• 지역사회간호학회지
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• 제10권1호
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• pp.140-153
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• 1999

This study is designed to furnish basic data for development of health -care program to promote health of the middle-aged adult by making the middle-aged adult an object who have radically increasing death rate because of chronic degenerative diaease, finding out the executive degree of health -promoting behaviors, and verifying the relation between self-efficacy/perceived health status and health -promoting behaviors. The results are as follows. 1) The hypothesis that 'the higher the self-efficacy, the better the health -promoting behaviors' was supported on a meaningful level(r=.30l, p=.000) 2) The hypothesis that 'The health-promoting behaviors will have differences according to the perceived health status' was supported on a meaningful level in the sections of the control of stress(p=.000), the self-achievement (p=.000), the exercise(p=.002), the control of interpersonal relation(p=.014) and the eating habit(p=.061) and was rejected in the sections of drinking' smoking(p=.787), heath-responsibility (p=.061). The fact that executive degree of health -promoting life-style have correlation with self-efficacy was found out and we need to develop health-education program to promote self-efficacy.

• 여성건강간호학회지
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• 제17권5호
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• pp.491-498
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• 2011

Purpose: Recently as couples have only one or two children, they concern about their children's optimal health. Furthermore, as the basic principles of Korean traditional prenatal education (Taegyo) are supported by scientific evidence, and as increasing numbers of pregnant women are recognizing Taegyo refresh, the practice of Taegyo is growing. The purpose of this study was to identify the factors associated with the practice of Taegyo among pregnant Korean women. Methods: This was a cross-sectional, survey study of 228 pregnant women recruited at a health center in South Korea using a convenience sampling method. The instruments included the perception of Taegyo scale, the spouse's support scale, the self-confidence for infant care scale, and the practice of Taegyo scale. The data were analyzed using descriptive statistics and multiple regression analyses. Results: The results of the stepwise multiple regression analysis indicated that the following factors accounted for 26.5% of the variance in the practice of Taegyo: the perception of Taegyo, family income. Conclusion: Consequently, this result showed that the pregnant women were influenced by family income, spouses' support as requisite factors, and also they developed the level of self-confidence for infant care and the perception of Taegyo as self-care agency for the practice of Taegyo. The present study findings will add to the accumulated knowledge of health care professionals about the cultural factors involved in the practice of Taegyo and the traditional cultural beliefs and culture-specific health promoting behaviors of ethnic minority pregnant women to provide culturally competent care for them.

• 여성건강간호학회지
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• 제27권3호
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• pp.196-208
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• 2021

Purpose: This study aimed to test the efficacy of a nurse-led postpartum self-care (NLPPSC) intervention at reducing postpartum fatigue (PPF) and depressive mood and promoting maternal functioning among first-time mothers in Bangladesh. Methods: A non-synchronized quasi-experimental design was used. First-time mothers were recruited during postpartum and assigned to the experimental or control group (34 each). The experimental group received the NLPPSC in the hospital, a 1-day intervention that focused on increasing self-efficacy. The control group received usual care. Data on PPF, depressive mood, maternal functioning, self-care behaviors, postpartum self-efficacy, and self-care knowledge were collected at postpartum 2 weeks (attrition 23.5%) and 6 weeks (attrition 16.1%). Data were analyzed using descriptive statistics, bivariate statistics, and linear mixed model analysis. Results: One-third (33.3%) of new mothers experienced depressive mood (Edinburgh Postnatal Depression Scale scores of ≥13 points). The NLPPSC intervention was statistically significant in decreasing PPF (β=-6.17, SE=1.81, t=-3.39, p<.01) and increased maternal functioning at postpartum 6 weeks in the experimental group (β=13.72, t=3.73, p<.01) compared to the control. Knowledge was also statistically significant for increased maternal functioning over time (β=.37, SE=.18, t=2.03, p<.05). However, there were no statistically significant differences in depressive mood over time. Conclusion: The NLPPSC intervention was feasible and effective in improving fatigue and maternal functioning in Bangladeshi mothers by postpartum 6 weeks and thus supports implementing the NLPPSC intervention for new mothers after childbirth.

• 한국산학기술학회논문지
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• 제18권11호
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• pp.158-165
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• 2017

본 연구는네일 관리 샵에서 고객의 세부 요구 사항을 연령대별로 파악, 고객의 관리 행동을 이해하여 고객 만족도를 높이는 접근 방법을강구할 수 있는 지표 개발 목적으로시행되었다. 이에 전문 네일 샵의 주 고객층을 이루고 있는 20대에서 50대 사이의 성인을 대상으로 2017년 8월 30일부터 9월 15일까지 설문을 실시, 302부를 최종 분석하였다. 연구결과, 건강한 손피부에 대한 관심은 연령에 구분 없이 높은 지표를 보였으나 관리 행동에서는 다소의 차이를 발견 할 수 있었다. 20대와 30대에서는 손 건강에대한 관심이 높을수록 자가 손피부관리 행동이 두드러졌으며(r=.284, p<.01) 이는 건강한 손 상태와 정적 상관관계를 보였다. 40대와 50대에서는 손 건강에 대한 정보의 인지(${\beta}=.246$, p<.1), 관련 제품 사용(${\beta}=.312$, p<.05)과 전문 관리(${\beta}=.354$, p<.000)가 건강한 손 피부상태에 영향을 미치는 요인으로 꼽혔다. 이는 연령에 따라 손피부에 대한 관심 영역과 고민도 변화하며 그에 따라 관리 행동도 변화함을 알려주는 동시에 건강한 손피부에 대한 인식 고양과 연령에 따른 효과적인 손 관리 행동에 대한 보다 구체적인 후속 연구 필요성을 시사하고 있다. 따라서 본 연구는 연령별 손 건강에 대한 관심과 손피부관리행동을 참조하여 네일 전문제품 개발 및 네일 전문 관리샵 마케팅 전략과 맞춤형 프로그램 개발의 기초자료로써 네일 산업 발전에 기여하고자 한다.

• 대한가정학회지
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• 제42권12호
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• pp.219-230
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• 2004

The purpose of this study was to investigate relationships between the family strengths, mothers' self-efficacy, and their young children's teaming-related social skills and behavior problems. The subjects were the 217 children aged 4 to 6 years and their mothers at private child care centers in Seoul. The Family Strengths Scale and the Mothers' Self-Efficacy questionnaire were administered to the mothers. The teachers rated the learning-related social skills and problem behaviors of each child whose mother returned a set of Questionnaires. Analysis of variance revealed statistically significant differences in the family strengths according to the education level of the mothers. The mean the family strength score was higher for working mothers than for non-working mothers. The results of the test were statistically significant differences in the scores on the learning-related social skills and problem behaviors between boys and girls. The family strengths were positively correlated with the mothers' self-efficacy, and the learning-related social skills of the young children, while they were negatively correlated with problem behaviors.

• 동서간호학연구지
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• 제24권2호
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• pp.101-109
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• 2018

Purpose: The purpose of this study was to construct and test a structural equation model of health behavior compliance among patients with percutaneous coronary intervention based on self-determination theory. Methods: A total of 227 participants who received follow-up care after percutaneous coronary intervention were recruited. A structured questionnaire was used to assess health providers' autonomous support, basic psychological needs, autonomous motivation, controlled motivation, type D personality, and health behavior compliance. Collected data were analyzed using SPSS 21.0 and AMOS 21.0 program. Results: The final hypothetical model showed a good fitness with data: GFI=.94, RMSEA=.07, CFI=.96, NFI=.92, TLI=.94. The results revealed that autonomous support of health care providers, basic psychological needs, and autonomous motivation, and D-type personality accounted for 51.8% of health behavior compliance. Conclusion: The findings of this study indicate that enhanced autonomous support of health care providers is essential to promote patients' basic psychological needs and autonomous motivation. This leads to maximized compliance to the health behaviors among patients who underwent percutaneous coronary intervention. We recommend that health care institutions establish various measures to foster the special environments in which health care providers can actively provide and utilize autonomous support for their patients.

• Journal of Yeungnam Medical Science
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• 제40권2호
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• pp.218-222
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• 2023

A holistic approach to diabetes considers patient preferences, emotional health, living conditions, and other contextual factors, in addition to medication selection. Human and social factors influence treatment adherence and clinical outcomes. Social issues, cost of care, out-of-pocket expenses, pill burden (number and frequency), and injectable drugs such as insulin, can affect adherence. Clinicians can ask about these contextual factors when discussing treatment options with patients. Patients' emotional health can also affect diabetes self-care. Social stressors such as family issues may impair self-care behaviors. Diabetes can also lead to emotional stress. Diabetes distress correlates with worse glycemic control and lower overall well-being. Patient-centered communication can build the foundation of a trusting relationship with the clinician. Respect for patient preferences and fears can build trust. Relevant communication skills include asking open-ended questions, expressing empathy, active listening, and exploring the patient's perspective. Glycemic goals must be personalized based on frailty, the risk of hypoglycemia, and healthy life expectancy. Lifestyle counseling requires a nonjudgmental approach and tactfulness. The art of diabetes care rests on clinicians perceiving a patient's emotional state. Tailoring the level of advice and diabetes targets based on a patient's personal and contextual factors requires mindfulness by clinicians.

• 대한간호학회지
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• 제50권3호
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• pp.474-486
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• 2020

Purpose: The purpose of this study was to develop and validate a Korean version of the Self-Care for Aspiration Pneumonia Prevention (SCAPP-K) scale in older adults at risk of dysphasia. Methods: The Hertz and Baas model of scale development and validation was used. In the development stage, items were generated via literature review and interviews with medical experts, older adults, and caregivers. Ten experts assessed the items for content validity. Subsequently, 12 older adults participated in a pilot test to determine the comprehensibility and appropriateness of the SCAPP-K scale. The validation stage involved a cross-sectional survey with 203 older adults for exploratory factor analysis (EFA) and 200 older adults for confirmatory factor analysis (CFA) and to determine convergent and discriminant validity. To test the validity and reliability of the scale, EFA using principal component analysis with varimax rotation and CFA were conducted, and convergent and discriminant validity as well as internal consistency reliability were determined. Results: As a result of EFA, three self-care factors (knowledge, resources, behaviors) with 21 items were validated. The CFA and convergent and discriminant validity indicated the applicability of the three-factor self-care scale. The reliability of the SCAPP-K scale was acceptable, with Cronbach's α=.87~.91. Conclusion: The SCAPP-K scale has acceptable validity and reliability and can contribute to clinical practice, research, and education to improve self-care for the prevention of aspiration pneumonia in older adults at risk of dysphasia.

• 농촌계획
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• 제26권3호
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• pp.49-56
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• 2020

The purpose of this study was to explore the relationship between types of self-care activities and demand of agro-healing services in adults with disabilities. Data were obtained from a survey of 160 adults with disabilities dwelling in Korea and SPSS 25.0 software was used for frequency, descriptive analysis, correlation analysis, and hierarchical multiple regression analysis. The main results applying the Behavioral Model for vulnerable populations were as follows: 1) among the different types of their self-care activities, the mean of passive perceptions score was 1.13(SD=0.81), the mean of physical behaviors score was 3.01(SD=1.04), the mean of social relationships score was 1.40(SD=1.42) and the mean of agro-healing services utilization per year was 4.30(SD=2.55), 2) passive perceptions and social relationships in their self-care activities positively affected demand of agro-healing services, 3) age, perceived physical health, perceived mental health, region of adults with disabilities were also significantly associated with demand of agro-healing services. Based on these results, practical and political implications for promoting self-care activities and agro-healing services in adults with disabilities were discussed.

• 기본간호학회지
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• 제22권1호
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• pp.79-86
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• 2015

Purpose: The purpose of this study was to examine levels of self-care behavior according to levels of depression among patients with heart failure (HF). Methods: Participants in this descriptive research were 169 outpatients with HF who being seen in three university hospitals and one general hospital located in B, Y, and D cities. Data were collected using the Korean version of the Center for Epidemiologic Depression Scale and European Heart Failure Self-care Behavior Scale. Data collection period was from April 25, 2012 to September 26, 2013. Data were analyzed using Chi-square tests and ANOVAs with SPSS WIN 21.0. Results: A higher proportion of patients who were female, without a spouse, with lower household income, not employed, and having lower functional status with serious symptoms of HF tended to be clinically depressed. HF patients with depression tended not to report symptom changes to their health care providers. Conclusion: The findings of this study indicate the need to screen for depression in patients with HF and to develop strategies to improve self-care behaviors in these patients in order to promote reporting of symptom changes to health care providers.