• 성인간호학회지
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• 제23권6호
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• pp.595-604
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• 2011

Purpose: This study was conducted to examine the effects of the nurse-led one-on-one discharge education on the levels of symptom experience and self-care compliance among patients with chronic obstructive pulmonary disease (COPD) who had not previously participated in an education or respiratory rehabilitation program. Methods: This study used a quasi-experimental pre-and post-test design with nonequivalent control group. Sixty seven hospitalized patients (34 for experimental and 33 for control groups) were recruited from in-patient units of a general hospital from August to November, 2010. The one-on-one education session of symptom management and daily self-care was administered to experimental group for 50 minutes along with a follow-up phone call. Self-administered questionnaire was administered at the pretest and at 1 month after discharge. Results: The subjects were 67.43(${\pm}10.24$)years old in average. The mean differences of symptom experience (t=3.39, p=.001) and self-care compliance (t=-38.13, p<.001) in the experimental group was significantly higher than those of the control group. Conclusion: Nurse-led one-on-one discharge education was effective in reducing the level of symptom experience and enhancing self-care compliance at home within one month after discharge. Therefore, this form of one-on-one education provided by nurses might be applicable effectively for COPD patients who do not have access to respiratory rehabilitation programs.

• 한국산학기술학회논문지
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• 제16권11호
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• pp.7513-7523
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• 2015

본 연구의 목적은 당뇨병을 가진 허혈성 뇌졸중 환자의 자가간호 지식 및 자가간호 이행과 이들의 상관관계를 파악하기 위한 것이다. 대상자는 대학병원 외래에 통원중인 당뇨병을 가진 허혈성 뇌졸중 환자 117명이었다. 자료수집 기간은 2013년 7월 1일부터 8월 31일까지이다. 수집된 자료는 SPSS 18.0.프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson 상관관계분석이 이루어졌다. 자가간호 지식의 평균점수 14.69점이고, 정답률은 63.9%, 이행의 평균점수는 2.24점이고, 이행률은 44.8%이었다. 당뇨병을 가진 뇌졸중 환자의 자가간호 지식과 이행은 유의한 양의 상관관계였다(r=.54, p<.001). 하위영역 중식이(r=.24, p=.011), 약물(r=.43, p<.001), 생활습관(r=.19, p=.042), 주의사항(r=.45, p<.001)의 항목에서 지식과 이행이 양의 상관관계가 나타났다. 본 연구결과를 토대로, 당뇨병을 가진 허혈성 뇌졸중 환자의 자가간호 지식과 이행을 촉진시키기 위해 통합된 간호중재교육프로그램이 개발이 되어야 할 필요가 있다.

• 간호행정학회지
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• 제3권1호
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• pp.107-118
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• 1997

This study was designed to obtain basic data for development of evaluation tool which would be needed to measure the outcome of general quality nursing care of individual patient. The purpose of this study was to analyze and classify the outcome indicators of quality nursing care. The 29 articles of quality nursing care and outcome measures were selected coveniently, and analyzed to classify the outcome indicators of quality nursing care using open coding method. The results of this study were as follows: 1. Quality nursing care was defined as level of excellence of nursing care to achieve good patient outcome. 2. The 6 domains of which were health status, satisfaction, self care, patient progress and prognosis, and compliance were identified in outcome indicators of quality nursing care 3. Seven indicators of health status domain which were perceived health status, quality of life, well-being, daily activities, physical-physiological status, psychoemotional status, and social role functioning were identified. 4. Two indicators of satifaction domain which were patient satisfaction and family satisfaction were identified. 5. Three indicators of self care domain which were skill, knowledge, and home management were identified. 6. Seven indicators of patient progress and prognosis domain which were change of clinical status, resolution of nursing diagnosis and problem, days of stay, dicahrge state, recovery state, survival were identified. 7. compliance with therapeutic direction compliance was identified as an indicator of compliance domain. 8. It was sugested that studies for development of evaluation tools for outcomes of quality nursing the results of this study could be executed

• 근관절건강학회지
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• 제19권2호
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• pp.223-232
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• 2012

Purpose: The purpose of this study was to examine the relationships among perceived health status, exercise self-efficacy, social support, and exercise compliance and factors influencing exercise compliance in older adults in an area. Methods: The sample consisted of 154 older adults who attended a senior welfare center in D metropolitan city. Data were collected from the 25th to the 31th of January in 2012. Results: The mean score for perceived health status was 2.94, 911.69 for exercise self-efficacy, 46.99 for social support, and 6.83 for exercise compliance. The highest score on social support domains was emotional support, followed by self-esteem, material, and informational support. There were significant correlations between perceived health status and exercise self-efficacy, between perceived health status and exercise compliance, between exercise self-efficacy and social support, between exercise self-efficacy and exercise compliance, between emotional support and exercise compliance. Findings of multiple regression indicated that only exercise self-efficacy significantly explained exercise compliance. Conclusion: Health care providers may need to develop various intervention program to promote exercise self-efficacy in order to influence on exercise compliance and adherence among older adults.

• 디지털융복합연구
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• 제18권9호
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• pp.229-237
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• 2020

본 연구의 목적은 중환자실 간호사의 도덕적 민감성과 셀프리더십, 피로도 및 표준주의지침 수행도의 상관관계를 파악하고 표준주의지침 수행도에 미치는 영향요인을 탐색하기 위함이다. 연구대상은 전국 의료기관의 중환자실 네트워크를 활용하여 15개 종합병원 중환자실 간호사 153명을 대상으로 하였으며, 자료수집은 2019년 3월 5일부터 2019년 3월 10일까지 시행하였다. 자료분석은 Descriptive statistics, Pearson's correlation coefficient, Stepwise multiple regression analysis를 이용하였다. 연구결과, 본 연구대상자의 표준주의지침 수행도에 셀프리더십(r=.17, p=.042)이 통계적으로 유의한 양의 상관관계를 보였다. 연구대상자의 표준주의지침 수행도에 영향을 주는 요인을 확인하기 위하여 단계적 회귀분석을 수행한 결과, 셀프리더십(β=.17, p=.042)이 유의한 요인으로 나타났으며, 설명력은 통계적으로 유의하였다(R²=.03, F=4.21, p=.042). 따라서 최근 간호사의 높은 수준의 표준주의지침 수행도를 유지하게 된 시점에 각 병원은 간호사들의 셀프리더십 역량 강화를 위한 노력이 필요하다.

• 성인간호학회지
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• 제16권2호
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• pp.316-326
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• 2004

Purpose: The purpose of this study was to identify effects of a self-management program on self-efficacy and compliance in patients with CHF. Hypothesis: 1) Patients with CHF who are provided with a self-management program will show higher self-efficacy scores than a control group. 2) Patients who are provided with a self-management program will show higher compliance scores than a control group. Method: This study was designed as a nonequivalent non-synchronized pre-posttest control group. There were eight patients in the experimental group, and twelve in the control group. According to NYHA classification, all patients belonged under the classesII to IV. Data were collected using the instruments developed by the researchers. Data were analyzed using descriptive statistics and Mann Whitney U test. Result: There were significant differences in self-efficacy scores and compliance scores between the experimental and control group. Conclusion: By utilizing the program, patients were able to monitor their symptoms routinely, comply with therapeutic regimen, and feel better able to positively influence their disease. Therefore, better compliance means fewer readmissions of patients with CHF.

• 임상간호연구
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• 제22권3호
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• pp.257-264
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• 2016

Purpose: The purpose of this study was to explore the effect of individualized diet education program on dietary knowledge and self-care compliance among hemodialysis patients. Methods: The design of the study was quasi-experimental nonequivalent control group pre-post test design. Fifty patients were assigned to an experimental group and fifty patients were assigned to a control group. Individualized diet education program was applied to the experimental group once every two weeks for twelve weeks. Results: Dietary knowledge increased significantly in the experimental group when compared to the control group. Dietary self-care compliance improved significantly in the post-test of the experimental group, however, the difference was not significant. Conclusion: The individualized dietary education program was effective in improving dietary knowledge. The individualized diet education program needs to be incorporated as an important nursing intervention. Nurses should provide individualized diet education program for hemodialysis patients.

• 가정∙방문간호학회지
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• 제31권1호
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• pp.66-76
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• 2024

Purpose: This study aimed to develop and evaluate an integrated management program to enhance self-efficacy, compliance with sick-role behaviors, symptom management, and biomarker indication in hemodialysis patients. Methods: The integrated management program was developed through a systematic review of literature, analysis of relevant online data, and expert validation. It comprised 480 min of video-based education delivered eight times over four weeks, supplemented by weekly phone consultations and text message support from a nurse. To evaluate the program's effectiveness, it was administered to 44 patients with hemodialysis in a single group in a pre-post test experimental study. Changes in self-efficacy, sick-role behavior compliance, dialysis symptom index, and biomarkers were assessed. Results: The program yielded statistically significant improvements in self-efficacy (t=-7.13, p<.001), sick-role behavioral compliance (t=-7.35, p<.001), dialysis symptom index (t=4.32, p<.001), and blood urea nitrogen levels (t=2.55, p=.014) among the participants. Conclusion: The integrated management program is an effective intervention for improving hemodialysis patients' self-efficacy, compliance with sick-role behaviors, and experience of symptoms. Additionally, it is considered an intervention with high clinical applicability and efficiency through video reproducibility.

• 한국보건간호학회지
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• 제15권2호
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• pp.334-341
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• 2001

The purpose of this study is to examine to control of glucose level and the occurrence of chronic complications of diabetes by compliance groups with health care regimen The subjects were consisted of 300 out patients with type 2 diabetes mellitus from beginning of March through the end of April in 2001, who visited at the endocrinology department at Kangnam St. Mary's Hospital of Catholic University in Seoul. The patient's compliance level with health care regimen was assessed at questionnaire. However, the blood glucose level and the occurrence of chronic complications of diabetes were assessed at medical record review. The data were analyzed by SAS program for chi square test and t-test. The results were as follows. 1. Significant differences were found among the factors such as duration of diabetes, the number of participation of diabetes educational program, job, smoking, self monitoring of blood glucose and the methods of diabetes therapy between high and low compliance groups. High compliance group patients had a diabetes longer than low compliance group patients. High compliance group patients more frequently attended the educational program and checked themselves monitoring blood glucose than low compliance group patients. Also, they did not work recently, smoked less and got more insulin injection therapy compared to low compliance group patients. 2. No significant differences were found among the result of fasting blood glucose. 2-hour postprandial blood glucose, and $HbA_{l}c}$ between high and low compliance groups. 3. The occurrence rate of macrovascular complications of chronic complications of diabetes were lower, however, the occurrence rate of microvascular complications were higher in high compliance group than in low compliance group with health care regimen.

• 대한간호학회지
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• 제47권4호
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• pp.445-455
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• 2017

Purpose: This study was conducted to develop an Empowerment Education Program (EEP) for kidney transplant patients and to test the program's effects on uncertainty, self-care ability, and compliance. Methods: The research was conducted using a nonequivalent control group with a pretest-posttest design. The participants were 53 outpatients (experimental group: 25, control group: 28) who were receiving hospital treatment after kidney transplants. After the pre-test, patients in the experimental group underwent a weekly EEP for six weeks. The post-test was conducted immediately after, and four weeks after the program's completion in the same manner as the pre-test. For the control group, we conducted a post-test six and ten weeks after the pre-test, without and program intervention. A repeated measure ANOVA was performed to compare the change scores on main outcomes. Results: Uncertainty was significantly lower in the experimental group than in the control group, both immediately after (t=-3.84, p=<.001) and 4 weeks after (t=-4.51 p=<.001) the program, whereas self-care ability (t=5.81, p=<.001), (t=5.84, p=<.001) and compliance (t=5.07, p=<.001), (t=5.45, p=<.001) were significantly higher. Conclusion: Kidney transplant patients who underwent an EEP showed a decrease in uncertainty and an improvement in self-care ability and compliance. Thus, our findings confirmed that an EEP can be an independent intervention method for improving and maintaining the health of kidney transplant patients.