• 제목/요약/키워드: Exercise self-efficacy

검색결과 447건 처리시간 0.035초

국내 신장이식 환자에게 제공된 교육 프로그램에 대한 주제범위 문헌고찰 (A Scoping Review on Educational Programs Provided to Kidney Transplant Patients in Korea)

  • 백연주;이기란
    • 산업융합연구
    • /
    • 제21권11호
    • /
    • pp.85-95
    • /
    • 2023
  • 본 연구는 국내 신장이식 환자에게 제공된 교육 중재 연구의 주제범위 문헌고찰을 통해 신장이식 환자 교육과 관련된 연구의 동향을 파악하고, 신장이식 환자에게 제공된 교육의 종류와 특성을 확인 및 분석하여, 추후 신장이식 환자의 이식 후 관리를 위한 교육 자료의 개발 및 교육 프로그램을 개발하기 위한 기초자료를 제공하기 위해 시행되었다. 문헌을 분석하기 위해 JBI 매뉴얼을 바탕으로 주제범위 문헌고찰을 수행하였으며, 국내·외 데이터베이스(RISS, KISS, DB pia, Pubmed)에서 "신장이식", "교육", "프로그램", "kidney transplantation", "education", "program", "Korea"를 검색어로 2023년 5월 21일 검색일 기준 이전에 출판된 모든 문헌을 검색하였다. 검색된 560편 중 최종 13편의 문헌이 선정되어 최종 분석하였다. 연구결과 신장이식 환자에게 제공된 교육 프로그램은 이식 후 전반적인 건강관리, 자기효능증진 운동프로그램, 운동요법, 약물 교육, 스트레스 대처로 분류되었으며, 지식, 이행, 자기효능감, 불안, 불확실성, 스트레스, 삶의 질 등에 효과가 있는 것으로 나타났다. 본 연구결과를 토대로 신장이식 후 발생할 수 있는 다양한 건강문제를 관리할 수 있는 통합적인 교육 자료의 개발과 체계적인 자가관리 프로그램의 개발이 필요하며, 간호학에서 신장이식 환자의 교육 중재 연구가 증가하길 제언한다.

뇌졸중 후 대상자의 동서재활 자조관리 프로그램의 적용 효과 (Effect of East-West Self-help Group Program for Rehabilitation of Post Stroke Clients)

  • 강현숙;김원옥;김정화;왕명자;조종희
    • 대한간호학회지
    • /
    • 제34권7호
    • /
    • pp.1351-1361
    • /
    • 2004
  • Purpose: The purpose of this study was to evaluate the effect of an East-West Self-help program for Rehabilitation of post-stroke patients, Method: A quasi-experimental design was used. The subjects were 75 post stroke clients(Exp. group : 38, Cont. group:37), The subjects of the experimental group participated in the Self-help group program of six sessions, twice a week, during 6 weeks. The program consisted of health education of stroke, exercise, oriental nursing interventions, and therapeutic recreation. The obtained data were analyzed by using the repeated measure ANOVA of SPSS. Result: 1) The score of rehabilitation self-efficacy increased significantly in the experimental group as compared to the control group. 2) The score of BADL, IADL, amount of use & quality of movement of the affected U/E, and grip power increased significantly in the experimental group as compared to the control group. 3)The level of blood cholesterol decreased significantly in the experimental group as compared to the control group. Conclusion: Considering these research results, the program is effective in improving functional abilities and self-management ability. Therefore this program could be implemented as a community based self-help group program for post stroke clients.

간호대학생의 건강증진 행위 결정요인에 관한 연구 (Study on Health Promoting Behavior Determinant of Nursing Students)

  • 김영희;정미숙;이정애
    • 한국보건간호학회지
    • /
    • 제16권2호
    • /
    • pp.285-303
    • /
    • 2002
  • This descriptive correlational study was conducted to identify the variables related to a health promoting behavior in nursing students. 238 nursing students were selected by a convenience sampling method. The data were collected by self - reported questionnaires from 12 to November 19, 2001. The data were analyzed by using descriptive statistics, pearson correlation coefficient, stepwise multiple regression with an SPSS program. The result of this study were as follows: 1. The average score of health promoting behavior was 2.47(SD=0.36)of a 4 point scale. Self actualization (mean=2.94, SD=0.50), interpersonal support (mean=2.91, SD=0.53), stress management(mean=2.58, SD=0.48), health responsibility(mean=2.07, SD=0.48)) nutrition & exercise(mean=2.07, SD=0.48)) were also analyzed. 2. Health promoting behavior showed significant positive correlations with self­esteem(r=0.446, p<0.001) perceived health status(r=0.180, p<0.01), perceived benefits (r=0.183. p<0.01). self-efficacy(r=0.311, p<0.001), social support(r=0.447, p<0.001), control(r=0.169, p<0.01). 3. The combination of self-esteem, social support, affect related to action explained $38.0\%$ of the variance in health promoting behavior. On the basis of the above findings. self-esteem and social support were identified as the variables which explained most of Pender's health promoting model. Nursing strategies enhancing self-esteem and social support which have a more significant effect on health promoting lifestyles should be developed.

  • PDF

산업장 교대근무 근로자의 건강증진행위 예측요인 (Predictive Factors of Health promotion behaviors of Industrial Shift Workers)

  • 김영미
    • 한국직업건강간호학회지
    • /
    • 제11권1호
    • /
    • pp.13-30
    • /
    • 2002
  • Industrial shift workers feels suffer mental stresses which are caused by unfamiliar day sleep, noisy environment, sleeping disorder by bright light, unusual contacts with family, difficulty in meeting with friends or having formal social meetings and other social limitations such as the use of transportation. Such stresses influence health of the workers negatively. Thus the health promotion policy for shift workers should be made considering the workers' ways of living and shift work specially. This study attempted to provide basic information for development of the health promotion program for industrial shift workers by examining predictive factors influencing health promotion behaviors of those workers. In designing the study, three power generation plants located in Pusan and south Kyungsang province were randomly selected and therefrom 280 workers at central control, boiler and turbine rooms and environmental chemistry parts whose processes require shift works were sampled as subjects of the study. Data were collected two times from September 17 to October 8, 1999 using questionnaires with helps of safety and health managers of the plants. The questionnaires were distributed through mails or direct visits. Means for the study included the measurement tool of health promotion behavior provided by Park(1995), the tool of self-efficacy measurement by Suh(1995), the tool of internal locus of control measurement by Oh(1987), the measurement tool of perceived health state by Park(1995) and the tool of social support measurement by Paek(1995). The collected data were analyzed using SPSS program. Controlling factors of the subjects were evaluated in terms of frequency and percentage ratio Perceived factors and health promotion behaviors of the subjects were done so in terms of mean and standard deviation, and average mark and standard deviation, respectively. Relations between controlling and perceived factors were analyzed using t-test and ANOVA and those between perceived factors and the performance of health promotion behaviors, using Pearson's Correlation Coefficient. The performance of health promotion behaviors was tested using t-test, ANOVA and post multi-comparison (Scheffe test). Predictive factors of health promotion behavior were examined through the Stepwise Multiple Regression Analysis. Results of the study are summarized as follows. 1. The performance of health promotion behaviors by the subjects was evaluated as having the value of mean, $161.27{\pm}26.73$ points(min.:60, max.:240) and average mark, $2.68{\pm}0.44$ points(min.:1, max.:4). When the performance was analyzed according to related aspects, it showed the highest level in harmonious relation with average mark, $3.15{\pm}.56$ points, followed by hygienic life($3.03{\pm}.55$), self-realization ($2.84{\pm}.55$), emotional support($2.73{\pm}.61$), regular meals($2.71{\pm}.76$), self-control($2.62{\pm}.63$), health diet($2.62{\pm}.56$), rest and sleep($2.60{\pm}.59$), exercise and activity($2.53{\pm}.57$), diet control($2.52{\pm}.56$) and special health management($2.06{\pm}.65$). 2. In relations between perceived factors of the subjects(self-efficacy, internal locus of control, perceived health state) and the performance of health promotion behaviors, the performance was found having significantly pure relations with self-efficacy (r=.524, P=.000), internal locus of control (r=.225, P=.000) and perceived health state(r=.244, P=.000). The higher each evaluated point of the three factors was, the higher the performance was in level. 3. When relations between the controlling factors(demography-based social, health-related, job-related and human relations characteristics) and the performance of health promotion behaviors were analyzed, the performance showed significant differences according to marital status (t=2.09, P= .03), religion(F=3.93, P= .00) and participation in religious activities (F=8.10, P= .00) out of demography-based characteristics, medical examination results (F=7.20, P= .00) and methods of the collection of health knowledge and information(F=3.41, P= .01) and methods of desired health education(F=3.41, P= .01) out of health-related characteristics, detrimental factors perception(F=4.49, P= .01) and job satisfaction(F=8.41, P= .00) out of job-related characteristics and social support(F=14.69, P= .00) out of human relations characteristics. 4. The factor which is a variable predicting best the performance of health promotion behaviors by the subjects was the self-efficacy accounting for 27.4% of the prediction, followed by participation in religious activities, social support, job satisfaction, received health state and internal locus of control in order all of which totally account for 41.0%. In conclusion, the predictive factor which most influence the performance of health promotion behaviors by shift workers was self-efficacy. To promote the sense, therefore, it is necessary to develop the nursing intervention program considering predictive factors as variables identified in this study. Further industrial nurses should play their roles actively to help shift workers increase their capability of self-management of health.

  • PDF

만성 뇌졸중 환자의 균형 및 보행 증진을 위한 체간 자가 훈련 프로그램 -예비연구- (Self-Training Trunk Program for Improving Balance and Walking Ability in People with Chronic Stroke -A Preliminary Study-)

  • 나은진;우영근
    • PNF and Movement
    • /
    • 제15권3호
    • /
    • pp.317-331
    • /
    • 2017
  • Purpose: Balance and walking ability are important elements of functional independence for people with stroke and are major goals in rehabilitation. These abilities require trunk performance, but most chronic stroke patients reach a plateau in their rehabilitation. Therefore, the purpose of this study was to investigate the effects of a self-training trunk program to improve balance and walking ability in people with stroke, and to suggest such a self-training program for integrated rehabilitation of people with stroke. Methods: The study recruited 7 people with stroke. The subjects performed trunk training for 30 min per day, 6 days per week, for 3 weeks. Participants were measured on the Trunk Impairment Scale (TIS), the Berg Balance Scale (BBS), the Korean Activities-specific Balance Confidence (K-ABC) scale, the Falls Efficacy Scale (FES), the Functional Gait Assessment (FGA), the 6 Minute Walk Test (6MWT) and a gait analysis to measure the training effects. Statistical analysis used the Wilcoxon signed-rank test as a non-parametric statistical test. Results: TIS was not significantly different after the self-training trunk program, but BBS (p>0.05), K-ABC, and FES were significantly improved after the training program (p<0.05). Furthermore, the 6MWT, stride/height %, and one-leg stance were significantly improved after the training program (p<0.05), but cadence, stance, and swing duration were not significantly different after the training (p>0.05). Conclusion: These results suggest that a self-training trunk program should be integrated into stroke rehabilitation to improve balance and walking ability, and further research is needed to develop the program to be more effective for chronic stroke patients.

국내 노인 건강증진 간호중재연구 분석 - 1994년에서 2004년까지 - (Analysis of Researches on Nursing Intervention for Elderly Health Promotion from 1994 to 2004)

  • 김태임;이강이;박영임;전명희;김인자;김은주;김동옥;권윤정
    • 지역사회간호학회지
    • /
    • 제16권4호
    • /
    • pp.446-457
    • /
    • 2005
  • Purpose: The purpose of this study was to analyse researches on nursing intervention for elderly health promotion. Method: A literature review of 38 researches was carried out using guidelines developed by the present researchers. Result: The research papers studied in this research were theses written for doctoral or master's degree and published between 1994 to 2004. These researches applied nursing intervention for health promotion of elders and used experimental study design. The average period of nursing intervention was about 9 weeks and the average frequency was three times per week. As for major characteristics of subject groups, most of them were over 65 years old (76.3%) and resided in community (65.8%), and each group consisted of 10 to 29 elders. The dependent variables used in these studies included physiological variables (blood pressure, blood cholesterol level, pulmonary function, fasting blood sugar, blood cortisol level, body mass etc.), psychologic variables (depression, quality of life, life satisfaction, loneliness, anxiety etc.), cognitive variables (perceived benefits, perceived barriers, self-efficacy, self-concept, subjective health status etc.), activities of daily livings, health promotion behavior, pain, risks of fall, and variables related to Trans Theoretical Model. The majority of these studies (78.9%) applied exercise programs for health promotion including exercise motivating programs (15.8%). Conclusion: We suggest that more various nursing interventions must be applied to promote elders' health and to take care of their chronic diseases.

  • PDF

여성노인의 건강증진 생활양식 이행의 예측요인에 관한 연구 (The Study on Health Promoting Lifestyle of the Elderly Women)

  • 성미혜;임영미
    • 대한간호학회지
    • /
    • 제33권6호
    • /
    • pp.762-771
    • /
    • 2003
  • Purpose: This study was undertaken in order to determine factors affecting health promoting lifestyle of elderly women. Method: The subjects were 299 elderly community residing women over the age 65 living in 2 large cities. The instruments used for this study were a survey of general characteristics, health promoting lifestyle(47items), perceived health status(6 items), self-efficacy(l7 items), and social support(18 items). The data was analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and Stepwise Multiple Regression. Result: The result of the study are as follows: The average item score for the health promoting lifestyle was 2.46, the highest score on the subscale was interpersonal support(M=2.83). A significant difference between age, education level, income, experience of smoking, alcohol, exercise, and health promoting lifestyle were found. Stepwise multiple regression analysis revealed that the most powerful predictor of health promoting lifestyle was social support(55%). Conclusion: Social support accounted for 54% of the variance in health promoting lifestyle in the elderly women. Therefore, health promoting programs that increase social support should be developed to promote a healthy lifestyle of the elderly women.

청소년 건강행위에 대한 국내연구동향 (A Critical Review of Health Behavior Studies of Adolescents Conducted in Korea)

  • 박남희;이해정
    • 지역사회간호학회지
    • /
    • 제13권1호
    • /
    • pp.98-114
    • /
    • 2002
  • Purpose: This review examined literature relevant to adolescent's health behavior in order to identify key behaviors and factors related to health behaviors for targeting health promotion interventions. Method: A critical review of 29 research articles was carried out using the guidelines suggested by Cooper. Result: The majority of the studies were descriptive and cross-sectional. Generally. the study includes sub-dimensions such as general hygiene and daily life habit, safety and accident prevention, nutrition and eating (tobacco, drinking), exercise, mental health and stress management, health duty (drug, health examination, disease prevention). Factors highly related to health behaviors were age, living areas, economic status, parent health behaviors, parent health concern, social support, friends influence, self-efficacy, self-esteem, locus of control, and the perceived health status. Sex, parent education and health knowledge were not related to health behaviors of adolescents. Conclusion: Several conceptual and methodological problems were identified in the studies review, such as restricted conceptualization of health behaviors and sampling issues which limit the generalizability of the study outcomes. Further research is needed to enhance the concept clarification and generalizablity of the study results.

  • PDF

학령기 후기 아동의 건강증진행위 관련요인 (Factors related to Health Promoting Behavior in Late School-age Children)

  • 김현섭;김영임
    • 한국학교보건학회지
    • /
    • 제23권1호
    • /
    • pp.1-10
    • /
    • 2010
  • Purpose: The purpose of this study was to investigate factors influencing health promoting behavior of the late school age children and to analyze the difference of health promoting behavior according to personal factors of children. Methods: The subjects consisted of 169 school-aged children in the 6th grade in Gyeonggi-do. Data were collected from Dec. 1 to Dec. 10, 2008. The data were analyzed by using frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson's correlation coefficients and Stepwise multiple regression with the SPSS/WIN 12.0 program. Results: 1) Health promoting behavior was proved to be relatively high. The average item score for the health promoting behavior was $3.85{\pm}.41$. The highest degree of health promoting behavior was stress management (4.13). whereas the one with the lowest degree was exercise (3.40). 2) In the relationship between personal factors and health promoting behavior, there were statistically significant differences in gender, perceived health status, family mood, father's drinking habits, school performance, school satisfaction. 3) Health promoting behavior was showed significant positive correlations with perceived self-efficacy (r=.55), social support (r=.65), prior related behaviors (r=.44), perceived benefits of action (r=.42), and significant negative correlations with perceived barriers of action (r=-.37). 4) Stepwise multiple regression analysis was revealed that the most powerful predictor of health promoting behavior was social support ($\beta$=0.36) Conclusion: The combination of social support, perceived self-efficacy, perceived benefits of action, gender, and family mood accounted for 57.8% of the variance in the health promoting behavior of the late school age children.

비만청소년의 인지ㆍ정서ㆍ행동 중재 (The Effect of the REBT Group Program on the Weight Control of Obese High School Girls)

  • 박충선
    • Child Health Nursing Research
    • /
    • 제7권2호
    • /
    • pp.213-224
    • /
    • 2001
  • This study was conducted to identify the effect on the weight control of the REBT group program as a nursing intervention. For this purpose, non-equivalent control group design with pretest and posttest and follow-up test as quasi-experiment was used. Subjects of the study were consisted of twenty-four obese girls (Experimental group: 10, control group: 14) who appeared to having above 20% of the body mass index from ane high school in M city. The whole program was carried out from January to June, 2000. Used dependent variables for evaluating the effect of the REBT group program including were weight control belief(rational thinking, emotion about exercise, eating self-efficacy, eating behavior), body mass index and serum lipids(total cholesterol, triglyceride, low-density lipoprotein, high-density lipoprotein). For evaluating the effect of the program, dependent variables was analyzed by experimental stages three times; the first week, the fourth week, and the eighth week since the experimental input began. Data were analyzed by the SAS PC+ program with t-test, repeated measure ANOVA to determine the effect of program. The results of this study can be summarized as follows; 1. After the REBT group program, only eating self-efficacy among the weight control belief of experimental group was significantly increased than that of control group. 2. After the REBT group program, body mass index of experiment group was significantly decreased than that of control group. 3. After the REBT group program, triglyceride and low density lipoprotein among the serum lipids in the experiment group were significantly decreased than those of control group.

  • PDF