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Chang Hyun Lee 6 Articles
The Effects of a Walking Leader Program on Walking Knowledge and Self-efficacy
Chang Hyun Lee, Young Im Kim, Souk Young Kim
J Korean Acad Community Health Nurs. 2010;21(2):178-187.   Published online June 30, 2010
DOI: https://doi.org/10.12799/jkachn.2010.21.2.178
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AbstractAbstract PDF
PURPOSE
The purpose of this study was to analyze the effects of a walking leader program on changes in walking knowledge and self-efficacy.
METHODS
The subjects were 276 participants who participated in the nationwide walking leader program 9 times from May to September in 2008. Data were collected before and after the program by an organized questionnaire.
RESULTS
1) Knowledge related to walking exercise increased significantly to 4.14 point from 2.90 point after the program (t=-20.70, p<.001). 2) Self-efficacy related to walking exercise increased significantly to 4.08 point from 3.40 point after the program (t=13.93, p<.001). 3) Significant factors that affected knowledge and self efficacy before the program were regular exercise and subjective health status. The history of chronic disease and smoking were significantly affecting factors to knowledge and self-efficacy after the program.
CONCLUSION
The walking leader program promoted the participants' walking knowledge and self-efficacy. It is necessary to develop more specific programs tailored to socio-demographic characteristics of participants and to make efforts to increase participants with active public information.
Factors Related to Regular Mammography Screening for Outpatients
Young Im Kim, Chang Hyun Lee
J Korean Acad Community Health Nurs. 2007;18(3):420-430.   Published online September 30, 2007
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AbstractAbstract PDF
PURPOSE
This study was to identify factors affecting regular mammography screening behavior of outpatients. The target subjects were 150 women who had visited the breast clinic at the university hospital, and the study period was around 10 months from March to December 2006. Data were analyzed by using chi2-test, t-test and logistic regression analysis.
RESULTS
Of the subjects, 50% experienced mammography and 31.6% took mammography regularly. In the relational analysis between various factors and regular mammography, there were significant differences among the 41~50 year old group, the employed group, the high income group, the regular exercise group, the non-drinking group, and the previously chi-rayed group. And, in the Logistic Regression analysis, those who preferred bean food were 3.20 times more likely to take mammogram regularly, and those who married were 3.49 times more likely to do than the unmarried. Also, those who had low health belief and who were under age 51 were less likely to take regular mammogram.
CONCLUSION
In order to increase the rate of conducting regular mammography, there must be different intervention strategies according to food habit, marital status and age, and a support system must be devised to increase health belief about breast cancer.
Comparative Analysis of Influencing Factors on Implementation of Mammography for Ordinary Women and Outpatients
Young Im Kim, Chang Hyun Lee, Hye Sun Jung, Ji Yoon Kim
J Korean Acad Community Health Nurs. 2006;17(1):56-64.   Published online March 31, 2006
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AbstractAbstract PDF
PURPOSE
This study is to conduct a comparative analysis of influencing factors on the experience of mammography targeting ordinary women and outpatients.
METHODS
The target subjects were 116 ordinary women and 105 outpatients, and the study period was around 8 months from May to December.
RESULTS
When mammography experience was examined, it was found that mammography experience was conducted in 44.8% of ordinary women and 59.0% of outpatients, but this study showed that there was a statistically significant difference. When the relation between the characteristics of the targeted objects and the experience of mammography was examined, it was found that ordinary women have a lot of experience when they have regular exercises and a high health belief. On the other hand, in case of outpatients. mammography experience was more frequent in the older group. In addition, outpatients had experiences in breast-related diseases or high self-efficacy. It was also found that the influencing factors on the experience of mammography were a high health belief in case of ordinary women, and old ages and high self-efficacy in case of outpatients.
CONCLUSIONS
In order to increase the rate of conducting early detection behavior for mammography, it is needed to conduct an intervention that increases health belief for ordinary women, while it is effective to conduct an intervention that increases self-efficacy for outpatients.
Analysis of Factors Affecting Occupational Health Nurses' Early Breast Cancer Screening
Chang Hyun Lee, Young Im Kim, Hye Sun Jung, Ji Yoon Kim
J Korean Acad Community Health Nurs. 2005;16(1):68-76.   Published online March 31, 2005
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AbstractAbstract PDF
No abstract available.
Factors Affecting Early Detection Behaviors of Breast Cancer
Young Im Kim, Chang Hyun Lee, Su Hyung Yang, Hye Sun Jung
J Korean Acad Community Health Nurs. 2004;15(1):155-164.   Published online March 31, 2004
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AbstractAbstract PDF
PURPOSE
The purpose of this study was to identify factors affecting early detection behaviors of breast cancer such as breast self examination(BSE), breast physical examination, mammography.
METHOD
The subjects were 141 women on an island and materials were collected through an organized questionnaire from March, to August 2002. The data were analyzed by using descriptive statistics, x2-test, and logistic analysis by SAS program.
RESULTS
52.7% of the subjects performed breast self examination, 67.2% did breast physical examination and 67.7% did mammography. That is, about 60% of the subjects performed early detection behavior to find the breast cancer. Practice of breast self examination was significantly correlated with experience of physician examination and mammography. The most significant factor on BSE was a normal salted diet, and the most significant factor on physical examination and mammography was the high education level of subjects.
CONCLUSIONS
According to the results of this study, it suggests that intensive education and information strategies for breast cancer early detection need to be developed. In particular, early detection programs for lower educated women should be activated.
Emergency Care Conditions where the Nurse is posted in the 119 Relief Squad
Young Im Kim, Hye Sun Jung, Chang Hyun Lee, Gum Sook Kim, Jung Young Park
J Korean Acad Community Health Nurs. 2000;11(2):411-422.   Published online December 31, 2000
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AbstractAbstract PDF
The purpose of this study is to identify the difference of emergency care conditions where the nurse is posted in the 119 relief squard or not. The data composed a total of 777 cases of emergency activity of one police stand in Seoul during March, June. September and December in 1998. The results of this study were as follows: 1. The age of the subjects was 20-60 age 54.3%, over 60 age 35.4% with an average age of 50.2. Among them men were 55.0%, the unemployed were 60.8%. The place of the occurrence of an accident was the house, 49.7% and the cause as illness was 59.6%. 2. The main symtom was pain the 36.2% the main consciousness state was alert 76.9%: The state of the patients as chronic was 59.6%. 3. The consulting hospital of the 119 relief squad as a third medical center was 79.9%. The distance to the medical center as less than 5 km was 77.2%, and an average transfer distance was 5.38 km. The cases of doctor guided emergency care was 0.9%, the cases that had posted nurses in 119 relief squads was 48.6%. 4. The case of the best emergency care operation was difficulty in breathing, 62.1% and the second was unconsciousness, 46.1 %. The more serious the consciousness state, the higher the rate of emergency care operation. There wasn't any difference in emergency care operation concerning transfer distance. 5. The cases that had the posted nurses was 19.1%, the cases of no nurse was 11.7% among the cases of emergency care operation during transfering; the cases that had posted nurses had the higher emergency care operation. (p<0.05). Airway maintenance was 14.8% in cases that had the posted nurses, while in the cases of no nurse, 10.9%; and oxygen inspiration was 16.0% in cases that had the posted nurses while in the cases of no nurse 7.6% (p<0.01); spinal fixation was 6.6% in cases that had the posted nurses while in the cases of no nurse 4.6%(p<0.05). With these results, we can conclude that the cases that had the posted nurse showed higher emergency care operation.

RCPHN : Research in Community and Public Health Nursing