• Title/Summary/Keyword: 자가관리 프로그램

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Effects of the Illness Management and Recovery Program on Recovery, Knowledge of Mental Illness, and Hope of Inpatients with Mental Illness (회복지향질병관리 프로그램이 입원한 정신과 환자의 회복 및 정신질환 지식과 희망에 미치는 영향)

  • Shin, Eun-Sik;Lee, Hyun-Bok;Jeon, Mi-Sook;Kim, Sun-Hee;Yoon, Bo-Hyun;Sea, Young-Hwa;Park, Su-Hee
    • The Journal of the Korea Contents Association
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    • v.17 no.7
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    • pp.579-591
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    • 2017
  • The Illness Management and Recovery(IMR) Program was designed to improve self-management and recovery of people with mental illness. The purpose of this study was to identify the effects of the Korean version of the IMR program on recovery, knowledge against mental illness, hope among inpatients with severe mental illness. 92 participants diagnosed with schizophrenia, bipolar disorder and schizoaffective disorder were assigned to either an IMR group(n=51) or the control group(n=41) without randomization. Data collection had been conducted from June 2015 to December 2016. Mental Health Recovery Scale, Knowledge Scale, and Hope Scale was administered to participants before and after the intervention. Participants in the IMR program showed significant improvement in progress toward their recovery and knowledge about their mental illness compared with those receiving treatment as usual. However, changes in hope were not significant in both groups. This is the first evaluation of the effects of the Korean version of the IMR program. Our findings support potential benefits of implementing the Korean version of the IMR program.

Effect of the Information Providing Program Provided by Operating Room Nurses on Anxiety and Self-Efficacy of Arteriovenous Fistula and Angioplasty Patients (수술실 간호사의 정보제공프로그램이 동정맥루 및 혈관성형술 환자의 불안과 자기효능감에 미치는 효과)

  • Lee, Hea-Won;Park, Sung-Ju
    • Journal of Digital Convergence
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    • v.18 no.2
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    • pp.447-453
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    • 2020
  • This study used a nonequivalent control group pretest-posttest design to develop an information provision program for arteriovenous fistula and angioplasty patients and to examine the effects of the information provision program offered by operating room nurses. The research subjects were selected trough convenience sampling who had come to hospitals to have an arteriovenous fistula and angioplasty surgery, and an experimental group and a control group of 40 persons. The information provision program consisted of two sessions, each conducted on the day of surgery and after surgery. The content included surgery information, pain management after surgery, management of dialysis blood vessels, how to handle emergency, and management of complications. The results of the study showed that the experimental group, which was offered an information provision program by nurses, a decrease in trait and state anxiety and an increase in self-efficacy on a statistically significant level. In conclusion, the information provision program provided by operating room nurses helped to reduce anxiety in arteriovenous fistula and angioplasty patients and increase their self-efficacy. This will improve end-stage renal disease patients' self-management ability after surgery, and thus, contribute to improving the prevention of complications and the level of self-nursing care.

An Intrusion Prevention Model for Detection of Denial of Service attack on TCP Protocol (TCP 프로토콜을 사용하는 서비스 거부 공격 탐지를 위한 침입시도 방지 모델)

  • 이세열;김용수
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 2003.05a
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    • pp.197-201
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    • 2003
  • 해킹을 방지하기 위한 목적으로 개발된 보안 도구들 중 네트워크 취약점을 검색할 수 있도록 만들어진 프로그램들이 있다. 네트워크 취약점을 자동 검색해 주는 보안 관리 도구를 역이용하여 침입하고자 하는 시스템의 보안 취약점 정보를 알아내는데 사용하여, 알아낸 정보들을 가지고 공격 대상을 찾는데 활용하고 있다. 해킹 수법들에는 서비스 거부 공격, 버퍼오버플로우 공격 등이 있다. 따라서, 해커들이 침입하기 위하여 취약점을 알아내려고 의도하는 침입시도들을 탐지하여 침입이 일어나는 것을 사전에 방어할 수 있는 침입시도탐지가 적극적인 예방차원에서 더욱 필요하다. 본 논문에서는 이러한 취약점을 이용하여 침입시도를 하는 사전 공격형태인 서비스 거부 공격 중 TCP 프로토콜을 사용하는 Syn Flooding 공격에 대하여 패킷분석을 통하여 탐지하고 탐지된 경우 실제 침입의 위험수준을 고려하여 시스템관리자가 대처하는 방어수준을 적절히 조절하여 침입의 위험수준에 따른 방어대책이 가능한 침입시도 방지 모델을 제시한다.

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Rhythm and interval correction music therapy programs for children with developmental disabilities (발달 장애 아동을 대상으로 한 리듬·음정 교정식 음악 치료 프로그램)

  • Choi, Hee-ju;Ra, Hee-jae;Hwang, Eun-ji;Kim, Woo-yeon;Lee, Yong-woo;Koh, Seok-ju;Park, In-cheol
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2020.07a
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    • pp.607-610
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    • 2020
  • 21세기 핵심 키워드 중 하나로 두뇌 산업이 떠오르고 있다. 미국, 일본 등 선진 국가에서는 이미 뇌 연구에 활발한 투자가 진행되고 있다. 이에 따라 본 논문에서는 출생과 성장기 뇌 발달에 문제가 발생하는 발달 장애 아동을 위한 음악 치료 프로그램을 개발하고자 한다. 효과적인 발달 장애 치료를 위해, 조기 발견 후 인지 학습 치료가 필요하다. 그 중 인지 기능과 자가 관리 기능을 기르는 것이 중요한데, 리듬 타이밍 훈련이 발달 장애 아동의 기억 능력 개선에 도움이 된다는 여러 입증된 연구 결과가 있다. 그러나 아직까지 발달 장애 아동을 위한 적절한 치료 방법이 없기에 본 논문에서는 인지 학습 치료가 필요한 아동에게 도움을 주기 위해 동요의 정확한 리듬, 음정을 학습하는 프로그램을 제안한다. 아동의 지속적인 흥미를 끌 수 있는 게임과 인지능력 훈련을 결합하였기에, 보다 좋은 학습 효과를 유도할 수 있을 것이다.

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Comparison of unmet need and quality of life between permanent ostomates and temporary ostomates (영구적 장루보유자와 일시적 장루보유자의 미충족 요구와 삶의 질 비교)

  • Kim, Jin-Mi;Park, Jeong-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.374-383
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    • 2018
  • This study was conducted to compare the unmet needs and quality of life of permanent and temporary ostomates. The research subjects were 128 ostomates with colorectal cancer or other advanced cancers. Data were collected by self-reported completion of the Comprehensive Needs Assessment Tool in Cancer (CNAT) and the City of Hope Quality of Life (COH-QOL) Ostomy Questionnaire from February 1 to April 5, 2018. Collected data were analyzed by chi-squared and independent t-tests using IBM SPSS 21.0. The results showed that the unmet need for temporary ostomates was significantly higher than that of permanent ostomates (t=-2.284, P=0.024). Moreover, temporary ostomates showed a higher unmet need for information and education (t=-2.747, p=0.007), psychological problems (t=-2.578, p=0.011), and physicians (t=-2.599, p=0.010). Although quality of life of temporary ostomates seems lower than that of permanent ostomates, there was no significant difference between groups (t=-1.364, P=0.0175). Therefore, it is necessary to develop a self-management program to provide appropriate information and psychological support for temporary ostomates.

Effects of Peer Mentoring Program on the Health Conservation in Elderly Women with Osteoarthritis (동료멘토링 프로그램이 골관절염 여성노인의 건강보존에 미치는 효과)

  • Nam, Jiran;Sung, Kiwol
    • Research in Community and Public Health Nursing
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    • v.28 no.3
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    • pp.227-239
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    • 2017
  • Purpose: The purpose of this study was to investigate the effects of peer mentoring program on physical activity, knee joint function, self-care agency and social support, which are health conservation elements in elderly women with osteoarthritis. Methods: This study used a quasi-experimental research design. It is a pretest-and-post 1, post 2 test design of a non-equivalent control group. The subjects were elderly women aged over 65 who were diagnosed with osteoarthritis. A total of 60 patients (experimental group 30, control group 30) who registered with the Senior Welfare Center in City G and in Region D participated in this study. The data were collected from June 29th to September 4th, 2015. The collected data were analyzed with $x^2$ test, Fisher's exact test, independent t-test and repeated measurement ANOVA. Results: The experimental group showed a greater increase in physical activity, knee joint function, self-care agency and social support than the control group. Conclusion: The results indicated that the peer mentoring program is effective in increasing physical activity, knee joint function, self-care agency and social support of elderly women with osteoarthritis.

Convergence review of Factors related to Empowerment of Patients with Chronic Diseases in Korea (국내 만성질환자 임파워먼트 관련요인 고찰에 대한 융합연구)

  • Kim, Jiyoung
    • Journal of the Korea Convergence Society
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    • v.11 no.8
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    • pp.381-390
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    • 2020
  • The aim of this study was to review studies on factors related to empowerment of patient with chronic diseases in Korea. By a literature search of databases, a total of 14 quantitative studies published in both Korean and English between January 2011 and April 2020 were identified. All the studies used a cross-sectional design and the majority of the studies used regression analyses. In 4 (28.6%) studies adopted Diabetes Empowerment Scale-Short Form (DES-SF) as the instrument to measure empowerment. The results confirm that self-care, social support, health literacy, and quality of life are associated with empowerment of patients with chronic diseases in Korea. This study will provide basic data with developing instruments and intervention programs of empowerment of patients with chronic diseases in Korea.

Client-Centered Self Management Program for Chronic Disease Patients: Focusing on Hypertension, Diabetes Mellitus (대상자 중심의 만성질환 자가관리 프로그램: 고혈압, 당뇨병을 중심으로)

  • Song, Yeon Yi;Lee, Kang-Sook;Cho, Hyun-Young;Lee, Binna
    • Korean Journal of Health Education and Promotion
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    • v.31 no.4
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    • pp.93-106
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    • 2014
  • Objectives: The aim of this study was to develop the efficient program protecting shift to cerebrovascular disease as complication for patients with diabetes and hypertension. Methods: Chronic disease self management program(CDSMP), implement manual, action plan, Q&A card and motivation methods were suggested based on Bandura's social learning theory through reviewing various literatures and cases. Results: This program can increase self-efficacy, individual health behavior change and quality of life and it makes to continuous care of chronic disease. Conclusion: In order to operate chronic disease self-management program, standardized education courses training of specialist leaders and expert patients leaders would be required. And the development enlargement of self-management program for various other chronic disease such as arthritis, back pain, atopy, asthma would be required in the future.

The Effects of a Self-care Management Program for Patients with Diabetic Foot Ulcers (당뇨병성 족부 궤양을 가진 환자의 자가 관리 프로그램 적용 효과)

  • Kim, Jung Yoon;Cheon, Eui-Young
    • Journal of Korean Biological Nursing Science
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    • v.18 no.2
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    • pp.78-86
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    • 2016
  • Purpose: Diabetic foot ulcers are significant problems in diabetes mellitus and often result in lower extremity amputation. This study was conducted to evaluate the effects of a self-care management program on Korean patient's self-efficacy, self-care behavior, size of the wound, and wound related pain. Methods: This study was a quasi-experimental study of pre-test and post-test design in a non-equivalent control group. The intervention strategies of the self-care management program consisted of individual intervention (education, practice and demonstration), computer animation, and face-to-face counseling. There were thirty seven patients, and 20 were assigned to the experimental group while the other 17 were assigned to the control group. The experimental group was given a self-care management program. The control group received information on diabetic mellitus care by means of a leaflet. The data was analyzed using descriptive statistics, a chi-square test, an independent t-test, and a Mann-Whitney test. Results: There were significant differences in self-care behavior and wound related pain. Conclusion: A Self-care program is an effective way to increase patient's self-care ability. This program is highly applicable to diabetic foot ulcer patients in various settings.

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
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    • v.19 no.5
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    • pp.1-11
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    • 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.

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