• 대한간호학회지
• /
• 제47권1호
• /
• pp.14-24
• /
• 2017

Purpose: The purpose of this study was to construct and test a hypothetical model of self-management in patients with hemodialysis based on the Self-Regulation Model and resource-coping perspective. Methods: Data were collected from 215 adults receiving hemodialysis in 17 local clinics and one tertiary hospital in 2016. The Hemodialysis Self-management Instrument, the Revised Illness Perception Questionnaire, Herth Hope Index and Multidimensional Scale of Perceived Social Support were used. The exogenous variable was social context; the endogenous variables were cognitive illness representation, hope, self-management behavior, and illness outcome. For data analysis, descriptive statistics, Pearson correlation analysis, factor analysis, and structural equation modeling were performed. Results: The hypothetical model with six paths showed a good fitness to the empirical data: GFI=.96, AGFI=.90, CFI=.95, RMSEA=.08, SRMR=.04. The factors that had an influence on self-management behavior were social context (${\beta}=.84$), hope and cognitive illness representation (${\beta}=.37$ and ${\beta}=.27$) explaining 92.4% of the variance. Self-management behavior mediated the relationship between psychosocial coping resources and illness outcome. Conclusion: This research specifies a more complete spectrum of the self-management process. It is important to recognize the array of clinical resources available to support patients' self-management. Healthcare providers can facilitate self-management through collaborative care and understanding the ideas and emotions that each patient has about the illness, and ultimately improve the health outcomes. This framework can be used to guide self-management intervention development and assure effective clinical assessment.

• 근관절건강학회지
• /
• 제19권1호
• /
• pp.57-70
• /
• 2012

Purpose: This study aimed to investigate the level of physical activity and to identify factors related with physical activity for the elderly with Diabetes Mellitus (DM). Methods: The subjects were 154 diabetic outpatient at 3 hospitals located in J city. Data were collected from February 1 to 17 in 2012. Data were analysed using Chi-square test, ANOVA, and logistic regression by SPSS/WIN 18.0. Results: Mean physical activity level per week measured by International Physical Activity Questionnaire (IPAQ) was $2247.01{\pm}2533.73$ MET-minutes (minimally active). There were significant differences in the level of physical activity by age, spouse, education, job, admission, duration of DM, and DM therapy. There were significant differences in subjective health status, objective and subjective obesity, satisfaction with physical body, perception of aging, self-efficacy, perceived benefits, perceived barriers, and social support among the inactive, minimally active, and health enhancing physical activity groups. Factors influencing the level of health enhancing physical activity were spouse (OR=10.192), self-efficacy (OR=5.351), subjective obesity (OR=.114), and perceived barriers (OR=.069). Conclusions: The level of physical activity of elderly patients with DM was minimally inactive. Physical activity program enhancing self-efficacy and decreasing perceived barriers, as well as improving the correct perception of subjective obesity is recommended as a nursing intervention.

• 한국간호교육학회지
• /
• 제6권2호
• /
• pp.218-232
• /
• 2000

This study was done in order to analyze the relationship between Health condition, Health concept and Health promoting behavior in College Women. The subjects were 275 students from a college in Kyungbuk. The instruments used for this study were made of General characteristics (8 items), Health condition (3 item), Health concept (20 items) and Health promoting behaviors (40 items). The data were analyzed by SPSS/PC+ program using descriptive statistics, ANOVA, Pearson's Correlation Coefficient and Multiple Stepwise Regression. The results of this study were as follows. 1. The mean score of the Health promoting behavior was 2.3604. Among the subcategories, the highest degree of performance was interpersonal support (2.9133). 2. Health condition, Heath concept and Health promoting behavior according to general characteristics were as follows. 1)Perceived health condition had statistically significant differences according to board & lodging and living together (p=.040, p=.027). 2)Health concept had a statistically significant differences according to religion (p=.006). 3)Health promoting behavior had statistically significant differences according to age(p=.005). 4)Among the subcategory of Health promoting behavior, statistically significant differences were founded between nutrition and age / board & lodging (p=.004, p=.040), between self actualization and age(p=.006), between health responsibility and age/social economic status(p=.013, p=.000). 5. Correlations of Health condition, Health concept and Health promoting behavior were as follows. 1) BMI was positively correlated with perceived health status(r=.145, p=.015). 2)Health concept was positively correlated with BMI(r=.136, p=.032), perceived health condition(r=.148, p=.015), health promoting behavior (r=.316, p=.000). 6. Correlations of Health condition, Health concept and subcategories of Health promoting behavior were as follows. 1) Perceived health status was positively correlated nutrition (r=.168, p=.006). 2) Health concept was positively correlated with nutrition, stress management, self actualization and interpersonal relationship (r=.153 p=.011, r=.217 p=.000, r=.354 p=.000, r=.193 p=.001). 7. Health concept explained 10.1% of the variance for Health promoting behaviors.

• 한국융합학회논문지
• /
• 제8권7호
• /
• pp.207-218
• /
• 2017

본 논문은 여성 독거노인의 통증, 영양위험, 외로움, 지각된 건강상태가 건강관련 삶의 질에 미치는 영향요인을 알아보고자 하는 서술적 조사연구이다. 대상자는 D광역시 D구, Y구에 거주하는 65세 이상의 여성 독거노인 110명의 설문지를 통해 자료를 수집하였고 SPSS/WIN 18.0 program을 이용하여 분석하였다. 연구결과 건강관련 삶의 질과의 통증(r=-.565, P<.001), 영양위험(r=-.485, P<.001), 외로움(r=-.546, P<.001)과의 관계는 통계적으로 유의한 수준에서 보통의 역 상관관계를 보였고, 지각된 건강상태(r=.706, P<.001)와의 관계는 높은 순 상관관계를 나타냈다. 건강관련 삶의 질에 영향을 미치는 요인은 지각된 건강상태, 외로움, 통증, 주거형태, 질병 수 순으로, 전체 설명력은 69.4%로 나타났다. 따라서, 여성 독거노인의 건강관련 삶의 질을 높이기 위해 건강상태 향상을 위한 교육과 건강행동의 실천을 유도하며 사회적 관계망을 맺어 정서적 지지를 높이고 보호체계를 다각적으로 투입해야 한다.

• 한국컴퓨터정보학회논문지
• /
• 제29권7호
• /
• pp.53-71
• /
• 2024

생성형 인공지능은 그 광범위한 응용 범위와 깊은 영향력으로 인해 사회의 주목을 받고 있습니다. 본 논문은 통합 기술 수용 및 사용 이론 2(UTAUT2)를 기반으로 개인의 혁신성과 인지된 위험 등의 변수를 결합하여, 기업이 생성형 인공지능을 채택하는 데 영향을 미치는 주요 요인을 연구하기 위해 종합적인 이론 모델을 구축하였습니다. 우리는 가설 경로를 검증하기 위해 구조 방정식 모델(SEM)을 사용하였고, 부트스트래핑 방법을 통해 수용 의향의 매개 효과를 검증하였으며, 계층적 회귀 분석을 통해 인지된 위험의 조절 효과를 탐구하였습니다. 연구 결과, 성과 기대, 노력 기대, 사회적 영향, 가치 평가 및 개인 혁신성이 수용 의향에 긍정적인 영향을 미치며, 수용 의향은 이러한 요인들과 사용 행동 사이에서 중요한 매개 역할을 한다는 것이 밝혀졌습니다. 반면, 인지된 위험은 수용 의향과 사용 행동 사이에서 부정적인 조절 효과를 가지는 것으로 나타났습니다. 본 연구는 기업이 생성형 인공지능을 효과적으로 채택하는 방법에 대해 이론적 근거와 실증적 지원을 제공하며, 중요한 실무적 의의를 가집니다.

• 정신신체의학
• /
• 제8권1호
• /
• pp.11-19
• /
• 2000

연구목적 : 본 연구는 위궤양환자와 만성표재성위염환자를 대상으로 두 환자군간의 스트레스인자 및 스트레스반응 지각, 대응전략을 비교하기 위해 시행되었다. 방법 : 대상은 내과에 내원한 위궤양환자 40명과 만성표재성위염환자 100명으로 구성되었다. 스트레스인자 및 스트레스반응 지각은 스트레스인자지각 척도(Global Assessment of Recent Stress Scale) 및 스트레스반응지각 척도(Perceived Stress Response Inventory)에 의해, 대응전략은 대응척도(Coping Scale) 에 의해 각각 평가되었다. 결과 : 위궤양환자들이 만성위염환자들보다 일 및 직장, 대인관계의 변화에 관련된 스트레스인자 지각점수가 각각 유의하게 더 높았다. 한편 만성위염환자들은 위궤양환자들보다 일반적 신체증상, 특정 신체증상, 수동반응적 및 부주의 행동과 같은 스트레스반응 지각점수가 각각 유의하게 더 높았다. 한편 대응전략에서는 위궤양환자들이 만성위염환자들에 비해 사회적 지지추구, 도피 회피를 더 많이 사용하였다. 결론 : 상기 결과들은 위궤양환자들이 만성위염환자들보다 스트레스인자지각은 높은 반면 스트레스반응지각은 더 낮고 대응전략에서는 더 의존적이며 소극적임을 시사해준다.

• Perspectives in Nursing Science
• /
• 제11권2호
• /
• pp.132-143
• /
• 2014

Purpose: This study was designed to explore adolescents' experience with yoga class in South Korea. Methods: Qualitative data were collected by focus group interviews from February to March 2014. Eleven adolescents who experienced yoga class were recruited from two different schools. The interview questions investigated adolescents' experience with yoga regarding expectations before yoga class, positive changes after yoga, and advice for future yoga classes. Results: Three primary themes from the qualitative content analysis include 1) motivation to join a yoga class, 2) perceived benefits after class and 3) suggestions for school-based yoga. We found that high school students had intrinsic and extrinsic motivations to join yoga classes, and the perceived benefits included physical, psychological, cognitive and social aspects. The students also indicated the need for support by person, yoga with fun and information, yoga tailored by individual goal, simple and easy class. Conclusion: These results suggest that yoga could be an appropriate intervention for holistic health care, and school-based yoga should be applied by focusing on the various situational needs of adolescents'. Furthermore, when yoga leads to healthy habits compared to just simple exercise, a balanced development of adolescents can be achieved.

• 한국간호교육학회지
• /
• 제22권3호
• /
• pp.294-303
• /
• 2016

Purpose: The purpose of this study was to determine subjective happiness related factors in Korean nursing students. Methods: A purposive sample of 200 nursing students was recruited for the cross-sectional survey design. The instruments were perceived stress scale, major satisfaction scale, resilience scale, and subjective happiness scale. Data were analyzed using descriptive statistics, hierarchical linear regression, and the Sobel test for testing mediating effects. Results: The mean score of stress, major satisfaction, resilience and subjective happiness was 2.21, 3.95, 3.60 and 5.03, respectively. Perceived health status, stress_positive perception, stress_negative perception, resilience_self confidence, resilience_positivity, resilience_social support had significant effects on subjective happiness. Explained variance for the subjective happiness was 53.4%. Resilience had a partial mediating effect in the relationship between stress and subjective happiness (Sobel test: Z=-5.67, p<.001). Also, resilience had a mediating effect in the relationship between major satisfaction and subjective happiness (Sobel test: Z=5.65, p<.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on improving resilience are recommended to improve subjective happiness in nursing students.

• 대한간호학회지
• /
• 제48권1호
• /
• pp.96-108
• /
• 2018

Purpose: This study aimed to construct and test a hypothetical model of the quality of life of school-age children with asthma based on the health-related quality of life model by Wilson and Cleary. Methods: Data were collected from 205 pairs of pediatric outpatients diagnosed with asthma and their parents in Seoul and Gyeonggi-do from July 2016 to April 2017. The exogenous variables were asthma knowledge, number of accompanying allergic diseases, and social support. The endogenous variables were asthma self-efficacy, asthma symptom control, perceived health status, parental quality of life, and children's quality of life. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed. Results: Eighteen of the twenty-four hypotheses selected for the hypothetical model were attentive and supported statistically. Quality of life was explained by asthma self-efficacy, asthma symptom control, perceived health, parental quality of life, and asthma knowledge with 83.5%. Conclusion: Strategies for promoting self-efficacy and enforcing asthma knowledge will be helpful for the improvement of health-related quality of life with school-aged asthmatic children.

• Journal of Korean Biological Nursing Science
• /
• 제16권4호
• /
• pp.292-299
• /
• 2014

Purpose: This is a study on the structural model that aims to build a path model of multivariates affecting the quality of health-related living for liver cirrhosis patients and specify causal relations affecting the quality of health-related living for liver cirrhosis patients. Methods: The research was conducted on 244 patients diagnosed with liver cirrhosis and the data were collected from July 2013 to January 2014. The collected data were analyzed using IBM SPSS 19.0 and AMOS 21.0 statistical programs. Results: All the fit indexes of the path model properly met the assessment criteria. Anxiety, depression, functional status, and perceived health directly affected the quality of health-related living for liver cirrhosis patients and anxiety, depression, and functional status directly affected perceived health. Social support, anxiety, and depression directly affected the functional status. Conclusion: It is necessary to segment the severity of liver cirrhosis in testing its direct and indirect effects on the quality of health-related living for patients with the condition.