• Title/Summary/Keyword: 자아통합

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The Effects of Convegenced Integration Support Program for Home-Based Cancer Patients (재가암환자를 위한 융합적 통합지지 프로그램의 적용 효과)

  • Ahn, Mi-Na;Baek, Myung-Wha;Cho, Mi-Hye;Kim, Jeong-Sook;Kim, Seung-Mi;Kim, Jong-Pil;Kong, Jeong-Hyeon
    • Journal of Convergence for Information Technology
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    • v.9 no.2
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    • pp.65-74
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    • 2019
  • This study is an experimental study on the single group pre-post test design for the convegenced of an integration support program for home-based cancer patients and the verification of its effects. Targeting total 33 home-based cancer patients in J city, total 30 sessions of the convegenced integration support program composed of cancer-related knowledge education, stress management, cognitive behavioral approach, and exercise for revitalization were provided three times a week for ten weeks. In the results of this study, the convegenced integration support program reduced stresses of the subjects and also improved their hopes and self-esteem. Thus, this program is considered as a onvegenced integration support program suitable for home-based cancer patients. In the future, it would be necessary to seek for the nursing interventional strategies for the expansion for this program to regional health centers or community institutes performing the convegenced integration support program for cancer survivors, so that they could continuously participated in the program.

A Case Study on Autobiography Writing Program for Older Adults (노인자서전 쓰기 교육 프로그램 사례 연구)

  • Ji, Haeng Jung;Han, Jungran;Park, Seong Hie
    • 한국노년학
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    • v.31 no.2
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    • pp.223-241
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    • 2011
  • The purpose of this research is to analyze the effect of an autobiography writing program as a method of education for older adults. The authors participated in the processes of all 10 sessions of the autobiography writing program as instructors or program assistants at a senior welfare center in Seoul, 2007. Data used for analysis were learners' narrations in class, written autobiographies by learners, and researchers' memo-notes. We analyzed their narrative flows using Haenninen(2000)'s theory of narrative flow and reconstructed their categories of activities as life histories. 'The innen narration' constructed by learners was a spiritual process in which they have imbued their life and living conditions with meaning. The learners reminisced their lives as 'unreflective narration' in the beginning of education. However, as the class went on, they gradually reminisced them as "reflective narration" and finally developed them as 'meta-reflective narration' through the intentional reflection. Likewise, we could interpret the transition of learners into meta-reflecter as the completion of ego-integration. As a conclusion, we found the effects of the autobiography writing education for older adults in educational, social, and psychological aspects.

The Concept Analysis of Ego-integrity in the Elderly (노인의 자아통합감 개념 분석)

  • Chang Sung Ok;Kong Eun Sook;Kim Kwuy Bun;Kim Nam Cho;Kim Ju Hee;Kim Chun Gill;Kim Hee Kyung;Song Mi Soon;Ahn Soo Yeon;Lee Kyung Ja;Lee Young Whee;Chon Si Ja;Cho Nam Ok
    • Journal of Korean Academy of Nursing
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    • v.34 no.7
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    • pp.1172-1183
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    • 2004
  • Purpose: Ego-integrity in Erikson's stage theory is used frequently among health team members related to the care of the elderly and has specific meanings within the context of quality of life in later life. However, the concept of ego-integrity in the elderly has not been well articulated in the literature. This study was conducted clarify and conceptualize the phenomena of ego-integrity in the elderly. Method: A Hybrid Model of concept development was applied to develop a concept of ego-integrity, which included a field study carried out in Seoul, South Korea using in-depth interviews with old adults who were admitted as a right person for research subject according to attributes of ego-integrity analysed in the theoretical phase. Results: The concept of ego-integrity emerged as a complex phenomenon having meanings in several different dimensions which encompassed several attributes. Conclusions: Ego-integrity is a concept having needs that should be treated in a specific way and it is possible to enrich the meaning and methods to manage ego-integrity in nursing interventions for promoting quality of life so that its application may have effects that have positive impacts on the elderly's well being.

Effects of Life Review-Narrative Group Therapy Program to Increase Ego-Integrity in the Elderly (생애회고적 이야기치료 집단프로그램이 노인의 자아통합감 증진에 미치는 효과)

  • Yeo, In-Suk;Kim, Choon-Kyung
    • Journal of the Korean Home Economics Association
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    • v.44 no.5 s.219
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    • pp.157-169
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    • 2006
  • The purpose of this study was to verify the effectiveness of a life review-narrative group therapy program aimed at increasing ego-integrity in the elderly. The life review-narrative group therapy program was organized according to the tfe course from childhood to old age. The objectives of the program were for the elderly to enhance their self-worth, become aware of their individual self existence, accept aging and death, accept the past and present life, and to make the most of their experiences of overcoming difficulties. The counseling techniques used in the program were mainly reminiscence and re-authoring of the narrative therapy. Thirty-two elderly people aged 60 years and over (16 in each of experimental and control groups) were selected randomly from the Daegu Metropolitan City General Welfare Center for the research. The two groups were identified as equivalent for the study in a pre-test. The program of the experimental group was implemented twice a week for 90 minutes per session over a 6-week period (Sep. 8th - Oct. 14th. 2005). The pre (Sep. 8th 2005), the post (Oct. 14th. 2005) and follow-up (Nov. 14th. 2005) tests were implemented in ordo, to verify the effectiveness of the program. The instruments used in the study were the Ego-Integrity Scale. The data were analyzed using t-test, and Ore-Factor Repeated Measures ANOVA. The findings of the study were as follows. The experimental group evidenced significant effects on enhancing ego-integrity. The result of the post hoc multiple comparisons showed that the effects of the life review-narrative group therapy Program were maintained for one months. Meanwhile the control group did not show any significant change in ego-integrity. Based on these findings, the limitations of the study were discussed, and further research was suggested.

Ego Integrity, Appearance Behavior, Health, and Demographic Variables of Elderly Women (노년기 여성의 자아통합감과 인구통계적 특성, 건강 및 외모행동과의 관련 연구)

  • Lee, Eun-Sil;Ahn, Seong-Ah
    • Journal of the Korean Home Economics Association
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    • v.43 no.12 s.214
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    • pp.153-163
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    • 2005
  • The purposes of this study were to investigate the differences of appearance behavior and ego integrity of elderly women according to demographic variables, and health, and to examine how the ego integrity of elderly women was influenced by appearance behavior, health, and demographic variables. The subjects were 117 elderly women(aged 60 to 70) in Jinju, Korea who were interviewed face-to face with a survey questionnaire. The results of the study were as follows. There were significant differences in appearance adornment and ego integrity (wise living and attitude toward life) according to age. After controlling for age, there were significant differences in appearance interest, makeup, and ego integrity according to education. There was a significant difference in ego integrity (attitude toward life) according to the presence of a spouse or mate. There were significant differences in appearance interest, makeup, and ego integrity according to health. Health and education had a significant effect on satisfaction with the present living. Health, age(-), and appearance behavior had a significant effect on wise living. Health, age(-), and education had a significant effect on attitude toward life. Education and health had a significant effect on appearance behavior. The present findings indicate that health state and appearance behavior, such as appearance interest and makeup, had a significant effect on the ego integrity of elderly women. On the whole, the ego integrity of elderly women was positively correlated with the level of health state, education, and appearance behavior.

The effectiveness of cognitive behavioral therapy for ego-integrity of depressed elderly women living alone (우울한 여성독거노인의 자아통합감 증진을 위한 인지행동치료 프로그램 개발 및 효과)

  • Kim, Ji Hyun;Jeong, Hyo Un;Kim, Jung Min
    • Journal of Family Relations
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    • v.21 no.3
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    • pp.49-72
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    • 2016
  • Objectives: The purpose of this study is to develop a cognitive behavioral therapy program for ego-integrity of depressed elderly women living alone, and to verify its effectiveness. Method: The subjects of this study were composed of elderly women(age 65 and older) living alone who had basic literacy skills, 24 or higher in mental state examination(MMSE-K), and 6 or higher in elderly depression(GDS). 29 women were randomly assigned into an experimental group(cognitive behavioral therapy), a comparison group(reminiscence therapy) and a control group. The experimental group and the comparison group retrospectively participated in a 90-minute therapy session twice a week for a total of 12 weeks. The effectiveness of the program was assessed through a pretest, posttest, and 2-month follow-up test. The data collected were analyzed with SPSS 22.0 statistical program. Results: The main findings of this study are as follows. First, at posttest ego-integrity and self-esteem marked higher scores in both of the experimental group and the comparison group than in the control group, but the experimental group marked comparatively higher scores than the comparison group. For dysfunctional attitude, only the experimental group showed lower scores compared to the comparison group and the control group. Second, at posttest depression marked lower scores in the experimental group compared to the comparison group and the control group. Third, at posttest problem-solving and support-seeking coping strategies marked higher scores in the experimental group compared to the comparison group and the control group. Fourth, the significant improvements remained at 2-month follow-up test. Conclusions: Cognitive behavioral therapy resulted in improvements of the ego-integrity and related symptoms of depressed elderly women living alone at posttest and 2-month follow-up test respectively.

Correlations between Self-efficacy for Physical Activity, Perceived Health Status, Attitudes toward Aging, Ego-integrity and Overall Physical Activity in Community-dwelling Older Koreans (한국 재가노인의 신체활동과 신체활동 자기효능감, 주관적 건강상태, 노화태도, 자아통합감의 관계)

  • Kim, Se Min;Lim, Kyung-Choon;Lee, Joohyun
    • Journal of muscle and joint health
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    • v.29 no.3
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    • pp.218-227
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    • 2022
  • Purpose: This study aimed to describe the current level of physical activity (PA) and to explore the relationships between self-efficacy for PA, perceived health status (PHS), attitudes toward aging, ego-integrity and PA in community-dwelling older Koreans. Methods: A total of 164 participants were recruited from community centers, churches, and senior welfare centers in Korea. With questionnaires, a survey was conducted from June 3rd to 22th, 2016. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA and Pearson's correlation coefficient using SPSS/WIN 22.0 program. Results: The mean amount of total PA was 5,295.33±6,272.38 MET/min/week. The number of subjects engaged in vigorous, moderate, and low-intensity activities were 87 (53.0%), 45 (27.4%), and 32 (19.5%), respectively. Overall, physical activities were different according to the presence of spouse (t=-2.79, p=.006) and the presence of housemate (t=2.03, p=.044). The mean scores of self-efficacy for PA, PHS, attitudes towards aging, and ego-integrity were 17.16±4.45, 9.00±2.41, 68.12±9.28 and 51.62±7.59, respectively. There were significant positive correlations between overall PA and self-efficacy for PA (r=.34, p<.001), PHS (r=.23, p=.003), attitudes towards aging (r=.26, p=.001). Conclusion: Specific programs to promote physical activities in addition to continuous education for improving self-efficacy for PA, PHS, and attitudes towards aging in community-dwelling older adults are needed.

Factors Influencing Ego-Integrity in Community Dwelling Elders (재가 노인의 자아통합감에 영향을 미치는 요인)

  • Chang, Hae-Kyung;Oh, Won-Oak
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.4
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    • pp.529-537
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    • 2011
  • Purpose: This study was done to identify the relationship of perceived health status, depression, meaning of life, and family function and to ego integrity, and to investigate the main factors influencing ego-integrity in community dwelling elders. Method: The research design for this study was a descriptive survey design using a convenience sampling. Data collection was done using self-report questionnaires with 157 community dwelling elders located in 3 cities, Seoul, Seosan and Gyungju. Data analysis was done using SPSS 15.0 pc+ program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Results: There were significant differences between ego-integrity according to gender, religion, economic level and amount of spending money. Ego-integrity had significant positive correlations with perceived health status, meaning of life, family function and a negative correlations with depression. The major factors that affect ego-integrity in community dwelling elders were self-awareness and acceptance, contentedness with past and present, gender and family function, which explained 62.7% of ego-integrity. Conclusion: Findings from this study provide a comprehensive understanding of ego-integrity and related factors for community dwelling elders.

Health Status and Ego-Integrity of the Permanent Elderly Returnees from Sakhalin (사할린 영주귀국 노인의 건강상태와 자아통합감)

  • Yi, Young-Soo;Sohng, Kyeong-Yae
    • Journal of Korean Public Health Nursing
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    • v.30 no.1
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    • pp.5-16
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    • 2016
  • Purpose: This correlational study was conducted to determine the relationship between health status and ego integrity of permanent elderly returnees from Sakhalin. Methods: We surveyed 94 permanent elderly returnees from Sakhalin, living in Gimpo, Korea. Data were analyzed using the SPSS/WIN 18.0 program for descriptive statistics, t-test, $Scheff{\acute{e}}$ test, ANOVA, and Pearson correlation coefficient. Results: The mean score of total health status was 3.7 on a 5 point Likert scale. The mean score of ego integrity was 3.6 on a 5 point Likert scale. The health status showed significant correlation with the ego integrity of the permanent elderly returnees from Sakhalin. Conclusion: In the present study, although the health status of the permanent elderly returnees from Sakhalin appeared to be good, the lack of awareness about health care and the need for ego integrity, is in itself the actual suffering. Thus by providing health education along with medical information can enhance the health management. And, this practice can be self regulating for the society and can provide institutional support for the permanent elderly returnees from Sakhalin, which they require.

Lived Experience of Older Learners in an Online University (온라인대학 노인학습자들의 삶의 경험)

  • Lee, Eun-Joo
    • The Journal of the Korea Contents Association
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    • v.10 no.8
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    • pp.433-450
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    • 2010
  • The purpose of this paper is to describe and understand the lived experiences of older learners in formal education offered in an online university. Applying qualitative research methods, this paper attempts to explore the interpretation and meanings of their college studying. Ten participants in this study were selected from older students aged over 60 who had studied or were studying in a cyber university and lived in Seoul and its metropolitan area for more readily accessible and available for in-depth interviews. After the final analysis of learning experiences of older adults in an online university, six main themes were identified: self in the past, breaking from the convention, struggling with the new challenges, attaining self-actualization, integrating a new identity, future-oriented self. Finally it appears that learning experiences of the learners enabled the participants to replace their past-oriented sense of self with a more positive, future-oriented version.