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Objectives: This research aims to understand the mediating role of parentification in the association between parental drinking problems and interpersonal relationships among college students. Methods: Utilizing a cross-sectional design, data were collected both through online and offline means. The study encompassed responses from 281 university students aged 18 to 29. The mediation effect of parentification on the relationship between parental drinking problems and the interpersonal relations of students was examined using bootstrapping analysis in jamovi 2.23.21 solid version for macOS. Results: Notable correlations emerged among the primary variables. Parental drinking problems exhibited a negative correlation with students' interpersonal relations and a positive correlation with parentification. Crucially, parentification mediated the effects of both fathers' and mothers' drinking problems on two specific aspects of interpersonal relations: caring for others and managing conflicts. However, no significant differences were discerned based on parental gender. Conclusion: This study reveals the significant impact of father' and mother' drinking problems on the interpersonal relations of college-aged children through parentification. The findings underscore the profound influence of both fathers' and mothers' drinking problems on the interpersonal dynamics of college-aged children, mediated by parentification, irrespective of the gender of the parent. The implications of this study emphasize the need for intervention strategies and policies that account for familial dynamics, and social contexts, aiming to mitigate interpersonal challenges faced by college students from families grappling with alcohol-related issues.

Objectives: This study is to implement a mindfulness meditation program and evaluate its effects in helping recovering alcoholics cope with addiction-related problems and stress with goals of healthy lifestyle changes to prevent relapse and maintain recovery. Methods: A concurrent embedded mixed-method design was used to evaluate the effects of the mindfulness meditation program. Nonequivalent control group pretest-posttest design was applied to verify the quantitative effects of the program. Quantitative data with 44 participants (experimental group: 23, control group: 21) were analyzed using a linear mixed-model. Regarding qualitative research, the contents of the individual interviews with 6 participants were analyzed through the content analysis method. Results: There were significant differences between the experimental and the control groups in terms of changes in perceived stress (F=14.01, p<.001), mindfulness (F=5.68, p=.019), alcohol abstinence self-efficacy (F=32.74, p<.001), and perceived health status (F=5.31, p=.024) at the pretest, posttest, and follow-up test. However, there were no significant changes regarding health-related quality of life (F=.40, p=.530) between the two groups. In addition, a total of three themes and six sub-themes were derived through content analysis of the individual interviews. The themes included “stopping and observing”, “choosing healthy coping”, and “starting newly”. The sub-themes were related to “distancing”, “finding myself”, “caring about my body and mind”, “letting go of for change”, “going with others” and “expecting changes in myself”. Conclusions: The mindfulness meditation program can be used as an effective aftercare program to help prevent relapse and maintain the recovery process for alcoholics. In addition, this study’s results can provide useful data for nursing education and research related to alcoholism.

Objectives: This study is a descriptive research study to identify factors affecting physical activity of Korean adolescents after COVID-19. Method: The data were from the 18th(2022) online survey on adolescent health behavior was used, and data from a total of 51,850 people attending middle and high school were used in the final analysis. Data were analyzed using frequency, weighted percentage, χ²test, and logistic regression analysis using the complex sample analysis module of the SPSS/WIN 24.0 program. Result: As a result of the study, 23.8% of adolescents had good physical activity, and most adolescents had poor physical activity, Factors affecting adolescents’ physical activity include general characteristics such as gender(p<.001), grade(p<.001), academic performance(p=.014), economic status(p<.001), and residence type (p=.001), and mental health-related factors included perceived stress(p<.001), depression(p<.001), and loneliness experience(p=.029). Conclusion: After COVID-19 epidemic, Adolescent health promotion strategies are needed to promote mental health management and increase physical activity, including reducing stress and depression among Korean Adolescent.

Purpose: This study was conducted to examine the association between energy drink consumption and sleep duration and quality among Korean high school students. Methods: Data on 24,760 high school students were obtained from the 15th Korea Youth Risk Behavior Survey. The association between energy drinks consumption and sleep duration and quality was analyzed by multivariate logistic regression analysis in consideration of the complex sampling design. Results: 33.8% of respondents reported that they had at least one energy drinks in the past week. The majority (95.2%) of all subjects reported that the average sleep duration was less than 8 hours per day, and 84.7% of them were dissatisfied with sleep quality. After adjusting for confounding factors, higher energy drinks consumption was significantly associated with short sleep duration (< 8 hours/day) and unsatisfactory sleep quality. Conclusion: Insufficient sleep and poor sleep quality caused by energy drinks consumption can adversely affect the healthy development and functioning of high school students. Therefore, health education on the dangers of energy drinks and healthy sleep is needed, and it is urgent to prepare policies that can be realized at the national level.

Objectives: The purpose of this study was to investigate users of non-contact healthcare service and analyze associated factors including sefl-efficacy of healthy behaviors and digital health literacy. Methods: In 2022, an online survey of adults(age 19~69) was conducted to investigate non-contact healthcare service utilization for more than one month during the last three years. The non-contact healthcare services included tobacco smoking cessation, alcohol consumption management, healthy diet, physical activity, walking, weight control, and mental health. A total of 2,759 respondents were included in the analysis. We used four questions for positive self-efficacy measures and compared the responses with perceived effectiveness of the non-contact services and 15 item digital health literacy measures. Results: Utilization of non-contact services increased from 2019 to 2022. Physical activity and weight control services were more likely used than other services. Digital Health Literacy(DHL) scores were positively related to self-efficacy of health behaviors and subjective effectiveness of the six different health care services. Conclusions: Utilization of non-contact healthcare service was highly associated with increased self-efficacy and digital health literacy.

Purpose: This study aims to analyze the effect of the operation of community health centers that has been operated for the purpose of the sub-regional unit (dong unit) health promotion project to improve the low health indicators of Busan Metropolitan City, and to identify the difference in health behavior and health indicators according to the operation of community health centers in Area B, which currently shows a relatively low level of health in Busan Metropolitan City. This will not only allow us to examine whether community health centers has actually had a health effect on local residents but also to derive improvements in the operation of the centers. Methods: Using the secondary data from the Community Health Survey conducted by the Korea Disease Control and Prevention Agency, we examined whether the rate of walking practice, healthy lifestyle practice rate, smoking rate, high-risk drinking rate, stress complaint rate, depressive symptom hypertension diagnosis experience rate, diabetes diagnosis rate, and subjective health status differ depending on whether community health centers are operated or not. This will be used to check the changes in health indicators between 2015 (before the operation of community health centers) and 2020 (after the operation of community health centers). Result: Overall, when examining the changes between 2015 (before the operation of community health centers) and 2020 (after the operation of community health centers), the health indicators of the indicators of operating the community health centers in 5 out of a total of 9 indicators brought positive changes, and in 4 indicators, all of them were negative changes regardless of whether they were operating or not, but the extent of the negative change in the regions where community health centers were operating was very small compared to those that did not operate community health centers. Conclusion: Regions without community health centers still tended to show negative health status or worsening health levels. It is judged that the benefits to the residents can be greater if the operation of community health centers are expanded, so it can be said that various efforts are needed to expand the policy.

Objectives: This phenomenological study was done to identify Experience in providing integrated visiting nursing services for community visiting nurses. Methods: Data were analyzed using Colaizzi’s phenomenological six step method. Data collected from June to August, 2022, were from face-to-face in-depth interviews with 10 visiting nurses who had worked at public sector for more than two years. Data collection was done until saturated was reached. Results: This study results were comprised of three categories and seven clusters of themes. The four three were: "Realizing the lack of me in the cold reality”, “A job as visible as one knows”, “Hope for smooth communication regarding information related to integrated visiting nursing services.” Conclusions: This study provided a deeper understanding of the public home visiting nurse’s working experience. The results of this study show that the system needs to be improved to provide a safe work environment for visiting nurses and that realistic educational programs need to be provided for effective field work. It also shows that measures should be prepared to reflect the opinions of visiting nurses to improve the system.

Objectives: This study attempted to explore trends in domestic nursing research on ethical dilemmas over the past 20 years, derive major agendas through content analysis, and suggest the direction of future nursing ethics research. Methods: The data collection period was from June 1 to June 20, 2023, and a final 55 papers were selected through quality assessment of domestic academic journal papers published from 2000 to 2023 related to ethical dilemmas and analyzed for content. Results: Nursing research on ethical dilemmas appears to have increased intensively in the past decade since 2000, and was most often published in multidisciplinary journals. The research design and method focused on quantitative and descriptive research, and the majority of research subjects were nurses. As a result of content analysis, the main agendas of domestic nursing research related to ethical dilemmas are moral attitudes and coping behaviors by issue (19.0%), research subjects or historical background (18.4%), ethical issues related to death (16.7), ethical dilemmas (11.5%), This was followed by bioethics and ethical decision-making (11.5%), nursing ethics education (10.3%), research design and methods (6.3%), ethical dilemmas and job relevance (4.0%), and clinical ethics support services (2.3%). Conclusions: Future nursing ethics research needs to apply a multifaceted research methodology to various topics and subjects in each area without being biased. In order to manage nurses' duties in the nursing field, management of ethical dilemmas must also take precedence. Ethics education that helps them actively cope with various ethical dilemma situations and make ethical decisions through critical thinking, and reduces ethical conflicts and Ethics education is needed to develop appropriate and effective coping strategies. Furthermore, we should focus on creating a basic framework for creating an ethical environment, such as activating an ethics committee.