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Article ; Online: Effects of a remote physical activity improvement program on male office workers with metabolic syndrome in their 30s and 40s with sedentary behavior: A randomized controlled trial.

Park, Kyong Sil / Hwang, Seon Young

2024

Abstract: Purpose: Sedentary office workers lack physical activity and have a high prevalence of metabolic syndrome (MetS). This study attempted to develop a remote physical activity improvement program for sedentary office workers and verify its effectiveness by ...

Abstract	Purpose: Sedentary office workers lack physical activity and have a high prevalence of metabolic syndrome (MetS). This study attempted to develop a remote physical activity improvement program for sedentary office workers and verify its effectiveness by applying it to male workers in their 30s and 40s with MetS. Methods: This study used a randomized control group pretest-posttest design, and the study sample was 75 male workers recruited from an information and technology company. They were randomly assigned to either the intervention (n = 38) or control (n = 37) group. The remote physical activity improvement program was constructed based on the self-regulation theory emphasizing autonomy, and was conducted through non-face-to-face Zoom once a week for a total of 12 weeks. Health education, exercise training, small group meetings, and individual counseling were provided, and tailored text messages were sent to participants every day to encourage them to reflect on their lifestyle and practice exercise. Results: The remote physical activity program significantly increased basic psychological needs (Z = -7.55, p< .001), intrinsic motivation (Z = -6.94, p< .001), health promotion behavior, (Z = -6.63, p < .001) and physical and physiological indicators (p<.05) in the intervention group compared to those in the control group. Conclusions: In managing MetS among office workers, it was found that remote education using the Zoom platform was effective, even during the coronavirus pandemic. As a strategy for health education in the workplace, remote education content needs to be developed and applied.
Language	English
Publishing date	2024-01-27
Publishing country	Korea (South)
Document type	Journal Article
ZDB-ID	2481635-8
ISSN	2093-7482 ; 2093-7482
ISSN (online)	2093-7482
ISSN	2093-7482
DOI	10.1016/j.anr.2024.01.006
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: [Effects of a Health Partnership Program Using Mobile Health Application for Male Workers with Cardiovascular Risk Factors in Small and Medium Enterprises: A Randomized Controlled Trial].

Kim, Eun Jin / Hwang, Seon Young

Journal of Korean Academy of Nursing

2024 Volume 54, Issue 1, Page(s) 44–58

Abstract: Purpose: This study aimed to apply a health partnership program using commercially available mobile health apps to improve cardiovascular risk factors in male employees and verify its effectiveness.: Methods: Using a randomized control group pretest- ... ...

Abstract	Purpose: This study aimed to apply a health partnership program using commercially available mobile health apps to improve cardiovascular risk factors in male employees and verify its effectiveness. Methods: Using a randomized control group pretest-posttest design, male employees with cardiovascular risk factors from five small and medium-sized workplaces were randomly assigned to an experimental group (n = 32) and a control group (n = 31). The experimental group was encouraged to use three mobile health apps for 12 weeks to acquire the necessary cardiovascular disease-related information and practice strengthening training, walking, and diet management appropriate to their level. They also received feedback on their weekly activities and motivational text messages from health partners. Hypotheses were tested using the SPSS WIN 22.0. Results: The experimental group showed a significant difference compared to the control group in terms of their perception of mobile health app ( Conclusion: Intervention using mobile apps based on partnership with health managers is effective in improving the objective cardiovascular risk index in male employees; therefore, such intervention should be continuously used as a useful lifestyle modification strategy in the workplace.
MeSH term(s)	Humans ; Male ; Cardiovascular Diseases/prevention & control ; Mobile Applications ; Risk Factors ; Heart Disease Risk Factors ; Cholesterol, HDL ; Telemedicine
Chemical Substances	Cholesterol, HDL
Language	Korean
Publishing date	2024-03-14
Publishing country	Korea (South)
Document type	Randomized Controlled Trial ; English Abstract ; Journal Article
ZDB-ID	2619665-7
ISSN	2093-758X ; 2093-758X
ISSN (online)	2093-758X
ISSN	2093-758X
DOI	10.4040/jkan.23090
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Article: Effect of risk factor-tailored autonomy enhancement education in the first-time middle-aged patients undergoing percutaneous coronary intervention: a randomized controlled trial.

Uhm, In Ae / Hwang, Seon Young

BMC nursing

2023 Volume 22, Issue 1, Page(s) 479

Abstract: Purpose: It is important for middle-aged patients who have undergone acute treatment for coronary artery disease to voluntarily improve their lifestyle and risk factors based on their recognition as patients with chronic diseases. This study conducted ... ...

Abstract	Purpose: It is important for middle-aged patients who have undergone acute treatment for coronary artery disease to voluntarily improve their lifestyle and risk factors based on their recognition as patients with chronic diseases. This study conducted individual education to improve risk factors and tried to verify its effectiveness. Methods: The hypothesis was verified by applying a randomized controlled pre- and post-test design through random assignment of two groups. Middle-aged (40-64 years) patients who underwent percutaneous coronary intervention for the first time were recruited from a university hospital in Seoul, Korea. For the experimental group, based on the Self-Determination Theory, risk factor- tailored counseling and education were provided individually for one hour based on the education booklet, and telephone counseling was conducted twice for 12 weeks. Differences in autonomous motivation, resilience, self-care compliance and biochemical indicators measured after 12 weeks in the experimental group and the control group were compared. Data were analyzed using SPSS/WIN ver. 22.0. Results: The autonomous motivation, resilience, and self-care compliance of the experimental group were significantly higher than those of the control group (p < .05). Body mass index (p = .005) and current smoking rate (p < .001) were also significantly decreased in the experimental group but there was no significant difference in other biochemical parameters. Conclusion: For middle-aged patients with first coronary intervention, risk factor-tailored education emphasizing autonomy by nurses should be provided early after discharge. Trial registration: This study was retrospectively registered in the Clinical Research Information Service and the identification number is KCT0008698(11/08/2023).
Language	English
Publishing date	2023-12-18
Publishing country	England
Document type	Journal Article
ZDB-ID	2091496-9
ISSN	1472-6955
ISSN	1472-6955
DOI	10.1186/s12912-023-01654-6
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Article ; Online: The Moderating Effect of Mental Health on the Relationship Between Cardiovascular Disease Awareness and Health Behaviors of Middle-Aged Korean Chinese Workers With Cardiovascular Risk Factors in Korea.

Zhang, Yu Zhu / Hwang, Seon Young

Journal of transcultural nursing : official journal of the Transcultural Nursing Society

2023 Volume 34, Issue 2, Page(s) 131–142

Abstract: Introduction: Cardiovascular disease (CVD) remains a leading cause of death in China and Korea, yet little is known about in Korean Chinese workers. The purpose of the study was to investigate the effects of CVD awareness and mental health on health ... ...

Abstract	Introduction: Cardiovascular disease (CVD) remains a leading cause of death in China and Korea, yet little is known about in Korean Chinese workers. The purpose of the study was to investigate the effects of CVD awareness and mental health on health behaviors and evaluate the moderating effect of mental health on the relationship between CVD awareness and health behaviors among Korean Chinese workers. Method: We used a cross-sectional design and convenience sampling of participants from Seoul in December 2021. Data were analyzed using descriptive statistics, Pearson's correlation coefficient, independent Results: CVD awareness, mental health, and health behaviors were relatively low and mental health showed a moderating effect on the relationship between the two variables. Discussion: Understanding relationships between CVD awareness, socioculturally mediated health behaviors, and mental health issues is critical to CVD prevention among participants; moreover, mental health should be specifically assessed and targeted for improvement.
MeSH term(s)	Middle Aged ; Humans ; Cardiovascular Diseases/complications ; Cardiovascular Diseases/prevention & control ; Mental Health ; Cross-Sectional Studies ; East Asian People ; Risk Factors ; Health Behavior ; Heart Disease Risk Factors ; Republic of Korea
Language	English
Publishing date	2023-02-08
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1291524-5
ISSN	1552-7832 ; 1043-6596
ISSN (online)	1552-7832
ISSN	1043-6596
DOI	10.1177/10436596221147078
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Article ; Online: Cardiovascular Health Behavior Prediction Model in Patients With Type 2 Diabetes.

Lee, Sun Kyung / Hwang, Seon Young

The Journal of cardiovascular nursing

2023

Abstract: Background: To prevent cardiovascular disease in adults with type 2 diabetes, it is necessary to identify the factors that affect cardiovascular health behavior.: Objective: The aim of this study was to verify the causal relationship between illness ... ...

Abstract	Background: To prevent cardiovascular disease in adults with type 2 diabetes, it is necessary to identify the factors that affect cardiovascular health behavior. Objective: The aim of this study was to verify the causal relationship between illness perception and diabetes knowledge as cognitive representations, depression as emotional representations, self-efficacy as cognitive coping, and oral health and cardiovascular health behaviors as behavioral coping strategies. A hypothetical model was established based on a literature review and the self-regulation model. Methods: In this study, a cross-sectional survey design was used, and the participants were adults 30 years or older who had been given a diagnosis of type 2 diabetes for more than 6 months and were recruited from South Korea. Data from 272 participants were collected through face-to-face interviews or Google surveys in 2021, and analyzed using SPSS 25.0 and AMOS 22.0. Results: Oral health behavior (β = 0.26, P < .001) and self-efficacy (β = 0.16, P = .048) had a direct effect on cardiovascular health behavior, and illness perception (β = 0.24, P = .018) and depression (β = -0.25, P < .001) had an indirect effect through self-efficacy (β = 0.24, P = .016), with a total explanatory power of 19.1%. Oral health behavior was directly affected by illness perception and self-efficacy, and self-efficacy was directly affected by illness perception, diabetes knowledge, and depression (P < .05). Conclusion: To practice cardiovascular health behaviors in adults with diabetes, self-efficacy for diabetes management should be enhanced. To this end, it is necessary to increase illness perception and knowledge, and reduce depression through cardiovascular disease prevention education for them, and the importance of oral health behaviors should also be emphasized.
Language	English
Publishing date	2023-09-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	639335-4
ISSN	1550-5049 ; 0889-4655
ISSN (online)	1550-5049
ISSN	0889-4655
DOI	10.1097/JCN.0000000000001037
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Zs.A 2315: Show issues

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Jg. 1995 - 2021: Lesesall (2.OG)
ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Influencing Factors for Cardiometabolic Risk in Korean Adolescents Based on 2010-2015 Data From the Korea National Health and Nutrition Examination Survey.

Lee, Yeo Jin / Hwang, Seon Young

The Journal of cardiovascular nursing

2022 Volume 37, Issue 5, Page(s) 499–508

Abstract: Background: High academic stress and physical inactivity in Korean adolescents increase cardiometabolic risk factors, such as obesity, making it crucial to identify the factors influencing their risk.: Objective: Our aims were to determine ... ...

Abstract	Background: High academic stress and physical inactivity in Korean adolescents increase cardiometabolic risk factors, such as obesity, making it crucial to identify the factors influencing their risk. Objective: Our aims were to determine differences in the prevalence of metabolic syndrome and its 5 components in Korean adolescents according to gender and to identify the influencing factors for cardiometabolic risk (individual risk factor ≥ 1). Methods: Data related to adolescents from the Korean National Health and Nutrition Examination Survey (2010-2015) were assessed. Bivariate analyses to compare distribution and logistic regression analyses to examine the influencing factors were performed. Results: Cardiometabolic risk (≥1 risk factor) was found in 33.2% and 32.6% of male and female adolescents, respectively, and metabolic syndrome (≥3 risk factors) was found in 2.0% and 2.3%, respectively. Among male adolescents, cardiometabolic risk was 1.66 times higher for the group that did not perform strength exercises ( P = .007). For female adolescents, the cardiometabolic risk was 2.44 times higher in 16- to 18-year-olds than in 12- to 15-year-olds ( P < .001) and 1.50 times higher in the non-aerobic-exercise group ( P = .030). Central obesity (waist-to-height ratio ≥ 0.47) increased cardiometabolic risk by 5.71 and 13.91 times in male and female adolescents, respectively ( P < .001). Conclusion: To reduce cardiometabolic risk profiles and future cardiovascular risk in Korean adolescents, school-based physical activity programs should be actively provided not only for students with central obesity but also for students who lack aerobic or strength exercises.
MeSH term(s)	Adolescent ; Body Mass Index ; Cardiovascular Diseases/complications ; Cardiovascular Diseases/epidemiology ; Female ; Humans ; Insulin Resistance ; Male ; Metabolic Syndrome/epidemiology ; Metabolic Syndrome/etiology ; Nutrition Surveys ; Obesity/complications ; Obesity, Abdominal/complications ; Republic of Korea/epidemiology ; Risk Factors
Language	English
Publishing date	2022-04-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	639335-4
ISSN	1550-5049 ; 0889-4655
ISSN (online)	1550-5049
ISSN	0889-4655
DOI	10.1097/JCN.0000000000000910
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 2315: Show issues

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Jg. 1995 - 2021: Lesesall (2.OG)
ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Effect of Website-based Learning on Improved Monitoring of Adverse Drug Reactions by Clinical Nurses.

Kim, Hyun Jin / Hwang, Seon Young

Asian nursing research

2021 Volume 16, Issue 1, Page(s) 45–51

Abstract: Purpose: The purpose of this study was to develop website-based learning contents to activate voluntary monitoring and reporting of adverse drug reactions (ADRs) for clinical nurses and to verify their effectiveness.: Method: Using a quasi- ... ...

Abstract	Purpose: The purpose of this study was to develop website-based learning contents to activate voluntary monitoring and reporting of adverse drug reactions (ADRs) for clinical nurses and to verify their effectiveness. Method: Using a quasi-experimental control group pretest-posttest design with random allocation, a total of 60 nurses with more than 1 year of clinical experience were recruited from a university hospital in Seoul, Korea. A website was developed that provides learning contents including real cases and the latest drug-related knowledge, as well as video lectures. Knowledge on ADR monitoring, self-efficacy, ADR practice behavior, and medication performance ability were measured at 2 weeks after intervention. A small notebook for monitoring ADRs of nurses was given to the control group. Data were analyzed using descriptive statistics, the chi-squared test, and the independent t test using SPSS Statistics Software Version 21.0. Results: The scores of ADR monitoring knowledge, self-efficacy, and ADR monitoring practice in the experimental group significantly increased after the intervention compared with the control group (p < .05). However, there was no significant difference between the two groups in medication performance ability related to ADR monitoring. Conclusion: To spread a safety culture in which voluntary ADR monitoring and reporting is activated, it is necessary for clinical nurses to share and communicate ADR-related information and real cases through an open website.
MeSH term(s)	Adverse Drug Reaction Reporting Systems ; Drug-Related Side Effects and Adverse Reactions ; Humans ; Pharmacovigilance ; Republic of Korea ; Seoul
Language	English
Publishing date	2021-12-30
Publishing country	Korea (South)
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	2481635-8
ISSN	2093-7482 ; 2093-7482
ISSN (online)	2093-7482
ISSN	2093-7482
DOI	10.1016/j.anr.2021.12.004
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Article ; Online: Oral health in adults with coronary artery disease and its risk factors: a comparative study using the Korea National Health and Nutrition Examination Survey data.

Lee, Sun Kyung / Hwang, Seon Young

BMC cardiovascular disorders

2021 Volume 21, Issue 1, Page(s) 71

Abstract: Background: This study aimed to examine the relationship between oral health status and hygiene behavior among adults and elderly with preceding chronic disease or coronary artery disease history.: Methods: Data were obtained from the Korea National ... ...

Abstract	Background: This study aimed to examine the relationship between oral health status and hygiene behavior among adults and elderly with preceding chronic disease or coronary artery disease history. Methods: Data were obtained from the Korea National Health and Nutrition Examination survey conducted from 2016 to 2017. Cardiovascular risk group was defined as adults over the age of 30 with hypertension, diabetes, dyslipidemia, previous myocardial infarction, or angina. Adult and elderly groups were separated and analyzed by 1:1 propensity score matching (PSM), and complex sample logistic regression analysis was performed using SPSS and R programs. Results: In adults, 25.1% of healthy group and 41.9% of the risk group were diagnosed with periodontal disease by dentist. In the elderly, 40.0% of the risk group had chewing problems and 17.5% had speaking problems. After PSM, in adults (n = 1661 each), both univariate and multiple logistic regression analyzes showed that the prevalence of periodontal disease was significantly higher in the risk group than in the healthy group (Odds Ratio = 1.21, p = .028). In the elderly (n = 715 each), univariate analysis showed that the risk group had more chewing and speaking problems than the healthy group, but there was no difference in multivariate analysis. Conclusions: Adults under the age of 65 years with cardiovascular risk require periodic evaluation and education on the importance of maintaining oral health for primary or secondary prevention. Healthcare professionals should provide patient education to help them maintain adequate oral health and oral hygiene.
MeSH term(s)	Adult ; Aged ; Coronary Artery Disease/diagnosis ; Coronary Artery Disease/epidemiology ; Coronary Artery Disease/prevention & control ; Cross-Sectional Studies ; Female ; Heart Disease Risk Factors ; Humans ; Male ; Middle Aged ; Nutrition Surveys ; Oral Health ; Oral Hygiene ; Periodontal Diseases/diagnosis ; Periodontal Diseases/epidemiology ; Periodontal Diseases/prevention & control ; Prevalence ; Primary Prevention ; Prognosis ; Republic of Korea/epidemiology ; Risk Assessment ; Secondary Prevention
Language	English
Publishing date	2021-02-04
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2059859-2
ISSN	1471-2261 ; 1471-2261
ISSN (online)	1471-2261
ISSN	1471-2261
DOI	10.1186/s12872-021-01878-x
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Individualized education focusing on self-management improved the knowledge and self-management behaviour of elderly people with atrial fibrillation: A randomized controlled trial.

Oh, Yun Hee / Hwang, Seon Young

International journal of nursing practice

2021 Volume 27, Issue 4, Page(s) e12902

Abstract: Aim: This study examined the effect of an individualized educational intervention on the knowledge, attitudes and self-management ability after 12 weeks for outpatients with atrial fibrillation.: Methods: A randomized control-group pretest-post-test ... ...

Abstract	Aim: This study examined the effect of an individualized educational intervention on the knowledge, attitudes and self-management ability after 12 weeks for outpatients with atrial fibrillation. Methods: A randomized control-group pretest-post-test experimental design was used. Elderly outpatients with atrial fibrillation aged over 65 years were recruited from a university hospital in Korea. The experimental group received a 50-min individualized education on self-management, one telephone counselling after 8 weeks and maintenance of a self-management diary for 12 weeks. Data were collected from November 2017 to April 2018 and analysed using SPSS 22.0 for descriptive statistics and hypothesis testing. Results: The participants' mean age was 71.9 (4.6) years. Compared to the control group (n = 29), the experimental group (n = 31) showed a significantly greater improvement in knowledge regarding atrial fibrillation and stroke prevention (t = -2.27, p = .027) and self-management behaviours (t = -8.02, p < .001). There were no significant group differences in attitudes towards atrial fibrillation. Conclusion: The findings suggest that education for elderly people with atrial fibrillation should be individualized, focusing on self-management in daily life to prevent cardiovascular complications. Future research is needed to confirm the long-term effects of such education programmes.
MeSH term(s)	Aged ; Atrial Fibrillation/therapy ; Humans ; Republic of Korea ; Research Design ; Self-Management ; Telephone
Language	English
Publishing date	2021-03-04
Publishing country	Australia
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	1381116-2
ISSN	1440-172X ; 1322-7114
ISSN (online)	1440-172X
ISSN	1322-7114
DOI	10.1111/ijn.12902
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Zs.A 4740: Show issues

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Article ; Online: Structural Relationships Between Cognitive Function, Depressive Symptoms, Self-Care Confidence, and Maintenance in Patients With Heart Failure.

Kim, JinShil / Hwang, Seon Young / Kim, Sun Hwa / Shim, Jae Lan

SAGE open nursing

2023 Volume 9, Page(s) 23779608231196665

Abstract: Introduction: In order to promote self-care maintenance behavior in patients with heart failure (HF), it is necessary to identify the direct and indirect effects of major latent variables.: Objective: This study aimed to identify structural ... ...

Abstract	Introduction: In order to promote self-care maintenance behavior in patients with heart failure (HF), it is necessary to identify the direct and indirect effects of major latent variables. Objective: This study aimed to identify structural relationships between different domains of cognitive function, depression and self-care confidence, and self-care maintenance. Methods: This descriptive study involved a secondary analysis using data of 201 patients with HF from two observational studies in three hospitals in Korea. The structural equation model using AMOS version 24.0 was constructed to assess the relationships among the variables. The Seoul Neuropsychological Screening Battery was used to assess global cognition, immediate/delayed memory, and executive function, and the Self-Care of HF Index v.6.2. was used for self-care confidence and maintenance. Results: Self-care maintenance was affected by memory function with a significant direct effect (β=.43, Conclusion: This study confirmed that it is important to increase self-care confidence through supportive care and to maintain memory function for maintaining self-care in the chronic course of HF patients. In particular, this study suggests that it is necessary to perform periodic memory check-ups for chronic HF patients on an outpatient basis, and counseling and education are needed to improve memory and increase confidence in self-care.
Language	English
Publishing date	2023-09-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	2865437-7
ISSN	2377-9608 ; 2377-9608
ISSN (online)	2377-9608
ISSN	2377-9608
DOI	10.1177/23779608231196665
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