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Practice-based Evidence for Health Promotion in Underserved Clients with Hypertension in Primary Health Care Settings
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Woi Hyun Hong
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J Korean Acad Community Health Nurs. 2015;26(4):390-397. Published online December 31, 2015
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DOI: https://doi.org/10.12799/jkachn.2015.26.4.390
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 Abstract
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- PURPOSE
The purpose of this study was to explore practice-based evidence for health promotion in vulnerable populations with hypertension in primary health care settings.
METHODS
Two methodological procedures were adopted for this triangulation study. In the first phase, the sample was obtained from the computerized clinical data repository of a community nursing center. A total of 286 clients were assessed for hypertension as an actual circulation problem as coded in the Omaha System. In the second phase, a qualitative focus group was surveyed through semi-structured interviews conducted by nine advanced practice nurses who had been serving the hypertensive patients.
RESULTS
The community nurses provided essential primary healthcare services including health teaching guidance and counseling, and surveillance to vulnerable populations living in medically underserved community. There was a significant positive correlation between knowledge and behavior (r=.53, p<.01), between knowledge and health status (r=.40, p<.05), and between behavior and health status (r=.48, p<.01).
CONCLUSION
This triangulation study encompassed not only quantitative findings from the computerized records of clients but also other information acquired from advanced practice nurses. This study contributes to understanding the importance of health promotion nursing interventions even with populations already diagnosed with chronic diseases such as hypertension.
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The Determinants of a Health Promoting Lifestyle in High school students
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Woi Hyun Hong, Chung Nam Kim
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J Korean Acad Community Health Nurs. 1999;10(2):330-346. Published online December 31, 1999
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Abstract
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- 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.
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