• 제목/요약/키워드: self-care program

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An Effect of a Self-Efficacy Information Resources Program on Perceived Self-Efficacy and Self-Care in Patients with Coronary Artery Disease (자기효능 정보자원 프로그램이 관상동맥 질환 환자의 지각된 자기효능감과 자가간호행위에 미치는 효과)

  • Shin, Ju-Young;Khim, Soon-Yong
    • Korean Journal of Adult Nursing
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    • v.14 no.1
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    • pp.114-124
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    • 2002
  • Purpose: This study was conducted to investigate whether a self-efficacy information resources program based on the self-efficacy theory of Bandura (1986) would increase self-efficacy and self-care in patients with CAD. Method: The study was a one group, pretest-posttest pre-experimental design research. The Self-Efficacy Information Resources Program was composed of a video tape program and a telephone coaching program and based on vicarious experiences and verbal persuation. The Program was used as an experimental treatment from February 27. to May 27, 1999. Twenty patients participated from a university hospital located in Seoul. Three days later after a pretest the telephone coaching program was given. It was repeated weekly during a 3 week period. At the end of this period post-test data were collected by mail. Data were analyzed with a random permutation test using SAS program. Result: 1) Scores on self-efficacy after the Self-Efficacy Information Resources Program were significantly higher than before the program (p=0.06). 2) Scores on self-care after the Program were significantly higher (subjective self-care, p=0.0005; objective self-care, p= 0.0002) than before the program. Conclusion: The Program was found to be an effective nursing intervention for increasing self-efficacy and self-care. When nurses who care for CAD patients plan to increase their patients' self care ability, they should always consider the concept of self-efficacy.

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Effects of Empowerment Education Program for Hemodialysis Patients on Self-efficacy, Self-care Agency, Self-care Activities and Physiologic Parameters (능력증강 교육프로그램이 혈액투석환자의 자기효능감, 자가간호역량, 자가간호행위 및 생리적 지표에 미치는 효과)

  • Park, Hyo-Mi;Lee, Hea-Shoon
    • The Korean Journal of Rehabilitation Nursing
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    • v.13 no.2
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    • pp.151-160
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    • 2010
  • Purpose: The purpose of this study was to determine the effects of empowerment education program on self-efficacy, self-care agency, self-care activities and physiologic parameters among hemodialysis patients. Method: Nonequivalent control group pretest-posttest design was used. There were 36 subjects in the experimental group and 35 subjects in the control group. The empowerment education program was administered for 4 weeks (1 time per week). Data were collected pre-treatment and post treatment. The $X^2$-test or Fisher's exact test, ANCOVA, t-test and paired t-test were performed to determine the group differences, using SPSS 14.0 version. Results: Self-efficacy, self-care agency, self-care activities and weight variation significantly improved after the empowerment education program in hemodialysis patients. Conclusion: The empowerment education program for hemodialysis patients was effective to improve the degree of self-efficacy, self-care activities and self-care agency and to decrease interdialytic weight variation.

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.

A Study on the Development and Effects of Slides / Tape Program for the Hypertensive Patients진 Self-Care (고혈압환자의 자가간호증진을 위한 Slides / Tape 프로그램 개발 및 효과)

  • 이영휘
    • Journal of Korean Academy of Nursing
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    • v.25 no.4
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    • pp.696-705
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    • 1995
  • The self-efficacy as the mediating variable to connect knowledge to behavior was Identified as the most powerful predictor that determines behavior. The purpose of this study was, first, to develop the slides /tape program based on the self-efficacy theory of Bandura(1977) second, to investigate that the Slides /Tape program would increase self-efficacy and self-care in patients with hypertension. The subjects for this study were 54 hypertensive outpatients and data collection was carried out from January 9, 1995 until March 18, 1995. The design of this study was one-group pretest and posttest design and the results are as follows 1) The slides /tape program was developed to based on performance accomplishment and vicarious experience which are induction modes of efficacy expectation. It composed of 80 slides and 20 minutes long tape. 2) The effectiveness of the slides /tape program “The self-efficacy score after giving the slides /tape program will be higher than one before giving the slides /tape program.” was supported (t=3.67, p=0.001). “The self-care score after giving the slides /tape program will be higher than one before giving the slides /tape program.” was supported(t=5.23. 000), 3) A significant difference was found between the self-care and sex. Also, the significant difference was found between the self-care and job. From these results, the slides /tape program is effective to increase the hypertensive patients' self-care.

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Effects of Telephone Consulting Program on Self-efficacy and Self-care in NIDDM Patients (전화상담 프로그램이 당뇨병환자의 자기효능과 자가간호에 미치는 효과)

  • Kim, Chun-Gill;Chung, Chung-Hee
    • Korean Journal of Adult Nursing
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    • v.14 no.2
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    • pp.306-314
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    • 2002
  • Purpose: This study was intended to examine the effects of a telephone consulting program on self-efficacy and self-care in NIDDM patients. Method: Sixty-eight NIDDM patients participated. Thirty-six were assigned to the experimental group and received the telephone consulting program from one to two times per week for 4 weeks. This program was undertaken by base on small booklet relating to diabetic disease summary, diet, drug, exercise, foot management, prevention and treatment of complications, and insulin injection methods. Result: 1. Hypothesis 1 that "the experimental group who receives the telephone consulting program will have higher self-efficacy score than the control group who does not have the telephone consulting" was supported (t=5.12, p= .000). 2. Hypothesis 2 that "the experimental group who receives the telephone consulting program will have higher self-care score than the control group who does not have the telephone consulting" was supported(t=5.29, p= .000). Conclusion: The telephone consulting program improved self-efficacy and self-care in NIDDM patients. Accordingly, this program can be adopted as an effective nursing intervention in the care of the diabetic patients.

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The Effect of a Diabetic Education Program on Self-care Behavior and Glucose Metabolism in Type 2 Diabetic Patients (당뇨교육프로그램이 인슐린 비의존성 당뇨병 환자의 자가간호행위와 당 대사에 미치는 영향)

  • Paek, Kyung-Shin
    • Research in Community and Public Health Nursing
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    • v.12 no.2
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    • pp.390-396
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    • 2001
  • The purpose of this study was to test the effect of a diabetic education program using the self-efficacy theory on the self-care behavior and glucose metabolism. The subjects of the study consisted of 25 NIDDM patients who had participated with a diabetic education program from June 23 to July 14. 1999. The research design was one-group pretest-posttest design. The pretest included measuring. self-care behavior and 2PPBS. the diabetic education program was conducted to the group for 4weeks. After the diabetic education program. the posttest included remeasuring of self-care behavior and 2PPBS. Wilcoxon signed rank test was used for the significence of the differences between values before and after the diabetic education program. The results are as follows. The diabetic education program was effective in increasing the score of the self-care behavior in exercise but was not effective in increasing the score of the self-care behavior in diet, test and medication. The diabetic education program was not effective in decreasing the levels of glucose metabolism.

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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.

A Study on the Factors Affecting Self-Regulation Program for the Hypertensives in Rural Area (농촌지역 고혈압 환자를 위한 자기조절 프로그램 관련 요인 연구)

  • Park, Young-Im;Jun, Myung-Hee
    • Research in Community and Public Health Nursing
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    • v.12 no.1
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    • pp.202-213
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    • 2001
  • This study was conducted to identify the changes of the relationship among general characteristics, self-efficacy. and self-care of the hypertensives in rural area. For this purpose, self-regulation program was carried at two Community Health Practitioner Post located in the suburbs of Daejeon City from September to November. 1999. Data were analyzed with non-parametric statistics, t-test, pearson correlation. The results were as follows; 1. The level of self-care was significantly different according to sex, status of smoking, and the level of self-efficacy of non-smoker was significantly higher than smoker. 2. After self-regulation program, there were significant positive relationship among self-efficacy, self-care, internal locus control, and negative relationship between perceived barrier and self-care. From these results, it can be concluded that the self-regulation program is an effective nursing strategy to promote self-care performance of hypertensives in rural area, and this program can be recommended for the management of hypertensives.

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Effects of care promotion program based on nursing students self-understanding: Application of enneagram group education (간호대학생의 자기이해기반 돌봄증진 프로그램의 효과: 에니어그램 집단교육 적용)

  • Shin, Eun-Sun;Lee, Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.26 no.2
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    • pp.132-145
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    • 2020
  • Purpose: The purpose of this study was to examine the effects of a care promotion program based on nursing students' self-understanding. Methods: A quasi-experimental approach using a randomized clinical trial pre- and posttest design was used. Participants were assigned to an experiment group (n=29) or control group (n=30). Data were collected from June 23 to September 8, 2017. The experiment group participated in a care promotion program based on self-understanding for 24 hours through eight sessions covering eight different topics. The data were analyzed using t-test and repeated-measures ANOVA using SPSS/WIN 21.0. Results: Compared to the control group, the experiment group reported significant positive changes for college life adjustment (F=28.74, p<.001), emotional intelligence (F=15.66, p<.001), and interpersonal caring behavior (F=9.37, p=.003). Conclusion: Findings from this study indicate that care promotion based on a self-understanding improvement program with the application of group enneagram education is a useful intervention strategy to promote the care promotion program based on nursing students' self-understanding. Care promotion based on self-understanding will be utilized as an intervention program to form positive values of care and interpersonal relationship through care awareness, self-change, understanding of others and care experience in the group.

Effect of Self-Efficacy Promoting Program on Self-Efficacy, Metabolic Control and Self-Care Behaviors in Patients with NIDDM (자기효능증진프로그램이 당뇨환자의 자기효능, 혈당대사 및 자기간호실천행위에 미치는 효과)

  • Lee, Sook-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.8 no.1
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    • pp.59-67
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    • 2005
  • Purpose: The purpose of this study is to investigate the effect of Self-Efficacy Promoting Program on Self-Efficacy, Metabolic Control and Self-Care Behaviors in Patients with NIDDM. Method: Data was collected from March 15th to July 15th, 2001. The subjects of the study consisted of 23 NIDDM patients who had visited regularly the endocrinology out-patient department of Gwangju Christian Hospital. The instrument used in the study Paek's self-efficacy measurement scale, was modified by the researcher, self-care behaviors were created by health care teams, and HbA1c for the sugar metabolic control were measured from the patients blood. The Interventions of the self efficacy promoting program were applied 4 hours a week for 6weeks. Data were analyzed with SPSS/PC+, using T-test and Wilcoxon rank sum test. Result: The mean score for self-efficacy was $70.61{\pm}15.48$ of a 140 point scale, the mean score for $HbA_{1c}$ level was $8.07{\pm}1.86%$. The self efficacy promoting program significantly increased the score of self efficacy(Z=-4.198, P=.000). And the self efficacy promoting program was significantly decreased in metabolic control(Z=-2.585, p=.010). Taking medicine and controlling alcohol were the best self care behaviors of this program. Conclusion: It was established that the self efficacy promoting program was effective for improving self efficacy, metabolic level and self care behaviors in patients with NIDDM.

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