• Journal of Digital Convergence
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• v.16 no.9
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• pp.319-327
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• 2018

This study is a qualitative study using focus group interview to explore the perception regarding smartphone use for adhering to self-care in chronic heart failure patients. Eleven patients who were diagnosed with heart failure were included. Three focus groups were held with heart failure patients at an outpatient cardiac care center. The focus group discussions were transcribed verbatim and analyzed using the method of constant comparative analysis. The 12 sub-themes were categorized into 'perception of smartphone use', 'Barriers to smartphone use', and 'Facilitators to smartphone use'. We found that the need to design tailored the messages or health information based on individual preferences. Our findings will be used to develop or design a smartphone based self-care program for patients with heart failure.

• 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.

• Proceedings of the Korean Information Science Society Conference
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• 2006.06a
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• pp.136-138
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• 2006

홈 서비스 네트워크 시스템의 복잡도가 증가하면서 고가용도 요구사항을 만족하기 위한 관리 메커니즘 개발이 더욱 어려워졌다. 더욱이, 사용자는 시스템 결함 관리와 같은 복잡한 시스템 관리를 직접 하는걸 원하지 않는다. 그러므로 홈 네트워크로 연결된 장치 또는 가전제품으로 구성된 통합 시스템의 고가용성 요구사항을 만족하면서 사람의 개입을 최소화할 수 있는 자가 관리 기능 및 원격 결함 관리 능력을 홈 서비스 시스템은 갖춰야 한다. 따라서 본 논문에서는 홈 서비스 네트워크 시스템의 가용도를 향상시키면서 관리 비용을 최소화할 수 있는 오토노믹 자가관리 유틸리티를 설계 및 개발한다.

• Journal of the Korea Convergence Society
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• v.10 no.8
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• pp.299-308
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• 2019

The purpose of this study was to confirm if self-management and self-efficacy of diabetic nephropathy hemodialysis patients were influencing factors on the hemodialysis-related symptoms. A cross-sectional study was performed on 254 patients based at 3 University hospital hemodialysis centers and 7 hemodialysis clinics from September 2017 to November 2017. The data was analyzed using t-test, ANOVA, Scheffe test, Pearson correlation, and multiple regression analysis. The results showed that patients with stable economic condition and no complications from diabetes, the higher patient self-management and self-efficacy led to lower hemodialysis related symptoms. Therefore, the government should provide financial support, a management process needs to be set up to prevent complications from diabetes, and disease-specific patient self-management program should be implemented to increase patient's self-efficacy.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.4
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• pp.1774-1780
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• 2013

The purpose of this study was to investigate the relationship between diabetic neuropathy, and glycemic control, self-management in type 2 diabetes mellitus(DM) patients. This was a cross sectional descriptive study and data were collected between May 10 and 31, 2011 using a questionnaire and medical record. The participants were 108 with DM who were treated at the endocrine medical outpatient department. The data were analyzed Pearson's correlation with SPSS WIN program. The mean scores of neuropathic pain and self-management were $9.3{\pm}1.4$(Range 0-14.64) and $5.40{\pm}0.76$(Range 1-7), respectively. There were 33.3% of the patients whose HbA1c levels are higher than 7.5%. Neuropathic pain was positively correlated with glycemic control(r=.18, p=.035), and was negatively correlated with self-management(r=-.19, p=.023).

• The Journal of the Korea Contents Association
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• v.21 no.6
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• pp.609-619
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• 2021

The purpose of this study was not only to identify the level of health literacy, self-management knowledge and self-care behavior, but also to identify the relations those variables in elders with hemodialysis. The subjects of this study are 193 patients from dialysis clinics of nine hospitals in Incheon who aging over 60 years old. Data collection was conducted by using Health Literacy Scale, Self-Management Knowledge Scale, and Self-Care Behavior Scale. The data were analysed by descriptive analysis, t-test, ANOVA, and Pearson correlation coefficient using SPSS statistics 23.0 program. In the results, average score of subjects' health literacy, self-management knowledge and self-care behavior were 13.66(±2.09), 13.33(±1.85) and 63.95(±10.32), respectively. There were significant positive correlation between self-management knowledge and health literacy (r=0.37, p<.001) and reading comprehension part which is subscale in health literacy (r=.25, p=.001). Also, there was significant positive correlation between self-management knowledge and self-care behavior (r=0.15, p<.05). According to the above results, for improving the self-care behaviors in elders with hemodialysis, it is necessary to provide tailored education based on his/her level of health literacy.

• Proceedings of the Korea Information Processing Society Conference
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• 2012.04a
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• pp.1007-1009
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• 2012

고혈압과 같은 만성질환 환자들은 약물치료 외에도 운동, 식습관 조절등과 생활습관 개선을 위해 꾸준한 자가관리가 필요하다. 본 논문은 최근 대중적으로 보급되고 있는 스마트폰을 통해 이러한 고혈압 환자들의 자가관리를 돕기 위한 프로그램을 개발하고자 한다.

• Journal of KIISE:Computing Practices and Letters
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• v.13 no.2
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• pp.119-130
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• 2007

Home service networked systems require a high-availability service with a proactive and practical fault management. However, as the system complexity grows, it is not easy to meet the requirement. Moreover, user may want to pay no attention to a sequence of complex or nervous maintenance jobs for system fault managements. Therefore, the home service networked systems must have self & remote fault management capability with a minimal human intervention for meeting high-availability requirement of the integrated systems that consist of the networked appliances or devices. In this paper, we present an autonomic healing utility equipped with a remote self-managing mechanism in order to both increase the availability of home service networked systems and decrease the maintenance cost.

• The Journal of Korean Academic Society of Nursing Education
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• v.13 no.1
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• pp.95-104
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• 2007

연구목적: 고혈압환자의 효과적인 자가관리 간호중재를 개발하는데 필요한 기초자료로 혈압자가측정(self-monitoring of blood pressure)에 대한 특성, 장점, 범위 및 제한점을 파악한다. 연구방법: 1996년부터 2005년까지 PubMed에 수록된 고혈압환자의 자가관리 방법중 혈압자가측정방법이 포함된 외국의 연구를 중심으로 체계적인 고찰을 실시하였다. 전체 69개 자가관리방법을 적용한 논문 중에서 혈압자가측정이나 가정에서의 혈압측정(home monitoring)에 대한 45개 논문을 선정하여 분석하였다. 연구결과 전반적으로 혈압자가측정 방법은 고혈압환자의 혈압조절을 향상시키는 효과가 유의한 것으로 나타났다. 환자가 혈압을 자가측정한 방법에서 평균 혈압, 수축기 혈압, 맥압이 유의하게 감소한 것으로 보고되었다. 장기적 프로그램에서 혈압조절율이 향상되거나, 이완기혈압의 감소효과도 보고되었다. 혈압자가측정의 기준치는 연구마다 일치하지는 않았지만 135/85mmHg 수준이 정상혈압의 상한수준으로 제시되었다. 일부 연구에서는 가정 내 혈압측정이 24시간혈압측정을 대체하는 방법으로 추천되었다. 보다 정확한 혈압자가측정을 위해서 신뢰성 있는 혈압측정기구의 사용과 정확한 측정방법이 환자들에게 교육될 필요가 있다. 결론: 혈압자가측정은 고혈압환자의 혈압조절에 유용한 방법으로 고찰되었다. 또한 고혈압의 진단, 혈압치료와 고혈압 약물복용 행위를 향상시키는 교육적 효과도 긍정적으로 나타났다. 따라서 고혈압환자를 위한 효과적인 자기조절프로그램에 혈압자가측정법을 포함하는 것이 추천되며, 추후 한국에서 시도된 관련 연구에 관한 문헌고찰의 비교연구가 필요하다.

• Proceedings of the KAIS Fall Conference
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• 2007.11a
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• pp.95-98
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• 2007

본 논문은 무선 인터넷 환경에서 PDA 기반 당뇨관리 시스템의 설계 및 구현을 기술한다. 이 시스템은 클라이언트, 서버, 미들웨어 등으로 구성되는 3-계층 클라이언트/서버 구조이다. 클라이언트 환자용 PDA로 당뇨 자가관리 기능을 수행하고 매일 발생되는 데이터는 무선 통신으로 서버에 전송되어 DB에 저장되도록 하였고, 의사용 PDA는 DB에 저장된 당뇨환자의 데이터 모니터링 할 수 있도록 구성된다. 웹사이트는 당뇨관련 콘텐츠, 커뮤니티, 그리고 당뇨관리 데이터의 시각화하여 제공한다. 본 시스템의 구현 결과, 당뇨환자의 지속적인 자가관리를 지원할 수 있고, 당뇨관리 DB를 기반으로 체계적이고 효과적인 당뇨관리를 할 수 있을 것으로 기대된다.