• Title/Summary/Keyword: Self­efficacy

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The Effects of a Physical Activity Reinforcement Program on Exercise Compliance, Depression, and Anxiety in Continuous Ambulatory Peritoneal Dialysis Patients (신체활동 강화프로그램이 복막투석환자의 운동이행, 우울, 불안에 미치는 효과)

  • 이숙정;유지수
    • Journal of Korean Academy of Nursing
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    • v.34 no.3
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    • pp.440-448
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    • 2004
  • Purpose: This study was to evaluate the effects of a physical activity reinforcement program on exercise compliance, depression, and anxiety in continuous ambulatory peritoneal dialysis(CAPD) patients. Method: A nonequivalent control group with a pre-post test was designed. Data collection was done from December, 2002 to June, 2003 at a hoapital. The degree of depression and anxiety of the patients was assessed by the score of SCL-90-R, and exercise compliance was measured by exercise period, frequency, time and intensity. The experimental group was composed of 19 participants who were educated based on an exercise education protocol and carried out walking exercises two to four times a week after hearing verbal persuasion biweekly through the telephone or a face-to-face interview for 12 weeks, while 17 participants in control group received no intervention. Result: 1. The experimental group showed significant improvement in self-efficacy of exercise compliance (U=79.00, p=.01), exercise period ($x^2$=20.84, p=.00), exercise frequency ($x^2$=9.03, p=.0l), exercise time ($x^2$=9.03, p=.0l) and exercise intensity ($x^2$=11.09, p=.00) compared to those of the control group. 2. The experimental group showed a lower depression score (U=84.50, p=.01) than the results of the control group. 3. However, there were no changes in anxiety level compared to the control group. Conclusion: The physical activity reinforcement program was found to have an effect on exercise compliance and the depression score of CAPD patients. The results provided evidence for the importance of physical activity and verbal persuasion in CAPD patients.

Development and Validation of a Tool for Evaluating Core Competencies in Nursing Cancer Patients on Chemotherapy (항암화학요법을 받는 암환자 간호핵심역량 측정도구 개발 및 타당화)

  • Kim, Sung Hae;Park, Jae Hyun
    • Journal of Korean Academy of Nursing
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    • v.42 no.5
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    • pp.632-643
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    • 2012
  • Purpose: This study was done to develop tool to evaluate the core competencies regarding nursing cancer patients on chemotherapy, and to verify the reliability and efficacy of the developed tool. Methods: A tool to evaluate the core competencies was developed from a preliminary tool consisting of 112 items verified by expert groups. The adequacy of the preliminary tool was analyzed and refined to the final evaluation tool containing 76 items in 8 core competencies and 18 specific competencies. The evaluation tool is in the form of a self-report, and each item is evaluated according to a 3-point scale. From September 22 to October 14, 2011, 349 survey responses were analyzed using SPSS 20.0 and the WINSTEPS program that employs the Rasch model. Results: Results indicated that there were no inappropriate items and the items had low levels of difficulty in comparison with the knowledge levels of the study participants. The results of factor analysis yielded 18 factors, and the reliability of the tools was very high with Cronbach's ${\alpha}$=.97. Conclusion: The results of this study can be used for training and evaluation of core competencies for nursing cancer patients, and for standardizing nursing practices associated with chemotherapy.

Human papillomavirus Infection and its Vaccines: Knowledge and Attitudes of Primary Health Clinic Nurses in Kelantan, Malaysia

  • Jeyachelvi, K;Juwita, S;Norwati, D
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.3983-3988
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    • 2016
  • Background: Cervical cancer though preventable is still the leading cause of cancer death among women secondary to breast cancer. Persistent infection with HPV has been causally linked to the disease. A school based HPV vaccination program was introduced in late 2010 in Malaysia and nurse support is essential for its success. Objectives: To determine nurses knowledge and attitudes about HPV infection and its vaccines, and factors associated with their knowledge. Materials and Methods: This cross-sectional study was conducted among nurses working at primary health clinics in Kelantan from mid-June till the end of July 2014. Its involved 330 nurses selected through multistage random sampling. A validated self-administered questionnaire consisting of 11 items for the knowledge domain and eight items for the attitude domain was used. Results: The response rate of the study was 93.7%. The mean knowledge and mean attitude (SD) scores were 5.37 (1.76) and 29.8 (3.51) respectively. Only 24% knew that HPV is the most common sexually transmitted infection and 67% correctly answered that Gardasil vaccine can protect against four types of HPV. Nearly 60% of participants wrongly answered that HPV vaccines cannot be offered to sexually active women. Likewise, 70.9% participants were not aware that HPV vaccine may be appropriate for females aged 9 through 26 years. Though 90% of participants believed that the vaccine is safe, nearly half of them were unsure about efficacy. From multiple linear regression analysis, among the factors tested only participant's level of education showed a statistically significant association with the HPV knowledge score (p <0.001). Conclusions: This study indicates nurses have favorable attitudes towards HPV vaccination; however they have significant knowledge deficit and major misunderstanding in critical knowledge items. Among the factors tested, nursing qualification is the only factor that is significantly associated with the nurses knowledge score.

Technical, Individual and Situational Factors Affecting Intention to Use of Mobile Easy Payment Service : Focusing on the Moderating Effects of Subjective Norms (기술, 개인, 상황 특성이 모바일 간편 결제서비스 이용의도에 미치는 영향 : 주관적 규범의 조절효과)

  • Park, Hyunsun;Kim, Sanghyun
    • Journal of Digital Convergence
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    • v.16 no.6
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    • pp.105-115
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    • 2018
  • With the development of information and communication technologies, popularization of smart phones, and relaxation of the government regulation, mobile easy payment service is rapidly growing as a major financial service. Therefore, this study examines factors that influence the intention to use mobile easy payment service through empirical analysis. We collected 386 responses by survey and formed structural equation modeling with AMOS 22.0. The results show that technical factors(relative advantage, security), individual factor(self-efficacy), situational factors(trust in prior services and satisfaction of prior services) had a positive effect on the perceived value. In addition, perceived value had a positive effect on the intention to use mobile easy payment services. Lastly, subjective norms are closely related to the relationship between perceived value and intention to use mobile easy payment services. The results can be expected to provide useful references to the Fintech related industry fields.

0-8 Children's Socio-Emotional Development and Mothers' Psychological States : Based on Boryung Baby Panel Data (0-8세 아동의 사회정서 발달과 어머니의 심리적 특성 : 보령 베이비패널 자료를 중심으로)

  • Park, Hye-Jun;Han, Gyoung-Hae;Park, Sae-Rom;Chang, Mi-Na;Chun, Eul-Jung
    • Journal of Families and Better Life
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    • v.31 no.1
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    • pp.11-27
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    • 2013
  • The purpose of this study was to investigate the overall developmental characteristics of Korean children ages 0 to 8, and then explore specifically how children's social and emotional developmental levels are related to mothers' psychological states. This study was part of newly launched Boryung Baby Panel Study using web-based survey in 2011. The subjects were all mothers of 940 infants(0-2 years), 654 toddlers(3-5 years), and 484 school-age children(6-8 years) The mothers were asked to administer the web-based standardized developmental checklist for their child and fill out the questionnaires of psychological variables(life satisfaction, depression, parenting attitude, parenting efficacy, and parenting stress). The data was analyzed using descriptive analysis, t-test, and logistic regression for SPSS 20.0 windows. Major findings were as follows: 1. Infants(0 to 2) showed higher developmental level in cognition and fine motor skill domain compared to other domains. 2. Most toddlers(3 to 5) showed normal development in the most domain such as gross motor skill, fine motor skill, language, letter, number, self-help behavior. 3. In socio-emotional development domain, the ratio of risk or delay group were highest at both infant and toddler. 4. The 6-8 years old children that belong to risk group by the result of SDQ(emotion and behavior assessment) were also relatively high. 5. The relation of the children's socio-emotional developmental level and the mother's psychological variables were reciprocal. Based on these findings, the implications and the limitations of current study were discussed.

The Mediating Effect of Drug Calculation Confidence in the Relationship between Interest in Medication and Drug Calculation Competency (투약에 대한 흥미도와 약물계산역량 간의 관계에서 약물계산자신감의 매개효과: Kolb의 학습양식유형을 적용하여)

  • Park, Hyoung Sook;Cho, Gyoo Yeong;Kim, Dong-Hee;Kim, Sang Hee;Kim, Myoung Soo
    • Journal of Korean Biological Nursing Science
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    • v.15 no.4
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    • pp.155-163
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    • 2013
  • Purpose: The purpose of this study was to identify the mediating effect of confidence for drug calculation in the relationship between interest in medication and drug calculation competency using learning style. Methods: Participants in this study were 421 nursing students from Busan and Kyungnam province. The scales of learning style, interest in medication, importance of perception, confidence for drug calculation, and drug calculation competency for nursing students were used in this study. Descriptive statistics, $X^2$-test, t-test, Pearson correlation coefficient, and stepwise multiple regression were used for data analysis. Results: Learning styles of the participants were diverger 19.0%, accommodator 30.9%, converger 21.1%, and assimilator 29.0%. The drug dose calculation competency of participants was relatively low with a mean score 66.73. There were significant positive correlations among drug dose calculation competency, interest in medication (r=.31, p<.001), and confidence for drug calculation (r=.44, p<.001). Confidence for drug calculation was a moderator between interests in medication and drug calculation competency. Conclusion: Based on the result of this study, confidence for drug calculation promoting strategy such as medication reconciliation and various learning technology for improving drug calculation competency are needed.

A Randomized Controlled Clinical Trial of Topical Herbal Gel Treatment for Chronic Shoulder Pain (만성 어깨 통증의 한약 추출 외용 젤 치료에 대한 임상연구)

  • Jo, Su Jeong;Choi, Young Doo;Jang, Jin Taek;Kim, Kap Sung;Lee, Seung Deok
    • Journal of Acupuncture Research
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    • v.31 no.4
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    • pp.1-9
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    • 2014
  • Objectives : The aim of this study is to evaluate the efficacy of a topical herbal gel application for the treatment of chronic shoulder pain. Methods : We compared the effects of Dapureo gel, which contains several herbal medicines known to improve shoulder pain, with those of placebo gel by double-blind method. 30 participants were randomized - 15 were assigned to treatment group and the other 15 were assigned to control group. Either Dapureo gel(treatment group) or placebo gel(control group) was applied topically by themselves, once a day for 2 weeks. Primary outcome was daily visual analogue scale(VAS) changes for shoulder pain which was self-reported for 2 weeks. Secondary outcome was the difference in the total shoulder pain and disability index(SPADI) which was measured at a baseline and 2 weeks after the treatment. Results : Primary outcome: Subjects of treatment group showed statistically significant improvement in VAS compared to control subjects continuously from the second day(p <0.05) to the fifteenth day(p <0.001). The treatment group showed 31% of pain reduction on the fifteenth day, while the control group showed only 7%. Secondary outcome: In terms of SPADI changes, the treatment group showed improvement compared to the control group(p <0.01). Conclusions : These results suggest that the topical herbal gel treatment used in this study is effective in improving chronic shoulder pain.

A study on factors influencing the decision of Web-based Learning System (Edunet) use (웹기반 학습 시스템(에듀넷) 활용 결정에 영향을 미치는 요인에 관한 연구)

  • Pyeon, Eun-Jin;Park, Byung-Ho
    • The Journal of Korean Association of Computer Education
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    • v.8 no.5
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    • pp.63-72
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    • 2005
  • The purpose of this study is finding factors affecting the decision of Web-based learning system (Edunet) use and searching for ways to diffuse Edunet use. Based on the diffusion of innovations theory and the results of the previous studies about web-based instruction, seven predictors influencing the decision of Edunet use were extracted. Seven variables as the followings; (1) perceived attributes of innovation (Relative Advantage, Compatibility, Complexity) (2) Innovativeness (3) Self-efficacy (4) Subjective Norm (5) Support. The participants were 315, 5-6th grade elementary school students, and the questionnaire was 20-item with 7-point Likert scales. To analyze the collected data and test the hypothesis, binary logistic regression was employed. The result indicated that the fitness of regression model including seven decision factors was proved. In addition, two factors, subjective norm and support, were identified as the important decision factors of Edunet use.

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Effects of the Variables related to the Health Action Process Approach Model on Physical Activity: A Systematic Literature Review and Meta-analysis (신체활동에 대한 건강행동과정접근모델(Health Action Process Approach Model) 관련 변인의 효과: 체계적 문헌고찰 및 메타분석)

  • Choi, Yun;Yang, Sook Ja;Song, Hye Young
    • Research in Community and Public Health Nursing
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    • v.29 no.3
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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.

The Effects of Characteristics of User and System on the Perceived Cognition and the Continuous Use Intention of Fintech (핀테크(fintech) 사용자와 시스템 특성이 지각된 인식과 지속사용의도에 미치는 영향)

  • Lee, Jun-Sang;Park, Jun-Hong
    • Journal of the Korea Convergence Society
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    • v.9 no.1
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    • pp.291-301
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    • 2018
  • The purpose of this study is to investigate the factors that affect the perceived awareness and the intention of continuous use by FinTech users and system characteristics. Data collection was carried out by targeting and surveying 600 people living in Gwangju, and office workers using smartphones. As a result, first, self-efficacy, innovation, and fitness for Fin-Tech services were found to influence the degree of perceptual awareness and intent to use of Fin-tech service users. Second, the system characteristics have a positive effect on perceived awareness and intention of using FinTech service. Third, the hypothesis about the dangers in the user attributes and system properties were dismissed. It seems that the priority concern was regarding the leakage of personal information and security as privacy and the increasing damage cases of financial fraud by electronic financial transactions spill. Therefore, in order to spread FinTech services, it would be effective if a Fin-Tech service strategy could eliminate inconveniences such as the risk of hindering convenience and intention to use by the marketing strategy established by the company.