• Title/Summary/Keyword: Anxiety-management

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Effectiveness of a Self-management Program using Goal Setting based on a G-AP for Patients after a Stroke (뇌졸중 환자를 위한 G-AP 기반 목표설정 자기관리프로그램의 효과)

  • Park, Min Gyeong;Ha, Yeongmi
    • Journal of Korean Academy of Nursing
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    • v.44 no.5
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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.

The Moderating Effect of Individual Factors on Information Systems(IS) Success Model (개인의 특성이 정보시스템 성공에 미치는 조절효과분석)

  • Lee, Dong-Jin;Lee, Sang-Chul;Suh, Yung-Ho
    • Journal of Korean Society for Quality Management
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    • v.41 no.2
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    • pp.277-288
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    • 2013
  • Purpose: This study aims to analyze the success factors of information systems and the moderating effect of individual factors in mandatory environment. Methods: In order to test the model, a questionnaire survey is delivered from salespersons of an insurance company in Seoul, Korea. 200 questionnaires are finally analyzed. Structural Equation Modeling (SEM) is adopted to analyze the data and Smart PLS 2.0 is used for examining the moderator effect. Results: The extended model proposed in this paper adopted individual factors and examined their moderator effect among constructs. An empirical test is carried out accordingly in order to test the model proposed in this paper. The results reveal that individual factors (i.e. Computer Self-Efficacy, Anxiety, Personal Innovativeness in IT) have a significant moderating effect on individual performance in the environment of mandatory information system usage. Conclusion: This paper extended the research field of information system success model to information systems in mandatory environment regarding differences of individual factors.

The Effects of the Elderly's Subjective Health Perceptions and Quality of Life on Their Depression and Suicide Ideation (노인의 주관적 건강 인식과 삶의 질이 우울과 자살 생각에 미치는 영향)

  • Oh, Chang-Seok
    • The Korean Journal of Health Service Management
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    • v.6 no.2
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    • pp.179-191
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    • 2012
  • The study thus examined and analyzed 1,478 people aged 65 or older in the Korea National Health and Nutrition Examination Survey of 2010 to investigate the effects of differences in the elderly's general characteristics and depression & suicide ideation and in their subjective health perceptions and quality of life on their depression and suicide ideation. As a result, Significant differences in their suicide ideation were also caused by such quality of life variables as ill in bed, exercise capacity, self-management, daily activity, pain and uncomfortableness, and anxiety. The logistic analysis results of depression and suicide ideation according to the degree of subjective health perception show a significant finding that the better health perception they had compared with their very poor subjective health perception, the lower the odds ratio became. In the category of quality of life, only experience of uncomfortableness caused significant results on suicide ideation and depression. The results of the study will be of great use as basic data to intervene in the suicide route of the elderly and take measures to prevent suicide.

Pain and Its Major Influencing Factors in the Management of Terminal Cancer Patients (말기암 환자의 통증 양상과 통증관리에 영향을 미치는 요소들)

  • Lee, Soo-Ryun;Kil, Ho-Yeong;Han, Tae-Hyung
    • The Korean Journal of Pain
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    • v.12 no.2
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    • pp.221-226
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    • 1999
  • Background : Validity of WHO guideline of cancer pain management has been proven and many trials have been done to derive solutions for inadequate cancer pain management. We assessed the severity of pain of terminal cancer patients in a few different ways and patients' characteristics influencing inadequate pain management. Methods : This study was based on 100 adult oncological patients who were confirmed as terminal stage in our institution from 3/1998 to 11/1998. Medical records were reviewed and individual patients were interviewed to obtain demographic information and medical characteristics such as: daily activity performance, metastasis, and drug-adjusted pain severity. Adequacy of prescribed analgesics in accordance with WHO guidelines of pain management and patients' characteristics influencing adequacy of pain management were assessed. Results : Among those cancer patients diagnosed as terminal stage, 85% complained of pain, and 68% of those patients reported pain above moderate severity. 38% of those patients received inadequate pain management resulting in greater severity of pain; the less adequate pain relief was(p<0.01). Sex, age, primary cancer site metastasis, symptoms such as depression and anxiety, and daily activity performance were not significantly related. Conclusions : Despite WHO guidelines for pain management, majority of the terminal cancer patients received inadequate pain management. There is a necessity for education on proper pain evaluation and strict implimentation for WHO guidelines of pain management.

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The Effect of Appearance Management on Body Image and Psychological Well-Being (외모관리행동에 따른 신체이미지 및 심리적 안녕감)

  • Hwang, Jin-Sook;Kim, Yun-Hee
    • Journal of the Korean Society of Costume
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    • v.56 no.3 s.102
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    • pp.143-155
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    • 2006
  • This study aims to examine the difference of body image and psychological well-being of men and women according to appearance management. The subjects of the study were 673 college students who lived in Seoul and metropolitan areas. Statistical analyses used in the study were factor analysis, Cronbach's a, cluster analysis, ANOVA, Duncan test and $\chi^2-test$. The results of this study were as follows; 1. The body image was categorized into the three factors of personal interest innce, anxiety about weight and physical attraction. Appearance management was categorized into the appearance management through clothing, strict diet therapy and daily appearance management. The psychological well-being was classified as seven factors which include the life goal, self-acceptance, positive personal relations, self-regulation, personal development, environment control and responsibility. 2. The appearance management was classified by 4 groups as below: Daily appearance management group, strict diet therapy group, appearance management through clothing group and no interest in appearance group. 3. There were significant differences among the four groups regarding body image, psychological well-being and life satisfaction. First, appearance management through clothing group had more interest in appearance than other groups. In the case of weight awareness, strict diet therapy group and the appearance management through clothing group intended to have more concerns over their weight. The strict diet therapy group seemed to have an overall lower level of psychological well-being than other groups. Lastly, the appearance management through clothing group had a higher level of life satisfaction.

Adulterated Food Management Characteristics according to Dietary Lifestyles among Adolescents (청소년의 식생활 라이프스타일 유형에 따른 불량식품관리 특성)

  • Kim, Yunhwa
    • Korean Journal of Community Nutrition
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    • v.21 no.6
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    • pp.509-519
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    • 2016
  • Objectives: Adulterated food education in adolescence period is very important because dietary management related to food safety is not made in a short period. This study aimed to identify dietary lifestyle factors which drive adulterated food management among middle and high school students. Methods: Data was collected from 270 middle and high school students in Daegu using a self-administered questionnaire in March and April of 2015. Data was analyzed using frequency analysis, one-way analysis of variance, ${\chi}^2$-test, factor analysis, reliability analysis, regression analysis, and cluster analysis. Results: The results of factor analysis indicated that adulterated food management awareness was classified into necessity, difficulty, and food purchasing anxiety. The adulterated food management capability was sub-grouped into environmental grasp, food identification, cooking hygiene, and situation management. The adulterated food management efficacy composed of management confidence, action intention, and knowledge. Dietary lifestyle comprised of gustation, family, and health factors after factor analysis, and it consisted of all seeking group, gustation seeking group, family seeking group, health seeking group, and family and health seeking group after cluster analysis. The gustation, family and health factors were significantly affected the factors of awareness, capability and efficacy of adulterated food management (p < 0.05). The frequency of health conditions, helping with meal preparation, and the times of eating out were significantly different according to seeking groups of dietary lifestyle (p < 0.01). The scores of awareness, capability and efficacy of adulterated food management of family and health seeking group were significantly higher than the other seeking groups (p < 0.05). Conclusions: This study suggests that adulterated food management education programs should account for gustation, family and health factors of dietary lifestyle to be effective for adolescents.

The Effects of Attitudes toward the Use of Money and Credit Cards on the Financial Management Practices of College Students (대학생 소비자의 화폐사용 태도와 신용카드에 대한 태도가 재정관리 행동에 미치는 영향)

  • Seo, In-Joo;Doo, Kyung-Ja
    • Journal of Family Resource Management and Policy Review
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    • v.11 no.3
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    • pp.23-43
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    • 2007
  • The purpose of this study was to examine how college students' attitudes toward the use of money and credit cards have affected their financial management practices. The data were collected from 231 college students in Seoul using by a self administered questionnaire. Frequencies, factor analyses, t-tests, ANOVA, and multiple regression were conducted using by SPSSWIN 12.0. The results from this study were as follows. First, results of the factor analysis of attitudes toward the use of money were divided into 5 dimensions such as instrument of ostentation, sufficiency of desire, source of anxiety, diligence and economy, and instrument of preparation for the future. Attitudes toward the uses of credit cards were divided into 3 dimensions, such as positive affection, cognition of reverse function, and attitudes of use-behavior. Financial management practices were divided into 2 dimensions: planning and performing. Second, social-demographical & economical factors, among such as gender, allowance, financial stress, number of credit -cards possessed, and expenses of credit -cards totals each month were significant in the regression analyses for the financial management practices. The results indicate that attitudes toward the use of money have a bigger effect on financial management practices than attitudes towards credit cards. Specifically, attitudes toward the use of money as an instrument of preparation for the future had the most effect on the financial management practices. These results imply that for sound financial management practices to take place, there needs to be education on attitudes toward the use of money.

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The Analysis of Research Trend about Management of Low Back Pain (요통관리에 관한 연구동향 분석)

  • Hyun, Kyung-Sun
    • The Korean Journal of Rehabilitation Nursing
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    • v.1 no.1
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    • pp.51-60
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    • 1998
  • The result of studying papers about management of lower back pain published in domestic and foreign nursing and medical magazines in these 10 years is as follows ; 1. General characteristic of lower back pain ; 1) In sex distribution, there were more men than women in 5 papers and more women than men in 4 papers among 9 papers surveryed. 2) In age distribution, thirties to forties of patients had more lower back pain as surveyed by general hospitals and fifties to sixties of patients had more lower back pain as surveyed by oriental medical hospitals. 3) In cause factor, there were 50 to 65% of sprain, 32 to 44% of herniated intervertebral disc and 13 to 29% of degenerative changes. 4) In symtom distribution, there were 26 to 57% of lower back pain, 42 to 65% of lower back pain with radiating pain and 34 to 99% of paravertevral muscle spasm. 5) In period of pain management distribution, 18 to 40% of patients experienced pain for less than 6 months and 59 to 82% of them experienced pain for more than 6 months in 3 papers among 4 papers. 6) In surveying the treatment, 66 to 88% of patients had conservative treatment and there were treatments of general hospital, oriental medicine, self remedy and traditional practice in conservative treatment. 7) In job distribution, 12 to 50% of them were housekeepers, 23 to 31% office workers, 4.6 to 36% blue color workers and 11 to 15% students. 2. As psychological character lower back pain paients had anxiety, depression, anger-hostility, phobic anxiety, neurasthenia, hypochondriasis, and interpersonal sensitivity. 3. To distinguish the cause of lower back pain, plain lumbar roentgenogram, straight leg rasing test, eletromyelogic findings, somatosensory evoked potentials CT and MRI were performed. 4. To relieve lower back pain. epidural adhesiolysis, epidulal injection of local anesthetic in mixture with steroid, lumbar spinal root block, low level laser therapy, acupuncture like transcutaneous nerve stimulation(AL TENS), topical capsaicin and lumbar orthotics were used in medical field, and relaxation technique was used in nursing field. 5. Mckenzie's extension exercise and William's flexsion exercise for lower back pain were used in medical field and Yoga exercise was applied in nursing field. 6. The more school education and self efficacy were high, the better they had active coping lower back pain positively and the less self efficacy was the more they had serious pain. As a result of studying the paper there have been very little research for lower back pain in nursing fields of Korea and foreign countries. Because 60 to 80% of population expeience lower back pain at least more than once, it is necessary to develop the study and clinical practice for management of lower back pain.

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Dietary safety management competency for the sustainable health management of adolescents

  • Kim, Yunhwa
    • Journal of Nutrition and Health
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    • v.55 no.3
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    • pp.406-417
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    • 2022
  • Purpose: The incidence of chronic diseases is increasing and the age of onset is decreasing in South Korea. Healthy eating habits to prevent chronic diseases are established in adolescence. This study verified the identified factors and dynamics that affect diet self-assessment for sustainable adolescent health and the prevention of chronic diseases. Methods: Data were collected from 492 middle and high school students in South Korea from June to July 2018, and the participants answered a questionnaire on dietary safety management competency for sustainable health. Results: The healthy dietary self-assessment scores of overweight/obese adolescents and adolescents who perceived their health as normal were significantly lower than those of other groups. Factor analysis verified the validity of the items that comprised each study area before a multiple regression analysis was used to investigate the factors affecting healthy dietary self-assessment. Sweet and salty diets, anxiety, food and nutrition knowledge, weight management knowledge, stress management, exercise, basic eating habits, and healthy eating habits significantly affected healthy dietary assessment among adolescents. A higher perception of one's health indicated a higher healthy dietary self-assessment, dietary safety knowledge, and health management practice scores (p < 0.01). Factors like healthy dietary self-assessment, food and nutrition knowledge, and weight management knowledge appear to have a significant correlation with other identified factors, except overeating. The adolescents' awareness, knowledge, and dietary safety practices influenced healthy dietary self-assessment, which can prevent chronic diseases and achieve sustainable health. Conclusion: This study illustrated how the adolescents' awareness, knowledge, and practices of dietary safety influenced their healthy diet self-assessment. The results indicate that diet-based health management competency education relative to the adolescents' self-perception and weight levels should be implemented.

A Qualitative Study on the Career-interrupted Lives of Career-Interrupted Women in their thirties (직업 경력단절 기혼 여성에 대한 질적 연구: 30대 여성의 경력단절 이후의 삶을 중심으로)

  • Kim, Su Ri;Lee, Sulim;Ryu, Jeong Yi
    • Journal of Family Resource Management and Policy Review
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    • v.19 no.2
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    • pp.75-99
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    • 2015
  • The purpose of this study was to examine the career-interrupted lives of highly educated career-interrupted women. The participants were 11 women in their thirties who had graduated from university graduated and had a child. We collected the qualitative data using a focused group interview. The results of this study can be summarized as follows. First, in personal histories of the career-interrupted women, there were marriages and births, difficulties with child care, priority placed on the family, pressure to retire, and an absence of a layoff system related to births and child care. Second, with regard to their interrupted lives, while there was comfort and an absence of work-stress, there was child care stress, financial stress, anxiety due to career uncertainty, a loss of the social self, depression, emptiness, low self-esteem, dependence on husbands, regret, conflict in career choices, and envy of childcare support. Third, their reasons for seeking reemployment included the financial benefits, increased independence, self-realization in their job, hope for a stable job, self-management, and hope for a social network.