• Journal of Korean Academy of Nursing
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• v.45 no.4
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• pp.576-586
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• 2015

Purpose: The purpose of this study was to develop a self-management program applying Dongsasub training based on self-efficacy theory, and to verify the program effectiveness on self-esteem as well as self-efficacy, self-management behaviors, and blood pressure. Methods: The study design was a non-equivalent, pre-post controlled quasi-experiment study. Thirty-eight patients aged 65 and older from a senior welfare center in Seoul participated in this study (20 patients in the experimental group and 18 patients in the control group). The self-management program applying Dongsasub training consisted of eight sessions. After development was complete the program was used with the experimental group. Outcome variables included self-efficacy, self-esteem, self-management behaviors measured by questionnaires, and blood pressure measured by electronic manometer. Results: Self-efficacy (t=2.42, p=.021), self-esteem (t=2.57, p=.014) and self-management behaviors (t=2.21, p=.034) were significantly higher and systolic blood pressure (t=-2.14, p=.040) was significantly lower in the experimental group compared to the control group. However, diastolic blood pressure (t=-.85, p=.400) was not significantly different between the two groups. Conclusion: The results indicate that the self-management program applying Dongsasub training can be used as a nursing intervention in community settings for improving self-management behaviors for older adults with hypertension.

• Journal of the Korea Fashion and Costume Design Association
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• v.14 no.2
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• pp.33-47
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• 2012

The purposes of this study were to investigate the differences of self-efficacy and appearance management behavior according to demographic variables, to disclose the relationship between self-efficacy and appearance management behavior, and to examine the characteristics that affect appearance management behavior of male and female college students. The research method was a survey method using a questionnaire. The subjects were 632 college students (male: 302, female: 330) living in Seoul area. Statistical analysis methods were factor analysis, Cronbach's ${\alpha}$-reliability coefficient, t-test, ${\chi}^2$-test, one-way ANOVA, Duncan's multiple range test, Pearson's product-moment correlation coefficient, and multiple regression analysis. The self-efficacy factor derived four categories including self-control efficacy, social self-efficacy, physical self-efficacy, and task difficulty preference. The college students who were in higher social stratification and older had more appearance management behavior, and those who had lower task difficulty preference and lower physical self-efficacy had more plastic surgery management. Both men and women who had higher self-control efficacy had more clothing management. Women who had higher self-control efficacy, social self-efficacy, and task difficulty preference had more appearance management expenses.

• Journal of Korean Public Health Nursing
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• v.31 no.1
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• pp.121-134
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• 2017

Purpose: The goal of this study was to define and clarify the concept of "self management" of children with chronic diseases. Methods: For analyzing the concept of self management, this study used the hybrid model. This study involved in-depth interviewing nine children with chronic disease. Results: The concept of self management of children with chronic disease can be categorized with three dimensions: internal, environmental, and behavioral aspects. Besides, five attributes and thirteen indicators were analyzed. The concept of self management of children with chronic disease can be expressed as a kind of process; a) re-established yourself (internal dimension), b) assistance by the surrounded (environmental dimension), and c) positive health management behavior with self control of daily life (behavioral dimension). Conclusion: The self management is important for children with chronic disease to control their disease for long time. The attributes and indicators drawn by this study could be used for tool development and useful resources of self management competence in children with chronic disease.

• Journal of Korean Academy of Nursing
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• v.45 no.4
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• pp.554-564
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• 2015

Purpose: The purpose of this study was to develop and evaluate a self-management program based on INR monitoring for patients with cardiac valve replacement. Methods: This program was comprised of five weekly sessions based on Sousa's Enhance-Behavior Performance Model. The first session included individual teaching, and the other four sessions included Prothrombin Time International Normalized Ratios (PT INR) self-monitoring, telephone counseling and self-management checklist recording. Participants were patients who had cardiac valve replacement. They were randomly assigned to the experimental or control group. Sixteen in the experimental group participated in the self-management program and seventeen in the control group participated in general care. Self-management knowledge, self-efficacy, self-management behavior and PT INR were measured as dependent variables. Data were analyzed using Mann Whitney U-test, t-test and ANCOVA. Results: The experimental group showed significantly higher post-test scores in self-management knowledge (t=5.86, p<.001), self-efficacy (F=18.32, p<.001), and self-management behavior (t=3.44, p=.002) compared to the control group. Also, the experimental group showed significantly higher frequency in maintaining the treatment range of PT INR compared to the control group (${\chi}^2=4.80$, p=.028). Conclusion: The results of the research on the self-management program based on PT INR monitoring showed that it is effective in improving self-management knowledge, self-efficacy, and self-management behavior as well as maintaining treatment range of PT INR of patients with cardiac valve replacement.

• Health Policy and Management
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• v.29 no.1
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• pp.19-26
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• 2019

Background: The purpose of this study was to evaluate the effectiveness and the level of self-management support on the Metabolic Syndrome Management Program at public health centers in Seoul metropolitan city. Methods: The effectiveness on the Metabolic Syndrome Management Program were analyzed using secondary data from 1,312 community residents who were receiving program. The level of self-management support on Metabolic Syndrome Management Program was evaluated using an 'Assessment of Primary Care Resources and Supports for Chronic Disease Self-Management' from four public health centers. Results: The effectiveness on the Metabolic Syndrome Management Program was showed that decreased smoking (p= 0.044) and drinking (p< 0.001), and increased healthy dietary habit (p< 0.001) in health behaviors. It was showed that decreased triglyceride (p= 0.002) and increased high-density lipoprotein cholesterol (p< 0.001) in clinical indicators. The level of self-management support on Metabolic Syndrome Management Program was 98.1 points and it meaned that implementation is done in an organized and consistent manner using a team approach. There was difference in the level of self-management support by public health centers (p= 0.003). Conclusion: The Metabolic Syndrome Management Program in public health centers was effective, and level of self-management support was done as organizational level, but patient input and mental health were insufficient.

• Proceedings of the Safety Management and Science Conference
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• 2011.04a
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• pp.143-151
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• 2011

Reviews indicated that supervisory feedback provided to workers is the most effective intervention to change performance in organizational settings. However, supervisors themselves hardly receive feedback on their own behaviors. This study implemented self-management technique to improve supervisory behaviors at a construction site. Self-management in the current study consisted of goal setting, self-monitoring and providing reinforcers for two supervisory behaviors; (1) conducting safety observations and (2) interacting with workers for safety improvement. Two supervisors severed as participants. An AB within-group design was adopted. After baseline (A), self-management technique was implemented (B). Results suggested that self-management was effective in increasing the two supervisory behaviors. Moreover, the increased supervisory behaviors were associated with improvement in workers' safety performance.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.18 no.4
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• pp.520-528
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• 2011

Purpose: Patients with chronic hepatitis B need lifelong health care because of progressive liver damage. The purpose of this study was to identify factors associated with self-management compliance among patients with chronic hepatitis B. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 118 patients with chronic hepatitis B from outpatient department in a tertiary hospital. Their ages ranged from 20 to 64. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with PASW statistics 19.0 program. Results: There were statistically significant differences in self management compliance by gender, age, job, alcohol consumption, and smoking. A positive correlation existed between self-management compliance, awareness of the importance of management, and self efficacy. Stepwise multiple regression analysis for self-management compliance revealed that the most powerful predictor was self efficacy. Self efficacy, age, and alcohol consumption explained 37.5% of the variance. Conclusion: The results indicate a need to promote self-management compliance with these participants. The findings also suggest that consideration be given to characteristics of age and alcohol consumption in developing strategies for enhancing self efficacy and developing programs to promote self-management for patients with chronic hepatitis B.

• Women's Health Nursing
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• v.24 no.3
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• pp.310-321
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• 2018

Purpose: To examine the effect of menstrual self-management education program on knowledge and behavior of menstrual self-management in high school girls. Methods: With a randomized controlled trial, 100 high school girl students were randomly assigned into experimental group and control group. Menstruation self-management program was consisted of a total of four sessions of education program (1 hour of education per session). Control group only received the first class of education. Measurement tools were 20-item menstrual knowledge scale and 12-item women's genito-urinary hygiene scale. Pretest and post-test questionnaires were administered. Results: There were significant differences in menstrual knowledge as well as menstrual self-management behavior between the two groups. The experimental group showed significant improvement in both menstrual knowledge score (t=13.37, p<.001) and menstrual self-management behavior score (t=8.38, p<.001) than the control group. Conclusion: Results of this study suggest that the monthly self-management education program is effective in increasing the knowledge of menstruation of female high school students and enhancing their performance. This program needs to be implemented as a part of high school's standard sex education. Further study is needed to analyze follow-up effects of the program on self-management behavior of students after at least one menstrual cycle.

• Korean Journal of Adult Nursing
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• v.21 no.5
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• pp.447-457
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• 2009

Purpose: The purpose of this study was to investigate the level of self management of patients with poorly controlled type 2 diabetes, and to investigate the factors influencing self management. Methods: The subjects consisted of 117 diabetes patients who visited the outpatient department of a university hospital from March to August 2008. Data were collected by asking the subjects to answer a 54-item questionnaire and were analyzed using the SPSS/WIN 14.0 program. Results: The total mean score of the patients in self -management was 4.38 out of 7. Medication adherence obtained the highest score under self-management, and the self-monitoring of blood glucose obtained the lowest score. Family support, self-efficacy, severity, and depression were found to be significantly correlated with self-management. In stepwise multiple regression analysis a total of 44.5% of the variance in self management was accounted for by family support, self-efficacy, severity, and depression. Conclusion: Therefore, a diabetic intervention program should be designed and provided for increasing family support, self efficacy, and severity and for reducing depression of patients with poorly controlled type 2 diabetes.

• Journal of the Korean Society of Costume
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• v.53 no.3
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• pp.165-179
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• 2003

The purpose of this study was to investigate the Influence of self-perceived physical attractiveness on self-esteem and appearance management behavior cf adult women. The data for this study were collected using questionnaire from 511 adult women living in Kwangju, Korea. The data were analysed using frequency, variance analysis, Duncan's multiple range test, and cross-taps. The results were as follows 1. The focuses of respondents' appearance management behaviors were largely centered on facial and skin texture improvement and hair styling. The frequency of all the Plastic surgeries was not so high, but intention of them was much higher than the practice. 2. The self-perceived physical attractiveness of the respondents influenced significantly on their self-esteem. 3. The self-perceived physical attractiveness of the respondents influenced significantly on their several appearance management behaviors excluding plastic surgeries. 4. The self-esteem of respondents influenced significantly on their several appearance management behaviors excluding plastic surgeries.