• Title/Summary/Keyword: 자가간호활동

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Effects of a Health Diary Program on Fall-Related Outcomes in Low-Income Elderly Women with Osteoarthritis (건강다이어리 프로그램이 저소득 관절염 여성노인의 낙상관련 심리적 변수에 미치는 효과)

  • Lee, Myung-Suk
    • Journal of agricultural medicine and community health
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    • v.36 no.3
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    • pp.167-178
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    • 2011
  • Purpose: This study was done to identify the effects of a health diary program on fall related outcomes the low-income elderly women. Methods: The study was carried out with a nonequivalent control group with pretest-posttest design. The study was composed of two groups, each made up of 24 subjects: experimental group and control group. The subjects were low-income women aged over 65 years with osteoarthritis and both the experimental and control groups were made up of subjects with the same age profiles. The independent variable was the health diary program, and the dependent variables were fall related outcomes (fear of falling, fall-efficacy, knowledge of fall) difficulty of performing activity, and mood state. The health diary program was performed for 50 minutes each session and twice a week for 8 weeks. Data were collected before the health diary program 10 weeks after the beginning of the program. Results: The experimental group showed significant differences in knowledge of fall, fear of falling, and mood state compared to the control group. However there was no significant differences in difficulty of performing activity and fall efficacy. Conclusion: The results of this study may be used as part of an education to prevent falls for low-income elderly women with osteoarthritis.

Relationship between Knowledge on Diabetes, Self-care Activities, and Self Effectiveness of Diabetics Patients (당뇨병 환자의 당뇨지식, 자가간호활동과 자기효능감의 관계 - 일 종합병원 환자를 대상으로 -)

  • Lee, Mee-Hwa;Kim, Yeun-Young
    • Journal of Home Health Care Nursing
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    • v.10 no.1
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    • pp.15-24
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    • 2003
  • This study provides some basic information on the improvement of diabetics' self-care activities through examining the patients' knowledge on diabetes, self-care activities, and how much they feel those activities are effective and through studying the correlation among the three factors. One hundred and fifty four patients were subjected to this study, who were treated or hospitalized in a hospital in Pusan. Researches were conducted from October 21 to November 9, 2002, and information were gathered by questionnaire and direct conversation with the patients. The data was processed through SPSS WIN 10.0 program. The Date were analyzed by descriptive statistics, ANOVA, t-test, Pearson correlation coefficient and Spearman rank correlation coefficient. The results of this study was the followings; 1) The subjects' knowledge on diabetes ranged from 6 to 23 points with a mean of 17.01 points. 2) The subjects' self-care activities ranged from 21 to 103 points with a mean of 67.72 points. That of the patients with regular treatments appeared to have the highest points (3.51) and the lowest points appeared in the measurement of sugar level in blood (2.60) 3) The subjects' feelings of effectiveness ranged from 21 to 103 points with a mean of 70.01 points. Drug therapy had the highest point (3.94) and diet showed the lowest (3.37) 4) In the general characteristics of the subjects, the more education a subject had, the more knowledge on diabetes he or she appeared to have (F=3.36, p=0.012). The self-care activities were significantly high among non-alcoholic subjects (F=4.301. p=.016). The subjects' feelings of effectiveness were higher in female patients than in male patients(t=2.132 , p=.035), and those in the ages between 51 and 60 felt more effectiveness (F=4.198. p=.003). In addition, married subjects felt more effectiveness than the unmarried (t=2.856, p=0.005), and the more education a patient had. the more effectivess he or she felt (F=2.879, p=.025). 5) In the subjects' pathological characteristic, the subjects who experienced diabetes education showed more knowledge on diabetes, more self-care activity, and more effectiveness than those without the education (t=3.193, p=.002; t=2.299, p=.023; t=2.128, p=.035). 6) As the results of the analyses of correlations among knowledge on diabetes, self-care activity, and effectiveness, the more knowledge on diabetes a patient had, the more self-care activity and the more effectiveness he or she showed (p=0.283. p=0.002; p=0.182, p=0.036). Self-care activity became higher as the feeling of effectiveness appeared higher (r=.550, p=.000). Based on the results above, several suggestions were made; 1) This study was conducted in one hospital, so it is difficult to generalize the results. It is necessary to gather more information from more patients through repeated researches. 2) The study on the other factors which can affect a patient's self-care activity is required. 3) The development of a program which improves a patient's self-care activity, knowledge on diabetes. and effectiveness is needed.

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Image of Nurses and Nursing Professional Values Perceived by Nursing Students (간호대학생이 지각한 간호사 이미지와 간호전문직관)

  • Seong, Ji-A;Yeom, Eun-Yi;Do, Young-Suk
    • The Journal of the Korea Contents Association
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    • v.14 no.11
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    • pp.798-809
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    • 2014
  • The purpose of this study is to examine the relationships between image of nurses and nursing professional values in nursing students. Data were collected through self reported structured questionnaire using convenient sampling methods survey from 147 students enrolled in the nursing department from March 11 to March 22, 2013. There was a significant difference in the image of nurses on the club activities, satisfaction with major, satisfaction with college life. There was a significant difference in the nursing professional values according to the satisfaction with major. Image of nurses has positively correlation with nursing professional values. 'Social participation' domain of image of nurses has a strong positive correlation with nursing professional values. 'Self concept of profession' domain of nursing professional values has a strong positive correlation with image of nurses. Therefore, it is thought that developing various teaching strategies, promoting club activities, paying attention to the student, and guiding them for raising degree of satisfaction with major and college life would be helpful to improve nurse' image and nursing professional values of nursing students.

The Influence of Perfectionism and Ego-resiliency on Anxiety by Leisure Activity in Nursing Students (간호대학생의 여가활동에 따른 완벽성과 자아탄력성이 불안에 미치는 영향)

  • Jeon, Hae Ok;Kim, Ji Hye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.134-143
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    • 2016
  • This study examined the effects of perfectionism and ego-resiliency on the anxiety in two groups of nursing students: leisure activity, and no leisure activity group. A total of 134 undergraduate students were recruited at two universities in A and B cities, Korea using the convenient sampling method. They were asked to complete a self-reported questionnaire for 11 days in October, 2015. The results showed that there were significant differences in the ego-resiliency (t=-3.80, p=.001) and anxiety (t=3.71, p<.001) according to the leisure activity. In the subjects who did not have leisure activities, perfectionism (${\beta}=.71$, p<.001) and ego-resiliency (${\beta}=-.29$, p=.003) were identified as significant predictors of anxiety and this model explained 58.0% of the variance in anxiety (F=34.50, p<.001). In the analysis according to the classification of current leisure activity, Perfectionism (${\beta}=.54$, p=.003) was identified as a significant predictor of anxiety in subjects doing travel watch and pastime amusement, and this model explained 26.0% of the variance in anxiety in nursing students (F=5.66, p=.009). Therefore, providing strategies to control anxiety can not only improve ego-resiliency, but also reduce perfectionism among nursing students. In addition, it is necessary to resolve the disturbance factors of the leisure activity and create an environment that promotes leisure activities in universities.

Effects of Education about Action Plans according to Self-Monitoring on Self-Management Adherence, Knowledge, Symptom Control, and Quality of Life among Adult Asthma Patients: A Randomized Controlled Trial (성인 천식환자의 자가감시 연계 활동계획서 교육이 자가관리 이행, 지식, 증상조절 및 삶의 질에 미치는 효과: 무작위대조시험설계)

  • Choi, Ja Yun;Kweon, Young-Ran
    • Journal of Korean Academy of Nursing
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    • v.47 no.5
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    • pp.613-623
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    • 2017
  • Purpose: This study was conducted to identify the effects of education regarding action plans according to a self-monitoring program on self-management adherence, knowledge, symptom control, and health-related quality of life (HRQoL) among adults with asthma. Methods: Thirty-four patients were randomly assigned to the intervention group and thirty-two to the control group in this study. A tailored 50-minute intervention based on the contents of self-monitoring and action plans developed by the National Heart Lung and Blood Institute was provided to the intervention group. Structured and well developed questionnaires were used to measure the dependent variables. Results: There were no differences in all general and clinical characteristics, and the dependent variables between two groups in the pre-test. In the post-test, there were differences in the level of self-management adherence (t=4.41, p<.001), knowledge (t=2.26, p=.027), symptom control (t=-2.56, p=.013), and total HRQoL (t=2.14, p=.036) between the two groups, although there was a difference only in the sub-domain of emotion (t=2.03, p=.047) in HRQoL. Conclusion: This study found that action plans according to self-monitoring that enhance a participatory interaction in the treatment and care could help patients with moderate to severe asthma to engagead equately in self-care, to control their symptoms, and to improve their HRQoL. Further studies are still needed to identify longitudinal effects of this program.

Relationships among Volunteer Activities, Emotional Intelligence and Major Satisfaction of Nursing Students (간호대학생의 봉사활동, 감성지능, 전공만족도 관계)

  • Park, Pil-Nam
    • The Journal of the Korea Contents Association
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    • v.17 no.11
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    • pp.264-273
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    • 2017
  • The purpose of this study was to identify the relationship between volunteer activities and emotional intelligence on the major satisfaction level of nursing college students. This study was a descriptive research design to investigate 252 nursing college students in a university. The data were collected using self-reported questionnaires and analyzed by descriptive statistics, frequency analysis, t-test, one-way ANOVA, correlation analysis, and multiple regression analysis using dummy variables. As a result of the study, 71.8% of the students had experienced volunteer activities. The average level of emotional intelligence of all participants was 4.84 points out of 7, and the major satisfaction level was 3.87 points out of 5 points, each of them was above middle level. The correlations among the attitude of volunteer activity, emotional intelligence, and major satisfaction were statistically significant. The attitude of volunteer activity and emotional intelligence (r=0.329), the attitude of volunteer activity and major satisfaction (r=0.271), emotional intelligence and major satisfaction(r=0.525) showed a statistically significant difference at the significance level of 0.01. There were grade, university life satisfaction, and emotional intelligence as factors affecting major satisfaction, and the explanatory power of these factors was 41.6%. In order to improve the major satisfaction level of nursing students based on the results of this study, it was confirmed that various strategies are needed to improve university life satisfaction and emotional intelligence.

산업간호사의 근무조건 - 서울 경인지역을 중심으로 -

  • Yun, Sun-Nyeong;Go, Bong-Ryeon
    • Korean Journal of Occupational Health Nursing
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    • v.1
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    • pp.17-29
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    • 1991
  • 본연구는 보건관리자로서의 산업간호사의 역할을 뒷받침 할 수 있는 근무조건을 파악하기 위한 기초조사연구이며 산업간호사의 근무조건 개선에 기여코저 한다. 연구방법은 1991년 3월부터 4월까지 서울, 인천, 경기 지역에 위치한 산업장의 건강관리실에 근무하는 산업간호사 131명을 대상으로 설문지를 이용하여 전화 또는 산업간호사회를 통해 자료를 수집하였다. 조사 결과는 다음과 같다. 1) 조사대상의 일반적 특성 서울, 경기, 인천지역에 상시근로자수가 300인 이상에 근무하는 산업간호사 배치율은 49.3%로 나타났다. 조사대상의 지역별 분포는 서울이 61개사업장이었고 인천 경기의 순이었다. 또한 산업간호사의 교육수준은 전문대졸이 84.0%이었고, 연령별 분포는 20대가 65.7%이었으며, 규모는 500~999사이가 42.7%였고, 노조가 있는 사업장은 73.3%인 것으로 나타났으며 산업간호사 1인이 근무하는 곳이 90.7%였고 보건관리자가 간호사뿐인 곳이 63.3%이며 1000명이상 근로자를 가진 산업체중 31.9%가 전임산업의나 산업위생사 없이 간호사 혼자서 근무하는 것으로 나타났다. 2) 근로조건 산업간호사는 주당근무시간이 44시간이하인 경우가 59.6%였고, 1부제 근무만하는 경우가 93.1%였으며, 월차휴가는 94.7%가 사용할 수 있었으며, 보수는 기본급이 25~40만원 사이가 69.5%였고 면허수당은 43.8%만 받는 것으로 나타났으며 상여금은 년 600%를 받는 산업장이 42%였고 총급여액이 35~55만원을 받는 경우는 전체의 67.3%를 차지하였다. 또한 연장근로인정여부는 일부만 인정하거나 인정하지 않는 경우가 61.8%였고, 과거경력 은 34.4%가 인정하지 않았고 승진은 66.4%가 불가능한 것으로 나타났다. 산업간호사가 별정직이나 촉탁으로 취업한 경우가 35.1%였고 일반 고졸이나 전문대졸 대우를 받고 있는 경우가 68.9%였다. 또한 전문단체활동 지원정도는 대한간호협회나 산업간호사회지원이 95 %를 넘었으며 산업간호사가 원하는 것 모두 지원하는 경우가 68.7%였으며 회비와 참석 모두를 지원하는 경우가 83.7%였다. 3) 모성보호 산업간호사중 81.7%가 결혼 후 근무가 가능했으며, 94.7%가 생리휴가를 사용할 수 있는 것으로 나타났다. 그리고 산전산후휴가는 76.3%가 사용할 수 있었다. 그러나 결혼후 근무나 산전산후휴가는 명문화되어 있었으나 실제로 이용한 경우는 없는 것으로 나타났다. 본 연구결과는 산업간호사의 근무시간, 전문단체활동지원은 비교적 좋은 조건이나 보수를 비롯 승진이나 대우, 모성보호에 대한 개선여지가 있음을 보여주었다. 따라서 결혼후 지속근무, 산전산후 휴가제 등이 보장되어야 전문직으로서의 산업간호사 인력확보, 활용이 용이할 것으로 기대된다. 더불어 전문단체의 조직적 활동과 연구, 행동적인 지원이 계속되어져야 할 것을 제언하는 바이다.

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Effects of the Pair-Work based Health Coaching Program for Elderly Diabetic Patients (노인 당뇨병 환자의 짝 활동 기반 건강코칭 프로그램 효과)

  • Lim, Sun Young;Kim, Nam Hea
    • Journal of Korean Public Health Nursing
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    • v.34 no.3
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    • pp.457-472
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    • 2020
  • Purpose: This study examined how a pair-work based health coaching program for the self-care of elderly diabetic patients effects the patients' diabetes self-management knowledge, perceived social support, diabetes self-efficacy, and diabetes self-management behaviors in patients with diabetes. Method: The participants of this study were 55 elderly diabetic patients aged 65 years or older enrolled at elderly welfare centers in U city;26 patients in the experimental group and 29 in the control group. The program consisted of eight group coaching sessions and four sessions of phone-based individual interviews and coaching, that were implemented once a week for 12 weeks. Results: Compared to the control groups, the experimental group showed significant improvement in self-care knowledge, social support, diabetes self-efficacy, self-management behavior, fasting blood sugar and glycated hemoglobin level. Conclusion: The health coaching program is an effective intervention for the self-management of elderly diabetics.

A Comparative Study on Measurement of Physical Activity between Smartphone App and Self-Reported Questionnaire (스마트폰 앱과 자가보고식 설문지의 신체활동 측정 비교)

  • Suh, Minhee;Seo, Kyoungsan
    • Journal of muscle and joint health
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    • v.29 no.2
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    • pp.91-99
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    • 2022
  • Purpose: The purpose of this study was to examine the level of agreement between smartphone apps and self-reported physical activity questionnaires. Methods: Quantitative methods were used to assess the correlation and agreement between the number of steps counted by a smartphone app and the amount of walking reported in a survey. A total of 29 adults who used smartphones were recruited from a university, and their step counts from their smartphone pedometers and responses to the international physical activity questionnaire (IPAQ) were collected over a 10-week period. Results: An analysis of 170 data pairs with Spearman's rho correlation and a Bland-Altman plot revealed a positive correlation between step counts from the smartphone app and walking activity from the IPAQ. The Bland-Altman plot also demonstrated the agreement to be improved among female participants. Conclusion: In assessing walking activity, smartphone pedometer apps showed good correlation with the IPAQ and improved agreement with the IPAQ among women. Therefore, it is suggested that the participants' gender and activity intensity, as well as the accuracy of measurement tools, should be considered in an evaluation of the delivery of physical activity promotion programs through smartphone apps.

Diabetic Neuropathy Symptoms and Self-Care Activities in Hypertensive Type-2 Diabetic Patients (고혈압을 동반한 당뇨병 환자의 자율신경병 증상과 자가관리활동)

  • Kim, Young-Hee;Cho, Ok-Hee
    • Journal of Home Health Care Nursing
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    • v.22 no.2
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    • pp.206-215
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    • 2015
  • Purpose: This study aimed to provide basic data to enhance self-nursing ability by investigating the symptoms of autonomic neuropathy and self-management activities in patients with diabetes accompanying hypertension. Methods: Subjects were 113 type-2 diabetic patients who were diagnosed as hypertensive in two primary medical institutions and taking anti-hypertensive treatments. The existence of postural hypotension was evaluated by blood pressure and pulse rate, and the subjective symptoms of autonomic neuropathy and self-management activities were checked by structured questionnaires. The collected data were analyzed by chi-square test, Fisher's exact test, t-test, Wilcoxon rank sum test and analysis of covariance. Results: Postural hypotension occurred in 4.4% of the subjects. Urinary frequency and dizziness during postural changes were the most frequent symptoms of autonomic neuropathy, and 57.5% of the subjects complained of symptoms in two or more domains. The group with autonomic neuropathy symptoms showed higher age, higher living stress, and fewer self-management activities in the diet and foot management domains as compared to the group without autonomic neuropathy symptoms. Conclusion: From these results, we learned that strengthening education on self-management for diet and foot management and customized interventions considering age and living stress are required through early identification of the symptoms of autonomic neuropathy in patients with diabetes accompanying hypertension.