• Journal of the Korea Society of Computer and Information
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• v.27 no.4
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• pp.153-160
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• 2022

In this paper, we propose the relationship between self-determination, home training satisfaction, and reuse of police-related students who participate in home training and train their physical strength. The subjects of this study were students enrolled in the Department of Police Administration and Police Martial Arts at D, S, and K universities in Busan and Gyeongnam area. Among them, 349 students who had participated in home training were surveyed. As a result of verifying the relationship between self-determination, exercise satisfaction, and reuse factors using the collected data, SPSSWIN VER 25+, AMOS 20.0 program, First, autonomy, competence, and relationship, which are sub-factors of self-determination of home training participants, had a positive effect on home training satisfaction. Second, exercise satisfaction of home training participants had a positive effect on home training reuse. Based on the research results,It is essential to identify and manage what home training participants demand. It is believed that this can be a positive process for the development of home training.

• Journal of Korean Academy of Nursing
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• v.41 no.4
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• pp.491-499
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• 2011

Purpose: The study was conducted to develop and test a hypothetical model which explains self-care behavior in patients with type 2 diabetes was established based on the Self-Determination Theory. Methods: The participants were 218 patients with type 2 diabetes mellitus enrolled in an outpatient clinic of one endocrine center in Korea. The data were collected using questionnaires from April 5 through May 7, 2010. The descriptive and correlation statistics were analyzed using the SPSS/WIN 15.0 and the structural equation modeling procedure was performed using the AMOS 7.0 program. Results: The results of this study showed that competence and autonomous motivation were the strong factors influencing self-care behavior in patients in this sample. Support from health provider for autonomy was a significant indirect factor on self-care behavior. These factors explained 64.9% of variance in the participants' self care behavior. The proposed model was concise and extensive in predicting self-care behavior of the participants. Conclusion: Findings may provide useful assistance in developing effective nursing interventions for maintaining and promoting self-care behavior in patients with type 2 diabetes.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.5 no.2
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• pp.167-180
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• 1998

The purpose of this study was to explore the subjective opinions related to the weight control by using Q-methodology. Forty four adults were selected for P-sample from July to August, 1998. The collected data were analyzed by PC Quanl program. The results were as follows : There were 5 types of the adult's opinions about the weight control. Type I(Concern about weight control) : This type believes that there is a problem with general social attitudes, but the weight control it self is necessary. Type II(Health conscious) : This type believes that good health is very important and weight control is way of maintaining and improving good health. Type III(Obsessive) : This type believes that weight control is absolutely necessary no matter what it takes including extreme dietary change. Type IV(Influence by social pressure) : This type believes that the external stimulation and help is needed to motivate weight control. Type V(Self control) : This type believes that self determination is necessary regardless of social pressure.

• Journal of Korean Academy of Nursing
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• v.47 no.5
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• pp.663-675
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• 2017

Purpose: The purpose of this study was to construct and test a structural equation model of self-management of liver transplant recipients based on self-determination theory. Methods: Participants were 275 outpatients who received liver transplantation. A structured self-report questionnaire was used to assess health care providers' autonomy support, transplant-related characteristics, illness consequence perception, autonomy, competence, family relatedness, depression and self-management. Collected data were analyzed using SPSS/WIN 24.0 and AMOS 24.0 program. Results: The modified model showed a good fitness with the data: GFI=.96, RMSEA=.06, CFI=.96, NFI=.93, TLI=.93, PGFI=.43, PNFI=.49. The health care providers' autonomy support, competence, family relatedness and depression were factors with a direct influence on the self-management of liver transplant recipients. The health care providers' autonomy support and illness consequence perception had an indirect influence through competence, family relatedness and depression. However, the transplant-related characteristics and autonomy did not have a significant effect on self-management. This model explained 59.4% of the variance in self-management. Conclusion: The result suggests that continuous education must be done to promote the competence of liver transplant recipients and to encourage the patient to positively perceive their current health condition with a view that enhances one's self-management. Additionally, the liver transplant recipients should be screened for depression, which would affect self-management. Most of all, health care providers, who have the most influence on self-management, should improve therapeutic communication and try to form a therapeutic relationship with the liver transplant recipients.

• The Korean Society of Law and Medicine
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• v.14 no.1
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• pp.355-401
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• 2013

The first legislation for terminal health-care decision was California's Natural Death Act (NDA) of 1976 that permitted any adult person to execute a directive directing the withholding or withdrawal of life-sustaining procedures. Advance directive legislation has subsequently progressed on a state-by-state basis. By 1992, all 50 states, as well as the District of Columbia, had passed legislation to legalize some form of advance directive. This state legislation, however, has resulted in an often fragmented, incomplete, and sometimes inconsistent set of rules. Statutes enacted within a state often conflict and conflicts between statutes of different states are common. In an increasingly mobile society where an advance health-care directive given in one state must frequently be implemented in another, there is a need for greater uniformity. In 1993, the Uniform Law Commissioners approved the Uniform Health-Care Decisions Act (UHCDA) in order to bring order to the existing chaos. Unfortunately, the Commissioners waited too long to act. By the time the UHCDA was approved, nearly all states had passed legislation governing advance directives. Consequently, the UHCDA has achieved only a limited success, picking up but one or two enactments a year. The UHCDA is currently in effect in around 10 states: Alabama, Alaska, California, Delaware, Hawaii, Kansas, Maine, Mississippi, New Mexico, Tennessee, Wyoming. In these states the previous laws related to the subjects have been all repealed. The overall objective of the UHCDA is to encourage the making and enforcement of advance health care directives including living will or individual instruction, power of health-care attorney and to provide a means for making health care decisions for those who have failed to plan. The U. S. House of Representatives in 1991 enacted the Patient Self-Determination Act (PSDA). The Act stipulates that all hospitals receiving Medicaid or Medicare reimbursement must ascertain whether patients have or wish to have advance directives. The Patient Self- Determination Act does not create or legalize advance directives; rather it validates their existence in each of the states. Now in America, terminal health-care decision or advance directive for health care is common and universal system. The problem, however, is how to let more people use these good tools to make their lives more beautiful and honorable.

• Women's Health Nursing
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• v.13 no.1
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• pp.35-42
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• 2007

Purpose: This study was done to discover the contents needed for a sexual education program in the lower grades (the first to the third grade) by primary school teachers and to discover difficulties in confronting sexual education. Method: This was a descriptive study of 198 teachers for lower grade students in 15 primary schools. A questionnaire on sexual education was distributed and collected by mail. Result: The contents for sexual education that teachers felt were highly needed are as follows: sanitation of genitals, sexual violence, pregnancy & childbirth, family, selfassertion, and sexual self-determination. Teachers think prevention of sexual violence is the main reason for sexual education. Teachers indicated that sexual education considering the developmental stage was difficult. Conclusion: Development of a sexual education curriculum for lower grade primary school students is necessary for increasing the problem-solving ability of students focused on sexual violence, self-assertion and sexual self-determination, in addition to providing simple information.

• Journal of Korean Academy of Nursing
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• v.53 no.2
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• pp.191-207
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• 2023

Purpose: This study aimed to develop a motivational interviewing pulmonary rehabilitation program based on self-determination theory to maintain pulmonary rehabilitation-related health behaviors in patients with chronic obstructive pulmonary disease. The program was developed by reviewing the literature on pulmonary rehabilitation guidelines, drawing on the self-determinism theory to establish its contents, recruiting experts to test its validity, and conducting a preliminary survey. Methods: A quasi-experimental design was used to confirm the effect of the program. The participants were outpatients diagnosed with chronic obstructive pulmonary disease at three general hospitals in Busan. There were 33 subjects: 15 in the experimental group and 18 in the control group. The experimental group performed a motivational interviewing pulmonary rehabilitation program which comprised 11 sessions delivered over 10 weeks. The outcomes were measured using basic psychological needs, dyspnea, 6-minute walking distance, and functional status. Intervention effects were analyzed using repeated-measures ANOVA. Results: The analysis revealed significant differences between the experimental and control groups in competence among the subdomains of basic psychological needs, dyspnea during exercise, and functional status. Conclusion: The developed program affects physical conditions and can be applied as an effective clinical nursing intervention to continuously improve the pulmonary rehabilitation behavior of patients with chronic obstructive pulmonary disease.

• The Korean Society of Law and Medicine
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• v.16 no.2
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• pp.3-26
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• 2015

Recently, Practicing of ghost surgery and duty of informed consent of doctors have become a big issue in the medical dispute and lawsuits. The ground of admitting the informed consent and the agreement(self-determination of patients) can be based on the dignity of man and the right to pursue his happiness guaranteed under Article 10 of the constitution in theory. However there are no explicit legal regulations on the duty of the informed consent and there is no substantive legal enactment on the informed consent, but there is a collision between self-determination of patients and the discretionary power of doctors. If the discretionary power on the duty of the informed consent was extended it may result in the infringement of the right of surgical patients, so called arbitrary medical treatment. Relating to this issue, New Jersey Supreme Court held that a patient has the right to determine not only whether surgery is to be performed on him, but also who shall perform it. Moreover it held that a surgeon who operates without the patient's consent engages in the unauthorized touching of another and, thus, commits a battery'. But there are no ghost surgery cases adopting battery theory in Korea, and professional negligence has been considered rather than the battery, regarding an absence of hostile intent to injure patient. Supreme Court of Korea held that a doctor who operates a medical procedure without the patient's valid prior consent based on wrong diagnosis commits professional negligence resulting in injury, and the patient's invalid consent do not preclude wrongfulness'. However, if a health care provider conducts a completely non-consensual treatment or substitute surgeon without consent, the action should be plead in battery, not negligence, but if a health care provider violate his duty of care in obtaining the consent of the patient by failing to disclosure all relevant information (risks) that a reasonable person would deem significant in making a decision to have the procedure, the action should be plead in negligence, not battery. Therefore, the scope of patients' self-determination can be protected by stating clearly the scope of the duty of the informed consent and the exemption of the informed consent legislatively, it is considered that it is valid to legislate the limitation of the discretionary power.

• Women's Health Nursing
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• v.8 no.2
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• pp.201-211
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• 2002

The purpose of this study was to identify the relationship between self-empowerment and a health promoting lifestyle in climacteric women, and to provide the basic data for health promoting intervention. The subjects were 246 women who visited the sports center in Taegu, Korea and ranged in age from 40 to 59. The data was collected during the period from December 2nd to December 15th, 2001. The instruments were the revised health promoting lifestyle scale developed by Park, In Suk(1997) Originally the instruments were developed by Spreitzer(1995) and Jung Hea Joo(1998), who translated it into Korean. The data was analyzed using t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. The results of this study were as follows : 1. Mean score of total empowerment was 3.76 and the subcategory 'meaning', had the highest score at 4.08. 2.Mean score of total health promoting lifestyle was 2.83 and in the subcategory, the highest degree of performance was 'sanitary life', followed by 'harmonious relationships' and 'self actualization'. The lowest degree was 'professional health management'. 3. A significant statistical difference between age, education and self-empowerment was found. 4. A significant statistical difference between age, marital status, leisure time activity (hobbies/community service) and a health promoting lifestyle was found. 5. Health promoting lifestyle was positively related to self-empowerment(r=.4592). A health promoting lifestyle was the highest positively related to the subcategory 'impact' (r=.4329). 6. The most important variable affecting the health promoting life style was impact which accounted for 19% of the total variance in stepwise multiple regression analysed. Five variables, impact, age, meaning, marital status and leisure time activity(hobbies/community service) accounted for 26% in promoting a healthy life style. From the results of the study, the following recommendations are presented : 1) Adopting the concept of self-empowerment is required in broad nursing fields. 2) Using and making a self-empowerment promoting program which can cause positive effects on a health promoting lifestyle are required. 3) It is required to check the rank of the subcategories such as meaning, competence, self determination and impact according to the subjects. 4) It is required to check the effects of all variances of self-empowerment, self-efficacy and self-esteem variances through the repeated studies.

• Health Policy and Management
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• v.21 no.4
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• pp.599-616
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• 2011

This research was performed to investigate the determination factors of medical service to cover the fee for selecting a doctor which is one of the most important causes of debilitating national health insurance in Korea. Data was from Korea Health Panel and analyzed by Dutton(1986)'s medical service model which was an extended Anderson Model and was widely used in the researches on determination factors of medical service. The results were as follows; In the determinants of selecting a doctor in specialized medical institutions and general hospitals, patients with serious diseases selected doctors more often than other patients. By industrial accident compensation insurance law and enforcement ordinances, insurance covers the fee of selecting a doctor in the hospitals appointed by Labor Welfare Corporation for the patients in critical conditions under industrial accident compensation insurance, while health insurance patients pay the fee themselves for selecting a doctor in all cases. It is suggested that patients with serious diseases proved by medical opinion be provided with health care insurance in selecting a doctor and that the health insurance benefit coverage be enhanced by staged lowering of patient's cost-sharing.