Purpose: The purpose of this study was to investigate the level of uncertainty, physiological risk factors, self-efficacy, and self-management among stroke patients and to identify factors influencing their self-management. Methods: A descriptive correlational design was used for this study. A convenience sample of 149 patients with stroke were enrolled at C national university hospital from February to April in 2016. Data were collected using a structured questionnaire and electronic medical record. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlations, and multiple regression analysis with the SPSS/WIN 21.0 program. Results: There were significant negative correlations between uncertainty and self-efficacy (r=-.56, p<.001); between uncertainty and self-management (r=-.56, p<.001); and between total cholesterol and self-management (r=-.23, p=.005). There were significant positive correlations between self-efficacy and self-management (r=.78, p<.001); between uncertainty and total cholesterol (r=.24, p=.003). The significant factors influencing self-management were uncertainty and self-efficacy. Theses variables explained 62.7% of the variance in self-management. Conclusion: The results suggest that intervention programs to reduce the level of uncertainty and to increase the level of self-efficacy among patients would improve the self-management of stroke patients.
The aim of the current study is to examine the effects of mothers' home management ability on school-aged children's time and life management skills through the mediation effect of children's self-regulation. Study subjects were 317 5- and 6-grade children at elementary schools located in Seoul and Gyeonggi area and their 317 mothers. The findings were as follows. First, in the SEM model of predicting children's time management skill, greater mothers' home management ability significantly predicted better time management skills among their children. Second, mothers' home management ability also indirectly affected children's time management skill through its significant effects on children's self-regulation. The test yielded a significantly mediation effect of self-regulation. Children's self-regualtion was strongly related to time management skills. Third, in the SEM model predicting children's life management skills, maternal ability of home management again directly predicted greater life management skills of their children. However, mediation of self-regulation was not statistically significant. The findings suggested the important role of mothers' home management ability in instilling and modeling self-regulation and self-management skills of school-aged children.
Purpose: This study aimed to examine the levels of perceived self-management support, self-efficacy for self-management, and health-related quality of life (HRQoL) in cancer survivors, and to identify the mediating effect of self-efficacy in the relationship between perceived self-management support and HRQoL. Methods: This study used a descriptive correlational design. Two hundred and four cancer survivors who had completed treatment participated in the study. Measurements included the Patient Assessment of Chronic Illness Care Scale, the Korean version of the Cancer Survivors' Self-Efficacy Scale, and the Medical Outcomes Study Short Form-36. Data were analyzed using descriptive statistics, Pearson's correlation coefficient analysis, and multiple regression analysis using Baron and Kenny's method for mediation. Results: The mean score for perceived self-management support was 3.35 out of 5 points, self-efficacy was 7.26 out of 10 points, and HRQoL was 65.90 out of 100 points. Perceived self-management support was significantly positively correlated with self-efficacy (r=.29, p<.001) and HRQoL (r=.27, p<.001). Self-efficacy was also significantly correlated with HRQoL (r=.59, p<.001). Furthermore, self-efficacy (${\beta}=.55$, p<.001) had a complete mediating effect on the relationship between perceived self-management support and HRQoL (Z=3.88, p<.001). Conclusion: The impact of perceived self-management support on HRQoL in cancer survivors was mediated by self-efficacy for self-management. This suggests that strategies for enhancing self-efficacy in cancer survivors should be considered when developing self-management interventions for improving their HRQoL.
The purpose of this study was 1) to identify gender differences in appearance management behavior and influencing variables(media involvement, body satisfaction and self-esteem), 2) the effects of influencing variables on appearance management behavior, and 3) to analyze the relationships among influencing variables. The data were collected ken 458 fifth and sixth grade girls and boys of five elementary schools ill Seoul, Korea via self-administered questionnaires, and were analyzed by factor analysis, t-test, and multiple regression analysis. The results of this study were as follows: Regarding the gender differences in research variables, preteen girls showed more interest in clothing/hair style management, weight management, TV involvement and celebrity imitation than preteen boys. Girls showed lower level of satisfaction than boys. Multiple regression analyses were conducted to identify the effects of media involvement, body satisfaction and self-esteem on appearance management behavior. For boy group, clothing/hair style interest was influenced by celebrity imitation, and weight management by TV involvement, body satisfaction and school self-esteem, and height management by celebrity management and school self-esteem. For girl group, clothing/hair style management was influenced by celebrity imitation and general self-esteem, and weight management by body satisfaction, general self-esteem, celebrity imitation and TV involvement, and height management by school self-esteem, TV involvement, time spent watching TV and general self-esteem. From the results of analyzing relationships among influencing variables, it was found that media involvement influenced self-esteem; TV involvement and celebrity imitation influenced school self-esteem; body satisfaction had the effect on all three sub dimensions of self-esteem in boy group. For female group, TV involvement had the effect on body satisfaction, and celebrity imitation on general self-esteem, the family self-esteem and school self-esteem, and body satisfaction on all three sub dimensions of self-esteem.
Purpose: The purpose of this study was to develop a comprehensive self-management program promoting self efficacy for Type 2 diabetic patients. Methods: The study was a methodological research design in which previous related research was reviewed to develop the comprehensive self-management program promoting self efficacy using self efficacy theory. Results: Comprehensive self-management programs promoting self efficacy included the whole range of eight self-management domains: diet, exercise, medication, self-testing of blood glucose, complication or foot, stress, time, and general health, and consisted of four sources of self efficacy: enactive mastery experience, vicarious experience, verbal persuasion, and physiological and affective states, as strategies to promote self efficacy. Developmental methods included, in addition to large and small group education, individual education or counseling, and telephone counseling. Conclusion: Further studies are needed in community health centers or hospitals to establish the effects on self-management compliance and glycemic control of the comprehensive self-management program promoting self efficacy.
Azadmanjir, Zahra;Safdari, Reza;Ghazisaeidi, Marjan
Asian Pacific Journal of Cancer Prevention
/
제16권4호
/
pp.1321-1325
/
2015
Self-care to prevent cancer and self-management to cope with the disease are two discrete effective mechanisms for improving of control and management of neoplasia. Both them have certain strategies and practices. Often the two are used interchangeably despite their different approaches. Strategies of self-care usually refer to prevention at different levels include primary, secondary and tertiary. In contrast, strategies of self-management are related to management and alleviation of unpleasant cancer-related symptoms and treatment-related side effects for improving the quality of life of cancer survivors. Successful promoting of self-care and self-management strategies need people and survivor empowerment. Within this context, innovative approaches open a new window. In this paper after a brief review of related strategies and practices, we provide an explanation of how cancer portals may play an important role in the empowerment process and what are key potentials for implementing of self-care and self-management strategies for cancer.
The purpose of this study was to investigate the effects of individual variables, mother related variables, and timemanagement ability on self-management of adolescents. In addition, the direct and indirect effects of these variables on self-management were also assessed. The subjects of this study were 496 students who were selected at random from middle schools in Daegu. The questionnaire was used for this survey, consisted of a self-management, a timemanagement, a self-efficacy, an internal locus of control, mother’s home management, and mother’s support scale. Factor analysis, multiple regression analysis and path analysis were employed for data analysis. The major findings of this study were as follows: First, mother’s home management planning ability had the most affect on adolescent time-management ability in terms of planning and implementing, while self-efficacy had the most affect on time-management evaluating ability. Second, adolescent’ time-management planning ability had the most affect on lifestyle and money management, time-management implementing ability on studies management, self-efficacy on health management, and internal locus of control on interpersonal relation management of adolescents. Third, among adolescent self-management, lifestyle management, studies management and money management can be achieved through the mediation of adolescent time management ability. They exhibit indirect influence through adolescent self-efficacy, internal locus of control, mother’s home-management planning ability, and mother’s home-management implementing ability. Furthermore, time-management ability is also influenced through the mediation of health management and interpersonal relation management, but is not indirectly affected by selfefficacy, internal locus of control, time planning ability, and time implementing ability.
Purpose: The purpose of this study was to explore the self management and related factors that affect the self management of diabetes between the middle aged and elderly groups. Method: This study was based by the conceptual framework of Cox's interaction model of client health behavior. The subjects were two groups; the middle aged group, 80 and the elderly group, 85 who were diabetes mellitus patients. Result: In the middle aged group, gender, education and social support were significantly correlated with self-management of diabetes mellitus. In the elderly group, gender, education, social support and the duration of diagnosis were significantly correlated with self-management of diabetes mellitus. In too middle aged group, the intrinsic motivation of diabetes mellitus patients and their understanding of diabetes were significantly correlated with self-management of diabetes mellitus. Understanding of diabetes and self perception were significantly correlated with self-management in middle aged group. In the elderly group, intrinsic motivation, understanding of diabetes and the attitude of the patients were significantly correlated with self-management Conclusion: In the middle aged group, maintaining a positive attitude of diabetes, reducing stress and continuous social support were important for improving self-management of diabetes mellitus. In the elderly group, enhancing their knowledge of diabetes, and maintaining continuous social support were important to improve self-management of diabetes mellitus.
Purpose: This study was done to explore time management behavior and self-efficacy in nursing students and to analyze the correlations between time management behavior and self-efficacy. Methods: The data were collected from May 12 to 20 2010 using self-report questionnaires about time management behavior and self-efficacy of nursing students. The data from 508 students were analyzed using descriptive analysis, K-means clustering, and one-way ANOVA. Results: The mean score for time management behavior was 3.03${\pm}$1.11 out of a possible 5, and self-efficacy was 3.65${\pm}$0.42 out of a possible 6. Four groups were identified according to time management behavior. The four groups were significantly different on self-efficacy total (p=<.05) and self-regulatory efficacy (p=.<005). The group with the highest score for time management had the highest score for self-efficacy. Conclusions: The results of the study indicate that time management behavior styles are related to self-efficacy for nursing students. Therefore, time management education programs based on the time management behavior styles are needed to increase self-efficacy in nursing students.
This study examines the image management behavior according to self-monitoring, self-objectification of profile-based SNS users. Questionnaires were administered to 313 SNS users including both men and women in their 20s to 30s. The SPSS 25.0 package was utilized for data analysis, which included frequency analysis, factor analysis, Cronbach's ?, t-test, and regression analysis. The study analyzed self-monitoring in 2 groups (high, low), self-objectification for 2 factors (body surveillance, body shame), and image management behavior for 5 factors (fashion oriented, instrumentality, conformity, ostentation, interpersonal disposition). The results revealed: first, self-monitoring groups exhibited significant differences in self-objectification. The higher self-monitoring group was more influenced by body surveillance and body shame compared to the low self-monitoring group. Second, self-objectification had a positive influence on all the factors of image management behavior. Especially, body surveillance demonstrated a high influence on instrumentality and body shame showed a high influence on ostentation. Third, the self-monitoring groups showed significant differences in all the factors of image management behavior. The higher self-monitoring group demonstrated more influence of image management behavior compared to the low self-monitoring group. These results provide useful information in understanding the influence of social media on users' psychological attitude and consciousness toward their body and image management behavior.
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