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The Analysis for Behavior Model and Effectiveness of Education of Breast Self Examination (유방자가검진의 행위모델과 교육의 효과에 대한 분석)

  • Ahn, Hae-Jeong
    • Korean Journal of Adult Nursing
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    • v.14 no.1
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    • pp.73-82
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    • 2002
  • The purpose of this study was to test the fitness and explainable power of TPB-SE model to the behavior of breast self examination and it was to examine effectiveness of education for Intention and behavior of breast self examination. The subjects were 122 womens under baby sitting teachers' training programs at "S"college on Po Hang city, Kyung Pook province from May 10, 1998 through October 17, 1998. Among 122 subjects, 61 were placed in experimental group and 61 in control group. The experimental group was treated by researcher who administered booklet, slide and breast model. Collected data were analyzed through $X^2$-test, t-test, MANOVA, ANCOVA, Pearson correlation coefficient via SPSS/PC and applied LISREL 8.0 programs to test TPB-SE model. The result of this study was summarized as follows: 1. TPB-SE model with additions of self efficacy from TPB fits well for predictive factors of behavior of breast self examination and it also fits well for data (GFI=.91, $R^2$=.45). 2. Behavior score of breast self examination in the experimental group with already educated with breast self examination was significantly higher than that of control group (Wilks's value=.711, p=000). Through the results of this study, TPB-SE model with additions of self efficacy from TPB fits well for predictive factors of behavior of breast self examination and the education of breast self examination was effective to improving intention and behavior of breast self examination. I herewith reached final conclusions that the behavior of breast self examination should be regarded as one of health behavior for all women and the health education to women for breast self examination will be important job role for all nurses. In addition to above, the intervention through effective education designed for improving attitude, subjective norm, perceived control, self efficacy and intentions will be necessary step for any improvement of women' health behavior.

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An Experimental Study on the Effects of the Stress Management, Education Program for Nurses (간호원의 스트레스 관리교육 효과에 관한 실험연구)

  • 안황란;구미옥;최미혜;정면숙
    • Journal of Korean Academy of Nursing
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    • v.16 no.1
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    • pp.40-48
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    • 1986
  • The purpose of this study was to identify the effect of the Stress Management Education Program (SMEP) on the nurses stress and stress management ability, and to identify the main factors affecting them. The subjects were 72 nurses who participated in the In-Service education program of the Jin-Ju District, Kyeong-Nam Branch of the Korean Nurses Association during the period from Oct. 1 to Nov. 30, 1985. The book of“The stress management education program”was developed by the investigators. With this book, we executed the 1st education through the lecture & showing an example, After 15 days from the 1st education, we mailed a reminding booklet to the individuals. (2nd education). Then, we mailed a questionnaire on 15th day from the 2nd education. Before and after the SMEP We measured the stress management ability & stress, and identified the affecting factors. Findings of this study are as follows ; 1. The 1st hypothesis that“the SMP will increase the. knowledge about the nurses' stress management”was supported (t= -6.60, p <.001) 2. The 2nd hypothesis that“the SMEP will increase the nurses' practice about the stress management”was rejected. 3. The 3rd hypothesis that“the SEMP will decrease the nurses' stress”was rejected. 4. The 4th hypothesis that“the higher the know-ledge about the stress management, the lower the nurses' stress”was rejected. 5. The 5th hypothesis that“the higher the degree of the practice about the stress management, the lower the nurses' stress”was supported. (r= - .2859, p<.05). 6. There were significant correlations between the knowledge about stress management and age (r= -.3717, p<.01), between the knowledge about stress management and the period of her work. (r= -.2897, p<0.5). There was significant difference in the knowledge about stress management between those who had married and those who had not. (t=2.82, p<.01) 7. There was significant difference in the practice about the stress management between those who had religion and those who had not. (t=2.7, p< .01) 8. There was significant difference in the stress according to the type or work. (t=6. 127, P <.05) There was significant correlation between the stress and supportive system. (r=-.2647, p<.05).

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The Effects of Maternal Health Care Program on Depression, Maternal Role Self-confidence and Delivery Self-efficacy in Pregnant Women (모성건강관리프로그램이 임부의 우울, 모성역할자신감, 분만자신감에 미치는 효과)

  • Kim, Youn Sil;Lee, Yun Jeong;Park, Gyu Hee
    • Journal of East-West Nursing Research
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    • v.23 no.2
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    • pp.134-141
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    • 2017
  • Purpose: The purpose of this study was to investigate the effects of the maternal health care program on pregnant women's depression, maternal role self-confidence and delivery self-efficacy in a public health center. Methods: This study used a non-equivalent control group quasi-experiment design attempted to verify the effectiveness of maternal health care program. In the experimental group (39 participants), maternal health care program was applied for 120 minutes for 8 weeks, and the control group (40 participants) was provided with a booklet for maternal health care. Data collection was conducted from September 20, 2015 to November 30, 2015. Data were analyzed using ${\chi}^2-test$, Fisher's exact test and t-test. Results: The maternal health care program showed a significant effect on maternal role self-confidence and delivery self-efficacy compared to control group. Conclusion: The maternal health care program conducted at the public health center was found to be effective in improving maternal role self-confidence and delivery self-efficacy. Further development of a program to mediate the depression of the expectant mothers is needed.

The Effect of Patient Teaching on Compliance with Sick Role Behavior of diabetic Patients (당뇨교육이 당뇨환자의 역할행위 이행에 미치는 영향)

  • 박오장;홍미순;소향숙;장금성
    • Journal of Korean Academy of Nursing
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    • v.18 no.3
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    • pp.281-288
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    • 1988
  • This study examined the effect of patient teaching on Compliance with sick role behavior in diabetic patients. The purpose was to improve diabetic patients Compliance by D. M. patient teaching. The study objectives were to determine the effect of patient teaching on Compliance with sick role behavior, and factors influencing compliance with sick role behavior of diabetic patients. The Subjects, consisting of 52 diabtic patients diagnosed in the C. and Other hospitals in K. city were divided into experimental and Control groups. Data were gathered from July 25th to September 3rd, 1988 through interviews by questionnaires, measurment of blood sugar level by Reflolux. D. M. Patient teaching was defined as informational intervention of social support by the nurse. A booklet representing patient education and questionnairs were developed by the investigator, and were tested for Content validity, and reliability by Item Analysis: Cronbachs $\alpha$ for any instrument to measure variables was patient Compliance .83, perceived health belief .65, diabetic knowledge .70. Analysis of data were done by paired t-test, t-test, Anova, Pearson correlation and Stepwise multiple regression, The results of the study may be summarized as follows : 1. The effect of patient teaching on Compliance with sick role behavior, on diabetic Knowledge and health belief was Confirmed by significant differences between the experimental and the control group before and after the experiments. (P=000 P=006, P=004). 2. Factors influencing compliance with sick role behavior of diabetic patient were diabetic patient teaching (P<.005), perceived health belief(r=.5597, P<.005), blood sugar(r=.3205, P<.01), diabetic knowledge(r=.2876, P<.05).

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The Effects of Hospital Home Nursing Interventions based on the Nursing Diagnosis (간호진단중심의 퇴원계획과 가정간호적용의 효과 -만성질환자를 중심으로-)

  • Suh Moon-Ja;Kim Keum-Soon;Kim Myung-Ae;Kim In-Ja;Son Hang-Mi
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.3 no.1
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    • pp.50-67
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    • 1996
  • Home nursing interventions based on nursing diagnosis were implemented to the patient who are discharged from one hospital often the treatment for chronic neuromuscular system problem, and its effects were studied. The purpose of this study was to find out the effectiveness of hospital bouned home nursing provided by hospital nurses and to categorize home nursing diagnosis and its interventions. Data from experimental group patients were collected at three different time ; at the time of discharge, two weeks after discharge and our weeks after discharge. Data from controll group patients were collected twice ; the first one at the time of discharge, and the other one four weeks after discharge. For this study nursing assessment and intervention booklet developed by the research team. There were no significant decrease of the number of nursing problems and life satis-faction. But daily activity level of patients showed the signs of significant improvement at the time of four weeks after discharge. Results of this study indicates that home nursing intervention based on nursing diagnosis provided the patients with noticeable difference in health maintanance, impairment of physical mobility, potential for infection, impaired home marntenance management, health seeking behavior, chronic pain, disuse syndrome, impaired skin integrity.

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Message Structure of Persuasive Storytelling in Travel Guide Booklets of Great Chungchung Visit Year (관광안내서의 스토리텔링적 방문설득 메시지 구조 -대충청 방문의 해 공식 안내서를 중심으로-)

  • Lee, Jung-Hun
    • The Journal of the Korea Contents Association
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    • v.10 no.11
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    • pp.380-390
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    • 2010
  • This study analyzed the message structure of persuasive storytelling which are expressed in the official travel guide booklets of 2010 Great Chungchung visit year. The qualitative content analysis technique proposed by Creswell was used. The results were: First, travel guide booklets used '~haseyo', '~hapsida' styles to persuade the readers in friendly manners. Second, booklets used adjectives such as 'beautiful', 'delightful' to emphasize the attractiveness of tourism product and events. With those adjectives, the message sounds more subtle and emotional to the readers so that the readers will be easily persuaded. Third, booklets used the polite ways of speaking to the readers by using '~supnida', '~hapnida'. Fourth, English version of booklets lacked of storytelling structure in message.

The Effects of "Healthy Life Plan" Program on the Management of Obesity for Korean Adults: A Pilot Study (비만 성인 대상 체중관리 프로그램 "Healthy Life Plan"의 시범운용 효과)

  • Park, Jiyoun;Kim, Hyekyeong;Cho, Seon;Cho, Han-Ik
    • Korean Journal of Health Education and Promotion
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    • v.29 no.5
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    • pp.89-101
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    • 2012
  • Objectives: This study aims to evaluate the effectiveness of a lifestyle intervention on the improvement of obesity, health behaviors and behavioral determinants among Korean adults. Methods: Obese adults aged 30 to 59 years (n=76) were randomly assigned to the intervention group (IG) or the comparison group (CG). The IG received a 3-month multi-component lifestyle intervention, while the CG received minimal information on obesity. The program consisted of health counseling, health education booklet and health diary. Health examination and self-administered survey were conducted before and after the intervention to determine the effectiveness of the program. Results: After the intervention. health indices of the IG were significantly improved in weight(p=.003), waist circumference(p=.011), % body fat(p=.021), and total abdominal fat area(p=.041). The reduction of waist circumstance among IG participants was better than that of those in the CG(p=.017). The IG demonstrated significant improvements in dietary behaviors(p=.013), periodic measurement of waist circumstance(p=.005), pros of weight control(p<.001) and awareness of one's current biomarkers(p=.038) better than the CG did. The proportion of normalized participants in waist circumference was 21.1% in the IG and 8.7% in the CG(p=.017). Conclusions: Lifestyle intervention program can improve the obese status and health behaviors in adults.

Multiple Approaches and Participation Rate for a Community Based Smoking Cessation Intervention Trial in Rural Kerala, India

  • Jayakrishnan, Radhakrishnan;Mathew, Aleyamma;Uutela, Antti;Auvinen, Anssi;Sebastian, Paul
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.2891-2896
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    • 2013
  • Background: To illustrate multiple approaches and to assess participation rates adopted for a community based smoking cessation intervention programme in rural Kerala. Materials and Methods: Resident males in the age group 18-60 years who were 'current daily smokers' from 4 randomly allocated community development blocks of rural Thiruvananthapuram district, Kerala (2 intervention and 2 control groups) were selected. Smoking status was assessed through house-to-house survey using trained volunteers. Multiple approaches included awareness on tobacco hazards during baseline survey and distribution of multicolour anti-tobacco leaflets for intervention and control groups. Further, the intervention group received a tobacco cessation booklet and four sessions of counselling which included a one-time group counselling cum medical camp, followed by proactive counselling through face-to-face (FTF) interview and mobile phone. In the second and fourth session, motivational counselling was conducted. Results: Among 928 smokers identified, smokers in intervention and control groups numbered 474 (mean age: 44.6 years, SD: 9.66 years) and 454 respectively (44.5 years, SD: 10.30 years). Among the 474 subjects, 75 (16%) had attended the group counselling cum medical camp after completion of baseline survey in the intervention group, Among the remaining subjects (n=399), 88% were contacted through FTF and mobile phone (8.5%). In the second session (4-6 weeks time period), the response rate for individual counselling was 94% (78% through FTF and 16% through mobile phone). At 3 months, 70.4% were contacted by their mobile phone and further, 19.6% through FTF (total 90%) while at 6 months (fourth session), the response rate was 74% and 16.4% for FTF and mobile phone respectively, covering 90.4% of the total subjects. Overall, in the intervention group, 97.4% of subjects were being contacted at least once and individual counselling given. Conclusion: Proactive community centred intervention programmes using multiple approaches were found to be successful to increase the participation rate for intervention.

Evaluation of the Korean National Food Composition Tables

  • Park, Hong-Ju;Chun, Hye-Kyung;Lee, Sung-Hyeon
    • Preventive Nutrition and Food Science
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    • v.9 no.2
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    • pp.190-193
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    • 2004
  • This review was conducted to evaluate the 'Korean Food Composition Table' and establish it as an internationally accepted database by examining its contents and evolution over time. The food composition table has been published by National Rural Living Science Institute, every 5 years, listing the nutrient content for each food, as both the raw agricultural product and processed foods, since the 1$^{st}$ edition in 1979 by RDA (Rural Development Administration). This is the basic data applied to the evaluation of the nutritional value of foods in Korea. The data is used as a useful tool in many fields, not only for the establishment of the National Food Supply Plan but also for nutritional research, the draft of National Food Policy, and in clinical and epidemiological research. The database is also utilized by food service providers and food processors, etc. Consumers and the international society have been interested in the quality and safety of foods and raw agricultural products. As these data expand in volume, the type of foods included in the composition table is expanded to cover new additions for the convenience of users of the 'Nutrient Data Base' as judged by the publishers. The form of these reports varies, according to the current information, from a simple booklet to CD-ROM and to the Web service. We expect to continue to make improvements in the National Standard Table for food composition through expanding both the quantity and quality of data in an orderly manner. This effort can help food composition data to be comprehensively developed systematically and gradually at the national level.l.

Effect of an Integrated Stress Management Program on the Stress Symptoms of Psychophysiological Patients (통합적 스트레스 관리 프로그램이 정신생리질환자의 스트레스증상에 미치는 영향 -소화성 궤양 환자를 중심으로-)

  • 한금선
    • Journal of Korean Academy of Nursing
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    • v.27 no.2
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    • pp.289-302
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    • 1997
  • The main purpose of this study was to identify the effects of integrated stress management program on the stress symptoms of psychophysiological patients. especially patients with peptic ulcer. The study employed a quasi-experimental design using two different experimental groups. The samples in the integrated stress management program participated in autogenic training with biofeedback. discussions on effective coping method. cognitive. behavioral, and emotional management. They were also provided with an educational booklet on stress management and an tape on progressive muscie relaxation. Each session lasted one hour and the program consisted of seven sessions over four weeks. The other group was only given an tape on progressive muscle relaxation. The data were collected from May 20 to september 25, 1996. A total 47 patients from one university hospital located in Seoul participated, experiment group 1(integrated stress management training) had 23 subjects and experiment group 2(progressive muscle relaxation training) had 24 subjects. The effects of these programs were measured by the stress symptom scale developed by Kogan(1991) which was translated by Lee(1992) and the healing status of the ulcer evaluated by a physician. The data were analyzed using Chi-square test, t- test, ANOVA, repeated measure ANOVA. The result are as follows : 1. The integrated stress management group reported a significantly lower stress symptom score than the group given the progressive muscle relaxation only. 2. The integrated stress management group showed a significantly improved ulcer status as compared to the group given a progressive muscle relaxation only. In conclusion, it was found that the integrated stress management program was more effective in decreasing self-reported stress and physiological symptoms among patients with peptic ulcer as compared to the progressive muscle relaxation group. Based on this finding, the following suggestions can be made. 1. It is necessary to broaden the scope of nursing practice for psychophysiological patients so nurses can include stress management as part of patient care. 2. It is necessary to develop stress management program for other patients whose symptoms are known to be related to stress. 3. It is necessary to replicated this study with a larger sample in different settings.

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