• 제목/요약/키워드: Self-help

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청소년의 외모만족도가 학교적응에 미치는 영향과 자기효능감의 매개 효과 (The Influences of Appearance Satisfaction on School Adjustment and the Mediating Effects of Self-efficacy between Them among Adolescents)

  • 송선미
    • 한국학교보건학회지
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    • 제26권1호
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    • pp.1-12
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    • 2013
  • Purpose: To examine the effects of appearance satisfaction on school adjustment among adolescents and, further, the mediating effects of self-efficacy between appearance satisfaction and school adjustment. Methods: Conducted a self-report survey of 640 students consisting of sixth, eighth, and tenth graders in the Jeju Special Self-Governing Province. The collected data were analyzed through the independent-sample t-test, the One-way ANOVA, the Pearson's correlation analysis, and the hierarchical multiple regression analysis using the SPSS WIN 18.0 statistical program. Results: First, boys and girls showed statistically significant differences. Boys reported higher levels of appearance satisfaction, school adjustment, and self-efficacy than girls. Second, there were no significant differences in appearance satisfaction and self-efficacy according to the school level. However, statistically significant differences were observed in school adjustment between sixth and eighth graders. Third, students who thought they belonged to the upper class in terms of academic performance and family economy showed the highest level of appearance satisfaction, school adjustment, and self-efficacy. Fourth, there were positive correlations between appearance satisfaction, self-efficacy, and school adjustment. Fifth, self-efficacy proved to have mediating effects between appearance satisfaction and school adjustment among adolescents. In particular, it had a full mediating effect on the relation between appearance satisfaction and adjustment to school life, one of the subfactors of school adjustment. Conclusion: The results suggest that appearance satisfaction is a factor which influences adolescents' school adjustment and that self-efficacy is an important means of mediating between appearance satisfaction and school adjustment. The study is significant in that it highlighted the importance of self-efficacy as one of the important variables to consider when planning various educational programs to help adolescents adjust to their school. In the light of the findings, in an effort to enhance adolescents' self-efficacy and help them lead a harmonious school life in Korea's so-called 'lookism' society, it is necessary to develop and implement counseling programs and character education materials that help adolescents develop a positive perception of their appearance and build self-esteem and self-confidence.

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자살 사고를 가진 20-30대 성인의 도움요청의도에 영향을 미치는 요인 (Factors affecting intentions to seek help in Adults with Suicidal Ideation)

  • 김나리;권호인
    • 한국융합학회논문지
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    • 제13권4호
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    • pp.469-475
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    • 2022
  • 본 연구의 목적은 자살사고를 가진 20-30대 성인의 공식 및 비공식 도움요청 의도에 영향을 미치는 요인을 탐색하는 것이었다. 본 연구의 대상은 온라인 커뮤니티를 통해 모집된 성인 215명으로, 이들은 자신의 자살 사고, 자기 은폐, 자살 낙인, 사회적 지지에 대한 자기보고식 온라인 설문에 참여하였다. 회귀분석 결과 사회적 지지와 자살 낙인은 일반적인 도움요청의도과 유의한 관련성이 있었다. 또한 사회적 지지는 공식 및 비공식적 도움요청 의도에 유의한 관련성이 있었으며, 자살 낙인과 자기 은폐는 비공식적 도움요청 의도와만 유의한 관련성을 보였다. 이러한 결과는 자살 고위험군에서 자살에 대한 도움요청을 증가시키기 위해서는 사회적 지지 증가 및 자기 은폐를 감소시키는 개입의 필요성을 강조한다.

폐경에 대한 적응 과정 (Adaptation Process to Menopause)

  • 이미라
    • 대한간호학회지
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    • 제24권4호
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    • pp.623-634
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    • 1994
  • Although the average menopausal age has not changed, women's life span has increased. Today's women live longer after their menopause than those in the past, and this calls for attention in both nursing and medical fields. Many studies have revealed how women reacted to menopause and suffered from it. But they did not discriminate the menopausal meaning and effects from the climacteric phenomena. So, this author tried to clarify what menopause itself meant to the climacteric women, by means of grounded theory methodology. The interviewees were 21 women, whose ages were between 46 and 60 years. They were selected by theoretical sampling technique, and the author tried to include all levels of important variables such as age, educational background, religion and job. Data were collected by the author through in -depth interviews and observations in July, 1994. The interviews were mostly done in the homes of the subjects, or in some cases at the author's office or in a hospital. Interviews took from 30 minutes to 2 hours. Interviews were tape recorded and transcribed later by a research assistant. Data were analyzed as gathered, by the constant comparative method proposed by Strauss and Corbin. Eleven concepts were discovered from the data, and they were grouped under six higher order categories. These six categories were "to give menopause a meaning", "to experience value change", "to have self-help strategies", "to have no strategies", "to live a life worth living", "to have a sense of powerlessness" Among these "to experionce value change" was . selected as the core category. Five major categories were systematically integrated around the core category. Women's adaptation to menopause was defined as proceeding as follows : Most women felt relief and sorrow at the same time when they faced menopause, and some only sorrow or agony. Then, they consulted with others about menopausal symptoms, or tried to think of them by themselves. Finally, they gave menopause a meaning, which was that menopause and its symptoms were natural phenomena. But menopause made women reflect on them-selves and their past lives. As they reflected on themselves, their value on life began to change. As their value changed, some women seeked self help strategies. Those self help strategies were what they had learned from collegues, professionals or mass media. The quality of their lives depended on whether they practiced self help strategies or not. Three types of lives were found. Twelve women enjoyed a life worth living, and practiced the self help strategies, because they accepted menopause a chance to change. They were characterized by a high educational level, having a professional job and a sincere faith in God. Seven women were living as usual, because they did not have the necessity to change. They were high school graduates and house wives. Two women recognized menopause a chance to change, but they did not try self help strategies. Their characteristic was low educational level. Those who did not try self help strategies complained of powerlessness to varying degrees. The educational background, full-time jobs and faith helped women adapt to menopause positively. But social support was not helpful to women's adaptation to menepause. Three hypotheses were derived from the analysis. (1) The higher the educational level, the more theneed to change. (2) Women with higher educational background will practice self help strategies more than those with lower edcational background. (3) The more women practice self help strategies, the worthier lives they will live. Suggestions for further studies are as follows. (1) Studies to test hypotheses are needed. (2) A study to find the relationship between the degree of practicing self help strategies and locus of control. (3) Spiritual approaches would better be applied to help menopausal women. (4) Education through mass media should be given mere frequently.

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Study of Relationship Between Illness Perception and Delay in Seeking Help for Breast Cancer Patients Based on Leventhal's Self-Regulation Model

  • Attari, Seyedeh Maryam;Ozgoli, Giti;Solhi, Mahnaz;Majd, Hamid Alavi
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권sup3호
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    • pp.167-174
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    • 2016
  • One of the major causes of morbidity and mortality in breast cancer patients is delay in seeking help. Leventhal's self-regulation model provides an appropriate framework to assess delay in seeking help. The aim of this study was to investigate the relationship between "illness perception" and "help seeking delay" in breast cancer patients based on Leventhal's self-regulation model. In this correlational descriptive study with convenience sampling conducted in 2013, participants were 120 women with breast cancer who were diagnosed in the last year and referred to chemotherapy and radiotherapy centers in Rasht, Iran. Data collection scales included demographic data, Revised Illness Perception Questionnaire (IPQ-R)and a researcher made questionnaire to measure the delay in seeking help. Pre-hospital delay (help seeking delay) was evaluated in 3 phases (assessment, disease, behavior). The data were analyzed using SPSS-19. The mean (SD) age calculated for the patients was $47.3{\pm}10.2$. Some 43% of the patients had a high school or higher education level and 82% were married. The "pre-hospital delay" was reported ${\geq}3months$. Logistic regression analysis showed that none of the illness perception components were correlated with appraisal and behavioral delay phases. In the illness delay phase, "time line" (p-value =0.04) and "risk factors"(p-value=0.03) had significant effects on reducing and "psychological attributions" had significant effects on increasing the delay (p-value =0.01). "Illness coherence" was correlated with decreased pre-hospital patient delay (p-value<0.01). Women's perceptions of breast cancer influences delay in seeking help. In addition to verifying the validity of Leventhal's self-regulation model in explaining delay in seeking help, the results signify the importance of the "illness delay phase" (decision to seek help) and educational interventions-counseling for women in the community.

혈우병관절염 수술환자를 위한 타이치자조관리 프로그램 효과 (The Effect of Tai Chi Self Help Group Program for Hemophilic Arthritis Patients)

  • 박원숙;유명철;강현숙
    • 근관절건강학회지
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    • 제19권1호
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    • pp.71-83
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    • 2012
  • Purpose: The purpose of this study was to develop and evaluate the effects of Tai Chi Self-help program for Hemophilic Arthritis Patients. Method: A quasi-experimental design was used. The subjects were 48 patients who underwent orthopedic surgery (24 experimental group, 24 control group). The subjects of experimental group were participated in the Tai Chi self-help group program in which 16 times for 8 weeks. The program consisted of health education on hemophilia, Tai Chi exercise, and workshop and its outcomes have been evaluated on WOMAC(Western Ontario and McMaster scale), mobility, pain, fatigue, muscle strength, depression, and quality of life(SF-36). The obtained data were analyzed by using the t-test or Fisher's exact test of PASW 18.0. Results: 1) The score of WOMAC, pain, fatigue, and depression decreased significantly in the experimental group as compared to the control group. 2) The score of mobility, muscle strength, and quality of life increased significantly in the experimental group as compared to the control group. Conclusion: Considering these research results, the program could be useful to improve joint movement, strength and psychological condition for patient with hemophilic arthritis, particularly in those who underwent orthopedic surgery.

지역사회 노인의 입원기간에 영향을 주는 개인요인의 분석 (Individual Determinants of Hospital Days m Community-dwelling Elders)

  • 김정희
    • 한국보건간호학회지
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    • 제13권2호
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    • pp.12-25
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    • 1999
  • This study examines individual determinants of hospital days in community-dwelling elders by estimating a linear structural equation model based upon Andersen's behavioral model. Data were collected through a national survey of elders in Korea in 1994. The subjects for this secondary data analysis were 1687 non-institutionalized elders aged 60 years or older. Except for the effect of age and gender on family help. the predisposing components had direct effects on the enabling components. Of the effects of the enabling components. family help had a direct effect on self-evaluated health; economic status had a direct effect on chronic disease and self-evaluated health; and access had a direct effect on chronic disease. functional health status and self-evaluated health. Of the enabling components. residence and family help directly affected hospital days. Self-evaluated health revealed the greatest direct effect on hospital days followed by functional health. Overall. the effects of the predisposing components and the enabling components on hospital days were not prominent. Since the model explained only $4\%$ of the variance in hospital days. the magnitude of the effect of the need components cannot be judged in terms of equity of distribution of health services. In particular. the effect of family help in the model reveals the importance of family support in health management of elders. The implications of these analyses for improving the proposed model of hospital days were discussed.

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골관절염 환자를 위한 점진적 운동강화 자조관리 프로그램 개발 (Development of a Progressive Exercise Program for Older Adults with Osteoarthritis)

  • 박인혜;이은남;박상연
    • 근관절건강학회지
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    • 제15권2호
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    • pp.155-165
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    • 2008
  • Purpose: The purpose of this study was to develop a progressive exercise program based on clinical guidelines for exercise prescription for older adults with osteoarthritis, which was planned to improve the existing arthritis self-help program. Method: We analyzed the contents of the arthritis self-help program and closely reviewed the guideline of exercise prescription for elderly with osteoarthritis. Results: The major contents of the revised arthritis self-help program are as follows: 1) The weekly education is composed of one-hour exercise and one-hour health education about various subjects. 2) The weekly main exercise is composed of muscle strengthening and endurance exercise. 3) Endurance exercise consists of three steps. 4) Muscle strengthening exercise is performed by gravity at first, and then the Thera-Band muscle strengthening exercise is followed on the 4th week. Conclusion: It is necessary to verify the effect of the progressive exercise program for older adults with osteoarthritis. It is thought that this revised program could be adopted as a rehabilitation program for older adults with osteoarthritis.

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남편의 도움이 산모의 자기효능감과 산후우울에 미치는 융합적 영향 (Convergence effects of husband's help on self-efficacy and postpartum depression in mother)

  • 정인숙
    • 융합정보논문지
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    • 제8권1호
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    • pp.69-77
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    • 2018
  • 본 연구는 분만 후 산모의 자기효능감과 산후우울에 대한 남편의 도움의 융합적효과를 알아보기 위해 시행되었다. 남편은 3회의 산모와 아기돌봄 교육을 받고 분만 6주까지 이를 실천하였다. 실천정도는 분만 6주에, 자기효능감과 산후우울은 분만 1주와 6주에 각각 측정하여, 수집된 자료는 SPSS/WIN 20.0으로 분석하였다. 남편의 실천률은 80%였고, 자기효능감에의 영향요인은 분만력, 임신중입원 및 남편의 직업이었으며, 산후우울에의 영향요인은 산모의 교육정도, 월수입 및 임신중 우울이었다. 산후우울 유병률은 1주와 6주에 각각 33.3%와 1.7%이었고, 산후자기효능감증가 및 산후우울감소가 유의하였으며(p<.001), 두 변수 간 음의 상관관계가 있었다(r=-.62, p=.01). 남편의 도움은 산모의 자기효능감증가와 산후우울감소의 융합적 효과를 가져왔다. 이 결과는 대상자 수를 확대하여 반복연구 후 산모의 산후자기효능감과 산후우울관리를 위한 간호 중재개발 및 교육자료로 활용될 수 있다.

농촌지역 독거노인에게 적용한 한방 자조관리 프로그램의 효과 (The Effect of Oriental Self-help Group Program for the Living Alone-Aged Inhabiting Rural Region)

  • 왕명자;박신애;명태옥;차남현
    • 지역사회간호학회지
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    • 제18권2호
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    • pp.242-251
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    • 2007
  • Purpose: The purpose of this study was to evaluate the effect of an Oriental self-help group program on living-alone elders in rural areas. Method: A one-group pretest-post test design was used. The subjects of the experimental group participated in the oriental self-help program, health education, feet bathing in hot water, cupping therapy, and foot-reflexology. The obtained data were analyzed using the Wilcoxon signed rank test and Pearson correlation coefficients of SPSS. Results: 1) The level of blood triglyceride, SGOT and glucose decreased significantly in the experimental group compared to the control group. 2) The scores of depression and stress decreased significantly in the experimental group compared to the control group. 3) The score of Yangsaeng increased significantly in the experimental group compared to the control group. 4) Depression was higher when the score of stress was high, and the score of depression and stress were lower when the score of Yangsaeng was high. Conclusion: Considering the results of this research, the program is effective in improving physiological indexespartially,emotionalindexesand Yangsaeng. Therefore this program can be implemented as a community-based self-help group program for living-alone elders in rural areas.

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서울시 보건소에서 실시한 관절염환자 자조관리과정 평가 (The Effect of Self-Help Program for Promotion of Health for Arthritis Patients at various Health Centers in Seoul)

  • 이은옥;서문자;강현숙;임난영;한상숙;송경애;엄옥분;이인옥;김미라;최희정
    • 근관절건강학회지
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    • 제5권2호
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    • pp.155-173
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    • 1998
  • The purpose of this study was to evaluate the effects of self-help programs which had been conducted at each health center of Seoul using the protocol developed by Korean Rheumatology Health Professionals Society(KRHPS). This program was developed to initially increase self-efficacy, and then to decrease the symptoms and finally to increase the functions of the patients. This study was designed as one group pretest-posttest design. Data were collected by self-administered questionnaires for 140 out of 303 program participants, and only 102 subjects were analyzed because of missing values. The subjects were composed of 25.5% of rheumatoid arthritis patients and 60.8% of degenerative arthritis patients. The results showed that arthritis self-help program was effective in increasing self-efficacy and then improving pain, fatigue, depression, and activities of daily living. But the number of pain sites was not decreased. This result explains that degenerative arthritis patients composed of more than half of the participants has less number of pain sites than rheumatoid arthritis, and their pain was not completely relieved. As a result, it was confirmed that arthritis patients' physical and psychological states can be improved by self-help program in the community. These findings emphasize the implication of this program for each institute to promote health of arthritis patients.

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