Research in Community and Public Health Nursing

Young Im Park

11 Articles

Medication Status and the Effects of a Medication Management Education Program for the Elderly in a Community: Young Im Park, Kang Yi Lee, Dong Oak Kim, Dong Choon Uhm, Ji Hyun Kim; J Korean Acad Community Health Nurs. 2014;25(3):170-179. Published online September 30, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.3.170

756 View
10 Download
5 Citations

PURPOSE
This study investigated medication status by examining the effects of a medication management education program on the knowledge of medications and medication misuse behaviors in the elderly in a local community.
METHODS
This study used a non-equivalent control group quasi-experimental design. For the study, 116 subjects were assigned to the control group and another 116 subjects were assigned to the experimental group. The medication management education program consisted of 1:1 education, practice in medication management, consultation, and discussion. Data were analyzed using the SPSS 21.0 program.
RESULTS
Statistically significant differences were found between the experimental and control groups in terms of their knowledge of medications and medication misuse behaviors.
CONCLUSION
The results indicate that the medical management education program is effective in improving the knowledge of medications and decreasing medication misuse behaviors. Therefore, this education program can be used as an intervention to improve the medication behaviors of the elderly in local communities.

Citations

Citations to this article as recorded by

Development and effectiveness of an integrated medication management program centered on senior welfare centers for older adults with hypertension: A cross-sectional study
Heuijeong Moon, Dukyoo Jung
Journal of Korean Gerontological Nursing.2023; 25(3): 297. CrossRef
Relationships between health literacy, self-efficacy, and medication adherence in older people with polypharmacy: A cross-sectional study
Jee Young Cho, Sun Ju Chang
Journal of Korean Gerontological Nursing.2023; 25(4): 357. CrossRef
Development and Evaluation of an Antiviral Agent Medication Adherence Education Program for Patients with Chronic Hepatitis C
Hoo Jeung Cho, Euna Park
International Journal of Environmental Research and Public Health.2020; 17(18): 6518. CrossRef
Correlation of physical, psychological, and functional factors with independent medication adherence in Korean older adults with chronic illness: Using the 2017 national survey of older Koreans
Hae Ok Jeon
Archives of Gerontology and Geriatrics.2020; 90: 104130. CrossRef
Artificial Intelligence-based Medication Behavior Monitoring System using Smartwatch
Suyong Jeong, Hwiwon Lee, Sangpil Yoo, Kyungjun Lee, Sungphil Heo
The Journal of Korean Institute of Information Technology.2020; 18(8): 125. CrossRef

The Attitude, Use and Adverse Effects of Complementary and Alternative Medicine (CAM) Therapies among Vulnerable, Community Dwelling Old Adults: Young Im Park, Mi Sook Song, Ok Hee Ahn, Soon Ok Yang, In Sook Lee, Hye Sun Hyun; J Korean Acad Community Health Nurs. 2014;25(1):1-11. Published online March 31, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.1.1

778 View
2 Download
4 Citations

Abstract PDF

PURPOSE
The purpose of this study is to obtain information of use of complementary and alternative medicines (CAMs) and any reported adverse effects of them on vulnerable elders in a community.
METHODS
1,837 elderly subjects aged 65 or higher with health problems were selected from those who were enrolled in a public health care center and received visiting health management services. A proportional stratified sampling method was used. Data collection was completed by face to face interviews using a structured questionnaire. The descriptive statistics and chi2-test were used to analyze the data.
RESULTS
The prevalence of CAM use last year was 57.5%, and 10.4% of the subjects reported adverse effects of the therapies. The mean score of the subjects' attitudes towards CAM was 4.1+/-3.44 (range 1~10). The major sources of advice and exposure to CAM therapies were most likely to be from family and friends (72.5%). The primary reason for choosing CAM was to manage symptoms and relieve pain (86.6%).
CONCLUSION
These findings suggest the need to develop nursing strategies for reducing and preventing adverse effects of CAM use by promoting awareness of using safe and appropriate CAM therapies.

Citations

Citations to this article as recorded by

The Effect of Hand Press Pellet Therapy on Arthralgia, Ankylosis, and Depression in Elderly Women with Knee Osteoarthritis
Hyojung Park, Hyeri Yang
The Korean Journal of Rehabilitation Nursing.2020; 23(1): 27. CrossRef
Illness uncertainty and complementary and alternative medicine use in patients undergoing hemodialysis
Hae Ok Jeon, Bo Hye Kim, Oksoo Kim
Nursing & Health Sciences.2019; 21(3): 375. CrossRef
The Perception and Utilization patterns of Complementary and Alternative Medicines in Patients with Fibromyalgia Syndrome
Kyoung Ran Kong, Eun Nam Lee, Won Tae Jeong
Journal of muscle and joint health.2016; 23(3): 187. CrossRef
Health Status and the Use of Complementary and Alternative Therapies in the Community Dwelling Pre-elderly and Elderly
Myung-Sill Chung, Kyung-Choon Lim
The Korean Journal of Rehabilitation Nursing.2015; 18(1): 46. CrossRef

The Effects of Exercise in the Frail Elderly: Young Im Park, Kang Yi Lee, Tae Im Kim, Moung Hee Jeon, Dong Oak Kim, Ji Hyun Kim; J Korean Acad Community Health Nurs. 2012;23(1):91-101. Published online March 31, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.1.91

680 View
3 Download
10 Citations

Abstract PDF

PURPOSE
This study was conducted to examine the effects of exercise on physiological, physical and psychological functions of the frail elderly.
METHODS
The research design was a nonequivalent control group pretest-posttest design. Data were collected from September 9 to October 10, 2009. The subjects were 56 frail elders who agreed to participate in this study and each subject was randomly assigned to either the experimental group (n=28) or the control group (n=28). The exercise program was provided to each subject in the experimental group twice in a week for 6 weeks. Data were analyzed with frequency, chi2-test, Kolmogorov-Smirnor test and independent t-test using SPSS/WIN 12.0.
RESULTS
There was a significant improvement in psychological functions in the experimental group compared to the control group (t=1.726, p=.045).
CONCLUSION
The exercise program showed the effects to improve the psychological functions of the frail elderly with chronic disease. In recommendation, this exercise program could be utilized as a health promoting program for the frail elderly.

Citations

Citations to this article as recorded by

Mobility training for increasing mobility and functioning in older people with frailty
Daniel Treacy, Leanne Hassett, Karl Schurr, Nicola J Fairhall, Ian D Cameron, Catherine Sherrington
Cochrane Database of Systematic Reviews.2022;[Epub] CrossRef
Sauna use as a lifestyle practice to extend healthspan
Rhonda P. Patrick, Teresa L. Johnson
Experimental Gerontology.2021; 154: 111509. CrossRef
Development and Effects of a Physical Activity Promotion Programs for Elderly Patients Hospitalized in Long-term Care Hospital
Se In Ryu, Aekyung Kim
Journal of Korean Academy of Fundamentals of Nursing.2020; 27(4): 400. CrossRef
Development and evaluation of physical activity promotion program in the resident elderly
Sang-Min Kwon, Mal-Suk Kwon
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(8): 485. CrossRef
The Effects of Home Visit Healthcare Using a Complex Program on Community-dwelling Frail Elders' Strength, Frailty, and Depression
Hee Gerl Kim
Journal of Korean Academy of Community Health Nursing.2015; 26(4): 405. CrossRef
Effects of Nordic walking on physical functions and depression in frail people aged 70 years and above
Han Suk Lee, Jeung Hun Park
Journal of Physical Therapy Science.2015; 27(8): 2453. CrossRef
Relationships of exercise with frailty, depression, and cognitive function in older women
Bog Ja Jeoung
Journal of Exercise Rehabilitation.2014; 10(5): 291. CrossRef
The Effects of the Activity Program for Preventing Dementia Against Depression, Cognitive Function, and Quality of Life for the Elderly
Kum-Sook Park, Heon-Young Jeong, Sun-Yoe So, Young-Hee Park, Hee-Jung Yang, Kyoung-Ran Jung, Soon-Joo Moon, Hae-Kyoung Kim, Jung-Hee Cho, Kyung-Hee Yang
Journal of Oriental Neuropsychiatry.2013; 24(4): 353. CrossRef
Effects of a Cognition Activation Program for the Institutionalized Old-Old in Korea
Hung Sa Lee, Dohyun Lee
Journal of Korean Academy of Community Health Nursing.2013; 24(4): 427. CrossRef
Effects of Low-density Exercise in the Frail Elderly
Sang-Min Kwon
The Journal of Digital Policy and Management.2013; 11(11): 643. CrossRef

Validation of Instruments to Classify the Frailty of the Elderly in Community: In Sook Lee, Young Im Park, Eun Ok Park, Soon Hee Lee, Ihn Sook Jeong; J Korean Acad Community Health Nurs. 2011;22(3):302-314. Published online September 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.3.302

736 View
2 Download
16 Citations

Abstract PDF

PURPOSE
This study aimed to validate instruments to classify the frailty of Korean elderly people in community.
METHODS
For this study, 632 elders were selected from community-based elderly houses and home visiting registries, and data on frailty were collected using three instruments during November, 2008. The Korean Frail Scale (KFS) was composed of 10 domains with the maximum score of 20. The Edmonton Frail Scale (EFS) had 10 domains with the maximum score of 17. The 25_Japan Frail Scale (25_JFS) was composed of 6 domains with the maximum score of 25. Internal consistency was measured with Cronbach's alpha. Sensitivity, specificity and area under the curve (AUC) of ROC were measured to see validity with long-term care insurance grade as a gold standard.
RESULTS
The Cronbach's alpha was .72 for KFS, .55 for EFS, and .80 for 25_JFS. Sensitivity, specificity, and AUC were 70.0%, 83.2%, and .83, respectively, at cutting point 10.5 for the KFS, 50.0%, 80.9%, and .66, respectively, at 8.5 for EFS, and 80.0%, 85.9%, and .86, respectively, at 12.5 for 25_JFS.
CONCLUSION
KFS and three JFS showed favorable internal consistency and predictive validity. Further longitudinal studies are recommended to confirm predictive validity.

Citations

Citations to this article as recorded by

Effects of Social Interaction and Depression on Homeboundness in Community-Dwelling Older Adults Living Alone
You-Ri Kim, Hye-Sun Jung
International Journal of Environmental Research and Public Health.2022; 19(6): 3608. CrossRef
Risk Factors for Frailty in Critical Care Survivors: A secondary analysis
Jiyeon Kang, Yeon Jin Jeong, Jun Hee Jang, Minju Lee
Intensive and Critical Care Nursing.2021; 64: 102981. CrossRef
Development and validation of a questionnaire to measure post-intensive care syndrome
Yeon Jin Jeong, Jiyeon Kang
Intensive and Critical Care Nursing.2019; 55: 102756. CrossRef
Factors associated with frailty among community-dwelling older adults by age group: A multi-dimensional approach
Lee Seyune, Kim Hongsoo, Jung Young-il, Hong Yun-chul
Korean Journal of Health Education and Promotion.2018; 35(2): 89. CrossRef
Co-occurrence Network Analysis of Keywords in Geriatric Frailty
Youngji Kim, Soong-nang Jang, Jung Lim Lee
Journal of Korean Academy of Community Health Nursing.2018; 29(4): 429. CrossRef
The Evaluation of Feasibility and Predictive Validity of Comprehensive Korean Frailty Instrument: Using the 2008 and 2011 Living Profiles of Older People Survey in Korea
Eunmi Oh, Gwi-Ryung Son Hong
Journal of Korean Academy of Community Health Nursing.2017; 28(2): 206. CrossRef
Korean version of the Fatigue, Resistance, Ambulation, Illnesses and Loss of weight questionnaire versus the Modified Kihon Checklist for Frailty Screening in Community‐Dwelling Older Adults: The Aging Study of PyeongChang Rural Area
Il‐Young Jang, Hee‐Won Jung, Chang Ki Lee, Kwang Ho Jang, Eun‐Il Cho, Ju Jin Jung, Euna Park, Juyoung Kim, Young Soo Lee, Eunju Lee, Dae Hyun Kim
Geriatrics & Gerontology International.2017; 17(11): 2046. CrossRef
The Effect of a Comprehensive Intervention Program on the Functional Status and Bone Density of the Socially-Vulnerable and Frail Elderly
In Sook Lee, Kwang Ok Lee
Journal of Korean Academy of Community Health Nursing.2016; 27(1): 51. CrossRef
Effects of Calcium/Vitamin D Intake and Taekkyeon Exercise on the Elderly's Frailty
Kwang Ok Lee
Journal of Korean Biological Nursing Science.2016; 18(3): 185. CrossRef
Predictors and Frailty Level in the Frail Elderly Receiving Home Visiting Health Care Services
Jeong Sook Park, Yun Jung Oh
Journal of agricultural medicine and community health.2016; 41(3): 129. CrossRef
Frailty and its related Factors in Vulnerable Elderly Population by Age Groups
Eunok Park, Mi Yu
Journal of Korean Academy of Nursing.2016; 46(6): 848. CrossRef
Self-rated Health of Frail Elders
Jihyun Kim, Hwa-Mi Yang, Purum Kang, Jung Eun Choi
Journal of Korean Gerontological Nursing.2015; 17(2): 98. CrossRef
Evidence-based Prevention of Frailty in Older Adults
Yunhwan Lee
Journal of the Korean Geriatrics Society.2015; 19(3): 121. CrossRef
Validity of Instrument Development Research in Korean Nursing Research
Kyunghee Lee, Sujin Shin
Journal of Korean Academy of Nursing.2013; 43(6): 697. CrossRef
Effects of Health Characteristics on Depression of Elderly Beneficiaries of the National Basic Livelihood Scheme
Jungyi Hur, Yunjeong Yi, Keum-Jae Lee, Hee Gerl Kim
Journal of Korean Public Health Nursing.2013; 27(2): 327. CrossRef
Frailty Level and Health-related Characteristics among Participants of a Tailored Home Visiting Service
Insook Lee Ph.D., Ihn Sook Jeong Ph.D.
Journal of the Korean Geriatrics Society.2012; 16(2): 74. CrossRef

The Effects of Exercise Program for the Elderly: Tae Im Kim, Kang Yi Lee, Young Im Park, Myung Hee Jun, In Ja Kim, Eun Ju Kim, Dong Ok Kim, Ji Hyun Kim, Yun Jung Kwon; J Korean Acad Community Health Nurs. 2006;17(3):335-345. Published online September 30, 2006

222 View
0 Download

Abstract PDF: No abstract available.

Analysis of Researches on Nursing Intervention for Elderly Health Promotion from 1994 to 2004: Tae Im Kim, Kang Yi Lee, Young Im Park, Myung Hee Jun, In Ja Kim, Eun Ju Kim, Dong Ok Kim, Yun Jung Kwon; J Korean Acad Community Health Nurs. 2005;16(4):446-457. Published online December 31, 2005

229 View
0 Download

Abstract PDF: PURPOSE
The purpose of this study was to analyse researches on nursing intervention for elderly health promotion.
METHOD
A literature review of 38 researches was carried out using guidelines developed by the present researchers.
RESULT
The research papers studied in this research were theses written for doctoral or master's degree and published between 1994 to 2004. These researches applied nursing intervention for health promotion of elders and used experimental study design. The average period of nursing intervention was about 9 weeks and the average frequency was three times per week. As for major characteristics of subject groups, most of them were over 65 years old (76.3%) and resided in community (65.8%), and each group consisted of 10 to 29 elders. The dependent variables used in these studies included physiological variables (blood pressure, blood cholesterol level, pulmonary function, fasting blood sugar, blood cortisol level, body mass etc.), psychologic variables (depression, quality of life, life satisfaction, loneliness, anxiety etc.), cognitive variables (perceived benefits, perceived barriers, self-efficacy, self-concept, subjective health status etc.), activities of daily livings, health promotion behavior, pain, risks of fall, and variables related to Trans Theoretical Model. The majority of these studies (78.9%) applied exercise programs for health promotion including exercise motivating programs (15.8%).
CONCLUSION
We suggest that more various nursing interventions must be applied to promote elders' health and to take care of their chronic diseases.

A Study on the Factors Affecting Self-Regulation Program for the Hypertensives in Rural Area: Young Im Park, Myung Hee Jun; J Korean Acad Community Health Nurs. 2001;12(1):202-213. Published online March 31, 2001

111 View
0 Download

Abstract PDF: This study was conducted to identify the changes of the relationship among general characteristics, self-efficacy, and self-care of the hypertensives in rural area. For this purpose, self-regulation program was carried at two Community Health Practitioner Post located in the suburbs of Daejeon City from September to November, 1999. Data were analyzed with non-parametric statistics, t-test, pearson correlation. The results were as follows ; 1. The level of self-care was significantly different according to sex, status of smoking, and the level of self-efficacy of non-smoker was significantly higher than smoker. 2. After self-regulation program, there were significant positive relationship among self-efficacy, self-care, internal locus control, and negative relationship between perceived barrier and self-care. From these results, it can be concluded that the self-regulation program is an effective nursing strategy to promote self-care performance of hypertensives in rural area, and this program can be recommended for the management of hypertensives.

A Study of the Index Measurement for School Health Promoting Behaviors: Young Im Kim, Young Im Park, Jee Young Ahn; J Korean Acad Community Health Nurs. 1999;10(1):173-182. Published online June 30, 1999

144 View
0 Download

Abstract PDF: The objectives of this study were to measure the index of school health promoting behaviors and to identify the influencing factors in performing these behaviors. School health promotion indexes were composed of 6 areas developed by the WHO. The data were collected by questionnaires from June to September, 1998. The subjects were 199 elementary school nurses and data were analyzed by a SAS - PC program. The results of this study were as follows: 1) The total mean of the elementary school health promotion indexes was 3.45 with school health service being the highest score at 3.68. Other scores were 3.58-personal health skills and 3.03-community relationship. 2) There were significant relationships between school health promoting behaviors and independent variables. The important variables influencing to the school physical environment were school health budgets and the career of school nurses. Also the educational background and the career of school nurses were significant variables in school health service. From these results, it is recommended that a comprehensive school health promoting program including the 6 areas of health promotion be developed. A training program for school nurses in health promotion is necessary.

A Study about Self-care for Hypertensives in Rural area: Young Im Park; J Korean Acad Community Health Nurs. 1997;8(1):45-60. Published online June 30, 1997

164 View
0 Download

Abstract PDF: Essential hypertension is a typical chronic disease requiring adequate and continuous management. Many studies supported that self-care was the essential factor to promote the wellbeing of hypertensives and self-efficacy increased healthy, behavior. The comprehensive self-regulation program was conducted as a nursing intervention on the promotion self-care performance for hypertensives in company. And this self-regulation program was recommended to apply for hypertensives in rural area. The purpose of this study is to identify the general characteristics affecting self-care and interrelationship among the factors including self-care, self-efficacy, HLOC, perceived benefits, barriers and family support. 40 subjects were interviewed from Dec. 1996 to Jan. 1997 and the data was analyzed by the SPSS PC+ program with t-test and multiple correlation to determine the variables affecting the self-care behavior. The results were as follows: 1) Level of self-care was significant difference according to sex(t= -2.27, p=.0l9). religion (t=1.57, p=.055) and smoking habit (t=4.42, P=.000). Perceived self-efficacy was more significantly high among the non-smoking group (t=3.25, P=.000) and female group (t=-2.534, p=.0l3). 2) There were significant positive correlation among the variables: self-care and self-efficacy (r=.5460, p=.000), external-LOC and self-care(r=.2548, p=.056), external-LOC and self-efficacy(r =. 2901, p=.035), self-efficacy and perceived benefits (r=3307, p=.019). And there were significant negative correlation between self-care and barriers (r=-.5438, p=. 000), self-efficacy and barriers (r= - .4153, p=.004). From the above results, it can be concluded that the self-care is more required in male hypertensives and self-efficacy is one of the important factors to increase healthy behavior in cluding self-care. Thus self-regulation program can be recommended in the management of the hypertensives in community settings.

A Study on the Factors Affecting Self-Regulation Program for Hypertensives: Young Im Park; J Korean Acad Community Health Nurs. 1995;6(2):234-249. Published online December 31, 1995

137 View
0 Download

Abstract PDF: Essential hypertension, one of the leading primary cause of death in Korea, is a typical chronic disease requiring adequate and continuous management. Though these hypertensives need to maintain desirable health practice by themselves for their life time, many previous studies indicated that most of the essential hypertensives have no specific symptoms and thus, reluctant to follow appropriate medical regimens causing the condition further aggravated and complicated. Thus the comprehensive self-regulation program was conducted as a nursing intervention on the promotion self-care performance and improvement in physical parameters of hypertensives. For this purpose, a one group quasi-experimental research with pre and post test design was used. And the whole program was carried out from October, 1993 to February, 1994. Self-regulation program was consisted with group education on hypertension and self-care, self-regulation including the blood pressure self-monitoring and recording, recording of daily self-care activities, and encouraging and reinforcing self-efficacy through verbal persuation and enactive attainment. The subjects were asked to measure their own blood pressure by themselves twice per day and to record blood pressure and the daily self-care performance according to the instructions provided during the whole period of 9 weeks. The data was analyzed by experimental stages: the first week, the fifth week, and the ninth week since the experimental imput began. Data were analyzed by the SPSS PC+ program with paired t -test and F-test, and multiple correlation to determine the variables affecting the effect of program. The results were as follows : 1) Subjects in J company were significantly lower diastolic blood pressure than K company after the program (t=2.39, p=.024). Level of cholesterol was significant difference according to position(t=2.23, p=.034), family history (t=-2.66, p=.013), diagnosis duration, and career(t=2.88, p=.055). Perceived self-efficacy was more significantly increased among the group with family history(t=-3.00, p=.013). 2) Before the program, there were significant positive correlation among the variables: internal-LOC and self-efficacy(r=.3952, p=.015), external-LOC and barriers (r=.6515, p=.000), chance-LOC and Barriers(r=.4133, p=.012). However there were significant negative correlation between internal-LOC and barriers (r=-.3236, p=.041, external-LOC and self -efficacy(r=-.3517, p=.028), self-efficacy and barriers(r=-.6654, p=.000). 3) There were significant relationships between changes in self - care performance and self-efficacy at 5th week (r=.5313, p=.001) and changes in self-efficacy at 9th week(r=.4586, p=.005). 4) After the program, internal health locus of control and perceived benefits showed significant correlation(r=.5673, p=.001, but perceived barriers was negative correlation with perceived self-efficacy (t=-4242, p=.01). From the above results, it can be concluded that the self-regulation program is an effective nursing strategy through the change of variables to promote self-care performance of hypertensives and to increase the self-efficacy. Thus this program can be recommended in the management of the hypertensives in workplaces and community settings.

An Effect of the Self-Regulation Program for Hypertensives: Synthesis & testing of Orem and Bandura's theory: Young Im Park, Yeo Shin Hong; J Korean Acad Community Health Nurs. 1994;5(2):109-129. Published online December 31, 1994

152 View
1 Download

Abstract PDF: Chronic health problems has become a major concern and challenge to the health care professionals today. Especially hypertension, one of the leading primary cause of death in Korea, is a typical chronic disease requiring adequate and continuous management. Though these hypertensives need to maintain desirable health practice by themselves for their life time, many previous studies indicated that most of the essential hypertensives have no specific symptoms and thus, reluctant to follow appropriate medical regimens causing the condition further aggravated and complicated. Self-care is an essential factor that keeps chronic patients in control of their health and wellness. Thus this study was conducted to identify the effect of the comprehensive self-regulation program as a nursing intervention on the promotion self-care performance and improvement in physical parameters of hypertensives. For this purpose, a one group quasi-experimental research with pre and post test design was used. The subjects of the study was consisted of thirty persons with mild or moderate essential hypertension from two companies in Cheong-ju city. The whole program was carried out from October, 1993 to February, 1994. The self-regulation program was consisted with group education on hypertension and self-care, self-regulation including the blood pressure self-monitoring and recording, recording of daily self-care activities, and encouraging and reinforcing self-efficacy through verbal persuation and enactive attainment. The subjects were asked to measure their own blood pressure by themselves twice per day and to record blood pressure and the daily self-care performance according to the instructions provided during the whole period of 9 weeks. The instruments used for data collection in this study were as follows : 1) Instruments used for measuring the knowledge about hypertension, multiple health locus of control, and perceived benifits and barriers were adapted from previous studies and modified by author to be fit for the subjects. 2) Self-efficacy scale and self-care performance record were developed by the author. 3) Physiological parameters included systolic / diastolic blood pressure, body weight, level of blood cholesterol, and 24hour ambulatory blood pressure. The post-experimental Cronbach's Alpha as the reliability test of scales were 0.703-0.897, an appropriate level of confidence. The effect of the program was analyzed by experimental stages ; the first week, the fifth week, and the ninth week since the experimental imput began. Data were analyzed by the SPSS PC+ program with paired t-test and t-test, repeated measure ANOVA, and pearson's correlation to de termine the effect of program. The results were as follows : 1) After the self-regulation program, scores on knowledge(t=-2.41, p=.011), perceived self-efficacy (F=5.60, p=.001), self-care performance(F=22.31, p=.0001) were significantly higher than those before the program. 2) After the program, both systolic and diastolic blood pressure were significantly lower than those before the program(F=10.89 -13.11, p=.0001). However in 24hour ambulatory blood pressure, systolic mean pressure was nearly significantly lower, but not in diastolic mean pressure. 3) After the program, the body weight was significant decresed(t=5.53, p=.0001), but the blood cholesterol level was not decreased significantly except in those cases with higher cholesterol level. 4) There were significant relationships between changes in self-care performance and diastolic pressure at 1st week (r=.3389, p=.033) and changes in self-care performance and systolic pressure at 9th week(r=.3651, p=.024). 5) There were significant relationship between perceived self-efficacy and self-care performance at 5th week(r=.5313, p=.001) and 9th week (r=.3026, p=.052). 6) After the program, internal health locus of control and perceived benefits did not show significant change, but perceived barriers was significantly lower than those before the program (t=3.57, p=.0001). From the above results, it can be concluded that 1) The self-regulation program is an effective nursing strategy to promote self-care performance of hypertensives and to lower the blood pressure. Thus this program can be recommended in the management of the hypertensives in workplaces and community settings. 2) The synthesis of Orem's self-care theory and Bandura's self-regulation & self-efficacy theory in this study was proved to enhance explanation and prediction of the change of self-care behavior. Thus the result of the study would contribute in development of the self-care theory and an expansion of practice-theory.

Author index