• 제목/요약/키워드: Health self-determination

검색결과 132건 처리시간 0.028초

정신장애인을 위한 프로그램 기획에의 컨셉트 맵핑(concept mapping) 적용 : 클라이언트 참여를 통해 사회복귀시설 종사자와 정신장애인의 기대성과 합의를 이룰 수 있는가? (Application of Concept Mapping in Program Planning for the Mental Disorders: Can be Achieved Consensus Expected Outcomes of the Mental Disorders and Community Psychiatric Rehabilitation Center Employees through Client Participation?)

  • 권순애;김선주
    • 한국콘텐츠학회논문지
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    • 제15권1호
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    • pp.140-151
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    • 2015
  • 본 연구는 정신장애인을 대상으로 이루어지는 프로그램에 클라이언트 참여와 자기결정의 가치를 실현하기 위하여 컨셉트 맵핑을 적용한 것이다. 컨셉트 맵핑이 적용되는 프로그램은 A광역시의 B사회복귀시설에서 시행되는 것으로, 정신장애인들이 독거노인과 함께 음식을 교류하며 소통하는 사업이였다. 컨셉트 맵핑을 통해서 정신장애인과 사회복귀시설 종사자가 기대하고 있는 프로그램의 성과가 무엇인지 서로 확인하고, 합의해 나가게 되었다. 정신장애인과 사회복귀시설 종사자 총 24명이 참여하였으며, 총 여섯단계를 거쳤다. 42개의 서술문이 수집되었으며, 분류화 결과, 정신장애인은 6개의 군집, 사회복귀시설 종사자는 3개의 군집이 도출되었다. 사회복귀시설 종사자보다 정신장애인들이 기대성과를 더 세분화시켜 분류하였다. 서로가 기대하는 성과의 차이를 확인하고 기대성과의 중요성을 측정하여 최종적으로 합의된 3가지의 기대성과를 도출하였다. 이번 연구를 통해서 정신장애인들의 프로그램 참여와 그에 따른 자기결정의 가치를 실현하는데 컨셉트 맵핑이 가지는 유용성을 경험적으로 확인할 수 있게 되었다.

치위생 전공 대학생의 그릿과 진로준비행동의 관계에서 진로정체감과 진로결정자기효능감의 매개효과 (Mediating Effect of Career Identity and Career Determination Self-efficacy in Relationship Between Grit and Career Preparation Behavior of College Students majoring in Dental Hygiene)

  • 지재훈;허성은
    • 융합정보논문지
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    • 제11권6호
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    • pp.162-170
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    • 2021
  • 본 연구는 그릿과 진로준비행동의 관계에서 진로정체감과 진로결정자기효능감의 이중 매개효과를 중심으로 인과관계를 파악하고자 하였다. B 지역 내 치위생(학)과 학생을 대상으로 구조화된 설문지를 이용한 자기기입식 설문조사를 통해 자료를 수집하였고, SPSS와 Process Macro을 사용하여 분석하였다. 진로준비행동에 직접적인 영향을 미치는 가장 큰 요인은 진로정체감이었고, 그릿, 진로결정자기효능감 순이었다. 경로분석을 통해 그릿은 진로정체감을 매개로, 그릿은 진로정체감과 진로결정자기효능감을 매개로 진로준비행동에 간접적으로 유의한 영향을 미쳤다. 이는 적극적인 진로준비행동을 위하여 그릿과 진로정체감을 높여야 함을 시사하므로, 치위생 전공 대학생의 진로 교육 컨텐츠 개발의 기초 자료로 활용하고자 한다.

금연의 변화단계에 따른 변화기전 (Changing Mechanisms Corresponding to The Changing Stages of Smoking Cessation)

  • 오현수;김영란
    • 대한간호학회지
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    • 제26권4호
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    • pp.820-832
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    • 1996
  • The average smoking rate for Adults' in our country is 40.6% : It is 74.2% for men and 5.0% for women. Particularly, the smoking rate for men is reported higher than that of men in U.S.A. or Japan. Since the first report on the association between smoking and cancer appeared, 370 thousand smokers have succeeded in smoking cessation and over 90% of them have responded that they depended on a self-help smoking cessation approach. Despite this positive evidence about self- help approaches for smoking cessation, most studies on smoking cessation have focused on evaluation of formal treatment programs that are provided by clinics. Reports on the smoking cessation process used by smokers in our country could not be found. However, it is believed that the situation in our country would be quite similar to that in U.S.A. as far as approaches to successful smoking cessation are concerned. This study was conducted to classify the smoking stage to which they smoker belong and which changing mechanisms could be included at each changing stage (precontemplation stage, comtemplation stage, action stage) with a sample of 155 college students between 20 and 29 years old. And it also identified which variables related both to smoking pattern and to health, which ones were significantly discriminating in the changing stages. From the results of the data analysis it was found that Self-Determination is the most influential variable as one of the changning mechanisms which can discriminate three changing stages. And as the next significant mechanisms were Reinforcement, Dramatic Relief, Cognitive Restructuring, Helping Relationship, and Information Management in that order. Among variables related to the smoking pattern, years of regular smoking, whether smoking is continued or not even when they are sick, the number of attempts to stop smoking, number of cigarettes smoked per day, and whether they have smoked over 100 cigarettes up to now, but not the time of the first cigarette after waking-up, were the significant factors to descriminate changing stages. It was confirmed that among variables related to health that, perceived control for health, confidence of health maintence ability, and self confidence in smoking cessation, were significant variables in determinating changing stages. The most influential variables among them was self-confidence in smoking cessation. Conclusively, it was shown that smoking cessation is the process of attempting to change smoking habits through the various changing processes. Also it can be shown that a few factors smoking habit, self-confidence of smoking cessation, and belief in self control of his /her health, were influential in discriminating the changing stages of the smoking habit.

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양측 슬관절 전치환술 여성노인의 건강관련 삶의 질 구조모형 (A Structural Equation Model of Health-Related Quality of Life among Older Women Following Bilateral Total Knee Replacement)

  • 이현옥;유재순
    • 대한간호학회지
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    • 제50권4호
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    • pp.554-570
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    • 2020
  • Purpose: This study aimed to develop and test a structural equation model of health-related quality of life among older women following bilateral total knee replacement based on a literature review and Wilson and Cleary's model of health-related quality of life. Methods: One hundred ninety three women who were diagnosed with osteoarthritis, were older than 65 years, and were between 13 weeks and 12 months of having a bilateral total knee replacement were recruited from an outpatient clinic. Data were collected from July 2017 to April 2018 using a structured questionnaire and medical records. Data were analyzed using SPSS/WIN 22.0, AMOS 22.0, and Smart PLS 3.2.4. Results: The fitness of the hypothetical model was good, with coefficients of determination (R2) ranging between .28 and .75 and predictive relevance (Q2) between .26 and .73. The standardized root mean square residual of the model fit indices for the hypothetical model was .04; which explained 64.2% of physical and 62.5% of mental health-related quality of life. Self-efficacy, symptom status, functional status, and general health perceptions had a significant direct effect on physical health-related quality of life, while social support, symptom status, and general health perceptions had a significant direct effect on participants' mental-health-related quality of life. Conclusion: To improve the physical and mental quality of life of older women who receive bilateral knee replacement, nursing-based intervention strategies that reduce symptoms, improve functional status, and increase health perceptions, self-efficacy, and social support are needed. The most important factor is the symptom status.

대학생의 자기관리와 자아탄력성이 진로성숙도에 미치는 영향 (A Study on Effect of Self-management and Self-resiliency on Career Maturity in University Students)

  • 유승옥
    • 한국엔터테인먼트산업학회논문지
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    • 제15권5호
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    • pp.153-161
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    • 2021
  • 본 연구는 대학생들이 학교에서 직업세계로 이행할 때 진로성숙을 높여 적합한 진로를 선택할 수 있도록 효과적인 진로지도 방안을 제시하고자 하였다. 연구의 대상은 G대학의 재학생 250명에게 온라인 설문조사를 실시하였고, 수집된 자료는 SPSS v. 21.0 통계 패키지 프로그램을 활용하여 분석하였으며, 그 결과는 다음과 같다. 조사대상자의 일반적 특성은 여학생이 높게 나타났고, 학년은 4학년이 많았으며, 전공은 보건계열이 종교는 무교가 높게 조사되었다. 대학생의 자기관리 및 자아탄력성과 진로성숙도와의 관계에서는 자기관리는 진로성숙도의 하위요인인 결정성, 확신성, 준비성에서 통계적으로 유의미한 정(+)의 영향을 미치는 것으로 나타났다(p<.001). 또한 자아탄력성의 하위요인인 통제성, 긍정성, 사회성은 진로성숙도의 하위요인인 결정성, 확신성, 준비성에서 통계적으로 유의미한 정(+)의 영향을 미치는 것으로 나타났다(p<.05, p<.01, p<.001). 대학생의 자기관리와 자아탄력성은 진로성숙도에 중요한 요인임에 따라 대학에서 교수자들은 학생들의 자기관리와 자아탄력성을 높이기 위한 지도방안에 대한 고민이 필요할 것으로 사료된다.

초등학교 저학년 교과서의 성교육 내용분석 (Analysis of Sexuality Content in Textbooks for Students in Lower Grades of Elementary School)

  • 양순옥;김신정
    • Child Health Nursing Research
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    • 제10권4호
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    • pp.431-441
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    • 2004
  • Purpose: The purpose of this study was to develop a sexuality education course of study for students in the lower grades of elementary school. Method: On the basis of the sexuality education guidebook for elementary school students published by Korea Ministry of Education & Human Resources Development, the state-designated textbooks for first to third grade were analyzed. Results: 1) In the category of physical and psychological development, physical development and psychosexual development content were covered, but not sexual health content. 2) In the category of understanding of human relationship, marriage and family, and the opposite sex and love were presented but self-determination and selection were only partially presented. 3) In the category of sexual culture and sexual ethics, sexual role in society was covered, but not social environment or equality of the sexes. Conclusion: These results suggest that content on sexuality which is not covered in textbooks for students in lower grades should be included in other school courses or activities in class.

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생식과 발생 단원과 연계한 성교육 프로그램이 중학교 남학생들의 성지식 및 성태도에 미치는 영향 (Effects of Sex Education Program related to the Unit of Reproduction and Development on Middle School Boys' Sex-related Knowledge and Attitude towards Sex)

  • 김선영;박수빈
    • 과학교육연구지
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    • 제42권2호
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    • pp.148-164
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    • 2018
  • 본 연구는 중학교 3학년 남학생들을 대상으로 성교육 프로그램을 개발 적용하여 그 효과성을 살펴보았다. 성교육 프로그램은 중학교 3학년 과학 '생식과 발생' 단원과 연계하여 생식기관의 구조와 기능, 수정과 생명의 소중함, 낙태, 사람의 발생 과정, 성병과 에이즈, 성적 행동에 있어 자기결정의 중요성과 그 책임을 주제로 총 7차시로 개발되었다. 총 90명의 학생들이 참여하였으며, 실험집단에게는 성교육 프로그램을 적용하였고 통제집단에게는 교과서의 탐구와 읽기자료를 활용하여 강의를 통한 전통적 수업을 실시하였다. 연구결과, 사후검사에서 실험집단 학생들은 통제집단에 비해 성지식에 대한 점수가 통계적으로 유의미하게 높았다. 특히 실험집단 학생들은 성지식 검사도구의 하위 영역 중 임신 및 출산, 성건강 영역에서 통제집단에 비해 높은 점수를 나타냈다. 반면, 수업처치 후 사후검사에서 실험집단과 통제집단의 성태도에는 차이가 없었다. 그럼에도 불구하고 실험집단 학생들은 성태도 하위 영역 중 '자기결정과 선택', '이성과 사랑'에서 통제집단에 비해 높은 점수를 나타냈다. 또한, 피어슨 상관관계 조사 결과, 성태도는 성지식과 정적 상관관계를 나타냈으며, 성태도와 가장 강한 상관관계를 나타낸 것은 '자기결정과 선택'이었다. 중학교 과학의 생식과 발생 단원과 연계한 성교육 프로그램을 통해 중학생들이 올바른 성지식과 성태도를 함양할 수 있을 것이다.

[Retracted]Development and Evaluation of Self-Management Program for Patients with Coronary Artery Disease

  • Kim, Hyun Young;Kim, Su Hyun;Jung, Hyun Jung;Kim, Hwa Sun
    • Journal of Multimedia Information System
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    • 제6권4호
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    • pp.317-322
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    • 2019
  • The purpose of this study was to develop a self-management program for patients suffering from coronary artery disease (CAD), based on the self-determination theory and subsequently perform a heuristic evaluation by professionals and a quality assessment by users. The program consisted of 6 main menus and 20 submenus. Heuristic evaluation was conducted using eight principles, and as a result, a score of 1 was assigned by a professional for five principles: consistency and mapping, good ergonomics and minimalist design, flexibility and efficiency, anesthetics, and error management. Two professionals gave the principles of ease of input, screen readability, and glanceability a score of 1. In the quality assessment by the users, the system quality category had the highest score of 4.6 out of 5, and information quality had the lowest score of 3.87 out of 5. The overall average score was 4.08, which indicated the general satisfaction regarding the quality of the application. We have reflected on all the recommendations provided by the professionals based on their heuristic evaluation and incorporated them in the program.

Identification and Determination of Oil Pollutants Based on 3-D Fluorescence Spectrum Combined with Self-weighted Alternating Trilinear Decomposition Algorithm

  • Cheng, Pengfei;Wang, Yutian;Chen, Zhikun;Yang, Zhe
    • Journal of the Optical Society of Korea
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    • 제20권1호
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    • pp.204-211
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    • 2016
  • Oil pollution seriously endangers the biological environment and human health. Due to the diversity of oils and the complexity of oil composition, it is of great significance to identify the oil contaminants. The 3-D fluorescence spectrum combined with a second order correction algorithm was adopted to measure an oil mixture with overlapped fluorescence spectra. The self-weighted alternating trilinear decomposition (SWATLD) is a kind of second order correction, which has developed rapidly in recent years. Micellar solutions of #0 diesel, #93 gasoline and ordinary kerosene in different concentrations were made up. The 3-D fluorescence spectra of the mixed oil solutions were measured by a FLS920 fluorescence spectrometer. The SWATLD algorithm was applied to decompose the spectrum data. The predict concentration and recovery rate obtained by the experiment show that the SWATLD algorithm has advantages of insensitivity to component number and high resolution for mixed oils.

Health Blief Model-based intervention to improve nutritional behavior among elderly women

  • Iranagh, Jamileh Amirzadeh;Rahman, Hejar Abdul;Motalebi, Seyedeh Ameneh
    • Nutrition Research and Practice
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    • 제10권3호
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    • pp.352-358
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    • 2016
  • BACKGROUND/OBJECTIVES: Nutrition is a determinant factor of health in elderly people. Independent living in elderly people can be maintained or enhanced by improvement of nutritional behavior. Hence, the present study was conducted to determine the impact of Health Belief Model (HBM)-based intervention on the nutritional behavior of elderly women. SUBJECTS/METHODS: Cluster-random sampling was used to assess the sample of this clinical trial study. The participants of this study attended a 12-week nutrition education program consisting of two (2) sessions per week. There was also a follow-up for another three (3) months. Smart PLS 3.5 and SPSS 19 were used for structural equation modeling, determination of model fitness, and hypotheses testing. RESULTS: The findings indicate that intervention had a significant effect on knowledge improvement as well as the behavior of elderly women. The model explained 5 to 70% of the variance in nutritional behavior. In addition, nutritional behavior was positively affected by the HBM constructs comprised of perceived susceptibility, self-efficacy, perceived benefits, and barriers after the intervention program. CONCLUSION: The results of this study show that HBM-based educational intervention has a significant effect in improving nutritional knowledge and behavior among elderly women.