• 대한간호학회지
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• 제36권3호
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• pp.439-448
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• 2006

Purpose: The purpose of this study was to show a relationship between health perception and health promoting behaviors in chronic low back pain patients. Method: The subjects for this study were 213 persons who the visited hospital with low back pain-related problems. Results: The higher the level of the health perception in chronic back pain patients was the higher the rate of the practice of health promoting behaviors (r=0.393, p<.001). The health perception T score was $50.00{\pm}10.00$. As for health promoting behaviors, the T score was $49.99{\pm}10.00$. The subscale of the highest mean score was interpersonal support $(2.96{\pm}0.64)$ and the subscale of the lowest mean score was exercise $(2.13{\pm}0.99)$. Conclusion: This study showed that chronic low back pain patients had a lower level of perception of their health, and their practice to improve their health was not enough. Therefore, nurses should educate and encourage chronic low back pain patients in proper exercises and correct posture to strengthen and maintain lumbar extension muscle power.

• 대한간호학회지
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• 제44권5호
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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.

• 보건교육건강증진학회지
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• 제20권3호
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• pp.269-280
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• 2003

This study was conducted to identify the effects of telephone consulting follow- up on self care behaviors and self efficacy in diabetic patients after discharge. The subjects for this study were consisted of 39 patients and twenty subjects assigned to the experimental group received the telephone consulting follow-up after discharge once a week during 4 weeks with diabetic education before discharge and nineteen subjects assigned to the control group received diabetic education before discharge without telephone consulting follow-up. The results of this study are as follows： 1. The experimental group which received the telephone consulting had higher self care behaviors scores than the control group (t＝4.92, p＝.00). 2. The experimental group which received the telephone consulting had higher self efficacy scores than the control group (t＝4.71, p＝.00). 3. The relationship between self efficacy and self care behaviors showed a significant correlation in the subjects. In conclusion, the telephone consulting follow-up improved self care behaviors and self efficacy, therefore this intervention can be effective in promoting the care of diabetic patients

• 근관절건강학회지
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• 제26권3호
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• pp.167-174
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• 2019

Purpose: The purpose of this study was to investigate the effects of self-efficacy and social support on health promotion behaviors of patients with stroke. Methods: A sample of 123 patients with stroke was recruited from outpatient department of a hospital. Data were collected between September and October in 2015 using Health Promoting Lifestyle Profile II (HPLP-II), the Homebound Stroke Patients' Self-efficacy, and the Multidimensional Scale of Perceived Social Support (MSPSS). Results: The mean score of HPLP-II, self-efficacy, MSPSS were 2.71 out of 4, 63.87 out of 75 and 37.91 out of 60, respectively. Multiple regression analysis demonstrated that self-efficacy and family support explained 40% of the health promotion behaviors among the stroke patients. Conclusion: The results of the study revealed that self-efficacy and family support have significantly positively correlated with health promotion behaviors. These correlates should be taken into account in the development of interventions to support patients with stoke in health behavior change.

• 성인간호학회지
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• 제25권3호
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• pp.312-321
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• 2013

Purpose: The purpose of this study was to compare health promotion behavior, post-traumatic growth and quality of life according to the stages of survivorship in patients with female genital neoplasm. Methods: Data were collected from August 1st, 2011 to September 31st 2011 from 142 gynecologic cancer patients who completed treatment or were treated at an out-patient clinic. The instrument were HPLP developed by Walker, Sechrist & Pender, PTGI developed by Tedeschi & Calhoun, and Korean C-QOL. Results: Health promotion behavior scores were significantly higher in the acute survival stage than the extended survival stage. Post-traumatic growth score was higher in the acute survival stage than the extended survival stage. The quality of life scores were higher in the lasting survival stage than the extended survival stage. Conclusion: Gynecological cancer patients in the extended survival stage reported low scores of health promotion behavior, post-traumatic growth and quality of life. Intervention needed to be developed to improve health promotion behavior, post-traumatic growth and quality of life for patients with female genital neoplasm in the extended survival stage.

• 지역사회간호학회지
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• 제28권1호
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• pp.55-68
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• 2017

Purpose: The purpose of this study is to develop and evaluate a joint health self-management program for knee osteoarthritis elders in communities. Methods: This program was developed based on the IMB (information-motivationbehavioral skills) model. The program methods include education, setting and achieving goals, sharing experiences, telephone counseling, and self-monitoring. The topics of the program include joint assessment, exercise, massage, joint protection, medication, depression management, diet, and healthcare approach. The research was conducted following the principles of the nonequivalent control group pretest-posttest design. Participants were 26 subjects in the experimental group, and 27 subjects in the control group. The experimental group participated in the self-management program, and the control group received general education. Results: Both post-test scores of personal motivation, social motivation, behavior skill, self-management behavior, joint pain, joint stiffness, physical function disability, right knee extension, left knee extension, and depression were significantly different between the experimental group and the control group. Conclusion: The results of the study can be used to develop and standardize a systematic joint health self-management program. Further research is highly recommended to develop a strategy to continuously facilitate self-management of osteoarthritis patients' procedures.

• 성인간호학회지
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• 제20권1호
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• pp.65-76
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• 2008

Purpose: The purpose of this study was to investigate the effect of a spirituality/hope promoting program on fighting spirit, helplessness, anxiety, and self-care behaviors. Methods: A nonequivalent control group pretest- posttest design was used. Study subjects were 22 cancer patients undergoing chemotherapy for the experimental group and 31 for the control group. The experimental group received a 4-week intervention, 30-50 minutes a day weekly. Variables were measured at baseline, 4 and 8 weeks later. Fighting spirit and helplessness were measured by MAC(Mental Adjustment to Cancer) and anxiety was measured by Hospital Anxiety and Depression scale. Self-care behaviors scale developed by Oh et al.,(1997) was used. Results: The experimental group revealed significantly more fighting spirit(t=-4.10, p=.000). more self-care behaviors(t=-5.91, p=.000). and less helplessness(t=3.94, p=.000). No difference, however, was found in anxiety between the two groups(t=.24, p=.861). Conclusion: These results suggested positive effects of a spirituality/hope intervention program. Helplessness decreased mainly through an increase in fighting spirit. Self-care behaviors increased mainly through an decrease in helplessness and increase in fighting spirit.

• 성인간호학회지
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• 제19권5호
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• pp.80-91
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• 2007

Purposes: To identify the predictors of calcium intake behavior and examine the relationships among bone mineral density, osteoporosis knowledge, osteoporosis health belief, osteoporosis self efficacy and calcium intake behavior of postmenopausal osteoporosis patients. Methods: The subjects consisted of 94 patients. The measurement tools were osteoporosis knowledge test, osteoporosis health belief scale, osteoporosis self-efficacy and calcium intake frequency questionnaire. The data were analyzed using the SPSS WIN 11.0 program. Results: The bone mineral density of the lumbar were $0.75g/cm^2$, T-score -2.67 and the femur neck were $0.67g/cm^2$, T-score -2.30. There was statistically a significant correlation between calcium intake behavior and health motivation (r=0.449, p=0.000) among the osteoporosis health belief. In hierarchial multiple regression analysis, current spouse(12.8%) and health motivation(19.9%) of the osteoporosis health belief explained the 32.7% of variance in calcium intake behavior. Conclusion: Nursing intervention should be developed for increasing the calcium intake behavior through promoting health motivation for the postmenopausal osteoporosis women having no spouse currently.

• 대한간호학회지
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• 제41권1호
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• pp.47-60
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• 2011

Purpose: This study was conducted to develop an e-Learning program that assists nursing students' clinical Purpose: This study was conducted to develop and evaluate a web-based education program for secondary stroke prevention. Methods: A web-based secondary stroke prevention education program was developed using the system's life cycle methods and evaluated by comparing the effects of education among three groups, a web group, a booklet group and a control group. Results: Knowledge level of both patients and family, as well as some health behavior compliance in the web-based and booklet education groups were significantly higher than those of the control group. Family support in the web-based and booklet education groups was significantly higher than that of the control group after 12 weeks. The urine cotinine level in the web-based education group was significantly lower than that of the control group after 12 weeks. Medication adherence, blood pressure and perceived health status were not statistically different among the three groups at any time. Conclusion: Webbased and booklet education programs were equally effective regarding the level of knowledge of patients and their families, family support, health behavior compliance, and urine cotinine level. These results demonstrate the potential use of a webbased education program for secondary stroke prevention.

• 정보와 통신
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• 제12권9호
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• pp.124-132
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• 1995

의료분야에서의 통신망 이용은 의료분야 전산화의 진전과 함께 계속 증가하고 있으며, 이의 일환으로 외국에서는 의료용 화상정보 표현, 전송 및 검색을 위한 표준 프로토콜인 DICOM을 이용한 PACS를 개발, 시험 또는 상용화 하고 있는 상황이다. 한편 국내에서는 이러한 PACS 시스템의 도입이 미미한 실정으로, 삼성의료원을 비롯한 몇몇 대형 의료기관에서 PACS의 일부를 도입, 운영하고 있으며, 보험청구 및 환자정보 관리를 중심으로 한 의료분야 전산화가 꾸준히 이루어지면서 많은 병원에서도 PACS 시스템의 도입 및 원격 진료 서비스 제공에 많은 관심을 가지고 있는 상황이다. 또한 이러한 의료용 화상정보 뿐만 아니라 일반적인 문자기반 의료정보의 표현, 전송 및 검색을 위한 표준 프로토콜인 HL7(health level 7)을 이용하여 의료보험 등과 같이 직접적인 의료행위 이외의 기타 부가정보를 의료기관 사이 또는 의료기관과 비의료기관 사이에서 공유하고 있다. 이러한 의료분야에서의 통신망 이용기술과 함께, 현재 고속 통신망에서 많이 개발되어지고 있는 화상회의 시스템의 발전에 기인하여 원격 진료 서비스에 관한 연구가 활발히 이루어지고 있는데, 이는 원거리에 위치한 의료기관간에 표준 프로토콜을 이용한 의료용 화상 또는 문자정보 공유가 가능해지고, 고속 통신망을 이용한 화상회의 및 긴급성을 가진 대용량 화상정보의 실시간 전송이 가능한 점에 기인한다. 본 고에서는 이러한 원격 진료 시스템의 발전 배경 및 전반적 시스템의 구조와 특성을 고찰하고, 국내외의 원격 진료 시스템 활용 현황에 관하여 기술한다.