• 제목/요약/키워드: Self Care Behavior

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A Study of Health Literacy, Self-Management Knowledge, and Self-Care Behaviors in Elderly with Hemodialysis (혈액투석 노인의 건강문해력, 자가관리지식과 자가간호행위에 관한 연구)

  • Yu, Hye Seon;Lee, Young Whee;Kim, Hwasoon
    • The Journal of the Korea Contents Association
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    • v.21 no.6
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    • pp.609-619
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    • 2021
  • The purpose of this study was not only to identify the level of health literacy, self-management knowledge and self-care behavior, but also to identify the relations those variables in elders with hemodialysis. The subjects of this study are 193 patients from dialysis clinics of nine hospitals in Incheon who aging over 60 years old. Data collection was conducted by using Health Literacy Scale, Self-Management Knowledge Scale, and Self-Care Behavior Scale. The data were analysed by descriptive analysis, t-test, ANOVA, and Pearson correlation coefficient using SPSS statistics 23.0 program. In the results, average score of subjects' health literacy, self-management knowledge and self-care behavior were 13.66(±2.09), 13.33(±1.85) and 63.95(±10.32), respectively. There were significant positive correlation between self-management knowledge and health literacy (r=0.37, p<.001) and reading comprehension part which is subscale in health literacy (r=.25, p=.001). Also, there was significant positive correlation between self-management knowledge and self-care behavior (r=0.15, p<.05). According to the above results, for improving the self-care behaviors in elders with hemodialysis, it is necessary to provide tailored education based on his/her level of health literacy.

Paper Title of The Korea Academia-Industrial cooperation SocietyThe Self-care Competence and Behavior in Older Adults with Diabetes : The Mediating effect of Cognitive Function (당뇨병 노인의 자가관리 자신감과 행위와의 관계에서 인지기능의 조절효과: 우울군과 비우울군의 비교)

  • Lee, Song-Heun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.189-196
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    • 2019
  • This study identifies the moderating effects of cognition on the relationship between self-care confidence and self-care behavior in the diabetic elderly. The participants were 205 elderly subjects with diabetes, who visited a citizen health center located in D city, Korea. Data were collected from 20th April to 31st August 2015, and were analyzed by t-test and multiple regression. Our results reveal no significant differences between the depressive and non-depressive groups, when considering diabetes self-management confidence, knowledge, behavior and cognitive function. Cognitive function had a moderating effect in the relationship between self-care confidence and self-care behavior only in the depressed group. Our results indicate that it is therefore necessary to apply individual nursing intervention based on cognitive function and depression level, and to develop various programs for improving the cognitive function and depression amongst the diabetic elderly.

Predictors of Vascular Complications among Patients with Type 2 Diabetes (제2형 당뇨 환자의 혈관합병증 위험 예측인자)

  • Ha, Jung-Mi;Lee, Hae-Jung;Kim, Dong-Hee;Kim, Yong-Suk;Lee, Wha-Za
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.2
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    • pp.144-152
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    • 2009
  • Purpose: The purpose of this study was to predict the risk factors for vascular complications among patients with type 2 diabetes. Method: The data were collected from August to September, 2007 using clinical examination and questionnaires. Patients (N=101) were recruited from the endocrinology department of P University hospital in D city. Descriptive statistics, Pearson correlation coefficients and multiple linear regression were used to analyze the data. Results: The cardiovascular risk of patients with diabetes was significantly related to self care behavior, family history, and smoking status. The risk of peripheral vascular complications was not related to predictors included in the study. With multivariate analyses, significant predictors of cardiovascular risk for these patients were self care behavior, family history, and smoking status ($R^2=.40$, p<.0001). Conclusion: The findings of this study indicate that smoking cessation and improving self-care behavior are essential to reduce the risk of cardiovascular complications among patients with diabetes. To enhance self-care practices for the patients with diabetes, nursing interventions, such as telephone counseling, problem focused nursing counseling, and peer group activities should be considered.

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Moderating Effects of Mother's Support and Community Environment on Relationships Between After School Self-Care and Problem Behavior (아동의 방과 후 자기보호와 문제행동과의 관계에서 어머니 지지 및 지역사회 환경의 중재효과)

  • Kong, You Kyoung;Kim, Hee Haw
    • Korean Journal of Child Studies
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    • v.27 no.2
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    • pp.153-165
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    • 2006
  • This study examined moderating effects of mother's support and community environment on relationships between after school self-care and problem behaviors. Subjects were 579 3rd and 6th grade elementary school children. Major findings were positive relationships between after school self-care and problem behaviors. Neither gender differences nor grade differences were found in the relationships between after school self-care and problem behaviors. Moderating effects of care by relatives or neighbors on mother's support was shown in the relationships between after school self-care and internal problem behaviors. Moderating effects of proximity to harmful facilities were found in relationships between after school self-care and external problem behaviors.

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Variations and Outcomes in the After-School Care of children from Low-Income Families (저소득층 아동의 학업, 및 사회성 발달 : 부모보호와 자기보호 비교)

  • Ok, Kyung Hee;Kim, Mee Hae;Chun, Hui Young
    • Korean Journal of Child Studies
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    • v.22 no.2
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    • pp.91-111
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    • 2001
  • The present study investigated differences in children's school achievement and emotional and social development by type of after-school care: self-care and mother-care. It also examined relationships between children's developmental outcomes and ecological variables, including individual, familial, and environmental variables by care methods. The data of 330 mother-care and 161 self-care children was provided by teachers, mothers, and the children themselves. The analyses of the data were conducted by t-test, correlation, and regression. Findings were that mother-care children had higher scores in grades, school adjustment and teacher relationship and lower depression and withdrawn behaviors than self-care children; after-school activities and peer support predicted the developmental outcomes of mother-care children; gender, autonomous ability, and behavior control predicted the development of self-care children.

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A Structural Model of Health Behavior Compliance in Patients with Percutaneous Coronary Intervention based on Self-Determination Theory (자기결정성이론 기반 관상동맥중재술 환자의 건강행위 이행 구조모형)

  • Park, Ae Ran
    • Journal of East-West Nursing Research
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    • v.24 no.2
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    • pp.101-109
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    • 2018
  • Purpose: The purpose of this study was to construct and test a structural equation model of health behavior compliance among patients with percutaneous coronary intervention based on self-determination theory. Methods: A total of 227 participants who received follow-up care after percutaneous coronary intervention were recruited. A structured questionnaire was used to assess health providers' autonomous support, basic psychological needs, autonomous motivation, controlled motivation, type D personality, and health behavior compliance. Collected data were analyzed using SPSS 21.0 and AMOS 21.0 program. Results: The final hypothetical model showed a good fitness with data: GFI=.94, RMSEA=.07, CFI=.96, NFI=.92, TLI=.94. The results revealed that autonomous support of health care providers, basic psychological needs, and autonomous motivation, and D-type personality accounted for 51.8% of health behavior compliance. Conclusion: The findings of this study indicate that enhanced autonomous support of health care providers is essential to promote patients' basic psychological needs and autonomous motivation. This leads to maximized compliance to the health behaviors among patients who underwent percutaneous coronary intervention. We recommend that health care institutions establish various measures to foster the special environments in which health care providers can actively provide and utilize autonomous support for their patients.

The Effects of Community-Based Self-Help Management Program by Strengthening Self-Efficacy of Post Stroke Elderly Patients (재가 뇌졸중 노인환자에서 자기효능증진 전략을 이용한 자조관리프로그램의 효과)

  • Yu, Su-Jeong;Kim, Hyun-Sook;Kim, Keum-Soon;Baik, Hwan-Gum
    • The Korean Journal of Rehabilitation Nursing
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    • v.4 no.2
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    • pp.187-197
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    • 2001
  • The purpose of this study was to determine the effects of self-help management program which strengthens self-efficacy for post stroke elders who attend day care center in Chongju. One group pretest-posttest design was used, and the subjects were 7 post stroke elders with hemiparesis. The self-help management program consisted of 5 sessions and each session included group education on stroke, ROM exercise, recreation and self-care strategies. Those strategies for encouraging and reinforcing self-efficacy provided verbal persuasion, performance accomplishment and vicarious experience. All subjects were questioned before and after the program about ADLs, IADLs, self-efficacy, self-care behavior and depression. The analysis of data revealed that the program was effective to increase the IADLs, self-efficacy and self-care behavior. However, there was no significant difference between pre and post ADLs and depression. The results indicated that this program may be adopted to improve the physical and psychological function of post stroke elderly patients in community settings.

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Self-consciousness, and Appearance Management Behavior according to Stress Typology of Adolescents (청소년의 스트레스 유형에 따른 자아의식과 외모관리행동)

  • Park, Eunhee
    • Journal of Fashion Business
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    • v.19 no.4
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    • pp.21-36
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    • 2015
  • The purpose of this study is to classify the stress into groups and analyze their differences in self-consciousness, and appearance management behavior. Questionnaires were administered to 377 middle and high school girls living in Deagu metropolitan City. Frequency, factor analysis, reliability analysis, cluster analysis, ANOVA, Duncant-test, and t-test are all used for data analysis. Our findings show that stress developed due to several reasons: the categories are as follows into grades-related low stress, exam-related high stress, and society-related high stress. For the purposes of our study, we labeled self-consciousness as a combination of being socially and privately self-consciousness and showing signs of social anxiety. Appearance management behavior deals with esthetic plastic surgery, clothing harmony, weight management, hair management, health care, skin care, and meal management. Stress shows a significant correlation with the sub-variable self-consciousness and appearance management behavior. The groups show a significant difference in the self-consciousness, and appearance management behavior. There is also a significant difference among stress, self-consciousness and appearance management behavior by grade. The students in seemed to recognize that their appearance can be improved by dressing up and managing their outwardly appearance. Teachers should educate students to have the variety of views on the meaning of beauty. In addition, schools need to develop programs to educate student about appearances, as the student's interests differ due to the stress type of the adolescent.

Effects of Self Efficacy Promoting Programs on Self Efficacy, Self Care Behavior and Psychosocial Adaptation in Patients with a Colostomy (자기효능 증진 프로그램이 결장루 형성술 환자의 자기효능, 자가 간호 행위 및 심리사회적 적응에 미치는 효과)

  • Kim, Kyoung-Mi;Baek, Eun-Seon;Kang, Nam-Hee;Yoon, Kyung-Eun;Bae, Na-Young;Cha, Bo-Kyoung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.3
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    • pp.288-296
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    • 2007
  • Purpose: This study was conducted to investigate the effects of self-efficacy promoting program on self-efficacy, self-care behavior and psychosocial adaptation in patients with a colostomy. Method: A non-equivalent control group pre test post test design was used. The self efficacy promoting programs was composed of a CD image program based on varicaious experience, education and telephone coaching program based on verbal persuasion, and Stoma care practice, and Self care performance based on performance accomplishment. This study was carried out from July 2, 2005 to April 20, 2006 and 21 patients with a colostomy at one of 2 hospitals participated. Descriptive statistics, ${\chi}^2-test$, and Mann-whitney U test were used to analyze the data. Results: There were significantly different for specific self efficacy, self care and psychosocial adaptation between the experimental group and control group. Conclusion: The self efficacy promoting program for patients with stomas was effective in improving degree of specific self efficacy, self care and psychosocial adaptation.

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A Study on the Related Factors and the Change after Foot-reflexo-massage Education Program for Diabetic Patients (당뇨병 환자의 발반사요법 교육프로그램 후 발관리지식, 자가간호행위, 생리적지표의 변화 및 관련요인분석)

  • Lee, Young-Hee
    • Korean Journal of Adult Nursing
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    • v.16 no.2
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    • pp.222-232
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    • 2004
  • Purpose: The purpose of this study was to identify the change in foot care knowledge, self care behavior, and physiologic indexes after foot reflexomassage education program, and the related factors. Method: Data were collected from 20 patients who were visited out patients clinic. The change and difference were analyzed with non-parametric statistics. Result: There were significant differences in foot care knowledge(P=.001), self care behavior(P=.000), dosalis pedis blood flow volume (P=.011), skin temperature of foot(P=.001), dorsalis pedis pulse(P=.000), capillary filling time of foot (P=.000) between pre and post. The level of changes of foot care knowledge was significant differences according to admission experience (P=.049), and negative related to systolic blood pressure(P=.028). The level of changes of self care behavior was related to age(P=.049), that of dosalis pedis blood flow was significant difference according to smoking(P=.042), that of skin temperatureof foot(P=.002) and dosalis pedis pulse(P=.038) were significant difference according to weight. The level of changes of capillary filling time of foot was related to diagnosis period(P=.014). Conclusion: Foot-Reflexo-Massage education program is an effective nursing intervention to promote foot care in diabetic patients. And the related factors can be recommended for the management of diabetic patients.

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