• Title/Summary/Keyword: Health Self-efficacy

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A Scoping Review on the Expected Role of Community Pharmacists in the Era of COVID-19 Pandemic Crisis Across OECD Countries (OECD 회원국에서 COVID-19 팬더믹 위기시대 지역약사의 확장된 역할에 대한 주제범위 문헌고찰)

  • Iyn-Hyang Lee;Nam Kyung Je
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.4
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    • pp.288-302
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    • 2022
  • Objective: Community pharmacists are frontline health care providers, but have been considered as underutilized professionals on a daily basis. The purpose of this scoping review was to identify information about the impact of the COVID-19 pandemic on community pharmacy services and to evaluate new services that could be applicable. Methods: We searched MEDLINE and EMBASE for studies published up to January 10, 2020. Search terms consisted of keywords relevant to this review, including "COVID-19", "community pharmacy", and "community pharmacist". This review targeted studies of pharmacist services provided by community pharmacies in OECD member countries during the COVID-19 pandemic period. Results: Twenty-seven studies were included in this review. Changes in community pharmacist services due to the COVID-19 pandemic were broadly classified into four categories. First, as the face-to-face services became challenging, various non-face-to-face services were being tried. Second, community pharmacists directly participated in the services to prevent the spread of COVID-19. Third, community pharmacists made efforts to support continuity of care for patients who experienced difficulties due to the reduced professional care as health and medical resources are concentrated in response to COVID-19. Fourth, community pharmacist services were emerging, targeting patients suffering from greater health inequality during the pandemic. Patients expressed high demand and satisfaction for the service of the community pharmacist, and pharmacists reported self-efficacy and professional pride. Conclusion: This study demonstrated that in the era of the COVID-19 pandemic, various community pharmacist services have been tried and received positive evaluations from patients in several OECD countries.

Development of Health Promotion Program for Individuals With Arthritis -Application of Holistic Model- (관절염 환자를 위한 건강증진 프로그램의 개발 -총체적 모델의 적용-)

  • 오현수;김영란
    • Journal of Korean Academy of Nursing
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    • v.29 no.2
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    • pp.314-327
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    • 1999
  • In this study, domains, contents, and effects of pre-existed intervention programs for individuals with arthritis were meta-analyzed to develop arthritis health promotion program based on Holistic Model. The developed program includes strategies of cognition, environment, and behavior. and also generates positive changes in the physical, psychological, and social demensions. Then needs assessment on conveniently selected 153 women who visited a university hospital in Seoul or in Inchon are conducted to identify the objective domains of arthritis health promotion program According to the study results. target health problems of the arthritis health promotion program were shown as pain, disability, depression, and role impediment in social domain. These objectives could be achieved by including the strategies of changing cognition, the strategies of changing behavior through learning the skill related to the health promoting behavior. and the strategies of changing environment in the health promotion program. That is, it is analyzed that the contents of program are not exclusive one another in physical. psychological. and social demensions, and also are not exclusive one another in aspect of cognition, behavior, and environment. The necessary methods to achieve the desired objectives for the developed arthritis health promotion program and evaluation subjects are as follows : (1) In the arthritis health promotion program, knowledge on management of arthritis, efficacy related to arthritis management, skill for pain management, skill for exercise, establishment of positive self-concept, enhancement of positive thinking, stress management. skill for problem solving, skill for setting goals. skill for requesting help, and skill for communication are all included. Through the improvement of all those strategies, intermediate objectives, such as “joint protection, and maintenance of pain management behavior”, “maintenance of regular exercise”, and “promotion of coping skill in psychosocial dimension” are achieved. (2) These intermediate objectives are also the methods for achieving objectives in next stage. It implies that through the intermediate objectives. the final objectives such as “minimization of physical symptoms and signs”, “maximization of psychological function”, and “maximazation of role performance in social domain” could be achieved. Each of these final objectives reflects the different dimension of quality of life, respectively. When these objectives are achieved, the quality of life that client perceives is improved. Therefore, through evaluation of these final objectives, the level of achieving final outcome of arthritis health promotion such as quality of life is determined.

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The relationship between perceived subjective socioeconomic status and physical health among late school-aged children -A psychosocial perspective- (학령후기 아동이 인지한 주관적 사회경제적 지위와 신체건강과의 관계 -심리사회적 관점-)

  • Kim, Sue-Lynn;Yoo, P. Joan
    • Journal of the Korean Society of Child Welfare
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    • no.57
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    • pp.43-82
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    • 2017
  • As material perspective that stresses absolute income has limitations in explaining socioeconomic gradients in health, research on the relationship between an individual's subjective socioeconomic status(SSS) and health has emerged in recent years. Although previous research has been conducted mostly on adults, late school-aged children, who frequently evaluate themselves using social comparisons, are likely to subjectively perceive their socioeconomic status and be affected by their perception. Accordingly, this study examined the relationship between late school-aged children's SSS and their physical health, and its underlying path based on a psychosocial perspective. For this purpose, data from the first year survey of the Seoul Education and Health Welfare Panel (2014), which consisted of responses from 394 children ($4^{th}$ graders in elementary school) and their parents, were analyzed utilizing structural equation modeling. The results showed an indirect but significant relationship between late school-aged children's SSS and their physical health, via stress, self-efficacy, and health behaviors, which are mediating variables grounded on a psychosocial perspective. No direct relationship was found between late school-aged children's SSS and physical health. Based on these findings, we suggested several implications to improving children's health, including efforts to prevent adverse effects of low SSS on physical health through psychosocial factors.

An Effect of Muscle Strength Training Program on Muscle Strength, Muscle Endurance, Instrumental Activities of Daily Living and Quality of Life in the Institutionalized Elderly (노인의 근력강화운동이 일상생활기능 및 삶의 질에 미치는 효과)

  • Kim, Hee-Ja;Hong, Yeo-Shin
    • Research in Community and Public Health Nursing
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    • v.6 no.1
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    • pp.55-73
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    • 1995
  • An Effect of Muscle Strength Training Program on Muscle Strength, Muscle Endurance, Instrumental Activities of Daily Living and Quality of Life in the Institutionalized Elderly Recent statistics shows that the aged are the fastest growing segment of our population by increasing life span. The age group of over 60 shows multiple health problems and the most serious handicapping problem of these. are related to the changes in muscular skeletal system. With aging, people lose. their muscle mass and muscle strength resulting from biological changes and physical inactivity. Studies documented a 30-50% loss of muscle mass in an advanced age and thus, ordinary life activities can be seriously affected due to weakened muscle strength. Preservation of muscle strength of lower limb is especially important in the aged. Since it is readily affected from reduced physical activity in old age, sometimes to the detriment of moving or walking. So muscle strength exercise program designed for the elderly to improve leg muscle strength and leg muscle endurance. The research design used was nonequivalent control group pretest - protest design. The purposes of this study were to test the effect of muscle strength exercise program utilizing Leg Press on muscle strength, muscle endurance, instrumental activities of daily living(IADL), cognitive perceptual variables and quality of life. Forty nine subjects participating in this study consisted of twenty four male and twenty five female. Twenty four experimental group subjects were selected from C-institution in Chung Buk province, and twenty five control group subjects were selected from O-institution in Chung Nam province. The mean age of subjects was 72.8 years. Muscle strength training program utilizing Leg Press for the experimental group was carried out three times a week for 9 weeks. The data was collected from August, 1993 to October, 1993. Data were analyzed with $X^2-test$, t-test, ANCOVA test, Kruskal Wallis 1-Way ANOVA test using SPSS PC program. Results were obtained as follows : 1) The experimental group showed significantly higher scores on muscle strength (leg lift strength, back lift strength and grip strength) and muscle endurance than control group after the experiment $\ulcorner$F=52.35(p=.001), F=54.07(p=.001), F=6.97(p=.011), F=18.17(p=.001)$\lrcorner$ 2) Experimental group were significantly higher scores on IADL than control group(F=7.51, p=.009). 3) Experimental group showed significantly higher scores on economical state and self esteem aspects of the quality of life scale than control group $\ulcorner$F=10.59(p=.002), F=6.97(p=.011)$\lrcorner$. But there were no differences in emotional state, physical and functional state and relationship with reatives in the quality of life between groups. 4) Scores on IADL showed a significant difference with the level of muscle strength and muscle endurance $\ulcornerx^2=7.73(p=.025),\;x^2=8.86\;(p=.011)\lrcorner$ 5) Scores on self esteem and physical and functional state aspects of the quality of life scale showed a significant difference with the level of IADL $\ulcornerx^2=11.39(p=.003),\;x^2=9.02(p=.011)\lrcorner$. 6) Scores of experimental group after the experiment in cognitive perceptual variables (perceived benefit on exercise, perceived health status, self efficacy, emotion on exercise) were significantly higher than those of control group $\ulcorner$F=32.09(p=.001), F=5.07(p=.029), F=20.63 (p=.001), F=30.38(p=.001)$\lrcorner$. As a result of this study, the effect of strength training exercise program with Leg. Press had improved muscle strength, muscle endurance, IADL, and the perception of self esteem, physical and funtional state, and economical state. Thus strength training program could be beneficially applied for the prevention of disablity and promotion of health and wellbeing in the aged easily and safely. The subjects in the experimental group have maintained their exercises till six months after the cessation of the experiment. This seem to illustrate that changes in cognitive perceptual variables and the improvement in health status have reinforced motivation for the continuation of voluntary exercises. A further study is necessary to determine the factors affecting maintainance of muscle strength exercise and to assess the effect of weight training program on bone density.

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Health and quality of life for Korean people in ageing society (고령화 사회에서 한국인의 건강과 삶의 질)

  • Kyung-Hyun Suh
    • Korean Journal of Culture and Social Issue
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    • v.12 no.5_spc
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    • pp.133-147
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    • 2006
  • Korean society is rapidly becoming an ageing society. The Korean may have to live longer than did their parents. Increasing life expectancy and changing social structure, Korean people are getting interested in quality of life, and well-being is becoming a matter of concern. And, the Korean is fully aware of the importance of health for well-being or good life. This concern about health may bring about specific behaviors related to health. Although health care expenditures of Korea are currently smaller than those of other developed countries, it is continuously increasing. Large portion of increased amount of health care expenditures is to spend for disease prevention and expansion of long-term care facilities. Constructs of well-being of the Korean, not living in western culture, may be different from those of people living in western society. Health is not top-ranked to importance for quality of life in previous studies. It does not mean health isn't determinant factor for good life or well-being. Health is an essential element for well-being. It has been proved in several researches which examined poor quality of life caused by certain diseases and management of health-related quality of life. Some theories relate to health-seeking behaviors suggested the health belief or the attitude toward health, intention to do health behavior, perceived behavioral control, and self efficacy as important factors which could predict health-related behaviors. With getting older, people decline in physical and physiological functions and become vulnerable to chronic diseases. Quality of life depends on how to adjust to these changes in senescence. Social supports, especially supports from offspring, are very important to quality of life in senescence, because supports from offspring have influence on pride of the older, they may be afraid of disclose the conflict with their offspring. Avoiding self-disclosure exclude other source of social supports and harm individual's health, therefore psychological intervention is needed to. Increasing life expectancy of the Korean, Korean government has to provide numerous long-term care facilities as well as psychosocial supports. The Korean, so far, does not recognize that psychologist could render great service to promoting individual or community health and improving individual's quality of life. It is highly expected that psychologists take actively interested and involve in health related to quality of life.

Effects of a Fall Prevention Program on Falls in Frail Elders Living at Home in Rural Communities (농촌 지역의 재가 취약계층 허약노인을 위한 낙상예방 프로그램의 효과)

  • Yoo, Jae-Soon;Jeon, Mi Yang;Kim, Chul-Gyu
    • Journal of Korean Academy of Nursing
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    • v.43 no.5
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    • pp.613-625
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    • 2013
  • Purpose: This study was conducted to determine the effects of a fall prevention program on falls, physical function, psychological function, and home environmental safety in frail elders living at home in rural communities. Methods: The design of this study was a nonequivalent control group pre posttest design. The study was conducted from July to November, 2012 with 30 participants in the experimental group and 30 in the control group. Participants were registered at the public health center of E County. The prevention program on falls consisted of laughter therapy, exercise, foot care and education. The program was provided once a week for 8 weeks and each session lasted 80 minutes. Results: The risk score for falls and depression in the experimental group decreased significantly compared with scores for the control group. Compliance with prevention behavior related to falls, knowledge score on falls, safety scores of home environment, physical balance, muscle strength of lower extremities, and self-efficacy for fall prevention significantly increased in the experimental group compared with the control group. Conclusion: These results suggest that the prevention program on falls is effective for the prevention of falls in frail elders living at home.

Use of Neighborhood Facilities and Perception of Walking Environment in Older Rural Women - Focused on the Chungnam Province - (농촌 여성노인의 근린시설 이용 및 보행환경 인식 연구 - 충남지역을 중심으로 -)

  • Lee, Hyung-Sook;Park, Eun-Yeong
    • Journal of Korean Society of Rural Planning
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    • v.21 no.3
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    • pp.59-66
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    • 2015
  • The objective of this study was to investigate the perception of walking environment and use of neighborhood facilities of rural female elderly, who are the most susceptible to ambulatory problems. The study showed that parks, senior centers and hospitals were among the most frequently used neighborhood facilities by rural female elderly, while bus stations and senior centers were recognized as the closest facilities. Frequency of use was higher for paid sports facilities rather than parks. Hospitals and health centers were facilities that were desired to be in close proximity. Social support, self-efficacy, and attitude were the factors that affected walking environment. Street trees, accessibility to parks, and street lights were factors that showed a positive relationship with total time of walking activity while perceived crime rate and slopes were perceived as environmental challenges for groups that walked under 150 minutes per week. One factor that negatively affected walking was the lack of sidewalks on streets. Providing parks and walking trails within neighborhood, pleasant walking environments, and safe sidewalks would contribute to improved perception of neighborhood and walking of older rural women.

Education and Counseling of Pregnant Patients with Chronic Hepatitis B: Perspectives from Obstetricians and Perinatal Nurses in Santa Clara County, California

  • Yang, Elizabeth J.;Cheung, Chrissy M.;So, Samuel K.S.;Chang, Ellen T.;Chao, Stephanie D.
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.1707-1713
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    • 2013
  • Background: This study aimed to better understand the barriers to perinatal hepatitis B prevention and to identify the reasons for poor hepatitis B knowledge and delivery of education to hepatitis B surface-antigen-positive pregnant women among healthcare providers in Santa Clara County, California. Materials and Methods: Qualitative interviews were conducted with 16 obstetricians and 17 perinatal nurses in Santa Clara County, California, which has one of the largest populations in the United States at high risk for perinatal hepatitis B transmission. Results: Most providers displayed a lack of self-efficacy attributed to insufficient hepatitis B training and education. They felt discouraged from counseling and educating their patients because of a lack of resources and discouraging patient attitudes such as stigma and apathy. Providers called for institutional changes from the government, hospitals, and nonprofit organizations to improve care for patients with chronic hepatitis B. Conclusions: Early and continuing provider training, increased public awareness, and development of comprehensive resources and new programs may contribute to reducing the barriers for health care professionals to provide counseling and education to pregnant patients with chronic hepatitis B infection.

Factors Affecting Burnout among Clinical Nurses according to Positive Psychological Capital (임상 간호사의 긍정심리역량이 소진에 미치는 영향)

  • Ko, Jeong Ok;Park, Sook Kyoung;Lee, Myung Ha
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.2
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    • pp.304-314
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    • 2013
  • Purpose: The purpose of this study was to analyze factors affecting burnout among clinical nurses according to Positive Psychological Capital. Methods: The study design was a descriptive survey and questionnaires were collected from 412 clinical nurses who worked in a general hospital in "J" city. Data were analyzed using frequency, percentage, mean, standard deviation, independent t-test, One-way ANOVA, Scheff$\acute{e}$ test, Pearson Correlation, and hierarchical multiple regression. Results: In Model individual characteristics accounted for 27.8% of the influence on burnout. In model II with the addition of the 4 factors; Self-efficacy, Hope, Resilience, Optimism, individual characteristics accounted for 48.5% of the influence on burnout. Optimism and Resilience of the Positive Psychological Capital sub-variables were statistically useful as factors influencing burnout. Conclusion: The results indicate that it is necessary to develop active human resource management and educational programs to decrease burnout and strengthen the Positive Psychological Capital of the nurses.

The Influence of the Job Stress, Job Satisfaction and Social Support of Clinical Nurse's Burnout (임상간호사의 직무 스트레스, 직무만족, 사회적 지지가 소진에 미치는 영향)

  • Choi, Kyung Jin;Han, Sang Sook
    • Journal of East-West Nursing Research
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    • v.19 no.1
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    • pp.55-61
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    • 2013
  • Purpose: This study was performed to provide basic data for nursing intervention plan to improve health related to task by examining whether nurses' burnout is related with job stress, job satisfaction, social support, and self efficacy in hospitals. Methods: The participants were 320 nurses who work at 5 different university hospitals with individual agreement for this study. The questionnaire were provided to the subjects. Data analysis was done by Pearson correlation coefficient and multiple regression were used. Results: Estimated regression model of burnout of nurses was statistically significant (F=119.88, p<.001). Major factors which affect burnout of nurses were job stress (${\beta}=.54$), job satisfaction (${\beta}=-.31$), and social support (${\beta}=-.20$) which explained 53.4% of burnout of nurse. As a result of examining the assumption of the regression, all results were satisfactory with the assumption of the regression equation. Conclusion: Based on the results of the study, It is nacessary to reduce job stress and increse job satisfaction and social support in order to reduce burnout of nurse. Job stress management may be needed mostly because job stress was the highest level of prediction against burnout.