• Title/Summary/Keyword: self management

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The Effects of a Self-care Management Program for Patients with Diabetic Foot Ulcers (당뇨병성 족부 궤양을 가진 환자의 자가 관리 프로그램 적용 효과)

  • Kim, Jung Yoon;Cheon, Eui-Young
    • Journal of Korean Biological Nursing Science
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    • v.18 no.2
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    • pp.78-86
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    • 2016
  • Purpose: Diabetic foot ulcers are significant problems in diabetes mellitus and often result in lower extremity amputation. This study was conducted to evaluate the effects of a self-care management program on Korean patient's self-efficacy, self-care behavior, size of the wound, and wound related pain. Methods: This study was a quasi-experimental study of pre-test and post-test design in a non-equivalent control group. The intervention strategies of the self-care management program consisted of individual intervention (education, practice and demonstration), computer animation, and face-to-face counseling. There were thirty seven patients, and 20 were assigned to the experimental group while the other 17 were assigned to the control group. The experimental group was given a self-care management program. The control group received information on diabetic mellitus care by means of a leaflet. The data was analyzed using descriptive statistics, a chi-square test, an independent t-test, and a Mann-Whitney test. Results: There were significant differences in self-care behavior and wound related pain. Conclusion: A Self-care program is an effective way to increase patient's self-care ability. This program is highly applicable to diabetic foot ulcer patients in various settings.

Effects of the Combination of Marital Status and Household Type on Self-Rated Health among Korean Women

  • Kim, Ae Ji;Nam, Jin Young
    • Health Policy and Management
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    • v.31 no.3
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    • pp.355-363
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    • 2021
  • Background: Self-rated health of women according to marital status and household type has rarely been considered. This study determined the differences in the self-rated health of women according to marital status and household type. Methods: Using cross-sectional data from the seventh Korea National Health and Nutrition Examination Survey, we included 9,990 women aged above 19 years. Multiple logistic regression was used to examine the relationships between self-rated health, marital status, and household type. Results: Overall, 74.5% of the women reported poor self-rated health. Regarding marital status and household type, one-person households and unmarried women had a higher risk of poor self-rated health (odds ratio [OR], 1.45; 95% confidence interval [CI], 1.03-2.05), while multi-person households and no-spouse women had a lower risk of poor self-rated health (OR, 0.69; 95% CI, 0.58-0.83). Furthermore, women who are one-person households and unmarried had a higher risk of poor self-rated health in those who had college or higher educational level (OR, 1.98; 95% CI, 1.25-3.13). Conclusion: Self-rated health among women was associated with marital status and household type. Future studies are required to generalize these findings by considering various household compositions to improve women's self-rated health status.

The Relationship between Life Stress and Depression in University Students : Mediating Effect of Self-efficacy (대학생의 생활스트레스와 우울과의 관계 : 자기효능감의 매개효과)

  • Lee, Jeong-Sook;Lee, Sun-Young
    • The Korean Journal of Health Service Management
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    • v.10 no.4
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    • pp.239-248
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    • 2016
  • Objectives : The purpose of this study was to examine the mediation effects of self-efficacy on the relationship between life stress and depression in university students to provide a basis for planning nursing interventions to improve the mental health of university students. Methods : Data were collected from September 1 to September 30, 2015 by giving a questionnaire to 272 university students. The instruments for this study were life stress, self-efficacy, and depression. The data were analyzed with descriptive statistics, Pearson's correlation coefficients, and multiple linear regression with the SPSS/WIN 18.0 program. Results : There were significant correlations among life stress, self-efficacy, and depression. Additionally, self-efficacy had a mediating effect on the relationship between life stress and depression. Conclusions : Based on the findings of this study, health management programs focusing on stress management and self-efficacy improvement are highly recommended to promote good mental health in university students.

The Effects of Narcissistic Personality and Self-Esteem on the Appearance Management Behaviors of Female College Students (여대생의 자기애적 성격과 자아존중감이 외모 관리 행동에 미치는 영향)

  • Park, Eun-Jeong;Chung, Myung-Sun
    • The Research Journal of the Costume Culture
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    • v.18 no.4
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    • pp.717-730
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    • 2010
  • The purpose of this study was to investigate the effects of narcissistic personality and self-esteem on the appearance management behaviors(weight, skin care, makeup, hair care, clothing selection) of female college students. The questionnaires were administrated to 362 female college students living in Gwang-ju city, Korea. For analysis of data, descriptive statistics, factor analysis, Cronbach'$\alpha$, regression analysis were applied. The results were summarized as follows. First. the female college students' narcissistic personality was categorized into four factors, need for administration, leadership/self-confidence, need for power/entitlement, and superiority. Second, narcissistic personality significantly influenced appearance management behaviors. The further examination of the effects showed that need for administration appeared to affect clothing selection, hair care, skin care, makeup, and weight. Third, self-esteem turned out to have positive effects on overall appearance management behaviors. The further examination of the effects showed that self-esteem appeared to affect clothing selection, skin care, hair care, makeup, and weight. The results indicated that female college students' narcissistic personality and self-esteem were important factors to their appearance management behaviors and marketing programs for fashion industries.

Do depression, anxiety, emotional intelligence, and sleep quality affect diabetes management self-efficacy in Korean women with gestational diabetes in pregnancy?: a descriptive correlational study

  • Lee, Hoon Ah;Jang, Keum Seong
    • Women's Health Nursing
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    • v.27 no.4
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    • pp.358-367
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    • 2021
  • Purpose: This study aimed to identify factors associated with diabetes management self-efficacy in pregnant women with gestational diabetes mellitus (GDM) in Korea. Methods: A total of 173 pregnant women with GDM in Korea were recruited by posting announcements at two Korean online communities focusing on pregnancy and GDM. Participants completed a structured online survey from July to September 2018. Thirteen inappropriate responses were excluded and a total of 160 questionnaires were used in the final analysis. Descriptive statistics were calculated and multiple regression with the enter method was done to identify the associations of depressive mood, anxiety, emotional intelligence, and sleep quality with diabetes management self-efficacy. Results: Respondents reported a moderately depressive mood (mean, 10.36), low to moderate anxiety (mean, 41.65), above-average emotional intelligence (mean, 78.04), moderate sleep quality (mean, 42.01), and above-average diabetes management self-efficacy (mean, 52.29). The major factor associated with diabetes management self-efficacy of pregnant women with GDM was emotional intelligence (β=.51, p<.001). Other factors, in descending order of influence, were sleep quality (β=.22, p<.001) and exercise (β=.18, p=.004). Taken together, the aforementioned factors explained 34.6% (F=39.53, p<.001) of the total variance. Conclusion: The results of this study suggest that to improve the diabetes management self-efficacy of pregnant women with GDM, it is necessary to develop an education program that can also enhance emotional intelligence, sleep quality, and exercise.

Development and Evaluation of a Self-management Mobile App for Adults with Osteoarthritis (골관절염 대상자를 위한 자기관리 모바일 앱 개발 및 효과)

  • Park, Ju Young;Son, Jung Tae
    • Research in Community and Public Health Nursing
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    • v.33 no.1
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    • pp.114-127
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    • 2022
  • Purpose: This study aimed to develop a self-management mobile app for adults with osteoarthritis based on a self-determination theory to use it as a nursing intervention tool, and to evaluate the effects of the developed mobile app on adults' basic psychological needs, indexes of osteoarthritis, self-management and quality of life. Methods: The 56 participants were randomly assigned to either the experimental group (n=28) or the control group (n=28). The participants of the experimental group used a self-management mobile app for 12 weeks after the pretest, and two posttests were taken at the end of every 6 weeks. The data were analyzed using IBM SPSS/WIN 25.0 for Chi-square test, Fisher's exact test, independent t-test, and repeated measures ANOVA. Results: Basic psychological needs, indexes of osteoarthritis, self-management, and quality of life score of the experimental group were significantly higher than those of the control group. Conclusion: Our findings suggest that mobile app intervention can support improvements in psychological needs, symptoms of osteoarthritis and quality of life in adults with osteoarthritis. It is recommended that the developed mobile app be used as a nursing intervention tool for adults with osteoarthritis in the community.

Self Sustainable Win-Win Growth Model for Korea Franchise Corporate Sustainability (한국 프랜차이즈 지속가능경영을 위한 자생적 동반성장 모형)

  • Kim, Insook;Lee, Sang-Seub
    • The Korean Journal of Franchise Management
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    • v.9 no.1
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    • pp.7-15
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    • 2018
  • Purpose - The purpose of this study was to establish self sustainable win-win growth model for Korea franchise corporate sustainability and to suggest theoretical and practical implications for franchise management. Research design, data, and methodology - This study is based on literature review methodology. Result - The study suggested the ways of self sustainable win-win growth model for Korea franchise corporate sustainability. First, franchiors should strengthen requisite & specify in the contract, share information & strengthen transparency, and establish win-win management support system for control & autonomy balance. Second, franchises should develop CEO management competency & employee work competency, and establish recognition for Intellectual Property Rights Use. Third, franchisors and franchises should implement contract sincerely, strengthen Organizational Citizenship Behavior, and solve moral laxity. Forth, franchisors and franchises should establish trust and value with communication to make Creating Social Value. Fifth, franchisors and franchises should realize self sustainable social value for corporation and social community. To make this, franchsors and franchise should establish self sustainable win-win growth ecosystem with people, system, culture, innovation. Conclusions - First, Franchisors and franchises should distribute 'Self sustainable win-win growth 2025 for Korea franchise corporate sustainability' and 'Self sustainable win-win growth model for Korea franchise corporate sustainability'. Second, Franchisors and franchises should change their perspective about franchise industry. Third, Franchisors and franchises should develop various training and development plans for franchise industry. Fourth, Franchisors and franchises should establish franchise performance certificate system.

Development of Physical Activities Self-Management Questionnaire of Elementary Students (초등학생의 신체활동 자기관리 검사지 개발)

  • Ahn, Jeong-Deok;Jeong, Sang-Hoon
    • The Journal of the Korea Contents Association
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    • v.16 no.1
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    • pp.642-654
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    • 2016
  • The purpose of this study was analyze the characteristics of self-management of the physical activity questionnaire elementary and develop self-management. To do this, from the average student is selected to receive training in physical education gifted students, and to cover up the children who are acting as an athlete in the current schools participated in a variety of students. Professional meetings, inductive categorization, item analysis, exploratory factor analysis and confirmatory factor analysis conducted, the verification was carried out between different groups discriminant validity for verification. As a result, physical activity self-management factor is the support of the parents of elementary school students, exercise management, life management, interest, self-confidence, support of parents, personal management were six factors determined to be a total of 24 questions. In addition, Gifted children was higher than in all the sub-factors of physical activity self-management in the general child population. As a result, we ensure the validity of the test to diagnose physical activity as a self-managed by first responders schools.

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.

Effects of a Case Management Program on Self-efficacy, Depression and Anxiety in Pregnant Women with Gestational Diabetes Mellitus (임신성당뇨병 임부에 대한 사례관리 프로그램이 자기효능감, 우울 및 불안에 미치는 효과)

  • Baek, Eun Sook;Park, Hye Ja
    • Women's Health Nursing
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    • v.19 no.2
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    • pp.88-98
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    • 2013
  • Purpose: To examine the effects of a case management program on self-efficacy, depression and anxiety in pregnant women with gestational diabetes mellitus. Methods: Thirty-seven patients who enrolled in a diabetes outpatient clinic were randomly assigned to either an experimental group (n=19) or a control group (n=18). The experimental group received a 2-week intervention composed of a series of one face-to-face interactive interview and five telephone interviews based on the National standards for diabetes self-management education and Bandura's self-efficacy resources of performance accomplishment, vicarious experience, verbal persuasion, and emotional arousal. The effects of the intervention were assessed by completion of a 9-item self-efficacy questionnaire, a 20-item depression questionnaire and a 20-item anxiety questionnaire prior to, and after the intervention. The statistical significances were examined using t-test. Results: The change in self-efficacy was significantly greater in the experimental group than in the control group. Depression and anxiety changes in the experimental group were significantly greater compared to those in the control group. Conclusion: The results of study suggest that a case management program improves self-efficacy, and decreases depression and anxiety in pregnant women with gestational diabetes mellitus.