• 제목/요약/키워드: Self-help

검색결과 2,276건 처리시간 0.025초

류마치스성 관절염 환자의 삶의 질에 대한 구조 모형 (A Structural Model for Quality of Life in Individuals with Rheumatoid Arthritis)

  • 오현수;김영란
    • 대한간호학회지
    • /
    • 제27권3호
    • /
    • pp.614-626
    • /
    • 1997
  • The main purposes of the study were to develop and test a model which explains the dynamic relationship among factors reported as affecting to the quality of life of individuals with rheumatoid arthritis and to examine the relationship between self-help response and quaility of life. Data for the study were collected from March 1996 to December 1996 from 153 female patients who regularly visited a clinic for people with rheumatism. The patients were introduced to the investigators by nurses who worked at that clinic, and then the investigator interviewed the patients for 30 to 40 minutes to collect the data. Instruments used in the study were modified self-report questionaires from the ones which were already developed in previous studies or from related literature. Data analysis were performed using LISREL(Lineal Structural Relations) 8 program to test whether the proposed hypothesized model fit the collected data. To test the fitablity of the hypothesized model both a general fit measure and a detailed fit measure were used. Based on the test results from the various fit measures, the hypothesized model was found to be well suited to the real data. As characteristics related to illness becomes severe, the feasibility for these characteristics leading to the perception of uncertainty about the illness tend to increase, but, the direct effects from the illness characteristics(such as level of physical symptoms, sense of social-psychologic change, limitations of action) as they are related to the other intrinsic variables (self-efficacy or self-help behavior and quality of life), were found to be not significant. It was found that uncertainty had a direct effect on self-efficacy but did not have a direct effect on self-help behavior or quality of life. Also, it is noted that self-efficacy had a positive effect on self-help behavior and quality of life and there was a bilateral relationship between self-efficacy and self-help behavior. Lastly, the hypothesis proposed from the theoretical model in this study was supported basis of the results that self-help behavior provides both direct and positive effects to quality of life. Particularity, since a bilateral relationship was also found between self-help behavior and quality of life in the modified model, as self-help behavior increased, so did quality of life. And, reversely, as quality of life increased, so did self-help behavior. In conclusion, the results of this study suggest that focusing on both acquirement and reinforcement of adjustment factors or self-help behavior is more efficient than focusing on the characteristics of illness in establishing the stategies for improving quality of life of individuals with rheumatoid arthritis.

  • PDF

골관절염 환자의 타이치 자조관리 프로그램 효과 (The Evaluation of Tai-Chi Self-help Program for Osteoarthritis Patients)

  • 최미경;원동희;김연주;최미옥;임난영;송정희
    • 근관절건강학회지
    • /
    • 제14권1호
    • /
    • pp.42-51
    • /
    • 2007
  • Purpose: The purpose of this study was to examine the effects of Tai-Chi self-help program for osteoarthritis patients. Method: This study was performed from 1th August. to 30th Dec. 2006. 27 osteoarthritis patients were participated in the Tai-Chi self-help program. Outcome measures were pain, flexibility and balance, self-efficacy. Data were analysed by SPSS WIN 12.0. Result: There were statistically significant in balance and knee flexibility. but no significant differences were found in pain and self-efficacy. Conclusion: In conclusion, Tai-Chi self-help program was proved to be an effective nursing intervention to increase the balance and flexibility. Also 12 forms of Tai-Chi self-help program has been found safely applicable to the patients with osteoarthritis for 8 weeks. A rigorous research design should be further considered to identify the long-term benefit for this population.

  • PDF

Motivating the Workforce in a Precarious Time: Focusing on Career Self-Help Advice in the U.S.

  • Jeongsuk Joo
    • International Journal of Advanced Culture Technology
    • /
    • 제12권2호
    • /
    • pp.104-109
    • /
    • 2024
  • In this paper, we examine American career self-help advice in the context of white-collar labor market changes in the U.S., especially how it tries to motivate and empower white-collar job seekers and how fundamentally flawed this is. In this regard, we focus on What Color Is Your Parachute? by Richard Nelson Bolles, as it is the foundational and representative literature in the field of career self-help advice. We first look at the white-collar labor market changes in the U.S. and the growth of career self-help advice along with its influence. We then show that What Color Is Your Parachute? seeks to motivate and inspire job seekers by defining job searching in individual terms and overlooking its structural nature. From this, we point out the most problematic aspect of career self-held advice, i.e., shifting job search responsibility as well as its outcome solely to individual job seekers, while also making it difficult to scrutinize and understand the broader context affecting job searching.

미국 커리어 자기계발 조언과 이의 문제점 고찰 (Career Self-help Advice in the US and Its Limits)

  • 주정숙
    • 융합정보논문지
    • /
    • 제8권5호
    • /
    • pp.183-188
    • /
    • 2018
  • 본 논문은 미국의 사례를 통해 화이트칼라 구직활동에 영향력을 미치고 있는 커리어 자기계발 조언과 이의 문제점을 고찰한다. 먼저 빈번한 해고와 불안정한 고용의 확산으로 대변되는 미국 화이트칼라 노동시장의 변화와 이와 함께 부상한 자기계발 산업을 간단히 고찰한다. 다음으로 문헌연구를 통해 미국 화이트칼라 구직과정에서 접할 수 있는 대표적 자기 계발 조언을 살펴본다. 이는 정보통신기술의 발달이 구직과정에도 큰 영향을 미치는 점을 고려하여 이러한 기술의 활용을 포함하여 이력서와 네트워킹에 관한 조언을 중심으로 고찰한다. 마지막으로 커리어 자기계발 조언의 영향력에 비추어 이의 문제점들, 특히 개인의 부단한 노력만을 강조하며 이에 취업과 그 결과를 개인의 책임으로 돌리고 있음을 살펴한다.

뇌졸중 자조교실 프로그램이 재가 뇌졸중 환자의 질병 관련 지식, 자기효능감 및 자아존중감에 미치는 효과 (The Effects of Self-help Management Program on Knowledge about Stroke, Self-efficacy and Self-esteem in People with Stroke)

  • 장경오;박정연
    • 근관절건강학회지
    • /
    • 제20권1호
    • /
    • pp.1-9
    • /
    • 2013
  • Purpose: The purpose of this study was to examine the effects of self-help management program on knowledge about stroke, self-efficacy, self-esteem and family support in people with stroke. Methods: With a quasi-experimental design, 44 persons with stroke were assigned into an experimental group (n=21) or a control group (n=23). The knowledge about stroke, self-efficacy and self-esteem were measured at both before and after the self-help management program. Date were analyzed with SPSS/WIN using descriptive statistics, t-test, and $x^2$-test. Results: There was a significant increase in knowledge about stroke, self-efficacy and self-esteem in the experimental group. Conclusion: Self-help management program can be an effective nursing intervention to improve the knowledge about stroke, self-efficacy and self-esteem for patients with stroke.

섬유근통증후군(Fibromyalgia Syndrome) 환자에서 타이치 자조관리프로그램의 효과 (The Effect of a Tai-Chi Self-helf Program for Fibromyalgia Patient)

  • 한상숙;박원숙;양형인
    • 근관절건강학회지
    • /
    • 제14권2호
    • /
    • pp.169-180
    • /
    • 2007
  • Purpose: This study was done to determine the effect of Tai-Chi Self-help program to progress of reduction of symptom, difficulty on activity by application Tai-Chi Self-help program for Fibromyalgia patients. Method: The study was used the method of one group pretest-posttest design. The subjects were 65 outpatients who were diagnosed as Fibromyalgia by ACR(1990) standard at K University Hospital, medical center. Tai-Chi self-help program was done for 8 weeks(three a week for 2 hours)through group meeting of 65 patients. Collected data were analyzed by SPSS for window12.0 program package. Results: The result of this study suggests that could increase in reduction of symptom and lower disturbance in ADL and life Satisfaction compared with the before Tai-Chi Self-help program education. Conclusion: Accoradingly Tai-Chi Self-help program could be used as a proper nursing strategy for Fibromyalgia patients.

  • PDF

자조그룹에 대한 개념 분석 (Concept Analysis of Self-help Groups)

  • 이은남;엄애용;은영;조경숙;이경숙;송라윤;김종임;신계영;임난영;이명숙;박원숙;오두남;최미경;최희권
    • 근관절건강학회지
    • /
    • 제21권1호
    • /
    • pp.1-10
    • /
    • 2014
  • Purpose: The purpose of the study was to identify the attributes of self-help groups, their antecedents and consequences relating to self-help groups. Methods: We used the Walker and Avant (2010) method using the key word "self-help groups" the Korea Education and Research Information Service (www.riss4u.net), Pubmed, CINAHL and ProQuest for articles on this topic published between January 2000 and March 2013 were searched. Ultimately, 64 domestic and 21 foreign papers were selected for in-depth analysis. Results: The attributes of self-help groups are as follows: 1) members share common experiences and are supportive of each other; 2) members set goals for individual change; 3) groups are self-monitoring; 4) groups learn problem-solving processes through voluntary and active participation; and 5) groups are small and meet regularly. The antecedents of self-help groups are as follows: 1) an intervention by an expert; 2) a diagnosis of their illness; 3) motivation to change individuals' state; and 4) educational desire. The consequences of self-help groups are the relief of symptoms, the improvement of physiological parameters and quality of life, the decrease in depression, stress, and anxiety, the improvement of illness-related knowledge and self-help activity, and a change in beliefs. Conclusion: Self-help groups can be used as an intervention strategy to help people with chronic illness manage their own problems.

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

  • 김인숙;강승주;김계하
    • 성인간호학회지
    • /
    • 제20권4호
    • /
    • pp.526-536
    • /
    • 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.

  • PDF

유방암 여성들의 자조집단 활동 경험 (The Experience of Self-help Group Activities among Women with Breast Cancer in Korea)

  • 이명선;유영미;황은경
    • 성인간호학회지
    • /
    • 제26권4호
    • /
    • pp.466-478
    • /
    • 2014
  • Purpose: The purpose of the study was to explore and describe the experience of breast cancer self-help group activities in Korea. Methods: The data were collected via individual in-depth interviews with 8 women with breast cancer, who participated in self-help groups during 2012~2013. All interviews were audio-taped and transcribed, and they were analyzed using a phenomenological method. Results: Six theme clusters were identified. "Breakthrough toward survival" describes how the participants identified self-help groups and got involved in the activities. "Genuine comfort obtained by 'misery loves company' deals with the emotional relief and catharsis. "New life fully recharged" demonstrates the changed belief system and the joy for life and living. "Rebirth in family" deals with how family dynamics has been changed. "Societal change by raising collective consciousness" illustrates many activities to improve their rights and advocate employment issues. "Obstacles to the group harmony" illustrates the major difficulties including interpersonal conflicts the participants encountered during their participation. Conclusion: The results of the study showed that participating in self-help groups was mostly beneficial for women with breast cancer. Therefore, oncology professionals need to encourage them to participate in self-help groups and also need to provide professional support to self-help groups for their harmonious interpersonal relationships.

골관절염을 가진 여성의 균형감, 유연성, 심폐기능 및 근력에 대한 타이치 운동과 자조관리 프로그램의 효과비교 (Effects of Tai Chi or Self-help Program on Balance, Flexibility, Oxygen Consumption, and Muscle Strength in Women with Osteoarthritis)

  • 송라윤;이은옥;;배상철
    • 기본간호학회지
    • /
    • 제16권1호
    • /
    • pp.30-38
    • /
    • 2009
  • Purpose: This randomized study was done to compare the effects of a 6 month Tai Chi exercise and a self-help program on balance, flexibility and muscle strength in women with osteoarthritis (OA). Method: In this experimental study, 82 women with OA recruited from outpatient clinics or community health centers were randomly assigned either to a Tai Chi group or a self-help group. Thirty women (mean age = 62 years) in the Tai Chi group and 39 (mean age = 59 years) in the self-help group completed posttest measures (balance, flexibility, oxygen consumption, abdominal muscle strength, back muscle strength, and grip strength) at 6 months. Results: After the 6 month, Tai Chi participants had significantly greater balance (mean difference = 2.9 vs. 0.9 for the self-help), grip strength (mean difference = 4.6 vs. 0.9 for the self-help), and back muscle strength (mean difference = 4.1 vs. -0.3 for the self-help). However, flexibility, oxygen consumption, and abdominal muscle strength were not significantly different between the groups. Conclusion: Tai Chi increased balance, grip strength and back muscle strength in older women with osteoarthritis compared to the self-help program. Whether these changes improve physical functioning and fall prevention requires further study.

  • PDF