• Title/Summary/Keyword: 자가관리프로그램

Search Result 265, Processing Time 0.032 seconds

The Effects of a Self-care Management Program for Patients with Diabetic Foot Ulcers (당뇨병성 족부 궤양을 가진 환자의 자가 관리 프로그램 적용 효과)

  • Kim, Jung Yoon;Cheon, Eui-Young
    • Journal of Korean Biological Nursing Science
    • /
    • v.18 no.2
    • /
    • pp.78-86
    • /
    • 2016
  • Purpose: Diabetic foot ulcers are significant problems in diabetes mellitus and often result in lower extremity amputation. This study was conducted to evaluate the effects of a self-care management program on Korean patient's self-efficacy, self-care behavior, size of the wound, and wound related pain. Methods: This study was a quasi-experimental study of pre-test and post-test design in a non-equivalent control group. The intervention strategies of the self-care management program consisted of individual intervention (education, practice and demonstration), computer animation, and face-to-face counseling. There were thirty seven patients, and 20 were assigned to the experimental group while the other 17 were assigned to the control group. The experimental group was given a self-care management program. The control group received information on diabetic mellitus care by means of a leaflet. The data was analyzed using descriptive statistics, a chi-square test, an independent t-test, and a Mann-Whitney test. Results: There were significant differences in self-care behavior and wound related pain. Conclusion: A Self-care program is an effective way to increase patient's self-care ability. This program is highly applicable to diabetic foot ulcer patients in various settings.

The Effects of a Cognitive Behavioral Stress Management Program on Diabetic Self-Care and Glycemic Control with Diabetes Mellitus Type II (인지행동 스트레스관리 프로그램이 제2형 당뇨병 환자의 자가간호 이행과 당대사에 미치는 효과)

  • Park, Kyung Yeon;Park, Hyoung Sook;Seo, Ji Min
    • Korean Journal of Adult Nursing
    • /
    • v.19 no.5
    • /
    • pp.1-11
    • /
    • 2007
  • Purpose: The purpose of this study was to examine the effects of a cognitive behavioral stress management program on diabetic self-care and glycemic control with type 2 diabetic patients. Methods: Thirty three diabetic patients who were older than 40 were recruited from a public health center and conveniently assigned into both experimental(n=16) and control groups(n=17). Participants in the experimental group had attended the weekly cognitive behavioral program for 8 weeks. Data were collected from June 2005 to August 2006 and analyzed by independent t-test using the SPSS WIN program. Results: After an 8 week intervention, participants in the experimental group reported on increasement of diabetic self-care behaviors and an increasement of blood glucose levels, which were significantly different from those in the control group. Conclusion: On the basis of those findings, we concluded that the cognitive behavioral stress management program has positive effects on diabetic self-care and glycemic control for the patients with DM. Further research is needed to identify the long-term effects of the cognitive behavioral program.

  • PDF

Development and Application of Motivation-enhancing Self-management Program for Rural Aged with Hypertension (농촌지역 고혈압노인을 위한 동기강화 자가관리프로그램의 개발 및 적용)

  • Zhang, Hailian;Kim, Hyunli
    • Journal of agricultural medicine and community health
    • /
    • v.41 no.3
    • /
    • pp.152-161
    • /
    • 2016
  • Objective: The purpose of this study was to develop a motivation-enhancing self-management program and apply to rural aged with hypertension to evaluate the applicability of the Program. Methods: The motivation-enhancing self-management program was on the evidence of Orem's self-care theory and Ford's Motivational system theory which consists of group education and tele-coaching conducted 12-week. The program evaluation was done by structured questionnaires of motivation (self-efficacy, perceived benefit, perceived barrier and emotional salience), self-care and blood pressure. There were totally 31 aged with hypertension in 2 rural areas enrolled in the program. Results: There was only perceived benefit statistically significant between the intervention and control group (t=2.05, p=.04) and self-care level was no difference between the two groups (t=0.21, p=.84) after program. But there are statistically significant differences of systolic blood pressure between the intervention and control group(t=-2.62, p=.01). Conclusion: The motivation-enhancing self-management program is necessary for the rural aged with hypertension, but it's needed modify and revise in the future study.

A Study on Intelligent Self-Recovery Technologies for Cyber Assets to Actively Respond to Cyberattacks (사이버 공격에 능동대응하기 위한 사이버 자산의 지능형 자가복구기술 연구)

  • Se-ho Choi;Hang-sup Lim;Jung-young Choi;Oh-jin Kwon;Dong-kyoo Shin
    • Journal of Internet Computing and Services
    • /
    • v.24 no.6
    • /
    • pp.137-144
    • /
    • 2023
  • Cyberattack technology is evolving to an unpredictable degree, and it is a situation that can happen 'at any time' rather than 'someday'. Infrastructure that is becoming hyper-connected and global due to cloud computing and the Internet of Things is an environment where cyberattacks can be more damaging than ever, and cyberattacks are still ongoing. Even if damage occurs due to external influences such as cyberattacks or natural disasters, intelligent self-recovery must evolve from a cyber resilience perspective to minimize downtime of cyber assets (OS, WEB, WAS, DB). In this paper, we propose an intelligent self-recovery technology to ensure sustainable cyber resilience when cyber assets fail to function properly due to a cyberattack. The original and updated history of cyber assets is managed in real-time using timeslot design and snapshot backup technology. It is necessary to secure technology that can automatically detect damage situations in conjunction with a commercialized file integrity monitoring program and minimize downtime of cyber assets by analyzing the correlation of backup data to damaged files on an intelligent basis to self-recover to an optimal state. In the future, we plan to research a pilot system that applies the unique functions of self-recovery technology and an operating model that can learn and analyze self-recovery strategies appropriate for cyber assets in damaged states.

Convergence Study on the Experience of a Community Based Participatory Research leader using the BeHaS Program for Elderly Living Alone (독거노인을 위한 베하스 프로그램을 활용한 지역사회기반 참여연구 리더 경험에 관한 융합적 연구)

  • Kim, Jong Im;Kim, Sun Ae;Kim, Jiyoung
    • Journal of the Korea Convergence Society
    • /
    • v.12 no.1
    • /
    • pp.293-303
    • /
    • 2021
  • This study aimed to confirm the nature of the experiences of elderly living alone who participated in the BeHaS program using community-based participatory research. 6 elderly living alone with metabolic syndrome participated as participants, and they played a role as a leader when conducting the 12 weeks BeHaS program as a community-based participatory study. Data was collected using focus group interview. As a result, Six categories were derived; 'the burden of becoming a research participant', 'knowing a new program', 'getting into the BeHaS program', 'having a new leadership', 'knowing about metabolic syndrome health care', 'Feeling worth through a changed self'. Therefore, this study has identified the nature of the experience of participating in the BeHaS program for metabolic syndrome through a community participation-based study targeting the elderly living alone, and it will be able to provide basic data for the operation and program settlement strategies in the Community of the BeHaS program in the future.

Effects of pain, sleep and self-care behavior in patients underwent robotic minimally invasive cardiac surgeries (로봇을 이용한 심장수술이 환자의 통증, 수면 및 자가간호수행에 미치는 영향)

  • Park, Soohyun;Jang, Insil
    • Journal of Digital Convergence
    • /
    • v.17 no.7
    • /
    • pp.265-274
    • /
    • 2019
  • The purpose of this study was to know the difference in pain, sleep, self-care behavior in patients performed by sternotomy and robotic minimally invasive cardiac surgeries. The participants were 64 patients with sternotomy and 64 patients with minimal thoracotomy in heart valve surgeries at a tertiary hospital in Seoul. Data were analyzed using descriptive statistics, ${\chi}^2$ test, paired t-test. with SPSS/WIN(22.0). The participants with minimally invasive thoracotomy felt severe pain than the patients with thoracotomy at post operation day 2 & 5. The severe pain site were the surgical site in both groups. The participants with sternotomy had better sleep than minimally invasive thoracotomy patients. Self-care behavior was higher in the minimally invasive thoracotomy group. Therefore, despite the many advantages of robotic surgery such as rapid recovery and shortening of length of stay in hospital, accurate pain assessment and application of differentiated protocols are needed for the management of pain in the patients with robotic minimally invasive cardiac surgeries. In addition, a structured education program intervention is needed to improve comfort by considering gender, age, and method of operation.

A Convergence Study on the Factor Influencing to Healthcare-Associated Infection Control Guidelines of Nursing Students (간호학생의 의료관련감염 관리지침 준수 영향요인에 관한 융합연구)

  • Song, Mi Ok;Moon, Jeong Eun
    • Journal of the Korea Convergence Society
    • /
    • v.10 no.11
    • /
    • pp.189-198
    • /
    • 2019
  • In this preliminary study exploring the development of an convergent educational program, we identified the factors that affect adherence to healthcare-associated infection (HAI) control guidelines. The data were collected using a self-reported questionnaire of 183 nursing students. The collected data were analyzed using AMOS 21.0 and SPSS 21.0 program. The model fit was ${\chi}^2=52.06$ (df=9, p<.01), GFI=.93, RMSEA=.16, NFI=.85, and CFI=.90, and the explanatory power was 26.2%. As a result in this study, it was found that the theory of planned behavior(TPB) was appropriate for explaining the intention about healthcare-associated infection control guidelines. It is necessary to develop an education program that can reinforce the concepts of TPB, and iterate research to verify its effectiveness.

Relationships between Specific self-efficacy, Family support, and Self-care performance for Patients with Stomach Cancer after Gastrectomy (위암 수술환자의 구체적 자기효능감, 가족지지와 자가간호수행의 관계)

  • Jeon, Yun Hwa;Park, Geum Ja
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.19 no.1
    • /
    • pp.456-465
    • /
    • 2018
  • This study was conducted to investigate the relationships among self-efficacy, family support, and self-care performance of gastric cancer surgery patients. The study was conducted from 11 October to 15 November 2013. Data were collected by self-report questionnaires from 121 patients who were diagnosed with stomach cancer and had undergone surgery at D university hospital in B city and were in follow-up care for 3 months to 5 years after surgery. Data were analyzed using SPSS/PC WIN 18.0 to obtain the percentage, average, mean rating, and standard deviation. In addition, t-test, ANOVA, Scheffe's test, Pearson's correlation and stepwise multiple regression were conducted. The degree of self-care performance in research targets showed significant differences by sex (t=-2.25, p=0.027), religion (F=3.67, p=0.028) and profession (F=4.17, p=0.008). Self-care performance was positively correlated (r=0.60, p<0.001) with the degree of specific self-efficacy. There was a significant difference in self-care performance by specific self-efficacy, religion and gender. The total explanatory power was 37.9% and the explanatory power of the degree of specific self-efficacy (${\beta}=0.53$) was greater than that of other factors. Therefore, it is necessary to provide interventions that improve specific self-efficacy to help patients with gastric cancer patients conduct self-care performance, and practical measures should be made with respect to religion and gender.

Convergence Study on the Employment Stress and Self-rated Oral Health Status in University Students (대학생의 취업스트레스와 자가구강건강상태에 관한 융합적 연구)

  • Kim, Min-A;Kim, Hyo-Jin;Lee, Yeon-Kyoung
    • Journal of the Korea Convergence Society
    • /
    • v.11 no.3
    • /
    • pp.127-133
    • /
    • 2020
  • This study was to survey the relationship between employment stress and self-rated oral health status in university students from Sep. 2 to 27, 2019. Data were analyzed using the SPSS 22.0 program. In case of high employment stress, the comparative risk of self-rated oral health status was 1.7 times in Gingiva swelling, 1.46 times in ulcer and 1.53 times in hypersensitivity. After correcting the general characteristics (gender, age, grade, major), the comparative risk was 1.56 times for Gingiva swelling, 1.42 times for ulcer and 1.44 times for hypersensitivity. Therefore employment stress was found to be related to oral health and it is considered necessary to find ways to prevent and manage oral health by seeking various methods such as counseling support or stress control to reduce employment stress.

The development of Intelligent Safety Bridge(ISB) Pole System based on Ubiquitous Sensor Networks (USN 기반의 지능형 안전 교량 Pole 시스템 개발)

  • Jung, Ji-Eun;Kim, Eun-Ji;Song, Byung-Hun
    • Proceedings of the Korean Information Science Society Conference
    • /
    • 2010.06d
    • /
    • pp.424-427
    • /
    • 2010
  • 2006년 서해대교 추돌사고에서 볼 수 있듯이, 장대교량과 같은 대형 구조물의 경우에는 육로와의 접근성 문제 등으로 인하여 보다 철저한 이용자 안전에 대한 대책이 수립되어야 한다. 따라서 본 논문에서는 장대교량을 이용하는 차량과 사람의 안전 확보를 위하여 교량의 노면 상태, 기상 상황, 사고 발생 상황 등과 같은 다양한 위험 정보를 수집 및 전송하여 교량의 안전을 실시간으로 관리 할 수 있는 ISB(Intelligent Safety Bridge) Pole 시스템 개발을 제안하고자 한다. ISB Pole 시스템은 교량 안전을 위하여 가장 우선시되는 u-Safety 센서와 신뢰성 향상을 위하여 이중화 통신구조를 지닌 게이트웨이를 Pole에 설치하여 실시간으로 교량의 교통 상황을 모니터링 한다. 뿐만 아니라, 수집된 정보를 통해 교량 안전관리자가 손쉽게 사고 및 위험에 대응할 수 있도록 교량의 각 구간에 위험지수를 표시할 수 있는 u-Safety 복합안전관리 프로그램을 개발한다. 이와같은 ISB Pole 시스템은 실제 교량에 다양한 현장실험을 진행함으로써 시스템의 안정성을 높이고, 인터페이스를 단일화하여 교량의다른 IT 시설물과도 통합이 가능한 형태로 제작되어 교량의 안전도 향상에 크게 기여할 것이다.

  • PDF