• Title/Summary/Keyword: 자가관리이행

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Effects of Self-care Program on Exercise performance Self-Efficay, Self-care Knowledge, Self-care Performance in Patients with Lumbar Discectomy (자가간호프로그램이 요추간판제거술 환자의 운동이행 자기효능감, 자가간호지식, 자가간호이행에 미치는 효과)

  • Jeong, Jin-Hee;Lee, Hye-Kyung
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.3
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    • pp.891-902
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    • 2021
  • This study is an experimental study to confirm the effect of self-care program on exercise performance self-efficacy, Knowledge of self-management and Performance of self-management in patients with lumbar disc removal. The subjects were 26 inpatients in the experimental group and 27 in the control group as inpatients at the D City Material Spine Hospital. The collected material was analyzed using the SPSS 25.0 program with mean, percentage, standard deviation, t-test, x2-test, Independent t-test, and repeated measures ANOVA. Hypothesis that after self-care program mediation, the experimental group had higher scores for orthosis management knowledge (p<.001) and daily life management knowledge (p=.005) as time passed compared to the unprovided control group. The hypothesis is that the experimental group provided with the self-care program has a performance of orthosis management(p=.011), higher degree of orthosis management performance (p=.011) and daily life management performance (p=.007) than the non-provided control group. Was supported. There, it was confirmed that it is an effective self-care program that can be easily applied at home to patients with lumbar disc removal from the day before surgery to after discharge.

Effects of an Experiences Sharing Self-management Program for Hypertension and Diabetes Patients in Primary Public Health Center (보건진료소 중심 고혈압, 당뇨병 환자의 경험공유 자가관리 프로그램 효과)

  • Im, Jeong Ja;Yun, So Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.331-341
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    • 2020
  • This study examined the effects of an Experience Sharing Self-management Program (ESSP) on physiological indexes, knowledge, and self-management implementation among hypertension and diabetes patients in a primary public health center in G city. A quasi-experimental research was conducted with a non-equivalent control group pretest-posttest design. The experimental group (n=30) participated in a 12-week ESSP, and the control group (n=25) received only general services of a primary public health center between May 1 and October 31 in 2018. Data were analyzed with x2 test (Fisher's exact test), Mann-Whitney test, and Ranked ANCOVA using SPSS/WIN 22.0 program. The results showed significant differences in systolic blood pressure (F=14.56, p<.001), diastolic blood pressure (F=7.05, p=.012), knowledge (F=14.30, p=.001), self-management implementation (F=29.73, p<.001) of hypertension patients, knowledge (F=7.92, p=.010), and self-management implementation (F=4.54, p=.044) of diabetes patients between the two groups. Therefore, the ESSP was effective for reducing the blood pressure of hypertension patients and improving the knowledge and self-management implementation among hypertension and diabetes patients in a primary public health center.

Relationship between Health Literacy and Self-Management Adherence in Patients with Chronic Obstructive Pulmonary Disease (만성폐쇄성폐질환 환자의 의료정보 문해력, COPD 관련 건강문해력 및 자가관리 이행 정도와의 관계)

  • Jin, Xin;Choi, Ja-Yun
    • The Journal of the Korea Contents Association
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    • v.21 no.8
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    • pp.691-701
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    • 2021
  • Purpose: The purpose of this study was to identify the level of health literacy (HL) and self-management adherence and to investigate the relationship between HL and self-management adherence in patients with chronic obstructive pulmonary disease (COPD). Methods: The participants of this study were 165 patients with COPD from a tertiary general hospital located in G city from February 10th to May 10th, 2021. The general HL was measured by the Korean health literacy assessment tool (KHLAT), COPD specific HL was measured by COPD-related HL tool, and COPD self-management adherence was measured by the COPD self-management tool. Results: The mean score of general HL was 60.45±9.42. The mean score of the COPD-related HL was 47.03±8.82. The mean score of the COPD self-management adherence was 87.58±14.47. There were significant differences in the level of COPD-related HL according to age (t=2.43, p=.016), and in the level of general HL (F=10.96, p<.001) and the level of COPD-related HL according to the level of education (F=19.14, p<.001). There were significant correlations between the level of general HL and the level of COPD-related HL (r=.75, p<.001) and the level of COPD-related HL and the level of self-management adherence (r=.219, p=.005). Conclusion: The HL of COPD patients was at the level of mild school 1-2 years in this study. Therefore, nurses who care for COPD patients should understand patients' level of HL and communicate self-management skills with patients at a level appropriate for patients' HL. In addition, it is necessary to develop strategies to easily learn COPD-related information when providing self management skills or training.

Development of Self-management Instrument for Pre-dialysis Patients with Chronic Kidney Disease (투석전 만성신장병 환자의 자가관리 도구 개발)

  • Lee, Suk Jeong;Kim, Sisook
    • The Journal of the Korea Contents Association
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    • v.14 no.7
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    • pp.367-375
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    • 2014
  • This study aimed to develop a valid and reliable self-management instrument for pre-dialysis patients with chronic kidney disease (CKD). A total of 143 patients with CKD recruited from a medical center completed the questionnaire. The dimension and items of self-management were composed by literature review. The items of self-management was evaluated using exploratory factor analysis and measures of reliability. Five factors were extracted and labelled adherence to treatment regimen and partnership, diet adherence, problem solving, health behavior, and pursuit of psycho-social health. The five factors accounted for 51.1% of total variance. Each factors showed acceptable internal reliability with Cronbach's alpha from 0.64-0.79. The developed self-management instrument can be useful in self control of their disease for patients with CKD, and both evaluating patients' self-management and developing intervention program for health care professionals.

Convergence review of self-care measurement instrument in diabetic nephropathy (당뇨병성 신증의 자가 관리 측정도구 고찰에 대한 융합연구)

  • Jun, Young-Hee;Song, Young-Shin
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.467-475
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    • 2018
  • The purpose of this study was to describe self-management related to diabetic nephropathy(DN) patients and analyze instrument for measurement of self-management. Literature search was conducted using computerized databases such as Pubmed, CINAHL, Embase, and Cochrane. The search term of this study were "Diabetes Mellitus", "Self-care", "Kidney Disease". A total of 8 articles were collected and 8 measurement instruments used in the study. But, included studies were assessing the self-management for DN using non-DN specific instruments. Thus, DN specific instrument for measuring the self-care should be developed in future study.

Self Care Compliance, Family Support, and Depression in Patients with Congestive Heart Failure (울혈성 심부전 환자의 자가관리 이행, 가족 지지 및 우울)

  • Lee Sun-Hee;Ahn Sung-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.2
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    • pp.186-194
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    • 2005
  • Purpose: The purpose of this study was to examine self care compliance, family support, and depression in patients with congestive heart failure. Method: The participants were 105 outpatients with congestive heart failure. Data were collected using a questionnaire survey on self care compliance, family support, and depression. The collected data were analyzed using the SPSS Win 10.0 program. Result: 1. The total score for Self care compliance was 78.34 out of a possible 120 and was significantly high for people in ages between 70-79 years and people who were not employed. Exercise compliance was significantly high in men and classifications I & II of the NYHA class. Compliance with smoking and alcohol cessation were significantly high in women. Medication compliance was significantly high in the group which had experience with hospitalization. Family support was 31.75 out of a possible 40 and showed significant differences depending on spouse status and religion. Depression was 30.18 out of a possible 64 and was significantly high in the group whose educational level was above college graduation or who were under 65 years of age. Conclusion: The results suggest that nurses have to emphasize smoking and alcohol cessation for men, exercise for women and total self care compliance for patients under 65 years of age.

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Factors Influencing Self-Management Compliance of Patients with Chronic Hepatitis B (만성B형간염 환자의 자가관리이행에 대한 영향요인)

  • Yang, Jin-Hyang
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.4
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    • pp.520-528
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    • 2011
  • Purpose: Patients with chronic hepatitis B need lifelong health care because of progressive liver damage. The purpose of this study was to identify factors associated with self-management compliance among patients with chronic hepatitis B. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 118 patients with chronic hepatitis B from outpatient department in a tertiary hospital. Their ages ranged from 20 to 64. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with PASW statistics 19.0 program. Results: There were statistically significant differences in self management compliance by gender, age, job, alcohol consumption, and smoking. A positive correlation existed between self-management compliance, awareness of the importance of management, and self efficacy. Stepwise multiple regression analysis for self-management compliance revealed that the most powerful predictor was self efficacy. Self efficacy, age, and alcohol consumption explained 37.5% of the variance. Conclusion: The results indicate a need to promote self-management compliance with these participants. The findings also suggest that consideration be given to characteristics of age and alcohol consumption in developing strategies for enhancing self efficacy and developing programs to promote self-management for patients with chronic hepatitis B.

Analysis on Affecting Factors for the Income and Farming Scale Using the Panel Model (패널모형을 이용한 농업계 대학 졸업생의 소득과 영농규모에 영향을 미치는 요인 분석)

  • Jung, Da-Eun;Kang, Chang-Soo;Yang, Sung-Bum;Park, Yong-Soo
    • Smart Media Journal
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    • v.11 no.4
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    • pp.56-61
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    • 2022
  • The purpose of this study is to analyze affecting factors on the income, farming scale, and farming implementation of graduates of the Korea National College of Agriculture and Fisheries using panel model. For this, we used a generalized estimation equation among the panel analysis methods. The factors that have a positive (+) effect on income were men, married people, and successive farmers. In the case of parents' cooperative farming, dairy farming or poultry farming, matching the major at the time of graduation with the main items, the income was also high. Factors that have a positive (+) effect on farming scale were unmarried people, parents' cooperative farming, aquaculture cultivation, and poultry farming. The factors that implemented the mandatory farming implementation well were men, married people, parents' cooperative farming, aquaculture cultivation, and pig farming. Through the results of this study, it will be possible to help manage and support graduates and enrolled students.

The Effects of Hypertension Self-help Program on Hypertension-related Knowledge, Self-efficacy, Self-management Compliance and Physiological Parameters in Workers (고혈압 자조집단 프로그램이 근로자의 고혈압 관련 지식, 자기효능감, 자가관리 이행도 및 생리적 지수에 미치는 효과)

  • Gi, Mi-Young;Park, Young-Hae
    • Korean Journal of Occupational Health Nursing
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    • v.21 no.1
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    • pp.1-9
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    • 2012
  • Purpose: This study was to examine the effects of the hypertension self-help program on knowledge, self-efficacy, self-management compliance, and physiological parameters for workers with hypertension. Methods: The subjects of study were 54 patients with hypertension, divided into 28 of experimental group and 26 of control group, working in a general work place located in K city from June to September, 2009. Experiment treatment was a 12-week self-care program given for two hours, once a week. Results: After conducting a self-help program, the experimental group showed significant increase in knowledge level, self-efficacy, self-management compliance, and physiological parameters including blood pressure, BMI, total cholesterol level, neutral fat, and LDL-cholesterol of blood lipids compared to the control group. Conclusion: This program is greatly recommended for workshops.

Relationship of Knowledge, Attitude, Correct Metered Dose Inhaler Use, and Self-management Compliance among Patients with COPD (만성폐쇄성폐질환의 지식, 태도, 정확한 정량식 분무기 사용 및 자가관리 이행)

  • An, Min-Hee;Choi, Ja-Yun
    • Korean Journal of Adult Nursing
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    • v.24 no.2
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    • pp.160-170
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    • 2012
  • Purpose: The aim of this study was to assess knowledge, attitude, correct metered dose inhaler (MDI) use and compliance with self management among patients with chronic obstructive pulmonary disease (COPD). Methods: The participants of this study consisted of 109 COPD patients who were outpatients in C and K hospital located in G city from March 1 to September 30th, 2010. Data were measured using self-administered questionnaires and observational checklist. The data were analyzed using SPSS/WIN 18.0 program that included mean, standard deviation, ANOVA, Sheffe test, and Pearson's correlation. Results: There were significant relationships between knowledge and attitude (r=.33, $p$ <.001), between knowledge and correct MDI use (r=.37, $p$ <.001), and between knowledge and self-management compliance (r=.28, $p$=.003). There was significant relationship between attitude and self-management compliance (r=.33. $p$ <.001). In contrast, attitude was not significantly related to correct MDI use. Conclusion: The study showed that COPD knowledge and attitude of patients were related compliance in managing their disease. Therefore, strategies need to be utilized in education programs which would improve knowledge and subsequently improve attitude and compliance.