• Title/Summary/Keyword: 자가간호프로그램

Search Result 317, Processing Time 0.025 seconds

The Effects of a Cognitive Behavioral Stress Management Program on Diabetic Self-Care and Glycemic Control with Diabetes Mellitus Type II (인지행동 스트레스관리 프로그램이 제2형 당뇨병 환자의 자가간호 이행과 당대사에 미치는 효과)

  • Park, Kyung Yeon;Park, Hyoung Sook;Seo, Ji Min
    • Korean Journal of Adult Nursing
    • /
    • v.19 no.5
    • /
    • pp.1-11
    • /
    • 2007
  • Purpose: The purpose of this study was to examine the effects of a cognitive behavioral stress management program on diabetic self-care and glycemic control with type 2 diabetic patients. Methods: Thirty three diabetic patients who were older than 40 were recruited from a public health center and conveniently assigned into both experimental(n=16) and control groups(n=17). Participants in the experimental group had attended the weekly cognitive behavioral program for 8 weeks. Data were collected from June 2005 to August 2006 and analyzed by independent t-test using the SPSS WIN program. Results: After an 8 week intervention, participants in the experimental group reported on increasement of diabetic self-care behaviors and an increasement of blood glucose levels, which were significantly different from those in the control group. Conclusion: On the basis of those findings, we concluded that the cognitive behavioral stress management program has positive effects on diabetic self-care and glycemic control for the patients with DM. Further research is needed to identify the long-term effects of the cognitive behavioral program.

  • PDF

Effects of a Self-regulation Program on Blood Pressure Control and Self-Care in Patient with Essential Hypertension (자기조절프로그램이 고혈압환자의 혈압 및 자가간호행위에 미치는 효과)

  • Choo, Hyang Im;Kim, Gwang Suk
    • Journal of Korean Academy of Rural Health Nursing
    • /
    • v.6 no.1
    • /
    • pp.33-43
    • /
    • 2011
  • Purpose: This study was done to verify the effects of a self-regulation program for management of hypertension. Method: Thirty patients with hypertension registered in a community health center were selected as the experiment group, and control group were patients in another community health center, matched for age and gender. The self-regulation program included daily blood pressure checks, periodic counseling, and health education. A self-check digital device with instructions was provided for self-monitoring of blood pressure, and the participants were interviewed before they took part in the program. Results: The first hypothesis was supported: There will be a greater reduction in both systolic and diastolic blood pressure for patients with hypertension who participate in the self-regulation program compared to patients in the control group. The second hypothesis was also supported: Patients with hypertension who participate in the self-regulation program will perform self-care activities better than those in the control group. Conclusion: The findings indicate that a self-regulation program reduces systolic and diastolic blood pressure and improves self-care in patients with hypertension. It is recommended that this self-regulation program be used in community health clinics for management of hypertension and prevention of complications.

Importance and Satisfaction on Nursing Core Competency of Nurses & Nurse Managers in a Community Hospitals (일 지역 병원 간호사와 간호관리자가 인식하는 간호핵심역량 중요도 및 만족도)

  • Kim, Sang-Dol
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.14 no.6
    • /
    • pp.2844-2851
    • /
    • 2013
  • This is a descriptive study to identify the importance and satisfaction on nursing core competencey(NCC) for the clinical practical centered nursing education curriculum revision. The subjects were 136 staff nurses and nurse managers at A and B hospitals in K city. The data were collected from December 1 to 15, 2012. It were analyzed using the SAS program through t-test, ANOVA, Duncan test. There was a significant differences in the score of the importance and satisfaction on NCC within nurses(t=12.64, p<0.0001) and within nurse managers(t=6.20, p<0.0001). Also there was higher in the score of importance on professional knowledge and personality area of the NCC, But there was the most lowest in the score of satisfaction on foreign language skills. Therefore education and health care systems should work closely to promote professional competency of nurses and to strengthen the liberal arts education, including personality and foreign language skills of students nurses.

Effects of Self Efficacy Promoting Programs on Self Efficacy, Self Care Behavior and Psychosocial Adaptation in Patients with a Colostomy (자기효능 증진 프로그램이 결장루 형성술 환자의 자기효능, 자가 간호 행위 및 심리사회적 적응에 미치는 효과)

  • Kim, Kyoung-Mi;Baek, Eun-Seon;Kang, Nam-Hee;Yoon, Kyung-Eun;Bae, Na-Young;Cha, Bo-Kyoung
    • Journal of Korean Academy of Fundamentals of Nursing
    • /
    • v.14 no.3
    • /
    • pp.288-296
    • /
    • 2007
  • Purpose: This study was conducted to investigate the effects of self-efficacy promoting program on self-efficacy, self-care behavior and psychosocial adaptation in patients with a colostomy. Method: A non-equivalent control group pre test post test design was used. The self efficacy promoting programs was composed of a CD image program based on varicaious experience, education and telephone coaching program based on verbal persuasion, and Stoma care practice, and Self care performance based on performance accomplishment. This study was carried out from July 2, 2005 to April 20, 2006 and 21 patients with a colostomy at one of 2 hospitals participated. Descriptive statistics, ${\chi}^2-test$, and Mann-whitney U test were used to analyze the data. Results: There were significantly different for specific self efficacy, self care and psychosocial adaptation between the experimental group and control group. Conclusion: The self efficacy promoting program for patients with stomas was effective in improving degree of specific self efficacy, self care and psychosocial adaptation.

  • PDF

The Effect of a Self-Regulation Program for Hypertensives in Rural Areas (일부 농촌지역 고혈압 환자의 자가간호 증진과 혈압조절을 위한 자기조절 프로그램 효과)

  • Park, Yeong-Im;Jeon, Myeong-Hui
    • Journal of Korean Academy of Nursing
    • /
    • v.30 no.5
    • /
    • pp.1303-1317
    • /
    • 2000
  • This study was conducted to identify a effect of the comprehensive self-regulation program for hypertensives as a nursing intervention on self-care performance and the physiologic parameters in rural areas. For this purpose, a nonequivalent control group and a pre and post-test quasi- experimental design was used. Fifty-four were evaluated subjects from two Community Health Practitioner Posts in the suburbs of Taejon City. The subjects of the control and experimental groups were matched for age and sex. The self-regulation program developed by author given to the experimental group. The program consisted of group education on hypertension and self-care, self-regulation including the blood pressure self-monitoring, recording of self-care activities, and encouraging and reinforcing self-efficacy. The whole program was carried out from September to November of 1999. The data were analyzed by repeated measure ANCOVA, t-test, and ANCOVA. The results were as follows ; There was significant improvement in the scores on knowledge (F=.68, P=.004), perceived self-efficacy (F=26.39, P=.000), self-care performance (F=26.11, P=.000) of the experimental group compared with those of the control group. There was no significant change on the score of locus of control, perceived benefits and perceived barrier, blood cholesterol level, body weight between two groups (P>.05). 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.

  • PDF

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
    • /
    • v.14 no.1
    • /
    • pp.114-124
    • /
    • 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.

  • PDF

An Effect of the Secondary Stroke Prevention Education Program on Self-care of Acute Ischemic Stroke Patients (뇌졸중 이차예방 교육프로그램이 급성기 허혈성 뇌졸중환자의 자가간호수행에 미치는 효과)

  • Kang, Sun Mi;Yeun, Eun Ja
    • Korean Journal of Adult Nursing
    • /
    • v.17 no.4
    • /
    • pp.646-655
    • /
    • 2005
  • Purpose: This study was conducted to examine the effects of the secondary stroke prevention education program to inhibit the recurrence of the acute ischemic stroke patients, and to maintain and promote knowledge about stroke, self-efficacy and self-care. Method: This study was designed to take a quasi-experimental pre- and post-test with the nonequivalent control group. The experimental group consists of 20 patients and control group consists of 20 patients. The experimental group was applied the secondary stroke prevention education program. In order to verify the effects of the secondary stroke prevention education program, knowledge about stroke, self-efficacy and self-care scale were measured before the intervention and 4 weeks, 12 weeks after discharge. The tools for measuring knowledge about stroke, self-efficacy and self-care are developed by the researcher. The data was analyzed by SPSS win 10.0 program using $x^2-test$, Fisher's Exact Test, t-test, Kolmogorov-Smirnov Z, and Repeated Measures ANOVA. Result: There was a statistically significant difference in knowledge about stroke (F=4.021, p=.026), self-efficacy(F=6.096, p=.018), and self-care(F=8.026, p=.007) between the experimental and the control group after intervention. Conclusion: It is considered that the program can be used as an effective nursing intervention in clinical practice.

  • PDF

Development and Evaluation of a Self-Management Program for Tracheostomy Tube Management for Homecare Client: Focus on Caregivers (기관절개관을 보유하고 있는 가정간호대상자를 위한 기관절개관 자가관리 프로그램 개발 및 평가: Caregiver를 중심으로)

  • Ma, Cho Won;Lee, Joo Youn
    • Journal of Korean Clinical Nursing Research
    • /
    • v.17 no.3
    • /
    • pp.329-339
    • /
    • 2011
  • Purpose: The purpose of this research was to develop and train caregivers in tracheostomy tube care using a self-management program to assist patients with an 'at home' tracheostomy procedure. Caregivers' self-efficacy and knowledge of tracheostomy management before and after the training was also identified. Methods: Research participants were the main caregivers for patients with tracheostomies who were affiliated with a 'Home Healthcare Center'. Training and observation were done at 'A Hospital' and 'G Hospital' both affiliated with 'K University' in Seoul. Data were collected from May 3, 2010 to January 25, 2011 and analyzed using Wilcoxon signed rank test with SPSS program version 12.0. Results: Significant differences were found for the pre and post evaluation of the 'self-management program' for the implementation of tracheostomy care. The development and implementation of the 'self-management program' improved the main caregivers' knowledge of tracheostomy tube management (Z=-3.599, p<.001). Conclusion: Results show that this program has identified an effective nursing intervention for promoting the caregivers' knowledge of tracheostomy care and self-efficacy. We recommend that further research should be done to test primary caregivers' maintenance of knowledge and self-efficacy in tracheostomy tube management and identify factors affecting knowledge and self-efficacy in the care of these patients.

Effects of a Postnatal Care Program on Self-efficacy, Self-management, and Glycemic Control in Women with Gestational Diabetes Mellitus (임신성 당뇨병 산모를 위한 산후관리 프로그램이 자기효능감, 자가 관리 및 혈당 조절에 미치는 영향)

  • Jeon, Yeong Kyung;Kim, Hyo Jin;Yang, Mi Yeon;Jung, Da Yeong;Yoon, Kum Young;Noh, Gie Ok
    • Women's Health Nursing
    • /
    • v.24 no.4
    • /
    • pp.367-378
    • /
    • 2018
  • Purpose: To examine effects of a postnatal care program on self-efficacy, self-management, and glycemic control in women with gestational diabetes mellitus (GDM). Methods: A non-equivalent control group non-synchronized quasi-experimental design was used. Sixty-two women with GDM were enrolled and assigned to either an experimental group (n=30) or a control group (n=32). The experimental group received an intervention which was postnatal care program for women with GDM. The postnatal care program for GDM included an individual education with leaflet and mobile web-based video with three times of telephone counseling. Effects of the intervention were measured with self-efficacy, self-management questionnaire, and a 75 g oral glucose tolerance test (75g OGTT). Statistical significance was examined using independent t-test and $x^2-test$. Results: Although there was no significant difference in 75g OGTT ($x^2=.11$, p=.748) or self-management (t=-1.28, p=.206), there was a statistically significant increase in self-efficacy (t=-2.02, p=.048) in the experimental group compared to that in the control group. Conclusion: A postnatal care program is needed for women with GDM to improve their self-efficacy. Further studies are warranted to improve self-management and glycemic control through tailored education for GDM postpartum women.

Development of Self-practice Program for Core Nursing Skills for Undergraduate Nursing Students based on Mobile Application (모바일 앱 기반 간호대학생 핵심간호술 자가학습 프로그램 개발)

  • Kim, Sun Kyung;Eom, Mi-Ran;Lee, Youngho;Go, Younghye
    • Journal of the Korea Convergence Society
    • /
    • v.12 no.10
    • /
    • pp.343-352
    • /
    • 2021
  • A convergence study was conducted to develop a smartphone application for self-practice of core nursing skills and evaluate its usefulness for undergraduate nursing students. Mobile Application Rating Scale and seven essay questionnaire were used to for usability evaluation among 22 undergraduate nursing students. The score of the information domain was the highest with 4.19(SD 0.79). The subjective quality domain showed the lowest score of 3.08(SD 0.87). Participants' performance confidence score was 8.23(SD 1.60), and learning satisfaction score was 7.89(SD 0.87). Participants reported that the convenience and repetitive self-learning were the strengths of the app. In addition, design and technical supplementation, and lecturer-feedback would improve effectiveness of the current educational app. Findings of this convergent study would be helpful to promote the application of mobile apps for effective self-learning of core nursing skills in undergraduate nursing education. Future resesarch is needed to examine effectiveness study of mobile app on the performance of core nursing skills.