• Title/Summary/Keyword: self care

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Child Care Teachers' Difficulties Communicating with Parents and How It Affects Teacher-Child Interactions: The Mediating Effects of Teachers' Self-Esteem (보육교사가 지각하는 학부모와 의사소통의 어려움이 영유아와 상호작용에 미치는 영향: 보육교사의 자아존중감의 매개효과)

  • Park, Bokyung;Park, Mi Ja
    • Korean Journal of Childcare and Education
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    • v.15 no.3
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    • pp.1-19
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    • 2019
  • Objective: This study examined the mediating effects of child care teachers' self-esteem in the relationship between teachers' difficulties communicating with parents and teacher-child interactions. Methods: A total of 450 child care teachers answered questionnaires based on three research variables. Data were analyzed using SEM. Results: First, child care teachers' difficulties communicating with parents had a direct effect on teacher-child interactions. That is, child care teachers who experienced more difficulties communicating with parents showed more negative teacher-child interactions. Second, child care teachers' difficulties communicating with parents had an indirect effect on teacher-child interactions through teachers' self-esteem. In other words, when child care teachers experienced more difficulties communicating with parents, their self-esteem was lower, which led to increased negative teacher-child interactions. Conclusion/Implications: This study highlights the importance of effective communication between child care teachers and parents. In addition, these findings contribute to a better understanding of the mechanism by which child care teachers' difficulties communicating with parents influence teacher-child interactions.

Effect of Case Management Program on Self-Efficacy, Self-Care Behaviors and Glycometabolic Control in Patient with Diabetes (당뇨병 환자의 자기효능감, 자가간호행위 및 혈당조절에 미치는 사례관리 프로그램의 효과)

  • Kim, Soon-Young;Cho, Bok-Hee;Nam, Hae-Sung
    • Journal of agricultural medicine and community health
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    • v.33 no.2
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    • pp.232-242
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    • 2008
  • - Abstract - Objectives: We examined the effects of diabetes mellitus (DM) case management program developed by National Health Insurance Corporation in Korea. Methods: One trained nurse performed the case management for 30 DM patients recruited through the reimbursement information of National Health Insurance in a rural community. The case manager had four home visits and two telephone calls for 12 weeks. We evaluated the effectiveness of the program in terms of self-efficacy, self-care behaviors and glyco-metabolic control. Results: The self-efficacy score was significantly increased from 70.0 of pre-intervention to 80.5 of post-intervention (p<0.001). The self-care score was also significantly increased from 2.86 to 3.60 (p<0.001). The scores of its components such as nutritional care, self-test of sugar level, foot care, oral care, and aerobic exercise were significantly improved (p<0.001). However, the improvement of score in medication management was statistically marginal (p=0.071). The fasting blood sugar level and HbA1c level was significantly decreased from 128.6 mg/dl to 114.5 mg/dl (p<0.001) and from 6.78 % to 6.54 % (p<0.001) respectively. Conclusions: The case management program was effective to improve the self-efficacy and self-care behaviors, and to control blood sugar level in DM patients.

COVID-19 Pandemic Era, Practice Style for Ethical Life in Individualistic Society: Focusing on Foucault's 'care of the self' (코로나19 팬데믹 시대, 개인주의 사회의 윤리적 삶을 위한 실천양식: 푸코의 '자기 배려'를 중심으로)

  • Choe, Hee-Jin
    • The Journal of the Korea Contents Association
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    • v.22 no.3
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    • pp.43-53
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    • 2022
  • The purpose of this study was to derive ethical life skills in the era of the COVID-19 pandemic from the 'care of self' that Foucault highlighted in . Care of self extends to the relationship one has with oneself and one with others. care of self is a practical ethic that realigns relationships with others and changes society through self-transformation. This study tried to derive specific practices for a life of care of self that individuals can realize against another rule of neoliberalism. Its specific practice style is keeping one's distance from dominant thoughts, forming oneself through practice and writing of subjective thinking, practicing knowing in everyday life, and practicing 'looking down'. These modes of self-care include the other and the world into consciousness in self-examination and transformation. Therefore, through care of self, individuals in the pandemic era can be reborn as members of society who change their lives while building a self-centered life that is faithful to themselves.

The Relationship Between Self-Concept and Self-Care Activities of the Cerebral Palsied Adolescents (뇌성마비 청소년의 자아개념과 자가간호수행의 관계)

  • Hong, Hee-Sook;Lee, Myung-Hwa
    • The Korean Journal of Rehabilitation Nursing
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    • v.4 no.1
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    • pp.31-45
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    • 2001
  • The purpose of this study was to investigate the relationship between self-concept and self-care activities of the cerebral palsied adolescents and to gain the baseline data for development of effective rehabilitation nursing intervention program of the cerebral palsied adolescents. The design of this study was a descriptive correlational study. The subjects of the study were 160 cerebral palsied adolescents attending at special schools located in Seoul and Kyonggi and rehabilitation centers located in Seoul, Kyonggi and Kyongnam province. The data was collected from May 20 to July 20, 2000. The instrument used for this study were the self-concept scale(50items 4point scale) and self-care activities scale(29items 4point scale). Self-Concept Scale had developed by Fitt(1965), which was standardized by Chung(1968) and modified by Kim(1984). Self-Care Activities Scale developed by the researcher through out the consulting of expert and pilot study on the basis of ADL check list developed by Kang(1984) and LDSQ-3(Lambeth Disability Screening Questionnair-3) developed by Na et al. (1995). The data was analyzed by the SPSS/PC+program using frequency, percentage, mean, standard deviation, t-test, ANOVA & Scheffe test and Pearson's correlation coefficient. The results of this study were as follows; 1. The mean score of self-concept was $138.55{\pm}17.20$(range: 50-100), which the item mean score was $2.77{\pm}0.34$(range: 1-4). The score of subarea of the self-concept was the highest score in family self ($3.01{\pm}0.54$) and the lowest score in physical self ($2.52{\pm}0.42$). 2. The mean score of self-care activities was $95.25{\pm}21.69$ (range: 29-116), which the item mean score was $3.28{\pm}0.75$ (range: 1-4). The score of subarea of the self-care activities was the highest score in feeding($3.75{\pm}0.59$) and the lowest score in walking($2.64{\pm}1.21$). 3. There were statistically significant difference in the score of self-concept according to the age (F=3.24, P=.04), the grads (F=4.36, P=.01), and types of cerebral palsy (F=2.42, P=.03). 4. There were statistically significant difference in the score of self-care activities according to the age (F=8.29, P=.00), the grads (F=16.05, P=.00), types of living place (F=6.46, P=.00), types of cerebral palsy (F=48.92, P=.00), whether or not receiving a rehabilitation therapy (t=-3.64, P=.00), whether or not receiving a vocational training (t=2.14, P=.03), and whether or not using a device (t=-7.42, P=.00). 5. There was not significant correlation between self-concept and self-care activities (r=.081, P=.311).

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Factors Influencing Self-care in Tuberculosis Patients (결핵환자의 자가간호수행 영향요인)

  • Cho, EulYeon;Kwon, Yunhee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.8
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    • pp.3950-3957
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    • 2013
  • The study was done to identify factors influencing self-care in tuberculosis (here in after TB) patients. Data were collected by questionnaires from 216 TB chemotherapy as outpatients by visiting a "M" TB hospital located in the C city. Measures were self-care, health-belief(susceptibility and severity, benefit, barrier), and family support. Data were analyzed using descriptive statistics, t-test, One-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis with the SPSS/WIN 19.0 version. The subjects' self-care score 3.76 out of 5. There were significant differences in self-care among the subjects due to gender, marital status, family structure with the subjects, average monthly income, smoking status, drinking status and period of taking TB drugs. There were significant correlations among benefit, barrier, family support, and self-care. According to the research, influencing factors on self-care in TB patients included family support, barrier, average monthly income, smoking status, and benefit. Findings from this study can be used as basic data to develop self-care programs for TB patients.

Relationships between Health Literacy, Knowledge and Self-Care Behaviors in Elderly Patients with Heart Failure (노인 심부전 환자의 건강 문해력에 따른 심부전 지식과 자가 간호)

  • Shin, Kyung Min;Chu, Sang Hui;Jang, Yeon Soo;Kang, Seok Min
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.1
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    • pp.28-37
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    • 2016
  • Purpose: This study was to investigate the relationships between among health literacy, knowledge and self-care behavior in elderly patients with heart failure(HF). Methods: 166 patients (age ${\geq}65$ years) with HF were recruited in a cardiovascular center of an university affiliated hospital. The structured questionnaire included Health literacy, Dutch Heart Failure Knowledge Scale, European Heart Failure Self-care Behavior, Self-Care of Heart Failure Index. Data were analyzed by descriptive statistics, Chi-test, Pearson correlation analysis, t-test and ANCOVA using SPSS/WIN version 21.0. Results: Participants with the high level of health literacy were more likely to be younger (p=.001), men (p=.001), with more education (p<.001), and have a job (p=.004), and with a higher economic status (p=.005). The positive correlations between the level of health literacy, knowledge, and self-care behavior were confirmed (p<.001). Participants with the high level of health literacy showed higher level of knowledge, more self-care behavior for health maintenance, and confidence. Conclusion: This study shows that the level of health literacy may influence knowledge and self-care behavior in elderly patients with HF. In order to improve self-care behaviors in elderly patients, a strategic nursing approach based on the level of patients' health literacy needs to be considered.

Comparative Study on Self-care Behavior Related Factors for Good, Inadequate and Poor Glycemic Control Groups: Based on Variables from Theory of Planned Behavior, Habit, and Family support (혈당조절 양호군, 불충분군, 불량군간의 당뇨병 자가간호행위 관련요인 비교 - 계획된 행위이론, 습관, 가족지지를 중심으로)

  • Kim, Jae-Kyoung;Gu, Mee Ock
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.23 no.3
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    • pp.245-255
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    • 2016
  • Purpose: This study was conducted to compare self-care behaviors and self-care behavior related factors for groups of patients with good, inadequate and poor glycemic control. The study was based on variables of the Theory of Planned Behavior by Ajzen, habit and family support. (1991). Methods: Participants were 134 patients with type 2 diabetes (good glycemic control group: 57, inadequate glycemic control group: 40, poor glycemic control group: 37). Self-care behaviors, intention to self-care behavior and self-care behavior related variables (attitude, subjective norms, perceived behavior control, habits and family support) were measured. Data were collected from August 12 to September 25, 2014 and were analyzed using $x^2$-test, Fisher's exact test, ANCOVA, and logistic regression with SPSS/WIN 21.0. Results: Among the three glycemic groups, there were significant differences in self-care behavior, subjective norms, perceived behavior control, family support, and habits. Multinomial logistic regression showed that poor blood glucose probability was associated with duration of diabetes mellitus, method of DM therapy, perceived behavior control and habits. Conclusion: The study findings reveal the important role of self-care behavior, subjective norms, perceived behavior control, family support, and habits in blood glucose control in adults with type 2 diabetes.

A Qualitative Study of Use of Self-care Training among Occupational Therapists in a Different Clinical Settings (작업치료사가 사용하고 있는 self-care training 치료방법에 관한 질적 연구)

  • Kwak, Ho-Soung;Jung, Bong-Keun
    • The Journal of Korean society of community based occupational therapy
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    • v.3 no.2
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    • pp.47-56
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    • 2013
  • Objective : The objective of this study was understanding the procedure of self-care training in occupational therapy and exploring experienced occupational therapists' perspectives in self-care training Method : A phenomenological study design was used to collect information regarding use of self-care training among occupational therapists working in a different settings. The data collection process was conducted by using a structured interview and survey. Result : The self-care training strategies used by occupational therapists were summarized to four main themes; 1. Different strategies for different age group, 2. Design therapeutic strategy rely on client's natural environment, 3. Use of theoretical background: occupation-based or client-centered, or both. 4. Use of self-awareness stragety; using different method to reflect self-awareness. Conclusion : The self-care training is not just simply conduct ADL training but understanding client's age, environment, theoretical background, and self-awareness of the client. Through eatablishing understandable self-care training strategy according to client's age and environment, the more effective self-care training would be possible.

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A Study on the Effect of Preoperative Nursing Informations on the Self-Care in Abdominal Surgery Patients. (수술전 간호정보 제공이 복부수술환자의 자가간호 수행에 미치는 영향)

  • Park Duck-Soon;Kwon Young-Sook;Park Chung-Ja
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.3
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    • pp.583-596
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    • 1999
  • The purpose of this study was to examine the effect of self-care of abdominal surgery patients in surgical intensive care unit after offering preoperative nursing information. This study worked out nonequivalant control group post test only design as suspected experimental study. This subjects of the study were 45 patients, 23 in experimental group and 22 in control group. This study was carried at a university hospital in Taegu between January 12, 1999 and March 13, 1999. The experimental group was supplied with preoperative nursing information and the control group received routine care in ICU. The measuring tools of this study were assessment of the self-care role behavior. The data were analyzed by SPSS computer program, $x^2-test$ and t-test and ANOVA were utilized for testing the difference between the experimental and the control group. The hypothesis was examined by t-test. The result of this study are summarized as follows ; 1) The hypothesis, 'The experimental group will show a higher level of self-care than the control group' was accepted(t=-8.958, p=.000). 2) We could not find any meaningful relation about general characteristics and disease associated characteristics between the experimental and the control group. 3) The self-care behavior scores according to the general characteristics and disease associated characteristics show significant statistical difference by economics status (p=.033). 4) The rate of self-care behavior scores of each questionnaire are below average in the questions that request active activity to prevent postoperative complications From the result of this study, the self-care of the experimental group was higher than those of the control group, and the nursing information can be regarded as an effective nursing intervention for preoperative patients.

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Development and Evaluation of a Self Care Education Program for Elderly Patients with Percutaneous Coronary Intervention (경피적 관상동맥 중재술을 받은 노인환자의 자가간호 교육프로그램 개발 및 평가)

  • Jo, Gyeong-Jin;Yang, Jin-Hyang
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.2
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    • pp.266-275
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    • 2014
  • Purpose: The purpose of this study was to identify the effects of the education program to promote self care for elderly patients with percutaneous coronary intervention. Method: The research was a quasi-experimental study using a nonequivalent control group non-synchronized design. The participants was 56 patients, 28 in the experimental group and 28 in the control group. A pretest and a posttest were conducted to measure main variables. The self care education program, consisting of flash animation, leaflet and telephone counseling, was given for the experimental group. Data were analyzed using ${\chi}^2$, Fisher's exact test, and independent t-test with SAS statistics program. Results: There were statistically significant increase in knowledge and self care behavior, and decrease in anxiety by difference between a pretest and a posttest in the experimental group compared to that in the control group. Conclusion: The result of this study indicate that the self care education program is effective in increasing knowledge and self care behavior, and in decreasing anxiety for elderly patients with percutaneous coronary intervention. Therefore, it can be usefully utilized in the field of nursing for elderly patients with percutaneous coronary intervention.