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Structural Equation Modeling for Quality of Life of Mothers of Children with Developmental Disabilities: Focusing on the Self-Help Model (발달장애아 어머니 삶의 질 구조모형: Self-Help Model을 중심으로)

  • Yang, Mi Ran;Yu, Mi
    • Journal of Korean Academy of Nursing
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    • v.52 no.3
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    • pp.308-323
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    • 2022
  • Purpose: This study aimed to construct and test a predictive model for the quality of life (QOL) in mothers of children with developmental disabilities (DB). The hypothesized model included severity of illness, distress, uncertainty, self-help, and parenting efficacy as influencing factors, QOL as a consequence based on the Braden's Self-Help Model. Methods: The data were collected through a direct and online surveys from 206 mothers in 8 locations, including welfare or daycare centers, developmental treatment centers, and The Parents' Coalition for the Disabled located in two provinces of Korea. Data were analysed using SPSS/WIN 23.0 and AMOS 21.0 program. Results: The fit indices of the predictive model satisfied recommended levels; 𝛘2 = 165.79 (p < .001), normed 𝛘2 (𝛘2/df) = 2.44, RMR = .04, RMSEA = .08, GFI = .90, AGFI = .85, NFI = .91, TLI = .93, CFI = .95. Among the variables, distress (β = - .46, p < .001), parenting efficacy (β = .22, p < .001), and self-help (β = .17, p = .018) had direct effects on QOL. Severity of illness (β = - .61, p = .010) and uncertainty (β = - .08, p = .014) showed indirect effects. The explanatory power of variables was 61.0%. Conclusion: The study results confirm the utility of Braden's Self-Help Model. They provide a theoretical basis for improving QOL in mothers of children with DB. Nursing intervention strategies that can relieve mothers' distress and uncertainty related to disease and enhance parenting efficacy and self-help behavior should be considered.

The Effects of Consumer Satisfaction on the Home Help Service: Focused on a Service Quality Evaluation based on SERVQUAL (방문요양서비스의 소비자만족도에 미치는 영향요인에 관한 연구: SERVQUAL 모형에 근거한 서비스품질 평가요인을 중심으로)

  • Lee, Hyun-Jin
    • Journal of the Korean Home Economics Association
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    • v.49 no.7
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    • pp.1-11
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    • 2011
  • This study identified the use types of a home help service and the level of service quality and reviewed the extent of their effects on consumer satisfaction. As a result of measuring the service quality in terms of support, assurance, reliability, empathy and responsiveness, a high overall reliability was demonstrated in the service. The consumer satisfaction with the home help service was discovered as being high, in general. Meanwhile, with the female research participants, the lower the service fee was perceived to be, the higher the consumer satisfaction. The quality assessment items concerning support and reliability were found to be important variables which were influential on consumer satisfaction. Therefore, it has been shown to be imperative to prepare political alternatives regarding the development of the service standard in order to protect user's rights, offer relevant information, and ensure reliability in the home help service.

Motivating the Workforce in a Precarious Time: Focusing on Career Self-Help Advice in the U.S.

  • Jeongsuk Joo
    • International Journal of Advanced Culture Technology
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    • v.12 no.2
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    • pp.104-109
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    • 2024
  • In this paper, we examine American career self-help advice in the context of white-collar labor market changes in the U.S., especially how it tries to motivate and empower white-collar job seekers and how fundamentally flawed this is. In this regard, we focus on What Color Is Your Parachute? by Richard Nelson Bolles, as it is the foundational and representative literature in the field of career self-help advice. We first look at the white-collar labor market changes in the U.S. and the growth of career self-help advice along with its influence. We then show that What Color Is Your Parachute? seeks to motivate and inspire job seekers by defining job searching in individual terms and overlooking its structural nature. From this, we point out the most problematic aspect of career self-held advice, i.e., shifting job search responsibility as well as its outcome solely to individual job seekers, while also making it difficult to scrutinize and understand the broader context affecting job searching.

Comparison of Effects among Tai-Chi Exercise, Aquatic Exercise, and a Self-help Program for Patients with Knee Osteoarthritis (슬골관절염 환자를 위한 타이치운동, 수중운동과 자조관리프로그램의 효과비교)

  • Lee Hea-Young
    • Journal of Korean Academy of Nursing
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    • v.36 no.3
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    • pp.571-580
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    • 2006
  • Purpose: This study was to compare the effects among Tai-Chi exercise, aquatic Exercise, and a self-help program for knee osteoarthritis patients on symptoms of arthritis, muscle strength, balance, and difficulty of performing activities. Method: There were 50 final subjects50. A non-equivalent pretest-posttest design was used. The collected data was analyzed using SPSS for Window. One-way ANOVA and Scheffe's multiple comparison test were used 8weeks after each program. Result: There were significant differences in joint pain(p=.000), stillness (p=.001), knee extensor peak torque(p=.006), knee flexor(p=.002), and difficult of performing activity (p=.000), but there was no significant difference in balance(p=.648). The Tai-Chi group was significantly different from the self-help group for knee extensor peak torque, knee flexor and stiffness on Scheffe's multiple comparison tests. In addition, the Tai Chi group or aquatic group were significantly different from the self-help group for difficulty of performing activities(p<0.05). Conclusion: There are significant differences in the effects of the nursing intervention among the three groups. The Tai Chi group and aquatic group were significantly different from the self-help group. However, it seems that Tai-chi exercise may be more suitable than aquatic exercise in osteoarthritis exercise programs. Further studies with a longitudinal study are necessary to confirm the longer exercise period.

Effects of the Selp-Help Group Program for Quality of Life in Women with Breast Cancer (자조집단 프로그램이 유방암환자의 삶의 질에 미치는 효과)

  • Kim, Mi-Sook;Chyon, Mi-Sun
    • Asian Oncology Nursing
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    • v.3 no.1
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    • pp.45-55
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    • 2003
  • Self-help group program is an elective procedure intended to improve the quality of life of women undergoing mastectomy. The purpose of this study is explore effects of the self-help group program for QOL after mastectomy. 40 Women who had undergone mastectomies between stagel to 3 were recruited. Subjects of experimental group attended the self-help group for 4 weeks. Data were collected by self-reporting questionnaire. QOL was assessed using the Quality of Life Scale(QLS) translated by Kwon(1990). As a results, no significant differences were found between experimental and control group in changes of QOL. But, experimental group increased QOL score. In conclusions, when the self-help group program is provided to the patients with breast cancer, it can be helpful for promoting QOL and emotional support, even no statistical difference. For the further study, repeated researched with appropriate duration of intervention is suggested. Significant anxiety about their disease and fear of recurrence will be persisted despite intervention.

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The Evaluation of Tai-Chi Self-help Program for Osteoarthritis Patients (골관절염 환자의 타이치 자조관리 프로그램 효과)

  • Choi, Mi-Kyung;Won, Dong-Hee;Kim, Yeoun-Ju;Choi, Mi-Ok;Lim, Nan-Young;Song, Jung-Hee
    • Journal of muscle and joint health
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    • v.14 no.1
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    • pp.42-51
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    • 2007
  • Purpose: The purpose of this study was to examine the effects of Tai-Chi self-help program for osteoarthritis patients. Method: This study was performed from 1th August. to 30th Dec. 2006. 27 osteoarthritis patients were participated in the Tai-Chi self-help program. Outcome measures were pain, flexibility and balance, self-efficacy. Data were analysed by SPSS WIN 12.0. Result: There were statistically significant in balance and knee flexibility. but no significant differences were found in pain and self-efficacy. Conclusion: In conclusion, Tai-Chi self-help program was proved to be an effective nursing intervention to increase the balance and flexibility. Also 12 forms of Tai-Chi self-help program has been found safely applicable to the patients with osteoarthritis for 8 weeks. A rigorous research design should be further considered to identify the long-term benefit for this population.

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The Effect of a Community-Based Selp-Help Management Program for Patients with Diabetes Mellitus (당뇨병 환자를 위한 지역사회 중심 자조관리 프로그램의 효과)

  • Kim, Eun-Young;So, Ae-Young
    • Research in Community and Public Health Nursing
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    • v.20 no.3
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    • pp.307-315
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    • 2009
  • Purpose: This study was done to assess the effects of a self-help intervention on clinical, lifestyle and psycho-social outcomes in patients with Type II diabetes. Methods: Eligible adults with Type II diabetes were randomly assigned to either the intervention group receiving the diabetes self-help or the control group receiving usual care. Of the 36 patients who completed the study, 15 were in the intervention group and 21 were in the control group. The self-help group consisted of six weekly sessions covering aspects of diabetes self-care and using continuing education, discussion, and structured social activities. Outcomes included changes in glycemic control, knowledge, self-management behaviors, diabetes-related self-efficacy, and health-related quality of life. Analysis of covariance was used to compare outcomes between the groups, adjusting for baseline measures. Results: After the six week intervention, significant improvements from the baseline were observed in the measurements of self-management behaviors, diabetes-related self-efficacy, and health-related quality of life for the intervention group. Conclusion: The findings provide preliminary evidence that a diabetes self-help group intervention can benefit diabetes patients in self-management behaviors, diabetes-related self-efficacy, and health-related quality of life. However, larger longitudinal studies are needed to determine the most efficacious self-management methods to sustain long-term glycemic control and psychological well-being.

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The Effect of a Tai-Chi Self-helf Program for Fibromyalgia Patient (섬유근통증후군(Fibromyalgia Syndrome) 환자에서 타이치 자조관리프로그램의 효과)

  • Han, Sang-Sook;Bak, Won-Sook;Yang, Hyung-In
    • Journal of muscle and joint health
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    • v.14 no.2
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    • pp.169-180
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    • 2007
  • Purpose: This study was done to determine the effect of Tai-Chi Self-help program to progress of reduction of symptom, difficulty on activity by application Tai-Chi Self-help program for Fibromyalgia patients. Method: The study was used the method of one group pretest-posttest design. The subjects were 65 outpatients who were diagnosed as Fibromyalgia by ACR(1990) standard at K University Hospital, medical center. Tai-Chi self-help program was done for 8 weeks(three a week for 2 hours)through group meeting of 65 patients. Collected data were analyzed by SPSS for window12.0 program package. Results: The result of this study suggests that could increase in reduction of symptom and lower disturbance in ADL and life Satisfaction compared with the before Tai-Chi Self-help program education. Conclusion: Accoradingly Tai-Chi Self-help program could be used as a proper nursing strategy for Fibromyalgia patients.

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Stress and Satisfaction of Primary Care-givers Who Participated in Self-help Group of Dementia Safety Centers - Focused on Seoul Metropolitan City (치매안심센터 자조모임에 참여하는 주부양자의 스트레스와 만족도 : 서울특별시 중심으로)

  • Kwon, Ae-Lyeong;Jung, Hai-Ik
    • The Journal of the Korea Contents Association
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    • v.20 no.8
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    • pp.628-636
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    • 2020
  • The purpose of this study was to investigate how self-help group conducted by 25 dementia safety centers in Seoul correlated the stress and life satisfaction of primary care-givers of dementia patients. At 25 dementia safety centers, self-help groups were identified, and a survey was conducted for the care-givers of dementia patients participating in the self-help groups. SPSS 21.0 program was used for the collected data, and reliability was analyzed for stress level and satisfaction after the program. Multivariance analysis and one-way analysis were performed for the types of self-help groups, the frequency of attendance, and the number of meetings. The result were : first, the total stress felt by participants was close to 4 out of 5, and there was no significant difference in meeting type and attendance frequency, and only in the relationship between stress and the number of self-help groups(p<.05). Second, the satisfaction after self-help meetings was close to 4 out of 5, the meeting type and attendance frequency no significant difference, and only the number of self-help meetings showed a significant difference(p<.05). Third, there was a significant negative correlation in the relationship between stress and program satisfaction. As can be seen from the results, it can be seen that self-help groups have an effect on the stress of primary care-givers and the satisfaction level after meeting.