• Title/Summary/Keyword: Self care management

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The Effects of Tele-care Case Management Services for Medical Aid Beneficiaries (일 시범 지역 의료급여수급권자 대상의 텔레케어 사례관리 효과)

  • Ahn, Yang-Heui;Kim, Eui-Sook;Ko, Il-Sun
    • Research in Community and Public Health Nursing
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    • v.21 no.3
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    • pp.351-361
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    • 2010
  • Purpose: This study was done to analyze the effects of tele-care case management services using secondary data. Methods: A descriptive research design was utilized, and the participants were 134 medical aid beneficiaries who were in either the high-risk group or the preventive group. Casemanagement services were delivered by 8 care managers. Data were analyzed using PAWS Statistics 17 through descriptive statistics and paired t-test. Results: After the case management intervention, the participants' health quality of life, self-care competency, and reasonable medical care utilization increased significantly for the high-risk group. However there were no significant changes in the preventive group. Conclusion: The results showed that the tele-care case management services were effective for high-risk medical aid beneficiaries. Further studies with controls for constitutional variables and a comparison group are required to validate the robustness of the effectiveness of the case management program in the present study.

The Influence of the Self-Efficacy and the Social Support on the Organizational Commitment of Kindergarten and Child Care Teachers (유아교육기관 교사의 지각된 자아효능감과 사회적 지지가 조직 몰입에 미치는 영향)

  • Min, Ha-Yeoung;Cho, Sueong-Ja;Moon, Soo-Back
    • Journal of Families and Better Life
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    • v.26 no.2
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    • pp.25-32
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    • 2008
  • The purpose of this study was to investigate the relationship with self-efficacy and social support and organizational commitment of kindergarten and child care teachers. The subjects were 257 kindergarten and child care teachers. The data were analyzed by Path Analysis, Multiple Regression(using SPSS 15.0 and Amos 6.0). Major findings were as follows: (1) The self-efficacy was significantly associated with organizational commitment of kindergarten and child care teachers. And social support was significantly associated with organizational commitment of kindergarten and child care teachers. (2) The self-efficacy was significantly associated with social support of kindergarten and child care teachers (3) The self-efficacy was not significantly associated with organizational commitment of kindergarten and child care teachers, controlled by social support. That result showed the social support was more important variable affecting organizational commitment of kindergarten and child care teachers than the self-efficacy.

Oral health care effects of periodontal disease patients with systemic diseases: case report (전신질환자 중 치주질환자 구강관리 효과)

  • Kim, Seol-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.4
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    • pp.567-575
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    • 2016
  • Objectives: The purpose of the study was to investigate dental care effects of periodontal diseases patients with systemic diseases. Methods: The study subjects were ten patients. The study consisted of direct examination and interview survey. Direct examination comprised pocket depth, bleeding on the brush, O'Leary plaque record, salivary flow rate, and oral bacterial culture for three months. Results: The number of diabetic patients was eight. Four patients xerostomia and one of them had 0.7 mL per minute of salivary flow rate, decreased O'Leary plaque record, and bleeding in the brush. Those who received education were able to take control of plaque management. They recognized the need for oral care and had good self-management of oral care skills. Conclusions: The professional dental care and oral health education improved periodontal health and self-management skills of plaque in periodontal disease patients with systemic diseases.

The Effect of Self-Help Management Program by Strengthen Self-Efficacy on Self-Efficacy and the Activities of Daily Living in Stroke Patients (자기효능증진 자조관리 프로그램이 뇌졸중 환자의 자기효능과 일상생활동작 수행능력에 미치는 효과)

  • Kim, In-Sook;Kang, Seung-Joo;Kim, Kye-Ha
    • Korean Journal of Adult Nursing
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    • v.20 no.4
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    • pp.526-536
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    • 2008
  • Purpose: This study examined the effect of a self-help management program which strengthens self-efficacy on the self-efficacy and the activities of daily living(ADL) in stroke patients. Methods: A quasi-experimental nonequivalent control group, pre and post design was used. The subjects consisted of 47 stroke patients. Twenty-six patients were assigned to the experimental group and 21 patients were assigned to the control group. The self-help management program by strengthen self-efficacy and general hospital care were carried out on the experimental group. General hospital care was performed on the control group. The data was collected before and 5 weeks after the program. All subjects were questioned about the self-efficacy and ADL before and after the program. Results: The scores of the self-efficacy and ADL in the experimental group were higher than those in the control group. Conclusion: The self-help management program by strengthen self-efficacy is effective in increasing the self-efficacy and ADL. Therefore this program may be a useful intervention to increase the ADL in stroke patients.

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The Effects of an Admission-Education Program on Knowledge, Self-Efficacy, Self-Care and Glucose Control in Type 2 Diabetes Patients (당뇨입원교육프로그램이 제2형 당뇨병 환자의 지식, 자기효능감, 자가관리 및 당 조절에 미치는 효과)

  • Lee, Young-Ran;Kang, Mi-Ae;Kim, Pa-Geon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.14 no.1
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    • pp.12-19
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    • 2008
  • Purpose: This study was performed to explore the effects of an admission-education program on knowledge, self-efficacy, self-care and glucose control in type 2 diabetes patients. Method: A single group pre-post test design was used. Twenty-one patients participated in this program during 6 days which consisted of education and practice about exercise, diet, self-care and prevention of complications. Variables at baseline, 3 months, and 6 months were measured. Results: Knowledge level, self-care level and self-efficacy were significantly increased over time after the admission-education program. The $HbA_1C$ level and glucose level in urine were significantly decreased over time after the admission-education program. Conclusion: The admission-education program can increase levels of knowledge, self-care, self-efficacy and decrease glucose levels. Therefore, this admissioneducation program was shown to have a positive effect on the management of diabetes.

Community based strategies and directions for the management of hypertension and diabetes (고혈압 및 당뇨병 관리를 위한 지역사회중심의 접근전략과 발전방향)

  • Lee, Soon Young
    • Korean Journal of Health Education and Promotion
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    • v.33 no.4
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    • pp.67-77
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    • 2016
  • Objectives: The study was to propose strategies and directions how to manage the hypertension and diabetes in communities. Methods: The survey data from 606 patients with hypertension or diabetes based on Community Health Survey, 2013 were analyzed and the hypertension and diabetes projects in communities for last 10 years were reviewed. Results: The patients visiting the primary clinics had statistically significant lower rates than those of teaching hospitals in physician's recommendation experience, perception level of attention from doctors, self-efficacy and health habit practice level. Since the Hypertension and diabetes registration and management system in 2007, there have been several trials for management of hypertension and diabetes such as Chronic diseases management system on the primary clinics, Community based primary medical care pilot projects, Post-national health screening management, and Pilot project on reimbursement for chronic diseases care services. Conclusions: The upmost urgent task might be to have a support system for patients' self care affiliated with primary clinics. To achieve it, it is necessary to expand the current Hypertension and diabetes registration and management system into nation and to find a way to attract the active participation from primary clinics.

The Influence of Job Stress of Care Workers on Customer Orientation -The Moderation Effect of Self-Perceived Health Level- (요양보호사의 직무스트레스가 고객지향성에 미치는 영향 - 본인인지건강수준의 조절효과)

  • Lee, Gyu-Hee;Cho, Kyoung-Won
    • The Korean Journal of Health Service Management
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    • v.10 no.3
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    • pp.173-184
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    • 2016
  • Objectives : This research analyzed the general characteristics of care workers and verified the correlation among self-perceived health, job stress and customer orientation. Methods : We conducted a survey from May 1st, to May 31st, 2015 of 260 care workers who are affiliated with elderly care facilities or home care facilities in Busan, Korea. Results : The more the workers were stressed about their organizational culture, the more they recognized psychological difficulties. However, there was no correlation between organizational culture and their tendency to be oriented toward customers. It was verified that the recognized psychological health has a positive regulation effect between customer orientation and job stress such as job skill requirement(p<0.01), job autonomy(p<0.01), and organizational culture(p<0.01). Conclusions : Because both suppliers and recipients of care services are aging, it is necessary for elderly care facilities to make a greater effort to minimize the physical and psychological losses of recipients.

Effects of Self-Efficacy Promotion Program on Self-Efficacy, Self-Care Behavior, and Quality of Life in Breast Cancer Patients Receiving Radiotherapy (방사선요법을 받는 유방암환자의 자가관리를 위한 자기효능증진 프로그램이 자기효능감, 자가간호수행 및 삶의 질에 미치는 효과)

  • Ko, Hea-Kyoung;Park, Geum-Ja
    • Asian Oncology Nursing
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    • v.11 no.2
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    • pp.136-146
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    • 2011
  • Purpose: The purpose of this study was to examine the effects of self-efficacy promotion programs on self-efficacy, self-care behavior, and quality of life in breast cancer patients receiving radiation therapy. Methods: This study was conducted from November 1, 2009 to December 10, 2010. A total of 39 breast cancer patients, who received radiotherapy in a University hospital located in city B, participated in the study and were divided into two groups (experimental group 17 and control group 22). The data were analyzed with the ${\chi}^2$-test and ANCOVA using the SPSS/Win 17.0 program. Results: Self-efficacy promotion programs aimed at self-management were effective in enhancing concrete self-efficacy but not effective in promoting general self-efficacy, self-care behavior, and quality of life among breast cancer patients who have received radiotherapy. Conclusion: Organizing a support group for the breast cancer patients seems to be highly necessary to help themselves obtain higher level of specific self-efficacy, self-care behavior, and quality of life in general. It will also be beneficial for the breast cancer patients to understand their unique situations and improve their health problems for themselves.

Influence of Self-construal on Sociocultural Attitude Toward Physical Appearance, Body Satisfactions, and Appearance Management Behavior (자기해석이 신체적 외모에 대한 사회·문화적 태도, 신체만족도, 외모관리행동에 미치는 영향)

  • Lee, Soo Gyoung;Cho, Hyunjung
    • Journal of the Korean Society of Clothing and Textiles
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    • v.38 no.4
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    • pp.528-539
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    • 2014
  • This study analyzed the influence of self-construal on sociocultural attitude toward physical appearance, body satisfaction, and appearance management behavior through a structural equation model. The empirical study was based on the response of 369 adult females between the ages of 20 and 49 in Seoul. Self-construal was presented as an independent self-construal and interdependent self-construal, respectively. The sociocultural attitude toward physical appearance as an intermediate variable in the research model was composed of two sub-factors that included internalization and awareness. The other (body satisfaction) was measured by two factors (body and face). Appearance management behavior (as a final outcome variable) were composed of various factors that included clothing concern, skin care, hair care, and weight training. The findings of this study were: 1) the effect of independent self-construal on the sociocultural attitude toward physical appearance was not significantly meaningful; however, interdependent self-construal influenced it positively. 2) Sociocultural attitude toward physical appearance appeared to have a negative effect on body satisfaction. 3) The body satisfaction also had a negative effect on appearance management behavior in this study.

Validity and Reliability of Korean Version of Self-Care Chronic Obstructive Pulmonary Disease Inventory (SC-COPD) and Self-Care Self-Efficacy Scale (SCES-COPD) (한국어판 만성폐쇄성폐질환 자가간호와 자가간호 자기효능감 측정도구의 타당도와 신뢰도)

  • Choi, Ja Yun;Yun, So Young
    • Journal of Korean Academy of Nursing
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    • v.52 no.5
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    • pp.522-534
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    • 2022
  • Purpose: This study examined the validity and reliability of the Korean version of the Self-Care in Chronic Obstructive Pulmonary Disease Inventory (SC-COPDI) and the Chronic Obstructive Pulmonary Disease Self-Care Self-Efficacy Scale (SCES-COPD). The SC-COPDI consists of the Self-Care Maintenance Scale (SCMES), Self-Care Monitoring Scale (SCMOS), and Self-Care Management Scale (SCMAS). Methods: The original tool was translated using a back-translation process. Participants were 241 patients with COPD at the Chonnam National University Hospital in Korea. The construct validity was verified through confirmatory factor analysis, and reliability was verified using Cronbach's α. Results: The SCMES consisted of 10 items of three factors-one of four factors was deleted from the original tool. In the SCMOS, there were six items of two factors after two items were deleted from the original tool. The SCMAS consisted of the original 10 items of three factors. The SCES-COPD consisted of six items of two factors, with one item removed from the original tool. The model fit indices of all tools were good, and the construct validity was confirmed. Cronbach's α of SCMES was .72, SCMOS was .90, SCMAS was .81, and SCES-COPD was .85. Conclusion: The Korean version of SC-COPDI and SCES-COPD are valid and reliable instruments for measuring self-care in people with COPD. These instruments can be used in self-care studies of COPD patients in Korea.