• 제목/요약/키워드: Nursing theory development

검색결과 275건 처리시간 0.025초

고혈압환자의 자가간호증진을 위한 Slides / Tape 프로그램 개발 및 효과 (A Study on the Development and Effects of Slides / Tape Program for the Hypertensive Patients진 Self-Care)

  • 이영휘
    • 대한간호학회지
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    • 제25권4호
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    • pp.696-705
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    • 1995
  • The self-efficacy as the mediating variable to connect knowledge to behavior was Identified as the most powerful predictor that determines behavior. The purpose of this study was, first, to develop the slides /tape program based on the self-efficacy theory of Bandura(1977) second, to investigate that the Slides /Tape program would increase self-efficacy and self-care in patients with hypertension. The subjects for this study were 54 hypertensive outpatients and data collection was carried out from January 9, 1995 until March 18, 1995. The design of this study was one-group pretest and posttest design and the results are as follows 1) The slides /tape program was developed to based on performance accomplishment and vicarious experience which are induction modes of efficacy expectation. It composed of 80 slides and 20 minutes long tape. 2) The effectiveness of the slides /tape program “The self-efficacy score after giving the slides /tape program will be higher than one before giving the slides /tape program.” was supported (t=3.67, p=0.001). “The self-care score after giving the slides /tape program will be higher than one before giving the slides /tape program.” was supported(t=5.23. 000), 3) A significant difference was found between the self-care and sex. Also, the significant difference was found between the self-care and job. From these results, the slides /tape program is effective to increase the hypertensive patients' self-care.

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여성건강에 있어서의 산후풍 (Sanhoopoong in Women's health)

  • 김태희
    • 부모자녀건강학회지
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    • 제3권1호
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    • pp.35-45
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    • 2000
  • The object of this research was to examine closely through the document about how much important location Sanhoopoong had and how it influences in the women's health. In addition to that, from the result of this research. I would like to contribute to korean nursing theory development and korean traditional nursing. Sanhoopoong is only the pain of women, come out to whom experienced delivery and abortion and especially it is an important cultural disease to Korean women. This is, once be taken ill, even reputed doctors cannot cure, so this make women suffer from pain, fall ill, decrease the quality of women's life, and it is appealed by women constantly, and is just made known by traditionally. The cause of Sanhoopoong has not been recognized medically The disease is not included in the disease classification. Thus, Sanhoopoong has no special pathological cause, and because it is the desease when be not taken care after childbirth, so this is able to be prevented and relieved sufficiently. But Sanhoopoong is the important health matter to dominate women's whole life's health. It has to be researched and lightened quikly. We have to help the women to get out of the difficulties from the pain of Sanhoopoong as soon as possible.

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간호사 질 향상 교육요구도 조사 연구 (Educational Needs of Hospital-based Staff Nurses in Quality Improvement Activities)

  • 황지인
    • 한국간호교육학회지
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    • 제5권1호
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    • pp.133-141
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    • 1999
  • Recently there are increasing concerns on quality improvement activities related to difficult economic situations, more competitive environment, health professional's emphasis on quality, and customer's needs in health care. The purpose of this study was to identify educational needs in the quality improvement for staff nurses. Study setting was an acute care hospital having more than 1000 bed in Seoul, Korea. The subjects were 40 staff nurses who participated in the first Quality Assurance(QA) inservice education. Data were collected by self-administered questionnaire which consisted of four parts : QA knowledge and attitude(ten items, by five Likert scale), contents of QA education(ten items, by setting the priority), evaluation of the program(structure, time allocation, place, educational method), and general characteristics of respondents (age, duration to work for hospitals etc.) The response rate was 85%(34/40), Most had positive perspective and attitude about QI/QA activities, but 9% had negative impression and knowledge about this activities. Also they'd like to know the plan of hospital-level QI/QA activities, QI/QA current practice, general hospital system, the role of QA specialist and so on. Consequently, for building the quality improvement activities that is customer-focused, coordinated, outcome-oriented, resource-efficient, collaborative in Korea, at first the education about philosophy, theory, and implementation process of QI/QA should be conducted, and then that on QI/QA terminology, quality indicators development, the analysis and presentation of quality-related data and so forth be followed.

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일부 여대생의 흡연경험에 관한 연구 (The Study of Smoking Behavior in College Women : A Grounded Theory Approach)

  • 김문실;김애경
    • 대한간호학회지
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    • 제27권2호
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    • pp.315-328
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    • 1997
  • The purpose of this study was to explore the process of smoking behavior of college women with a history of smoking. The subject were 48 female students selected by theoretical sampling from a womens' university in Korea. The data were collected by in-depth interviews using audiotape recordings done over a period of seven months. The data were analyzed simultaneously by a constant comparative method in which new data were continuously coded into categories and properties according to strauss and corbin's methodology. Analysis of the data resulted in identification of 15 categories representing 34 concepts. The results of this study were as follows : 1. Smoking in college women is caused by either curiosity or antagonism toward male smokers 2. The meaning(phenomena) of smoking behavior in college women is justifiable or regretable 3. Smoking occurs in connection with eating, during period of psychological conflict or as an habitual practice 4. Smoking behavior is related to the perception of harmfulness to health, influence of others and the accessability of cigarettes. 5. College women experinced a change in their state of health, emotional relaxation, change in their social relationships It is suggested that the results of this study may contribute to the development of strategies for the purpose of decreasing smoking behavior among female college students.

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여성의 생활양식 변화를 통한 골다공증 예방 교육프로그램의 개발 및 효과 (Development of the Education Program and It Effect on Osteoporosis and Life Style among Women)

  • 변영순;김옥수
    • 대한간호학회지
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    • 제30권3호
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    • pp.764-775
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    • 2000
  • The purpose of this study was to develop the educational program based on the self-efficacy theory of Bandura(1986) and to identify the effect of the program among women. For this purpose a non-equivalent control group, and a pretest- posttest design was used between the experimental and the control group. The subjects in this study were female and were over the age 40, 37 in the experimental group and 46 in the control group. In this study, the educational program was developed to increase the level of osteoporosis self efficacy and to prevent osteoporosis. The program consisted of watching, videotapes, telephone contact, lectures, and small group discussions. This study was conducted to determine whether the 6 month educational program would increase osteoporosis self- efficacy, thus modifying life styles related to osteoporosis increas BMD. The instruments utilized in this study were the Lifestyle Questionnaire, and the Osteoporosis Self-Efficacy Scale. Also, bone marrow density (BMD) on the left wrist was measured by DTX-200. The findings are as follows: 1. A significant decrease in BMD was observed in the control group. By contrast, no significant change in BMD was observed in the experimental group. 2. The Osteoporosis Self-Efficacy was not significantly changed in both the experimental and control groups. 3. In the experimental group, the number of exercise participants and their exercise times were significantly increased. Also the amount of caffeine intake was significantly decreased.

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한국 청소년 비행의 성차 분석 (Gender Difference in Delinquent Behavior among Korean Adolescents)

  • 김현실
    • 대한간호학회지
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    • 제32권4호
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    • pp.492-505
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    • 2002
  • This paper examined gender differences in a rate, type, relevant variables of delinquent behavior, and a gender differences regarding the relative influence of family, personality, academic achievement, sexual abuse and alcohol .drug abuse on delinquent behavior among Korean adolescents. Method: Data were collected by self-report questionnaires. Subjects consisted of 2,100 adolescents (male 1,396, female 704) in Korea, using proportional stratified random sampling method. Statistical methods were Chi-square, t-test and path analysis. Result: Male adolescents had higher rate of delinquent behavior, and more all types of delinquent behavior (antisocial, aggressive, and psychopathic) than female. Male adolescents showed more dysfunctional family dynamic environments, higher antisocial personality and sociability than female adolescents. Female adolescents had higher depressive tendencies than male. The most powerful contributing variables on male delinquent behavior were age, antisocial personality, parent-child relationship, isolation feelings, and sexual abuse in this order named. Drug abuse, isolation feelings, antisocial personality and parent-child relationship tended to be contributing variables for female delinquent behaviors in this order named. Conclusion: This investigation will provides a foundation for theory that addresses the complexities of both gender-specific and gender influences on delinquent behavior and development of preventive strategies for female delinquency.

[Retracted]Development and Evaluation of Self-Management Program for Patients with Coronary Artery Disease

  • Kim, Hyun Young;Kim, Su Hyun;Jung, Hyun Jung;Kim, Hwa Sun
    • Journal of Multimedia Information System
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    • 제6권4호
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    • pp.317-322
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    • 2019
  • The purpose of this study was to develop a self-management program for patients suffering from coronary artery disease (CAD), based on the self-determination theory and subsequently perform a heuristic evaluation by professionals and a quality assessment by users. The program consisted of 6 main menus and 20 submenus. Heuristic evaluation was conducted using eight principles, and as a result, a score of 1 was assigned by a professional for five principles: consistency and mapping, good ergonomics and minimalist design, flexibility and efficiency, anesthetics, and error management. Two professionals gave the principles of ease of input, screen readability, and glanceability a score of 1. In the quality assessment by the users, the system quality category had the highest score of 4.6 out of 5, and information quality had the lowest score of 3.87 out of 5. The overall average score was 4.08, which indicated the general satisfaction regarding the quality of the application. We have reflected on all the recommendations provided by the professionals based on their heuristic evaluation and incorporated them in the program.

Self-Efficacy as a Predictor of Self-Care in Persons with Diabetes Mellitus: Meta-Analysis

  • Lee, Hyang-Yeon
    • 대한간호학회지
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    • 제29권5호
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    • pp.1087-1102
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    • 1999
  • Diabetes mellitus, a universal and prevalent chronic disease, is projected to be one of the most formidable worldwide health problems in the 21st century. For those living with diabetes, there is a need for self-care skills to manage a complex medical regimen. Self-efficacy which refers to one's belief in his/her capability to monitor and perform the daily activities required to manage diabetes has be found to be related to self-care. The concept of self-efficacy comes from social cognitive theory which maintains that cognitive mechanism mediate the performance of behavior. The literature cites several research studies which show a strong relationship between self-efficacy and self-care behavior. Meta-analysis is a technique that enables systematic review and quantitative integration of the results from multiple primary studies that are relevant to a particular research question. Therefore, this study was done using meta-analysis to quantitatively integrate the results of independent research studies to obtain numerical estimates of the overall effect of a self-efficacy with diabetic patient on self-care behaviors. The research proceeded in three stages : 1) literature search and retrieval of studies in which self-efficacy was related to self-care, 2) coding, and 3) calculation of mean effect size and data analysis. Seventeen studies which met the research criteria included study population of adults with diabetes, measures of self-care and measures of self-efficacy as a predictive variable. Computation of effect size was done on DSTAT which is a statistical computer program specifically designed for meta-analysis. To determine the effect of self-efficacy on self-care practice homogeneity tests were conducted. Pooled effect size estimates, to determine the best subvariable for composite variables, metabolic control variables and component of self-efficacy and self-care, indicated that the effect of self-efficacy composite on self-care composite was moderate to large. The weighted mean effect size of self-efficacy composite and self-care composite were +.76 and the confidence interval was from +.66 to +.86 with the number of subjects being 1,545. The total for this meta-analysis result showed that the weighted mean effect sizes ranged from +.70 to +1.81 which indicates a large effect. But since reliabilities of the instruments in the primary studies were low or not stated, caution must be applied in unconditionally accepting the results from these effect sizes. Meta-analysis is a useful took for clarifying the status of knowledge development and guiding decision making about future research and this study confirmed that there is a relationship between self-efficacy and self-care in patients with diabetes. It, thus, provides support for nurses to promote self-efficacy in their patients. While most of the studies included in this meta-analysis used social cognitive theory as a framework for the study, some studies use Fishbein & Ajzen's attitude model as a model for active self-care. Future research is needed to more fully define the concept of self-care and to determine what it is that makes patients feel competent in their self-care activities. The results of this study showed that self-efficacy can promote self-care. Future research is needed with experimental design to determine nursing interventions that will increase self-efficacy.

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대상자 중심의 만성질환 자가관리 프로그램: 고혈압, 당뇨병을 중심으로 (Client-Centered Self Management Program for Chronic Disease Patients: Focusing on Hypertension, Diabetes Mellitus)

  • 송연이;이강숙;조현영;이빛나
    • 보건교육건강증진학회지
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    • 제31권4호
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    • pp.93-106
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    • 2014
  • Objectives: The aim of this study was to develop the efficient program protecting shift to cerebrovascular disease as complication for patients with diabetes and hypertension. Methods: Chronic disease self management program(CDSMP), implement manual, action plan, Q&A card and motivation methods were suggested based on Bandura's social learning theory through reviewing various literatures and cases. Results: This program can increase self-efficacy, individual health behavior change and quality of life and it makes to continuous care of chronic disease. Conclusion: In order to operate chronic disease self-management program, standardized education courses training of specialist leaders and expert patients leaders would be required. And the development enlargement of self-management program for various other chronic disease such as arthritis, back pain, atopy, asthma would be required in the future.

전망과 은신처 이론을 적용한 치유적 커뮤니티 공간 연구 - 코로나 팬데믹 시대의 심리치유를 위한 건축적 방안 - (A Study on Healing Community Space Applied Prospect and Refuge Theory - Architectural Suggestions for Psychological Healing amid the COVID-19 Pandemic Era -)

  • 김순웅;조선희
    • 한국농촌건축학회논문집
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    • 제23권1호
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    • pp.19-26
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    • 2021
  • We have lived in a highly dense environment since the rapid urbanization of the industrial age. The COVID-19 pandemic has increased the need for individual spaces for telecommuting or non-face-to-face classes in residential spaces. In metropolitan cities in Korea, where there are many housing types for one-person, the sense of social isolation is increasing more than ever due to COVID-19. This study explored problems in residential spaces and the solutions to relieve the sense of social isolation in this pandemic era. The development process of the courtyard housing in France was examined as an example. Based on the case study, the meaning of threshold of contemporary architecture was reinterpreted, and the characteristics of the healing community space in this pandemic era were proposed by applying prospect and refuge theory.