• Title/Summary/Keyword: Self Management

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A Correlational Study on Activities of Daily Living, Self-efficacy, Stroke Specific Qualify of Life and Need for Self-help Management Programs for Patients with Hemiplegia at Home (재가 뇌졸중환자의 일상생활활동, 자기효능감, 삶의 질, 자조관리프로그램요구도와의 관계에 관한 연구)

  • Kim Keum-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.1
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    • pp.81-94
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    • 2001
  • The purpose of this study was to identify levels of activity of daily living, self-efficacy. stroke specific quality of life and need for self-help management program for patients with hemiplegia in the home. Data were collected from June to November, 2000 and subjects were 88 poststroke patients who lived in Seoul and Kyunggi-do. The questionnaire consisted of 5 scales: activities of daily living, self-efficacy, stroke specific qulaity of life and need for a self-help management program. Data were analyzed using frequencies, percent, paired t-test, and Pearson's correlation coefficient with the SAS(version 6.12) program. The results are as follows ; 1) Most of subjects were Partially independent in ADL, but they needed assist once to do dressing, bathing meal preparation and house keeping work. 2) The mean self-efficacy score was 54.89(range : 1 to 80) and the individual differences were large. 3) Subjects responded that they were satisfied on the stroke specific quality of life scale totaled 65.8%. This value is comparatively low, especially for social role(51.4%), family functioning(58.3%) and mood (62.2%). 4) The highest needs for self-help management programs were for physical therapy, stress management, and range of motion exercise and the lowest needs were for elimination management and training, family counseling, and speech therapy. 5) On the demographic variables, sex showed significant differences for the dependent variables. Females had higher scores than males for IADL, self-efficacy, stroke-specific quality of life, and need for self-help management. 6) Age had high negative correlation with ADL, self-efficacy and stroke specific quality of life. Age was also correlated with need for self-help management. In conclusion, there was a high correlation for ADL, Self-efficacy and Quality of life in poststroke patients of home. The patient with a stroke also had a strong need for self-help management programs especially physical therapy and stress management. Therefore rehabilitation programs based on self-efficacy enhancement need to be developed in order to promote independent living for patients with hemiplegia.

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The Curriculum Effectiveness Analysis for Improvement of Self-management Leadership Competency (자기관리 리더십 역량 향상을 위한 교과과정 효과성 분석)

  • Shim, Tae Eun;Lee, Song Yi;Kim, Yu Cheon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.513-523
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    • 2017
  • aim of this study was to analyze the effectiveness of improved self - management leadership competence through 'self - management leadership'. This study aims to contribute to the development of self - management competency curriculum of universities. The subjects of this study were students who took core competency classes at D university in Seoul. The study group consisted of 221 subjects in the experimental group,who took the contents and 204 participants in the control group,who did not take the contents. The experimental group showed higher improvement than the control group. The experimental group showed greater improvement. In addition, the goal management competence was the highest in terms of the improved competence recognized by students who took courses in self-management and leadership. An analysis of the perceptions about self-management leadership competence enhancement showed that among self-management, goal management, relationship formation, leadership, collaboration, an goal management competence was improved the most. In the self - management domain, the highest improvement was observed in the areas of personality, self - reflection, self - confidence. In the goal management area, the areas of time management, goal setting, and vision were the most improved. Communication, listening, interpersonal relationship, and coaching questions showed the most perceived improvement among the relationship formation. In terms of leadership competency, problem solving and influence were the most improved areas, For collaboration competency, it was found that competency was the most improved at team play.

The Effect of self-management of sports center instructors on the future core competencies and social skills scales (스포츠센터 지도자들의 자기관리가 미래핵심 역량과 사회적 기술 척도에 미치는 영향)

  • Choi, Hwan-suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.560-569
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    • 2017
  • This study provides the theoretical basis for the self-management of a sports center based on the core competence and technology of the future. The following conclusions were obtained. First, in the influence of self-management on the future core competencies, interpersonal management, training management, and physical management, the factors of self-management have a significant influence on cognitive, affective, and social factors of future core competence. Second, in the influence of self-management on the social skill scale, interpersonal management, training management, and physical management factors of self-management have a significant influence on the self-assertion, self-control, and cooperation of the social technology scale. Third, cognitive, affective, and social factors of the future core competence have a significant influence on the self-assertion, self-control, and cooperation of the social skill scale in the influence of the future core competence on the social skill scale. To improve the self-management and social skills of leaders by maintaining good relationships with the members including fellow instructors, it is essential to take appropriate measures for self-management behaviors considering the individual characteristics and environments of leaders; it appears that effort is important.

The Relationship among Self-Management, Physical Self-Efficacy and Resilience for Middle Aged Golf Participant (중년 골프 참여자의 자기관리와 신체적 자기 효능감 및 회복탄력성의 관계)

  • Choi, Suk-Hwan;Seol, Su-Hwang
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.460-468
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    • 2020
  • This study examined the relationships among self-management, physical self-efficacy, and resilience of middle-aged golf participants in 237 golf range users located in Seoul, Gyeonggi, Daejeon, Daegu, Gangwon, and Gwangju. To achieve this goal, frequency analysis, exploratory factor analysis, reliability analysis, confirmatory factor analysis, correlation analysis, and structural equating modeling were conducted using SPSS 18.0 and AMOS 18.0. The main findings were as follows. First, self-management had a positive effect on the physical self-efficacy. Second, physical self-efficacy had a positive effect on resilience. Third, self-management had a positive effect on resilience. Fourth, physical self-efficacy mediated the relationship between self-management and resilience. Therefore, various methods for increasing the level of self-management and physical self-efficacy for middle age golf participants should be found in multiple perspectives.

Effects of an Integrated Self-Management Program on Self-Management, Glycemic Control, and Maternal Identity in Women with Gestational Diabetes Mellitus (통합 자가관리 프로그램이 임신성 당뇨병 임부의 자가관리, 혈당 및 모성 정체성에 미치는 효과)

  • Kim, HeeSook;Kim, Sue
    • Journal of Korean Academy of Nursing
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    • v.43 no.1
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    • pp.69-80
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    • 2013
  • Purpose: The purpose of the study was to investigate the effects of an integrated self-management program on self-management, glycemic control, and maternal identity in women with gestational diabetes mellitus (GDM). Methods: A non-equivalent control group non-synchronized quasi-experimental design was used. A total of 55 women with GDM were recruited from Cheil General Hospital, Seoul, Korea and were assigned to an experimental (n=28) or control group (n=27). The participants were 24-30 weeks pregnant women who had been diagnosed with GDM as of July 30, 2010. The program was conducted as a 1 hour small group meeting 3 out of 5 times and by telephone-counseling 2 out of 5 times. The integrated self-management program was verified by an expert panel. Results: Although there was no significant reduction in HbA1c (U= -1.17, p=.238), there were statistically significant increases in self-management (U= -3.80, p<.001) and maternal identity (U= -4.48, p<.001), and decreased 2-h postprandial glucose levels (U= -2.43, p<.015) in the experimental group compared to the control group. Conclusion: These findings suggest that an integrated self-management program for women with GDM improves self-management, maternal identity, and glycemic control. Further studies are needed to identify the effects of an integrated self-management program on pregnancy and neonatal outcomes.

The Influence of Self-management Knowledge and Distress on Diabetes Management Self-efficacy in Type 2 Diabetes Patients (제2형 당뇨병 환자의 자기관리지식, 스트레스가 당뇨관리 자기효능감에 미치는 영향)

  • Keum, Hye-Sun;Suh, Soon-Rim;Han, Seung-woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.9
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    • pp.498-508
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    • 2020
  • This study was a descriptive research study performed to identify the degree and correlation of variables and also explain the factors that influence self-efficacy of diabetes management. The participants were 150 diabetes patients who visited a primary medical institution in K city in Korea from September 17, 2015, to October 15, 2015. The data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation coefficients, and multiple regression with SPSS 18.0. Significant differences in age and education were detected in self-efficacy of diabetes management according to general characteristics. The levels of self-management knowledge and diabetes management self-efficacy were shown to be positively correlated. The levels of diabetes management self-efficacy and distress as well as levels of self-management knowledge and distress were shown to be negatively correlated. The significant factors influencing diabetes management self-efficacy were distress and self-management knowledge. The results suggest that appropriate diabetes management self-efficacy programs should be provided in order to improve self-management knowledge and decrease distress in type 2 diabetes patients. This study provides basic data to promote the effective education and development of arbitration in order to enhance self-efficacy of diabetes management.

Effects of female college students' self-image and media involvement on appearance management behavior (여대생의 자기이미지와 미디어관여가 외모관리행동에 미치는 영향)

  • Kim, Jiyang;Yim, Eunhyuk;Chun, Hokyung
    • Journal of Fashion Business
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    • v.17 no.2
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    • pp.164-178
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    • 2013
  • The purpose of this study is to verify effects of female college students' self-image on appearance management behavior and investigate the differences caused by TV involvement and entertainer imitation on the appearance managing behavior. Respondents of the survey were 424 college females living in Seoul and Gyeonggi province. For statistical analysis, factor analysis and multiple regression were conducted using SPSS 18.0 program. The results of this study are as follows: First, self-image among college females were composed of 5 factors, which were active image, feminine image, intelligent image, gentle image and modern image. Second, college females' self-image influenced on skin management behavior, hair management behavior, make-up behavior, clothing behavior and weight management behavior significantly. Specifically, as respondents' active image and modern image are getting higher, they tend to perform skin management behavior, hair management behavior and clothing behavior. As female students' intellectual image and modern image were getting higher, more positive effects were found on make-up behavior. As female students' gentle image and active image were getting higher, there was more positive effects on weight management behavior. But, female students' self-image didn't show significant effects on cosmetic surgery behavior. Third, when subjects' TV involvement was high, self-image made greater effect on skin management behavior and cosmetic surgery behavior than those with low TV involvement. Forth, when entertainer imitation was high, self-image made greater effects on skin management behavior, hair management behavior, clothing behavior, make-up behavior, weight management behavior, cosmetic surgery behavior than those with low entertainer management.

The Effects of Self-help Management Program on Knowledge about Stroke, Self-efficacy and Self-esteem in People with Stroke (뇌졸중 자조교실 프로그램이 재가 뇌졸중 환자의 질병 관련 지식, 자기효능감 및 자아존중감에 미치는 효과)

  • Chang, Koung-Oh;Park, Jung Yeon
    • Journal of muscle and joint health
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    • v.20 no.1
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    • pp.1-9
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    • 2013
  • Purpose: The purpose of this study was to examine the effects of self-help management program on knowledge about stroke, self-efficacy, self-esteem and family support in people with stroke. Methods: With a quasi-experimental design, 44 persons with stroke were assigned into an experimental group (n=21) or a control group (n=23). The knowledge about stroke, self-efficacy and self-esteem were measured at both before and after the self-help management program. Date were analyzed with SPSS/WIN using descriptive statistics, t-test, and $x^2$-test. Results: There was a significant increase in knowledge about stroke, self-efficacy and self-esteem in the experimental group. Conclusion: Self-help management program can be an effective nursing intervention to improve the knowledge about stroke, self-efficacy and self-esteem for patients with stroke.

Depression and Self Care Behavior in Patients with Diabetes Mellitus (당뇨병 환자의 우울상태에 따른 자가 관리 이행)

  • Jung Sun-Ha;Moon Jung-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.1
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    • pp.58-65
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    • 2005
  • Purpose: To investigate the level of depression and self management behavior in patients with diabetes. Method: From May to August 2004, 124 diabetic patients 18 years or older were surveyed using the Korean version of the BDI, the self-management scale by Toobert(2000) and hospital lab data for HbAl, FBS and Blood Sugar-2hr. Results: 1. Mean score on the BDI for the patients was 10.85 points. The score on the BDI was significantly higher in hyperglycemic patients than in normoglycemic patients. 2. The level of self management for the past week showed care on an average of 4.2 days. According to level of depression, patients in the normal group and patients in the mild group had significantly higher levels of self management than those in the moderate group. 3. According to level of depression, patients in the normal group had significantly lower levels of blood glucose than those in the moderate group, and for HbAlc and FBS those in the mild group had lower levels compared to those in the moderate group. 4. The factors significantly associated with level of self management were depression (25.66%) and duration of illness. Conclusion: Programs should be developed to combat depression in patients with diabetes in order to increase compliance through self care management and thus increase of blood glucose levels.

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Research Trends in Diabetes Mellitus Self-Management Intervention: The Scoping Review (당뇨병 자가관리 중재 연구동향: 주제범위 문헌고찰)

  • Lee, Jiyoung
    • Journal of muscle and joint health
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    • v.29 no.2
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    • pp.113-123
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    • 2022
  • Purpose: The present study aims to identify research trends on diabetes mellitus (DM) self-management intervention, suggesting directions for follow-up studies through a scoping review. Methods: This study conducted the scoping review process outlined by Arskey and O' Malley using the JBI (Joanna Briggs Institute) template. The databases used were Riss, Kiss, NDSL, KMbase, Google Scholar. This study searched the literature published between January 2011 and November 2021 by entering keywords related to DM self-management. Results: Thirty-five studies were selected for analysis. The period for 24 articles was 12 weeks or longer. The interventions consisted of education, exercise, counseling, and coaching. Not all studies applied the theory of behavior change. Fourteen studies included three factors relating to behavioral, cognitive, emotional, and blood sugar changes to measure effectiveness, while ten studies included all four factors. Most interventions were effective both in DM self-management and self-care. Further, the intervention persistence effect of each study varied. Conclusion: While research on DM self-management intervention has been conducted at domestically and abroad, this decreased during COVID-19 pandemic. This study suggests the importance of systematically developing effective necessary optimal DM self-management interventions that can change behaviors to prevent diabetic complications and improve quality of life.