• Title/Summary/Keyword: 건강관리 자기효능감

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Multidimensional Factors Influencing Health of Low-Income Women: The Moderating Effect of Social Support Resource (저소득층 여성의 건강에 영향을 미치는 다차원적 요인 : 사회적 지지 자원의 조절효과)

  • Kim, Miyoung
    • Journal of Digital Convergence
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    • v.16 no.7
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    • pp.479-491
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    • 2018
  • This study aims to figure out factors influencing health and moderating effect of social support resource between those factors and health of low income women in diverse spheres. The data of low income women were 239 cases and were utilized SPSS ver. 21 program. The main results of this study are as follows: firstly, health of low income women is identified medium level. Secondly, education level, self-efficacy and social support resource are related to the self-rated health of low income women. Especially, social support resource functions as moderators on between education and self-rated level of the health of low income women. Consequently, the findings suggest the need to expand the social intervention range to promote health of low income women from cost benefit to psychological support such as capacity building for self-management and establishment of safety-net to extend social support. And subsequently, the time attribute of the factors related to low-income women's health and the diverse characteristics of the subjects should be considered.

The Effects of Telephone Consulting Follow-up on Self care behaviors and Self-efficacy in Diabetic Patients (당뇨환자의 자기관리행위 및 자기효능감에 대한 추후 전화상담의 효과)

  • 양진주
    • Korean Journal of Health Education and Promotion
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    • v.20 no.3
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    • pp.269-280
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    • 2003
  • This study was conducted to identify the effects of telephone consulting follow- up on self care behaviors and self efficacy in diabetic patients after discharge. The subjects for this study were consisted of 39 patients and twenty subjects assigned to the experimental group received the telephone consulting follow-up after discharge once a week during 4 weeks with diabetic education before discharge and nineteen subjects assigned to the control group received diabetic education before discharge without telephone consulting follow-up. The results of this study are as follows: 1. The experimental group which received the telephone consulting had higher self care behaviors scores than the control group (t=4.92, p=.00). 2. The experimental group which received the telephone consulting had higher self efficacy scores than the control group (t=4.71, p=.00). 3. The relationship between self efficacy and self care behaviors showed a significant correlation in the subjects. In conclusion, the telephone consulting follow-up improved self care behaviors and self efficacy, therefore this intervention can be effective in promoting the care of diabetic patients

The Effect of Self-Management Course on Pain, Flexibility of Lumbar Spine, Uncertainty and Self-efficacy in patients with Ankylosing Spondylitis (자기관리과정이 강직성 척추염환자의 요통, 허리유연성, 불확실성과 자기효능감에 미치는 효과)

  • Paik, Seung-In;Sohng, Kyeong-Yae
    • Journal of muscle and joint health
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    • v.10 no.2
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    • pp.156-166
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    • 2003
  • Purpose: To investigate the effects of self-management course in patients with ankylosing spondylitis. Method: Forty-nine subjects were sampled according to research criteria, and divided into two groups: 24 of the experimental group and 25 of control group. To the experimental group, self-management course which developed by the investigators was applied for 6 weeks, each session adopted for two hours per week and additional 30-minutes exercise was carried out two times a week. Result: After participating the self-management course in experimental group, 1) the degree of pain was significantly decreased 2) significant improvement in the flexibility of lumbar spine, 3) uncertainty was significantly decreased. 4) Self-efficacy was not changed between the two groups after self-management course. Conclusions: These findings indicate that the self-management course could be effective in improving the flexibility of lumbar spine and decreasing pain, and uncertainty in patients with ankylosing spondylitis.

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Factors influencing Health Promoting Behaviors of Visiting Nurses in Seoul (방문간호사의 건강증진행위에 영향을 미치는 요인 - 서울시 방문건강관리사업을 중심으로 -)

  • Kim, Yun Su;Baek, Hee Chong
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.25 no.2
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    • pp.209-218
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    • 2018
  • Purpose: This study is to identify the health promoting behaviors, health belief, and self-efficacy of visiting nurses working for the Health Visiting Project in Seoul and to determine the predictors of influencing health promoting behaviors. Methods: Data were collected from an online survey of 496 visiting nurses form 25 districts in Seoul. Using SPSS ver. 24, the study performed descriptive statistics, t-test, one-way ANOVA, correlations, and stepwise multiple regression. Results: The mean scores for health promoting behaviors and self-efficacy were slightly higher than that of the median, whereas health belief showed in the median. The factors influencing health promoting behavior were perceived barriers, perceived sensitivity, self-efficacy, and age. These variables explained 36.0% of health promoting behaviors(F=60.62, p<.05). Conclusion: To prevent illness and to promote the health of the population, the visiting nurse mainly performs health screening, health education and counseling. To fulfill these responsibilities, the visiting nurse should be healthy and perform health promoting behaviors well, effectively serving as a model for their clients. Most of the visiting nurses were middle-aged, thus, it is necessary to strengthen health promotion activities that manage physical and psychological health at the individual level.

A Systematic Review of The Health Promotion for Workers; Participatory Action Research and Community Based participatory Research (근로자의 건강증진에 대한 체계적 문헌고찰 참여적 실행연구와 지역사회기반 참여연구 중심으로)

  • Hwang, Won Ju;Ha, Ji Sun;Jo, Hyun Hee
    • Journal of the Korea Convergence Society
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    • v.9 no.12
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    • pp.459-466
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    • 2018
  • This study investigated a systematic literature review on local and international literatures focusing on Participatory Action Research(PAR), Community Based Participatory Research(CBPR) in workplace and community. Eighty percent of the 10 studies reviewed included research involving health professionals, community networks, workers, and university researchers. Health promotion programs varied from health and safety awareness, smoking cessation, diabetes management, physical activity, self-efficacy enhancement, cardiovascular disease, musculoskeletal disorders and mental health. PAR, CBPR are required to participate actively in research through community collaboration to promote health. We can solve problems at the community level. And identified sustainable effects when developing and implementing a health promotion program. PAR and CBPR are expected to continuously pursue change by adjusting the scope of individuals, organizations, communities, and institutional dimensions. They are also expected to be implemented for workers in the various workplace.

Psychometric Properties of the Korean Version of Self-Efficacy for HIV Disease Management Skills (한국어판 HIV 감염인의 건강관리 자기효능감 도구의 타당도와 신뢰도)

  • Kim, Gwang Suk;Kim, Layoung;Shim, Mi-So;Baek, Seoyoung;Kim, Namhee;Park, Min Kyung;Lee, Youngjin
    • Journal of Korean Academy of Nursing
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    • v.53 no.3
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    • pp.295-308
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    • 2023
  • Purpose: This study evaluated the validity and reliability of Shively and colleagues' self-efficacy for HIV disease management skills (HIV-SE) among Korean participants. Methods: The original HIV-SE questionnaire, comprising 34 items, was translated into Korean using a translation and back-translation process. To enhance clarity and eliminate redundancy, the author and expert committee engaged in multiple discussions and integrated two items with similar meanings into a single item. Further, four HIV nurse experts tested content validity. Survey data were collected from 227 individuals diagnosed with HIV from five Korean hospitals. Construct validity was verified through confirmatory factor analysis. Criterion validity was evaluated using Pearson's correlation coefficients with the new general self-efficacy scale. Internal consistency reliability and test-retest were examined for reliability. Results: The Korean version of HIV-SE (K-HIV-SE) comprises 33 items across six domains: "managing depression/mood," "managing medications," "managing symptoms," "communicating with a healthcare provider," "getting support/help," and "managing fatigue." The fitness of the modified model was acceptable (minimum value of the discrepancy function/degree of freedom = 2.49, root mean square error of approximation = .08, goodness-of-fit index = .76, adjusted goodness-of-fit index = .71, Tucker-Lewis index = .84, and comparative fit index = .86). The internal consistency reliability (Cronbach's α = .91) and test-retest reliability (intraclass correlation coefficient = .73) were good. The criterion validity of the K-HIV-SE was .59 (p < .001). Conclusion: This study suggests that the K-HIV-SE is useful for efficiently assessing self-efficacy for HIV disease management.

The Influence of Fall-Related Knowledge and Fall Prevention Self-Efficacy of Care-Givers Working in Long-term Care Hospitals with Older Adults with Dementia on Fall Prevention Behaviors and Fall Management Behaviors (요양병원 요양보호사의 치매노인에 대한 낙상 지식, 낙상예방 자기효능감이 낙상예방행위 및 낙상관리행위에 미치는 영향)

  • Lim, Jeong-Ok;Gu, Mee-Ock
    • The Korean Journal of Health Service Management
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    • v.12 no.4
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    • pp.155-172
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    • 2018
  • Objectives: The purpose of this study was to investigate the influence of fall-related knowledge and fall prevention self-efficacy of care-givers working in long-term care hospitals on fall prevention behaviors and fall management behaviors for older adults with dementia. Methods: Participants were 125 care-givers working in long-term care hospitals. Data were collected with structured questionnaires from August 7 to 14, 2018. Data were analyzed by t-test, ANOVA, $Scheff{\dot{e}}$ test, Pearson's correlation coefficients, and multiple regression analysis using SPSS 18.0. Results: Fall prevention self-efficacy influence fall prevention behaviors(${\beta}=.55$, p<.001), while fall-related knowledge impacted fall management behaviors(${\beta}=.43$, p<.001). Conclusions: The results suggest that an education program for fall prevention of older adults with dementia in long-term care hospitals should focus on improving the fall-related knowledge and fall prevention self-efficacy of care-givers to increase both the fall prevention behaviors and fall management behaviors of care-givers.

A Scoping Review on Educational Programs Provided to Kidney Transplant Patients in Korea (국내 신장이식 환자에게 제공된 교육 프로그램에 대한 주제범위 문헌고찰)

  • Yeon Ju Baek;Gi-Ran Lee
    • Journal of Industrial Convergence
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    • v.21 no.11
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    • pp.85-95
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    • 2023
  • The purpose of this study is to provide evidences throught scoping review of education intervention studies for post kidney transplantation management in the kidney transplant patients in Korea. Through the search engines RISS, KISS, DB pia and Pubmed, 13 articles were selected by searching for theses and academic journals published prior to the search date of May 21, 2023. According to the study result, relevant studies were 13, and the education programs provided to kidney transplant patients were classified into 1) overall health management after transplantation, 2) self-efficacy promotion exercise program, 3) exercise therapy, 4) drug education, and 5) stress coping. Knowledge, implementation, self-efficacy, anxiety, uncertainty, stress, and quality of life were confirmed as effects of the intervention. Based on the results of this study, it is necessary to develop integrated educational materials and systematic self-management programs that can manage various health problems that may occur after kidney transplantation, and it is suggeste that research on educational interventions for kidney transplant patients in nursing.

Literature Review of Empowerment Intervention Studies for Patients with Chronic Physical Health Conditions in Korea (만성적인 신체질환을 가진 환자에게 적용된 임파워먼트 중재 연구 고찰 - 국내를 중심으로)

  • Kim, Jiyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.455-467
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    • 2020
  • This study was a systematic review examining the effect of empowerment intervention studies among patients with chronic physical health conditions in Korea. The PICOT-SD (Participants, Intervention, Comparison, Outcomes, Timing of outcome measurement, Setting, Study design) strategy was applied. A total of 19 studies published between January 2000 and April 2020 were selected. Study participants were rheumatoid arthritis patients, hemodialysis patients, stroke patients, diabetes mellitus patients, chronic pulmonary disease patients, hypertensive patients, cancer patients, chronic kidney disease patients, and kidney transplantation patients, etc. A total of 17 studies were found to have presented a conceptual framework. Empowerment skills were participation, dialogue, experience, interaction, support, and problem solving, etc. The most frequently used dependent variables were self-care (n=13), empowerment (n=10), self-efficacy (n=7), and depression (n=5). Self-care, empowerment, and self-efficacy showed significant improvement among patients in at least 60% of the included studies. Based upon this review, there is evidence that empowerment intervention studies are an effective method to improve the health of patients with chronic physical health conditions. This study further suggests the development of an empowerment intervention program to verify the effects of the various variables identified in this study.

Effectiveness of a Self-management Program using Goal Setting based on a G-AP for Patients after a Stroke (뇌졸중 환자를 위한 G-AP 기반 목표설정 자기관리프로그램의 효과)

  • Park, Min Gyeong;Ha, Yeongmi
    • Journal of Korean Academy of Nursing
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    • v.44 no.5
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    • pp.581-591
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    • 2014
  • Purpose: This study was conducted to develop a self-management program using goal setting for patients after a stroke. The program was based on a theory-based Goal setting and Action Planning framework (G-AP), and the effectiveness of the program was examined. Methods: A non-equivalent control group pretest-posttest design was used. The experimental group (n=30) received the self-management program using goal setting based on the G-AP over 7 weeks. The education was delivered individually with a specifically designed stroke workbook. The control group (n=30) received only patient information leaflets about stroke. Results: There were significant differences between the two groups. Stroke knowledge, self-efficacy, and health behavior compliance were significantly higher (all p<.001), and hospital anxiety (p<.001) and depression (p<.001) were significantly lower in the experimental group compared to the control group. Conclusion: This self-management program using goal setting based on a G-AP was found to be useful and beneficial for patients in stroke rehabilitation settings.