• Title/Summary/Keyword: 자가간호 이행

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Self-care adherence in kidney transplant recipients: Convergence factors and elapsed time analysis (신장이식환자의 자가간호이행 영향 요인 및 경과기간별 이행정도)

  • Bae, Su-Jung;Kim, Min-Young
    • Journal of Digital Convergence
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    • v.15 no.3
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    • pp.259-266
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    • 2017
  • The purpose of this study was to survey the effects of convergence factors and time elapsed after kidney transplantation on self-care adherence. The study included 235 patients; the data was collected from September, to October, 2014. Old age, female gender and duration of transplantation were identified as factors significantly affecting self-care adherence. Self-care adherence also showed significant differences depending on the elapsed time, and the decrease in self-care compliance was most evident between 1 and 5 years after kidney transplantation. Therefore, development of a nursing strategy that would provide education and self-care improvement programs is needed to improve self-care based on convergence factors and elapsed time.

Effects of Self-care Program on Exercise performance Self-Efficay, Self-care Knowledge, Self-care Performance in Patients with Lumbar Discectomy (자가간호프로그램이 요추간판제거술 환자의 운동이행 자기효능감, 자가간호지식, 자가간호이행에 미치는 효과)

  • Jeong, Jin-Hee;Lee, Hye-Kyung
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.3
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    • pp.891-902
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    • 2021
  • This study is an experimental study to confirm the effect of self-care program on exercise performance self-efficacy, Knowledge of self-management and Performance of self-management in patients with lumbar disc removal. The subjects were 26 inpatients in the experimental group and 27 in the control group as inpatients at the D City Material Spine Hospital. The collected material was analyzed using the SPSS 25.0 program with mean, percentage, standard deviation, t-test, x2-test, Independent t-test, and repeated measures ANOVA. Hypothesis that after self-care program mediation, the experimental group had higher scores for orthosis management knowledge (p<.001) and daily life management knowledge (p=.005) as time passed compared to the unprovided control group. The hypothesis is that the experimental group provided with the self-care program has a performance of orthosis management(p=.011), higher degree of orthosis management performance (p=.011) and daily life management performance (p=.007) than the non-provided control group. Was supported. There, it was confirmed that it is an effective self-care program that can be easily applied at home to patients with lumbar disc removal from the day before surgery to after discharge.

Effects of a self-care program for Asthma patients :A Pilot Study (천식환자의 자가간호 프로그램의 효과 : 예비연구)

  • Jeong, Hyun-Ju
    • Journal of Digital Convergence
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    • v.14 no.1
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    • pp.437-443
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    • 2016
  • Purpose of this study was to develop a self-care program for patients with asthma and test its effects on self-efficacy, compliance, Quality of Life. One group pretest and posttest design was used to test the effects of the intervention. Sixteen asthma patients were recruited conveniently from C university hospital. Date were collected from February 1st to Spring 30th, 2011. Self-care program was composed asthma related education and demonstration of usage of MID & PEFR. The data were analyzed using Wilcoxon signed Rank test by SPSS 18.0. There was a significant increased in self-efficacy(Z=-3.26, p=.001), compliance(Z=-3.52, p<.001), QOL(Z=-3.41, p=.001). Based on data, we recommened the refinement of the intervention in the following areas for future studies: duration, research design, sample size.

The Relationships between Self-care Knowledge and Compliance of Ischemic Stroke Patients with Diabetics (당뇨병을 가진 허혈성 뇌졸중 환자의 자가간호 지식과 이행 간의 관계)

  • Park, Ha-Na;Kim, Myung-Hee;Park, Jung-Ha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7513-7523
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    • 2015
  • The purpose of this study was to investigate relationships between self-care knowledge and compliance of ischemic stroke patients with diabetic. The participants were 117 ischemic stroke patients with diabetics who were outpatients at the P university hospital. Data were collected from July 1 to August 31, 2013. Data were analyzed using SPSS 18.0., specifically descriptive statistics, t-test, ANOVA, and Pearson's correlation analysis. Total mean score and correct answer ratio of self-care knowledge were 14.69 points, 63.9%. Total mean score and compliance ratio of self-care compliance were 2.24 points, 44.8%. The correlation coefficient between self-care knowledge and compliance was a significant positive correlation (r=.54, p<.001). Among sub-elements, diet(r=.24, p=.011), medication(r=.43, p<.001), living habits(r=.19, p=.042) and cautions and warnings(r=.45, p<.001) were significant positive correlations. Based on the results of this study, we need to develop integrated nursing intervention education programs for self-care knowledge and compliance promotion of ischemic stroke patients with diabetic.

Effects of Self-care Program Using SMS, E-mail, or Telephone Call on Self-care Compliance and Nutritional Status in Hemodialysis Patients (혈액투석환자에서 문자메시지(SMS), 이메일 및 전화를 이용한 자가간호 프로그램이 자가간호 이행과 영양 상태에 미치는 효과)

  • An, Gyeong-Ju
    • Journal of Korean Biological Nursing Science
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    • v.11 no.2
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    • pp.157-166
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    • 2009
  • Purpose: The purpose of this study was to determine the effects of self-care program using Short message service (SMS), e-mail, or telephone call on self-care compliance and nutritional status in maintenance of hemodialysis patient. Methods: Nonequivalent pretest-posttest control experimental design was used. Ninety-six patients were allocated to control (n=24), SMS (n=24), e-mail (n=24), or telephone (n=24) group from four hospitals. Experimental groups received self-care program about hemodialysis diet, drug administration, exercise, and fistula care by SMS, e-mail, or telephone call respectively at 3 times a week for 4 weeks. Results: Subjective self-care compliance, and objective self-care compliance including interdialytic weight of SMS and telephone groups were significantly increased than those of control groups. However, nutritional status of SMS and e-mail groups were significantly improved than those of control groups in albumin and protein level. Conclusion: Self-care program using SMS and telephone call were effective on promoting self-care compliance, while SMS and e-mail were effective on improving nutritional status. The pop-up remaining effect and easy accessible effect of SMS message in busy daily life was considered as an alarm to control fluid and diet.

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Factors Influencing Adherence to Self Care in Patients with Chronic Heart Failure (만성 심부전 환자의 자가간호 이행 관련요인)

  • Son, Youn-Jung;Kim, Sun-Hee;Kim, Gi-Yon
    • Korean Journal of Adult Nursing
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    • v.23 no.3
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    • pp.244-254
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    • 2011
  • Purpose: The objective of this study was to evaluate adherence to self-care and identify associated factors in outpatients with Heart Failure (HF). Methods: Using a cross-sectional design, a convenience sample of 249 outpatient clinic patients were recruited at S university hospital. Between October 2009 and December 2009, data were collected through questionnaires and medical record review. Results: The total mean score of adherence to self-care was $18.07{\pm}3.56$ out of a possible 45 points. Among self-care dimensions, adherence to medication and low salt diet was high, while lower adherence was reported in contact with health professionals if symptoms such as weight gain, edema and fatigue were presented. Multivariate analysis adjusted for other socio-demographic and clinical factors showed that disease knowledge related to heart failure (p<.001) and left ventricular ejection fraction (p=.027) were independent predictors of adherence to self-care. These factors explained 23% of total variance in the adherence to self-care. Conclusion: Heart failure patients with higher disease knowledge and those who have good systolic function may be more likely to engage in adherence to self-care than those with lack of disease knowledge and low contractility. Further research is needed to confirm these results and identify other predictors of adherence to self-care.

Self-Care Compliance among Patients with Liver Cirrhosis: Focusing on Symptom Experiences, Perceived Health Status and Disease Status (간경변증 환자의 자가간호이행 관련 요인: 증상경험, 지각된 건강상태 및 질병상태를 중심으로)

  • Yun, Mi-Jeong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.3
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    • pp.165-175
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    • 2018
  • Purpose: The purposes of this study were to examine symptom experiences, perceived health status, disease status, and self-care compliance of patients with liver cirrhosis and to identify the factors that affect their self-care compliance. Methods: The study design was a cross-sectional design and 148 patients who were being treated at D-university hospital in Busan participated in the survey. The data were analyzed using t-test, ANOVA, Bonferroni test, Pearson correlation coefficients, and multiple linear regression analysis. Results: The factors affecting self-care compliance were symptom experiences, disease status, age, and gender. These factors explained 21.6% of the variance in self-care compliance of patients with liver cirrhosis. Conclusion: The findings indicate that nursing interventions that prevent patients' symptoms are needed to promote self-care compliance in patients with liver cirrhosis. The patient should also be helped to recognize the need for self-care compliance from an early stage.

Relationships between nursing competency and emotional intelligence and nurse role transition of nursing students (간호대학생의 간호역량 및 감성지능과 간호사 역할 이행의 관계)

  • Chae, Hyun-Ju
    • Journal of Digital Convergence
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    • v.17 no.9
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    • pp.221-229
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    • 2019
  • The purpose of this study was to identify the relationships between nursing competency and emotional intelligence and nurse role transition of nursing students. Study participants were 134 nursing students of university in Chungnam province. Data were collected with the use of self-administered questionnaires from November 1 to December 10, 2018. Collected data were analyzed using the IBM SPSS 20.0 program. Nurse role transition of nursing students showed positive correlation with nursing competency(r=.79, p<.001) and emotional intelligence(r=.59, p<.001). Factors influencing nurse role transition of nursing students were nursing competency(${\beta}=.66$, p<001) and emotional intelligence(${\beta}=.22$, p=.001), which accounted 67.8%. These results indicate that various educational programs to increase nursing competency and emotional intelligence of nursing students are needed to increase nurse role transition. Studies on the effectiveness of provided programs are also needed to provide more effective programs.

Relationship between Health Literacy and Self-Management Adherence in Patients with Chronic Obstructive Pulmonary Disease (만성폐쇄성폐질환 환자의 의료정보 문해력, COPD 관련 건강문해력 및 자가관리 이행 정도와의 관계)

  • Jin, Xin;Choi, Ja-Yun
    • The Journal of the Korea Contents Association
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    • v.21 no.8
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    • pp.691-701
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    • 2021
  • Purpose: The purpose of this study was to identify the level of health literacy (HL) and self-management adherence and to investigate the relationship between HL and self-management adherence in patients with chronic obstructive pulmonary disease (COPD). Methods: The participants of this study were 165 patients with COPD from a tertiary general hospital located in G city from February 10th to May 10th, 2021. The general HL was measured by the Korean health literacy assessment tool (KHLAT), COPD specific HL was measured by COPD-related HL tool, and COPD self-management adherence was measured by the COPD self-management tool. Results: The mean score of general HL was 60.45±9.42. The mean score of the COPD-related HL was 47.03±8.82. The mean score of the COPD self-management adherence was 87.58±14.47. There were significant differences in the level of COPD-related HL according to age (t=2.43, p=.016), and in the level of general HL (F=10.96, p<.001) and the level of COPD-related HL according to the level of education (F=19.14, p<.001). There were significant correlations between the level of general HL and the level of COPD-related HL (r=.75, p<.001) and the level of COPD-related HL and the level of self-management adherence (r=.219, p=.005). Conclusion: The HL of COPD patients was at the level of mild school 1-2 years in this study. Therefore, nurses who care for COPD patients should understand patients' level of HL and communicate self-management skills with patients at a level appropriate for patients' HL. In addition, it is necessary to develop strategies to easily learn COPD-related information when providing self management skills or training.