• 제목/요약/키워드: Case management efficacy

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임신성당뇨병 임부에 대한 사례관리 프로그램이 자기효능감, 우울 및 불안에 미치는 효과 (Effects of a Case Management Program on Self-efficacy, Depression and Anxiety in Pregnant Women with Gestational Diabetes Mellitus)

  • 백은숙;박혜자
    • 여성건강간호학회지
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    • 제19권2호
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    • pp.88-98
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    • 2013
  • Purpose: To examine the effects of a case management program on self-efficacy, depression and anxiety in pregnant women with gestational diabetes mellitus. Methods: Thirty-seven patients who enrolled in a diabetes outpatient clinic were randomly assigned to either an experimental group (n=19) or a control group (n=18). The experimental group received a 2-week intervention composed of a series of one face-to-face interactive interview and five telephone interviews based on the National standards for diabetes self-management education and Bandura's self-efficacy resources of performance accomplishment, vicarious experience, verbal persuasion, and emotional arousal. The effects of the intervention were assessed by completion of a 9-item self-efficacy questionnaire, a 20-item depression questionnaire and a 20-item anxiety questionnaire prior to, and after the intervention. The statistical significances were examined using t-test. Results: The change in self-efficacy was significantly greater in the experimental group than in the control group. Depression and anxiety changes in the experimental group were significantly greater compared to those in the control group. Conclusion: The results of study suggest that a case management program improves self-efficacy, and decreases depression and anxiety in pregnant women with gestational diabetes mellitus.

당뇨병 환자의 자기효능감, 자가간호행위 및 혈당조절에 미치는 사례관리 프로그램의 효과 (Effect of Case Management Program on Self-Efficacy, Self-Care Behaviors and Glycometabolic Control in Patient with Diabetes)

  • 김순영;조복희;남해성
    • 농촌의학ㆍ지역보건
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    • 제33권2호
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    • pp.232-242
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    • 2008
  • - Abstract - Objectives: We examined the effects of diabetes mellitus (DM) case management program developed by National Health Insurance Corporation in Korea. Methods: One trained nurse performed the case management for 30 DM patients recruited through the reimbursement information of National Health Insurance in a rural community. The case manager had four home visits and two telephone calls for 12 weeks. We evaluated the effectiveness of the program in terms of self-efficacy, self-care behaviors and glyco-metabolic control. Results: The self-efficacy score was significantly increased from 70.0 of pre-intervention to 80.5 of post-intervention (p<0.001). The self-care score was also significantly increased from 2.86 to 3.60 (p<0.001). The scores of its components such as nutritional care, self-test of sugar level, foot care, oral care, and aerobic exercise were significantly improved (p<0.001). However, the improvement of score in medication management was statistically marginal (p=0.071). The fasting blood sugar level and HbA1c level was significantly decreased from 128.6 mg/dl to 114.5 mg/dl (p<0.001) and from 6.78 % to 6.54 % (p<0.001) respectively. Conclusions: The case management program was effective to improve the self-efficacy and self-care behaviors, and to control blood sugar level in DM patients.

보건소 맞춤형 방문건강관리사업 관절염 사례관리 효과 (The Effects of a Case Management Program of Customized Home Visiting Health Service for Clients with Arthritis)

  • 양순옥;권명순;최용준;이승희
    • 지역사회간호학회지
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    • 제22권2호
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    • pp.151-161
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    • 2011
  • Purpose: The purpose of this study was to analyze the effects of a case management program on range of motion, pain, depression and self efficacy in community-dwelling older women with knee arthritis. Methods: The research design was one-group pre and post-test design with 40 participants with knee arthritis who agreed to participate in the 12-week case management program. Data were collected four times, before and after 4, 8 and 12 weeks. Results: Repeated measures ANOVA revealed significant differences between before and after the service in range of motion, pain, depression and self efficacy. Significant improvements from the baseline to 4 weeks after the service were observed in the measurements of range of motion, pain, depression and self efficacy. There were no significant differences in range of motion, pain and depression between 4 and 12 weeks after the services. Conclusion: This study represents the first effort showing that a case management program can have positive outcomes on range of motion, pain, depression and self efficacy for older women with knee arthritis. More research using a control group pre-post test design considering time lapse is needed in order to examine more accurately the effects of case management programs for knee arthritis.

The Effect of Emotional Intelligence on Job Satisfaction: A Case Study of SME Management Consultants in Korea

  • KIM, Dae Kyoo;KIM, Bo Young
    • The Journal of Asian Finance, Economics and Business
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    • 제8권5호
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    • pp.1129-1138
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    • 2021
  • SMEs are constantly demanded of changes in the rapidly-evolving business environment, which involves the fourth industrial revolution and the COVID-19 pandemic. In this period, management consulting service becomes more in demand to provide technical and strategic solutions for management problems. This study aimed to empirically analyze the direct effects of emotional intelligence on job satisfaction and the indirect effects of such parameters as learning agility and self-efficacy on job satisfaction in management consultants. On the basis of a literature review, inter-variable association was designed in the research model. Based on an online survey of those in the Korean SME management consultants, this study collected 221 questionnaires then used structural equation modeling for statistical analysis. The results reveal that emotional intelligence significantly affected job satisfaction and, also significantly positively affected learning agility and self-efficacy. In addition, a significant indirect correlation could be found between learning agility and self-efficacy. Meanwhile, if learning agility and self-efficacy mediated job satisfaction, emotional intelligence had no significant effect on job satisfaction and fully mediated learning agility and self-efficacy. It is necessary to develop an emotional intelligence education program that can help management consultants improve their emotional intelligence with the objective of giving successful management consulting services.

Effects of a Case-Based Sepsis Education Program for General Ward Nurses on Knowledge, Accuracy of Sepsis Assessment, and Self-efficacy

  • Kim, Bohyun;Jeong, Younhee
    • Journal of Korean Biological Nursing Science
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    • 제22권4호
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    • pp.260-270
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    • 2020
  • Purposes: Sepsis is a critical condition in which nurses should detect clinical manifestations and provide early intervention to prevent unwanted serious conditions in the patients. The initial occurrence and management of sepsis take place in general units, but there is a lack of knowledge in nurses. The purpose of this study was to examine the effects of a case-based sepsis education program and compare the case-based education program with and without smartphone applications. Methods: A quasi-experimental pre-test-post-test design with a control group was used. We provided a case-based education program with and without smartphone applications to the nurses and tested the effects of the program on knowledge, the accuracy of sepsis assessment, and self-efficacy as outcome variables. A total of 60 nurses in general units participated. To test differences in knowledge, the accuracy of sepsis assessment, and self-efficacy regarding sepsis between the groups over time, a mixed-design ANCOVA was used for parametric analysis, and generalized estimating equations (GEE) were used for nonparametric analysis. Results: There were significant differences in knowledge, the accuracy of sepsis assessment, and self-efficacy between the groups and within the groups over time. The intervention groups treated with the case-based education program showed improved outcome variables compared to the control group. There was no difference between case-based education with the smartphone application or without the application. Conclusions: The case-based education improved knowledge, the accuracy of sepsis assessment, and self-efficacy in the care of sepsis by nurses working in the general wards. The results suggest that the case-based education program for nurses was effective and eventually improved patient health outcomes.

매뉴스크립트 평가체계 구축에 관한 사례 연구 - 민주화운동기념사업회 사료관을 중심으로 - (A Case Study on Constructing Appraisal System of Manuscripts: Focusing on Korea Democracy Foundation Archives)

  • 김명훈;현종철
    • 한국기록관리학회지
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    • 제8권1호
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    • pp.45-63
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    • 2008
  • 본고에서는 민주화운동기념사업회 사료관 소장 사료를 토대로, 매뉴스크립트 평가체계 구축 사례를 제시하였다. 민주화운동 사료 평가체계는 가치 선별 논리를 지향하면서도, 가치의 경중에 따른 관리조치 차별화를 통해 사료관리에 소요되는 인적 물적 자원의 활용성을 최적화시킨다는 전략을 구현하였다. 그동안 중복본 위주의 폐기대상을 골라내는 소극적 선별 논리를 넘어 사료의 가치를 기반으로 차별화된 관리 프로세스를 설계하였다는 점에서, 원질서가 부재한 방대한 양의 기록물 처리에 당면하여 한정된 자원 활용상의 효용성을 추구하는 매뉴스크립트 기관들에 좋은 선례를 제공해준다.

건강신념과 자기효능감, 운동만족 및 건강증진행동 관계연구 : 헬스센터 중심으로 (A study on relationship among health belief, self-efficacy, exercise satisfaction and health-promoting behavior : focused on the case of health training center)

  • 정영신;윤천성
    • 디지털산업정보학회논문지
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    • 제12권3호
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    • pp.215-230
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    • 2016
  • This study aims to investigate how health belief of adult female users of the health training center affect health-promoting behavior through self-efficacy and exercise satisfaction. The proposed model is based on health belief model of Rosenstock et al. To validate the proposed model, PLS analysis is performed with the valid 177 questionnaires collected from Seoul and nearby cities. The results are as follows. First, perceived severity has a positive effect on self-efficacy, not on exercise satisfaction. Second, perceived susceptibility does not has a positive effect on both self-efficacy and exercise satisfaction. Third, perceived barriers has a positive effect on self-efficacy, not on exercise satisfaction. Fourth, perceived susceptibility has a positive effect on both self-efficacy and exercise satisfaction. Fifth, self-efficacy has a positive effect on exercise satisfaction and health-promoting behavior. Sixth, exercise satisfaction has a positive effect on health promoting behavior.

사회복지관 사례관리 활동목록 개발 (Development of Case Management Activities Inventory in Community Welfare Centers)

  • 민소영
    • 디지털융복합연구
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    • 제15권4호
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    • pp.489-497
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    • 2017
  • 본 연구는 사회복지관에서 사례관리를 실천할 때 기본적으로 수행해야할 사례관리활동의 목록을 과학적 방법에 기반하여 개발하는 데 목적을 두었다. 이를 위하여 먼저 문헌조사와 전문가들의 내용타당도를 확보하여 89개의 예비항목을 개발하였다. 체계표집방식을 활용하여 전국의 사회복지관 127개소를 무작위로 선정하고, 각 기관에서 현재 사례관리를 수행하고 있는 실무자 277명을 대상으로 척도의 타당화를 확인하였다. 탐색적 요인분석, 신뢰도, 타당도 분석을 통하여 최종적으로 11요인의 61개 항목으로 구성된 사례관리활동목록을 개발하였다. 개발된 사례관리활동목록을 바탕으로 실천전략을 제시하였다.

초등수학영재와 일반학생의 학습전략 검사결과 비교 연구 (Comparative Study of Learning Strategies between Mathematical Gifted Children and Average Students in Elementary School)

  • 김유미;류성림
    • 한국초등수학교육학회지
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    • 제14권2호
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    • pp.217-239
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    • 2010
  • 본 연구는 영재교육의 최근연구 경향과 요구를 반영하는 것으로 초등수학영재들과 일반학생들 사이의 학습전략을 비교분석하는 것이다. 본 연구의 결과는 다음과 같다. 첫째, 초등학교 수학영재들이 일반학생보다 학습동기와 자아효능감이 높게 나타났으며, 인지 초인지전략 및 자원관리전략의 활용도 매우 높게 나타났다. 둘째, 수학영재의 경우 성별에 따라 자원관리전략에 있어서 차이를 나타내며, 일반학생은 성별에 따라 학습동기에서 차이가 나타났을 뿐만 아니라, 영재교육 경험이 있는 학생들이 그렇지 않은 학생들보다 학습동기 및 자아효능감이 높게 나타났다. 셋째, 초등학교 수학영재는 학습 동기, 자아효능감, 인지 초인지전략, 자원관리전략 사이의 높은 정적인 상관관계를 가지며, 일반학생의 경우도 인지 초인지전략과 자원관리전략 사이의 상관관계는 없으나, 학습동기, 자아효능감, 인지 초인지전략, 자원관리전략 사이에서 모두 높은 정적인 상관관계를 가지고 있는 것으로 나타났다.

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Efficacy and Safety of Gabapentin in the Treatment of Chronic Cough: A Systematic Review

  • Shi, Guanglin;Shen, Qin;Zhang, Caixin;Ma, Jun;Mohammed, Anaz;Zhao, Huan
    • Tuberculosis and Respiratory Diseases
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    • 제81권3호
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    • pp.167-174
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    • 2018
  • Despite recent clinical guidelines, the optimal therapeutic strategy for the management of refractory chronic cough is still a challenge. The present systematic review was designed to assess the evidence for efficacy and safety of gabapentin in the treatment of chronic cough. A systematic search of PubMed, Embase, Cochrane Library databases, and publications cited in bibliographies was performed. Articles were searched by two reviewers with a priori criteria for study selection. Seven relevant articles were identified, including two randomized controlled trials, one prospective case-series designed with consecutive patients, one retrospective case series of consecutive patients, one retrospective case series with unknown consecutive status, and two case reports comprising six and two patients, respectively. Improvements were detected in cough-specific quality of life (Leicester Cough Questionnaire score) and cough severity (visual analogue scale score) following gabapentin treatment in randomized controlled trials. The results of prospective case-series showed that the rate of overall improvement of cough and sensory neuropathy with gabapentin was 68%. Gabapentin treatment of patients with chronic cough showed superior efficacy and a good safety record compared with placebo or standard medications. Additional randomized and controlled trials are needed.