• 지역사회간호학회지
• /
• 제8권1호
• /
• pp.45-60
• /
• 1997

Essential hypertension is a typical chronic disease requiring adequate and continuous management. Many studies supported that self-care was the essential factor to promote the wellbeing of hypertensives and self-efficacy increased healthy, behavior. The comprehensive self-regulation program was conducted as a nursing intervention on the promotion self-care performance for hypertensives in company. And this self-regulation program was recommended to apply for hypertensives in rural area. The purpose of this study is to identify the general characteristics affecting self-care and interrelationship among the factors including self-care, self-efficacy, HLOC, perceived benefits, barriers and family support. 40 subjects were interviewed from Dec. 1996 to Jan. 1997 and the data was analyzed by the SPSS PC+ program with t-test and multiple correlation to determine the variables affecting the self-care behavior. The results were as follows: 1) Level of self-care was significant difference according to sex(t= -2.27, p=.0l9). religion (t=1.57, p=.055) and smoking habit (t=4.42, P=.000). Perceived self-efficacy was more significantly high among the non-smoking group (t=3.25, P=.000) and female group (t=-2.534, p=.0l3). 2) There were significant positive correlation among the variables: self-care and self-efficacy (r=.5460, p=.000), external-LOC and self-care(r=.2548, p=.056), external-LOC and self-efficacy(r =. 2901, p=.035), self-efficacy and perceived benefits (r=3307, p=.019). And there were significant negative correlation between self-care and barriers (r=-.5438, p=. 000), self-efficacy and barriers (r= - .4153, p=.004). From the above results, it can be concluded that the self-care is more required in male hypertensives and self-efficacy is one of the important factors to increase healthy behavior in cluding self-care. Thus self-regulation program can be recommended in the management of the hypertensives in community settings.

• 대한간호학회지
• /
• 제23권2호
• /
• pp.170-186
• /
• 1993

This study evaluated the effect of diabetic group teaching programs in one university hospital in Seoul to predict when re-education would be needed. This study examined the patients’ knowledge at four points (before, directly after, three months and six months after the teaching program) and self-care performance related to diabetes twice (three months and six months after the teaching program). The subjects of the study were 24 admitted diabetic patients who participated in four-day teaching programs. Data were gathered from January to October, 1992 by means of an instrument developed from two diabetic knowledge tests which were equivalent in item differentiation and item discrimination coefficients. Collected data were analyzed by paired t-test, Pearson correlation, t and F tests. The results of study were as follows. 1. The analysis of the effect of the diabetic group teaching program and the duration of the effect of teaching. 1) The first hypothesis, that the diabetes knowledge score directly after the teaching program would be higher than before, was rejected (t=-1.40 ; p=.172). 2) The second hypothesis, that the diabetes knowledge score directly after teaching would be higher than three months later, was rejected(t= -4.27 ; p=.000). 3) The third hypothesis, that the diabetes knowledge score three months after teaching would be higher than six months later, was supported(t=2.43 : p=.020). 2. The relation of knowledge and self-care performance 1) The forth hypothesis, that the level of self-care performance related to diabetes three months later would be higher than six months later, was rejected( t=1.49 ; p=.146). 2) The fifth hypothesis, that the higher the diabetes knowledge, the higher the level of self-care performance, was rejected(r=.2086 ; p=.118). 3. The relation of diabetes knowledge and self-care performance according to demographic variables and structural variables of diabetes. 1) Diabetic knowledge scores varied according to the educational levels of the clients directly after the teaching. Three months after the teaching program higher educational levels and higher economic status were related to higher diabetic knowledge scores and men had higher knowledge scores than women. 2) Self-care performance scores of men were higher than those of women at three months and six months after the teaching program. 3) Before the diabetes teaching, the diabetic knowledge scores of subjects who had a diabetic patient in the family were higher than those who did not have patient in their family. Six months after the teaching, the diabetic knowledge scores of subjects who read the distributed books about diabetes were higher than those who did not read them. 4) No significance differences were found be-ween self-care performance and structural variables of dialetes. The results of this study indicated that the levels of diabetes knowledge and self-care performance incense of three months after the teaching program but decrease of six months. Reeducation would be needed between three and sir months. The investigator thinks that a study of the content and teaching methodology is needed to increase the education effect. The subjects want to hear patient histories of diabetic management. Group discussion would be helped after the teaching sessions.

• 간호행정학회지
• /
• 제16권4호
• /
• pp.446-454
• /
• 2010

Purpose: This study was conducted to compare job satisfaction, self-esteem, and nursing task performance between registered nurses (RN) and nurse assistants (NA) in long-term care hospitals. Method: The sample consisted of 203 nursing personnel (RN 99 and AN 104), who were working in one of 5 long-term care hospitals in 5 different areas. Data were collected by structured questionnaires from March 15 to April 30, 2010, and analyzed using the descriptive statistics, independent t-test, One-way ANOVA, and Pearson correlation coefficients with SPSS/Win 17.0 program. Result: There was no significant difference between nurses and nurse assistants in job satisfaction and self-esteem. But nurses had higher levels of nursing task performance than nurse assistants. Conclusions: These findings demonstrate the necessity of developing programs that will help to improve job satisfaction and self-esteem in nurses and nursing task performance in nurse assistants. Strategies need to be developed to maximize the value of the existing workforce without impacting on the quality of care delivered.

• 기본간호학회지
• /
• 제14권3호
• /
• pp.288-296
• /
• 2007

Purpose: This study was conducted to investigate the effects of self-efficacy promoting program on self-efficacy, self-care behavior and psychosocial adaptation in patients with a colostomy. Method: A non-equivalent control group pre test post test design was used. The self efficacy promoting programs was composed of a CD image program based on varicaious experience, education and telephone coaching program based on verbal persuasion, and Stoma care practice, and Self care performance based on performance accomplishment. This study was carried out from July 2, 2005 to April 20, 2006 and 21 patients with a colostomy at one of 2 hospitals participated. Descriptive statistics, ${\chi}^2-test$, and Mann-whitney U test were used to analyze the data. Results: There were significantly different for specific self efficacy, self care and psychosocial adaptation between the experimental group and control group. Conclusion: The self efficacy promoting program for patients with stomas was effective in improving degree of specific self efficacy, self care and psychosocial adaptation.

• 한국산학기술학회논문지
• /
• 제14권3호
• /
• pp.1100-1108
• /
• 2013

본 연구는 자아존중감과 교수효능감과 직무수행의 어려움 간의 관계를 분석해 보고자 하였다. 이를 위해 J지역 보육교사 282명을 대상으로 질문지 조사를 하였으며, 수집된 자료는 Peason 상관분석과 중다회귀분석을 실시하였다. 첫째, 보육교사의 자아존중감은 교수효능감과 직무수행의 어려움 인식과 상관이 있는 것으로 나타났다. 둘째, 보육교사의 일반적 교수효능감은 자아존중감을 예측하는 중요한 요인이었으며 유아 보호 및 지도에 대한 어려움 인식이 더불어 중요한 요인으로 나타났다. 이러한 결과를 통해 자아존중감의 중요성을 강조하고, 보육교사들이 자아존중감을 경험하고 제고할 수 있는 기회의 확대를 제안하였다.

• 한국보건간호학회지
• /
• 제10권2호
• /
• pp.90-102
• /
• 1996

This study is a descriptive survey research to investicate the relation between the performance of self-care behavior and degree of self-efficacy by evaluating them respectively. The subjects were consisted of seventy nine tuberculosis patients registered in two different public health care centers in the city of Kwangju from April 1st to 30th June, 1995. The results were as follows : 1) Demorgraphically, the proportion of males was$(59.5\%)$, the highest proportion of age group was twenties with $(31.6\%)$, the higest proportion of the patients graduated high school. the married was much more than the single$(51.9\%)$. The highest proportions in each variables were as followes : middle class in economic status with $70.9%$, the jobless in job status with $26.6\%$. the duration less than 6 months in ailing duration with $63.3\%$. The patients of $60.8\%$ and $74.7\%$ showed no family history and received no health education respectively. 2) The average drgree of self-care behavior was 3.44 points (1-5 points). 3) The average dregee of recognized self efficacy was 78.18 points(10-100points). 4) The recognized self efficacy showed close relationship with the performance of self-care behavior (r=0.6378. p<0.001) 5) The points of performance of self-care nursing behavior showed statistical significance in the variables of martial status. duration of treatment and economic status. (F=3.142. p<0.05), (F=3.701. p<0.05). (F=6.213. p<0.01) 6) The point of self efficacy showed statistical significance in the variables of sex. degree of education and marital status. (F=5.438. p<0.05), (F=4.28. P<0.01), (F=2.899, p<0.05) These results suggest as follows: 1) It is necessary to develop a program to improve the ability of self health care for the family member as well as the patient. 2) It is necessary to do further study on much more variables that influence on the performance of self-care behavior by expanding the number of subjects and duration of study. and to evaluate the self efficacy with time interval.

• 한국산학기술학회논문지
• /
• 제20권5호
• /
• pp.128-136
• /
• 2019

본 연구는 요양병원 간호사의 전문직 자아개념과 도덕적 민감성, 노인간호실천의 정도를 파악하고, 전문직 자아개념과 도덕적 민감성이 노인간호실천에 미치는 영향을 파악하기 위해 시행되었다. 연구대상자는 G도에 소재한 6개 요양병원에 근무하는 경력 3개월 이상인 간호사 153명이며 자료수집기간은 2018년 9월 15일부터 10월 15일까지이다. 수집된 자료는 SPSS win 23.0을 이용하여 mean, t-test, ANOVA, Pearson's coefficients, stepwise multiple regression으로 분석하였다. 대상자의 전문직 자아개념은 4점 만점에 $2.87{\pm}0.35$점, 도덕적 민감성은 7점 만점에 $4.70{\pm}0.47$점, 노인간호실천은 4점 만점에 $3.51{\pm}0.41$점이었다. 노인간호실천은 전문직 자아개념(r=.48, p<.001), 도덕적 민감성(r=.31, p<.001)와 정적 상관관계가 있었다. 노인간호실천에 유의한 영향을 미치는 요인은 전문직 자아개념(${\beta}=.32$, p=.001), 도덕적 민감성(${\beta}=.18$, p=.021), 노인간호교육 이수경험(${\beta}=.17$, p=.029)로 확인되었으며, 이들 변수들은 노인간호실천을 31.6% 설명하였다(F=8.32, p<.001). 따라서 요양병원 간호사의 노인간호실천 정도를 높이기 위해서는 전문직 자아개념과 도덕적 민감성을 향상 시킬 수 있는 교육프로그램의 개발과 적용이 필요하며 더불어 요양병원 간호사에게 노인간호에 대한 보수교육을 의무화하는 제도가 모색되어야 할 것이다.

• 성인간호학회지
• /
• 제19권2호
• /
• pp.318-328
• /
• 2007

Purpose: The purpose of this study was to examine the degree of self-care, symptom experience and disease state among the patients with liver cirrhosis and to identify its correlation. Methods: The subjects were 220 patients with liver cirrhosis who were treated in D-university hospital in Busan. The instruments used for study were the self-care inventory, the symptom experience inventory and modified childpugh classification scale. Results: The average points of the patient's self-care performance, symptom experience, and disease status were 3.67, 29.10 and 6.12 respectively. Their self care was negatively correlated to symptom experience, and symptom experience was positively correlated to disease state. Conclusion: This research findings suggested that active self-care by patients with liver cirrhosis might contribute to reduce various symptoms they can undergo and to prevent aggravation of disease state. Therefore, patients with liver cirrhosis have to carry out self care actively in daily life and discreet nursing intervention should be offered to facilitate their self-care.

• 성인간호학회지
• /
• 제20권1호
• /
• pp.102-112
• /
• 2008

Purpose: The purpose of this study was to examine self care behaviors according to the risk levels of vascular complications in elderly women with hypertension. Methods: The subjects of this study were 162 women living in the community who had been diagnosed with hypertension in clinics. The data were analysed by the SPSS 10.0 program using descriptive statistics, t-test, and ANOVA with Scheff$\dot{e}$ post-hoc test. Results: The average self care behavior score of the elderly women was 2.79. Total self care behavior was significantly different depending on the risk levels of vascular complications such as systolic blood pressure, diastolic blood pressure, ankle-brachial index, and the framingham point score. Among sub-scores of self care behaviors, exercise management was the poorest performance compared with other self care behaviors. Conclusion: This study proved the differences in self care behaviors according to the risk levels of vascular complications. To decrease the prevalence of vascular complication, it is necessary to develop programs specifically to enhance self care behaviors of elderly women with hypertension.

• 임상간호연구
• /
• 제24권1호
• /
• pp.1-9
• /
• 2018

Purpose: The study was to examine the effects of the individual education about chemotherapy for cancer patients as well as their family who are receiving the first chemotherapy on self-care knowledge, self-care performance, family support, and anxiety level. Methods: A non-equivalent control group was used in this interventional study. A total of 50 patients with cancer aged above 19 in the K university hospital, Seoul, Korea, participated in the study (Experimental group: n=25, Control group: n=25). The education about chemotherapy was offered one week after hospital discharge, which was followed by telephone counseling Data were analyzed by the SPSS/WIN 20.0 program using percentage, frequency, mean, standard deviation, $x^2$ test, and independent t-test. Results: The experimental group showed a significantly better self-care knowledge (t=4.094, p<.001), self-care performance (t=3.532, p=001), family support (t=2.170, p=.035), and anxiety control (t=4.780, p<.001) than the control group. Conclusion: The findings suggest that the individual education should be considered for cancer patients and their family in the clinical fields.