• Title/Summary/Keyword: 환자행위

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Discriminating Factors of Stages of Change for Exercise among Patients with Metabolic Syndrome (대사증후군 환자의 운동행위 변화단계 판별요인)

  • Hwang, Hyun Ju;Lee, Eun Nam;Choi, Eun Jung
    • Journal of muscle and joint health
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    • v.21 no.1
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    • pp.46-54
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    • 2014
  • Purpose: This study was designed to explore the stage distribution of subjects according to stages of change for exercise and to identify factors that could discriminate subjects in various stages. Methods: The sample consisted of 182 subjects who had metabolic syndrome. The instruments used in this study were the stage placement instrument for exercise, the metabolic syndrome knowledge and metabolic syndrome health belief scale, and the metabolic syndrome exercise self efficacy scale. Data were analyzed using chi-square, ANOVA, and discriminant analysis by using the SPSS 19.0 program. Results: For exercise stages, exercise efficacy, occupation, and exercise benefit showed high standardized canonical discriminant function coefficients. Subjects in precontemplation/contemplation stage for exercise were more likely to have occupations, had less exercise efficacy and exercise benefit than those in other stage. Conclusion: This study implies that the level of exercise efficacy and exercise benefit of subjects in precontemplation/contemplation stage need to be enhanced in developing exercise program incorporating the stage of change for metabolic syndrome patients.

Self-care Behaviors And Physiological Index According to Cognitive Function of Hemodialysis Patients (혈액투석환자의 인지기능에 따른 자가간호 행위와 생리적 지표)

  • Jang, Yeon-Hwa;Oh, Hyo-Sook;Jang, Geum-Song
    • The Korean Journal of Health Service Management
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    • v.6 no.2
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    • pp.57-69
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    • 2012
  • The purpose of this study was to investigate correlation with self-care behaviors and physiological index according to cognitive function of hemodialysis patients. The data were collected from 108 patients on hemodialysis in university hospital. The period of data collection was from January 4 to January 31, 2010. The instruments of research were MMSE, Self-care behavior scale for hemodialysis patients. The 17.6% of patients showed the cognitive disorder. Self-care behaviors of patients showed that normal cognitive function group was significantly higher than dysfunction group. Creatinine and parathyroid hormone of patients showed that normal cognitive function group was significantly lower than dysfunction group. The cognitive function of patients showed positive correlations with self-care behavior(r=.283, p=.003) and Kt/V(r=.214. p=.026), showed significant negative correlations with phosphorus(r=-.223, p=.020) and creatinine(r=-.318, p=.001). The results of this study can be used to develop nursing education program to improve self-care behaviors according to cognitive function of hemodialysis patients.

Influencing Factors on the Stages of Change of Exercise in Patients with Low Back Pain (요통 환자의 운동행위 변화단계에 미치는 영향 요인)

  • Lee, Hyea Kyung;Shin, Eun Hee;Hwang, Seon Mi
    • The Korean Journal of Rehabilitation Nursing
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    • v.17 no.2
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    • pp.72-80
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    • 2014
  • Purpose: The objective of this study was to analyze the factors affecting the stages of exercise behaviors changes of low back pain patients. Methods: The participants in this study were 220 low back pain patients who have been treated by therapeutic exercise or had the exercise treatment under the doctor's advice. The tools used for this study were the stages of exercise behavior change, intrinsic motivation questionnaires, and physical activity social support scale (PASS). Results: The group that did exercise (preparation stage, maintenance stage, action stage) was 75.9% but the group that did not exercise (precontemplation stage, contemplation stage) was 24.1%. Social supports from family members and friends and motivation affected the exercise behaviors changes. And 34.6% of the exercise behavior change can be explained by the social support (family, friend) and motivation. Conclusion: There were two recommendations for maintaining the exercise behaviors of low back pain patients based on theoretical background. First, we recommended more exercise programs which reinforce social supports from family and friend for constant exercise behaviors of low back pain patients. Second, more exercise programs for the low back pain patients who have similar health goals or problems were needed for motivating them to join the exercise programs.

The Health Care Status and Healthy Life Practices of Hypertensive Patients (고혈압 환자의 건강행태와 생활습관 실천정도)

  • Eum, Sun Ok;Lee, Insook
    • Perspectives in Nursing Science
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    • v.10 no.1
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    • pp.32-40
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    • 2013
  • Purpose: The purpose of this study was to examine the health care status and healthy life practices among hypertensive patients in our South Korea in a bid to provide some information on the efficient management of hypertension. Methods: The data of the fifth Korea National Health and Nutrition Examination Survey of 2011 (KNHANES V-2) was utilized to analyze the state of hypertension management of 1,932 adults who were at the Western age of 19 and up and suffered from hypertension in order to identify what factors were related to their health care status and healthy life practices. IBM SPSS/WIN Statistics 20 software was employed, and frequency analysis and a ${\chi}^2$-test were carried out. Results: According to the results of the analysis, subjective health status, depression, and suicidal thoughts were significantly related to variable income, while health status and healthy life practices were not significant in town. Furthermore Depression, alcohol dependency, and walking were significant in hypertension patients who had experienced hypertension education programs. Conclusion: This study will provide database on hypertension management. Furthermore, multidisciplinary approaches should be taken for efficient and effective care for hypertension patients.

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Prediction Model of Exercise Behavior in Patients with Rheumatoid Arthritis (류마티스 관절염 환자의 운동 행위 예측 요인)

  • 이은옥;김인자;김종임;강현숙;배상철
    • Journal of Korean Academy of Nursing
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    • v.31 no.4
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    • pp.681-691
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    • 2001
  • Purpose: The exercise status in patients with rheumatoid arthritis, associations between exercise behavior and personal factors, and associations between exercise behavior and exercise-specific cognitions and their effects were assessed. Method: Four hundred thirty nine outpatients with rheumatoid arthritis were studied. The exercise status was measured by a single item. The intensity was multiplied by the frequency and duration of each exercise. The product of these intensity values for all exercises was defined as exercise behavior. Based on the Pender's revised health promotion model, exercise benefit, barrier, self-efficacy, enjoyment and social support were chosen as exercise specific cognitions and affect variables. Path analysis was used to identify the predictors of exercise behavior. Results: Compared to the duration before being diagnosed, the number of subjects who exercised regularly increased after being diagnosed. However over half of the subjects refrain from any sort of exercise and the type of exercise is very limited. Among the variables, exercise barrier, self-efficacy, and social support were found to be significant predictors of exercise behavior, and only previous exercise experience was found to be significant predictors of all behavior specific cognitions and affect variables. Conclusion: These findings suggest that studies should explore exercise behaviors and strategies to emphasize the cognitive-motivational messages to promote exercise behaviors.

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A case of report with myositis caused by illegal practice (비 의료인 불법 의료행위로 발생한 근염 환자 1례에 대한 증례보고)

  • Her, Mi-Suk;Lee, Jung-Hwan;Lee, Eun-Kyoung;Kim, Jung-Ho;Kim, Young-Ill
    • Journal of Haehwa Medicine
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    • v.19 no.1
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    • pp.111-118
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    • 2010
  • Objective: The purpose of this study is to show A case of patient with myositis caused by illegal practice. Methods: The authors observed patient by VAS and measured sizes of Lt. thigh and Lt. calf for operated acupuncture treatment, herbal medicine treatment, physiotherapy and western medication. Result: After treatment, pain and swelling got better and also on the ultrasonography and cbc indicates that it has been improved Conclusion: These days, The illegal procedures are done broadly which might have possibilities of medical accidents. To prevent the accidents, we need to stop this illegal procedures to protect the health of population.

Health Promotion, Stress and Quality of Life in Patients with Genital Neoplasms (부인암 환자의 건강증진행위, 스트레스 및 삶의 질)

  • Kim, Eun-Kyoung;Park, Yeong-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.13 no.2
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    • pp.114-122
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    • 2010
  • Purpose: The purpose of this study was to identify the health promotion, stress and the quality of life and relationship between those factors in patients with genital neoplasms. Method: Data of 151 subjects with genital neoplasms were collected from August 15 to October 12, 2009 at out-patient clinic in one general hospital in Daegu. Results: The mean score of health promotion of the subjects was 1.49 (${\pm}0.53$), stress of gynecologic cancer was 1.36 (${\pm}0.76$) and the quality of life of the subjects was 2.38 (${\pm}0.59$). There was a negative correlation between the quality of life and stress (r=-.482, p<.001), and positive correlation between the quality of life and health promotion (r=.442, p<.001) in the subjects. Conclusion: This study showed correlations between the health promotion, stress and the quality of life of patients with genital neoplasms. The quality of life of the patients with genital neoplasms was low when their stress was high. In contrast, their quality of life was high when the score of health promotion was high. Considering the research findings, it is necessary to develop a health promotion program for patients with genital neoplasms to strengthen their health promotion behaviors.

The Relationship of Self-Efficacy, Perceived Barriers and Health Promoting Behaviors in Stroke (뇌졸중 환자의 자기효능감, 지각된 장애성과 건강증진행위간의 관계)

  • Woo, Myung-E;Ku, In-Sun;Chun, Hee-Jung;Choi, Seung-Hee;Jung, Hye-Jin;Yu, Hae-Jung;Roh, Young-Sook
    • Journal of Home Health Care Nursing
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    • v.12 no.2
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    • pp.16-32
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    • 2005
  • Purpose: The purpose of this study was to: (1) describe the self-efficacy, perceived barriers and health promoting behaviors and (2) determine the relationship of these variables in stroke survivors. Methods: A convenience sample of 93 stroke survivors who were enrolled in a neurosurgical outpatient clinic in Seoul participated in the study. Results: Among health promoting behaviors, non-smoking was the subdomain with the highest mean score and exercise subdomain had the lowest mean score. Significant factors correlated with health promoting behaviors were age, self-efficacy and perceived barriers. Conclusion: Findings from this study suggest that health promotion programs aimed at enhancing self-efficacy and decreasing perceived barriers would be beneficial for the stroke survivors.

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The Influence of Self-care Behaviors, Empowerment and Social Support on Glycosylated Hemoglobin in Patients with Type 2 Diabetes (제2형 당뇨병 환자의 자가간호행위, 임파워먼트 및 사회적 지지가 당화혈색소에 미치는 영향)

  • Oh, Hwa Kyung;Lee, Eun Ju
    • Research in Community and Public Health Nursing
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    • v.28 no.2
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    • pp.216-225
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    • 2017
  • Purpose: The purpose of the study was to analyze the effects of self-care behavior, empowerment, and social support on glycosylated hemoglobin in patients with type 2 diabetes. Methods: The data were collected during the period of July 1 to July 31, 2016. In total, 172 participants were recruited from outpatients who had been diagnosed with type 2 diabetes at a health care center, a health promotion center at National Health Insurance Corporation, and a tertiary hospital. Statistical data were analyzed with SPSS 20.0 using frequency analysis, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and hierarchical regression analysis. Results: The study results showed that self-care behavior (${\beta}=-.34$, p<.001), empowerment (${\beta}=-.34$, p<.001), and social support (${\beta}=-.20$, p=.018) were found to be influential factors affecting glycosylated hemoglobin, with an overall descriptive power of 69%. Conclusion: Self-care behavior, empowerment, and social support are considered to be important factors in blood glucose management for the patients with type 2 diabetes. Therefore, self-caring blood glucose programs and internal synchronizing education through social support and empowerment need to be improved.

A Time Study of Nursing Activities by Home Care Nurses for Non-Cancer Terminal Patients (가정전문간호사의 비암성 말기환자 간호행위 시간 분석)

  • Lee, Hanul;Lee, Jong-Eun
    • Journal of Home Health Care Nursing
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    • v.26 no.2
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    • pp.180-188
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    • 2019
  • Purpose: To investigate the duration of each nursing activity performed by home care nurses for non-cancer patients and the relationship between patients' palliative prognostic index (PPI) and duration of each nursing activity. Methods: Nursing activities performed for six non-cancer terminal patients were timed using a stopwatch, and 18 parameters were measured by visiting each patient thrice. The mean and standard deviations of duration for each category of nursing activities were computed. The relationship between category-specific duration of nursing activities and PPI was analyzed with Spearman's correlation and multiple regression analysis. Results: Among nursing activities, the highest greatest duration of time was spent on traffic time (11.91 min), followed by urinary catheter management (10.65 min) and insertion and management of nasogastric tube (9.03 min). In terms of nursing categories, after excluding movement time, the greatest duration of time was spent on excretion care (5.48 min), nutrition care (5.40 min), and medication (3.82 min). PPI correlated with hygiene care, excretion care, and patient and information management. Multiple regression analysis revealed that PPI increased with increasing duration of hygiene care. Conclusion: These study findings provide grounds for the increased nursing time of hygiene care for people reaching the end of life.