• 제목/요약/키워드: Self-management program

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Postoperative Quality of Life in Patients with Papillary Thyroid Cancer (갑상선 유두암환자의 수술 후 삶의 질)

  • Kim, Ju-Sung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.3
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    • pp.1260-1269
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    • 2011
  • The purpose of this study was to determine postoperative quality of life(QoL), thyroid specific symptoms(TSSs), self care compliance, anxiety and depression in patients with papillary thyroid cancer and to identify factors influencing their postoperative QoL. 154 patients were surveyed using structured questionnaires and data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple regression with SPSS/WIN 18.0 program. The mean score of postoperative QoL in the subjects was 2.72 and the postoperative QoL score of social/family well being subscale showed the lowest score. Most of the subjects suffered from TSSs such as fatigue, cold intolerance, and mood swings. The most frequent activity for self care compliance was taking thyroid hormone(100%) and OPD follow up was the second activity(99.4%). Anxiety score was 45.3 indicating a medium level however 63% of the subjects were evaluated as depression status. Postoperative QoL in thyroid papillary cancer patients showed significantly negative correlations to TSSs, anxiety, and depression (r=-.573, p<.001; r=-.739, p<.001; r=-.742, p<.001). The factors influencing postoperative QoL were TSSs, anxiety, and depression, which explained about 64.9% of the variance. Thus to improve postoperative QoL in patients with papillary thyroid cancer, health care providers should relieve negative emotions related to long term cancer management, develop the support system and provide practical information to apply patients' physical, and psychological symptoms control.

Educational needs analysis for key vocational competency in nursing students (직업기초능력에 대한 간호대학생의 교육요구도 분석)

  • Hwang, Young Hui;Park, Sun-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.11
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    • pp.595-603
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    • 2016
  • This study was conducted to identify and analyze the educational needs for key vocational competency in nursing students. The participants were 411 nurse students at five universities and the survey was conducted from June 1 to June 31, 2016. The data were analyzed with SPSS WIN 23.0 using descriptive statistics, a paired T-test, Borich's Needs Analysis, as well as the Locus for Focus Model. Based on the results, the subjects recognized the present level of 'professional ethics,' 'self development' and 'interpersonal skills' to be high and those of 'communication skills' and 'skills for understanding groups' to be low. 'Professional ethics,' 'self development,' 'problem solving skills' and 'communication skills' were the most important sub-elements of vocational competency. A significant difference in recognition levels between present and importance ere found in all components of vocational competency. The four priorities were analyzed based on Borich's needs value. In accordance with the Locus for Focus model, 'communication skills,' 'problem solving,' 'resource management skills' and 'self development' were identified as the highest priority sub-factors of vocational competency to nursing students. Based on the result of this study, it is expected to be used as the basic data to develop the nursing student's vocational curriculum and program.

The relationship between of Uncertainty, Depression, Physiologic Index and Basic Psychological Need of Hemodialysis Patients (혈액투석환자의 질병 불확실성, 우울, 생리지표와 기본심리욕구와의 관계)

  • Cho, Young-Mun;Yun, Kyung-Soon
    • Journal of Digital Convergence
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    • v.15 no.10
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    • pp.281-291
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    • 2017
  • This purpose of study was to identify variables predicting basic psychological need in hemodialysis patients. The participants were 134 patients from two major general hospitals and two dialysis center located in J city. Data were collected using self-report questionnaires and physiological index. Data analysis was done by using SPSS WIN 18.0 program for one-way ANOVA, independent t-test, Pearson correlation coefficients, and multiple regression. This study showed a negative correlation between basic psychological need and uncertainty(r=--.464, p<.001), depression(r=-.422, p<.001). In addition, relationships and physiological index were Positively correlated. The uncertainty(${\beta}=-.345$), depression(${\beta}=-.279$), physiological index(${\beta}=-.117$) have a 29% explanatory power for the basic psychological need in hemodialysis patients. Physiological index, uncertainty and depression in turn influenced the basic psychological needs of hemodialysis patients. It is necessary to develop nursing strategies and programs to reduce disease uncertainty and depression in order to increase self-deterministic health behavior through autonomy, competence and relationship satisfaction.

A Study on Health Status of Arthritis Clients in Wonju City (관절염 대상자의 건강상태 조사 - 일개 도.농 복합시를 중심으로 -)

  • Lee, Eun-Hee;Choi, Sun-Ha;Suh, Guil-Hee;So, Ae-Young;Lee, Kyung-Sook;Choi, Jung-Sook;Ko, Kyoung-Dug;Kim, Myoung-Chon;Park, Hyun-Ja;Paek, Seung-Lee;Ryu, Bo-Bby;Yun, Hyun-Suk;Lee, Ae-Ran
    • Journal of muscle and joint health
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    • v.8 no.2
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    • pp.262-277
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    • 2001
  • The purpose of this study was to investigate the health status and to examine the relationship between health related variables of the clients with arthritis. This descriptive-correlational study was measured physical health status(pain, fatigue, physical disability, joint flexibility) and psycho-social health status(social function disability, self-efficacy, depression). The clients were consisted of 127 arthritis clients who were randomly selected from health center, 2 sub health center and 6 primary health care center in Wonju City. The data was collected from November 2000 to January 2001. The results of the study analyzed using a SPSS win were as follows: 1) The subjects' average age was 64.81 years old(female: 86.6%, male: 13.4%). 2) In physical health status, the average score of fatigue was 63 scores and pain was 69.77. Physical disability score was higher than total disability score. In psychosocial disability, housekeeping management disability score was higher than social function disability score. In psycho-social health status, the average score of self-efficacy was 70.86 and the subjects have higher level of depression, more than 20 scores. 3) On pain sites, almost of subjects complained of a knee joint pain. The waist, wrist, and shoulder joint pain were followed. The numbers of pain site were 8.3 per individuals. 4) The flexibility of knee and shoulder joint were lower than another joints. 5) Correlation with fatigue, pain, physical disability, social disability, self-efficacy and depression was revealed highly significant. We suggest that health promotion program considering our research results should be provided for arthritis clients in community level.

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A Study on the Readaptation of the Women Who have Engaged in Prostitution - A Grounded Theory Approach - (탈성매매여성들의 사회적응에 대한 연구 - 근거이론 방법 접근 -)

  • Kim, Young-sook;Lee, Keun-moo;An, Jun-ri
    • Korean Journal of Social Welfare Studies
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    • no.37
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    • pp.429-455
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    • 2008
  • The purpose of this study is to generate a substantive theory that accounts for the social readaptation of the women who have engaged in prostitution and propose a practical program for them. We used the grounded theory developed by Strauss and Corbin(1990). Raw data were collected through the in-depth interview, documents and observation. We used constant comparative method for the data analysis. The nine women who had the exprience of prostitution have participated in this study. As a result of the data analysis, in open coding were generated 116 concepts, 29 subcategories and 12 categories, In axial coding the outcomes of a paradigm model were as follows. The causal conditions were named 'hostile environment' and 'the self endowed stigma'. The phenomenon turned out to be 'living as an anonymous being'. The contextual conditions were named 'cohesion of family', 'being pushed' and 'shrinked emotion'. The intervening conditions were presented to be 'desire of self restoration as a social being', 'reactionary reconstruction'. The action/interaction strategies turned out to be 'shifting of social status', 'neighbor alliance'. The consequences were presented to be 'psychological wayfarer' and 'tentacular living'. In selective coding we found a core category, 'repetition of leaving and returning from the life world'. Based on the phenomenon, two types of participants life attitudes were found as follows : present hesitating type, self concealing type. Following the adove results, We finally suggested the need to develope a community oriented case management model.

The Effect of Organizational Efficacy, Self-efficacy, Nursing Professionalism on Organizational Commitment in General (종합병원간호사의 조직효능감, 자기효능감, 간호전문직이 조직몰입에 미치는 영향)

  • Kim Hyun Woo;Eun Hee Park
    • Journal of Industrial Convergence
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    • v.21 no.7
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    • pp.75-82
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    • 2023
  • The purpose of this study was designed to help the operation of the hospital organization through analysis of factors influencing organizational commitment of general hospital nurses. 129 nurses in general hospitals were targeted in G City. This study was conducted to analyze the effects of group efficacy, self-efficacy, and nursing professionals on organizational commitment. T-test, ANOVA, Pearson's correlation coefficient, Descriptive statistics and multiple regression were used. Stepwise regression analysis found that organizational commitment was affected by group efficacy(β=0.240, p =.003), nursing professionalism(β=0.229, p =.004) and daytime work(β=0.249, p =.003), The F statistic was 10.478 (p <.001). Therefore, in order to improve organizational commitment, it will be necessary to prepare communication programs and cooperation programs per unit to improve collective efficacy. In addition, it is necessary to improve the system, such as a system dedicated to night workers, so that the working hours of nurses in general hospitals can be maintained constant. In addition, it is necessary to develop a support program so that nursing professionals do not decrease due to disappointment in reality in the nursing field.

The Effects of Web-based Education and Individuals Characteristics to Participants Commitment and Educational Performance (웹기반 교육 특성과 개인적 특성이 학습자 몰입과 교육성과에 미치는 영향 - 급식관리자 웹기반 교육을 중심으로 -)

  • Cho, Jae-Yong;An, Un-Seok;Jang, Hyung-Sub
    • Management & Information Systems Review
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    • v.28 no.4
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    • pp.1-26
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    • 2009
  • Among food-service managers, a survey was conducted to grasp the their work-related education conditions and the demand for education program development. This study focuses on food-service managers in web-based training and analyzes the critical factors involved in their learning process in order to clarify the factors that lead to the maximization of training programs. The results of all this study process are as follows. First, the characteristics of web-based education including component of education factor, system factor, deepening learning factor have meaningful effect on commitment of the participants and education performance(except deepening learning factor to education performance). Second, the analysis that the characteristics of individuals including self-efficacy in learning, purpose-directivity factor have meaningful effects on commitment of the participants and education performance(except purpose-directivity factor to education performance). Third, commitment of the participants has meaningful effects on the education performance. Thus, it is advisable for education managers or operators to emphasize in foodservice organizations.

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Oral Health Practices of Some Local Child Care Teachers Oral Health Education Awareness and Need Survey (일부 지역 보육교사의 구강건강관련 실천도 및 구강보건교육 인식도·필요도 조사)

  • Ku, In-Young
    • Journal of Korean Clinical Health Science
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    • v.7 no.2
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    • pp.1325-1336
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    • 2019
  • Purpose. Infant oral health care forms the basis of lifelong health, and the role of child care teachers in contributing to the quality level in the formation of correct habits at this time throughout the infant's health care and education is very important. The purpose of this study was to examine the relationship between the perceived oral health status of nursery teachers and the necessity of oral health education, and to emphasize that the oral health of teachers is closely related to the oral health of infants and young children. Methods. This study was conducted from May to June 2018 by surveying private nursery teachers in some parts of Gyeongsangbuk-do province by using the self-entry method. The research tools consisted of the general characteristics of subjects, subjective oral health status, oral health practice, oral health education awareness, and oral health education needs. We used shceffe as a post hoc test to compare the differences between groups after frequency analysis, independent t-test, and one-way ANOVA analysis. The linear regression analysis was conducted to determine the relationship between perceived oral health status, oral health practice and awareness, and oral health education needs. The statistical level was .05. Results. According to the results of this study, the oral health related practice according to the demographic characteristics is at the final education level, and the oral health related awareness is age, marital status and oral health education needs. The results showed statistically significant differences in final educational attainment and cohabitation. Regarding the relationship between perceived oral health status, oral health related practice and awareness, and oral health education needs There were significant differences in oral health practice(β =.329) and oral health education needs (β =.158). Conclusion. Based on the above results, the child care facility can emphasize the importance of the role of the child care teacher in the oral health care of infants, and the basic data for the establishment of the child care management program in the future by reflecting the role of the teacher in the development of the child care management program of the child care facility. I want to use as.

Effect of Pygmalion Leadership on the Organizational Commitment and the Mediating Effect of Leader-Member Exchange among Hospital Employees (피그말리온 리더십이 병원 종사자의 조직몰입에 미치는 영향과 리더 - 구성원 교환관계의 매개효과)

  • Hong, Byoung Ho;Bae, Sung Yoon;Kim, Misuk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.9
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    • pp.4258-4269
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    • 2013
  • This study attempted to examine the relationship between pygmalion leadership and the organizational commitment among hospital employees, and the mediating effect of the leader-member exchange (LMX) on their relationship. For this purpose, we designed structured self-response survey questionnaires, and collected data from 349 employees working at 9 hospitals and ambulatory clinics in Busan area. Frequency analysis, correlation analysis, factor analysis, and reliability analysis were performed using SPSS ver.18.0 program, and the path analysis was performed using AMOS ver.18.0 program. Major findings are as follows. First, some factors of pygmalion leadership were found to directly influence the quality of LMX, while some had both direct and indirect influences on organizational commitment. Second, the quality of LMX was found to partly mediate the relationship between pygmalion leadership and the organizational commitment in hospital organizations. This is the first in kind which was conducted in the hospital setting.

Recent Clanges in Contraceptive Use in Korea (최근의 가족계획실태와 전망)

  • 조남훈;이임전
    • Korea journal of population studies
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    • v.8 no.1
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    • pp.118-138
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    • 1985
  • This paper is aimed to analyse the recent changes in family planning as a step in an evaluation of the results of the population control policy which has been strenuously pursued by the government since December 1981. The data used in this analysis comes from the 1985 national fertility and family planning survey conducted by the Korea Institute for Population and Health (KIPH) in May 1985. According to the 1985 survey data, there have been great changes in both the contraceptive practice and fertility rates since the strengthening of the government's population control policy in 1 981. The contraceptive practice rate for married women aged 15-44 has increased from 57.7% in 1982 to 70.3% in 1985, an increase of 12.6% points in the short span of only 3 years. During the same period, the total fertility rate has declined from 2.7 in 1982 to the population replacement level which was planned to achieve by 1 988. More than 80% of women aged over 30 or with two children or more are practicing contraception, while the practice rates of women with 0-1 children are 14.0% and 45.1% respectively. The survey has revealed that the increase of contraceptive practice rate during 1982-1985 has mainly attributed to the high acceptance of sterilization procedures which practice rate of the married women has increased from 28.1% to 40.3% for the period. Also, the survey data shows that 24.7% of those women with only one child is practicing contraception for thepurpose of fertility termination. The government, taking into account of rapid changes in contraceptive practice and fertility rates, is formulating a population plan during the sixth fiveyear economic and social development plan (1987-1991) to achieve 1% ofpopulation growth rate by 1993, which was planned to realize by 2000. In order to meet this demographic goal, the existing population control policy measures should be improved to be suited to the recent contraceptive use and fertility changes. From this standpoint, the following considerations should be put forth; 1) improvement of the current program management systems including target allocation and evaluation schems for recruiting new acceptors in the young 20s groups to use contraceptives for birth spacing and to increase high continuation rates through the strengthening of follow-up services for the acceptors, 2) increase of self-supporting contraceptive users by promoting commercial advertisements on contraceptives through mass media including T.V. and radio, 3) development of social support policies including incentive schems, and strengthening of IE & C activities for increasing the proportion of the one-child family, 4) strengthening of population and family planning education in and out school youth, and 5) strengthening of management capabilities at the provincial and local program managers.

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