Purpose: The objectives of this study was to measure the outcomes of interventions on the health and social welfare of the elderly in a rural community in Korea. The project involved integrating services of one public health center with that of one social welfare agency, which were under different administrative structures. Method: A single group pretest-posttest design was used for this research. Seventy-five elderly residents living alone in a rural community participated in the study. All of them had coverage of free basic medical care and social welfare services by the government. Major activities for the intervention included: developing partnerships among community leaders/institutes; forming committees of community residents; educating care providers and volunteers; developing 8 integrated service programs and instruments; and organizing the networks. The 20-month intervention was care-managed by a public health nurse whom collaborated with social worker, and was assisted by volunteers. The t-test was utilized to analyze the outcome variables including the elder's health, social welfare and quality of life. A major limitation of this study was the lack of a control group. Results: The outcome of the intervention was shown by improved elder's health, social welfare needs, and quality of life. Integrating the services of public health centers with those of social welfare agencies is an effective way to improve the health of the elderly in the community. Conclusion: Developing community capacity with such integrated services will pay an important role in improving the health of the elderly who live alone.

This study investigated and tested the overall level of dietary habits and health status/health management of the residents in a rural area. The interview survey was performed in March 2004 with a structured questionnaire to 510 residents who lived in Muan-Gun of Jeonnam province. The questionnaire was the abridged Scale of Dietary Habits and Health Status which surveys the morbidity, subjective health status, health management, and health examination. The Chi-squire method was used for some of the cross-sectional data. The 510 adult respondents were composed of 61.2% male and 38.3% female. In regularity of meal time, 56.3% of the subjects had a meal regularly(eating time), while 73.5% had a balanced diet(eating number). The habit of regular meal time was significantly higher in old people than in young people. The majority of the subjects had an appropriate meal amount. Unbalanced diet was higher in young people than in old people. 51.4% had the dining out and was significantly higher in younger people than in old people. In other questions, 60.7% of the subjects took a snack, 77.3% were under regular health management, and 49.6% had health examination. A minority of the respondents (31.3%) had disease, while 13.5% chronic disease, and 17.8% had acute disease. The level of dietary habits and general characteristics were positively correlated with each other, as were habits and health status. These results suggest the need for nutritional education programs directed at young people with a special emphasis on regularity of meal time. unbalanced diet, dining-out and a snack.

Purpose: To explore the level of health status and health promotion lifestyle, and the group differences in health promotion lifestyle among Seoul citizens who participated in free hypertension screening. Methods: This study was a cross sectional descriptive design. The administered questionnaire included the Health-Promoting Lifestyle Profile II (HPLP II), perceived health status scale, and demographic questions. Blood pressure was measured by researcher teams. Data were collected from July 2 to 6, 2004 in the waiting area of subway stations 7 in Seoul. The study subjects were 168 adults. Results: The average age of the respondents was 55.45 years and 38.7% of them perceived themselves as healthy, while 44% did not know their own blood pressure. Among the participants, 44.6% were classified as 'prehypertensive', and 36.9% as having high blood pressure. The mean score of health promotion lifestyle was 2.62 and the order of subcategories of health promotion lifestyle was interpersonal relationship, spiritual growth, nutrition, stress management, physical activities, and health responsibilities. The subcategories of health promotion lifestyle differed significantly by age, sex, job, and smoking. Conclusions: It is important to encourage adults to participate actively in health promotion. In addition, health promotion programs should be developed and implemented based on group differences.

Objectives: To investigate the drinking and smoking habits among the community residents of a city. Methods: We surveyed 1.973 adults from October 1, 2005 to November 16, 2005. The data collected on alcohol drinking habits involved frequency, age of initiation, amount of alcohol consumed, number of attempts to reduce consumption and reasons for reducing it. The data collected on smoking habits involved amount, age of initiation, duration, situations, and the number of attempts to quit smoking. These were analyzed with frequency, percentage, mean, standard deviation, $x^2$-test, t-test and ANOVA. Results: The rate of drinking was 67.4%; 83.1% among males, and 52.5%among females. Among all drinkers, the largest group (29.8%) drank once or twice a week. The mean age of initiation was 21.2 years; 19.9 among males, and 22.8 among females. The average consumed amount was 5.8 glasses; males consumed 7.4 glasses, and females 3.3 glasses. The consumption was the highest among those in fifties. The rate of attempts to reduce drinking was 33.4%, mainly for health reasons. The rate of smoking was 38.0%; 72.4% among males, and 5.5% among females. Among all smokers, the largest group (44.1%) smoked between 11 and 20 cigarettes per day. The mean of the age of initiation was 20.7 years; 20.3 among males, 25.6 among females. The mean smoking duration was 20.9 years; 21.3 years among males, and 16.2 years among females. The main reason for the initial attempt was curiosity. The most common situation for smoking was after dinner. The rate of attempts to quit smoking was 77.1%, mainly out of concern for one's health. Alcohol consumption among smokers was higher than among any other group of nonsmokers. Also, the age of drinking initiation among smokers was lower than among any other group of nonsmokers. Conclusion: This study highlighted the actual data on drinking and smoking habits among community residents. The study can be utilized for creating programs aiming at reducing the consumption of alcohol and tobacco or stopping it altogether. Therefore, it is now possible to assess the indicators for interventions in each population group. Finally, the groups of heavy drinkers and smokers are expected to be given priority for intervention program.

Purpose: To identify perimenstrual discomforts, coping and relief of symptoms in female workers. Methods: A convenience sample of 203 women who had worked were obtained from two hospitals in Busan. Data were collected through questionnaires from November 8 to 16, 2004. Three instruments were used in this study: the Perimenstrual Discomfort Questionnaire by Park(1988) and the Menstrual Coping Questionnaire and the Relief of Symptoms by Billings & Moos(1981) modified for this study. The data were analyzed by descriptive statistics, t-test, and ANOVA with SPSS 10.0 program. Results: The prevalence rate of dysmenorrhea was 81.3%. The total mean score for perimenstrual discomforts was 2.83 out of a possible total of 5 and the mean score for each category was, 3.08 for water retention, 2.95 for pain, 2.88 for negative affect, 2.83 for behavioral change, 2.73 for autonomic reactions, and 2.51 for concentration. According to these study results, statistical differences were found for age(F=2.76, p=0.04), feeling to menstruation(F=3.94, p=0.00), dysmenorrhea(t=4.26, p=0.00), and taking medication(t=2.09, p=0.00). The coping modes with the highest scores were 'take a hot bath'(99.0%)', 'rest and go to bed'(83.7%), 'regard menstruation as a physiological and temporary phenomenon'(76.8%), 'take a warm shower'(65.0%). The most frequently used methods to relieve symptoms were 'rest and go to bed'(70.0%), 'take a warm shower'(57.6%), 'take pain killers'(49.8%), 'apply hot water bag on painful parts of the body'(46.8%). Conclusion: Further research is needed to understand perimenstrual discomforts and the variables associated with them. Nursing intervention has to be considered in any program aiming to reduce perimenstrual discomforts.

Purpose: This study investigated the relationship between knowledge and attitude about smoking of college student smokers. Methods: The data were collected from the 6th to 27th of April 2005, from 411 college student smokers in Jeollabuk-Do area. The collected data were analysed by using the SPSS WIN 11.0. Results: 1) The focus group showed mean $17.40{\pm}12.45$ in the knowledge about smoking. The knowledge about smoking was significantly different among general subject characteristics of age(F=4.84, p=.008), grade(t=2.96, p=.003), major(F=5.93, p=.001), and religion(t=2.96, p=.003). 2) The focus group showed mean $23.69{\pm}16.19$ in their attitude about smoking. The attitude about smoking was significantly different among general subject characteristics of age(F=8.15, p=.000), grade(t=-2.33, p=.020), major(F=8.35, p=.000), and residence(t=3.08, p=.010). 3) The correlations between knowledge and attitude about smoking were positively correlated(p<0.01). Conclusion: The subjects knowledge about smoking was correlated with their attitude about smoking. Therefore, we need to develop various differential smoking prevention programs and extend the role of experts.

Purpose: This study was conducted to examine the relationship among pain, family support, self-efficacy, depression of patients with arthritis. Method: The subjects of this study consisted of 96 patients with arthritis. The data was analyzed ANOVA. Duncan test. Pearson Correlation Coefficients using SAS. Result: Pain showed significant differences according to depression(F=8.12, p=0.001), self efficacy(F=11.52, p<.000) and not significant differences family support(F=0.34, p=0.714). There was a significant negative correlation between family support and depression(r=-.48, p<.000), depression and self efficacy(r=-.41, p<.000). Conclusion: Therefore, for the management of arthritis patient it is required continuous self-management and proper program on self-efficacy promotion.

Purpose: To explore the effect of lavender fragrance on depression and anxiety of nursing students intending to take the national licensing examination. Methods: Twenty-four nursing students were studied for one week during which they underwent lavender fragrance treatment using a necklace. All subjects were in the department of nursing in 'K' college. Before and after treatment, the severity of depression and anxiety was evaluated by questionnaire. Results: After treatment, the severity of depression had not decreased significantly (p=.139) but the severity of anxiety had (p=.030). Conclusion: According to the study results, it can be concluded that lavender fragrance showed an effect on anxiety among nursing students intending to take the national licensing examination and choose a job.

Purpose: To identify the relationship among economic status, health status and health promotion behavior in school-aged children. Methods: Data was collected from 308 fifth-grade children in Seoul. The instruments used were the self-reported questionnaires on economic status by McLoyd, health status by Shin, and health promotion behavior by Ki. Data was analyzed by SPSS WIN 12.0 program, using descriptive statistics, t-test, ANOVA, and Pearson correlation coefficient. Results: Economic status and health status were negatively correlated (r=-.30), as were economic status and health promotion behavior (r=-.26). The relationship between Health status and health promotion behavior were positively correlated (r=.20). Health promotion behavior was significantly related with sex. father's education, mother's education and school record. Conclusions: These results suggested that health status and health promotion behavior in school-age children are affected by economic status.