• Title/Summary/Keyword: self care

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A Study on the Relationships between Self-Differentiation and Adaptability Factors for Senior Dementia Patients' Care Givers (치매노인부양자의 자아분화와 적응변인 간의 관계에 대한 연구)

  • Hyeong, Seong-Hun
    • Journal of the Korean Home Economics Association
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    • v.49 no.5
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    • pp.97-115
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    • 2011
  • The focus of this study was on the self-differentiation level of families with an elderly member suffering from dementia. Based on 340 questionnaires collected in Seoul and Gyeonggi, the study intended to explain the adaptation issues of those families. The variables of interest, which might be related to the self-differentiation, were chronic anxiety(i.e. stress), the family function, psychosomatic symptoms and the family's adaptation to care-giving. As a result of analyzing the effects of the variables potentially related to the self-differentiation level of care-giving families, the findings from this study were as follow. With decreasing self-differentiation level of the family caring for an elderly member suffering from dementia, the levels of stress and psychosomatic symptoms were significantly increased, but the family function and the adaptation to care-giving tended to decrease. Conversely, with increasing self-differentiation, the levels of stress and psychosomatic symptoms were significantly decreased, while the family function and adaptation to care-giving were promoted.

A Study on the Compliance of Kidney Transplantation Recipients (신장이식환자의 치료지시 이행정도)

  • Hwang, Young-Hui;Choe, Myoung-Ae
    • Journal of Korean Critical Care Nursing
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    • v.4 no.2
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    • pp.15-25
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    • 2011
  • Purpose: The purpose of this study was to identify compliance of kidney transplantation(=KT) recipients and the factors influencing on compliance of KT recipients. Methods: One hundred patients who visited out-patients department after KT at S hospital transplant center in Seoul were enrolled in this study. Structured questionnaires of compliance, self-efficacy and family support were used to collect data. The data was collected from April 21 to May 21 in 2011. The data were analyzed by descriptive statistics, independent t-test, ANOVA and Pearson correlation coefficient. Statistical significance was accepted to the level of p<.05. Results: The mean score of compliance was 4.37(range from 1 to 5), and that of medication compliance was the highest and that of self care compliance was the lowest. There were no differences of compliance according to characteristics of the subjects. Compliance of the subjects had positive correlation with self-efficacy(r=0.23, p<0.05) and family support(r=0.33, p<0.05). Conclusion: Based on these results, it can be concluded that the nursing intervention program to improve self care using self-efficacy and family support need to be developed.

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Effect of Professional Quality of Life on the Professional Self-Concept of Intensive Care Unit Nurses in Tertiary Hospital (상급종합병원 중환자실 간호사의 전문직 삶의 질이 전문직 자아개념에 미치는 영향)

  • Hong, Jin Young;Sohn, Sue Kyung
    • Journal of Korean Critical Care Nursing
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    • v.12 no.2
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    • pp.13-25
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    • 2019
  • Purpose : The purpose of this study was to identify factors influencing the professional self-concept of nurses working in intensive care units (ICUs). Methods : Data were collected from July 1 to August 15, 2014. The subjects were 206 ICU nurses working in four university hospitals in B and U cities, Korea. Their professional self-concept was measured using Arthur's Scale revised by Yoon (2012), and professional quality of life (QOL) was measured using Pro QOL Korean Ver. 5 developed by Stamm (2010). Data were analyzed with SPSS Ver. 18, using a t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis. Results : Professional self-concept was significantly correlated with compassion satisfaction (r=.61, p<.001), and burn out (r=-.57, p<.001). The factors influencing professional self-concept were compassion satisfaction (${\beta}=.46$, p<.001), burn out (${\beta}=-.27$, p<.001), and education level (${\beta}=.14$, p =.014). The explanatory power of this model was 46.5%. Conclusion : The results suggest that the influencing factors found in this study should be considered when planning nursing intervention programs for improving the professional self-concept of ICU nurses.

Job Satisfaction among Korean Child Care Teachers : The Effects of Background Characteristics, Self-efficacy and Job Stress (보육교사의 일반적 배경이 보육교사의 직업만족도에 미치는 영향 : 자기효능감과 직무스트레스의 매개효과를 중심으로)

  • Kim, Youn A;Park, Youn Jung;Kim, Kyoung Eun
    • Korean Journal of Child Studies
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    • v.35 no.4
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    • pp.1-15
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    • 2014
  • This study examined how child care teachers' background characteristics, self-efficacy and job stress relate to their job satisfaction. Participants were 400 child care teachers in Seoul and Gyeonggi, Korea. Structural equation models were developed based on the authors' hypothesized model, which proposed that teachers' self-efficacy and job stress have a mediating effect in the relationship between teachers' background characteristics and job satisfaction. The results revealed that career directly influenced on self-efficacy and job stress but had no direct effect on job satisfaction. Education level was found to have a direct effect on job stress but had no direct effect on self-efficacy and job satisfaction. Teachers' self-efficacy affected job stress and job satisfaction and job stress affected job satisfaction. Furthermore, self-efficacy mediated the effects of career on job stress and job satisfaction. Additionally, job stress mediated the effects of education level and self-efficacy on job satisfaction. These results suggested that teachers' self-efficacy and job stress were key predictors and mediating variables in the relationship between background characteristics and job satisfaction.

A study of participation in health-related decision and self-care competency in patients with chronic disease (만성질환자의 건강관련 의사결정에 대한 참여 정도와 자가간호역량에 관한 연구)

  • Kim, Su-young;Lee, Jihae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.127-136
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    • 2020
  • This study investigated the correlation between the participation in health-related decisions and self-care competency and the factors influencing self-care competence of patients with chronic disease. The participants were 518 patients with chronic illnesses who were admitted to a public health center. Using a structured-questionnaire, the data was collected from January 1, 2019 to 31, 2019. The data was analyzed using descriptive statistics, t-tests, ANOVA, Scheffé tests, Pearson correlation coefficients and multiple linear regression with the IBM SPSS/WIN 22.0 program. The mean scores on the participation in health-related decisions and self-care competency were 3.62±0.20 and 4.57±0.34, respectively. The main variables that distinguish significant differences between participation in healthcare decisions and self-care capabilities are gender, age, education level, diagnosis, and subjective health status. Self-care competency was positively correlated with the participation in health-related decisions (r=.66, p=.043). Factors influencing self-care competence were education (β=-2.23, p<.001), health concerns (β=0.14, p=.003), subjective health statues (β=2.57, p=.011), and age (β=-0.36, p=.048). The input variables explained .56 of self-care competence. The results of the study indicate that approaches focusing on enhancing the participation in health-related decisions could potentially improve self-care competency of patients with chronic disease.

The Relationships among Self-Care Agency, Family Support, Quality of Life in Patients with Rheumatoid Arthritis (류마티스 관절염 환자의 자가간호역량과 가족지지, 삶의 질과의 관계)

  • Park, Sang-Youn;Nam, Young-Wha;Baek, Mvung-Wha
    • Journal of muscle and joint health
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    • v.7 no.2
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    • pp.281-293
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    • 2000
  • This study was conducted to identify the relationships among self-care agency, family support, qualify of life in patients with rheumatoid arthritis. The subjects were 120 rheumatoid arthritis patients who attended RA O.P.D. at a university hospital, located in Daegu city, from 10th of May in 1998 to 30th of July in 1998. Three structure questionnaires were administered for explore three main research variables; 소향숙's self-care agency scale, 강현숙's family support scale, and 김종임's quality of life scale of RA patien. Data analysis was conducted with SPSS program including percentage, mean, standard deviation, mean score, Pearson Correlation Coefficient, multiple regression, and Cronbach's Alpha. Results are summarized as follows; 1. The mean of RA patient's self-care agency was 136.62, the mean of family support 37.38, and the mean of qualify of life 134.41. 2. Subject's self-care agency was positively correlated with family support(r=.2446) and with quality of life(r=.4341). Subject's family support was positively correlated with quality of life(r=.2630). 3. Stepwise multiple regression was used to determine the predictors of subject's quality of life. Significant predictors for subject's quality of life were self-care agency(t=4.873 p=0.0000), family support(t=4.480 p=0.0000) and the severity of arthralgia(t=-3.838, p=0.0002). The number of joints involved and the periods of illness did not show significant contribution to subject's quality of life. Self-care agency, family support, and family support explained 40. 39% of the variance in RA patient's quality of life. Given this results, it is suggested that a repeated study to measure RA patient's self-care practice in their own life may be needed to develope and validate an optimum level of nursing intervention for RA patient with which family support will be encouraged and patient's self-care agency will be facilitated.

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The degree of burden and depression in family caregivers of patients with stroke (뇌졸중 환자의 자가간호 수행수준에 따른 환자가족의 부담감과 우울정도에 관한 연구)

  • Lee, Kang Yi;Song, Young Shin
    • Journal of Haehwa Medicine
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    • v.6 no.1
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    • pp.555-566
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    • 1997
  • This study was undertaken to identify the degree of burden and depression according to level of self-care activity and variables to which affect that in family caregivers of patients with stroke. The data were collected from October 23th to November 20th, 1995 The subjects in this study were 80 caregivers, that is, one family member and 80 patients with stroke who were hospitalized in one oriental medicine hospital in D city. The questionnaires consisted of questions regarding burden(13 items, 6 point scale), depression(20 items, 4 point scale), and self-care activity(15 items, 5 point sacle) Data were analyzed using percentages, means, t-test and ANOVA with the SAS program. The results of this study are as follows: 1) The mean score for client's self-care activity was 2.58. The highest score of the self-care activity item was 'returning'(M=3.604), and the lowest score of the self-care activity item was 'shower or tubbathing'(M=1.925). 2) the degrees of self-care activity according to the general characteristics of patients were tested. It was significantly different by sex(P<0.01), occupation(P<0.05), and relationships with patients(P<0.05). That is, the degree of self-care activity was higher in men than that of women, and caregiver with job than caregiver without that. In the case that caregiver was a patient's spouse, the degree of self-care activity was higher than other case. 3) The score for family caregiver's burden was higher than the mid level for the 13 items and caregiver's depression was relatively low. 4) According to the degree of self-care activity, the group was divided to 3, that is, A( 15-33), B(34-56), and C(57-75). The score of total burden was the highest in group A(M=55.257) and the lowest in group C(M=51.928), but there were no statistically significant differences between groups. The score of objective burden was the highest in group A(M=30.400), and the lowest in group C(M=25.214), and there were statistically significant differences between groups. The score of subjective burden was the highest in group B(M=26.000) and the lowest in group A(M=24.783), but there were no statistically significant differences between groups. The degree of depression was the highest in group A(M=44.750) and the lowest in group C(M=40.751), but there were no statistically significant differences between groups.

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The Effects of Social Support and Recovery Resilience on Self Care Behavior among the Elderly with Hypertension in the Senior Welfare Center (노인복지회관을 이용하는 고혈압 노인의 사회적 지지와 회복탄력성이 자가간호행위에 미치는 영향)

  • Park, Se Jung;Kim, Seonho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.182-191
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    • 2019
  • The purpose of this study was to identify correlation among social support, recovery resilience, and self-care behavior among the elderly with hypertension, as well as to clarify factors that affect self-care behavior. This was a descriptive study conducted with 183 hypertensive seniors over age 65 from three different senior welfare centers in C region. Data of this study were collected from Aug 20-31, 2018. T-test, ANOVA, Pearson's coefficient, and stepwise multiple regression were used for analysis. As a result, the mean score of social support was $3.79{\pm}0.78$ out of 5, recovery resilience was $4.10{\pm}0.71$ out of 5, and self-care behavior was $3.93{\pm}0.51$ out of 5. Self-care behavior had a statistically significant positive correlation with social support(r=.204, p<.001) and recovery resilience(r=.405, p<.001). Factors influencing Self-care behavior were recovery resilience(${\beta}=.36$, p<.001) and regularity of exercise(${\beta}=.17$, p=.019). These factors explained 18.9% of self-care behavior(F=21.02, p<.001). The study results indicate that recovery resilience and regularity of exercise are critical factors affecting self-care behavior among the elderly with of hypertension. Therefore, to promote self-care behavior among the hypertensive seniors, regular exercise must be advised and the development and evaluation of nursing interventions that can improve recovery resilience may be necessary.

Effects of a Maternal Care Program on Self-Efficacy and Postpartum Depression in Mothers with Preterm Babies (미숙아 출산 산모 돌봄 가정간호가 산모의 자기효능감과 산후 우울에 미치는 효과)

  • Cho, Young-Yi;Park, Young-Hea;Jang, Jung-suk;Lee, Jong-Eun
    • Journal of Home Health Care Nursing
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    • v.22 no.2
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    • pp.187-195
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    • 2015
  • Purpose: This study aimed to evaluate the effects of Maternal Care Program(MCP)-carried out by trained home care nurses on self-efficacy and postpartum depression in mothers with preterm babies. Methods: This study was a quasi-experimental study comparing the effects of an MCP on self-efficacy and postpartum depression before Participants were 34 mothers who were referred to the home care nursing center of the C University Hospital in Seoul from April 8 2014 to January 12 2015. Results: The average self-efficacy score was 97.24 points before and 123.26 points after receiving the program, showing a significant increase of 26.03 points (p<.001). Postpartum depression scores were 8.65 points before the program and 5.56 points after, showing a significant decrease of 3.09 points (p<.001). Conclusions: The normal development of preterm babies was confirmed-through regular physical examinations in the MCP. Professional services were provided by-education and consultation on problems related to child-rearing and health to deal with psychological and social problems as well as physical care to mothers by trained home care nurses.

A Study on the Relationship between Self Effcacy and Self Care Behavior in Patients with Pulmonary Tuberculosis (폐결핵 환자가 지각한 자기효능과 자가간호행위와의 관계에 관한 연구)

  • Jung Young Ju;Kim Jung Hyo
    • Journal of Korean Public Health Nursing
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    • v.10 no.2
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    • pp.90-102
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    • 1996
  • This study is a descriptive survey research to investicate the relation between the performance of self-care behavior and degree of self-efficacy by evaluating them respectively. The subjects were consisted of seventy nine tuberculosis patients registered in two different public health care centers in the city of Kwangju from April 1st to 30th June, 1995. The results were as follows : 1) Demorgraphically, the proportion of males was$(59.5\%)$, the highest proportion of age group was twenties with $(31.6\%)$, the higest proportion of the patients graduated high school. the married was much more than the single$(51.9\%)$. The highest proportions in each variables were as followes : middle class in economic status with $70.9%$, the jobless in job status with $26.6\%$. the duration less than 6 months in ailing duration with $63.3\%$. The patients of $60.8\%$ and $74.7\%$ showed no family history and received no health education respectively. 2) The average drgree of self-care behavior was 3.44 points (1-5 points). 3) The average dregee of recognized self efficacy was 78.18 points(10-100points). 4) The recognized self efficacy showed close relationship with the performance of self-care behavior (r=0.6378. p<0.001) 5) The points of performance of self-care nursing behavior showed statistical significance in the variables of martial status. duration of treatment and economic status. (F=3.142. p<0.05), (F=3.701. p<0.05). (F=6.213. p<0.01) 6) The point of self efficacy showed statistical significance in the variables of sex. degree of education and marital status. (F=5.438. p<0.05), (F=4.28. P<0.01), (F=2.899, p<0.05) These results suggest as follows: 1) It is necessary to develop a program to improve the ability of self health care for the family member as well as the patient. 2) It is necessary to do further study on much more variables that influence on the performance of self-care behavior by expanding the number of subjects and duration of study. and to evaluate the self efficacy with time interval.

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