoberman's Social support scale were used. The data were analyzed by using descriptive statistics, Pearson correlation coefficient, t-test, MANOVA, ANOVA. Tukey verification and Stepwise multiple regression with an SAS program. The results of this study were as follows: 1. The average score of a health promoting lifestyle performance was 2.38(SD=.36) of a 4 point scale .Self-actualization (mean = 2.80. SD = .60). interpersonal support(mean = 2.73, SD=.47), health responsibility (mean=1.53, SD=.47), nutrition(mean=2.64, SD=.63), exercise(mean=2.71. SD=.72) and stress management(mean=2.37, SD=.58) were also analyzed. 2. The combination of self-efficacy, social-support, internal health locus of control. father's educational level and perceived health status explained 37.97% of the variance in health promoting lifestyles. 3. A Health promoting lifestyle showed significant positive correlations with self efficacy(r=.5173. p=.0011), perceived health status(r=.254, p=.001) and internal health locus of control(r=.321. p=.001). 4. According to sex(t=7.38. p=.006). economic state(F=6.62, p=.00l), Father's educational level(F=4.25, p=.005), mother's educational level(F=6.94. p=.000l), the grade of educational performance(F=3.74, p=.024), sleeping hours(F=3.47. p=.032) and social support(F=40.76, p=.0001). there were significant differences and modifying factors in health promoting lifestyles. On the basis of the above findings. self-efficacy in cognitive factors, and social support in modifying factors were identified as the variables which explained most of Pender's health-promotion model. Nursing strategies enhancing self-efficacy and social support which have a more significant effect on health promoting lifestyles should be developed. Further research is required to find out the factors influencing health pormoting lifestyle of high school students.
Yu Jin Jung,Aryun Kim,Luis E. Okamoto,Woi-Hyun Hong 대한신경과학회 2023 Journal of Clinical Neurology Vol.19 No.2
Background and Purpose Neurogenic orthostatic hypotension (nOH) is one of the most important nonmotor symptoms in patients with α-synucleinopathies. Atomoxetine is a selective norepinephrine transporter blocker that is a treatment option for nOH. This systematic review and expert focus-group study was designed to obtain evidence from published data and clinical experiences of Korean movement-disorder specialists about the efficacy and safety of atomoxetine for the pharmacological treatment of nOH in patients with α-synucleinopathies. Methods The study comprised a systematic review and a focus-group discussion with clinicians. For the systematic review, multiple comprehensive databases including MEDLINE, Embase, Cochrane Library, CINAHL, PsycInfo, and KoreaMed were searched to retrieve articles that assessed the outcomes of atomoxetine therapy. A focus-group discussion was additionally performed to solicit opinions from experts with experience in managing nOH. Results The literature review process yielded only four randomized controlled trials on atomoxetine matching the inclusion criteria. Atomoxetine effectively increased systolic blood pressure and improved OH-related symptoms as monotherapy or in combination with other drugs. Its effects were pronounced in cases with central autonomic failure, including multiple-system atrophy (MSA). Atomoxetine might be a safe monotherapy regarding the risk of supine hypertension. Conclusions Atomoxetine is an effective and safe option for short-term nOH management, which could be more evident in patients with central autonomic dysfunction such as MSA. However, there is a paucity of evidence in the literature, and data from the focus-group discussion were inadequate, and so further investigation is warranted.
산업장 중간관리자의 건강증진 행위에 영향을 미치는 변인분석
김정남,박경민,류미경,홍외현 대한보건협회 2000 대한보건연구 Vol.26 No.4
The purpose of this study was to identify the major factors affecting performance in health promoting behavior among the Industrial supervisors. The subjects for this study were 130 Industrial supervisors employed in one electronics manufacturing plant in Gumi and were obtained by a convenience sample. Data were collected from April 9th to 16th, 1999 by structured questionnaires. Collected data were analyzed by SPSS Package Program. The results of this study are as follows. 1. The average score of performance in the health promoting behavior was 2.47; the range of the score was from 1.37 to 3.90. The variable with the highest degree of performance was self-actualization, whereas the one with the lowest degree was exercise. 2. In the relationship between demographic variable and performance in the health promoting behavior, the educational level showed statistically significant difference in the self-actualization of health promoting behavior and the period of service showed statically significant difference in the interpersonal relationship. 3. Performance in the health promoting behavior was significantly correlated with health conception, self-efficacy, perceived benefit and perceived barriers. 4. The most important factor that affects performance in the health promoting behavior was perceived barriers. The combination of self-efficacy, perceived barriers accounted for 20.5% of the variance in health promoting behavior. On the basis of the above findings, self-efficacy and perceived barriers in cognitive factors, were identified as the variables which explained the most part of the Pender's health-promotion model. Nursing strategies enhancing self-efficacy and perceived barriers which has most significant effect on health promoting lifestyle should be developed. Further research is required to find out the factors influencing Health Promoting Lifestyle of Industrial supervisors.