• Title/Summary/Keyword: 자가관리프로그램

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Comparison of Occupational Health Providers' Perception on Workers' Health Promotion Program by Business Types: Focusing on Need, Necessity, Performance, Barriers, and Effectiveness of Program (보건관리자가 인지한 근로자 건강증진 프로그램 수행 실태에 관한 업종별 비교: 요구도, 필요도, 수행도, 장애도 및 운영효과를 중심으로)

  • Kim, Young-Im;Lee, Bokim
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.1
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    • pp.29-40
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    • 2016
  • Purpose: The purposes of this study were to examine the differences in need, necessity, performance, barriers, and effectiveness of workers' health promotion program and to determine the influencing factors in effectiveness of workers' health promotion program by business types. Methods: Subjects were participants of an education held by Korean association of occupational health nurses and a survey was self-reported. Survey items were developed by researchers through literature review. It included general characteristics of occupational health providers and worksites, need, necessity, performance, barriers and effectiveness of workers' health promotion (WHP) program. The total number of worksites was 168, manufacturing/construction was 76 (45.2%), other services were 52 (31.0%), and healthcare services were 40 (23.8%). We used ${\chi}^2test$, ANOVA test, correlation analysis, and multiple regression analysis. Results: There were differences in need, necessity and performance of WHP by business types. In healthcare services, WHP had statistically significant effectiveness to reduce turnover rates. And the influencing factors of WHP's effectiveness were workers' need in manufacturing/construction, health provider's career in other services, and perceived necessity in healthcare services. Conclusion: Based on this result, we propose differentiated strategies depending on the business types for effective workers' health promotion program.

Convergence review of Factors related to Empowerment of Patients with Chronic Diseases in Korea (국내 만성질환자 임파워먼트 관련요인 고찰에 대한 융합연구)

  • Kim, Jiyoung
    • Journal of the Korea Convergence Society
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    • v.11 no.8
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    • pp.381-390
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    • 2020
  • The aim of this study was to review studies on factors related to empowerment of patient with chronic diseases in Korea. By a literature search of databases, a total of 14 quantitative studies published in both Korean and English between January 2011 and April 2020 were identified. All the studies used a cross-sectional design and the majority of the studies used regression analyses. In 4 (28.6%) studies adopted Diabetes Empowerment Scale-Short Form (DES-SF) as the instrument to measure empowerment. The results confirm that self-care, social support, health literacy, and quality of life are associated with empowerment of patients with chronic diseases in Korea. This study will provide basic data with developing instruments and intervention programs of empowerment of patients with chronic diseases in Korea.

Client-Centered Self Management Program for Chronic Disease Patients: Focusing on Hypertension, Diabetes Mellitus (대상자 중심의 만성질환 자가관리 프로그램: 고혈압, 당뇨병을 중심으로)

  • Song, Yeon Yi;Lee, Kang-Sook;Cho, Hyun-Young;Lee, Binna
    • Korean Journal of Health Education and Promotion
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    • v.31 no.4
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    • pp.93-106
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    • 2014
  • Objectives: The aim of this study was to develop the efficient program protecting shift to cerebrovascular disease as complication for patients with diabetes and hypertension. Methods: Chronic disease self management program(CDSMP), implement manual, action plan, Q&A card and motivation methods were suggested based on Bandura's social learning theory through reviewing various literatures and cases. Results: This program can increase self-efficacy, individual health behavior change and quality of life and it makes to continuous care of chronic disease. Conclusion: In order to operate chronic disease self-management program, standardized education courses training of specialist leaders and expert patients leaders would be required. And the development enlargement of self-management program for various other chronic disease such as arthritis, back pain, atopy, asthma would be required in the future.

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.

A Study on the Related Factors and the Change after Foot-reflexo-massage Education Program for Diabetic Patients (당뇨병 환자의 발반사요법 교육프로그램 후 발관리지식, 자가간호행위, 생리적지표의 변화 및 관련요인분석)

  • Lee, Young-Hee
    • Korean Journal of Adult Nursing
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    • v.16 no.2
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    • pp.222-232
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    • 2004
  • Purpose: The purpose of this study was to identify the change in foot care knowledge, self care behavior, and physiologic indexes after foot reflexomassage education program, and the related factors. Method: Data were collected from 20 patients who were visited out patients clinic. The change and difference were analyzed with non-parametric statistics. Result: There were significant differences in foot care knowledge(P=.001), self care behavior(P=.000), dosalis pedis blood flow volume (P=.011), skin temperature of foot(P=.001), dorsalis pedis pulse(P=.000), capillary filling time of foot (P=.000) between pre and post. The level of changes of foot care knowledge was significant differences according to admission experience (P=.049), and negative related to systolic blood pressure(P=.028). The level of changes of self care behavior was related to age(P=.049), that of dosalis pedis blood flow was significant difference according to smoking(P=.042), that of skin temperatureof foot(P=.002) and dosalis pedis pulse(P=.038) were significant difference according to weight. The level of changes of capillary filling time of foot was related to diagnosis period(P=.014). Conclusion: Foot-Reflexo-Massage education program is an effective nursing intervention to promote foot care in diabetic patients. And the related factors can be recommended for the management of diabetic patients.

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A Convergence Study on Disaster Awareness, Disaster Preparedness, and Ego-resilience of Nursing Students (간호학생의 재난인식, 재난준비도 및 자아탄력성에 관한 융합연구)

  • Park, Jeong-Eun
    • Journal of Convergence for Information Technology
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    • v.9 no.11
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    • pp.38-46
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    • 2019
  • This study was conducted to identify disaster awareness, disaster preparedness, and ego-resilience in the college of nursing students', and to analyze correlation between study variables. The study subjects were 300 nursing students in four universities in two cities. Data were collected between April 1 and April 30, 2019 using by completing structured self report questionnaires. Data were analyzed using T-test, ANOVA, Pearson's correlation coefficient using SPSS/WIN 22.0. In correlation analysis, significant positive correlations were found between disaster awareness, disaster preparedness, and ego-resilience. Therefore, we propose to develop convergence education programs to imp rove disaster awareness, disaster preparedness, and ego-resilience in order to improve competency related to disaster management of nursing students.

Development and Evaluation of an App-Based Self-Management Program for Exercise Practice of Breast Cancer Survivors: A Non-Randomized Controlled Trial (유방암 생존자의 운동실천을 위한 앱 기반 자가관리 프로그램 개발 및 효과: 비무작위 대조군 실험연구)

  • Maeng, Suyoun;Yu, Jungok
    • Journal of Korean Academy of Nursing
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    • v.54 no.2
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    • pp.250-265
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    • 2024
  • Purpose: This study aimed to develop an app-based self-management program based on the transtheoretical model (TTM) for breast cancer survivors' exercise practice, as well as to investigate the program's effects on the stage of change for exercise, exercise self-efficacy, exercise decisional balance, exercise amount, and body composition. Methods: This non-randomized controlled study included 52 participants (26 in each of the experimental and control groups, respectively). An app-based self-management program based on the TTM was conducted with the experimental group for a 12-week period. The program comprised three components: individual coaching for each stage of change for exercise based on TTM, amount of exercise and body composition monitoring, and online self-help meetings. Results: Compared with the control group, the experimental group had significantly higher stages of change for exercise (p < .001), exercise self-efficacy (p < .001), exercise decisional balance (p = .002), exercise amount (p < .001), and body composition (body weight [p = .006], body mass index [p = .005], and body fat percentage [p = .010]) immediately and four weeks after the intervention. Conclusion: An app-based self-management program based on the TTM improves exercise behaviors in breast cancer survivors and provides physical benefits.

Changes of Self-efficacy, Depression, and Posttraumatic Growth in Survivors with Breast Cancer Participating Breast Cancer Prevention Volunteering (유방암예방 자원봉사활동에 참여한 유방암 생존자들의 자기효능감, 우울 및 외상 후 성장의 변화)

  • Yi, Myungsun;Cha, Jieun;Ryu, Youngmi
    • The Journal of the Korea Contents Association
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    • v.14 no.4
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    • pp.256-266
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    • 2014
  • Purpose : This study was to explore the long-term effects of breast cancer prevention volunteering on self-efficacy, depression, and posttraumatic growth among survivors with breast cancer. Methods: This pilot study utilized a longitudinal design. Participants were 14 women with breast cancer who participated in the breast cancer prevention educational program The data were collated between February and August in 2013. Self-report questionnaires were used to measure the self-efficacy for self-management of breast cancer, depression, and posttraumatic growth at pre-education(T0), 1 month(T1), 3 months(T2), and 6 months(T1) post-education. A generalized estimating equation regression model was used to identify the effects. Results: The scores of self-efficacy increased significantly at T1(${\chi}^2$=5.56, p=.0l8) and D(${\chi}^2$=4.56, p=.033) compared with T0. Depression and posttraumatic growth remained stable with fairly good levels throughout the 6-month period. Conclusion: The results of this study suggest that breast cancer prevention volunteering in survivors with breast cancer can be effective for enhancing their self-efficacy and maintaining psychological well-bang. Also the study showed that such volunteering activity could be a useful program not only for the general public but also for breast cancer survivors.

The status of Healthcare-associated Infection Control among Healthcare Facilities in Korea (국내 의료기관의 의료관련감염 관리 실태)

  • Jeong, Sun-Young;Kim, Og Son;Lee, Ji-Young
    • Journal of Digital Convergence
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    • v.12 no.5
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    • pp.353-366
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    • 2014
  • The purpose was to describe the state of healthcare-associated infection(HAI) control. Data were collected from 134 hospitals. The questionnaire developed by Kang[8] were modified. The mean of hospital beds was 556.4, 26.9% of hospitals were less than 300 beds. 99.3% of hospitals had infection control committee(ICC). ICC met 3.4 times a year. 54.5% of hospitals had one infection control practitioner(ICP). 95.5% of ICPs were nurse, 48.7% of ICPs had more than master's degree. Hospital experience of ICPs was 13.5 years. ICP experience was 3.2 years. 30.8% of ICPs worked for less than 1 year. All hospitals investigated HAI, 75.4% performed improvement activities. There are significant differences in existence of ICD, negative pressure room, computer program, numbers of ICPs according to hospital size. Manpower, organization, and facilities lacked in less than 300 beds. This conclusions will give baseline data to establish infection control system, manpower and practice in small-medium hospitals.

A Study on the Relationship of Infection Control Performance in a Long Term Care Hospital Caregivers (일개 지역 요양병원 간병인의 감염관리수행도 관련성 연구)

  • Hong, Na-Kyung;Kang, Kyung-Ja
    • Journal of Digital Convergence
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    • v.18 no.1
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    • pp.187-198
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    • 2020
  • The purpose of the study is to investigate infection management status of long term care hospitals and infection prevention knowledge of caregivers. This is descriptive study to investigate the factors affecting caregivers' infection control performance in long term care hospitals. The data collection period was from August, 2018, and a total of 197 caregivers from 8 long term care hospitals. The data analysis were done Win SPSS 20.0 with t-test, ANOVA, pearson's correlation coefficient, and hierarchical multiple regression analysis. Infection prevention knowledge was positively correlated with infection control performance (p=<.001). The factors influencing performance in a long term care hospital caregivers were over seventy years old (t=2.50, p=.013), eight-hour working time (t=-2.62, p=.010), nursing staffing First grades (t=2.48, p=.014), and infection prevention knowledge (t=2.96 p=.003), which explained 12.9% (F=6.70 p<.001). In summary, we recommend to develop infection education interventions to improve caregivers' infection control performance in long term care hospitals and to improve of the function in long term care hospitals.