• Title/Summary/Keyword: self care

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From Self-care for Healthy People to Self-management for Cancer Patients with Cancer Portals

  • Azadmanjir, Zahra;Safdari, Reza;Ghazisaeidi, Marjan
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.4
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    • pp.1321-1325
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    • 2015
  • Self-care to prevent cancer and self-management to cope with the disease are two discrete effective mechanisms for improving of control and management of neoplasia. Both them have certain strategies and practices. Often the two are used interchangeably despite their different approaches. Strategies of self-care usually refer to prevention at different levels include primary, secondary and tertiary. In contrast, strategies of self-management are related to management and alleviation of unpleasant cancer-related symptoms and treatment-related side effects for improving the quality of life of cancer survivors. Successful promoting of self-care and self-management strategies need people and survivor empowerment. Within this context, innovative approaches open a new window. In this paper after a brief review of related strategies and practices, we provide an explanation of how cancer portals may play an important role in the empowerment process and what are key potentials for implementing of self-care and self-management strategies for cancer.

Effects of the Self-care Promotion Program for the Elderly in Home Health Nursing (재가노인을 위한 자가관리증진 프로그램의 효과)

  • Lee, Kyung Bok;Kim, Soon-Lae
    • Journal of Home Health Care Nursing
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    • v.21 no.2
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    • pp.156-165
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    • 2014
  • Purpose: This study aimed to investigate the effects of a program for increasing self-care with activities of daily living among the elderly living at home. Methods: The study adopted a non-equivalent control group pretest-posttest design. The number of participants were 30 in the experimental group and 30 in the control group. Participants were persons aged 65 years and above in Busan. The experimental group was provided with for 16 different types of self-care behaviors by family nurses who made weekly home visits to these participants. Each visit lasted for more than 30 minutes, and the visits were conducted for 12 weeks. The research instrument used in this study was a scale developed by Shimanouchi et al. (2003) which assessed self-care behavior, activities of daily living, and depression. Results: The experimental group showed an increase in self-care behavior compared to the control group. Time and group variables were also found to have an interaction effect on the daily living activity level. The experimental group showed an increase in the activities of daily living compared to the control group. Depression scores dropped from 9.4 to 5.8 in the experimental group and from 8.6 to 7.0 in the control group. Conclusion: We found that the self-care behavior program improved the levels of independence and activities of daily living among the elderly living at home.

The Influence of the Self-Efficacy and the Social Support on the Organizational Commitment of Kindergarten and Child Care Teachers (유아교육기관 교사의 지각된 자아효능감과 사회적 지지가 조직 몰입에 미치는 영향)

  • Min, Ha-Yeoung;Cho, Sueong-Ja;Moon, Soo-Back
    • Journal of Families and Better Life
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    • v.26 no.2
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    • pp.25-32
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    • 2008
  • The purpose of this study was to investigate the relationship with self-efficacy and social support and organizational commitment of kindergarten and child care teachers. The subjects were 257 kindergarten and child care teachers. The data were analyzed by Path Analysis, Multiple Regression(using SPSS 15.0 and Amos 6.0). Major findings were as follows: (1) The self-efficacy was significantly associated with organizational commitment of kindergarten and child care teachers. And social support was significantly associated with organizational commitment of kindergarten and child care teachers. (2) The self-efficacy was significantly associated with social support of kindergarten and child care teachers (3) The self-efficacy was not significantly associated with organizational commitment of kindergarten and child care teachers, controlled by social support. That result showed the social support was more important variable affecting organizational commitment of kindergarten and child care teachers than the self-efficacy.

An Analysis on Determinants of Self-care Days among School-Aged Children (아동의 방과 후 자기보호 일수에 미치는 영향요인 분석)

  • Kim, Jikyung;Kim, Gyunhee
    • Korean Journal of Human Ecology
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    • v.22 no.1
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    • pp.1-15
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    • 2013
  • Using the National Children and Youth Panel Survey (2010) data, this study examines the self-care after school experienced by elementary school students. It argues the necessity of analysis on self-care days for understanding demanders' characteristics of after-school care policy. Based on the Ordered Logit Model, this study analyzes the determinants of self-care days among school-aged children. The main result of the analysis is that self-care days are also more likely to be increased among children with higher school grade, more sibling, lower mother's education, dual-earner family, two-parent family, multi-cultural family, and lower family income.

A Path Model Predicting Medication Adherence and Self-care of Low-income Older Adults with Hypertension (저소득층 고혈압 노인의 약물복용행위와 자가간호 예측 경로모형)

  • Suh, Soon-Rim;Lee, Eun-Hyun
    • Korean Journal of Adult Nursing
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    • v.23 no.4
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    • pp.374-385
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    • 2011
  • Purpose: The purpose of this study was to identify the factors that influence medication adherence and self-care among low-income older adults with hypertension. Methods: A sample of 297 low-income older adults with hypertension was recruited from June 30 to July 30, 2010. Data collection was done using a face-to-face interview with structured questions. The data were analyzed using descriptive statistics, Pearson's correlation coefficient, and path analysis. Results: Subjective health status, duration of hypertension, number of drugs excluding antihypertensives, body mass index, knowledge about hypertension, sense of coherence, benefit, barrier, and self-efficacy were identified as significant predictors. Subjective health status and duration of hypertension, knowledge, depression, and self-care showed direct effects on medication adherence. Depression had the strongest direct influence on medication adherence. Body mass index, benefit, self-efficacy, and depression showed a direct effect on self-care. Sense of coherence was a strong predictor of depression which significantly influenced on medication adherence and self-care. Conclusion: For enhancing medication adherence and self-care, it is suggested that a psycho-education program reducing depression and increasing knowledge about hypertension should be provided into low-income older adults with hypertension.

A Study on the Relation Between the Perceived Social Support and Self-Care Agency of High School Students (일 고등학교 학생이 지각한 사회적 지지와 자가간호역량과의 관계 연구)

  • Choi, In-Ryoung;Lee, Gwang-Sook
    • Journal of the Korean Society of School Health
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    • v.14 no.2
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    • pp.237-248
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    • 2001
  • This study was designed to identify the relation between the Perceived Social Support and the Self-care Agency of high school students in a rural area. The subjects for this study were 250 students living in Chonnam province: among first grade, second grade and third grade students were 98, 89 and 63 respectively. The data were collected during the period from April 2 to 4, 2001. The instruments used in this study were the Generally Perceived Social Support Scale developed by Park, J. W.(1985) and Self-Care Agency Questionnarie developed by Deneys(1981). The data were analyzed by descriptive statistic, t-test, ANOVA, and Pearson's correlation using the SAS PC+ Program. The results were as follows: 1. The mean score of the Perceived Social Support was 3.19. 2. The mean score of the Self-care Agency was 2.65. 3. There was a significant differences in school year(F=3.11, p=.046), educational level of the father(F=3.41, p=.035) that of the mother(F=4.07, p=.019), and economic status(F=8.99, p=.000), school performance(F=16.37, p=.000) from Perceived Social Support between general characteristics. 4. There was a significant differences in economic status(F=4.55, p=.004), school performance(F=6.72, p=.002) from self care agency between general characteristics. 5. The relation between the score of the Perceived Social Support and Self-care Agency was significant(r=.49, p=.0001). The relation between the score of the direct Perceived Social Support and Self-care Agency was significant(r=.50, p=.0001) and the relation between the score of the indirect Perceived Social Support and Self-care Agency was also significant(r=.40, p=.0001). In conclusion, it was found that higher score of the Social Support was a higher level of the Self-care Agency, especially the direct Perceived Social Support. The score of the Social Support and Self-care Agency was significantly differentiated according to economic status and school performance.

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Self Care Behavior of Hemodialysis Patients (혈액투석환자의 자가간호행위)

  • Choi, Mi-Kyoung;Choe, Myoung-Ae
    • Journal of Korean Biological Nursing Science
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    • v.9 no.2
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    • pp.105-117
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    • 2007
  • Purpose: The purpose of this study was two folds: first, to identify the level of self care behavior of the hemodialysis patients and second, to find the correlation between the self care behavior and the physiologic indices. Method: The subjects were 52 hemodialysis patients, male and female, who have regularly received hemodialysis dialysis at the Dialysis Room in a leading teaching hospital, Seoul. The patients responded to the self care behavior questionnaires including their socio-demographic characteristics. The respondents have regularly recorded the self care log book. The physiologic indices, clinical characteristics related to the disease and hemodialysis were collected by the chart review. Result: The mean score of the self care behavior was 3.46. The mean score of the self care behavior on categories demonstrated as follows: medication 4.29, fistula management 4.13, management of physical problem 3.71, diet 3.28, exercise and rest 3.22, blood pressure and body weight management 2.97 and social adjustment 2.05 in order. Thirty patients managed discomfort of their fistula. Eleven patients took exercise for 0.5-1 hr/week. Thirty patients measured their body weight daily and thirty two measured their blood pressure daily. The score of self care behavior was significantly correlated with the mean weight gains between the dialysis sessions(r=-.312, p=.05). The mean weight gains between dialysis sessions was found to be high as the level of serum phosphorus and potassium increased(r=-.316, p=.05, r=-.465, p=.01). Conclusion: The result suggests that nursing intervention to the hemodialysis patients to improve self care behavior should be encouraged and further developed.

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A Study on Nursing Care and Self-Care of Lymphedema in Mastectomy Patients (유방절제술 환자의 림프부종 자가관리 및 간호활동)

  • Park, Hyoung Sook;Oh, Sang Ju;Park, Kyung Yeon
    • Korean Journal of Adult Nursing
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    • v.18 no.3
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    • pp.386-394
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    • 2006
  • Purpose: The purpose of this study was to provide nursing intervention with basic data extracted through investigating self-care and nursing of lymphedema in patient who have had a mastectomy. Method: The subjects for this study consisted of 214 mastectomy patients in 2 hospitals. The data were collected from December 1, 2004 to February 28, 2005. The instruments used for this study were both the Self-care Practice Scale by Cho, Myoung-Ok et al.(2003) which we modified and the Nursing Evaluation Scale developed by the researchers. Results: The mean score of self-care on lymphedema was $59.96{\pm}12.46$ The mean score of nursing was $25.64{\pm}9.25$ Factors influencing the self-care were the postoperative period (F=17.505, p<.001), the location of the tumor (F=3.826, p=.023), menstruation (t=7.333, p=.007), and complications (F=5.427, p<.001). Conclusion: Self-care and nursing care on the lymphedema management were shown to be lower than expected. Especially, the score of self-care was the lowest in the more than 3 year postoperative period. Therefore, the longer the postoperative period is, the more active management on lymphedema needs to be. Also, education should be given to both nurses and patients on the importance of self-care on lymphedema with mastectomies.

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The Effects of an Admission-Education Program on Knowledge, Self-Efficacy, Self-Care and Glucose Control in Type 2 Diabetes Patients (당뇨입원교육프로그램이 제2형 당뇨병 환자의 지식, 자기효능감, 자가관리 및 당 조절에 미치는 효과)

  • Lee, Young-Ran;Kang, Mi-Ae;Kim, Pa-Geon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.14 no.1
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    • pp.12-19
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    • 2008
  • Purpose: This study was performed to explore the effects of an admission-education program on knowledge, self-efficacy, self-care and glucose control in type 2 diabetes patients. Method: A single group pre-post test design was used. Twenty-one patients participated in this program during 6 days which consisted of education and practice about exercise, diet, self-care and prevention of complications. Variables at baseline, 3 months, and 6 months were measured. Results: Knowledge level, self-care level and self-efficacy were significantly increased over time after the admission-education program. The $HbA_1C$ level and glucose level in urine were significantly decreased over time after the admission-education program. Conclusion: The admission-education program can increase levels of knowledge, self-care, self-efficacy and decrease glucose levels. Therefore, this admissioneducation program was shown to have a positive effect on the management of diabetes.

The Influence of Child Care Center Manager's Coaching Leadership on Teacher's Motivational Self Concepts Via Middle Manager's Coaching Leadership (어린이집 원장의 코칭리더십이 중간관리자의 코칭리더십을 매개로 보육교사의 동기부여적 자아개념에 미치는 영향)

  • Jeong, Hye Won;Lee, Wan Jeong
    • Korean Journal of Childcare and Education
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    • v.14 no.6
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    • pp.171-185
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    • 2018
  • Objective: This study aimed to investigate the influence of child care center managers' coaching leadership on teachers' motivational self-concepts via middle managers' coaching leadership. Teachers' motivational self-concepts consisted of personal self-concept and social self-concept. Methods: A questionnaire survey was conducted on 475 child care center teachers regarding teachers' recognition of the coaching leadership of managers and middle managers and motivational self-concepts of teachers. To analyze the collected data, the path was examined through descriptive statistics, correlation analysis, structural analysis using Amos, and the mediating effect was confirmed by conducting the Sobel Test. Results: The middle manager's coaching leadership was found to mediate the pathways from the manager's coaching leadership to the teacher's social self-concept, but did not mediate the personal self-concept of teachers. Conclusion/Implications: This study showed that the manager's coaching leadership was mediated by the middle manager's coaching leadership and that the manager's coaching leadership had an influence on the social self-concept of teachers. These results imply that both managers and middle managers need to develop coaching leadership skills in order to improve the motivational self-concept of teachers, which is important for work efficiency at child care centers.