• Title/Summary/Keyword: Self care management

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Effects of the Pair-Work based Health Coaching Program for Elderly Diabetic Patients (노인 당뇨병 환자의 짝 활동 기반 건강코칭 프로그램 효과)

  • Lim, Sun Young;Kim, Nam Hea
    • Journal of Korean Public Health Nursing
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    • v.34 no.3
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    • pp.457-472
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    • 2020
  • Purpose: This study examined how a pair-work based health coaching program for the self-care of elderly diabetic patients effects the patients' diabetes self-management knowledge, perceived social support, diabetes self-efficacy, and diabetes self-management behaviors in patients with diabetes. Method: The participants of this study were 55 elderly diabetic patients aged 65 years or older enrolled at elderly welfare centers in U city;26 patients in the experimental group and 29 in the control group. The program consisted of eight group coaching sessions and four sessions of phone-based individual interviews and coaching, that were implemented once a week for 12 weeks. Results: Compared to the control groups, the experimental group showed significant improvement in self-care knowledge, social support, diabetes self-efficacy, self-management behavior, fasting blood sugar and glycated hemoglobin level. Conclusion: The health coaching program is an effective intervention for the self-management of elderly diabetics.

Evaluation of a Medication Self-management Education Program for Elders with Hypertension Living in the Community (지역사회 고혈압 노인의 약물 자기관리 교육 프로그램의 효과)

  • Lee, Jong Kyung
    • Journal of Korean Academy of Nursing
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    • v.43 no.2
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    • pp.267-275
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    • 2013
  • Purpose: The purpose of this study was to examine the effect of a medication self-management education program on medication awareness, communication with health care provider, medication misuse behavior, and blood pressure in elders with hypertension. Methods: The research design for this study was a non-equivalent control group quasi-experimental design. Participants were 23 elders for the control group, and 26 elders for the experimental group. The experimental group participated in the medication self-management education program which included the following, verbal education, 1:1 consultation, practice in medication self-management, and discussion over 5 sessions. Data were analyzed using the SPSS 18.0 program. Results: There were statistically significant differences between the experimental and control group for medication awareness, medication misuse behavior, and communication with health care providers. However, no significant difference was found between the two groups for blood pressure. Conclusion: The results indicate that the education program is effective in improving medication awareness and communication with health care providers and in decreasing medication misuse behavior. Therefore, it is recommended that this education program be used as an effective intervention for improving medication self-management for elders with hypertension.

The Study on the Relation of the Telecasters's Beauty Service - Focusing on the Appearance Management Behavior, External Image, Self-efficacy - (방송인의 뷰티서비스 관계 연구 - 외모관리 행동, 외적이미지, 자기효능감을 중심으로-)

  • Kim, Min-Shin
    • Journal of the Korea Fashion and Costume Design Association
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    • v.16 no.1
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    • pp.153-167
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    • 2014
  • The purpose of this study is to compare and analyze about the Telecasters's appearance management, external image & awareness on Self-Efficacy. The method of this study is carried out form 2 January 2013 until 20 January. with the 164 telecasters who announcers, voice actors, gag men, singers. The results of the research is summarized below: First, Among the telecasters, singer is the highest awareness of the beauty services importance about the fashion, makeup, hair, skin care, cosmetic surgery. Especially, about the awareness of the beauty services importance about the fashion, makeup, hair, singers> announcers> voice actors> gagmen appear one after another. Second, about the importance awareness of the beauty services importance & the relation of self-efficacy, for announcers, the more higher awareness the fashion, makeup, hair, the higher self-efficacy of the confidence, effective expression, etc.. For voice actors, the more higher awareness the hair, skin care, the fashion, make up, cosmetic surgery, the higher self-efficacy of the new image making, the confidence, task efficiency improvement, etc... For gagmen, the more higher awareness the fashion, hair, skin care, makeup, cosmetic surgery, the higher self-efficacy of the self-expression, the confidence, the new image making, task efficiency improvement, etc.. For singer, the more higher awareness the makeup, hair, cosmetic surgery, skin care, fashion, the higher self-efficacy of the task efficiency improvement, the self-expression, the confidence, the new image making, etc.. Third, about the importance awareness of the appearance management behavior, external image, about the importance awareness of the appearance management behavior, singer is the most higher awareness, announcers> voice actors> gagmen appear one after another. about the importance awareness of the external image, singer is the most higher awareness, voice actor> announcers> gagmen appear after another. The meanings of this study provide the telecasters's image's fields with the effective basic data.

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The Effects of a Cognitive Behavioral Stress Management Program on Diabetic Self-Care and Glycemic Control with Diabetes Mellitus Type II (인지행동 스트레스관리 프로그램이 제2형 당뇨병 환자의 자가간호 이행과 당대사에 미치는 효과)

  • Park, Kyung Yeon;Park, Hyoung Sook;Seo, Ji Min
    • Korean Journal of Adult Nursing
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    • v.19 no.5
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    • pp.1-11
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    • 2007
  • Purpose: The purpose of this study was to examine the effects of a cognitive behavioral stress management program on diabetic self-care and glycemic control with type 2 diabetic patients. Methods: Thirty three diabetic patients who were older than 40 were recruited from a public health center and conveniently assigned into both experimental(n=16) and control groups(n=17). Participants in the experimental group had attended the weekly cognitive behavioral program for 8 weeks. Data were collected from June 2005 to August 2006 and analyzed by independent t-test using the SPSS WIN program. Results: After an 8 week intervention, participants in the experimental group reported on increasement of diabetic self-care behaviors and an increasement of blood glucose levels, which were significantly different from those in the control group. Conclusion: On the basis of those findings, we concluded that the cognitive behavioral stress management program has positive effects on diabetic self-care and glycemic control for the patients with DM. Further research is needed to identify the long-term effects of the cognitive behavioral program.

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Home visiting oral health program of Longterm home care service and the change of some pathogenic microorganism counts in denture (재가장기요양기관의 방문구강보건교육 전·후 의치의 일부 병원성 미생물의 집락수 변화)

  • Han, Ji Hye;Bae, Sung Sook
    • The Journal of Korean Society for School & Community Health Education
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    • v.20 no.3
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    • pp.83-90
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    • 2019
  • Purpose: This study is a repetitive comparative analysis of a qualitative case study that carried out a home visiting oral health education program. Method: This study conducted an interview survey through medical examination by interview before and after the home visiting oral health education and measured some pathogenic microorganism counts in the denture. Results: There was a positive change in the self oral care ability of the elderly at home after home visiting oral health education, including the behavior of self management of dentures, and some pathogenic microorganism counts in the dentures. Conclusion: The home visiting oral health education of home care service centers can improve oral health care for the elderly at home.

The Development and Test of Self-Efficacy Promotion Program on Self-care of Hemodialysis Patients (혈액투석환자의 자가간호를 위한 자기효능증진 프로그램 개발 및 효과)

  • Song, Mi-Ryeong
    • Journal of Korean Academy of Nursing
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    • v.30 no.4
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    • pp.1066-1077
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    • 2000
  • The purpose of this study is to develop self-efficacy promotion program and to test its effects on self-efficacy, self-care, physiologic index of hemodialysis patients after applying this program to them. Preliminary study was carried out to identify the levels and types of self-care, self-efficacy of hemodialysis patients. To develop self-efficacy promoting program, several discussions with nursing professors and nurse specialists on hemodialysis patients were made after in-depth literature review on the area. Through these processes, the self-efficacy promoting program including 20 minutes long videotape and other counciling documents were completed. This videotape consisted of specific self-care techniques for hemodialysis patients including management of fistula, measurement of blood presure and body weight, special diets, medications, exercise and rest, management of physical problems and social adjustment. Two group equivalent pre and post test quasai-experimental research design was used in this study. The total subjects were 34 hemodialysis patients who received hemodialysis three time per week at 1 university hospital. Seventeen experimental group subjects were matched with control group subjects in sex and age. Data were analysed with the SPSS window program. Homogeniety between experimental and control group pretest data was tested by x$^2$ and t-test. There were no significanct differences in general characteristics, illness history, specific self-efficacy and self-care between the two groups. The differences of general self-efficacy of two groups were tested with the Repeated Measure ANCOVA because of significant differences of pretest data of general self efficacy between two groups. The differences of self-efficacy and self-care of two groups were tested with Repeated Measure ANOVA and the differences of physiologic indecies including blood potassium level and blood phosphorus level and interdialytic weight gain were tested by t-test. The results were as follows: 1. There was no significant difference in general self-efficacy between the two groups over four different time, and no interaction by groups and by time. 2. There was significant difference in specific self-efficacy between the two groups over four different time, and interaction by groups and by time. 3. There was significant difference in self-care between the two groups over four different time, and interaction by groups and by time. 4. There were no significant differences of blood potassium level and blood phosphorus level, but there was significant difference of interdialytic weight gain between the two groups. From the results above, it can be concluded that the self-efficacy promotion program for hemodialysis patients was effective to improve degree of specific self-efficacy and self-care and to decrease interdialytic weight gain. Considering results, the followings are recommended: 1) Repeated studies are needed for another hemodialysis patients. 2) This program can be used for improving degree of self-efficacy and self-care of hemodialysis patients by nurse practitioner and nurse educator.

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A Study on the Relationship between Hope and Self-Care Agency in Hemodialysis Patients (혈액투석환자의 희망과 자가간호역량과의 관계)

  • Han, Kyung-Hye;Kim, Myung-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.4 no.2
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    • pp.137-145
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    • 2001
  • This study examined and identified the relationship between the level of hope and self-care agency in hemodialysis patients. The purpose of the study was to reveal that hope is an essential factor to enhance self-care agency and to prepare the basic materials to help nurse the patients. The subjects for this study consisted of 108 persons who undergoing hemodialysis from 2 hospital, 2 hemodialysis center in Pusan, Korea. The degree of hope was measured by the questionnaire that has been developed by Miller. The self-care agency was measured by the questionnaire that has been developed by Kearney B.Y & Fleisher B.J. The collected data were analyzed by descriptive statistics and t-test. one-way ANOVA and Pearson's Correlation Coefficient with SPSS WIN program. Results were obtained as follows: 1) The mean scores of hope were $131.77{\pm}25.77$(range 67-195). The rate of hope classified said that the lowest hope was 2.8% and low hope was 27.8%. 2) The mean scores of self-care agency were $143.78{\pm}23.63$(range 74-187). The degree of self-care agency classified said that the rate of self-care agency deficiency was 0.9% and low self-care agency was 12.0%. 3) The hope was significantly related to self-care agency. That is, the higher the hope score was, the higher the level of self-care agency score(r=0.668,p=0.001) was. In this result, there were hemodialysis patients who have very low hope score and self-care agency score. In this cases self-care agency can be increased by encouraging the patients to be more hopeful. Conclusively nurses should access the degree of hope and self-care agency of hemodialysis patients individually and apply the hope therapy in order that the patient have higher hope than before.

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Self Care Behavior according to the Risk of Vascular Complications in Elderly Women with Hypertension (고혈압 여성노인의 혈관합병증 위험정도에 따른 자가간호 행위)

  • Kim, Kyung-Mi;Lee, Hae-Jung;Kim, Yong-Suk
    • Korean Journal of Adult Nursing
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    • v.20 no.1
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    • pp.102-112
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    • 2008
  • Purpose: The purpose of this study was to examine self care behaviors according to the risk levels of vascular complications in elderly women with hypertension. Methods: The subjects of this study were 162 women living in the community who had been diagnosed with hypertension in clinics. The data were analysed by the SPSS 10.0 program using descriptive statistics, t-test, and ANOVA with Scheff$\dot{e}$ post-hoc test. Results: The average self care behavior score of the elderly women was 2.79. Total self care behavior was significantly different depending on the risk levels of vascular complications such as systolic blood pressure, diastolic blood pressure, ankle-brachial index, and the framingham point score. Among sub-scores of self care behaviors, exercise management was the poorest performance compared with other self care behaviors. Conclusion: This study proved the differences in self care behaviors according to the risk levels of vascular complications. To decrease the prevalence of vascular complication, it is necessary to develop programs specifically to enhance self care behaviors of elderly women with hypertension.

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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.

Evaluation of a Community Health Practitioner Self-care Program for Rural Korean Patients with Osteoarthritis

  • Lee, Chung Yul;Cho, Yoon Hee
    • Journal of Korean Academy of Nursing
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    • v.42 no.7
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    • pp.965-973
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    • 2012
  • Purpose: The purpose of this study was to evaluate a self-care program for elders with osteoarthritis managed by primary health care workers, Community Health Practitioners (CHPs), in rural Korea. Methods: The self-care program, consisting of 7 areas, was evaluated with a randomized experimental study for patients over age 60 with osteoarthritis in which 150 participants in the experimental group and 140 in the control group were compared. The self-care program was implemented for six weeks, 2 hours per week, at community health posts by CHPs. Data were collected using an interview questionnaire given by the CHPs and laboratory tests before and after the intervention for both groups. Propensity score matching analysis was done to test effectiveness after controlling for confounding variables. Results: The intervention group showed a significant decrease in the number of painful joints (p<.001) and a significant increase in self-care ability (p<.05) compared to the control group. Conclusion: Study results indicate that training and utilizing primary health care workers in rural areas is valuable in increasing the generalization and continuity of intervention programs. As arthritis should be managed life-long, CHP directed self-care programs are useful interventions for rural elders with arthritis to learn self-care management.