• 제목/요약/키워드: Health Partner Program

검색결과 35건 처리시간 0.026초

Efficacy of a Training Program for Long-Term Disease-Free Cancer Survivors as Health Partners: A Randomized Controlled Trial in Korea

  • Yun, Young Ho;Lee, Myung Kyung;Bae, Yeonmin;Shon, Eun-Jung;Shin, Bo-Ram;Ko, Hyonsook;Lee, Eun Sook;Noh, Dong-Young;Lim, Jae-Young;Kim, Sung;Kim, Si-Young;Cho, Chi-Heum;Jung, Kyung Hae;Chun, Mison;Lee, Soon Nam;Park, Kyong Hwa;Chang, Yoon Jung
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권12호
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    • pp.7229-7235
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    • 2013
  • Background: To determine whether the Health Partner Program is effective in training long-term cancer survivors to be health coaches. Materials and Methods: We randomly assigned cancer survivors who were selected through a rigorous screening process to either the Health Partner Program or the waiting-list control group. The program consisted of 8 weeks of training in health management, leadership, and coaching. At baseline, 8, and 16 weeks, we measured primary outcomes using the Seven Habit Profile (SHP), the Korean Leadership Coaching Competency Inventory (KCCI), Ed Diner's Satisfaction with Life Scale (SWLS), and the Posttraumatic Growth inventory (PTGI) and secondary outcomes using the Hospital Anxiety and Depression Scale (HADS), the Impact of Event Scale-Revised (IES-R), and the Medical Outcomes Study (MOS) short form 36-item questionnaire (SF-36). Results: We recruited 70 subjects and randomly assigned 34 to the intervention group. The Sharpen the Saw habit of the SHP increased significantly more in intervention group than in the control group (p=0.049), as did most PTGI factors. The intervention group also showed a significantly greater enhancement of vitality (p=0.015) and mental health (p=0.049) SF-36 scores but no improvement in KCCI, SWLS, HADS, or IES-R scores. The intervention group also showed a greater clinically meaningful improvement in the "Think Win-Win" of SHP (p=0.043) and in the personal strength score (p=0.025) and total score (p=0.015) of the PTGI. Conclusions: Long-term cancer survivors can benefit from the Health Partner Program to become health coaches.

ADHD 자녀를 둔 부부의 양육효능감과 배우자 지지가 양육스트레스와 우울에 미치는 효과: 커플관계자료 분석방법 적용 (Actor and Partner Effects on Parenting Stress and Depression in Couples with ADHD Child: Dyadic Data Analysis)

  • 김인정;장진주;신성희
    • 동서간호학연구지
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    • 제29권2호
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    • pp.150-160
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    • 2023
  • This study aimed to identify the actor and partner effects of parenting efficacy, spousal support on parenting stress and depression in couples with children with attention deficit hyperactivity disorder (ADHD). Methods: A cross-sectional survey design was used. Participants were 103 couples (103 husbands, 103 wives) with children with ADHD visiting child adolescent psychiatry clinic or community mental health center in Seoul, Gyeonggi-do, South Korea. Data were analyzed by SPSS 20.0 and AMOS 20.0 program. Results: The parenting efficacy of husbands and wives had direct actor effect (β=-.69, p=.004; β=-.60, p=.004) and partner effect (β=-.22, p=.007; β=-.18, p=.026) on their parenting stress. In addition, husbands and wives's parenting efficacy had a direct actor effect (β=-.25, p=.031; β=-.21, p=.025) on their depression and indirect actor effect (β=-.25, p=.004; β=-.34, p=.004) through parenting stress on their depression. However, parenting stress did not show a partner effect on depression. Husband and wife's parenting efficacy had a direct effect (β=.46, p=.004; β=.25, p=.009) on perceived spousal support. The effects of husbands and wives were the same in actor effect size (χ2 differences=0.74, p=.390) and partner effect size (χ2 differences=0.20, p=.652) of parenting efficacy on parenting stress. In addition, the effect sizes of husbands and wives were the same in actor effect size (χ2 differences=0.93, p=.334) and partner effect size (χ2 differences=0.15, p=.704) for parenting stress and depression. Conclusion: The results of this study may provide the foundation for developing a nursing intervention program that can maximize interaction between couples with ADHD children.

노인의 성별에 따른 배우자 폭력 피해 경험과 우울의 관계 : 2015년 한국복지패널 자료를 활용하여 (Relationship between Partner Violence and Depression by Gender in the Elderly: Based on 2015 the Korean Welfare Panel Study)

  • 김민주
    • 한국콘텐츠학회논문지
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    • 제17권1호
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    • pp.522-531
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    • 2017
  • 국내에서 발생하는 배우자 폭력은 심각한 수준이다. 이러한 배우자에 의한 폭력은 피해자에게 신체적, 정신적 고통을 초래할 수 있다. 노인의 경우 배우자와의 관계가 노인의 삶의 질에 큰 영향을 미치는데 본 연구는 성별에 따라 노년기에 발생한 배우자에 의한 폭력 피해 경험이 노인의 우울에 미치는 영향을 확인하여 노인의 정신건강 향상을 위한 근거자료를 제공하고자 시도되었다. 본 연구의 대상자는 2015년 실시된 한국복지패널조사에 참여한 노인 중 주요변수에 응답한 2,819명이며, 각 대상자의 인구사회학적 특성, 건강관련 특성, 자녀와의 관계 만족도 및 사회적 친분관계 만족도, 배우자 폭력 피해경험 및 우울 정도를 조사하였다. 자료의 분석은 SPSS 23.0을 이용하였으며, 기술통계, 독립 t-tests, $x^2$-tests, 단변량 로지스틱회귀분석 및 위계적 로지스틱회귀분석을 실시하였다. 연구결과, 인구학적 특성, 건강관련 특성, 자녀와의 관계 및 사회적 친분관계 만족도를 통제한 상태에서 남성노인과 여성노인 모두 배우자에 의한 폭력 경험은 우울에 유의하게 영향을 미치는 것으로 나타났다. 이러한 연구결과는 여성 노인뿐만 아니라 남성노인을 포함하여 배우자 폭력 예방과 정신건강 향상을 위한 건강중재 계획 수립을 위한 근거가 될 것이다.

보건의료의 공적개발원조 방향과 과제 (International Health Cooperation and Challenges for Official Development Assistance)

  • 남은우
    • 보건행정학회지
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    • 제28권3호
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    • pp.320-326
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    • 2018
  • As the United Nations announced Sustainable Development Goals (SDGs) in 2015, the world changed its development goals from focusing on efficiency to equity. As a result, in the health sector, universal health coverage (UHC) has become one of the main issues. This paper reviews and discusses on future direction and issue of official development assistance program for developing countries. Korea International Cooperation Agency under the Ministry of Foreign Affairs published on Korea International Cooperation Agency's mid-term health strategy 2016-2020 developed on participation program with stakeholder including governments, civil society partner organizations, and educational institutions. The SDGs expands non-communicable diseases, UHC, and global health security from the existing Millenium Development Goals health sector. Progress toward UHC underpins the achievement of all other targets under SDG Goal 3. Progress in reducing health inequality across the life course is drawing on overall data and from specific target. In order to achieve SDG 3, a multi-disciplinary approach, convergence between IT and u-health of this development, is desirable.

임부의 위험상태에 따른 모성역할 획득의 예측인자들 (Predictors of Maternal Role Acquisition by Risk Status)

  • 이선아
    • 대한간호학회지
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    • 제29권4호
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    • pp.940-950
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    • 1999
  • One hundred two high-risk women(HRW) and 115 low-risk women(LRW) were studied at post-partal hospitalization and at 1, 4, and 8 months after giving birth to determine whether they would differ in the achievement of perceived maternal acquisition and whether predictors of maternal acquisition would differ for the two groups over time. The subjects were 102 HRW and 115 LRW, all in the above 27 weeks, admitted to two hospitals and to two clinic in the Kyoungnam area between July 1, 1998 and May 4, 1999. The data were analyzed by a SPSS program and the results are as follows ; 1) Predictors of Maternal role acquisition in the HRW were fetal attachment, maternal attachment, state anxiety, relationships of partner, social support in the early postpartum, maternal attachment, relationships of partner, depression, infant's health status in the postpartal 1 month, relationships of partner, self-esteem, educational degree in the postpartal 4 month, and maternal attachment, social supports in the postpartal 8 month. 2) Predictors of Maternal role acquisition in the LRW were fetal attachment, social supports, perceived experience about labor and delivery in the early postpartum, maternal attachment, sense of mastery in the postpartal 1 month, sense of mastery, experience with infants, relationships of partner in the postpartal 4 month and maternal attachment, experience with infants, social supports in the postpartal 8 month. 3) The hypothesis that HRW would score significantly lower on maternal competency than LRW was rejected. 4) The hypothesis that maternal acquisition would be significantly related to maternal attachment was accepted.

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청소년의 성폭력 발생 후 행태에 미치는 영향요인 분석 (A study on the factors related to adolescence' post-sexual assault attitudes and behaviors)

  • 장영미
    • 한국학교보건학회지
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    • 제15권2호
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    • pp.167-182
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    • 2002
  • The purpose of this study was to examine the factors related to adolescence' post-sexual assault attitudes and behaviors. 906 students from 5girls high schools completed self-reported questionnaires. Independent variables are sexual attitudes, rape myth acceptance, perceived importance of sexuality education, parent sexuality education, parent closeness, parent superintendence, family functioning and socioeconomic variables. The data were analyzed by Factor Analysis, Correlation Analysis, Stepwise Multiple Regression Analysis using SPSS program. The significant influencing factors were home sexuality education, perceived necessity & importance of sexuality education, parent closeness, parent superintendence, family functioning, grade, vocational school, rape myth(rapists are mentally ill, dating partner would not be rapist. rapists are stranger), sexual attitudes(sexual permissiveness, gender equality, family planning, STDs & prostitution, marriage and divorce and abortion), and dating experience. Examination of barriers to post-sexual assault coping behaviors and attitudes is critical component of victim recovery and rape prevention. This study would gives basic information to the effective prevention and coping program development related to sexual assault.

부인암 여성의 성생활에 대한 서술적 연구 (Descriptive Study on Sexuality for Women with Gynecological Cancer)

  • 노주희;박영숙
    • 여성건강간호학회지
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    • 제18권1호
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    • pp.17-27
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    • 2012
  • Purpose: This study aimed to identify sexuality for women with gynecological cancer. Methods: A total of seven women with gynecological cancer agreed to participate in this study. The data were collected utilizing in-depth semi-structured interviews style. A descriptive study design was used in this study. The interviews were analyzed using inductive content analysis methodology. Results: Three themes identified were: 'women with gynecological cancer who give up their sexual life due to misunderstanding and fear', 'women with gynecological cancer who control their body and mind for recovery', 'women with gynecological cancer resume their sexual life with their partner's will'. Conclusion: To improve sexual health and quality of life for women with gynecological cancer, we need to develop programs related to sexual health. An adjusted sexual health program will contribute to increased sexual health and quality of life for women with gynecological cancer.

부모와 자녀의 심리적 변인과 부모-자녀 의사소통이 중학생 남녀의 자살생각에 미치는 자기효과와 상대방효과 비교: Triadic data 적용 (Comparison of Boys' and Girls' Families for Actor and Partner Effect of Stress, Depression and Parent- Adolescent Communication on Middle School Students' Suicidal Ideation: Triadic Data Analysis)

  • 신성희;고숙정;양유정;오현수;장미영;최중명
    • 대한간호학회지
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    • 제44권3호
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    • pp.317-327
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    • 2014
  • Purpose: This study was done to compare families of boys or of girls for actor and partner effect of stress, depression and parent-adolescent communication as perceived by mother, father and adolescent on adolescents' suicidal ideation. Methods: Participants were 183 families (104 boys' families, 79 girls' families) who met eligibility criteria. All measures were self-administered. Data were analyzed using SPSS 18.0 and AMOS 18.0 program. Results: In boys' families, boys' depression and communication with father showed actor effect on boys' suicidal ideation. Boys' stress showed indirect effect on boys' suicidal ideation through communication with father and boys' depression. Mothers' depression showed indirect partner effect on boys' suicidal ideation through boys' depression. In families of girls, girls' depression and stress showed actor effects on girls' suicidal ideation. Girls' communication with mother showed indirect effects through girls' depression. Also girls' stress showed indirect effect through girls' depression. Stress in mothers and/or fathers showed partner effect on girls' suicidal ideation. Conclusion: To intervene in adolescents' suicidal ideation and promote adolescents' mental health, programs should be developed differently according to gender and based on parent's psychological states.

영세 노인들의 자기효능.사회적지지.우울간의 관계 분석 (The Relationship Among Self-Efficacy, Social Support and Depression of The Poor Elderly)

  • 송남호;김선미
    • 지역사회간호학회지
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    • 제11권1호
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    • pp.158-171
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    • 2000
  • The elderly population will increase from 5.8% in 1996 to 12.5% in 2020. The related problems of health will also become a very important issue in the future. Therefore. it is important to address the problems of geriatic nursing and geriatic health. The purpose of this study was to examine the relationship among self-efficacy, social support and depression of the poor elderly. The subjects of this study were 42 poor elderly in Tae Jeon city. The data were analyzed by the SPSSWIN computer program and include AONVA. Pearson Correlation, frequency analysis. The Cronbach Alpha of self-efficacy tools was .8297, social support tools was .9187 and depression tools was .8887. The data were collected through personal interviews using a questionnaire from September 27 to October 23. 1999. The conclusion of this study are summarized as follows: 1. There were mean scores for self-efficacy at $55.92{\pm}11.84$ for social support $86.00{\pm}18.43$ and for depression $60.31{\pm}15.61$. 2. There was a significant positive correlation between self-efficacy and social support(r= .361. p<.05) in the poor elderly. There was a significant negative correlation between social support and depression(r= -.640, p<,01), self-efficacy and depression(r= -.182) in the poor elderly. 3. In a significant test in the general characters of the subjects and in the higher social support level. we obtained the following results: living with partner is. have son is. living family members is. the higher economic level is. 4. In a significant test in the general characters of the subjects and in the lower depression level, we can obtained the following results: The old man is. living with partner is. living family members is. the higher economic level is, the higher health level is.

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미혼임부의 사회적 지지, 건강증진행위 및 우울과의 관계 연구 (A Study on the Relationship between Social Support, Health Promoting Behaviors and Depression among Unmarried Pregnant Women)

  • 김애화;오현이;김진선
    • 여성건강간호학회지
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    • 제13권2호
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    • pp.123-130
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    • 2007
  • Purpose: The purposes of this study were to examine the level of social support, health promoting behaviors and depression among unmarried pregnant women and to identify the relationship between social support, health promoting behaviors and depression. Method: A descriptive correlational study was conducted. The participants were 102 unmarried pregnant women receiving shelter services from four facilities in two metropolitan cities. Data was collected using a self-administered questionnaire. Descriptive statistics, ANOVA and Pearson correlation were used for data analysis. Results: The level of social support and health promoting behaviors were relatively lower and the level of depression was relatively higher than those of married pregnant women. The participants received especially low social support from their unmarried partner. There was a positive relationship between social support and health promoting behaviors. Moreover, there were negative relationships between social support and depression and between health promoting behaviors and depression. Conclusions: To promote physical and emotional health of unmarried pregnant women, more attention is necessary to increase their social support. A nursing intervention program to increase social support among unmarried pregnant women in needed.

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