• 대한간호학회지
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• 제26권2호
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• pp.413-427
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• 1996

This study was conducted to test the effect of a self regulation education program as a nursing intervention with chronically ill patients. A quasi experimental research(non equivalent control group pretest-posttest design) was used in this study. The subjects were 30 non insulin dependent diabetic patients(experimental group : 14 patients, control group : 16 patients). The study was carried out from May, 1995 to February, 1996. Data were collected before the education program, immediately after ＆ 2 menths later and were analyzed with repeated measure ANCOVA, paired t-test and t-test. The results are as follows : 1. There was a significant difference in self efficacy between the two groups（F＝27.61, P＝0.000）. There was a significant difference according to experimental stages（F＝33.09, P＝0.000） and interaction between education and experimental stages（F＝30.21, P＝0.000）. 2. There was a significant difference in self care behavior between the two groups（F＝27.05, P＝0. 000). There was a significant difference according to experimental stages（F＝31.14, P＝0.000） and interaction between education and experimental stages（F＝28.88, P＝0.000）. 3. There was a significant difference in glycemic control between before the education program and 2 months iater in the experimental group （t＝2.88, P＝0.013）. But there was no significant difference between before the education program and 2 months later in the control group. These results suggest that a self regulation education program is effective in promoting ＆ maintaining self care behavior and in improving glycemic control.. Thus this program can be recommended as an effective nursing intervention for chronically ill patients including diabetic patients.

• 재활간호학회지
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• 제8권1호
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• pp.59-67
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• 2005

Purpose: The purpose of this study is to investigate the effect of Self-Efficacy Promoting Program on Self-Efficacy, Metabolic Control and Self-Care Behaviors in Patients with NIDDM. Method: Data was collected from March 15th to July 15th, 2001. The subjects of the study consisted of 23 NIDDM patients who had visited regularly the endocrinology out-patient department of Gwangju Christian Hospital. The instrument used in the study Paek's self-efficacy measurement scale, was modified by the researcher, self-care behaviors were created by health care teams, and HbA1c for the sugar metabolic control were measured from the patients blood. The Interventions of the self efficacy promoting program were applied 4 hours a week for 6weeks. Data were analyzed with SPSS/PC+, using T-test and Wilcoxon rank sum test. Result: The mean score for self-efficacy was $70.61{\pm}15.48$ of a 140 point scale, the mean score for $HbA_{1c}$ level was $8.07{\pm}1.86%$. The self efficacy promoting program significantly increased the score of self efficacy(Z=-4.198, P=.000). And the self efficacy promoting program was significantly decreased in metabolic control(Z=-2.585, p=.010). Taking medicine and controlling alcohol were the best self care behaviors of this program. Conclusion: It was established that the self efficacy promoting program was effective for improving self efficacy, metabolic level and self care behaviors in patients with NIDDM.

• 한국노년학
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• 제28권4호
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• pp.1201-1212
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• 2008

본 연구는 노인의 건강행위와 관련이 있는 지각된 건강상태, 자아존중감, 자기효능감, 사회적지지간의 관계를 알아보고, 노인건강행위에 영향을 미치는 요인을 확인하기 위해서 시행 되었다. 2008년 6월부터 7월까지 대전 충남에 거주하는 65세 이상 남녀 노인을 대상으로 271명을 조사하였다. 연구결과, 종교를 가진 노인이 건강행위가 좋은 것으로 나타났고, 배우자가 있고 학력이 높은 노인이 지각된 건강상태가 좋은 것으로 조사되었다. 또한, 여자 노인이 남자 노인보다, 학력이 높은 노인이 학력이 낮은 노인보다 자기효능감이 높은 것으로 나타났다. 본 연구에서 노인건강행위와 지각된 건강상태, 자아존중감, 자기효능감간에 유의한 상관관계가 있었고, 지각된 건강상태와 자아존중감, 자기효능감간에 유의한 상관관계가 있었으며, 자아존중감과 자기효능감간에도 유의한 상관관계가 있었다. 노인건강행위에 영향을 미치는 중요한 변수는 자아존중감으로 확인되었다. 본 연구의 제한점과 시사점, 추후 과제가 논의되었다.

• 디지털융복합연구
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• 제12권11호
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• pp.487-497
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• 2014

본 연구는 약물치료를 하지 않고 있는 제 1기 고혈압 노인을 대상으로 자기효능증진 운동프로그램의 효과를 검정하기 위한 비동등성 대조군 전후설계 유사 실험 연구이다. 자기효능증진 운동프로그램은 고혈압 노인을 위해 최대 심박출량 40~60%강도의 율동적인 운동과 자기효능증진 자원을 접목한 프로그램이다. 연구는 실험군 33명, 대조군 32명 총 65명을 대상으로 주 3회, 총 12주 동안 진행되었다. 연구결과, 실험처치 후에 실험군은 대조군보다 일반적 자기효능감(t=11.280, p<.001)과 운동에 대한 구체적 자기효능감(p<.001), 자가간호행위 정도(p<.001)가 높게 나타났고, 수축기 혈압(p<.001)이 모두 유의하게 감소되었다. 따라서 12주간의 자기효능증진 노인 운동프로그램은 고혈압 노인의 간호 중재 프로그램으로 활용이 가능하다고 사료된다.

• 지역사회간호학회지
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• 제31권2호
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• pp.189-198
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• 2020

Purpose: The purpose of this study was to identify levels of health literacy and examine the effects of health literacy and self-care activities on quality of life of patients with type 2 diabetes. Methods: A cross sectional design was used. Questionnaires were administered via the Gallup to 500 Korean patients with diabetes in Seoul and Gyeonggi areas. The data were analyzed using descriptive statistics, independent t tests, one way ANOVA, and hierarchical regression. Results: Of 500 patients, 12.4% (n=62) indicated 'inadequate' health literacy, and 43.8% (n=219) reported 'marginal' or 'adequate' health literacy. Levels of health literacy significantly differed by demographic characteristics, self-care activities, and quality of life. The factors that had a significant effect on quality of life included inadequate health literacy (B=3.63, p=.042) and marginal health literacy (B=3.84, p=.002); however, no significant relationship was found for self-care activities (B=0.01, p=.827). Conclusion: The results of this study demonstrate a need for further research with large samples using Korean Health Literacy Scale for Diabetes Mellitus to establish the relationships between health literacy, diabetes self-care activities, and quality of life.

• 한국농촌간호학회지
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• 제6권1호
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• pp.33-43
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• 2011

Purpose: This study was done to verify the effects of a self-regulation program for management of hypertension. Method: Thirty patients with hypertension registered in a community health center were selected as the experiment group, and control group were patients in another community health center, matched for age and gender. The self-regulation program included daily blood pressure checks, periodic counseling, and health education. A self-check digital device with instructions was provided for self-monitoring of blood pressure, and the participants were interviewed before they took part in the program. Results: The first hypothesis was supported: There will be a greater reduction in both systolic and diastolic blood pressure for patients with hypertension who participate in the self-regulation program compared to patients in the control group. The second hypothesis was also supported: Patients with hypertension who participate in the self-regulation program will perform self-care activities better than those in the control group. Conclusion: The findings indicate that a self-regulation program reduces systolic and diastolic blood pressure and improves self-care in patients with hypertension. It is recommended that this self-regulation program be used in community health clinics for management of hypertension and prevention of complications.

• 대한간호학회지
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• 제35권7호
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• pp.1258-1267
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• 2005

Purpose: This study was aimed to evaluate the effect of an internet community on knowledge, self-efficacy, and self-care behavior in workers with hypertension. Method: The research design used was a nonequivalent control group pre-test and post-test design. Sixty hypertensive workers participated in this study(Exp.=29, Cont.=31). The data was collected from the 3rd of November 2003 to the 27th of February 2004 using an interview with questionnaires. Information related to hypertension was provided on the internet community weekly and an e-mail newsletter was sent in order to increase participation in the internet community. We used a tool developed by Park Young-Im(1994) that measured knowledge related to hypertension and self-efficacy. A tool developed by Jung Mi-Young(2001) was used for self-care behavior. The collected data was analyzed with an $x^2-test$ and t-test using the SPSS WIN 10.0 program. Result: The internet community helped workers with hypertension to increase their knowledge related to hypertension, as well as increasing their self-efficacy and self-care behavior. Conclusion: An internet community could be applied as hypertensive nursing intervention.

• Journal of Korean Biological Nursing Science
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• 제24권4호
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• pp.253-261
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• 2022

Purpose: This study aims to identify the knowledge, risk perception, fear, self-efficacy, and preventive behaviors among nursing students, and factors influencing preventive behaviors on COVID-19. Methods: Data was collected from March, 2022 to May, 2022. The participants included 218 nursing students in their 3rd and 4th grade of three universities in two cities. Results: The knowledge of COVID-19 was 13.54 out of 15 points, risk perception was 4.83 out of 8 points, fear was 13.26 out of 35 points, self-efficacy was 19.96 out of 25 points, and preventive behaviors were 7.56 out of 9 points. The explanatory power of self efficacy (β= .21, p= .002), which affects preventive behaviors was 67.0%. Conclusion: Based on the results of this study, it is necessary to develop a systematic nursing intervention that improves self-efficacy to improve preventive behaviors against COVID-19 among students. This study's result can be used in the future to develop appropriate health policies and program to prevent emerging infectious diseases.

• 한국보건간호학회지
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• 제31권1호
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• pp.109-120
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• 2017

Purpose: This study examined the relationships among type D personality, self-efficacy, health promoting behaviors and mediating effects, as well as type D personality and health promoting behaviors of college students. Methods: From 10 May to 24 May 2013, a convenience sample of 223 subjects was recruited from a college in G city. Data analysis consisted of Pearson's correlation coefficient, followed by regression analysis. Results: The prevalence of type D personality was 21.4%. Type D individuals showed lower self-efficacy and interpersonal relationships than non-type D individuals. Type D personality (NA*SI) had signigicant negative correlations with self-efficacy and HPLP-II. Self-efficacy fully mediated the relationship between type D personality(NA*SI) and HPLP-II. Conclusion: One reason why type D individuals have maladaptive health behaviors is low self-efficacy.

• 성인간호학회지
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• 제18권1호
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• pp.22-30
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• 2006

Purpose: This study was conducted to identify the effects of the self efficacy promoting program on self efficacy and performance of preventive health behavior of uterine cervical cancer for community nurses. Method: A one group quasi-experimental research with pre and post test design was used. The subjects of the study were consisted of twenty two community nurses in a city in Korea. The whole program was carried out from July to September, 2003. The effect of the program was analyzed at the first week, the fifth week, and the ninth week since the experiment input began. Data were analyzed with repeated ANOVA to determine the effects of program. Results: 1) After the self efficacy promoting program, self efficacy scores were significantly increased compared to those before the program(F=12.029. p=0.005). 2) After the self efficacy promoting program, preventive health behavior scores were significantly increased than those before the program(F=10.431. p=0.006). Conclusions: This 9-week program showed much affirmative effect on the prevention of uterine cervical cancer for community nurses. Thus this program can be recommended to the management of the prevention and early detection of uterine cancer.