Earticle

Purpose: This study was conducted to identify the impact of burnout on job satisfaction of school health teachers (school nurses) and the mediating effects of self-leadership on the relationship between burnout and job satisfaction. Methods: The research is a cross-sectional survey. The participants were 131 school health teachers (school nurses) in Korea. Data was collected using a self-reporting questionnaire covering demographic characteristics, self-leadership, burnout, and job satisfaction. The collected data was analyzed through t-test, ANOVA, correlation, and multiple regression using SPSS/WIN (ver. 23). Results: Significant positive correlations were found between self-leadership and job satisfaction (r=.384, p<.001). Significant negative correlations were found between burnout and job satisfaction (r=-.748, p<.001) and between burnout and self-leadership (r=-.308, p<.001). The factors that enhance job satisfaction were found to be lower burnout and higher self-leadership. The results of the 3-step regression are as follows: First, burnout had a significant negative effect on self-leadership. Second, burnout had a significant negative effect on job satisfaction. Third, self-leadership had a significant positive effect on job satisfaction and had a mediating effect on the relationship between burnout and job satisfaction (Zab=3.271, p<.001). Conclusion: Based on these results, self-leadership is needed in order to raise job satisfaction and reduce burnout.

Purpose: The research is a descriptive study to identify the correlations among perceived health status, self-esteem, and personality and to determine the influencing factors of perceived health status in high school students who live in Uganda. Methods: Data were collected using a questionnaire from February to May 2014. The participants were 300 students in three high schools in Uganda. The collected data were analyzed by descriptive statistics, t-test, one way ANOVA, Pearson correlation, and stepwise regression analysis using SPSS 21.0. Results: The scale mean scores (4 scale) for perceived health status, self-esteem, extraversion, neuroticism, psychoticism, and lie, the last four being the types of personality covered in the study, were 2.27±0.37, 2.27±0.31, 2.13±0.33, 2.55±0.41, 2.36±0.27, and 2.20±0.34, respectively. The variables that showed positive correlations with perceived health status were self-esteem and extraversion and the ones that showed negative correlations with perceived health status were neuroticism, psychoticism, and lie. Self-esteem, extraversion, and neuroticism were proved to be major influencing factors affecting perceived health status. Conclusion: These results may be used as supporting data when developing health education programs to improve the health of Ugandan adolescents

Purpose: This study was conducted to examine the effect of foot-bath on lower extremities edema and fatigue among college students in Korea. Methods: This study used an quasi-experimental design with 56 participants (30 for experiments and 26 for controls). The experimental group performed 20-minute foot bath before sleep three times for one week. All subjects were directed to use their smart-phones to fill out a questionnaire about fatigue. Leg circumference was measured 10 minutes after foot bath. The test was performed from April 30th to May 22th in 2016. Data was analyzed using t-test and x2 test. Results: We found no difference in general characteristics between the experimental group and the control group. Left leg edema of the experimental group decreased by 16.63±14.57 mm (p<.001). The experimental group's right leg-edema decreased by 13.10±13.97 mm (p<.001). There was no statistically significant difference in their fatigue level when comparing before and after the foot baths. Conclusion: We found that doing foot baths for two weeks could have positive effects in reducing leg-edema among college students. Foot bath may be applied as an effective nursing intervention to decrease leg edema among young people. The results are based on a limited number of study samples and a short-term intervention. Further research can be performed with extended population and a prolonged study period.

Purpose: This study was conducted to develop a secondhand smoking prevention education program for elementary school students with smoking parents and to identify its effects on their knowledge and coping skills related to secondhand smoke and their assertive behaviors towards secondhand smoke. Moreover, the study also intended to discover the program's impact on the students' coping ․ assertiveness towards secondhand smoke from their smoking parents. Methods: For this nonequivalent control group pretest-posttest design study, elementary students who have smoking parents were recruited. They were assigned either to the experimental group (n=40) or to the control group (n=40). A secondhand smoking prevention education program was provided for the experimental group for 4 weeks. Results: The experimental group showed a significant increase in their scores for knowledge, behavioral coping skills, and coping ․ assertiveness towards secondhand smoke from their parents. Conclusion: The findings show that this program could serve as an effective program for elementary students with smoking parents. Encouraging smoking parents to participate in the program could enhance the program’s effect.

Purpose: The purpose of this study was to identify the factors related to eating attitudes of female high school students. Methods: Data were collected from 299 high school girls in 2016. The collected data were analyzed by SPSS/WIN 21.0. Results: There was a positive correlation between eating attitudes and anger thoughts, anger expression, perfectionism, depression, and problem behaviors. There was a negative correlation between eating attitudes and body esteem. The predictors of eating attitudes were perfectionism, body esteem, depression, and problem behaviors, which explained 23.7% of the participants’ eating attitudes. Conclusion: The findings of this study suggest that it is necessary to recognize and measure the predictors of eating attitudes in advance and develop school-based health interventions to prevent eating disorders and improve eating attitudes among female high school students.

Purpose: The purpose of this study was to identify the factors associated with energy drink consumption in Korean high school students. Methods: This cross sectional study used the secondary data from the 2015 Adolescent Health Behavior Online Survey. A total of 33,744 high school students were included in the study. Energy drink consumption was measured by asking how often they consumed energy drink during the previous week. Associated factors were categorized into socio-demographic characteristics, psychological characteristics, and health related behavioral characteristics. Complex samples logistic regression was used to analyze the influence of associated factors on energy drink consumption. Results: For socio-demographic characteristics, adolescent boys were likely to consume more energy drink than adolescent girls (Adjusted Odds Ratio [AOR]: 1.351, 95% Confidence Interval [CI]: 1.209~1.510). For psychological characteristics, depressed adolescents were likely to consume more energy drink than their counterparts (AOR: 1.697, 95% CI: 1.537~1.874). For health related behavioral characteristics, cigarette smoking (AOR: 1.336, 95% CI: 1.168~1.528), alcohol drinking (AOR: 1.126, 95% CI: 1.012~1.254), soda drink consumption (AOR: 1.800, 95% CI: 1.565~2.071), sweet drink consumption (AOR: 1.715, 95% CI: 1.431~2.054), and insufficient sleep time a day (AOR: 1.307, 95% CI: 1.197~1.427) were associated with energy drink consumption. Conclusions: In conclusion, energy drink consumption in Korean high school students were associated with such factors as psychological factors (depression) and health related behavioral characteristics (smoking, alcohol, sleep, soda and sweet drink). Thus, intervention programs in schools and communities should focus on these psychological and health related behavioral characteristics.

Purpose: This study aimed to analyze the health education conducted for adolescents in the past 10 years by 5-year cycles. Methods: This study was conducted, targeting 200,008 students attending junior high school and high school, using the data of the Korea Youth Risk Behavior Web-based Survey in 2005, 2010 and 2015. The collected data was analyzed by Rao-Scott x2 test, using SPSS program. Results: The overall implementation of health education has increased over the past decade, showing statistically significant differences between 2005, 2010 and 2015 (p<.05). The type of health education given the most was sex education (68.9~74.5%) in 2005 and 2010 and safety education (83.8%) in 2015, whereas the least given health education was personal hygiene education (18.2%) in 2005 and oral health education (22.0~24.0%) in 2010 and 2015. In addition, the implementation rate of health education was statistically significantly lower in high school than in middle school in all three years, 2005, 2010 and 2015. As the grades got higher, the implementation rate of health education showed a statistically significant decrease (p<.05). Conclusion: Health education for adolescents needs to be provided equally. Therefore, it is necessary to prepare an education policy for students to benefit from adequate health.

Purpose: Recently, various accidents and incidents occurred in our school environment, making it necessary to enhance teachers’ competency in school safety management. To this end, this study was conducted to analyze the needs of teachers related to school safety management competency development. Methods: For this purpose, the existing teacher’s task analysis related to school safety management was revised and surveys were conducted to measure teachers’ present level, expectative level and importance of the items based on the task analysis. To analyze the data, Borich Needs Assessment and The Locus for Focus Model were used. Results: In the t-test between the teachers’ present level and expectative level about school safety management, all 39 tasks were related (p<.001). The priorities in developing teachers’ competency in school safety management were found to be the 6 tasks listed below: ‘To deal with each type of accident,’ ‘To implement CPR and defibrillator,’ ‘To use fire extinguishers and fire hydrants,’ ‘To use descending life lines,’ ‘To give first aid,’ and ‘To cope with elevator accidents.’ Conclusion: By utilizing the results of the teacher’s competency and need assesment as components, teachers’ training programs can be made more applicable to the school setting. In addition, more experience- based programs should be considered when designing teachers’ training programs in order to apply the priority found from the teacher’s need assessment.

Purpose: This cross-sectional study was carried out to identify factors influencing the health-related quality of life according to socioeconomic level during early adolescence. Methods: Participants were 617 middle school students in 1st and 2nd grade. All measures were self-administered. Data were analyzed using SPSS 21.0 program and factors affecting the health-related quality of life were analyzed by t-test, ANOVA, Duncan test, Pearson’s correlation coefficient, and multiple regression analysis. Results: According to the level of Family Affluence Scale (FAS), 19.1% of the participants were in the high class, 66.5% in the middle class, and 14.4% in the low class. We have found statistically significant differences among the high, middle, and low classes regarding the health-related quality of life, health perception, resourcefulness, family function, and social capital. The most influential factors of the health-related quality of life were found to be resourcefulness, family function, and social capital in the high and the middle class. Conclusion: The implication of this study is that it is important for the Education Ministry and middle school teachers to help adolescents develop internal coping resources as well as to develop school-curriculums considering social values and norms related to social capital in order to improving their health-related quality of life.