• Title/Summary/Keyword: Self help

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Long-Term Effects of the Self-Help Program for Arthritis Patients (관절염 환자를 위한 자조관리과정의 장기효과 연구)

  • Lee, Kyung-Sook;Lee, In-Ok;Jang, In-Ok;Lee, Eun-Ok;Suh, Moon-Ja
    • Journal of muscle and joint health
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    • v.10 no.1
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    • pp.32-43
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    • 2003
  • The purpose of this study was to identify the long-term effects of the self-help program for arthritis patients. The subjects were 126 patients who have participated in the 6-week self-help program from 1997 to 2000, agreed to participate in this study by telephone interview and responded the mailed questionnaires. The measurement tools of this study were all self-reported questionnaires such as Numerical Pain Rating Scale, the number of pain sites, Korean Health Assessment Questionnaire, Numerical Fatigue Rating Scale, CES-D depression scale, Self-efficacy scale, Social support scale. The repeated measure ANOVA revealed the significant differences among the pre post follow-up pain and fatigue. Whileas there were no significant differences the pre post follow-up pain site and physical functioning. And there were also no significant differences the pain, pain site, fatigue and physical functioning among three groups according to the duration of follow-up. These results suggested that the follow-up program after the self-help program was completed would be helpful for the physical wellbeing of arthritis patients.

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Stress and Satisfaction of Primary Care-givers Who Participated in Self-help Group of Dementia Safety Centers - Focused on Seoul Metropolitan City (치매안심센터 자조모임에 참여하는 주부양자의 스트레스와 만족도 : 서울특별시 중심으로)

  • Kwon, Ae-Lyeong;Jung, Hai-Ik
    • The Journal of the Korea Contents Association
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    • v.20 no.8
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    • pp.628-636
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    • 2020
  • The purpose of this study was to investigate how self-help group conducted by 25 dementia safety centers in Seoul correlated the stress and life satisfaction of primary care-givers of dementia patients. At 25 dementia safety centers, self-help groups were identified, and a survey was conducted for the care-givers of dementia patients participating in the self-help groups. SPSS 21.0 program was used for the collected data, and reliability was analyzed for stress level and satisfaction after the program. Multivariance analysis and one-way analysis were performed for the types of self-help groups, the frequency of attendance, and the number of meetings. The result were : first, the total stress felt by participants was close to 4 out of 5, and there was no significant difference in meeting type and attendance frequency, and only in the relationship between stress and the number of self-help groups(p<.05). Second, the satisfaction after self-help meetings was close to 4 out of 5, the meeting type and attendance frequency no significant difference, and only the number of self-help meetings showed a significant difference(p<.05). Third, there was a significant negative correlation in the relationship between stress and program satisfaction. As can be seen from the results, it can be seen that self-help groups have an effect on the stress of primary care-givers and the satisfaction level after meeting.

Comparing Effects of Tai-Chi Self-help Program and Tai-Chi Exercise in Osteoarthritis Patients (골관절염 환자를 위한 타이치 운동그룹과 타이치 자조관리 그룹의 효과 비교분석)

  • Kang, Hyun-Sook;Kim, Jong-Im;Ryoo, Eon-Na;Bak, Won-Sook;Paik, Hoon-Jung;Song, Rha-Yun;Ahn, Yang-Heui;Lim, Nan-Young;Eom, Ok-Boon;Lee, In-Ok;Lee, Eun-Ok;Rhee, Seon-Ja;Cho, Kyung-Sook
    • Journal of muscle and joint health
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    • v.13 no.2
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    • pp.83-93
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    • 2006
  • Purpose: The purpose of the study was to compare the effects of Tai Chi self-help program and Tai Chi exercise in patients with osteoarthritis. Methods: quasi experimental design was utilized for the study to compare the effects after implementing tai chi self-help program and Tai Chi exercise for 6 weeks. The subjects of the study was osteoarthritis patients who visited to two Public Health Centers in Gyunggi-do from August to December, 2005. Total of 25 OA patients agreed to participate in the study, and 10 tai chi self-help program group and 9 Tai Chi exercise group were included for the final analysis after 6 weeks. Tai Chi self-help program was provided twice a week, 2 hours per session (one hour for tai chi exercise, one hour for self help program) for 6 weeks, and Tai Chi exercise group was provided once a week, 2 hours per session for 6 weeks. Outcome measures include flexibility, 6 m walking, and balance. Mann-Whitney U test of SPSS WIN 11.0 was utilized to compare the group differences. Results: The subjects of both program participants were not improved in their arm flexibility, and the difference was not significant. Tai chi self-help group improved more in their 6 m walking ability than Tai Chi exercise group, but the difference was not significant (F=.000, p>.05). Tai chi self-help group improved more in their balance than Tai Chi exercise group, but the difference was not significant (Rt: U=.24, p>.05; Lt: F=2.60, p>.05). Conclusion: The provision of both Tai Chi self-help program and Tai Chi exercise can lead improvement of 6 m walking, and balance, but the group difference was not significant. A rigorous research design should be further utilized to identify the potential benefits for this population.

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Factor Analysis on Behavior Change Mechanisms in Self-help Smoking Cessation (흡연행위의 자조적 변화기전에 대한 요인분석)

  • 오현수;김영란
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.678-687
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    • 1996
  • Smoking is considered to be one of the important risk factors associated with various health problems. Thirty seven million people in America quit smoking in the past decade, with 90% quitting on their own(Americal Heart Association, 1986). According to McAlister(1975), 70% of smokers reported that they adopted a self-help smoking cessation approach rather than a formal treatment program. In our country, although, auccessful exsmokers have used, are not available, concerns about smoking cessation have increased, recently, due to changes in social and political attitudes to health promotion. This study was conducted to help smokers who had made a decision to adopt a self-helf smoking cessation approach instead of depending on a formal treatment program. It provided a structurd way for sucessful smoking cessation by identifying change mechanism factors which have been commonly used by smokers. The subjects selected for this study were 155 university students between 20 and 29. Years of age the results from the analysis of the collected data showed that seven factors in the self-help change processes significant, and they are named, Stimulus Control, Self-Determination, Information Management, Reinforcement Management, Helpful Relationships, Dramatic Relief, and Cognitive Restructuring. All of the factors except Self-Determination represent the same change mechanisms which are proposed by Prochaska et at.(1988). Self-Determination uniformly includes items belonging to various change processes. Therefore, it might be an transitional factor including strategies related to both cognitive and behavioral dimensions. In spite of this, noted that one item which gives meaning of Self-Determination shows the highest factor loading, it is named Self-Determination.

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Effects of the Selp-Help Group Program for Quality of Life in Women with Breast Cancer (자조집단 프로그램이 유방암환자의 삶의 질에 미치는 효과)

  • Kim, Mi-Sook;Chyon, Mi-Sun
    • Asian Oncology Nursing
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    • v.3 no.1
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    • pp.45-55
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    • 2003
  • Self-help group program is an elective procedure intended to improve the quality of life of women undergoing mastectomy. The purpose of this study is explore effects of the self-help group program for QOL after mastectomy. 40 Women who had undergone mastectomies between stagel to 3 were recruited. Subjects of experimental group attended the self-help group for 4 weeks. Data were collected by self-reporting questionnaire. QOL was assessed using the Quality of Life Scale(QLS) translated by Kwon(1990). As a results, no significant differences were found between experimental and control group in changes of QOL. But, experimental group increased QOL score. In conclusions, when the self-help group program is provided to the patients with breast cancer, it can be helpful for promoting QOL and emotional support, even no statistical difference. For the further study, repeated researched with appropriate duration of intervention is suggested. Significant anxiety about their disease and fear of recurrence will be persisted despite intervention.

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Effects of the Self-Help Program on Pain, Fatigue, Difficulty in Physical Activity, Joint Stiffness, Flexibility of the Joints in Arthritis Patients (관절염 자조관리과정이 통증, 피로, 일상활동 어려움, 관절뻣뻣함, 유연성에 미치는 효과)

  • Lee, Kyung-Sook;Choi, Jung-Sook;Lee, Eun-Hee;Suh, Guil-Hee;So, Ae-Young;Choi, Sun-Ha
    • Journal of muscle and joint health
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    • v.14 no.1
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    • pp.26-32
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    • 2007
  • Purpose: The purpose of this study was to determine if osteoarthritis patients would benefit in terms of pain, fatigue, difficulty with physical activity, joint stiffness, and flexibility of the joints from a structured self-help program. Method: This self-help program was carried out 2-3 hours once a week for 6 weeks in 2005-2006, and evaluated in one group pretest-posttest pre-experimental design. The subjects of this study who were diagnosed osteoarthritis were recruited at two different Community Health Centers in Kangwon. The subjects who agreed with the purpose of this study and participated both pretest and post-test were 55 patients. Mean age is 63.48 (9.48) years, mean duration of disease is 7.95 (7.66) years. The self-help program was consisted of weekly health contract, exercise, health education, group discussion, group counseling, and recreation. At every meeting, researcher and trained public health nurse evaluated the program, and prepared the next program. The measurement tools were pain rating scale (0-10), fatigue rating scale (0-10), Korean WOMAC (Western Ontario and McMaster University Osteoarthritis) Index, ruler, and goniometer. Results: At the completion of 6 weeks of self-help program, the subjects reported significantly less pain and difficulty with physical activity and more flexibility in both shoulder and knee joints compared to pretest. Conclusion: The self-help program would be helpful on pain, physical activity, and joint flexibility for arthritis patients.

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A Study on the Development of Self-help Program with Care Burden for Families with Demented Elderly Persons (치매노인 가족의 부양부담 경감을 위한 자조집단프로그램 개발)

  • Kim, Joung-Soon;Lee, Su-Ill;Kim, Ki-Tae;Park, Nam-Hee
    • Research in Community and Public Health Nursing
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    • v.16 no.3
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    • pp.260-269
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    • 2005
  • Purpose: This study were to understand the caregiving situation of families with the demented elderly and to develop a self-help program for them. Method: A self-help program was designed to increase caregivers' confidence and skills in problem solving. In addition, it was designed to provide information about the demented elderly. The self-help program of this study was composed of nine sessions. Result: Family caregivers of elderly patients with dementia obviously experience high level of stress. which often leads the caregivers to negative outcomes such as depression, interference with social activities and health difficulties. That is, caring is stressful for caregivers because the demands of the caregiving situation tend to overwhelm the caregivers' coping resources. Therefore, families with demented elderly persons need assistances in order to be relieved from their care burden. Conclusion: The self-help program includes the understanding of dementia, the family caregiving experiences of the demented elderly persons, the time for self-care, the search for helping, the improving of interpersonal relations and communications.

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Effects of the Self-help Group Program for Promoting Self-Transcendence in Women with Breast Cancer (유방암 환자의 자기초월감 증진을 위한 자조집단과정 개발 및 운영 효과)

  • Kwon, In-Gak;Park, Eun-Young;Ham, Yun-Hee;Rhoo, Sung-Suk;Lee, Eun-Ok
    • Asian Oncology Nursing
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    • v.1 no.2
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    • pp.217-228
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    • 2001
  • Cancer survivor's self-help group may promote psychosocial adjustment in cancer patients. Self-transcendence has been shown to be related with crisis and adjustment in women with breast cancer. The purpose of this study is to determine the effectiveness of self-transcendence promoting program to facilitate self-transcendence, physical, and emotional well-being in women with breast cancer. Thirty patients who received mastectomy were recruited, but 9 subjects of experimental group and 14 subjects of control group participated in this study. Subjects of experimental group attended the self-help group for self-transcendence once a week for 6 weeks. Each session of program was proceeded for 2hours and the program contained activities for promoting self-transcendence, stress management, communication skill, exercise and relaxation, symptom management, and family support. Data were collected by self-reporting questionnaires within seven days after mastectomy and after the program was finished in experimental group, within 7 days after mastectomy and after 3 months in control group. Self-transcendence was assessed using the self-transcendence scale (STS) developed by Reed. Physical well being was assessed using Symptom distress scale (SDS) developed by McCorkle and Young and emotional well being was assessed using Profile of mood states (POMS). As a result, no significant differences were found between both groups in changes of self-transcendence, emotional well-being, and physical well-being. Self-transcendence score was significantly decreased in control group (p =0.16). But that of experimental group showed no decrease. In conclusions, when the self-transcendence promoting program is provided to the patients with breast cancer, it can be helpful for promoting self- transcendence. For the further study, repeated research with appropriate sample size and more intensive nursing intervention to promote self-transcendence is suggested. And reassessment after 6 months is recommended for testing long term effects of the program.

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Effects of Self Help Program for Pain, ADL, Exercise Self-Efficacy, and Knowledge about Arthritis in Patients with Osteoarthritis (자조관리 과정이 골관절염 환자의 통증, 일상생활 활동 운동효능감, 관절염 지식에 미치는 효과)

  • Park, Sang-Youn;Son, Jung-Tae;Park, Du-Hee;Lee, Kyung-Hee;Kim, Jin-Suk
    • Journal of muscle and joint health
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    • v.11 no.1
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    • pp.31-41
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    • 2004
  • Purpose: The purpose of this study was to test the effects of self-help program offered to patients with arthritis. Method: A quasi-experimental study design with nonequivalent groups was employed for the study. The subjects in the experimental group were 19 residents of K City who visited K Health Center with chief complaints of osteoarthritis and who agreed to participate in the self-help program from January through April 2003. The subjects in the control group were 18 patients with arthritis, selected among patients on the waiting list of self-help program using random sampling method. Data related to pain, ADL, exercise self-efficacy, and knowledge about arthritis were obtained from both groups. SPSS Win 11.5 was used for the data analysis. Results: The results of this study were as follows. 1. The pain score and exercise self-efficacy of the study group were significantly higher than the control group. 2. The ADL score and knowledge about arthritis were not significantly higher than the control group. Conclusion: Based on the study results, self-help program was proved to be effective in alleviating pain, and promoting exercise self-efficacy related to arthritis.

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A Study of Social Workers' Reflections on the Supportive Practice for Community Welfare Center Single Parent Self-Help Groups based on Participatory Action Research (지역사회복지관 한부모 자조집단 실천에 대한 사회복지사의 성찰 연구 -참여실행연구 자료를 중심으로)

  • Yang, Haewon;Choi, Jung Sook;Kim, Heesoo
    • Korean Journal of Family Social Work
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    • no.62
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    • pp.103-139
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    • 2018
  • The purpose of this study was to explore the social workers' reflections developed during the participatory action research seeking practice methods in the community welfare center single parent self-help groups. Nine social workers and researchers sharing difficulties in the community welfare center single parent self-help group practice were involved in the participatory action research. We performed a circulatory research repeating 'plan-action-reflection-replan' cycles through ten sessions of research meetings including peer supervision in parallel with 4 self-help group practices. Multiple practice methods were derived as the result among which change in the social workers' perception was the key. We focused on the result that the social workers' perception was changed by reflections from participatory action research and the contents of the reflections were qualitatively analyzed using materials acquired during the study. As a result the following 5 themes were derived; 'recognition and worry on the lack of appropriate practice for the self-help group', 'specification of the social workers' role based on the changed perspective on the member-social worker relation', 'confirmation of the possibility of the concerned person initiated practice', 'detailed understanding of the single parent self-help group in the community welfare center', and 'renewed recognition of the development of the single parent self-help group in the community welfare center'. Based on these results, empowerment and reflection/reflective practice for single parent self-help group in the community welfare center were discussed.