• 제목/요약/키워드: The self-management program

검색결과 1,914건 처리시간 0.035초

강직성 척추염 환자의 오프라인 교육과 온라인 교육 프로그램 개발 및 효과 검증 (Development and Examination of the Online and Offline Educational Programs for Ankylosing Spondylitis Patients)

  • 이인옥;이은옥
    • 근관절건강학회지
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    • 제10권2호
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    • pp.167-187
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    • 2003
  • Ankylosing spondylitis(AS) is one of the most common forms of chronic arthritis causing pain and progressive disability. The purposes of this study were 1) to develop an offline educational program and online educational program for the patients with ankylosing spondylitis; and 2) to test the effectiveness of each program in terms of changes in ankylosing spondylitis self-efficacy, exercise continuity disease activity, physical functioning, and depression. The convenient samples for three groups were selected acceding to the inclusion criteria. Online education group consists of 7 patients, and 14 patients were included for the offline group, while 12 patients were assigned to the control group. Outcomes variables included self efficacy, exercise continuity, disease activity, physical function, and depression and the reliability of each measure was ranged from .88 to .95 in the present study. The offline educational program demonstrated positive effects on self-efficacy, exercise continuity, disease activity, and depression, whereas the online educational program on exercise continuity, disease activity, and depression. The self-efficacy was showed positive effect only in the offline educational program, whereas physical functioning did not improve in both intervention groups. These partial improvements may be due to the small sample size and the methods of online education program. In conclusion, the effectiveness of the offline and online educational programs was partially supported in the present study. For the improvement of these programs, the further study would be necessary to apply this kind of intervention program with larger sample and to test the psychometric of the newly development tools.

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Effectiveness of a Smoking Cessation Program for Adolescents

  • Kim, Soyaja;Nam, Kyoung-Ah;Seo, Mia;Lee, Hyun-Hwa
    • 대한간호학회지
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    • 제34권4호
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    • pp.646-654
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    • 2004
  • Purpose. The purpose of this study was to test the effectiveness of a comprehensive smoking cessation program for Korean adolescents. Method. The study design was quasi-experimental with one pre and three post-tests. The three posttests were done immediately after, three months later, and six months after the completion of the program. A total of 43 high school students who smoked participated in the study with 22 in the experimental group and 21 in the control group. The smoking cessation program consisted of 9 sessions with content on enhancement of self-efficacy, stress management, correction of distorted thoughts, consciousness raising, and assertiveness training. The study variables were urine cotinine levels, self-efficacy, stress, and stages of changed behavior. Results. Urine cotinine levels significantly decreased in the experimental group after the program (F=3.02, p=.06) but significantly increased in the control group (F=6.32, p=.004). Self-efficacy and the degree of stress did not change in either group. The stages of smoking cessation behavior tended to change when compared with raw data for the experimental group. For most participants, the stages of change had been precontemplation and contemplation, but changed to action and maintenance stage among the experimental group. Conclusion. The program was effective in smoking cessation and influencing stages of change but did not change psychosocial factors such as self-efficacy and stress. It is suggested a program should be developed to change psychosocial variables on a long-term basis. It is also desirable to involve peers and families of adolescents who smoke when planning programs to enhance social support.

지역사회 대상의 대사증후군 자가관리 프로그램 중재 효과 - 서울특별시 대사증후군 관리 시범사업 - (Effects of a Self-management Program for Metabolic Syndrome - A Metabolic Syndrome Management Program in Seoul -)

  • 김희선;윤석준;이건세;김형수;오상우;유호신;추진아;이계희;유병욱;이동옥;박동림
    • 보건교육건강증진학회지
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    • 제28권2호
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    • pp.51-62
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    • 2011
  • Objectives: The aim of the study was to identify the effects of a community-level metabolic syndrome self-care management program. Methods: Data included baseline demographics, abdominal circumference, blood pressure, blood sugar, triglyceride, and HDL-cholesterol collected at 15 public health centers in Seoul from January to March, 2010. A data obtained(584 men and 410 women) from Metabolic Syndrome Management Program in Seoul was analyzed using Paired t-test and Linear mixed model. Results: The group with 6-month intervention resulted in significant decrease in abdominal circumference, systolic and diastolic blood pressure, blood sugar, and triglyceride. In moderate intervention group with 3-month follow-up showed tendency that abdominal circumference(-1.27(${\beta}$)) and diastolic blood pressure(-1.66(${\beta}$)) are significantly reduced. In the group with aggressive intervention, the more counseling led to significant reduction in abdominal circumference(-0.22(${\beta}$)). Conclusions: These results indicate that a self-care for metabolic syndrome management can improve metabolic syndrome status over a short-term period. Further structured research is needed to develop a systematic program on health behaviors focusing on exercise, diet, and intervention.

아들러 심리학에 기반한 격려 프로그램이 초등학생의 대인관계 만족도, 자기효능감, 자아존중감에 미치는 효과 (The Effects of Adlerian Encouragement Program on the Interpersonal Satisfaction, Self-efficacy and Self-esteem among Elementary School Students)

  • 유리향
    • 한국콘텐츠학회논문지
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    • 제21권9호
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    • pp.419-430
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    • 2021
  • 이 연구의 목적은 아들러 심리학에 기반한 격려 프로그램을 구성하고 적용하여 초등학생의 대인관계 만족도, 자기효능감, 자아존중감에 미치는 효과를 검증하는 것이다. 프로그램은 총 8회기이며, 1회기는 프로그램 소개 및 긍정 별칭 만들기, 2~5회기는 열등감과 낙담시키는 생각 버리기, 성공 경험 포스터 전시회, 장점 나무 만들기, 6~7회기는 자기 격려와 타인 격려, 8회기는 종결하기이다. 연구대상은 G시 소재 I초등학교 5학년 2개 학급 40명이며, 한 학급 21명은 실험집단에, 또 다른 학급 19명은 통제집단으로 배정하였다. 프로그램 효과를 확인하기 위해 대인관계 만족도 척도(김진옥, 2010), 자기효능감 척도(한혜진, 2002), 자아존중감 척도(최보가, 전귀연, 1993)로 사전, 사후검사를 하였다. 수집된 자료는 공변량 분석(ANCOVA)을 하였다. 연구 결과, 격려 프로그램은 대인관계 만족도와 자아존중감에 유의한 영향을 보였으나, 자기효능감 향상에는 유의한 영향을 보이지 않았다. 이 연구는 아들러 심리학의 격려 프로그램이 초등학생의 대인관계 만족도와 자아존중감에 유의한 효과가 있음을 검증함으로써 아들러 심리학의 핵심 기법인 격려가 건강한 발달 및 민주적인 학급경영을 위한 중요한 교육 철학이자 방법임을 시사하였다.

간호대학생의 자아존중감과 자기효능감이 자아탄력성에 미치는 영향 (The Effects of Self-Esteem and Self-Efficacy on Ego-Resilience of Nursing Students)

  • 이선영;이정숙;김윤영
    • 디지털융복합연구
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    • 제15권5호
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    • pp.401-409
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    • 2017
  • 본 연구에서는 간호대학생의 자아존중감, 자기효능감, 자아탄력성의 관계를 확인하고 자아존중감과 자기효능감이 자아탄력성에 미치는 융복합적 영향을 파악하고자 하였다. 2016년 9월부터 2016년 11월까지 G시에 위치한 4년제 간호학과 학생을 대상으로 서면동의를 받아 247건의 자료를 수집하여 SPSS 22.0 Statistics Program을 이용하여 분석하였으며, 연구결과 자아존중감은 자기효능감, 자아탄력성과 순 상관관계를 보였으며, 자기효능감은 자아탄력성과 순 상관관계를 보였다. 또한 자아존중감, 자기효능감이 자아탄력성에 유의한 영향을 미치며, 59.2%의 설명력을 가지는 것으로 나타났다. 본 연구결과를 통해 간호대학생이 앞으로 임상 현장에서 경험하게 되는 다양한 스트레스 상황을 적절한 대처하고 적응하면서 전문직 간호역량을 높이기 위해 대학교육에서부터 자아존중감과 자기효능감을 증진시키려는 노력이 필요하다 여겨지며, 자아존중감과 자기효능감을 활용한 자아탄력성 향상 프로그램 개발과 적용이 요구된다.

부산시내 국민학교 급식실태 조사 (A study on management of elementary school foodservice in pusan)

  • 강정희;김경자
    • 대한영양사협회학술지
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    • 제2권1호
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    • pp.1-9
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    • 1996
  • This study was intended to observe the various aspects for the nutritional education, foodservice program and foodeervice management through the survey. The survey conducted for 72 elementary school dietitians in pusan area The results are as follows 1. Foodservice operation school were only 31.8% of all elementary school in pusan 2. Type of foodservice were 84.9% of self-operated foodservice, 3.8% of public foodservice, 1.3% of consignment foodservice. 3. Type of foods purchase were 452% with an open bid. 4. Elementary school student eat to lunch in classroom by 62.3% in pusan. 5. An association of supporter of elementary school organized 86.3 % of food service school in pusan.

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통합 관리프로그램이 중년기 여성의 갱년기 증상과 우울에 미치는 효과 (The Effects of an Integrated Management Program on Climacteric Symptoms and Depression in Middle-aged Women)

  • 정덕은;성경미
    • 동서간호학연구지
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    • 제17권1호
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    • pp.40-47
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    • 2011
  • Purpose: The purpose of this study was to investigate the effects of an integrated management program on climacteric symptoms and depression in middle-aged women. Methods: A nonequivalent control-group design was used. The subjects consisted of 65 middle-aged women with climacteric symptoms. The experimental group (n=33) participated in the program for six 60-min sessions. To measure the climacteric symptoms and depression level of the subjects, two self-reporting questionnaires were used. Data were analyzed using SPSS Statistics 17.0 program. Results: The women in the experimental group reported the average score of 13.80 in climacteric symptoms, 14.38 in depression. The hypothesis that the climacteric symptoms of experimental group would be reduced more than that of the control group was supported (t=3.92, p<.001): physical symptoms (t=4.04, p<.001); psychological symptoms (t=1.80, p=.077); sexual symptoms (t=2.85, p=.006). The second hypothesis that the degree of depression of the experimental group who used the integrated climacteric symptoms management program would be reduced more than that of the control group was also supported (t=2.30, p=.02). Conclusion: The integrated management program for middle-aged women with climacteric symptoms was effective in reducing their climacteric symptoms and depression level.

일 지역 저소득층 여성가구주를 위한 임파워링 프로그램이 건강 삶의 질, 의사결정 자기효능, 자가관리 능력 및 합리적 의료이용에 미치는 효과 (Effects of an Empowering Program on Health Quality of Life, Decision Making Self-efficacy, Self-care Competency, and Reasonable Medical Care Utilization among Low Income Women Households)

  • 안양희;김기경;김기연;송희영
    • 한국보건간호학회지
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    • 제24권2호
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    • pp.237-248
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    • 2010
  • Purpose: The study assessed the effects of a 12-session empowering program to promote health quality of life, decision making self-efficacy, self-care competency, and reasonable medical care utilization among low income women households in one rural area. Methods: A quasi-experimental, one-group pre-posttest design was employed. A total of 28 women enrolled as medicaid recipients in the Public Health Center of W city agreed to participate. The empowering program consisted of 12 sessions addressing health education for self-care of disease, medication management, and counseling for psycho-social support. The intervention was delivered by five nurses and one social worker. Women completed a structured questionnaire measuring the study variables with demographic characteristic before and after the intervention. Data were analyzed by PAWS Statistics 17 utilizing descriptive statistics and paired t-test. Results: After the intervention, significant increases were evident in participant health quality of life (t=-5.83, p<.001), decision making self-efficacy (t=-4.86, p<.001), self-care competency (t=-8.16, p<.001), and reasonable medical care utilization (t=-3.97, p<.001). Conclusion: The 12-session empowering program on health quality of life as well as self-care competency was effective when delivered to low income women households. Further studies with larger numbers of participants and a control group are necessary to validate the results.

실직 노숙자 자아정체감 회복을 위한 집단정신치료 (The Effects of Group Psychotherapy on Recovery of Self-identification with the Unemployed Homeless)

  • 이정숙;김윤희
    • 한국생활과학회지
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    • 제10권3호
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    • pp.237-251
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    • 2001
  • The purpose of this study was to verify the effects of group psychotherapy on recovery of self-identification with the unemployed homeless. To this end, 28 attending welfare-centers in Seoul area were sampled to be subject to 12 rounds of group psychotherapy for 6 weeks. In order to determine the effects the, test, preliminary test and post-program test were conducted. Every round of the program activities were video-taped, while being observed. The results of this study were as follows. First, the group psychotherapy influenced positive effect. Especially, the unemployed homeless had a opportunity of self-comprehension, self-insight, catharsis, etc. Second, during group psychotherapy, individual characteristics of the unemployed homeless were determined. Third, during group psychotherapy, the unemployed homeless complained about family problem, health, alcoholism, etc.

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아로마테라피 교육 프로그램이 취업준비 여대생의 스트레스와 자기효능감 및 자율신경계에 미치는 영향 (Effects of an Aromatherapy Education Program on Stress, Self-efficacy, and Autonomic Nervous System Function of Female College Students Preparing for Employment)

  • 이은주;임은진
    • 대한통합의학회지
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    • 제11권3호
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    • pp.11-23
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    • 2023
  • Purpose : The stress of job-seeking college students is gradually worsening due to the continuing recession in the job market. Therefore, this study aims to verify whether intervention with an 'aromatherapy education program,' which combines theory and practice, has greater effect on stress, self-efficacy, and autonomic nervous system function than simple inhalation of essential oils in female college students preparing for employment. Methods : A single-blind, randomized controlled trial was conducted once a week for a total of 4 weeks with 29 female college students preparing for employment. Interventions included essential oil inhalation combined with an aromatherapy education program (experimental group(EG), n=14) and essential oil inhalation alone (control group(CG), n=15); measurements were taken before, immediately after, and 2 weeks after completion of the intervention. Evaluations were conducted using the job-seeking stress scale, stress VAS, self-efficacy scale, and a pulse-wave measuring instrument. Results : There were significant differences between the CG and EG groups with repeated measurements of job-seeking stress (p=.003), cognitive stress (p<.001), and self-efficacy (p<.001). There was a significant interaction between group and time. There were also significant differences between the CG and EG in terms of autonomic nervous system changes stress index(p=.047), total power(p=.029), high frequency(p=.036), and low frequency/high frequency ratio(p=.049). However, there was no significant difference in low frequency between the groups. Conclusion : The aromatherapy education program was more effective in improving job-seeking stress, cognitive stress, self-efficacy, and autonomic nervous system function than simple essential oil inhalation. For the aromatherapy education program to be useful as a complementary intervention for stress management in job seekers, it will be necessary to gather additional evidence of its efficacy by conducting follow-up studies with diverse participants and expanding the numbers, and durations, of the interventions.