• Title/Summary/Keyword: 자기간호활동

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The Study of the Development of Efficacy Expectation Promoting Program and it효s Effect for Cervical Spinal Cord Injury Patients (경추손상 환자를 위한 효능증대 프로그램 개발과 그 효과에 관한 연구)

  • 황옥남
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.544-555
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    • 1996
  • The Study of the Development of Efficacy Expectation Promoting Program and it's Effect for Cervical Spinal Cord Injury Patients. This study was conducted to develop on Efficacy Expectation Promoting Program (EEPP) based on the Self-Efficacy Theory of Bandura for Cervical Spinal Cord Injury Patient(CSCIP), and invesgated it's effects. The research process of this study was done in three phases. The first phase was an analysis of the patient's life experience. The second phase was to develop an Efficacy Expectation Promoting VTR Tape Program(EEPP) that reflected the life experience of the CSCIPS. EEPP was composed Performance Accomplishment and Vicarious Experience with a home visitation program based on Verbal Persuation, which are all induction modes of efficacy expectation of Bandura. The third phase was an experimental stage. The experimental design was an AB Single Experimental Design. Research subjects were three CSCIPs (cervical area 5-7). The data was collected from 24th June to 22th Oct, 1995. The result of the experimentation showed great increase self-efficacy score, subject self-care score, all competence of daily living score, and social activities. In conclusion, it was found that an EEPP is an effective home nursing intervention technique for rehabilitation of CSCIPs.

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The Activities of Dementia Partners and the Quality of Life of the Elderly with Dementia in Rural Area (일 농촌지역 치매 파트너 활동과 치매 노인의 삶의 질)

  • Kim, Sung lim;Kim, Hyunli
    • Journal of agricultural medicine and community health
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    • v.46 no.4
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    • pp.230-241
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    • 2021
  • Objectives: The purpose of this study was to identify the level of quality of life and related factors in the elderly with dementia living in their houses of rural area who are receiving dementia partners' supporting activities. Methods: The study participants were 55 elderly people with dementia living in their houses who were participating in the dementia partner pilot project among those registered in the public health center in one area and 55 dementia partners. Data were analyzed by independent t-test, ANOVA, Pearson correlation analysis and multiple regression analysis. Results: The factors that had a significant effect on quality of life included depression to predict the quality of life in the elderly with dementia. And its explanatory power was 46.8%. Conclusions: Based on these results, it is crucial not only to maintain physical functions but also to decrease depression by emotional support activities so as to enhance their quality of life, therefore, it is required to develop and apply the integrative supporting programs in rural area. From the result that dementia partner's self-compassion would lower the depression in the elderly with dementia significantly, it is considered to develop the programs to enhance dementia partners' self-compassion.

Effects of Camping Programs on Self-efficacy and Sick-role Behavioral Compliance in Juvenile Diabetes Mellitus Patient (소아 당뇨 환자의 캠프 프로그램이 자기효능과 환자 역할 행위이행에 미치는 영향)

  • Park, Yeon-Hee
    • Korean Journal of Health Education and Promotion
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    • v.14 no.2
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    • pp.59-68
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    • 1997
  • 당뇨병은 고혈당을 조절 안할 경우에는 돌이킬 수 없는 신체적 합병증은 물론 정신적 손상까지 받지만, 고혈당은 노력만 하면 조절이 가능하며, 정상에 가까울 정도로 조절되면 정상인과 같은 삶을 영위할 수 있다. 그러나 보건의료 전문가의 인슐린 주사 요법, 식사 및 운동요법 등의 일방적인 처방만으로 성공적인 당조절을 기대하기에는 어려움이 있다. 그래서 당뇨병 환자에게 당뇨병이라는 것이 무엇이며, 어떻게 이 병을 스스로 조절할 수 있게 만드느냐가 더욱 중요한 것이다. 따라서 우리나라에서도 당뇨병에 대한 관심이 높아짐에 따라 각 지역과 의료기관마다 다양한 당뇨병 교육 프로그램이 실시되고 있다. 특히 소아 당뇨병 환자는 이러한 전통적인 당뇨병에 관한 교육을 통해서 당뇨병에 관한 지식은 많이 가지고 있지만, 당뇨병 자가 조절을 위한 환자 역할 행위(sick-role behavior)를 변화시키는데는 그다지 성공절이라 할 수 없다. Bandura(1977)는 자기 효능은 ‘할 수 있다는 자신감’으로 수행 성취, 대리 경험, 언어적 설득, 정서적 각성에 관한 정보에 의해 결정된다고 하였다. 따라서 이러한 정보들은 자기 효능을 증진시키기 위한 중재의 방향을 제시해 준다. 오늘날 이러한 정보를 활용한 중재 프로그램 중에서 가정과 학교를 떠나 자연 환경 속에서의 집단 활동을 통하여 사회 학습 경험을 하는 캠프 프로그램에 대한 관심이 높아지고 있다. 캠프에 참여한 당뇨병 아이들은 캠프 활동속에서 다른 동료 아이들이 자신이 갖고 있는 문제들을 성공적으로 해결해 나가는 것을 관찰하여 대리 경험하게 될 때 희망을 가지게 되며, 당뇨병을 가진 다른 동료들과 공통의 경험을 공유할 수 있는 기회를 갖게 되어 그들은 자신이 더 이상 혼자가 아니며 남과 ‘다르지’도 않다는 것을 깨닫게 되어 점차 자신감을 가지고 살아갈 수 있게 된다. 본 연구는 캠프 프로그램이 소아 당뇨병의 자기 효능을 증진시키고, 당뇨병 환자 역할 행위 이행 정도를 높여주는지를 규명해 봄으로써, 소아 당뇨병 환자를 위한 효과적인 간호 중재 방안을 제시하고자 비동등성 대조군 전후 실험 설계의 유사 실험 연구를 시도하였다. 1996년 8월 10일 부터 12월 12일까지 종합병원에서 추후 관리하고 있는 소아 당뇨병 환자중 선정 기준에 맞는 환자 41명을 연구대상으로 하였으며, 그 중 19명은 실험군으로 Bandura의 자기 효능 증진을 위한 정보원을 활용한 캠프 프로그램을 5박 6일간에 걸쳐 실시하였고, 다음 22명은 대조군으로 캠프 프로그램을 실시하지 않았다. 자료수집은 자기 효능 척도와 환자 행위 역할 이행 척도를 캠프 프로그램을 실시하기 전에 사전 조사를 하고 중재 후 4주째 사후 조사를 하였다. 수집된 자료는 SPSS/PC+로 Chi-square test, t-test, ANCOVA, Pearson correlation을 이용하여 분석하였으며, 그 결과는 다음과 같다. 캠프 프로그램은 소아 당뇨병 환자의 자기 효능을 증진시키고 환자 역할 행위 이행을 높여주는데 효과적 이었다. 소아 당뇨병 환자의 자기 효능은 환자 역할 행위 이행과 순 상관 관계가 있어, 자기 효능이 증진될수록 환자 역할 행위 이행 정도가 높아졌다.

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A Converged Study on the Influence on the Suicide of Idea the Elderly Living Alone. (독거노인의 자살생각 영향 요인에 대한 융합연구)

  • Kim, Jeong-Suk
    • Journal of Convergence for Information Technology
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    • v.8 no.5
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    • pp.11-17
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    • 2018
  • This study was conducted to analyze the factor of suicide ideation in the elderly living alone. This study is a descriptive research study of 175 elderly living alone in K&C region. It is a frequency analysis, correlation analysis, simple rare analysis. AMOS statistics were performed. Data collection was from January 2017 to March 2017. The results of this study are as follows. social activity (r=-.106, p<.05), subjective health status (r=-.292, p<.01) Self-esteem (r=-.069, p<.05), mind control(r=-.201, p<.01), and depression(r=.023, p<.01), stress (r=.320, p<.05). Suicidal influence factor 43.5% explanatory power. In order to prevent the suicide of the elderly living alone, It will be necessary to seek active nursing intervention to help prevent suicide.

Sports injuries and the changes in physical activity, perceived health state and exercise self-efficacy according to the sports injuries of the elderly who participate in physical activities (신체활동참여 노인의 운동손상과 운동손상유무에 따른 신체활동, 지각된 건강상태 및 운동자기효능감의 차이)

  • Seo, Kyung Hee;Eun, Young;Jeon, Mi Yang
    • Journal of Korean Biological Nursing Science
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    • v.18 no.2
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    • pp.102-109
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    • 2016
  • Purpose: The purpose of this study was to describe sports injuries among elderly people and to compare physical activity, perceived health status and exercise self-efficacy between elderly people who had experienced a sports injury and elderly people who hadn't. Methods: The sample of this study were 100 elderly in Korea, 51 of whom had had a sports injury. The study used questionnaires to gather data. There were 8 demographic factors, 4 factors related to physical activity, perceived health status and exercise self-efficacy of the subjects. Data were analyzed by frequencies, chi-square test, and t-test. Result: Among the sports injured elders, one occurrence of a sport injury was 86.3%. There were more outdoor than indoor sports injuries of elders (66.7%), and sports injuries of elders occurred more in the winter (82.7%). The major cause of the sports injuries was loss of balance. Ankles were frequently damaged from these injuries. The most significant change after the sports injury was reduction of physical activity (60.8%). There were significant differences between sports injured elderly and non-injured elderly for age (${\chi}^2=2.58$, p=.011) and the amount of physical activity (t=1.96, p=.050), but there was no significant difference in perceived health status and exercise self-efficacy. Conclusion: To prevent sports injuries in the elderly means to maintain a medium level of physical activity and to improve their balance.

Influence on Adjustment of University Life among Nnursing Students (간호대학생의 대학생활 적응에 미치는 영향)

  • Cha, Hyun Su
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.381-391
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    • 2019
  • The purpose of this study was to investigate the factors having an influence on adjusting to the university life of freshmen and sophomore nursing students. The data was collected from questionnaires that were filled out by 150 nursing students in one school from November 1, 2018 to November 20, 2018. The data was analyzed by the SPSS 22.0 program (frequency, ANOVA, Pearson's correlation and multiple regression analysis). The mean score of university life adjustment was $75.85{\pm}9.43$ (range: 25~125). A negative correlation was found between adjustment to university life and stress, A positive correlation was found between adjusting to university life and self efficacy. Negative correlation was found between stress and self efficacy. The factors influencing the adjustment of freshmen and sophomore nursing students to university life were health promoting behavior (sleeping time, snacks, drinking, and leisure time or having a hobby), stress and self efficacy. In addition, health promoting behaviors, stress and self efficacy accounted for 13.9% of the variance in adjusting to university life. The results of this study suggest that health promoting behavior, stress and self efficacy are important to the adjustment to university life for freshmen and sophomore nursing students. Further research on improving health promoting behavior, reducing stress and improving self efficacy is warranted. An intervention program that includes these significant variables of such subjects should be developed to improve adjusting to the university life of nursing students.

Nursing students' Perception of Blended Learning - Based on Focus Group Interview - (간호학과 학생들의 블렌디드 러닝에 대한 인식 -포커스 그룹 인터뷰를 중심으로-)

  • Kim, Soo-Jin
    • Journal of Convergence for Information Technology
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    • v.10 no.6
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    • pp.59-69
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    • 2020
  • This study is a qualitative study in which a focus group interview is applied to explore nursing students' perception of blended learning. 21 students in the 4th grade of nursing department were divided into 4 groups to collect data through interviews and content analysis was conducted. As a result of the study, it was categorized into four topics: 'Application and operation that are not thoroughly prepared', 'Loss of direction and departure from learning', 'One-way listening', and 'Convenience'. Students were satisfied with blended learning which is free from time and space constraints and repetitive, but felt inadequacy and unsatisfactoriness about quality of online contents, system, and preparation for applying blended learning. In order to apply blended learning in the future nursing classes, high-quality online content should be developed based on the effective design of online and offline classes considering the curriculum, and a systematic, administrative, financial, and institutional foundation to support online course should be prepared. In addition, a support system should be created to guide students' self-directed learning activities in online classes of blended learning.

Analysis of The Stages of Change in Exercise Behavior of Women in Nursing College based on Transtheoretical Model (범이론적 모형을 적용한 간호여대생의 운동행동 변화단계 분석)

  • Wang, Hee-Jung;Oh, Su-Min
    • The Journal of the Korea Contents Association
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    • v.20 no.5
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    • pp.437-447
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    • 2020
  • The study was performed to identify the process of change, decisional balance, self-efficacy and social support corresponding to the stage of exercise behavior change and the applicability of social support of women in nursing college based on a Transtheoretical Model. The subjects consisted of 223 women in nursing college by convenience sampling and the data were analyzed by IBM SPSS 21.0 program. The subjects were distributed in each stage of change of behaviors: 17.9% in the precontemplation stage, 54.3% in the contemplation stage, 16.6% in the preparation stage, 4.5% in the action stage and 6.7% in the maintenance stage. Analysis of variance showed that consciousness raising, dramatic relief, self reevaluation, social liberation, counter conditioning, helping relationship, reinforcement management, self liberation, stimulus control, pros, cons and self-efficacy were significantly associated with the stages of exercise behaviors. But there was no significant difference in social support. The transtheoretical model would be applicable to explain the exercise behavior of women in nursing college. This study will be useful information for developing effective exercise programs considering nursing female students' stages of change in exercise behavior.

Effects of Aquatic Exercise Program on Pain, Flexibility, Grip Strength, Self-Care Activities and Helplessness in Patients having Osteoarthritis (수중운동 프로그램 참여 후 골관절염 환자의 통증과 자기간호활동, 유연성, 악력 및 무력감의 변화)

  • Kim, Young-Jae;Kim, Chang-Sook;Park, In-Hyae
    • Journal of muscle and joint health
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    • v.11 no.2
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    • pp.127-135
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    • 2004
  • Purpose: The purpose of this study was to explore the effects of aquatic exercise program on pain, flexibility, grip strength, self-care activities, helplessness in osteoarthritis patients. Methods: This program was carried out three times a week for 6 weeks by 3 groups of patients among 42 patients in regular swimming pool. Data were analysed by paired t-test for pre and post comparison. Results: There were significantly improved in pain flexibility, grip strength, self-care activities and helplessness after the program. However no significant differences were found in fatigue, difficulty of daily living activities and depression. Conclusion: Aquatic program was proved to be an effective nursing intervention to increase the self-care activities flexibility and grip strength, and to decrease pain and helplessness in osteoarthritis patients.

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Relationship between Expectations Regarding Aging and Physical Activity among Middle Aged Adults in Urban Areas: Based on the Pender's Health Promotion Model (도시거주 중년기 성인의 노화에 대한 기대와 신체활동과의 관련성: Pender의 건강증진모델을 기반으로)

  • Cho, Sung-Hye;Choi, MoonKi;Lee, JuHee;Cho, Hyewon
    • Journal of Korean Academy of Nursing
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    • v.45 no.1
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    • pp.14-24
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    • 2015
  • Purpose: The purpose of this study was to measure the level of expectations regarding aging (ERA) and identify relationship between ERA and physical activity of middle aged adults. Methods: Participants were middle aged adults who resided in the community in three cities in Korea. Data were collected using questionnaires that contained items on individual characteristic, International Physical Activity Questionnaires (IPAQ), and behavior-specific cognitive factors including ERA-12. Hierarchical multiple regression was conducted to examine whether ERA would predict physical activity by controlling other factors. Results: The mean age of the participants was $51.1{\pm}6.9$ years. The mean score for ERA (possible range=0 to 100) was $40.04{\pm}14.31$. More than half of the participants (62.6%) were not engaged in health promoting physical activity. Gender, employment status and exercise confidence were associated with level of physical activity (F=7.14, p<.001, $R^2=.36$). After controlling for individual factors and behavior-specific cognitive factors, ERA was independently related to physical activity (F=7.19, p<.001, $R^2=.38$). Conclusion: The results demonstrate that individuals' belief about aging has effects on physical activity in Korean middle aged adults. Thus, nursing interventions which focused on ERA could help enhance physical activity in middle aged adults.