• 제목/요약/키워드: Management of Self Life

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

  • 김은영;소애영
    • 지역사회간호학회지
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    • 제20권3호
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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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장애노인의 사회참여가 일상생활만족도에 미치는 영향: 주관적 건강상태와 자아존중감의 매개효과 (The Effects of Social Participation on Daily Life Satisfaction in Elderly with Disabilities: Mediating Effect of Self-Rated Health Status and Self-Esteem)

  • 고민석
    • 보건의료산업학회지
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    • 제9권3호
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    • pp.221-232
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    • 2015
  • Objectives : The purpose of this study was to analyze the relationships among social participation, self-rated health status, self-esteem and daily life satisfaction of the elderly with disabilities. It especially focused on the mediating effects of self-rated health status and self-esteem on the relationship between social participation and daily life satisfaction. Methods : From the fifth panel survey of employment for the disabled, data for 518 elderly over age of 65 were analyzed with SPSS 22.0, SmartPLS 2.0 M3 and the Sobel test. Results : First, social participation of the elderly with disabilities had a positive influence on the self-rated health status and self-esteem. The direct effect of self-rated health status and self-esteem on daily life satisfaction was statistically significant. However, the influence of social participation on daily life satisfaction was not statistically significant. Second, the self-rated health status and self-esteem had a mediating effect on the relationship between social participation and daily life satisfaction. Conclusions : This study shows that it is important to provide an integrated social participation support program that coincides with a variety of social programs to elderly with disabilities.

의료급여 사례관리 고위험군의 사회적 관계망, 자가간호역량과 삶의 질 (Social Network, Self-Care Agency and Quality of Life of High-risk Beneficiaries in Case Management of Medicaid)

  • 박주영;손정태
    • 지역사회간호학회지
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    • 제28권4호
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    • pp.421-430
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    • 2017
  • Purpose: This study investigates the social network, self-care agency, and quality of life of high-risk beneficiaries in case management of Medicaid and the correlations between these variables. It also identifies influencing factors on their quality of life. Methods: The subjects included 187 individuals chosen from the high-risk beneficiaries in case management of Medicaid in D Metropolitan City. Data was collected through direct interviews based on a structured questionnaire on home visits. Results: The perceived health status was the most influential factor in their quality of life, followed by self-care agency, mutual support network, and natural support network in order. These factors explained 40.6% of their quality of life. Conclusion: These findings raise a need to develop a nursing intervention program to increase the self-care agency of the high-risk beneficiaries in case management of Medicaid.

일부 고등학생의 자기 통제력이 스트레스와 구강건강 관련 삶의 질에 대한 조절효과 연구 (Influence of self-control on stress management and oral health related quality of life in high school students)

  • 이가령
    • 한국치위생학회지
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    • 제16권2호
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    • pp.269-275
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    • 2016
  • Objectives: The purpose of the study is to investigate the influence of self-control on stress management and oral health related quality of life in high school students. Methods: A self-reported questionnaire was completed by 422 high school students in Ulsan from December 1, 2014 to February 20, 2015. The study instrument consisted of stress and self-control. The stress instrument included 17 items modified by Kim and Lee. The self-control instrument was modified by Kim and had 20 items. Pearson's correlation analysis was conducted to analyze the relationship between stress, self-control and oral health related quality of life. Regression analysis was used to analyze the effect of the stress on oral heal related quality of life. Hierarchical regression analysis was done to analyze the control effect of self-control in the relationship between the stress and oral health related quality of life. Results: The higher stress level resulted in the lower oral heal related quality of life. The higher self-control maintained the higher oral health related quality of life. The higher long term pursuit of satisfaction led to higher oral health related quality of life. The immediate suppression of satisfaction had a positive influence on the higher oral health related quality of life. Conclusions: There were significant correlations in self-control on stress management and oral health related quality of life.

자가관리프로그램이 슬관절염환자의 신체기능 및 삶의 질에 미치는 영향 (The Effects of a Self-Management Program on Physical Function and Quality of Life of Patients with Knee Osteoarthritis)

  • 천의영
    • 대한간호학회지
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    • 제35권3호
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    • pp.514-525
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    • 2005
  • Purpose: This study was to examine the effects of a Self-management program on physical function and quality of life of women with knee osteoarthritis. Method: The participants for this study, who had knee osteoarthritis, were recruited from an arthritis clinic, at a university hospital located in S city, Korea between February 16, 2004 and June IS, 2004. Seventeen subjects in the control group received no intervention and 18 subjects in for experimental group received an individual Self-management program. The self-management program consisted of dietary education and home-based exercise; walking and resistance exercise. The subjects performed this program 5 times per week during 8 weeks and recorded a diary for diet and exercise. In order to verify the effects of the Self-management program, physical function and Quality of life as a dependent variable were measured at three points in time: before, week4 and week8 after the interventions. Result: There were significant increases on physical function (F=5.08, p=.002) and significant interaction effects (F=7.42, p=.002) in the intervention group over the three measurement points in time. In addition, there were significant increases on quality of life (F=8.08, p=.002) and significant interaction effects (F=4.89, p=.016) in the intervention group over the three measurement points in time. Conclusion: This study revealed that a Self-management program can be used as an efficient nursing intervention for women with knee osteoarthritis.

초등학생의 천식 자가관리 지식과 실천의 관계 (Knowledge and Practice in Self-Management on Asthma of School-Aged Children with Asthma)

  • 김선수;권인수
    • Child Health Nursing Research
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    • 제22권2호
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    • pp.87-96
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    • 2016
  • Purpose: This study was done to identify the level of knowledge and practice of self-management on asthma of school-aged children and to provide data for the development of an intervention program to improve self-management on asthma Methods: The participants were 100 school-aged children who were treated currently for asthma in J city located in G province. Data were collected from 25th August to 30th October 2014. Results: The mean scores were 14.37 of 20 for self-management knowledge (percentage of correct answer 71.9%), 21.65 of 30 for self-management practice. There were significant differences in knowledge according to grade, diagnosed age, food allergy, education on asthma and hardship in school life, and in practice according to gender and economic status, hardship in school life and experience of first-aid on asthma. There were positive correlations between knowledge and practice. Conclusion: Results indicate that school-aged children' knowledge and practice in self-management of asthma were not sufficient enough to perform accurate management of asthma. Therefore, to improve self-management ability of school-aged children to manage effectively asthma, educational strategies that focus on increasing knowledge need to be developed.

간호대학생의 셀프리더십과 스트레스 대처능력이 대학생활 적응에 미치는 영향 (Effects of Self-Leadership and Stress Coping on College Life Adjustment in Nursing Students)

  • 원효진
    • 보건의료산업학회지
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    • 제9권1호
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    • pp.123-131
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    • 2015
  • The purpose of this study was to investigate the relationships among self-leadership, stress coping skills, and college life adjustment in nursing students. The data were collected using a self-reported questionnaire from November 4 to November 22. The subjects of the study were 335 nursing students in 1 nursing college located in K city. The data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe's test, and multiple regression test using the SPSS Win. 18.0 program. The results were as follows: the mean score of self-leadership was 3.38, the mean score of stress coping skills was 3.45, and the mean score of college life adjustment was 3.35. There was a significant difference in college life adjustment according to motivation of entrance. Goal-setting, self-reward, and constructive ideas about the self-leadership and active stress coping skills were influencing factors of college life adjustment. In conclusion, it is necessary to increase the level of self leadership and active stress coping skills in nursing students. The results of this study suggest that it is necessary to develop diverse educational programs that can increase self-leadership and active coping skills.

대학생 외모만족도와 자기효능감의 관계 : 생활태도의 매개효과 (The Relationship between Appearance Satisfaction and Self-efficacy in College Students: Mediating Effect of Life Attitude)

  • 김현경
    • 보건의료산업학회지
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    • 제14권2호
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    • pp.105-115
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    • 2020
  • Objectives: The purpose of this study was to determine the mediating effect of life attitude on the relationship between appearance satisfaction and self-efficacy of college students. Methods: The data from 223 college students (K-do and -city) highly interested in body and appearance, and were analyzed by three-step mediation analysis and Sobel test. Results: The mediating effect of life attitude was significant on the relationship between appearance satisfaction and self-efficacy. Namely, there was a mediating effect meaning the higher the appearance satisfaction, the more positive the attitude of life and the more self-efficacy. It was simultaneously found that the appearance satisfaction had a direct influence on self-efficacy. Conclusions: In summary, appearance satisfaction and self-efficacy act as internal factors that motivate individual self-development and the smooth adaptation of university life by changing own behavior. Accordingly, an education program should be devised to help college students form their own regular and correct lifestyles, which will also contribute to the improvement of self-efficacy of college student.

보건진료소의 고혈압 관리방법에 따른 건강생활습관, 자기효능감 및 건강관련 삶의 질 (Health related Lifestyles, Self-efficacy and Health related Quality of Life by the Types of Hypertension Management in Community Health Posts)

  • 권명순;양순옥;장지혜
    • 한국보건간호학회지
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    • 제29권3호
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    • pp.565-581
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    • 2015
  • Purpose: This study was conducted to confirm the factors affecting recipients' quality of life by two types of hypertension management, one was telemedicine provided by community health posts(CHPs) in a rural area, the other was traditional hypertension management by comparing patients' health related lifestyles, self-efficacy and health related quality of life. Methods: The study was conducted from February 1, 2015 through April 25, 2015 on 193 hypertension patients in 6 CHPs consisting of 98 patients in 2 CHPs running telemedicine and 95 patients in 4 CHPs running traditional hypertension management services. The data were analyzed and assessed with frequency, percentage, chi-square test and multiple regression. Results: Self-efficacy and health related quality of life were high for the subjects managed by traditional hypertension management services. Self-efficacy, age, hobby, balanced meals, more than 7~8 hours sleep and regular exercise, which affected the quality of life for recipients were explanatory in 45.9%(F=22.368, p<.001). Conclusion: When any services utilizing telemedicine are provided in the future, consideration of emotional aspects including self-efficacy and quality of life is recommended.

Relationship between Self-discrepancy and Subjective Well-being

  • Seo, DongBack;Sijtsema, Andre
    • Journal of Information Technology Applications and Management
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    • 제21권3호
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    • pp.97-117
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    • 2014
  • People can differently act online than in real-life. Their virtual identities may allow them to express themselves more freely. In this perspective, there is a self-discrepancy between virtual- and real-life. Due to the anonymity, people can feel free to express who actually they are online without considering social pressure. Especially, for those people who live in a repressed society, virtual-selves can play a significant role to achieve their well-being. For this reason, a self-discrepancy between actual- and virtual-self related to well-being was studied. With 183 survey responses, political freedom, extraversion and neuroticism are identified as significant influencers of subjective well-being (SWB). In addition, an increase in self-discrepancy between virtual- and real-life for 'unhappy' people leads to an increased online well-being, which is contradictory to Higgins' self-discrepancy theory.