• 재활간호학회지
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• 제20권1호
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• pp.42-51
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• 2017

Purpose: In people who have chronic diseases, disabilities, and rehabilitation needs, self-management education can improve health and health-related behavior, and it can reduce the utilization of healthcare services. The purpose of this research was to assess the long-term effects of chronic-disease self-management education in Japan. Methods: This study included 184 adults living with various chronic medical conditions who participated in the Chronic Disease Self-Management Program (CDSMP) in Japan. Data were collected before the program began, and then collected 3 more times over 1 year. Results: Healthcare-service utilization was low at baseline, and it did not change. Self-evaluated health status, health-related distress, coping with symptoms, communication with doctors, and self-efficacy to manage symptoms all improved after the program. However, there was backsliding in all of the outcomes that had improved. Conclusion: Some benefits of this program can last for at least 1 year, but interventions to prevent attenuation may be needed. For economic evaluations, research should focus on populations with higher baseline levels healthcare-service utilization, including use of rehabilitation services. Also, more attention should be focused on the longer-term decay or persistence of the program's benefits, particularly regarding on preventing and reducing disabilities and with regard to rehabilitation needs.

• Journal of Korean Biological Nursing Science
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• 제24권4호
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• pp.227-234
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• 2022

Purpose: Smoking is a way of coping with anxiety and stress. This study aimed to identify the effects of forest-thermal combined therapy on anxiety and depression in smokers who desire to quit smoking. Methods: Thirty participants were included in the study, 15 in the experimental group and 15 in the control group. Those in the experimental group participated in a three-day forest-thermal combined therapy program. The program includes forest walks, meditation and thermal therapy in the charcoal kiln. Results: Before and after the program, physiological indicators such as cortisol, heart rate variability, and serotonin anxiety level using the state-trait anxiety inventory (STAI), and stress level using the psychosocial well-being index (PWI) were measured in both groups. The differences in STAI (p=.012) and PWI (p=.006) scores between the experimental and control groups were statistically significant. However, cortisol, heart rate variability, and serotonin were not significantly different between the two groups after the program. Conclusion: These results show that forest-thermal combination therapy effectively reduces anxiety and stress in smokers. It suggests that forest-thermal therapy can potentially increase smoking cessation rates.

• Asian Pacific Journal of Cancer Prevention
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• 제14권11호
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• pp.6451-6457
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• 2013

Background and Purpose: Indigenous people who leave their hometowns and move to the city to earn a living became urban aboriginals. During the process of adapting to urban living situations, they may use various coping strategies such as smoking to overcome their stress. Therefore, it is crucial to provide health education including smoking prevention, increasing knowledge regarding of tobacco hazard, self-efficacy of anti-smoking, and adjusting smoking behavior so as to empower their anti-smoking motivation to prevent lung cancer. The purpose of this study was to explore the effectiveness of an anti-smoking program on urban aboriginals in Taiwan. Methods: A quasi-experimental study design with purposeful sampling was employed. A total of 125 aboriginal subjects were recruited from two local churches at Shu Lin area in northern Taiwan. Subjects were divided into an experimental group (n =64 ) and a control group (n = 61). Both took pre-tests in order to set baseline values, and only the experimental group participated for 3-weeks in the anti-smoking program classes. Both groups took post-tests immediately after the intervention in order to evaluate the immediate effects of the teaching program, and a follow-up test was conducted four weeks after the intervention. Data were analyzed using descriptive statistics, one-way ANCOVA, and repeat measure ANCOVA. Results: After controlling for confounding variables, the results showed that there were statistically significant differences in the self-efficacy of anti-smoking and smoking behavior between experimental and control groups in the immediately post-test and the follow-up test (p < 0.05). However, there was no significant differences in the recognition of hazards of smoking at eiter time point. Conclusions and Implications for Practice: The findings of this study revealed that the anti-smoking program effectively improved self-efficacy of anti-smoking, and decreased the smoking behavior in urban aboriginals. They provide useful information as a reference regarding of aboriginal health promotion to health providers. It is imperative that anti-smoking be reinforced for those regular smokers to prevent induction of lung cancer.

• 대한간호학회지
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• 제50권1호
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• pp.66-80
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• 2020

Purpose: This study aims to examine the effects of nursing interventions based on the Extended Theory of Planned Behavior (ETPB) regarding self-efficacy for exercise (SEE), physical activity (PA), physical function (PF), and quality of life (QOL) in patients with lung cancer who have undergone pulmonary resection. Methods: This quasi-experimental study was conducted between July 2015 and June 2018 in two university-affiliated hospitals. The intervention included pre-operative patient education, goal setting (action and coping planning), and feedback (behavior intention and perceived behavioral control). The intervention group (IG) (n=51) received nursing interventions from the day before surgery to 12 months after lung resection, while the comparison group (CG) (n=36) received usual care. SEE, PA, PF (dyspnea, functional status, and 6-minute walking distance [6MWD]), and QOL were measured before surgery and at one, three, six, and 12 months after surgery. Data were analyzed using the χ² test, Fisher's exact test, Mann-Whitney U test, t-test, and generalized estimation equations (GEE). Results: There were significant differences between the two groups regarding SEE (χ²=13.53, p=.009), PA (χ²=9.51, p=.049), functional status (χ²=10.55, p=.032), and 6MWD (χ²=15.62, p=.004). Although there were no time or group effects, the QOL mental component (Z=-2.78, p=.005) of the IG was higher than that of the CG one month after surgery. Interventions did not affect dyspnea or the QOL physical component. Conclusion: The intervention of this study was effective in improving SEE, PA, functional status, and 6MWD of lung cancer patients after lung resection. Further extended investigations that utilize ETPB are warranted to confirm these results.

• 벤처창업연구
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• 제9권2호
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• pp.1-13
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• 2014

본 연구는 외식업 예비창업자와 창업관련 종사자에게 외식업 창업기업의 경영관리 특성에 관한 연구를 통해 유용한 정보를 제공하기 위해 연구되었다. 창업 준비 및 창업자의 특성에 대한 조사결과 서부경남지역의 외식업 창업자들은 독립창업의 형태가 가장 많이 집계되었으며, 직장경험이나 타 업종 운영경험이 외식업 운영경험이 있는 창업자보다 많았다. 가설 검증에 따른 연구결과는 다음과 같다. 첫째, 50대 창업자가 30대 창업자보다 고객이 불평을 제기할 때 신속히 서비스를 제공한다거나, 주문한 음식이 아닌 다른 음식이 나왔을때 양해를 구한 후 주문한 음식을 제공한다거나, 고객이 불편한 것이 없는지 수시로 체크하며 인사를 나누는 등의 서비스 활동을 하는데 많은 노력을 기울이고 있었다. 둘째, 외식업창업 후 재 창업한 창업자보다 직장생활 후 창업한 창업자가 음식과 관련한 고객의 불만에 대해 더 적극적으로 대처하고 있었으며, 외식업창업 후 재 창업한 창업자보다 타 사업 후 창업한 창업자가 음식과 관련한 고객의 불만에 대해 더 적극적으로 대처하고 있는 것으로 나타났다. 셋째, 외식업 점포의 운영관리에는 창업자의 정직성, 언행일치, 약속에 대한 신념의 정도와 같은 신뢰성과 실패가능성에 대한 인식 및 대처정도를 의미하는 대처노력 등이 영향을 미치고 있다. 넷째, 외식업 점포의 서비스관리 중 음식서비스와 사후서비스에는 창업자의 자기효능감이 영향을 미치고 있으며, 사전서비스에는 창업자의 자기효능감과 신뢰성이 영향을 미치고 있다. 다섯째, 외식업 점포의 수익관리에는 고객의 불만에 대한 대처노력이 영향을 미치고 있다. 여섯째, 외식업 점포의 고객관리에는 창업자의 신뢰성과 자기효능감이 영향을 미치고 있다. 일곱째, 경영관리활동 중 운영관리가 경영성과에 긍정적인 영향을 미치고 있다.

• 성인간호학회지
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• 제13권1호
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• pp.15-28
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• 2001

The purpose of this study was to identify the trends of resourcefulness researche studies for suggesting the future direction of study. Study design, types of subjects, measurement tools, study concept, and outcome were examined by reviewing 61 research studies published from 1980 to 1999. The results were as follows: 1. There were 24 works in the 1980s and 37 works in 1990, according to the published year of resourcefulness study. Nonexperimental studies like descriptive study, correlational study and comparative study were more frequent than experimental studies. 2. Research studies that consisted of 30- 100 subjects were the most numerous with 27 studies in all. The majority of study subjects was shown as healthy students and depressive patients. 3. Most studies used Rosenbaum's Self Control Schedule(SCS) for assessing resourcefulness. Reliabilities of resourcefulness researches were cronbach ${\alpha}=.70$ or more. According to statisitical tests done for internal validity, SCS was negatively correlated to maladaptation. Factor analysis revealed that the most parsimonious structure was 3 to 6 factors. The total communality variance in the SCS was about 40 %. Other tools used with the SCS were about coping, depression, satisfaction of life and symptoms, self management and health promotion. 4. In correlational studies, concepts like depression, anxiety, and psychological symptoms were related to resourcefulness negatively. Adaptive functioning, life satisfaction and self achievement had positive correlations to resourcefulness. 5. Studies on comparison between a healthy person and depressive patient or smoker and non-smoker were done. There were coping, depression, symptom, self efficacy, health problem and self-control as comparative concepts. 6. Study subjects consisted of depressive patients in 9 of 18 experimental studies. The majority of studies were done with cognitive-behavioral therapy as an experimental intervention. The most effective treatment was revealed in high resourcefulness group. Since the above findings, resourcefulness research increased since 1980 and mostly non-experimental design for quantitative study were done. In the field of nursing, research about resourcefulness was in an initial stage. It is expected that further research needed to be done. Recommendations on the basis of the present research suggest that it is necessary to replicate studies, develop nursing intervention enhancing resourcefulness and apply it to patients with chronic diseases including cancer.

• 벤처창업연구
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• 제15권5호
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• pp.245-259
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• 2020

기술의 발전과 비대면 사회의 도래는 일자리 문제에 직접적인 영향을 미치게 될 것으로 예상된다. 이러한 현상에 맞추어 정부와 교육훈련기관들은 창업지원정책을 통해 일자리 문제에 대처하면서 동시에 혁신적인 기업의 탄생을 유도하고 있다. 특히 청년창업지원은 시장실패를 보완하는 효과 뿐 아니라 고성장 창업을 촉진하는 효과를 기대할 수 있다. 이러한 연구배경에 근거하여 본 연구는 청년창업가를 대상으로 창업가역량과 창업자기효능감, 그리고 창업성공과 창업만족의 영향관계에 관하여 고찰하였다. 이론적 연구를 토대로 청년창업가의 창업가역량의 주요요소와 창업성과와의 관련성을 검토한 후, 창업자기효능감을 매개변수로 설정하여 연구가설과 연구모형을 도출하였다. 청년창업가역량은 기업가역량, 기술역량, 관리역량, 창의역량의 4가지로 구분하였고 각 역량이 창업자기효능감을 매개로 창업성과에 유의한 영향을 미치고 있는지를 가설로 설정하였다. 실증연구를 위해 국내 2-30대 청년창업가를 대상으로 설문조사를 실시하였고 분석결과는 다음과 같다. 우선 청년창업가의 창업가역량은 창업성공과 창업만족에 영향을 미치는 것으로 나타났다. 창업가역량별로 차이가 있는데, 기술역량과 관리역량은 모두 완전매개로 창업자기효능감을 거쳐서 창업성공과 창업만족을 높이는 것을 확인하였다. 기업가역량은 창업성공에 대하여는 완전매개, 창업만족에 대하여는 부분매개를 나타내었다. 창의역량의 경우 창업성공에 대하여는 직접효과만 존재하였고 창업만족은 부분매개효과를 나타내었다. 따라서 세부가설 8개 중 7개는 지지되었고 1개는 기각되었다. 이상의 연구결과를 토대로 시사점 및 연구의 한계점, 향후 연구방향을 제시하였다.

• 대한간호학회지
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• 제28권2호
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• pp.244-255
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• 1998

The purpose of this study was to verify the reliability and validity of the Rosenbaum self-control schedule (SCS) for assessing resourcefulness in Korea and to explore the simplified scale. The study subjects consisted of 787 adults in a community. The data was collected during the period from Oct. to Dec., 1995 and analyzed as Cronbach α, item correlation with total, Pearson correlation and factor analysis with varimax rotation using SAS. Results were as follows : The mean SCS score for this sample was 17.2 and there were statistical differences for gender(men, 13.1 ; women, 20.0) on the SCS scores. The cronbachα of SCS with 36 items was .74 and when simplified with 30 items, it's coefficient alpha was .78. The translated content of the SCS was validated by two nursing faculty members and one professor of psychology. Factor analysis revealed the most parsimonious structure was obtained when six factors were extracted and subsequently rotated via the varimax criterion. There was 40.2% of total communality variance in the SCS with 36 items. The total communality variance was slightly increased to 43.4% with 30 items of the SCS. In order to reduce from 36 items to 30 items, the process excepted 6 items having low item correlation with total and low MSA(means of sampling adequacy) of factor analysis. According to factor analysis, there are six factors such as emotion control, impulse control, self-efficacy, coping with problems, pain control and satisfaction control, The SCS was found to have low, but statistically significant, correlations with social desirability and helplessness. From the above results, it can be concluded that the reliability of the SCS(inherent and simplified) was a acceptable level and its validity was reasonable when comparing it with other validity studies. To determine the usefulness the simplified scale, further study is necessary to simultaneously compare and analyze both scales for stability.

• 지역사회간호학회지
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• 제29권3호
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• pp.359-370
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• 2018

Purpose: The purpose of this study is to identify effects of the variables of Health Action Process Approach (HAPA) Model on physical activity. Methods: This study has conducted a systematic literature review and meta-analysis. Sixteen articles were searched through electronic databases (PsycINFO, PubMed, CINAHL, Web of science, Science Direct, RISS, KMBASE, KoreaMed, KISS, DBpia) and additional journals from 2000 to July, 2017. To estimate the effect size (ES), the meta-analysis of the studies was performed by using Comprehensive Meta-Analysis programs. Results: The overall effect size of the variables of HAPA on physical activity was median (ES=.28). Of the core variables of HAPA model, action control (ES=.43) showed the largest effect size, followed by coping self-efficacy (ES=.31) and planning (ES=.31).Additional variables were identified as preparatory behavior (ES=.39) and past physical activity (ES=.24). Through the moderator effect analysis, the effect size was higher in the volitional phase than in the motivational phase, and higher in the healthy group than in the patient group. The higher the proportion of males and the lower the age, the larger the effect size. Conclusion: This finding shows empirical evidence that all core variables of the HAPA model are useful for predicting physical activity. We propose the use of the HAPA model to develop physical activity promotion intervention.

• 임상간호연구
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• 제25권3호
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• pp.251-264
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• 2019

Purpose: This study was a systematic review and meta-analysis to explore the factors related to quality of life in heart transplant recipients. Methods: To identify studies that suggested the factors related to the quality of life in heart transplant recipients, we searched the articles published from 1974 to November 2018 using Six databases, PubMed, CINAHL, EMBASE, Cochrane, KMBASE and RISS. A total of 22 studies were selected out of 5,234 for the systematic review and meta-analysis on the basis of the PRISMA flow. The quality of study was assessed by assessment tool form the NIH and meta-analysis was performed using the 'R 3.5.2' version to analyze the correlated effect sizes. Results: Factors related to quality of life in heart transplant recipients were categorized into six domains based on the health-related quality of life model introduced by Ferrans: individual, environmental, biological function, symptoms, functional status, and general health perception. In the meta-analysis, 34 factors were used and 17 factors having significant effect sizes were as follows: self-efficacy, demoralization, perceived control, current occupational status, age, marital status, health promotion life style in the individual characteristics; stress in environmental characteristics; physical function status, creatinine level, left ventricular ejection fraction (LVEF) in biological function; anxiety, depression, symptom frequency and distress in symptoms domain; coping, self-care compliance in functional status. Conclusion: The findings indicate that the multi-dimensional factors influencing the quality of life in heart transplant recipients and provide the evidence for developing effective interventions for improving the quality of life of recipients.