• Title/Summary/Keyword: 자기간호행위

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A Structural Analysis for Psychosocial Variables related to Sick Role Behavioral Compliance in Hemodialysis Patients (혈액투석 환자의 역할행위 이행과 관련된 사회·심리적 변인들 간의 구조분석)

  • Cho, Young-Mun
    • Korean Journal of Adult Nursing
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    • v.28 no.4
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    • pp.415-423
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    • 2016
  • Purpose: This study was designed to identify the structural relationships among psychosocial variables related to sick role behavioral compliance among patients undergoing hemodialysis. Methods: The subjects were 476 patients from seven major hospitals and twelve dialysis centers located in D and P cities. Data were collected using self-report questionnaires. Data analysis was done by using SPSS/WIN 18.0 and AMOS 18.0 programs for structural equation modeling, to estimate the hypothesized model. Results: This findings support that a modified path model is efficient and appropriate to explain sick role behavioral compliance among hemodialysis patients. These factors account for 80.1% of the variance of sick-role behavioral compliance among hemodialysis patients. The variables having direct effect on sick role behavioral compliance were knowledge related to hemodialysis, social support, attitude, self-efficacy and intention. Conclusion: The modified model explains the integration process of psychosocial and behavior variables for sick-role behavioral compliance among patients undergoing hemodialysis.

Factors Influencing Health Behavior Compliance in Adult Moyamoya Patients (성인 모야모야병 환자의 건강행위 이행에 영향을 미치는 요인)

  • Kim, Bo Eun;Song, Ju-Eun
    • Journal of Korean Academy of Nursing
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    • v.51 no.1
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    • pp.80-91
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    • 2021
  • Purpose: The purpose of this study was to identify factors influencing health behavior compliance in adult patients with moyamoya. Methods: A descriptive correlation study was conducted to investigate the factors influencing health behavior compliance. Participants were 142 adult patients diagnosed with moyamoya disease who were hospitalized or visited an outpatient clinic in the Gyeonggi province. Data were collected from December 16, 2019 to April 14, 2020 using self-report questionnaires and analyzed using the IBM SPSS 26.0 Win software. Results: The hierarchical multiple regression analysis demonstrated that self-efficacy (β = .60, p < .001), social support (β = .13, p = .032), and age (β = .21, p = .005) affected the health behavior of adults with moyamoya disease. These 3 variables explained 62.0% of the variance of health behavior compliance, and the most influential factor was self-efficacy. Conclusion: Based on the results of this study, it concludes that nursing interventions should be focused on self-efficacy and social support to improve health behavior compliance with adult patients diagnosed with moyamoya disease. For that, various strategies to enhance self-efficacy and social support should be developed and actively applied in the clinical setting for adult moyamoya patients.

The Influence of Attitude, Subjective Norm, and Self-efficacy on Prevention Behaviors of Particulate Matter (PM10-2.5) Exposure in Young Adults (성인 초기의 태도, 주관적 규범, 자기효능감이 미세먼지 노출저감화행위에 미치는 영향)

  • Shin, Hye Sook;Ji, Eun Sun;Koo, Jee Hyun;Kim, Ju Hee
    • Journal of East-West Nursing Research
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    • v.28 no.1
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    • pp.41-48
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    • 2022
  • Purpose: The purpose of this study was to identify factors influencing prevention behaviors for particulate matter exposure in young adults. Methods: A convenience sample of 330 young adults was recruited from the community. Data were collected using a structured questionnaire and analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression analysis with the SPSS/WIN 26.0 program. Results: The factors affecting prevention behaviors of particulate matter exposure were self-efficacy (β=.54 p<.001), subjective norm (β=.18, p<.001) and using the air purifier (β=.-17, p<.001). These variables had a 46% variance to explain prevention behaviors for particulate matter exposure. Conclusion: Findings showed that 'self-efficacy' and 'subjective norm' were important factors influencing prevention behaviors of particulate matter exposure in young adults. Thus, we need to consider the positive impact of prevention behaviors of particulate matter exposure and increase the chances of prevention behaviors of particulate matter exposure program for young adults.

Influence on Adjustment of University Life among Nnursing Students (간호대학생의 대학생활 적응에 미치는 영향)

  • Cha, Hyun Su
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.381-391
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    • 2019
  • The purpose of this study was to investigate the factors having an influence on adjusting to the university life of freshmen and sophomore nursing students. The data was collected from questionnaires that were filled out by 150 nursing students in one school from November 1, 2018 to November 20, 2018. The data was analyzed by the SPSS 22.0 program (frequency, ANOVA, Pearson's correlation and multiple regression analysis). The mean score of university life adjustment was $75.85{\pm}9.43$ (range: 25~125). A negative correlation was found between adjustment to university life and stress, A positive correlation was found between adjusting to university life and self efficacy. Negative correlation was found between stress and self efficacy. The factors influencing the adjustment of freshmen and sophomore nursing students to university life were health promoting behavior (sleeping time, snacks, drinking, and leisure time or having a hobby), stress and self efficacy. In addition, health promoting behaviors, stress and self efficacy accounted for 13.9% of the variance in adjusting to university life. The results of this study suggest that health promoting behavior, stress and self efficacy are important to the adjustment to university life for freshmen and sophomore nursing students. Further research on improving health promoting behavior, reducing stress and improving self efficacy is warranted. An intervention program that includes these significant variables of such subjects should be developed to improve adjusting to the university life of nursing students.

An Effect of Self-Care Education and Level of Resourcefulness on Active Coping in Patients with Chemotherapy (항암치료환자에게 시행한 자기간호교육과 자원동원성 수준이 적극적 대처행위에 미치는 효과)

  • 서순림
    • Journal of Korean Academy of Nursing
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    • v.27 no.3
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    • pp.639-647
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    • 1997
  • The purpose of this study was to identify how internal and external coping resources influenced active coping in the process of stress-coping. The model was established theoretically by comparing and integrating the following theories : Stress-Coping, Self-Care, and Resourcefulness. The subjects consisted of sixty eight patients undergoing chemotherapy(experimental group 34, control group 34) at two general hospitals from January to July, 1995. The results were as follows : After self-care education, the active coping score of the experimental group was significantly higher than that of the control group. The active coping score of the high resourcefulness group was significantly higher than that of the low resourcefulness group. The interaction effect between self-care education and resourcfulness was not significant statistically. Specifically as to such scores of seeking social support, problem-oriented strategy and self care behavior, there were significantly higher in the experimental group and high resourcefulness group than in each of the other groups. Considering them both, self-care education and resourcefulness are effective nursing strategies to promote active coping including self-care. Consequently, the synthesis and testing of theories of stress-coping, self-care, and resourcefulness in this study are mostly proven to enhance the explanation and prediction of the change of active coping including self-care. Therefore the result of this study will contribute in the development of practice theory of nursing. A further study is necessary to reevaluate the interaction effect between self-care education and resourcefulness and to identify the difference between resourcefulness and self-efficacy.

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Knowledge, Self Efficacy and Self Care Behavior Regarding Foot Care among Elderly Diabetes Mellitus Patients (노인 당뇨병 환자가 지각한 발 관리의 지식, 자기효능감 및 자가간호 행위와의 관계)

  • Yang, Nam-Young
    • Korean Journal of Adult Nursing
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    • v.21 no.4
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    • pp.413-422
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    • 2009
  • Purpose: This study was to identify the relationship between knowledge, self efficacy, and self care behavior regarding foot care among elderly diabetes mellitus (DM) patients. Methods: The subjects consisted of 146 elderly with DM. The data collected from February to October 2008 were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: The mean scores of knowledge ($13.21{\pm}1.99$), self efficacy ($2.23{\pm}0.54$), and self care behavior ($2.29{\pm}0.51$) regarding foot care were moderate. The level of knowledge was significantly different according to education about DM (p = .012) and drinking (p = .007). Self efficacy was significantly different according to gender (p = .019), educational level (p = .014), spouse (p = .048), disease period (p = .000), admission of DM (p = .000), complication of DM (p = .001), education of DM (p = .023). Self care behavior was significantly different according to educational state (p = .003), disease period (p = .039), and other disease (p = .000). Significant correlations were found between knowledge and self care behavior (p = .001), self efficacy and self care behavior (p = .000), knowledge and self efficacy(p=.012). Knowledge and self efficacy were a predictor of self care behavior (18.2%). Conclusion: These findings indicate that perceived knowledge and self efficacy may be necessities to improve self care behavior regarding foot care among elderly DM patients. The above mentioned results will be reflected in developing patient educational programs.

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Factors Influencing Health Promotion Behavior by Students of the College of Maritime Sciences (해사대학 학생의 건강증진행위 영향요인)

  • Kim, Younkyoung;Kim, Nooree
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.24 no.7
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    • pp.889-897
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    • 2018
  • Since students of the College of Maritime Sciences will become professionals contributing to the development of the Korean shipping industry after graduation, they are required to successfully complete school life including theoretical and practical curriculum with health promotion behavior. The purpose of this study was to investigate the factors influencing health promotion behavior by students of the College of Maritime Science in order to collect basic data through a survey for the development of health promotion programs. Health promotion behavior by students of the College of Maritime Sciences was less frequent than by other college students, and the levels of health promotion behavior sub-domains were lower in order of interpersonal relations, spiritual growth, stress management, nutrition, physical activity, and health responsibility. The most influential factors for health promotion behavior were learner participation, health promotion self-efficacy, self-esteem, and social support. It is necessary to develop a differentiated health promotion program considering the characteristics of students and to apply it systematically from the time of admission to improve health promotion behavior by students of the College of Maritime Sciences.

Effect on Core Nursing Competency of Nursing Students who Experienced Convergence Practice due to COVID-19 (코로나19로 인한 융합실습을 경험한 간호대학생의 핵심간호역량에 미치는 영향)

  • Lim, Sun-Young;Maeng, Su-Youn;Kim, Jung-Yee
    • Journal of Convergence for Information Technology
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    • v.12 no.2
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    • pp.54-62
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    • 2022
  • This exploratory study aims to identify effect on core nursing competency of nursing students who experienced convergence practice due to COVID-19. The subjects of this study surveyed 123 senior nursing students in U city with a structured self-report questionnaire analyzed by the SPSS 22.0 software, t-test, One-way ANOVA, correlation, and multiple regression analysis. The average scores for nursing competence scale, self-directed learning ability, learning satisfaction, learning outcomes were 3.99, 3.71, 4.11 and 4.25 out of 5.00. The factors affecting of students' nursing competencies were self-directed learning ability, learning outcomes with 29 percent being explained by these variables. Learning satisfaction did not affect core nursing competency. Through this study we found that high quality educational environment should be prepared to improve these limitations. it is considered that a clear and systematic standard for the educational environment and evaluation of clinical practice is needed.

Gender Differences in Predictors of Health Behaviors Modification among Patients with Cardiovascular Disease (성별에 따른 심혈관질환자의 건강행위에 미치는 요인)

  • Xu, Lijuan;Ryu, Seungmi;Goong, Hwasoo
    • The Journal of the Korea Contents Association
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    • v.15 no.3
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    • pp.280-289
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    • 2015
  • Purpose: The purpose of the study was to investigate the difference of health behavior modification between male and female patients with cardiovascular disease; and to compare the predictors of health behavior between the male and female subjects. Methods: A comparative study design was used in the study. A total of 228 patients(male 114, female 114) with cardiovascular disease were recruited from outpatients clinics in 2 university hospitals in Korea. Data were analyzed using t-test, $X^2$, ANOVA, ANCOVA, Pearson correlation, and multiple regression with SPSS 20.0. Results: There was significant difference of health behavior between male and female patients with cardiovascular disease (F=9.45, p=0.002). The significant predictors of health behavior among male subjects were self-efficacy, perceived barriers, perceived susceptibility, medical support and autonomous motivation, accounting for 45%; the significant predictors of health behavior among female subjects were self-efficacy, medical support and autonomous motivation, accounting for 51%. Conclusions: It is suggested to take different health promotions strategies to maintain the performance of health behaviors among male and female patients with cardiovascular diseases.

A Study of the Smoking Cessation Behavior of University Student- Based on the Theory of Planned Behavior, Self Efficacy, Health Locus of Control - (대학생의 금연 행위에 대한 연구- 계획된 행위이론, 자기효능, 건강통제위와의 관계 고찰을 중심으로 -)

  • Ahn Hye-Young
    • Child Health Nursing Research
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    • v.7 no.3
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    • pp.371-382
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    • 2001
  • This study was conducted to investigate correlation theory of planned behavior, self efficacy and health locus of control about smoking cessation behavior for university student. We sampled 204 university student smokers using questionnaires and analyzed the data using Pearson correlation coefficient. The results of this study were as follows : 1. There were significant positive correlation between theory of planned behavior(intention : r=.215, p=.005, attitude : r=.160, p=.025, perceived behavior control : r=.298, p=.000) and self efficacy. 2. There were significant positive correlation between theory of planned behavior(attitude : r=.228, p=.002) and internal health locus of control. There were significant positive correlation between theory of planned behavior(attitude : r=.203, p=.004, subjective norm : r=.141, p=.047) and external health locus of control. There were significant negative correlation between theory of planned behavior(perceived behavior control : r=-.152, p=.034) and accidental health locus of control. This study has shown a correlation between theory of planned behavior and self efficacy and health locus of control. As a result of these findings, I suggest to develop the intervention program for smoking cessation.

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