• Title/Summary/Keyword: 자가간호

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A Study on Comparison of self-care Style among Client's in Nursing according to the cultural background (간호대상자의 문화배경별 자가간호(self-care) 유형의 비교연구 - 산후관리 중심으로)

  • Chun Jung Ja;Yoo Eun Kwang
    • The Korean Nurse
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    • v.26 no.1 s.139
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    • pp.77-95
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    • 1987
  • The purpose of this study is to find out the self-care style in postpartal period according to the cultural background in Korea. To put it concretely, the contents of the self care are food and behaviors to eschew and take in postpartal period: foods and

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Development of a Home Care Need Assessment Tool - Focused on Home Care Nursing Diagnoses based on Self Care - (우리 나라 가정.방문간호 사업을 위한 가정간호요구 사정도구 개발 - 자가간호개념에 근거한 가정간호진단을 중심으로 -)

  • So, Ae-Young;Cho, Byong-Hee
    • Research in Community and Public Health Nursing
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    • v.13 no.3
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    • pp.433-443
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    • 2002
  • Objectives; The purpose of this study was to develop a framework for home care and a Home Care Need Assessment Tool. Method 1. Identifying common domains in the provision of home care. 2. Charts of 253 home care clients were reviewed to obtain a classification of the nursing diagnoses. 3. A focus group methodology was used to develop the domains. 4. The tool was applied to 439 home care clients.(Kappa value=0.460-1.000, sensitivity, 0.444-1.000: specificity, 0.743-1.000). 5. Some refinements and extractions of the defining characteristics and related factors were made based on the results of the focus group. Results Home Care Need Assessment Tool consists of three parts; -Part I : factors related to basic conditions -Part II : a screening component that enables home care nurses to assess 30 multiple domains of 53 nursing diagnoses. -Part III : summative nursing diagnoses and nursing need intensity for the clients. Conclusion This tool provides a comprehensive assessment that helps the recognition of many strengths as well as problems of the clients. It will be usefully utilized in scheduling home care nursing plans and evaluating client outcomes.

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Effects of Individual Education for Cancer Patients and Their Family about Chemotherapy on the Self­-Care Knowledge, Self­-Care Performance, Family Support, and Anxiety (항암화학요법에 관한 가족참여 개별교육이 암환자의 자가간호 지식, 자가간호 수행, 가족지지 및 불안에 미치는 효과)

  • Ko, Suk Mi;Seong, Mi Hyeon;Cho, Young Mi;Sok, Sohyune
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.1
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    • pp.1-9
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    • 2018
  • Purpose: The study was to examine the effects of the individual education about chemotherapy for cancer patients as well as their family who are receiving the first chemotherapy on self-care knowledge, self-care performance, family support, and anxiety level. Methods: A non-equivalent control group was used in this interventional study. A total of 50 patients with cancer aged above 19 in the K university hospital, Seoul, Korea, participated in the study (Experimental group: n=25, Control group: n=25). The education about chemotherapy was offered one week after hospital discharge, which was followed by telephone counseling Data were analyzed by the SPSS/WIN 20.0 program using percentage, frequency, mean, standard deviation, $x^2$ test, and independent t-test. Results: The experimental group showed a significantly better self-care knowledge (t=4.094, p<.001), self-care performance (t=3.532, p=001), family support (t=2.170, p=.035), and anxiety control (t=4.780, p<.001) than the control group. Conclusion: The findings suggest that the individual education should be considered for cancer patients and their family in the clinical fields.

Effects of Self-Care Intervention Study on Chronic Obstructive Pulmonary Disease: Focusing on a Systematic Review of a Randomized Controlled Trials (만성폐쇄성폐질환의 자가간호 중재연구(RCT) 효과에 관한 체계적 문헌고찰)

  • Kyoung Mi Moon;Inhee Park;Hyun Joo Kim
    • Journal of Industrial Convergence
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    • v.21 no.8
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    • pp.97-110
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    • 2023
  • This study presents a systematic literature review aimed at integrating and analyzing the research findings regarding the components of various self-care intervention programs conducted for individuals with chronic obstructive pulmonary disease (COPD) both domestically and internationally. The paper selection criteria were established based on materials from PubMed, CINAHL, EMBASE, /MEDLINE, RISS, DBpia, KISS, and KMbase databases, covering the period from January 1, 2000, to September 30, 2022. The inclusion criteria included controlled pre-post experimental study designs. A total of 23 studies were included in this systematic review. The intervention-related factors examined included the sample size, type of intervention mediator, intervention frequency, and duration. Additionally, factors associated with intervention effects, such as measurement tools and variables, were analyzed. The findings of the analysis support the notion that self-care intervention programs for COPD can contribute to the prevention of symptom exacerbation and hospital readmissions among patients. Consequently, the development of a tailored self-care intervention program specifically designed for COPD patients in South Korea is warranted, considering aspects such as patient accessibility, convenience, and motivation for long-term sustainability.

Factors Associated with the Diabetes Self-care Activities of the Elderly with Type 2 Diabetes (노인 당뇨환자의 당뇨 자가관리와 관련요인)

  • Kim, KiSook;Ko, JiWoon
    • 한국노년학
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    • v.32 no.4
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    • pp.961-973
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    • 2012
  • The aims of this study are to identify levels of diabetes self-care activities and find associated factors of the elderly with Type 2 diabetes. The participants for this study were 264 elderly Koreans over 65 years old who visited one general hospital in S city in South Korea for their medical treatment. In the results, there are few statistically significant differences in general characteristics and disease related variables according with diabetes self-care activities (DSCA). DSCA showed negative correlation with depression (r=-.278, p=.033) and positive correlation with ADLs(r=.310, p=.013)and IADLs(r=.415, p=.001). Therefore, the findings of this study suggest implementing self-care activities to the elderly with diabetes based on their psychological factors (depression) and functional capacities (ADL and IADL). In addition, the advanced research will be needed for developing tailored nursing educations and interventions to improve diabetes self-care activities of elderly patients.

Consumer's Needs for Development of Smartphone Application for Self Care Performance of Patients with Chronic Hepatitis B (만성 B형간염 환자의 자가간호 수행을 위한 스마트폰 애플리케이션 개발 소비자요구도 조사)

  • Jeon, Jae-Hee;Kim, Kyunghee
    • The Journal of the Korea Contents Association
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    • v.16 no.4
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    • pp.729-740
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    • 2016
  • This study was conducted to assess the needs of smartphone application development for self care performance of 374 patients with chronic hepatitis B. The mean age of the subjects was 46.2 years. The patients obtained information about chronic hepatitis B from the internet (41.3%), nurses or doctors (23.8%), television (15.6%), and smartphones (6.2%). The reason that the information about hepatitis B didn't come from a smartphone were 'Lack of useful applications' (75.9%), 'Could not believe the information' (15.0). If the application is developed, subjects replied 'Frequently use' (59.9%), 'When needed' (33.2%). The desired contents were 'Knowledge of disease' (27.1%), 'Drug calender' (16.8%), 'Reference of information' (15.5%), 'Record of lab data' (14.6%). Ability to use the smartphone, depended on age and level of education, however the needs for the development of the smartphone application, there were not differences. Also, there were different desired contents of application, depended on age and level of education. Therefore, when developing smartphone applications for self care performance of chronic hepatitis B patients considering educational level and age, it could be widely utilized as a tool which can help to the self care performance of chronic hepatitis B patients.

Relationship between Readiness for Hospital Discharge and Self-care of Liver Transplant Recipients: A Single-center Prospective Study (간이식 환자의 퇴원 준비도와 자가간호와의 관계: 종단적 연구)

  • Park, SunBok;Choi, JiYeon;Joo, DongJin;Chu, SangHui
    • Journal of Korean Biological Nursing Science
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    • v.24 no.4
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    • pp.243-252
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    • 2022
  • Purpose: The purpose of this longitudinal study was to identify the relationship between the readiness for hospital discharge and self-care changes in an early stage of liver transplantation after discharge. Methods: Data of 75 liver transplant recipients within one year of surgery from a transplantation center from May 2019 to May 2020 were collected for this study. Their readiness for discharge was measured before discharge. Self-care after liver transplantation was evaluated at one week, one month, and three months of discharge at outpatient visits. Linear mixed model was used to evaluate the statistical relationship. Results: The readiness for hospital discharge was significantly higher when the caregiver was a spouse (p=.027), with fewer post-transplantation days (p=.027), absence of acute rejection (p=.004), or high self-efficacy (p<.001). As a result of the linear mixed model analysis, the higher the discharge readiness score, the higher the self-care score (β=0.29, p<.001). However, after three months, their self-care had decreased regardless of their level of readiness for hospital discharge compared to one week after discharge. Conclusion: Improving the readiness before discharge is essential to enhance self-care. Also, active intervention at 3 months of discharge should be performed to check and promote their long-term self-care.

Influence of Social Support and Negative Emotional Status on Self-care Adherence in Symptomatic Patients with Heart Failure (심부전 환자의 사회적 지지와 부정적 정서상태가 자가간호 이행에 미치는 영향)

  • Yang, In-Suk
    • Korean Journal of Adult Nursing
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    • v.28 no.3
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    • pp.302-313
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    • 2016
  • Purpose: The objective of this study was to identify factors related to self-care adherence in symptomatic patients with heart failure (HF). Methods: Using a cross-sectional design, a convenience sample 209 outpatient clinic patients were recruited at two medical centers. Between October 2011 and August 2012, data were collected using the structured questionnaire. Factors related to self-care adherence were examined using hierarchical multiple regression. Results: Mean age of participants was 67.71 years and a half of them (53.6%) were female. They showed relatively low self-care adherence with mean scores of $61.88{\pm}12.92$. Lower self-care adherence was reported in asking for low sodium items, weighing oneself, checking for ankle edema, and exercising for 30 minutes. The overall model significantly explained 23.9% of variance in self-care adherence. Among the predictors, education, New York Heart Association functional classification, and social support were statistically significant in influencing self-care adherence. The variable of negative emotional status such as anxiety and depression were not found to be significant. Conclusion: These findings demonstrate that social support could help self-care adherence among symptomatic patients with HF. Thus, programs targeting self-care adherence in this population should consider the strategies improving social support.

Development and Evaluation of a Self Care Education Program for Elderly Patients with Percutaneous Coronary Intervention (경피적 관상동맥 중재술을 받은 노인환자의 자가간호 교육프로그램 개발 및 평가)

  • Jo, Gyeong-Jin;Yang, Jin-Hyang
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.2
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    • pp.266-275
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    • 2014
  • Purpose: The purpose of this study was to identify the effects of the education program to promote self care for elderly patients with percutaneous coronary intervention. Method: The research was a quasi-experimental study using a nonequivalent control group non-synchronized design. The participants was 56 patients, 28 in the experimental group and 28 in the control group. A pretest and a posttest were conducted to measure main variables. The self care education program, consisting of flash animation, leaflet and telephone counseling, was given for the experimental group. Data were analyzed using ${\chi}^2$, Fisher's exact test, and independent t-test with SAS statistics program. Results: There were statistically significant increase in knowledge and self care behavior, and decrease in anxiety by difference between a pretest and a posttest in the experimental group compared to that in the control group. Conclusion: The result of this study indicate that the self care education program is effective in increasing knowledge and self care behavior, and in decreasing anxiety for elderly patients with percutaneous coronary intervention. Therefore, it can be usefully utilized in the field of nursing for elderly patients with percutaneous coronary intervention.