Kanhohak t'amgu最新文献

In 1981, an unusual case with immunodeficiency was reported and there after an epidemic fo the similar syndrome in population of homosexuals was recognized by Center for Diseases Control(CDC) U. S. A. Later the disease was characterized as an acquired immunodeficiency syndrome(AIDS). In 1983, virologists found the causative agent which is a novel retrovirus named human immunodeficiency virus(HIV). Since then, by use of modern biotechnology, numerous and detailed informations have been accumulated by various researchers. The result, however, demonstrated that there is no a single method of satisfaction to prevent of cure the disease except avoiding from the agent. This problems are discussed by reviewing the results reported up to date.

This ethnographic exploratory study sought to define the meaning of Sanhujori from the perspective of the women who experienced it. Participant observation and interviews indicated that the women perceived the postpartum to be a new state of being, in which they underwent profound physiological, psychological, and sociological changes. Sanhujori was regarded as a phenomenon including belief system and practice system of care that would assure the successful recovery of the woman, her long-term well-being, and the health of her child. Sanhujori as a Belief System includes know-how, period, rationale, condition and consequences built upon six principles. They included: invigorating the body by augmentation of heat and avoidance of cold; resting without working; eating well; protecting the body from harmful strains; keeping cleanness; and handling with the whole heart. Sanhujori as a Practice System is a dynamic process performing according to Belief System. A failure to "Doing a Sanhujori well" was believed to put the mother at risk for a variety of ills (Sanhubyung). Influencing factors on the process included personal and environmental factors. This finding raises a basic question about the relation of professional care during the postpartum to the women's received cultural beliefs about that care.

The study attempted to explore the patterns of traditional health promotion activities in Korea. The methods employed in the study were the modified content analysis and the open coding method of grounded theory approach. Three principles of health promotion, conformity with universal law, temperance, and self-regulation were identified in the analysis. The subcategories of the three principles were natural order, harmony, activity and rest, diet, sexual life, convetousness, temperament, and apprehension. These principles stressed the harmony with nature and means of activities in everyday life. The principles also implied the Oriental holism and prevention of disease.

This paper presents how behavioral theory can be used to evaluate a group of women's decisions related to the early detection of breast cancer. While the emphasis of this presentation is breast cancer detection, it is important to remember that behavioral theory can be applied to a variety of health behaviors. The incidence rate for breast cancer among American women has risen steadily over the last several decades. According to current estimates, one of eight women can expect to get breast cancer in her lifetime. Despite great advances in medical technology, the current state of knowledge limits the ability of health care providers to 'cure' advanced malignancy; and although an association between breast cancer and some lifestyle factors is suspected, there are still no guaranteed methods of preventing the disease from occurring. A growing body of evidence indicates that the mortality rate from breast cancer can be decreased through women's participation in breast cancer screening techniques (mammography, clinical breast examination, and breast self-examination) in order to detect the disease at an early stage before it becomes invasive. Despite the evidence supporting BSE as a detection technique, the majority of women do not perform it on a regular basis. Health care professionals must develop educational programs to encourage women to perform BSE. Effective educational programs require an understanding of the attitudes and beliefs that affect the performance of th health behaviors. In an attempt to understand the relationship between attitudes and BSE behavior, this paper used the multiattribute utility model based on value expectancy theory. This paper includes careful description of methodology using multiattribute utility model and some implications of the results in developing an effective educational program for BSE.

The purpose of this article is to describe operationalization of the Theory of Planned Behavior (TPB). The quest to understand determinants of health behaviors has intensified as evidence accumulates concerning the impact of personal behavior on health. The majority of theory-based research has used the Health Belief Model(HBM). The HBM components have had limited success in explaining health-related behaviors. There are several advantages of the TPB over the HBM. TPB is an expansion of the Theory of Reasoned Action(TRA) with the addition of the construct, perceived behavioral control. The revised model has been shown to yield greater explanatory power than the original TRA for goal-directed behaviors. The process of TPB instrument development was described, using example form the study of smoking cessation behavior in military smokers. It was followed by a discussion of reliability and validity issues in operationalizing the TPB. The TPB is a useful model for understanding and predicting health-related behaviors when carefully operationalized. The model holds promise in the development of prescriptive nursing approaches.

Based on the health conception viewed from the literature on nursing and by the clients, health is defined as a living experience, or as a perception of wellness in this study. That is, it is the perceived wellness that the individual obtains by wholistically integrating all dimensions of health where ever the individual stands in the health continuum. Thus health exists independently, regardless of illness or disability, because the individual is able to perceive the wellness within limitations imposed to him/her. Also, based on the health conception defined in this study and the literature review on health promotion, health promotion is defined as the process of enhancing the perception of wellness (i.e., living experience), where ever the individual stands in the health continuum. Therefore, health promotive care represents the process of making client help himself to improve health experience/perception of wellness by selecting and/or integrating the individual or social health parameters (determinants) based on his reality. After analyzing the data which is provided from the related literature and the results from the descriptive/exploratory research on this group of clients, and then applying those analysis results to the PRECEDE model, planning process for health promotion program is established. However, as planning process is only based on data from literature in the first stage, it will be modified appropriately according to the assessment feedback from the direct participation of client in the following study. Based on the planning model refined through this assessment process, health promotion program is to be developed, implemented and evaluated. Planning process of health promotion for clients with arthritis is begun from the assessment of health outcome as the first phase. It is analyzed from this study that clients with arthritis indicates lower quality of life/satisfaction than the other groups from the several research findings indicate. In the second phase, according to the analysis results in the first phase, clients' health problems (perceived seriousness about illness, uncertainty in illness, helplessness, difficulty of movement), which affect the low quality of life, are identified and then program objective for each problem is demonstrated. As an objective for the perceived seriousness about illness, relief of the mistrust on the general effects of treatment for illness is determined through appropriate data analysis. And clients' accumulation of accurate knowledge on the nature of illness is determined as an objective, for reducing uncertainty in the illness. Also enhancement of distraction ability and self-efficacy perception is defined as objectives for reducing physical, psychological and social helplessness.(ABSTRACT TRUNCATED AT 400 WORDS)