• 대한간호학회지
• /
• 제42권7호
• /
• pp.965-973
• /
• 2012

Purpose: The purpose of this study was to evaluate a self-care program for elders with osteoarthritis managed by primary health care workers, Community Health Practitioners (CHPs), in rural Korea. Methods: The self-care program, consisting of 7 areas, was evaluated with a randomized experimental study for patients over age 60 with osteoarthritis in which 150 participants in the experimental group and 140 in the control group were compared. The self-care program was implemented for six weeks, 2 hours per week, at community health posts by CHPs. Data were collected using an interview questionnaire given by the CHPs and laboratory tests before and after the intervention for both groups. Propensity score matching analysis was done to test effectiveness after controlling for confounding variables. Results: The intervention group showed a significant decrease in the number of painful joints (p<.001) and a significant increase in self-care ability (p<.05) compared to the control group. Conclusion: Study results indicate that training and utilizing primary health care workers in rural areas is valuable in increasing the generalization and continuity of intervention programs. As arthritis should be managed life-long, CHP directed self-care programs are useful interventions for rural elders with arthritis to learn self-care management.

• 한국컴퓨터정보학회논문지
• /
• 제22권9호
• /
• pp.179-185
• /
• 2017

The purpose of this study was to investigate the relationships between occupational identity, occupation satisfaction, and self-efficacy of care workers in care hospitals and to draw implications for improving the quality of care services. In order to accomplish the purpose of this study, the occupational identity of care workers in care hospitals as an independent variable, occupation satisfaction as a dependent variable of occupational identity, and self-efficacy as a moderating variable were selected. The causal relationships between occupational identity and occupation satisfaction and the moderating effect of self-efficacy were analyzed. As a result of the analysis, the occupational identity of care workers in care hospitals showed significant effects on occupation satisfaction and job commitment. Also, the effects of occupational identity on occupation satisfaction and job commitment differ depending on self-efficacy, which means that moderating effects of self-efficacy are significant. Based on this analytical results, the theoretical and policy implications of this study were suggested, and the directions and limitations of this study were suggested.

• 대한간호학회지
• /
• 제27권3호
• /
• pp.639-647
• /
• 1997

The purpose of this study was to identify how internal and external coping resources influenced active coping in the process of stress-coping. The model was established theoretically by comparing and integrating the following theories : Stress-Coping, Self-Care, and Resourcefulness. The subjects consisted of sixty eight patients undergoing chemotherapy(experimental group 34, control group 34) at two general hospitals from January to July, 1995. The results were as follows : After self-care education, the active coping score of the experimental group was significantly higher than that of the control group. The active coping score of the high resourcefulness group was significantly higher than that of the low resourcefulness group. The interaction effect between self-care education and resourcfulness was not significant statistically. Specifically as to such scores of seeking social support, problem-oriented strategy and self care behavior, there were significantly higher in the experimental group and high resourcefulness group than in each of the other groups. Considering them both, self-care education and resourcefulness are effective nursing strategies to promote active coping including self-care. Consequently, the synthesis and testing of theories of stress-coping, self-care, and resourcefulness in this study are mostly proven to enhance the explanation and prediction of the change of active coping including self-care. Therefore the result of this study will contribute in the development of practice theory of nursing. A further study is necessary to reevaluate the interaction effect between self-care education and resourcefulness and to identify the difference between resourcefulness and self-efficacy.

• 기본간호학회지
• /
• 제7권3호
• /
• pp.453-465
• /
• 2000

This study was designed to identify the relationship between perceived self-efficacy and self care behavioral compliance in type II diabetic patient. The subjects for this study were the 113 adults with type II diabetes that received hospital treatment or attended as outpatients in 2 general hospitals at Inchon City. The data were collected during the period from August 15 to semtember 15, 2000 by means of an interview. Collected data were analyzed by means of descriptive statistics, t-test, ANOVA, Pearson's correlation using the SPSS/PC+ program. The results of this study were as follows : 1. The mean score of self care behavioral compliance was 3.06. 2. There were statistically significant difference in self care behavioral compliance according to sex(p<0.05), age (p<0.001), BMI(p<0.05), education(p<0.001), occupation(p<0.001), experience of diabetic education(p<0.05) and complication(p<0.05). 3. The mean score of perceived self-efficacy was 3.45. Self care behavioral compliance and perceived self-efficacy had a positive correlation which was statistically significant (r=0.3879 p<0.001). 4. Stepwise multiple regression analysis was performed to identify the influencing factors for self care behavioral compliance. Education, experience of diabetic education and self-efficacy accounted for 41% of the variance in self care behavioral compliance. The results suggest that education, experience of diabetic education and self-efficacy are important variables in the compliance of self-care behavior with typeII diabetes.

• 한국농촌간호학회지
• /
• 제5권1호
• /
• pp.5-15
• /
• 2010

Purpose: This study was conducted to examine the effects of a self-control promotion program on self-efficacy, self-care and physiological indicators of patients with diabetes who live in local communities. Method: This research was designed using a nonequivalent control group pre, posttest study. Data were collected from December, 2008 through March, 2009. The participants of the study consisted of 93 patients with diabetes who live in a local community. A self-control promotion program was provided for the experimental group for 12 weeks. Data were collected through self-report questionnaires and direct measurements, and analyzed using descriptive statistics, $X^2$-test, and repeated measures ANOVA. Results: There were significant differences in self-efficacy and self-care between the experimental and control groups. However, there were no significant differences in physiological indicators such as fasting blood sugar, HbA1C, BMI, and BP between the two groups. Conclusion: The results indicate that the self-control promotion program was effective in promoting self-efficacy and self-care, which are crucial factors in controlling diabetes mellitus. However, a longitudinal study needs to be done to confirm the effects of self-control promotion programs on long-term glucose control.

• 대한통합의학회지
• /
• 제11권3호
• /
• pp.69-78
• /
• 2023

Purpose : Establishing competency in person-centered care is crucial for providing high-quality nursing care in diverse clinical settings and adapting to changing roles in different situations. This study aimed to explore the level of transcultural self-efficacy, cultural empathy, and person-centered care competency among nursing students, as well as identify the factors influencing their person-centered care competency. The findings will serve as fundamental data to enhance person-centered care competency. Methods : A questionnaire consisting of items on general characteristics, person-centered care competency, transcultural self-efficacy, and cultural empathy was administered to 175 nursing students in G city. Data were collected from March 5, 2023, to March 20, 2023. The collected data were analyzed using the SPSS 23.0 program. Pearson's correlation coefficients were used to examine the correlation among transcultural self-efficacy, cultural empathy, and person-centered care competency. Multiple regression analysis was employed to determine the factors influencing person-centered care competency. Results : The person-centered care competency scores were above the average level and varied according to department satisfaction (F=13.79, p<.001), subjective well-being (t=3.34, p=.015), and interpersonal relations (F=5.74, p=.001). Person-centered care competency exhibited a significant positive correlation with cultural empathy (r=.51, p<.001) and transcultural self-efficacy (r=.49, p<.001). Regression analysis confirmed that cultural empathy (β=.39, p<.001) and transcultural self-efficacy (β=.22, p<.001) were influential factors for nursing students' person-centered care competency, with the model explaining 37 % of the variance. Conclusion : Cultural empathy and transcultural self-efficacy are significant factors influencing the person-centered care competency of nursing students. It is crucial to encourage nursing students to develop person-centered care competency by fostering cultural empathy and transcultural self-efficacy. Further research is needed to identify additional factors affecting person-centered care competency among nursing students. Additionally, the development of education programs aimed at enhancing person-centered care competency is necessary.

• 대한간호학회지
• /
• 제41권4호
• /
• pp.491-499
• /
• 2011

Purpose: The study was conducted to develop and test a hypothetical model which explains self-care behavior in patients with type 2 diabetes was established based on the Self-Determination Theory. Methods: The participants were 218 patients with type 2 diabetes mellitus enrolled in an outpatient clinic of one endocrine center in Korea. The data were collected using questionnaires from April 5 through May 7, 2010. The descriptive and correlation statistics were analyzed using the SPSS/WIN 15.0 and the structural equation modeling procedure was performed using the AMOS 7.0 program. Results: The results of this study showed that competence and autonomous motivation were the strong factors influencing self-care behavior in patients in this sample. Support from health provider for autonomy was a significant indirect factor on self-care behavior. These factors explained 64.9% of variance in the participants' self care behavior. The proposed model was concise and extensive in predicting self-care behavior of the participants. Conclusion: Findings may provide useful assistance in developing effective nursing interventions for maintaining and promoting self-care behavior in patients with type 2 diabetes.

• 기본간호학회지
• /
• 제24권1호
• /
• pp.72-83
• /
• 2017

Purpose: The purpose of the study was to identify the level of resilience, autonomous motivation, depression and self-care and their correlates in elders with hypertension. Methods: The participants were 200 elders with hypertension living in J, I, and K city. Data were collected through face-to-face interviews using the Resilience Scale, Treatment Self Regulation Questionnaire, Short Form Geriatric Depression Scale, and Hypertension Self-care Scale. Results: Total scores for resilience, autonomous motivation, depression, and self-care were $109.65{\pm}20.78$, $38.18{\pm}5.99$, $8.33{\pm}2.61$, and $52.06{\pm}6.94$, respectively. Autonomous motivation, income, acceptance of self and life, resilience, experience of hypertension education, and gender were verified as factors influencing self-care. These factors accounted for 51.6% of self-care. Conclusion: Understanding these factors is essential for developing effective interventions to improve self-care in elders with hypertension.

• 보건교육건강증진학회지
• /
• 제20권3호
• /
• pp.269-280
• /
• 2003

This study was conducted to identify the effects of telephone consulting follow- up on self care behaviors and self efficacy in diabetic patients after discharge. The subjects for this study were consisted of 39 patients and twenty subjects assigned to the experimental group received the telephone consulting follow-up after discharge once a week during 4 weeks with diabetic education before discharge and nineteen subjects assigned to the control group received diabetic education before discharge without telephone consulting follow-up. The results of this study are as follows： 1. The experimental group which received the telephone consulting had higher self care behaviors scores than the control group (t＝4.92, p＝.00). 2. The experimental group which received the telephone consulting had higher self efficacy scores than the control group (t＝4.71, p＝.00). 3. The relationship between self efficacy and self care behaviors showed a significant correlation in the subjects. In conclusion, the telephone consulting follow-up improved self care behaviors and self efficacy, therefore this intervention can be effective in promoting the care of diabetic patients

• 대한간호학회지
• /
• 제52권5호
• /
• pp.522-534
• /
• 2022

Purpose: This study examined the validity and reliability of the Korean version of the Self-Care in Chronic Obstructive Pulmonary Disease Inventory (SC-COPDI) and the Chronic Obstructive Pulmonary Disease Self-Care Self-Efficacy Scale (SCES-COPD). The SC-COPDI consists of the Self-Care Maintenance Scale (SCMES), Self-Care Monitoring Scale (SCMOS), and Self-Care Management Scale (SCMAS). Methods: The original tool was translated using a back-translation process. Participants were 241 patients with COPD at the Chonnam National University Hospital in Korea. The construct validity was verified through confirmatory factor analysis, and reliability was verified using Cronbach's α. Results: The SCMES consisted of 10 items of three factors-one of four factors was deleted from the original tool. In the SCMOS, there were six items of two factors after two items were deleted from the original tool. The SCMAS consisted of the original 10 items of three factors. The SCES-COPD consisted of six items of two factors, with one item removed from the original tool. The model fit indices of all tools were good, and the construct validity was confirmed. Cronbach's α of SCMES was .72, SCMOS was .90, SCMAS was .81, and SCES-COPD was .85. Conclusion: The Korean version of SC-COPDI and SCES-COPD are valid and reliable instruments for measuring self-care in people with COPD. These instruments can be used in self-care studies of COPD patients in Korea.