Objectives: This study analyzed the effects of diabetes interventions published in journals of nursing, medical and public health, to suggest directions for future research. Methods: A comprehensive search of three databases was undertaken (Korean studies, Riss4U, RICHIS) using research terms such as "diabetes", "nursing", "public health", "intervention" and "program". One hundred fifty four original articles were retrieved and 21 articles were finally analyzed. The analyzed articles satisfied the inclusion criteria and their effect size was calculated. Results: Most studies about diabetes intervention were published form 2001. 2005 (57.1%). The psycho-social variables, 'self-efficacy' and 'self-care' presented good effects on exercise or exercise prescription intervention. In addition, the physiological variables, 'fasting blood sugar' and 'glycosylated glucose' presented good effects on the interventions using four more elements or the interventions held in a public health center. Conclusion: Further research should consider the essential elements that benefit diabetes patients' behaviors or physiological indicators.

Purpose: The study examined the effect of exercise public health center exercise program on strength, balance, body composition and blood pressure in healthy elderly women. Method: Thirty healthy elderly women were divided into three 12-week exercise groups: Tai-Chi (n=10), silver dance (n=10), and band exercise (n=10). The results were analyzed by two-way repeated ANOVA and paired t-test using SPSS 12.0 program. Results: Body weight and body mass index were significantly decreased in the Tai-Chi and silver dance groups. In addition, there was a significant increase in balance time and reduced diastolic blood pressure in Tai-Chi participant. Grip strength was significantly increased in Tai-Chi and silver dance participants, but there was no effect in the band exercise group. Agility was significantly increased in the band exercise group. Conclusion: Tai-Chi and silver dance may be beneficial to improve fitness of elderly people, although the details remain to be elucidated.

Purpose: The study examined influencing factors on death anxiety in the aged. Method: This was a descriptive survey study. Data were collected from March to June, 2010, from357 older home-dwelling adults. The questionnaires solicited information on death anxiety, family function, morale, health behavior and ego-integrity. Data was analyzed using descriptive statistics, Pearson's correlation, and stepwise multiple regression. Results: Average scores were 2.50 for death anxiety, 3.80 for family function, 9.0 for morale, 3.12 for health behavior and 2.84 for ego-integrity. There were statistically significant negative correlations between family function and death anxiety, morale and death anxiety, health behavior and death anxiety, and ego-integrity and death anxiety Morale, ego-integrity, and economic status were a significant predictor of death anxiety. Conclusion: Multilateral efforts are needed to assist the aged in successful aging through continuous body activities and active participation in society.

Purpose: The study investigated the effects of 9 weeks of group music rope-jumping training on health-related physical fitness and blood lipid in obese elementary school boys and girls. Method: Subjects were randomly assigned to either a training group (37 boys and 18 girls) or control group (36 boys and 19 girls). The training group exercised for 1 hour, 2 days per week during the 9-week supervised music rope-jumping training program. The control group was asked to maintain their normal daily physical activities. The effects of the interventions on physical fitness and blood lipids were analyzed by two-way repeated measures ANOVA (group ${\times}$ time). Results: There were significant group ${\times}$ time interaction effects on body weight (p<.023), %body fat (p=.09), body mass index (p=.018), and body fat mass (p=.019) in school girls. However, there was not an interaction effect on serum lipids in both genders. Conclusion: The 9-week music rope-jumping training program used was effective for improving body composition in obese elementary school girls.

Purpose: The number of people using the internet to meet their health information needs is growing. However, little is known about the characteristics of the senior internet health information seeker. The purpose of this study was to identify the socio-demographic and health-related characteristics, as well as the internet health information seeking behaviors and attitudes in the elderly. Method: Data was collected from 385 elderly subjects(aged 55 years or older) and living in Seoul and Gyeonggi. We used questionnaires developed by researchers in this study. Data was analyzed using the following methods: descriptive statistics, t-test, $X^2$-test and Fisher's exact test. All statistical tests were performed using the SAS version 9.13. Results: The elderly using the internet to seek health information had relatively good subjective health and were living with a spouse. In general, the purpose of internet use was to search for information, and mainly used at home. The search in the disease management area was higher than the frequency of searches for health promotion. The elderly showed a generally positive attitude regarding health information. Conclusion: It is needed to increase the use of the Internet for finding health information and promote accessibility for internet health information in the elderly.

Purpose: To investigate the behavioural factors of the health promotion for caregivers based on a socio-ecological model. Methods: This study was a cross-sectional descriptive study using a self administered questionnaire. The survey was conducted in 219 people chosen through convenient sampling between September and December 2008. The collected information included general characteristics, individual, interpersonal, community, policy level. Results: For the statistical analysis, the t-test was used for the health promotion according to the general characteristics and to each level of the socio-ecological model, by assessing the high and low values and dividing them into mean points. The influence elicited by different health promotion factors was determined using the hierarchical multiple regression. At the individual level, the factors influencing health promotion in caregivers included perceived seriousness, perceived benefits, and self efficacy. Social support was important at interpersonal level, and the use of community resource was relevant for the community level. We found no statistically significant factors relating to the policy level. Conclusions: In conclusion, the socio-ecological models seems appropriate for explaining health promotion and its associated factors in caregivers. We suggest that, for caregivers, strategies should be developed for their social support and to offer information about how to use community resources in relation with factors relating to the individual level.

Purpose: The purpose of this study was to investigate factors affecting health promoting lifestyle in nursing students. Methods: A descriptive cross-sectional study was done using a convenient sampling (n=682) in a three-year nursing college. The health promoting lifestyle was measured by the instrument of Walker's and self esteem was measured by the instrument of Rosenberg's. Data were analyzed by descriptive statistics, chi-square test, oneway ANOVA and Stepwise multiple regression. Results: The average score of health promoting lifestyle was 2.34. The score of psycho-social well-being subscale was higher than that of health promoting behavior subscale. The highest score was on the interpersonal relations subscale, and the lowest score was on the physical activity subscale. The self-esteem, mental health status, satisfaction with school life, school year, perceived economic status, and gender accounted for 31.9% of the variance of health promoting lifestyle. Conclusion: Self-esteem was the most powerful influencing variable of the health promoting lifestyle, and physical activity was the lowest score of the health promoting lifestyle subscale. Therefor nursing educators should consider to include a health promotion program with increasing self esteem and physical activity in the nursing curriculum.

Purpose: The purpose of this study was to develop a parents education program for early childhood health care and to measure its effects. Methods: This study was a quasi experimental study following a pretest-posttest design model. The subjects were 264 parents who had children aged 0-5 years in 7 rural districts or in the city. The content of this program was child development and management, and the management for health and disease for and emergency care. Parent education was performed by 7 nursing professors in each area, including 2 education sessions. Data were twice collected using a questionnaire, i.e. before the first session and after the second session. Data were analyzed by using the SAS software version 9.1. Result: The hypothesis of this study was that "the parents' score will improve after education". Our hypothesis was supported (t=7.30, p=<.0001). We found corelation in occupation and past experience of similar education. The contentment of education was higher than 90%. Conclusion: The systematic parents education program was very useful and effective, in raising the level of contentment of subjects. There is the needed for the social opportunity of parents' education program to be extended and emphasised by public support.

Purpose: The purpose of this study was to investigate the relationship between social support and loneliness in elderly women living alone. Method: Between 1 October 2008 and 30 April 2009, a random sampling method was conducted to recruit 112 elderly women who were living alone. The subjects were at least 65 years of age. Data was collected using the social support questionnaire, and the translated Korean Version of the Revised University of California at Los Angeles Loneliness Scale (R-UCLA Loneliness Scale). Results: In our study, the sources of social support were the children, neighbours, brothers and sisters, in this order. We found that the loneliness of the subjects was related to age, the number of children, and financial difficulty. The level of loneliness negatively correlated with the social support provided by children, brothers and sisters, other relatives, and neighbours. Also, there was a negative correlation with the social support satisfaction. The social support satisfaction and the social support offered by neighbours and relatives were the significant predictors of loneliness. Conclusion: The sources of social support, such as neighbours and relatives, and the social support satisfaction should be considered when planning intervention by nurses or social workers to decrease the level of loneliness in elderly women living alone.

Purpose: The purpose of this study was to identify the relationship between selfleadership and self-concept in nursing students. Methods: We used a descriptive correlation survey in a convenient sample of 818 subjects recently admitted into college in Seoul and the Kyungki province, Korea. The self-leadership and self-concept levels were measured using the self-leadership and self-concept scales, respectively. The subjects were given a self-report questionnaire. Collected data were analyzed by frequency, percentage, mean, t-test, ANOVA, scheffe-test and pearson correlation, using the SPSS software version 17.0. Result: Positive correlations were identified between the self-leadership and self-concept in the investigated nursing students. Conclusion: The results of this study indicate that it is important to provide opportunities for the nursing students to participate in the programs designed for self-leadership and self-concept development.

Purpose: The purpose of this study was to investigate the patterns of internet usage, selfefficacy, and self-esteem of the elderly. Method: Study participants were 139 older than 60 years of age who had used internet and could access internet anytime at home. Data were collected from March to September, 2009 by using a structured questionnaire. The data were analyzed using PASW/WIN 18.0 program. Results: The meantime of internet use was 8.74 hours per week, frequently used web-site was 'Newspaper and magazine', and subjects mainly used internet 'not to fall behind the times'. The mean score of internet use capability was 2.42, among theses the score of 'Searching necessary information' was the highest. The internet use capability of the subjects was significantly different in terms of education level, spouse, economic status, and the length of use. The mean scores of self-efficacy and self-esteem were $28.22{\pm}4.42$ and $28.51{\pm}4.25$, respectively. Conclusions: These results suggest that the elderly people use internet not to fall behind the times but they have enough capability to use internet searching or e-mailing. Also, it is true that there are many influencing factors on internet use and capability of the elderly. Therefore, it is needed to investigate the internet use of the elderly more closely.