• 근관절건강학회지
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• 제10권1호
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• pp.32-43
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• 2003

The purpose of this study was to identify the long-term effects of the self-help program for arthritis patients. The subjects were 126 patients who have participated in the 6-week self-help program from 1997 to 2000, agreed to participate in this study by telephone interview and responded the mailed questionnaires. The measurement tools of this study were all self-reported questionnaires such as Numerical Pain Rating Scale, the number of pain sites, Korean Health Assessment Questionnaire, Numerical Fatigue Rating Scale, CES-D depression scale, Self-efficacy scale, Social support scale. The repeated measure ANOVA revealed the significant differences among the pre post follow-up pain and fatigue. Whileas there were no significant differences the pre post follow-up pain site and physical functioning. And there were also no significant differences the pain, pain site, fatigue and physical functioning among three groups according to the duration of follow-up. These results suggested that the follow-up program after the self-help program was completed would be helpful for the physical wellbeing of arthritis patients.

• 한국콘텐츠학회논문지
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• 제20권8호
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• pp.628-636
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• 2020

본 연구의 목적은 서울특별시 25개 치매안심 센터에서 시행하고 있는 자조모임이 치매환자 주부양자들의 스트레스와 삶의 만족도간에 어떠한 상관관계를 나타내는지 알아보는 것이다. 25개 치매안심 센터에서 자조모임을 알아보고, 자조모임에 참여하고 있는 치매환자 주부양자를 대상으로 설문조사를 실시하였다. 수집된 자료는 SPSS 21.0 프로그램을 사용하였고, 스트레스 수준과 프로그램 후의 만족도에 대해 신뢰도를 분석하였다. 자조모임 종류와 참석빈도, 모임개수는 다변랑 분산분석과 일원분산분석을 실시하였다. 그 결과 첫째, 참여자가 느끼는 전체 스트레스는 5점 척도 중 4점에 가까웠고, 모임종류와 참석빈도에서는 유의한 차이가 나타나지 않았으며, 자조모임 개수에서만 유의한 차이가 나타났다(p<.05). 둘째, 자조모임후의 만족도는 5점 척도 중 4점에 가까웠고, 모임종류와 참석빈도는 유의한 차이가 나타나지 않았으며, 자조모임 개수만 유의한 차이가 나타났다(p<.05). 셋째, 스트레스와 프로그램의 만족도간의 관계에서 유의한 부적 상관이 나타났다. 결과에서 보듯 자조모임은 치매환자 주부양자들의 스트레스와, 모임후의 만족도에 영향을 미치고 있음을 알 수 있다.

• 근관절건강학회지
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• 제13권2호
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• pp.83-93
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• 2006

Purpose: The purpose of the study was to compare the effects of Tai Chi self-help program and Tai Chi exercise in patients with osteoarthritis. Methods: quasi experimental design was utilized for the study to compare the effects after implementing tai chi self-help program and Tai Chi exercise for 6 weeks. The subjects of the study was osteoarthritis patients who visited to two Public Health Centers in Gyunggi-do from August to December, 2005. Total of 25 OA patients agreed to participate in the study, and 10 tai chi self-help program group and 9 Tai Chi exercise group were included for the final analysis after 6 weeks. Tai Chi self-help program was provided twice a week, 2 hours per session (one hour for tai chi exercise, one hour for self help program) for 6 weeks, and Tai Chi exercise group was provided once a week, 2 hours per session for 6 weeks. Outcome measures include flexibility, 6 m walking, and balance. Mann-Whitney U test of SPSS WIN 11.0 was utilized to compare the group differences. Results: The subjects of both program participants were not improved in their arm flexibility, and the difference was not significant. Tai chi self-help group improved more in their 6 m walking ability than Tai Chi exercise group, but the difference was not significant (F=.000, p>.05). Tai chi self-help group improved more in their balance than Tai Chi exercise group, but the difference was not significant (Rt: U=.24, p>.05; Lt: F=2.60, p>.05). Conclusion: The provision of both Tai Chi self-help program and Tai Chi exercise can lead improvement of 6 m walking, and balance, but the group difference was not significant. A rigorous research design should be further utilized to identify the potential benefits for this population.

• 대한간호학회지
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• 제26권3호
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• pp.678-687
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• 1996

Smoking is considered to be one of the important risk factors associated with various health problems. Thirty seven million people in America quit smoking in the past decade, with 90% quitting on their own(Americal Heart Association, 1986). According to McAlister(1975), 70% of smokers reported that they adopted a self-help smoking cessation approach rather than a formal treatment program. In our country, although, auccessful exsmokers have used, are not available, concerns about smoking cessation have increased, recently, due to changes in social and political attitudes to health promotion. This study was conducted to help smokers who had made a decision to adopt a self-helf smoking cessation approach instead of depending on a formal treatment program. It provided a structurd way for sucessful smoking cessation by identifying change mechanism factors which have been commonly used by smokers. The subjects selected for this study were 155 university students between 20 and 29. Years of age the results from the analysis of the collected data showed that seven factors in the self-help change processes significant, and they are named, Stimulus Control, Self-Determination, Information Management, Reinforcement Management, Helpful Relationships, Dramatic Relief, and Cognitive Restructuring. All of the factors except Self-Determination represent the same change mechanisms which are proposed by Prochaska et at.(1988). Self-Determination uniformly includes items belonging to various change processes. Therefore, it might be an transitional factor including strategies related to both cognitive and behavioral dimensions. In spite of this, noted that one item which gives meaning of Self-Determination shows the highest factor loading, it is named Self-Determination.

• 종양간호연구
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• 제3권1호
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• pp.45-55
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• 2003

Self-help group program is an elective procedure intended to improve the quality of life of women undergoing mastectomy. The purpose of this study is explore effects of the self-help group program for QOL after mastectomy. 40 Women who had undergone mastectomies between stagel to 3 were recruited. Subjects of experimental group attended the self-help group for 4 weeks. Data were collected by self-reporting questionnaire. QOL was assessed using the Quality of Life Scale(QLS) translated by Kwon(1990). As a results, no significant differences were found between experimental and control group in changes of QOL. But, experimental group increased QOL score. In conclusions, when the self-help group program is provided to the patients with breast cancer, it can be helpful for promoting QOL and emotional support, even no statistical difference. For the further study, repeated researched with appropriate duration of intervention is suggested. Significant anxiety about their disease and fear of recurrence will be persisted despite intervention.

• 근관절건강학회지
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• 제14권1호
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• pp.26-32
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• 2007

Purpose: The purpose of this study was to determine if osteoarthritis patients would benefit in terms of pain, fatigue, difficulty with physical activity, joint stiffness, and flexibility of the joints from a structured self-help program. Method: This self-help program was carried out 2-3 hours once a week for 6 weeks in 2005-2006, and evaluated in one group pretest-posttest pre-experimental design. The subjects of this study who were diagnosed osteoarthritis were recruited at two different Community Health Centers in Kangwon. The subjects who agreed with the purpose of this study and participated both pretest and post-test were 55 patients. Mean age is 63.48 (9.48) years, mean duration of disease is 7.95 (7.66) years. The self-help program was consisted of weekly health contract, exercise, health education, group discussion, group counseling, and recreation. At every meeting, researcher and trained public health nurse evaluated the program, and prepared the next program. The measurement tools were pain rating scale (0-10), fatigue rating scale (0-10), Korean WOMAC (Western Ontario and McMaster University Osteoarthritis) Index, ruler, and goniometer. Results: At the completion of 6 weeks of self-help program, the subjects reported significantly less pain and difficulty with physical activity and more flexibility in both shoulder and knee joints compared to pretest. Conclusion: The self-help program would be helpful on pain, physical activity, and joint flexibility for arthritis patients.

• 지역사회간호학회지
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• 제16권3호
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• pp.260-269
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• 2005

Purpose: This study were to understand the caregiving situation of families with the demented elderly and to develop a self-help program for them. Method: A self-help program was designed to increase caregivers' confidence and skills in problem solving. In addition, it was designed to provide information about the demented elderly. The self-help program of this study was composed of nine sessions. Result: Family caregivers of elderly patients with dementia obviously experience high level of stress. which often leads the caregivers to negative outcomes such as depression, interference with social activities and health difficulties. That is, caring is stressful for caregivers because the demands of the caregiving situation tend to overwhelm the caregivers' coping resources. Therefore, families with demented elderly persons need assistances in order to be relieved from their care burden. Conclusion: The self-help program includes the understanding of dementia, the family caregiving experiences of the demented elderly persons, the time for self-care, the search for helping, the improving of interpersonal relations and communications.

• 종양간호연구
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• 제1권2호
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• pp.217-228
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• 2001

Cancer survivor's self-help group may promote psychosocial adjustment in cancer patients. Self-transcendence has been shown to be related with crisis and adjustment in women with breast cancer. The purpose of this study is to determine the effectiveness of self-transcendence promoting program to facilitate self-transcendence, physical, and emotional well-being in women with breast cancer. Thirty patients who received mastectomy were recruited, but 9 subjects of experimental group and 14 subjects of control group participated in this study. Subjects of experimental group attended the self-help group for self-transcendence once a week for 6 weeks. Each session of program was proceeded for 2hours and the program contained activities for promoting self-transcendence, stress management, communication skill, exercise and relaxation, symptom management, and family support. Data were collected by self-reporting questionnaires within seven days after mastectomy and after the program was finished in experimental group, within 7 days after mastectomy and after 3 months in control group. Self-transcendence was assessed using the self-transcendence scale (STS) developed by Reed. Physical well being was assessed using Symptom distress scale (SDS) developed by McCorkle and Young and emotional well being was assessed using Profile of mood states (POMS). As a result, no significant differences were found between both groups in changes of self-transcendence, emotional well-being, and physical well-being. Self-transcendence score was significantly decreased in control group (p =0.16). But that of experimental group showed no decrease. In conclusions, when the self-transcendence promoting program is provided to the patients with breast cancer, it can be helpful for promoting self- transcendence. For the further study, repeated research with appropriate sample size and more intensive nursing intervention to promote self-transcendence is suggested. And reassessment after 6 months is recommended for testing long term effects of the program.

• 근관절건강학회지
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• 제11권1호
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• pp.31-41
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• 2004

Purpose: The purpose of this study was to test the effects of self-help program offered to patients with arthritis. Method: A quasi-experimental study design with nonequivalent groups was employed for the study. The subjects in the experimental group were 19 residents of K City who visited K Health Center with chief complaints of osteoarthritis and who agreed to participate in the self-help program from January through April 2003. The subjects in the control group were 18 patients with arthritis, selected among patients on the waiting list of self-help program using random sampling method. Data related to pain, ADL, exercise self-efficacy, and knowledge about arthritis were obtained from both groups. SPSS Win 11.5 was used for the data analysis. Results: The results of this study were as follows. 1. The pain score and exercise self-efficacy of the study group were significantly higher than the control group. 2. The ADL score and knowledge about arthritis were not significantly higher than the control group. Conclusion: Based on the study results, self-help program was proved to be effective in alleviating pain, and promoting exercise self-efficacy related to arthritis.

• 한국가족복지학
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• 제62호
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• pp.103-139
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• 2018

본 연구는 지역사회복지관 한부모 자조집단 실천방안 모색을 위한 참여실행연구 자료를 활용하여, 연구를 수행한 사회복지사들이 참여실행연구과정에서 성찰한 내용이 무엇인지를 구체적으로 탐색하는 데 목적을 두고 있다. 참여실행연구에는 지역사회복지관 한부모 자조집단 실천의 어려움을 공유한 사회복지사와 교수자 9명이 참여했고, 10회기의 연구모임을 통해 동료 수퍼비전을 비롯한 다양한 활동을 하면서 사회복지사들이 소속된 기관의 4개 자조집단 실천에대한 계획-실행-성찰-재계획을 반복하는 순환적 연구를 수행하였다. 그 결과 현장에 밀착된 다양한 실천방안이 도출되었는데, 그 중 핵심은 사회복지사의 인식이 변화해야 한다는 것이다. 본 연구에서는 참여실행연구에서의 성찰을 통해 사회복지사의 인식이 변화된 것에 주목하고, 연구모임 녹취록 등 참여실행연구에서 생성된 자료를 활용하여 성찰의 구체적 내용을 질적으로 분석하였다. 그 결과, '자조집단에 적합한 실천이 미흡했음을 깨닫고 고민함', '회원-사회복지사 관계에 대한 변화된 관점을 바탕으로 사회복지사 역할을 다시 알아감', '당사자 주도 실천의 가능성을 확인함', '지역사회복지관 한부모 자조집단을 더 세밀하게 이해함', '지역사회복지관 한부모 자조집단의 발전을 새롭게 인식함' 등 5개 주제가 도출되었다. 이러한 결과를 토대로 지역사회복지관 한부모 자조집단을 중심으로 역량강화 실천과 성찰?반성적 실천에 대해논의하였다.