• Title/Summary/Keyword: Pain self efficacy

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Factors Influencing Depression Among Patients with Chronic Degenerative Arthritis after Total Knee Arthroplasty (인공슬관절 전치환술을 받은 만성 퇴행성관절염 환자의 우울 영향요인)

  • Ju, Yeong-Ju;Kim, Hee-Kyung
    • Journal of muscle and joint health
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    • v.19 no.2
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    • pp.161-172
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    • 2012
  • Purpose: This study was to identify the factors influencing depression among patients with degenerative arthritis after total knee arthroplasty. Methods: The subjects were 108 patients who admitted or visited K hospital in K city after total knee arthroplasty. Data were analyzed using SPSS WIN 18.0 program. Results: The level of depression was 2.72 with a possible range of 1 to 5. Social support was 3.71 out of a total score 5. Self-efficacy was 64.47 ranged from 10 to 100. Self-esteem was 2.59 ranged from 1 to 5. The associated factors with depression were marital status, length of illness, perceived health status, pain, social support, self-efficacy, and self-esteem. Marital status, length of illness, and perceived health status accounted for 5.8% of depression. Next, all variables including pain, social support, self-efficacy and self-esteem accounted for 66.4% of depression. Conclusion: The level of depression among the subjects significantly be related to marital status, length of illness, perceived health status, pain, social support, self-efficacy and self-esteem. It indicates a need to develop nursing interventions for them to decrease depression and develop quality of life during recovery.

The Effects of a Case Management Program of Customized Home Visiting Health Service for Clients with Arthritis (보건소 맞춤형 방문건강관리사업 관절염 사례관리 효과)

  • Yang, Soon-Ok;Kwon, Myung-Soon;Choi, Yong-Jun;Lee, Seung-Hee
    • Research in Community and Public Health Nursing
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    • v.22 no.2
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    • pp.151-161
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    • 2011
  • Purpose: The purpose of this study was to analyze the effects of a case management program on range of motion, pain, depression and self efficacy in community-dwelling older women with knee arthritis. Methods: The research design was one-group pre and post-test design with 40 participants with knee arthritis who agreed to participate in the 12-week case management program. Data were collected four times, before and after 4, 8 and 12 weeks. Results: Repeated measures ANOVA revealed significant differences between before and after the service in range of motion, pain, depression and self efficacy. Significant improvements from the baseline to 4 weeks after the service were observed in the measurements of range of motion, pain, depression and self efficacy. There were no significant differences in range of motion, pain and depression between 4 and 12 weeks after the services. Conclusion: This study represents the first effort showing that a case management program can have positive outcomes on range of motion, pain, depression and self efficacy for older women with knee arthritis. More research using a control group pre-post test design considering time lapse is needed in order to examine more accurately the effects of case management programs for knee arthritis.

Application of the fashion therapy to reduce negative emotions of female patients (여성 환자의 부정적 정서 감소를 위한 패션테라피 적용)

  • Yoh, Eunah
    • The Research Journal of the Costume Culture
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    • v.23 no.1
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    • pp.85-101
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    • 2015
  • In this study, it is explored the effect of fashion therapy on depression, positive emotion, negative emotion, appearance interest, body satisfaction, self-esteem, and self-efficacy of female patients. Eight cancer patients and 12 general patients participated in the 4-week fashion therapy program. When comparing results before and after the fashion therapy, depression and negative emotions were significantly decreased while positive emotions and self-efficacy were significantly increased. There was no significant influence on appearance interest, body satisfaction, self-esteem, and self-efficacy. In group comparison, significant changes were observed in depression, positive emotion and negative emotion regardless of groups. However, cancer patients indicated a significant improvement in self-efficacy compared to general patients who did not whereas patients with a high level of depression showed a significant enhancement on body satisfaction compared to patients with a low level of depression. Also, patients with a low level of pain indicated a significant improvement on self-esteem and self-efficacy compared to patients with a high level of pain. Perceived effect and satisfaction of the fashion therapy were relatively high. Study results may positively contribute to building a knowledge and experimental base of fashion therapy that is widely applicable to diverse parties for the future.

Functional Impairment and Psychological Status in Patients with Chronic Arthritis (만성 관절염 환자의 기능적 손상과 심리적 상태 분석)

  • Lim, Nan-Young;Lee, Eun-Young
    • Journal of muscle and joint health
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    • v.5 no.1
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    • pp.72-82
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    • 1998
  • The purpose of this study was to identify functional impairment and psychological status and to analyze their relationships in patients with chronic arthritis. The sample was consisted of 75 arthritic patients who visited H hospital and S welfare center. Functional impairment was measured by ADL, pain, and the number of painful joint. Psychological status was measured by depression, self-efficacy, and quality of life. Data was analyzed by frequency, mean ${\pm} SD$, Pearson's correlation coefficient, and Stepwise multiple regression. The results of this study were as follows : 1. In functional Impairment, ADL was below average which means somewhat difficult, pain was above average, and the number of painful joint was 9.20. 2. In psychological status, scores of quality of life was 97.89, depression was 41.28, self-efficacy was 895.35. 3. Pain was negatively correlated to self-efficacy, ADL and quality of life, and positively correlated to depression. 4. Self efficacy and depression explained 45% of the variance in quality of life. Therefore, it is suggested that nursing intervention improving psychological status would be useful for patients with chronic arthritis. Especially, it is very important to implement nursing intervention focused on increasing self-efficacy and decreasing depression.

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The Effects of Periodic Reminding Interventions on Medication Adherence, Self-Efficacy, and Pain for Home-Based Lung Cancer Patients (주기적인 상기(Reminding) 중재가 재가 폐암환자의 진통제 복용 이행 정도, 자기효능감, 통증에 미치는 효과)

  • Shin, Jin Hee;Kim, Gwang Suk;Lee, Ju Hee;Oh, Suk Joong
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.3
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    • pp.443-454
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    • 2013
  • Purpose: The purpose of this study was to evaluate the effects of periodic reminding interventions on medication adherence, self-efficacy, and pain intensity for home-based lung cancer patients. Methods: A quasi-experimental nonequivalent control group, pretest and posttest design was used. The intervention comprised of individual education by tailored image-combined medication instructions, daily reminding text message, and weekly telephone calls for four weeks. The subjects in this study consisted of 62 lung cancer patients (31 in the experimental group, and 31 in the control group). Mann-Whitney U-test was applied to analyze the data. Results: Experimental group who received periodic reminding intervention program better adhered to prescribed medication compared to the control group (z=-6.14, p<.001). Experimental group demonstrated higher level of self-efficacy compared to the control group (z=-6.74, p<.001). Experimental group experienced less intense average pain compared to the control group (z=-6.29, p<.001). Conclusion: The findings suggest that periodic reminding interventions can be applied as an effective nursing intervention to promote medication adherence and self-efficacy to improve and pain management for home-based lung cancer patients.

A Predictors of Exercise Participation in Rheumatoid Arthritis Patients (류마티스 관절염 환자의 운동참여 예측요인)

  • Lim, Nan-Young;Yi, Yeo-Jin
    • Journal of muscle and joint health
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    • v.8 no.1
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    • pp.51-64
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    • 2001
  • The purposes of this study were to examine and to predict the affecting factors on exercise participation of Rheumatoid arthritis Patients. The subjects were 161 adult out-patients who visited the hospital for rheumatic disease in H-university. Data were composed of self-reported questionnaire. The conceptual model of this study consisted of that personal characters(age, marriage, education, income), situational characters(pain intensity, fatigue, IADL, depression), behavioral characters(formerly exercise behavior, life-style), and cognitive-perceptional characters(perceived health status, perceived benefit, perceived barrier, perceived self-efficacy) affected directly to exercise participation. Logistic regression analysis was applied for testing model of this study. The results were as follows : 1. Personal characters(education), situational characters(pain intensity), behavioral characters(formerly exercise behavior, life-style), and cognitive characters(perceived barrier, perceived self-efficacy) were significant difference between current exercise participants(127subjects) and non-exercise participants(34). 2. Personal characters(income), situational characters(pain intensity), behavioral characters(life-style), and cognitive-perceptional characters(perceived barrier, perceived self-efficacy) were correlated to exercise participation. 3. Formerly exercise behavior, perceived barrier, and perceived self-efficacy were significant predictor of exercise participation. The logistic equation predicted overall 81.94% of this study subjects 161.

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Factors Affecting Nursing Interventions for Pain among Nurses in Neonatal Intensive Care Unit (신생아중환자실 간호사의 통증간호중재에 영향을 미치는 요인)

  • Kim, Eun-Hee;Choi, Mi-Young
    • Child Health Nursing Research
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    • v.23 no.2
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    • pp.179-189
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    • 2017
  • Purpose: The purpose of this study was to investigate NICU nurses' nursing interventions for pain and factors affecting nursing interventions for pain. Methods: Participants were 120 NICU nurses from 5 university hospitals located in Daejeon Metropolitan City and Chungcheong Province. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA and Duncan test, Pearson correlation coefficients and multiple regression analysis with SPSS Windows 23.0 IBM program. Results: The factors affecting nursing interventions for pain included knowledge about non-pharmacological nursing interventions for pain and self-efficacy about nursing interventions for pain. These variables explained 28.3% of nursing interventions for pain. Conclusion: The results of this study suggest that it is necessary to develop education programs in which effective nursing interventions for neonatal pain are considered. The programs should be made available to NICU nurses.

The Relationship on Self-Efficacy, Depression and the Perception of Health Status in Patients with Arthritis (관절염 환자의 자기효능감, 우울 및 건강상태 인지와의 관계)

  • Kil, Suk-Yong;Oh, Won-Oak
    • Journal of Korean Public Health Nursing
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    • v.19 no.2
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    • pp.284-293
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    • 2005
  • Purpose: This study was conducted to examine the relationship among self-efficacy, depression and the perception of health status. Method: The subjects of this study consisted of 93 patients with arthritis. The data was collected from July to September, 2004 and it was analyzed with t-tests, ANOVA, Duncan's tests and Pearson Con-elation Coefficients using SAS. Result: Self-efficacy showed significant differences according to the economic status, pain, the number of previous treatment methods, depression, the perception of health status and the number of affected sites. There was a significant correlation between self-efficacy and depression (r=-.48, p<.000), the perception of health status and self-efficacy (r=-.29, p=.01), and perception of health status and depression (r=.34, p.001. Conclusion: Continuous self-management and a proper program on self-efficacy promotion are required for the management of arthritis patients.

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The Factors Influencing on Depression of Patients for Fibromyalgia Syndrome (섬유조직염 환자의 우울에 미치는 변인)

  • 성기월;신임희;이경희
    • Journal of Korean Academy of Nursing
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    • v.33 no.5
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    • pp.609-617
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    • 2003
  • Purpose: The purpose of this study is to understand the depression of patients for Fibromyalgia Syndrome(FMS) and to identify the factors influencing depression. Method: The instruments used here are Beck Depression Inventory in depression, the Korean Rheumatology Health Association' instruments in Self-Efficacy. Also, Pain and Fatigue was measured by Visual Graphic Rating Scale. The subject of study is 76 outpatients diagnosing FMS from rheumatism specialists at C hospital in D city. The data has been collected from Sep. 1st to Sep. 30th in 2001. For the analysis of collected data, frequency analysis, independent t-test, analysis of variance, Pearson's correlation and multiple regression analysis were used for statistical analysis with SAS statistical program. Result: General characteristics showing statistically significant difference in depression were age, education, occupation, gender, exercise and sleep in the patients with FMS. Depression for the patients with FMS has negative correlation coefficients with Self-efficacy and ADL, and positive correlation coefficients with Pain and Fatigue. The suitable regression form resulting from the multiple regression analysis to investigate the influencing factors of depression for the partients with FMS was expressed by y =50.067 - 0.278x$_1$ + 1.320x$_2$ (x$_1$: Self-Efficacy x$_2$: Fatigue) and $R^2$ =0.427. Conclusion: The factors influencing on depression of patients for FMS was Self-Efficacy, ADL, Pain, and Fatigue. Further study needs to be done identify methods of overcoming and presentation of depression in FMS.

The Effects of Muscle Strengthening Exercise for Postoperative Lumbar Spinal Surgery on Pain, Exercise Self-Efficacy, Activities of Daily Living (요추수술 후 운동요법이 통증, 운동 자기효능감과 일상생활활동 장애에 미치는 효과)

  • Kim, Hwa-Young;Eun, Young;Song, Myoung-Eun
    • Journal of muscle and joint health
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    • v.18 no.2
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    • pp.238-248
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    • 2011
  • Purpose: The purpose of this study was to examine the effects of exercise on pain, exercise self-efficacy, activities of daily living for postoperative lumbar spinal surgery. Method: The study used a nonequivalent control group pre- and post-test design in quasi-experimental research. The data were collected from April, 2010 to July, 2011. The subjects were 40 lumbar spine surgery patients who had been hospitalized in neurosurgery of G university hospital, 20 assigned for the experimental and 20 for the control group. Exercise of this study reformed to be adapted to lumbar spine surgery patients on the basis of William's flexion exercise and exercise for HIVD surgery patients developed by Kim(1995) and was practiced three times a day for 3 weeks. The data were analysed with ${\chi}^2$-test, t- test, Repeated measures ANOVA using the SPSS program. Result: There was a significant decrease in pain in the experimental group, but there was no significant increase in exercise self-efficacy and activities of daily living between the groups. Conclusion: Muscle strengthening exercise after surgery was effective in improvement of pain. Postoperative muscle strengthening exercise in lumbar spinal patients may be a useful intervention to reduce pain.