• Women's Health Nursing
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• v.24 no.4
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• pp.367-378
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• 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.

• Asian Oncology Nursing
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• v.11 no.2
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• pp.136-146
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• 2011

Purpose: The purpose of this study was to examine the effects of self-efficacy promotion programs on self-efficacy, self-care behavior, and quality of life in breast cancer patients receiving radiation therapy. Methods: This study was conducted from November 1, 2009 to December 10, 2010. A total of 39 breast cancer patients, who received radiotherapy in a University hospital located in city B, participated in the study and were divided into two groups (experimental group 17 and control group 22). The data were analyzed with the ${\chi}^2$-test and ANCOVA using the SPSS/Win 17.0 program. Results: Self-efficacy promotion programs aimed at self-management were effective in enhancing concrete self-efficacy but not effective in promoting general self-efficacy, self-care behavior, and quality of life among breast cancer patients who have received radiotherapy. Conclusion: Organizing a support group for the breast cancer patients seems to be highly necessary to help themselves obtain higher level of specific self-efficacy, self-care behavior, and quality of life in general. It will also be beneficial for the breast cancer patients to understand their unique situations and improve their health problems for themselves.

• Proceedings of the Korea Water Resources Association Conference
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• 2005.05b
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• pp.1523-1527
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• 2005

본 연구에서는 수자원 통합모델링 프레임웍을 개발하기 위하여 국내의 모델개발과 프로그램개발 환경에 대한 사용자 요구조사를 실시하였다. 요구조사의 응답자는 총 19명 이었으며, 그 응답자는 대부분 수자원의 지속적 확보기술개발 사업에 참여하고 있는 연구자를 대상으로 하였다. 사용자 요구조사 결과 국내에서는 물관련 전공자들이 모델과 프로그램의 개발을 동시에 수행하는 경우가 많았으며, 대부분 Fortran을 중심으로 다양한 프로그래밍 언어를 사용하고 있었다. 모델개발자들은 모델간의 연계에 대한 필요성은 느끼면서도 모델간의 연계에 대한 실제적인 구현도구를 찾지 못하고 있으며, 모델의 공유에 대한 인식도 낮았다. 따라서 향후 통합모델링 프레임웍의 구체적인 설계 단계에서는 모델개발자가 개발된 모델의 프로그램으로 쉽게 구현할 수 있도록 편리한 사용환경이 요구되며, 모델간의 연계를 위한 프로그램 표준화작업도 동시에 수행되어야 할 것으로 판단된다. 또한 통합모델링 프레임웍의 설계에 있어 사용자의 요구를 충분히 반영하기 위하여 사용자 요구조사를 바탕으로한 통합모델링 프레임웍 개발 가이드라인을 제시하였다.

• The Journal of the Korea Contents Association
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• v.18 no.4
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• pp.480-494
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• 2018

The purpose of this study is to develop a nursing activity cost calculation program based on Lee's doctoral dissertation using TD-ABC. The developed program has been supplemented with data storage, print out, and graph conversion functions to expand the application possibility. The development of the program consisted of three steps: program requirements analysis, program design and development, and program validation. This program was designed not only to do the cost calculation, but also to compare the cost-effectiveness and cost consumption trends. Consequently, this program is meaningful in that the nursing manager can obtain the cost information necessary for nursing unit management and extend the utilization so that the cost management strategy can be established based on the cost information. Therefore, we propose that the cost-management capacity of clinical nurses should be strengthened and the nursing performance measurement research should be expanded by applying it to various actual clinical nursing management settings. It is suggested that this program should be used as a training medium to strengthen nurse cost management capacity by combining nursing management curriculum at undergraduate level.

• The Journal of the Korea Contents Association
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• v.16 no.2
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• pp.200-210
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• 2016

This study was performed to reveal the factors determine self-rated health status between middle aged and elderly living in community. The subjects for this study consisted of 142 middle aged and 201 elders who lived in 3 cities of convenience sampling method. The Data was collected through personal interviews with questionnaires from March to July, 2014. For the data analysis, descriptive statistics, Pearson's correlation coefficient and multiple regression were used with SPSS Statistics program. The determinants on self-rated health status were present illness, stress management, health responsibility, fatigue, anger, tension, and social support among the middle-aged persons and physical activity, present illness, confusion, and exercise among elderly persons. On the basis of the results in this study, we should develop differentiated health promotion programs through education, counselling and health examination for the middle-aged adults and elderly.

• Research in Community and Public Health Nursing
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• v.29 no.3
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• pp.382-392
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• 2018

Purpose: The purpose of this study is to investigate effects of an oral self-care program on oral dryness and oral health related quality of life in the elderly. Methods: The current research design isa nonequivalent control group protest-posttest design with two groups of elders from two different senior centers in D city. Tools for the research include paper of salivary absorption (WF41-1850, Whatman, Germany), 6 items for subjective oral dryness and OHIP-14 for oral health related to quality of life. The data were analyzed to test three hypotheses by using the SPSS 22.0 program. Results: The three hypotheses were significantly accepted. The subjective oral dryness score was lower in the experimental group than in the control group (t=-2.45, p=.022). Salivary absorption was higher in the experimental group than in the control group (t=3.83, p<.001).Oral health related quality of life was better in the experimental group than in the control group (t=-2.11, p=.044). Conclusion: The oral self-care program has appeared to be effective on oral dryness and an oral health related quality of life in the elderly. Therefore, it can be suggested that the oral self-care program is applicable as an intervention program motivating the elderly to maintain oral health.

• Research in Community and Public Health Nursing
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• v.16 no.4
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• pp.404-414
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• 2005

Objectives: The present study proposed to evaluate 1st-month and 3rd-month health status, depression, self-efficacy and medical expenses of a community-based health promotive self-management program for old Koreans. Method: Participants in the CDSMP were selected from elders in a community health center through convenient sampling. The program included a 3-hour session per week for 14 weeks. Outcomes of evaluation in the 1st month and the 3rd month included modified Self-rated Health Status Scale, Center for Epidemiologic Studies Short Depression Scale, Self-Efficacy for Managing Chronic Disease 6-item Scale, and 1-item Medical Expenses Scale. Results: Self-rate health scores increased significantly just after the intervention (16.22), in the 1st month (17.57) and in the 3rd month (19.04) (x2=32.06. p=.000); Depression scores (reversed) also increased significantly just after the intervention (6.04), in the 1st month (7.75) and in the 3rd month (8.39) ( $x^2=29.92$. p=.000); Self-efficacy score increased significantly just after intervention (12.87) but it decreased in the 1st month (12.73) and in the 3rd month (12.04). But all of the three scores were still higher than those before the intervention (8.65) ($x^2=32.42$. p=.000): Medical expense score decreased at the end of the intervention (1.57) but the cost score increased in the 1st month (2.48) and in the 3rd month (2.39) ($x^2$=7.81. p=.050). Conclusion: CDSMP is effective in increasing self-rate health and self-efficacy and in decreasing depression in the Korean elderly. However, no significant effect of the program was observed in decreasing the medical cost of the Korean elderly.

• Journal of Korean Public Health Nursing
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• v.24 no.2
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• pp.237-248
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• 2010

Purpose: The study assessed the effects of a 12-session empowering program to promote health quality of life, decision making self-efficacy, self-care competency, and reasonable medical care utilization among low income women households in one rural area. Methods: A quasi-experimental, one-group pre-posttest design was employed. A total of 28 women enrolled as medicaid recipients in the Public Health Center of W city agreed to participate. The empowering program consisted of 12 sessions addressing health education for self-care of disease, medication management, and counseling for psycho-social support. The intervention was delivered by five nurses and one social worker. Women completed a structured questionnaire measuring the study variables with demographic characteristic before and after the intervention. Data were analyzed by PAWS Statistics 17 utilizing descriptive statistics and paired t-test. Results: After the intervention, significant increases were evident in participant health quality of life (t=-5.83, p<.001), decision making self-efficacy (t=-4.86, p<.001), self-care competency (t=-8.16, p<.001), and reasonable medical care utilization (t=-3.97, p<.001). Conclusion: The 12-session empowering program on health quality of life as well as self-care competency was effective when delivered to low income women households. Further studies with larger numbers of participants and a control group are necessary to validate the results.

• Korean Journal of Social Welfare
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• v.61 no.4
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• pp.243-263
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• 2009

This study attempted to: (1) operate a Strengths-based case management program; (2) determine the effectiveness of strengths-based case management for the elderly; (3) evaluate the effect of the coordinating program on the capabilities of ADL, IADL, and life-satisfaction of the elderly. The subject of this study was 8 home-bound elderly in lowest income class in Gwang-ju City. The program was practiced from November 2008 to April 2009 for 6 months period. The outcome of study has shown that strengths-based case management has determined a fair of amount of effectiveness in carrying out their short-term tasks. The program tried to assess the strengths of the elderly, and evaluate the outcomes of the program using ADL, IADl items and life-satisfaction developed for the study. The data collected by pre-test and post-test of the program showed that the scores of life-satisfaction were improved statistically significantly. But capabilities of ADL, IADL items were slightly improved, but not statistically significant. Successive effort to operate strengths-based case management must be required for the improvement of capabilities of ADL, IADL, and quality of life of the elderly.

• Proceedings of the Korea Inteligent Information System Society Conference
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• 2000.04a
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• pp.435-442
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• 2000

만성질병, 식습관, 영양등 스트레스에 시달리는 현대인의 건강 상태를 파악하는 일은 매우 중요하며 또한 필요하다. 그러나 식이 섭취 평가는 많은 분야의 자료와 지식을 필요로 하기 때문에 손쉽게 일반인이 신뢰성 있는 평가는 얻기는 쉽지 않다. 본 연구는 식품, 영양, 조리, 만성질병, 식습관 등의 여러 전문 분야의 자료와 지식을 기반으로 한 웹 상에서의 영양 평가 시스템으로 '건강 관리를 위한 사이버 식생활 자가 진단 시스템(Cyber Food Self Diagnosis Program, 이하 Cyber-FSDP)'의 설계 및 구축에 관한 것이다. 바탕으로 한다. 초고속 통신망을 이용하여 사람들의 건강문제와 관련된 식생활 정보를 수집하고, 개인별 식생활을 사용자와 상호작용하게 온라인으로 평가·진단하여 이를 개선하고 궁극적으로는 만성질병 위험도를 감소시키고 건강을 증진시킬 수 있는 영양 및 만성 질병 평가 전문가 시스템을 구축한 사례에 대한 Web 응용 프로그램 개발을 소개하며, 개발환경으로는 서버를 엔터프라이즈 3000 Solaris 2.5.1을 사용했으며, DBMS는 IUS (Illustra Universal Server)를 사용하였고, APB(App Page Builder), JabaScript, HTML 등의 언어로 구현되었다.